DTUK2910

November 29-December 5, 201012 Perio Tribune United Kingdom Edition erenced papers have been pub- lished in the following journals: • International Journal of Pros- thodontics - 1 • Journal of Prosthetic Dentistry - 4 • Clinical Oral Implants Research - 4 • Journal of Periodontology - 37 • Journal of Clinical Periodontol- ogy - 24 • Periodontology 2000 - 5 • International Journal of Periodontics and Restorative Dentistry - 1 • Annals of Peridodontology - 1 • Journal of Endodontics - 4 • Australian Endodontic Journal - 1 • International Journal of Oral Maxillofacial Surgery - 1 • Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology - 2 • Acta Odontologica Scandinavia - 2 • Dental Clinics of North America - 1 • Journal of Dental Research - 1 • Compendium of Continuing Education Dentistry - 3 • Current Opinion in Dentistry - 1 • Amercian Journal Orthodontics Dentofacial Orthopaedics - 1 • International Journal of Maxil- lofacial Implants - 3 • Journal of Dentistry - 1 • Operative Dentistry - 1 • Quitessence International - 1 • Journal Contemporary Dental Practice - 1 • Scandinavian Journal of Den- tal Research - 2 • Journal Bone Miner. Res. - 3 • Endocrinology - 1 • Journal of Dental Education - 1 • Cochrane Database - 1 • Clinical Oral Investigation - 1 • Journal of Oral Investigation -2 • Journal of Orofacial Orthopaedics- 1 • European Journal of Orthodon- tics - 1 • Journal of American Dental Association - 1 • Clinical Anatomy - 1 • Current Opinions in Dentistry - 1 • Journal of Evidence Based Den- tal Practice - 1 • International Endodontic Journal - 1 • Drugs - 1 • Science - 1 • Journal of Clinical Investigation - 1 • General Dentistry - 1 • Pharmacotherapy - 1 • Journal of Oral Implantology - 1 Results Avila et al. have built a “color- based decision-making chart with six different levels…” which they present to their readership. Conclusion The task to decide on the save ability of tooth is a multidiscipli- nary decision. The authors have taken the profession a great step forward by analysing decision criteria from different special- ties. Out of 130 referenced pa- pers, 67 were written by perio- dontists, five by prosthodontists, six by endodontists and one by an orthodontist, etc. This is an uneven distribution. As an example: Endodon- tics has come a long way in the past decade to offer a wide variety of treatment options for compromised teeth. The panel of authors should have been expended by the exper- tise and the knowledge of an endodontist. The authors successfully managed to build a first decision tree for the general practitioner when appraising the question: to save or to extract? The deci- sion making chart will benefit by revision and introduction of additional levels. The American Association of Endodontics pub- lished in 2006 a “case difficulty assessment”. Similar cases of difficulty assessments would be beneficial for the different spe- cialties. Placing case difficulty assessments at the forefront of any specialist decision tree will help differentiate between treat- ment offered by the general practitioner and the one granted by specialists. The reduced number of ref- erenced endodontic, prosthetic and orthodontic papers when compared to the number of periodontic papers, prove the high specialty bias of the current paper. The discussed paper can be considered a helpful but not exclusive tool for general prac- titioners when evaluating treat- ment options for diseased teeth. Multidisciplinary decision mak- ing enhancements should be of- fered to the profession to guar- antee highest level of evidence. Addition of case difficulty assess- ments to differentiate between treatments options performed by general practitioners and spe- cialists will compliment the pre- sented reference guide. Correct and comprehensive appraisal of literature published and used by the profession is mandatory. It should be taken as highly recommended advice to never relay on non-critically appraised papers no matter from which source of publication. DT References 1. Avila G, Galindo-Moreno P, Soehren S, Misch CE, Morelli T, Wang HL., A novel decision-making process for tooth reten- tion or extraction., J Periodontol. 2009 Mar;80 (3):476-91. 2. http://www.aae.org/uploadedFiles/ Publications_and_Research/Endodon- tics_Colleagues_for_Excellence_Newsl etter/2006CaseDifficultyAssessmentFor mB_Edited2010.pdf About the author Dr med den Liv- iu Steier, FICOI, FRSM, FIAG, FI- ADF Liviu Steier received his Dr med dent (PhD) in 1982. He is Spe- zialist fuer Prothe- tik (www.dgpro. de) and Specialist in Endodontics (GDC-UK). He is Honorary Clinical Associate Professor at Warwick Den- tistry, Warwick Medical School – Uni- versity of Warwick, and course director of the MSc in Endodontics. He holds a Visiting Professorship at Tufts School of Dental Medicine - Boston (US) in the Department of Postgraduate Endodon- tics, as well as a Visiting Professorship at Florence School of Dental Medicine (Italy) - Restorative Department. He is a member of the Scientific Board of the Journal of Endodontics, Editor-in- Chief of REALITY ENDO (www.re- alityesthetics.com), and Clinical Editor of Dental Tribune UK and maintains private practices in 20 Wimpole Street, London (www.msdentistry.co.uk) and Mayen, Germany (www.drsteier.de). Correct, comprehensive and adequate appraisal of the literature is decisive for the out- come of contemporaneous papers This is more than a cassette. It is a business solution. The Hu-Friedy Instrument Management System was specially designed to help you increase the productivity of your practice, guarantee the safety of your patients and staff and extend the life of your instruments. With IMS you can save up to 70 minutes per day in hygiene and sterilisation procedures giving you more time for your patients and staff. IMS Signature Series Special Offer Buy 2 cassettes and save 20% To place your order, visit www.henryschein.co.uk. Find out more about IMS. Visit www.hu-friedy.eu. IMDIN138S Other models are also available. DT-UK ad.indd 1 11/19/10 4:28 PM ‘The authors successfully managed to build a first decision tree for the general prac- titioner when appraising the question: to save or to extract?’