By John S. Rhodes
Complex endodontic difficulties that require additional paintings at the a part of the clinician should be time-consuming and complex. This hugely illustrated textual content, from one of many authors of the very winning Endodontics: Problem-Solving in scientific Practice, tackles those tough facets and publications the practitioner during the difficulties and systems involved.
The merely monograph in this particular challenge zone, Advanced Endodontics could 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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Additional resources for Advanced Endodontics: Clinical Retreatment and Surgery
5. Reit C, Gröndahl H-G. Management of periapical lesions in endodontically treated teeth. A study on clinical decision making. Swedish Dental Journal 1984; 8: 1–7. 6. Reit C, Gröndahl H-G, Engström B. Endodontic treatment decisions: a study of the clinical decision-making process. Endodontics and Dental Traumatology 1985; 1: 102–107. 7. Reit C, Gröndahl H-G. Endodontic retreatment decision making among a group of general practitioners. Scandinavian Journal of Dental Research 1988; 96: 112–117.
As there is a technical deficiency in the primary treatment, root canal retreatment should have a good prognosis. 29 Removing a fractured instrument from the orifice of a root canal should be relatively simple. In this mandibular left molar, a fractured orifice opener can be seen in one of the mesiobuccal canals. It should be relatively simple to remove using ultrasonics. The tilting of the tooth made access more difficult. 31 A fragment of file is retained in the apical part of a mesial canal of this mandibular right molar.
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.