Endodontic Diagnostic Challenges And Treatment Planning

This book is intended as a practical guide to endodontic diagnosis, pathology, and treatment planning. The coverage is comprehensive and encompasses such topics as disease classification, the endodontic armamentarium, anatomy, the role of different radiographic techniques, treatment decision making, preoperative management, the use of antibiotics and analgesics, and anesthesia. Numerous high-quality illustrations and clinical photographs are included to highlight key concepts and findings, and best practice is documented by means of clinical case examples. The provision of concise tips and recommendations ensures that the reader will quickly be able to find solutions to diverse endodontic challenges. In addition, the most relevant literature is reviewed in order to support and reinforce the discussed clinical concepts. The book will assist dental practitioners and endodontic trainees/specialists in planning the management of any endodontic case from first principles.

Problem Solving in Endodontics, 5th Edition, by James L. Gutmann and Paul Lovdahl, offers updated techniques and an evidence-based approach to the most common procedures performed at chairside. Ideal for both endodontists and general dentists, this thoroughly revised reference combines the precision of quality endodontic care with achievable and pain-free outcomes for the patient. Each chapter has been carefully designed so that you'll quickly grasp the anatomy, the instruments needed, and what procedures should be performed -- all supplemented by boxed clinical case examples and tips. Going beyond problem solving, it also addresses the major issues in diagnostic, anatomic, restorative, periodontic, traumatic, and surgical aspects of tooth retention. Provides chairside guidance for the endodontic procedures most commonly performed by endodontists and general dentists. Entire text has expanded concepts that are verified in new drawings and clinically relevant cases. Integrates new technologies and materials into every chapter that when applied result in predictable and optimal outcomes. Establishes clear parameters for the retention of teeth. Correlates optimal patient outcomes with an evidence-based approach. Reflects the practical expertise of renowned endodontics authority and past President of the AAE, Dr. James Gutmann, and endodontics specialist, Dr. Paul Lovdahl. Every chapter has been completely rewritten, and concepts have been integrated for quick recognition, understanding and application to common, everyday challenges. The Surgery section has been expanded with new case studies, and more in-depth coverage of indications and applications for surgeries, such as crown-lengthening technique, periradicular surgery to manage perforations and resorptive defects, and other endodontically-related problems. The approach of this text is to teach the clinician how to recognize and analyze the problems encountered and to synthesize the data for realistic and successful outcomes. To help you make the best clinical decisions, this edition contains new chapters and new sections on diagnosis and treatment planning that presents crucial information on Radiographic Images, Differential Diagnosis of Bony Defects, Diagnosis of Treatment Failure, and Diagnosis of Non-odontogenic Pain. Retains a succinct, user-friendly format with a new design that includes hundreds of NEW high-quality clinical photos and art. Offers broader coverage of tooth trauma with established treatment planning outcomes. ALL references are updated and annotated in the text. Provides a practical, problem-solving approach with new chapters on: radiographic technique and interpretation; impact of pulp disease on the periodontium and vice versa; treatment failure and tooth retention; how to differentiate problems of pulp/periodontium from those that are non-odontogenic in nature; vital pulp therapy; and more.

Endodontic pain is a complex symptom that poses unique challenges for the dentist. This book is a concise, well-structured guide to the assessment and treatment of patients who present with endodontic pain, in which step-by-step descriptions are complemented by informative images and flow charts. The advantages, disadvantages, and significance of specific diagnostic and treatment procedures are clearly described, as is a pharmacotherapeutic approach to the prevention and treatment of pain. In addition, the causes and biological basis of endodontic pain are explained and guidance is provided on further strategies for pain prevention. The crisp narrative, efficient design and visual detail are notable features of this book that will make it an ideal chairside resource for the clinician and a dependable reference for the student.

This book is designed to provide the reader with a full understanding of the role of cone beam computed tomography (CBCT) in helping to solve many of the most challenging problems in endodontics. It will shorten the learning curve in application of this exciting imaging technique in a variety of contexts: difficult diagnostic cases, treatment planning, evaluation of internal tooth anatomy prior to root canal therapy, nonsurgical and surgical treatments, early detection and treatment of resorptive defects, and outcomes assessment. The ability to obtain an accurate 3D representation of a tooth and the surrounding structures by means of noninvasive CBCT imaging is changing the approach to clinical decision making in endodontics. Clinicians long accustomed to working in very small, three-dimensional spaces are no longer constrained by the limitations of two-dimensional imaging. The challenges of mastering the new technology can, however, be daunting. The detailed guidance contained in this book will help endodontists to take full advantage of the important benefits offered by CBCT. ​

1. Diagnosis. -- 2. Preserving Pulp Vitality. -- 3. Problems in Treatment Planning. -- 4. Health-Related Problems. -- 5. Preoperative Restoration and Placement of Rubber Dam. -- 6. Problems in Dental Anesthesia. -- 7. Problems in the Treatment of Endodontic Emergencies. -- 8. Problems in Gaining Access to the Root Canal System. -- 9. Visualization. -- 10. Problems in Determining Endodontic Working Length. -- 11. Problems in Root Canal Preparation. -- 12. Problems in Disinfection of the Root Canal System. -- 13. Problems of Root Canal Obturation. -- 14. Problems in the Assessment of Healing, Success and Failure. -- 15. Vertical Tooth and Root Fractures. -- 16. Periodontal-Endodontal Lesions. -- 17. Perforations. -- 18. Instrument Fractures. -- 19. Resorption. -- 20. Retreatment. -- 21. Incomplete Root Formation. -- 22. Aspiration and Swallowing Accidents. -- 23. Endodontic Treatment of Teeth with Anatomical Malformations. -- 24. Problems in Bleaching of Endodontically Treated Teeth.

This book describes the most commonly encountered endodontic complications and provides up-to-date information on their prevention and management. The opening chapters explain the importance of accurate diagnosis and treatment planning, outline the role of digital radiography and CBCT in managing complications, and highlight the need for close attention to anatomic landmarks in order to avoid damage to neurovascular anatomy. Endodontic problems associated with different procedural errors are then discussed in detail, covering a wide variety of access- and instrumentation-related complications and the difficulties that may arise when using obturation techniques. Readers will also find information on the endodontic–periodontal relationship, special issues in geriatric patients, and the potential medical emergencies and precautions in specific patient subsets. The clear, easy-to-read text is complemented by numerous high-quality photographs and tables that assist understanding and ready identification of management solutions. This book will be of value for all dental practitioners with an interest in endodontics, endodontic specialists, and higher-level students.

Explores recent research and innovations in the field of endodontics and provides evidence-based guidelines for contemporary dental practice Endodontic Advances and Evidence-Based Clinical Guidelines provides a comprehensive and up-to-date description of recent research findings and their impact on clinical practice. Using an innovative approach to the field, the book enables readers to translate the current body of knowledge on endodontic diseases and treatment into guidelines for enhancing patient care. Divided into four parts, the book first addresses new research findings and advances in technology, techniques, materials, and clinical management. In addition, it provides revised clinical guidelines for a variety of areas within the specialty, such as endodontic diagnosis, treatment planning, management of endodontic emergencies, regenerative endodontic procedures, three-dimensional imaging, and the use of systemic antibiotics. Each chapter contains numerous high-quality illustrations and clinical cases highlighting current research directions, key concepts, and new trends in clinical techniques and education. Endodontic Advances and Evidence-Based Clinical Guidelines: Presents the latest understanding of current literature, evidence, and clinical practice Examines new trends, treatments, and advanced diagnostic techniques in the field Covers a wide range of topics, including management of root canals, repair of perforation defects, removal of root filling materials, and alternatives to root canal treatment Endodontic Advances and Evidence-Based Clinical Guidelines is an invaluable resource for undergraduate and postgraduate dental students, general dental practitioners, endodontic specialists, researchers in the field of endodontics, and clinicians, researchers, and educators in other fields of dentistry.