Publications by authors named "P J Parashos"

Objectives: To compare the use of orifice barriers (OB) in root-filled teeth (RFT) between specialist endodontic practitioners (SEP) and general and other specialist practitioners (GDP+), and identify common materials, reasons for selection, and techniques.

Methods: An online survey was distributed to SEP and GDP+ practising in Australia. Demographic and multiple-choice questions relating to material selection and technique choices were asked to evaluate and relate usage patterns to practising and training backgrounds.

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The interpretation of the clinical signs and symptoms arising from the interdisciplinary relationship between orthodontics and endodontics becomes more complicated when superimposed by dental trauma. A history of dental trauma before or during orthodontic tooth movement may have implications for pulpal health and clinical outcomes. An understanding of the biology is essential for appropriate treatment planning.

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Cone-beam computed tomography (CBCT) is a three-dimensional imaging modality which can aid endodontic diagnosis and treatment planning. While there are guidelines available describing the indications, there are divergent philosophies on when this technology should be applied in clinical practice. This paper reviews the applications of CBCT including the clinical relevance of parameters which can be assessed, highlights the limitations of this technology, and provides guidance on how to maximise its clinical utility.

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Background: This study investigated the prevalence and morphology of C-shaped and non-C-shaped root canal systems in permanent mandibular first (PM1) and second (PM2) premolars using retrospective analysis of cone-beam computed tomography (CBCT) scans, and panoramic radiographs.

Methods: CBCT scans from 2000 patients were screened for the presence of premolars with C-shaped canals and then assessed at three axial levels to determine the canal classification. The teeth were also assessed for Vertucci configuration, number of roots, and radicular grooves.

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Article Synopsis
  • The study explored how dentists and endodontists globally adopt cone-beam computed tomography (CBCT) and their preferences for its use in endodontics.
  • An online survey of dental professionals revealed that most CBCT training came from continuing professional education (69.2%) and highlighted key considerations in CBCT usage, such as radiation exposure and beam hardening.
  • Endodontists had significantly higher CBCT usage (90.8%) and access (81.1%) compared to non-endodontists, and preferred settings for scans emphasized small field of view and high resolution, suggesting a need for better education on CBCT's limitations and appropriate applications.
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