Textbook of Endodontology

by Bergenholtz, Gunnar; Hø; rsted-Bindslev , Preben; Reit, Claes

Edition: 2nd

ISBN13: 9781405170956

ISBN10: 1405170956

Format: Hardcover

Pub. Date: 2009-12-21

Publisher(s): Wiley-Blackwell

Other versions by this Author

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Summary

The second edition of Textbook of Endodontology continues the aim of serving the educational needs of dental students and dental practitioners searching for updates on endodontic theories and techniques.Significantly restructured and completely updated, the new edition maintains the ethos of the original, facilitating ease of learning through pedagogical features such as annotated references, core concepts and key literature. It features a number of new chapters on topics ranging from outcomes of endodontic treatment to managing endodontic complications to dental trauma. Additionally, all other chapters have been thoroughly revised and brought up to date to reflect contemporary knowledge and practice.Textbook of Endodontology continues its important function of providing lucid scholarship and clear discussion of biological concepts and treatment principles in endodontics, and as such will be an important update to its current readers and a valuable discovery to its new audience.

Author Biography

Gunnar Bergenholtz: Department of Endodontology and Oral Diagnosis, Faculty of Odontology, Sahlgrenska Academy, Göteborg University, Sweden.

Preben Hørsted-Bindslev: Department of Dental Pathology, Operative Dentistry and Endodontics, Royal Dental College, University of Aarhus, Denmark.

Claes Reit: Department of Endodontology and Oral Diagnosis, Faculty of Odontology, Sahlgrenska Academy, Göteborg University, Sweden.

List of Contributors
Preface
Introduction to endodontology
Endodontology
The dawn of modern endodontology
The objective of endodontic treatment
Clinical problems and solutions
The diagnostic dilemma
The tools of treatment
Extraction and dental implant?
References
The Vital Pulp
The dentine-pulp complex: responses to adverse influences
Introduction
Constituents and normal functions of the dentine-pulp complex
Basal maintenance
Appropriate responses of the healthy pulp to non-destructive stimuli
Responses to external threats
Effects of potentially destructive stimuli
References
Dentinal and pulpal pain
Introduction
Classification of nerve fibers
Morphology of intradental sensory innervation
Function of intradental sensory nerves under normal conditions
Sensitivity of dentine: hydrodynamic mechanism in pulpal A-fiber activation
Responses of intradental nerves to tissue injury and inflammation
Local control of pulpal nociceptor activation
Dentine hypersensitivity
Pain symptoms and pulpal diagnosis
References
Treatment of vital pulp conditions
Introduction
Clinical scenarios
Treatment options
Factors influencing choice of treatment
Management of exposed pulps by direct pulp capping/partial pulpotomy
Pulpectomy
Emergency treatment
References
Endodontics in primary teeth
Introduction
The normal pulp
Pulp inflammation in the primary tooth
Wound dressings characteristics, modes of action and reported clinical success rates
Objectives of pulp treatment
Operative treatment procedures
Indications and contra-indications for pulp treatment in primary teeth
Future directions
References
The Necrotic Pulp
The microbiology of the necrotic pulp
Introduction
Evidence for the essential role of micro-organisms in apical periodontitis
Routes of microbial entry to the pulpal space
Modes of colonization
Ecological determinants for microbial growth in root canals
Methods for studying the root canal microflora
Composition of the endodontic microflora
Association of signs and symptoms with specific bacteria
Concluding remarks
References
Apical periodontitis
Introduction
The nature of apical periodontitis
Interactions with the infecting microbiota
Clinical manifestations and diagnostic terminology
References
Systemic complications of endodontic infections
Introduction
Acute periapical infections as the origin of metastatic infections
Chronic periapical infections as origin of metastatic infections
References
Treatment of the necrotic pulp
Introduction
Objectives and general treatment strategies
Scheme for a routine procedure in RCT
Considerations in complex cases
Effects of RCT on the intracanal microbiota
Management of symptomatic lesions
References
Endodontic Treatment Procedures
The surgical microcope
Introduction
Components
Ergonomics and working techniques
Micro-instrumentation
Critical steps
Concluding remarks
References
Root canal instrumentation
Introduction
Principles of root canal instrumentation
Root canal system anatomy
Procedural steps
Endodontic instruments
Instrumentation techniques
Limitations of root canal instrumentation
Preventing procedural mishaps
References
Root filling materials
Introduction
Requirements
Leakage/sealing
Gutta-percha cones
Sealers
Materials for retrograde fillings (root-end fillings) and replantation
Mandibular nerve injuries
References
Root filling techniques
Introduction
Specific objectives
Selecting a root canal filling material
Root filling techniques for gutta-percha
Root filling techniques employing gutta-percha and sealer
Procedures prior to root canal filling
Assessing root filling quality
Filling of the pulp chamber and coronal restoration
Conclusions and recommendations
References
Diagnostic Considerations and Clinical Decision Making
Diagnosis of pulpal and periapical disease
Introduction
Evaluation of diagnostic information
Diagnostic strategy
Clinical manifestations of pulpal and periapical inflammation
Collecting diagnostic information
Diagnostic classification
References
Diagnosis and management of endodontic complications to dental trauma
Introduction
Common dental injuries
Dental trauma and its consequences
General considerations in the management of dental trauma
Diagnostic quandaries to remove or review the pulp after trauma?
Pulp regeneration the dawn of a new era?
References
The multi-dimensional nature of pain
Introduction
Neurobiological factors affecting the pain experience
Psychological factors affecting the pain experience
Gender and pain
Special populations
Management and treatment of pain
Concluding remarks
References
Clinical epidemiology
Introduction
Clinical epidemiology
Diagnosis
Cause
Prevalence, frequency and incidence
Risk for AP
Treatment
Prognosis
Longevity of root filled teeth
Back to the case
References
Endodontic decision making
The outcome of endodontic treatment
Factors influencing treatment outcome
Prevalence of endodontic failures
Variation in the management of periapical lesions in endodontically treated teeth
Clinical decision making: descriptive projects
Endodontic retreatment decision making: a normative approach
Concluding remark
References
The Root Filled Tooth
The root filled tooth in prosthodontic reconstruction
Introduction
Problems associated with root filled teeth as abutments
Core build-ups
Clinical techniques
Prosthodontic reconstruction
References
Non-surgical retreatment
Introduction
Indications
Access to the root canal
Access to the apical area
Instrumentation of the root canal
Antimicrobial treatment
Preventive retreatment
Prognosis
References
Surgical endodontics
Introduction
General outline of the procedure
Pain control after surgery
Bone healing
Prognosis
References
Failures after surgical endodontics
Table of Contents provided by Publisher. All Rights Reserved.