Ove Peters, D.MD, M.S., PhD
Chair, Department of Endodontics; Program Director, Advanced Education Program in Endodontology
University of the Pacific Arthur A. Dugoni School of Dentistry
Disclosures: Dentsply Sirona: Consultant
Despite the technological developments in our discipline, so far, there is no convincing evidence to suggest that the overall prognosis of root canal treatment has increased over a period of 50 years. The increased understanding of the complexity of the biofilms that are present in necrotic root canals and many root filled teeth has challenged the view that root canal treatment is about getting root canals sterile. With new imaging technologies like CBCT, it also stands clear that postoperative situations without symptoms and agreeable periradicular conditions, as can be assessed on an intraoral X-ray, may still prove to have signs of residual inflammation. At the same time, we face a renewed interest in a possible association between endodontic infections and general health. These observations put your finger on a crucial point. What should be regarded as sick, what needs to be treated and what does not need to be addressed? It has been argued that both modern medicine and dentistry face fundamental ethical problems if too rigorous and consistent concepts of disease prevail.