By John S. Rhodes
Complex endodontic difficulties that require extra paintings at the a part of the clinician might be time-consuming and complex. This hugely illustrated textual content, from one of many authors of the very profitable Endodontics: Problem-Solving in medical Practice, tackles those tough features and publications the practitioner throughout the difficulties and techniques involved.
The merely monograph in this particular challenge quarter, Advanced Endodontics should be of curiosity to endodontists, common dental practitioners with a unique curiosity in endodontics, and postgraduates in restorative and endodontic specialties.
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Extra info for Advanced Endodontics: Clinical Retreatment and Surgery
9. Kay E, Nuttall N. 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.
The root canals of teeth that have been left open to drain for a considerable length of time are often packed with food debris and may also become saturated with bacterial colonies. These cases will be difficult to disinfect. Information divulged by the patient may highlight likely problems that could be incurred during retreatment. However, patients can become confused or uncertain about specific details when extensive treatment has been carried out, and it is not uncommon in this situation to find that the patient has forgotten that a particular tooth has even been root filled.
33 Once a decision has been made to carry out retreatment, the clinician must decide whether a surgical, non-surgical or combined approach is most appropriate. The chance of teeth with no periapical pathology remaining symptomfree following root canal treatment or nonsurgical retreatment has been shown to be 92–98%. When evidence of apical periodontitis is present, this is reduced to 74–86%. The chance of the teeth remaining functional is 91–97%. 35 Conservative endodontic therapy, both nonsurgical and surgical, is therefore definitely justified and should be attempted when a good restorative and periodontal prognosis is projected, unless the patient is not motivated to retain the tooth.
Advanced Endodontics: Clinical Retreatment and Surgery by John S. Rhodes