By John S. Rhodes
Complex endodontic difficulties that require additional paintings at the a part of the clinician could be time-consuming and troublesome. This hugely illustrated textual content, from one of many authors of the very profitable Endodontics: Problem-Solving in scientific Practice, tackles those tricky facets and publications the practitioner in the course of the difficulties and tactics involved.
The purely monograph in this particular challenge region, Advanced Endodontics may be of curiosity to endodontists, normal dental practitioners with a different curiosity in endodontics, and postgraduates in restorative and endodontic specialties.
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Additional info for Advanced Endodontics: Clinical Retreatment and Surgery
Clinical decisionmaking an art or a science? Part II making sense of treatment decisions. British Dental Journal 1995; 178: 113–116. 10. Buckley GB, West B. A safe path or a legal minefield? Health Bulletin 1998; 56: 848. 11. Bergenholtz G, Lekholm U, Milthon R, Heden G, Odesjo B, Engstrom B. Retreatment of endodontic fillings. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. Scandinavian Journal of Dental Research 1979; 87: 217–224. Eriksen H, Bjertness E. Prevalence of apical periodontitis and results of endodontic treatment in middle-aged adults in Norway.
Hyperplastic gingival tissue had extended through the defect. The perforation site encompassed one of the root canals and the defect would therefore have been extremely difficult to seal. As there is direct communication between the pulp chamber and the furcation region of the tooth, coronal leakage and reinfection could be possible. Therefore, the prognosis for successful retreatment in this tooth was considered poor and it was extracted. a fixed prosthesis or perhaps an implantsupported restoration, may offer a better longterm prognosis and should be considered at the treatment planning stage.
Sensitivity testing of adjacent teeth and occasionally teeth from the opposing arch may be required to clearly identify the culprit. Combining the results of special tests and radiographic reports will help compound the evidence. 18). Who Carried Out the Previous Treatment? If an experienced practitioner or specialist has had difficulty gaining access to canals or instrumenting to length, will further attempts improve things? Would it be more appropriate to consider a surgical approach? 15). Radiological Examination Standardized radiographs taken using a paralleling device and developed to a high quality are used to assess the quality of the previous root filling.