Problem Solving In Endodontics

Focusing on endodontic problem-solving and troubleshooting techniques, this book covers ways to avoid problems throughout the full spectrum of treatment - from diagnosis to posttreatment. In delivering a consistently high level of quality care, this approach follows three steps: how to prevent problems in treatment, how to identify problems that exist or that occur during treatment, and how to manage those problems once they are recognized. This edition offers practical ways to address the most common clinical problems, scenarios, and issues that pose dilemmas for the student or clinician. Succinct tables, boxes, and bulleted lists make information easier to find. 1,150 illustrations show problem-solving techniques put into practice, allowing for better identification of conditions and treatments. Expanded discussion of documentation looks at legal forms and malpractice issues - useful preparation for preventing or dealing with legal situations. Concise and contemporary reference lists are included at the end of every chapter. New and revised problem-solving cases present various clinical problems and discuss possible treatment and outcomes. Concise "how-to" text combined with an abundance of radiographs and photographs show how these problem-solving techniques apply to everyday practice. Full-color contemporary design and updated color photos demonstrate in great detail the need-to-know clinical techniques. Procedure boxes provide step-by-step instructions and helpful photographs on important problem-solving techniques. Clinical Tips boxes offer valuable suggestions for how to prevent or manage various situations in everyday practice. Problem Solving list begins each text chapter and presents an "at-a-glance" outline of topics presented in that chapter. Contemporary Technologies and Materials chapter expands upon developments in magnification devices, radiography, handpieces, locators, and techniques, keeping endodontists up to date. Vital Pulp Therapy chapter describes pulp capping procedures and viable procedures for the incompletely formed root apex, providing more detailed information on treatment options for challenging pulp conditions and malformed roots. Microbial Control chapter deals with infection control materials and techniques, important for successful endodontic procedures, maintaining a sanitary practice environment, and for protecting staff and patients from infection. Challenges in Apical Surgery chapter discusses treatment planning and procedures for apical endodontic surgery, offering specific problem-solving strategies for when surgical intervention is essential for tooth retention. Challenges in Periradicular Surgery chapter discusses surgical treatment planning and procedures for problems that occur in locations other than the apex, offering solutions to challenges such as fractured teeth, hemisection, and periodontal defects. Treatment Planning Tooth Retention vs. Tooth Replacement chapter describes options for keeping the tooth vs. extraction and replacement. Endodontic-Orthodontic Clinical Challenges chapter addresses the impact of orthodontic tooth movement on the viability of dental pulp and other interdisciplinary issues. New product information listings at the end of chapters provide additional information and direct the reader to website listings on materials and equipment.

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.

The problems arising from root canals in the daily clinical practice of dentistry can often be difficult and time-consuming to solve. Here a team from one leading centre of dental excellence provides detailed and highly illustrated guidance to these difficult areas and how to manage the problems that they often pose.

This latest edition continues to focus on those areas in endodontics that present the most difficulty in successful diagnosis and treatment. Key topics such as locating and negotiating fine and calcified canals, canal cleaning and shaping, root canal obturation, nonsurgical root canal retreatment, and management of endodontic emergencies are addressed in a systematic, problem-solving manner that stresses prevention of problems in treatment, identification of problems already present or occurring during the course of treatment, and management of such problems once they are recognized.

Focuses on those areas in endodontics that present the most difficulty in successful diagnosis and treatment. Key areas such as locating and negotiating fine and calcified canals, canal cleaning and shaping, root canal obturation, non-surgical root canal retreatment and management of endodontic emergencies are addressed in a systematic, problem-solving manner which stresses prevention of problems in treatment, identification of problems already present or occurring during a treatment, and management of such problems when they are recognised. All common problems are addressed, and solutions are provided in a step-by-step fashion. Covers creative and contemporary techniques designed to manage both common and unusual problems Includes practical everyday type cases Details new and contemporary concepts in the problem-solving management of dental trauma

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.