Endodontic retreatment is technically more difficult to perform, involves greater risks, and is more unpredictable clinically compared with primary endodontic treatment. This book addresses topics such as indications for endodontic retreatment; safe and efficient removal of existing restorations and obturation material; challenges such as fractured instruments, hard pastes, blockages, and negotiation of the canal; treatment of perforations; management of a tooth with a wide-open apex; and assessment of prognosis and success. Well-illustrated with clinical photographs, radiographs, and diagrams, the book will enable practitioners to undertake endodontic retreatment with greater confidence.
CLINICAL ATLAS OF RETREATMENT IN ENDODONTICS Explore a comprehensive pictorial guide to the retreatment of root canals and failed endodontic cases with step-by-step advice on retreatment management Clinical Atlas of Retreatment in Endodontics delivers an image-based reference to the management of failed root canal cases. It provides evidence-based strategies and detailed clinical explanations to manage and retreat previous endodontically failed cases. It contains concrete evidence-based and practical techniques accompanied by full-colour, self-explanatory clinical photographs taking the reader through a journey of successful management of the failed clinical cases. Using a variety of clinical cases, the book demonstrates why and how endodontic failures occur, how to prevent them, and how to manage them in clinical practice. It also emphasises on evaluating the restorability and prognosis of the tooth in order to make a proper case selection for providing retreatment. This book also discusses the various factors that can help the clinician to make a case for nonsurgical or surgical retreatment. Readers will benefit from the inclusion of clinical cases that provide: A thorough introduction to perforation repair, with a clinical case that includes the repair of pulpal floor perforation caused due to excessive cutting of the floor of the pulp chamber An explanation of various factors for instrument separation, supported with a case that includes the removal of a fractured instrument Practical discussions of instrument retrieval, with a case that includes a fractured instrument at the apical third of mandibular molar A step wise pictorial description for guided root canal therapy Selective root canal treatment as a treatment option for retreatment of failed endodontic cases A detailed clinical description for how to explore and modify the endodontic access cavity for locating extra/missed canals Perfect for endodontists, endodontic residents, and general dentists, Clinical Atlas of Retreatment in Endodontics is also useful for undergraduate dental students and private practitioners who wish to improve their understanding of endodontic retreatment and are looking for a one-stop reference on the subject.
• When is a treatment considered ineffective? • How is a failed treatment diagnosed radiologically? • Is a retreatment always indicated? • What are the best solutions for correct disinfection and irrigation? • Which are the most appropriate obturation techniques in retreatments? • When should a lesion of apical origin be considered resolved? • What type of restorations may be performed in teeth with retreatments? • Which are the most appropriate techniques for the removal of endocanalar materials? • Can endodontic surgery be a first therapeutic choice? • When can a post-extraction implant be performed? The ten chapters of the volume answer these ten fundamental questions and the clinician who faces an apical pathology of endodontic origin will therefore have the solutions. The aim of this text/atlas is to provide a guide to the diagnostic approach and to the execution of endodontic retreatments of complex cases. The book is enriched by over 150 clinical cases by world-famous authors of various nationalities and illustrated with a high-quality iconography, expansion boxes and decision- making algorithms that guide the professional in the therapeutic choice.
This book provides clear, concise guidance on a range of essential treatment strategies for the provision of reliable endodontic care. Practical clinical procedures are described step by step and key concepts emphasized with the aid of a wealth of high-quality illustrations and photographs. Examples of best practice are documented by means of clinical case examples, and the provision of concise tips and recommendations ensures that the reader will quickly be able to find solutions to any one of the myriad of endodontic challenges with which he or she may be confronted. In addition, the most relevant key literature is reviewed in order to support and reinforce the discussed clinical concepts. The described endodontic treatment strategies are all grounded in a sound scientific evidence base. The book should enable practitioners to manage any endodontic case from first principles and will be of value for both dental practitioners and endodontic trainees/specialists.
This logical, cogent, and rigorous book presents approaches to treating advanced periodontitis based on clinical signs and biologic features of the disease and on current data concerning bacterial etiology and new diagnostic methods. Treatment strategies that conform to the new classification criteria of periodontal diseases are tailored to individual cases, and numerous clinical cases illustrate the surprising repair capacities obtained through the use of time-tested maintenance techniques.
This book serves as a clinical guide to help the practitioner improve endodontic treatment outcomes. It focuses on the various factors affecting the prognosis of endodontic treatments and on their impact on short-term and long-term results. The text incorporates up-to-date knowledge, techniques and treatment protocols. Each chapter has been carefully chosen to address either foundational knowledge or a select aspect of endodontic treatment. The authors analyze the knowledge accumulated from a large number of outcome studies and provide the reader with a critical appraisal indicating the strengths and weaknesses of those studies. This information is then used to make recommendations on how to predict the outcome of the intended treatment. The authors emphasize that the endodontic prognosis is a multifactorial phenomenon, underscoring how various factors, singularly and in combination, influence the treatment outcome. Readers are provided with tools to successfully assess the prognosis of the proposed treatment at the outset and to execute the planned treatment focused on optimal outcome.
Establishing the most favorable moment to initiate orthodontic treatment requires an understanding of craniofacial anatomy and development as well as some training in child psychology. This manual explores these concepts in detail to address when treatment should begin, which techniques should be used, how to form a precise diagnosis, and how to choose the therapy best suited to a patient.
This clinical manual presents the current rationale and indications for third molar extraction, along with comprehensive, detailed information on treatment techniques such as radiographic examinations, anesthesia, surgical protocol, and germectomy. The clinician will also find practical advice for treating specific clinical situations such as the mesially inclined, horizontal, vertical, or distally inclined third molar, as well as special considerations for extracting maxillary third molars. The authors also offer strategies for effective patient management through every stage of treatment.
