Restoration of an Endodontically Treated Tooth

The process of root canal treatment and the subsequent choice of restorative technique undoubtedly require careful consideration so as to prevent possible failure of the treatment process due to extraradicular and intraradicular infections.1, 2 Root canal treatment is itself indicated in the treatment of carries with pulpal infection caused by tooth decay. While endodontic treatment deals with periodontal damage to the pulp, restorative dentistry repairs exposed and damaged dentine and enamel. This process aims at reinforcing an otherwise fragile root filled tooth and the assurance of high quality dental therapy. Professionals in collaboration who concur with this, recognize the fact that the complete filling process revolves around establishing a “bacteria tight seal of the root canal”.3(218) This is attributed to the claims that root filling processes reduce a tooth’s rigidity making it vulnerable to fracture damage and even discolouration in comparison to a vital tooth. 1, 4 Recent contradictory evidence however, shows a very slight difference in the dentin of endodontically treated teeth and the corresponding vital tooth. Attention is instead directed towards access preparation, amount of missing tooth structure and reduced inherent protective feedback as the factors that necessitate restoration.21 The restoration process thus aims at maintaining a tooth’s structural potency and aesthetic value by restoring its original structure.1, 3, 5 The lack of conclusive literature and the upsurge of literary evidence in dentistry, has made the restoration process a controversial topic of debate, necessitating the use of evidence based data to facilitate the process. For instance, professional studies show a reduction in the success rate of the procedure to 71% when restoration is not carried out.3 The issue of whether or not a cuspal coverage is significant for the tooth’s retention and the type of crown material is dependent on the type of tooth and remaining structure.15,22 Evidence however, implies greater chances of tooth survival in crowned teeth with statistics showing survival rates of teeth without crowns at 1, 2 and 5 years being recorded as 96%, 88% and 36% respectively.23 The placement of posts is another controversial issue with some practitioners arguing that dentistry should be minimally invasive and that it does not possess restoration qualities.5, 6, 19, 22 With regards to this, Naumann, Kiessling and Seemann6 recognize that the choice of restoration technique is governed by a number of factors that revolve around the condition of the tooth/teeth and the wide array of restoration material. Evidence from a one year analysis of a military clinic provided by McComb23 showed that 60% of endodontically treated teeth failures were caused by post restoration fractures, while periodontal problems constituted 32% making the restoration process a prime issue. As a result of these considerations among others, the following research focuses on restoration techniques and the factors that influence the treatment process selected.
 

 

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Between 1870 and 1914, Western powers took over major portions of the non-Western world; both at the time and since then, there has been considerable discussion and debate around the causes of this takeover.

Between 1870 and 1914, Western powers took over major portions of the non-Western world; both at the time and since then, there has been considerable discussion and debate around the causes of this takeover.
a) What were the most important reasons, in your opinion, behind this takeover?
b) Provide at least five specific examples to support your thesis.

 

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Factors Underlying Energy Crisis in USA

America is experiencing the worst crisis in energy supply that is projected to last for the next two decades if the critical issues facing this challenge are not addressed. This problem would threaten the economic prosperity of the nation and would affect people’s lifestyle. Since the 20th century, the U.S. government has been constantly concerned with energy than any other nation in the world, but the current energy outlook portrays a different picture. The nation has always been concerned with sufficient energy supply, affordable energy for all citizens, environment conservation techniques of energy production, research into production of reliable renewable energy, and energy conservation (James Everett Katz 175). Despite efforts to deal with this energy crisis currently facing the nation, little progress has been achieved. The cause of this crisis is that country has formulated very many policies and plans for the energy sector and this has sunk the government into a crisis of confusion about which policy comes first. USA energy crisis has developed from the consequences of conflicting energy plans and policies due to lack of grand plan to implement them. For instance, development of renewable energy sources to conserve the environment and the need to boost the local supplies of oil, coal, and natural gas to meet the current ever-increasing demand (Mary M. Timney 17). Another conflict involves, the need to promote production by deregulating energy production and energy supply and protection of the consumers from high prices by regulating the retail prices. Lastly, there is need to conserve government’s treasured land and the need for more land to drill and produce energy on the other hand.

 

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Danny Meyer: “Constant, gentle pressure”.

Danny Meyer is considered by many as one of the most successful restaurateurs in the United States, if not the world. He is the CEO of Union Square Hospitality Group, which includes Union Square Cafe, Gramercy Tavern, Eleven Madison Park, Tabla, Blue Smoke, Jazz Standard, Shake Shack, and The Modern, Cafe 2 and Terrace 5 at the Museum of Modern Art, as well as Hudson Yards. His restaurants and chefs have earned an incredible 19 James Beard Awards, including: the first-ever Outstanding Restaurateur, Outstanding Restaurant of the Year; Best Chef; Outstanding Service; Outstanding Wine Service; Humanitarian of the Year; Who’s Who of Food & Beverage; Best New Restaurant; Best Restaurant Design; and Best Graphic Design. (http://www.ushgnyc.com/_pdf/meyer_bio.pdf)
 
Meyer himself wholeheartedly agrees that this success could not have been achieved without what he refers to as: “Constant, gentle pressure”. This term is his preferred technique for not only leading, but also for guiding and coaching his followers, which now add up to approximately 1,400 employees. To him: “It’s the job of any business owner to be clear about the company’s nonnegotiable core values.” (http://www.inc.com/magazine/20061001/column-guest.html). He believes that as the leader of his company, he should instill and expect a level of excellence in all his employees and must never waver in the presence of negative, outside forces. When training his managers, he believes that he needs to be extremely specific as to what this level of excellence entails. He does recognize the presence of these outside forces, including the actual managers, which will conspire to alter this level of excellence. However, he assures them that he will constantly return to that desired level, but always in a gentle manner (dialogue, compromise and willingness to share power). Ultimately, in recognition of the importance of keeping his excellence standards, he will always apply the right amount of pressure in order to fulfill his strategic goals.

 

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Molecular pathology: Cervical cancer

Use of case study for cervical cancer
Inheritance pattern (if appropriate)
Molecular basis of disease
Current technologies utilised to diagnose disorder in patients
Current treatments

 

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The consumer’s decision to purchase or not purchase a product or service is an important moment for most marketers since it denotes whether a marketing strategy has been effective or missed the mark and whether a marketing plan has been successful. Discuss

The consumer’s decision to purchase or not purchase a product or service is an important moment for most marketers since it denotes whether a marketing strategy has been effective or missed the mark and whether a marketing plan has been successful. Discuss

 

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Pigovian taxation approach and b) the pure Coase theorem approach of no government intervention bar the assignment of property rights.

Pigovian taxation approach and b) the pure Coase theorem approachof no government intervention bar the assignment of property rights.Would efficiency be achieved if transactions costs were high butproperty rights were fully defined? Would your answer to the previousquestion depend on which party was assigned the property rights?

 

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Effects of Financing Systems on Higher Eduaction

When a government funds for higher education, equality, fairness and justice is enhanced. In this case, as far as funding is merit based, the deserving students have equal opportunities of attaining a higher education in spite of the social and economic background. Similarly, government funding reduces unhealthy competition among higher learning institutions, individuals and money lending institutions (Kretovics & Michael, 2005; Barr & Crawford, 2005). The government involvement also ensures that continuous development of a country is enhanced. On the other hand, the government involvement on how the funds are spent by the institutions may compromise the quality of education offered as well as delaying other development projects of a given institution. Similarly, the taxpayers may not have a chance to directly enjoy the incentives of higher learning. This is more so if no children or relatives from such families will ever have an opportunity to attain funded higher education. This has raised many debates and controversies among the stakeholders involved in higher education and learning (Johnstone 2004).

 

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What is the therapeutic relationship and what is it about this relationship that 'helps'?

What is the therapeutic relationship and what is it about this relationship that ‘helps’? Explore research regarding the benefits of the relationship beyond theoretical techniques. Discuss and critique the barriers to developing an effective therapeutic relationship and the important things to consider about establishing the relationship (e.g.- empathy, unconditional positive regard, boundary setting, goal setting or direction in the work).

 

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American women and their progressive involvement in war:

American women and their progressive involvement in war: What their roles in war have been and are now? How has this involvement in war evolved over the years? How do men and society view the role of women in war? Should they be allowed to serve on the frontlines?

 

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