Clinical Atlas of Retreatment in Endodontics

Clinical Atlas of Retreatment in Endodontics
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CLINICAL ATLAS OF <b>RETREATMENT IN ENDODONTICS</b> <p><b>Explore a comprehensive pictorial guide to the retreatment of root canals and failed endodontic cases with step-by-step advice on retreatment management</b><p><i>Clinical Atlas of Retreatment in Endodontics</i> delivers an image-based reference to the management of failed root canal cases. It provides evidence-based strategies and detailed clinical explanations to manage and retreat previous endodontically failed cases. It contains concrete evidence-based and practical techniques accompanied by full-colour, self-explanatory clinical photographs taking the reader through a journey of successful management of the failed clinical cases.<p>Using a variety of clinical cases, the book demonstrates why and how endodontic failures occur, how to prevent them, and how to manage them in clinical practice. It also emphasises on evaluating the restorability and prognosis of the tooth in order to make a proper case selection for providing retreatment. This book also discusses the various factors that can help the clinician to make a case for nonsurgical or surgical retreatment. Readers will benefit from the inclusion of clinical cases that provide:<ul><li>A thorough introduction to perforation repair, with a clinical case that includes the repair of pulpal floor perforation caused due to excessive cutting of the floor of the pulp chamber</li><li>An explanation of various factors for instrument separation, supported with a case that includes the removal of a fractured instrument</li><li>Practical discussions of instrument retrieval, with a case that includes a fractured instrument at the apical third of mandibular molar</li><li>A step wise pictorial description for guided root canal therapy</li><li>Selective root canal treatment as a treatment option for retreatment of failed endodontic cases</li><li>A detailed clinical description for how to explore and modify the endodontic access cavity for locating extra/missed canals</li></ul><p>Perfect for endodontists, endodontic residents, and general dentists, <i>Clinical Atlas of Retreatment in Endodontics</i> is also useful for undergraduate dental students and private practitioners who wish to improve their understanding of endodontic retreatment and are looking for a one-stop reference on the subject.

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Группа авторов. Clinical Atlas of Retreatment in Endodontics

Table of Contents

List of Illustrations

Guide

Pages

Clinical Atlas of Retreatment in Endodontics

Foreword

Foreword

Preface

Acknowledgments

List of Contributors

List of Abbreviations

About the Companion Website

Introduction to endodontic retreatment

I.1 Definition

I.2 Rationale for retreatment

I.3 Aim of endodontic retreatment

References

1 Clinical Case 1 – Perforation repair: A case of repair of pulpal floor perforation caused by excessive cutting of the floor of the pulp chamber

1.1 Patient information

1.2 Tooth

1.3 Treatment plan

1.4 Technical aspects

1.5 Follow‐up

1.6 Learning objectives

1.7 How can this endodontic mishap be avoided?

2 Clinical Case 2 – Instrument separation: A case of surgical removal of a fractured instrument

2.1 Patient information

2.2 Tooth

2.3 Treatment plan

2.4 Surgical procedure

2.5 Technical aspects

2.6 Follow‐up

2.7 Learning objectives. The reader should be able to:

3 Clinical Case 3 – A case of retreatment of Tooth 16: Bypass of ledges and broken instrument

3.1 Patient information

3.2 Tooth

3.3 Treatment plan

3.3.1 Shaping

3.3.2 Irrigation (solution and technique)

3.3.3 Obturation

3.4 Technical aspects

3.5 Follow‐up

3.6 Learning objectives

3.7 How can this endodontic mishap be avoided?

4 Clinical Case 4 – Instrument retrieval: A case of fractured instrument at the apical third of the mandibular molar

4.1 Patient information

4.2 Tooth

4.3 Treatment plan

4.4 Removing or bypassing the fractured instrument: decision making

4.5 Follow‐up

4.6 Learning objectives

4.7 How can this endodontic mishap be avoided?

5 Clinical Case 5 – Perforation repair with instrument retrieval: Management of multiple endodontic mishaps

5.1 Patient information

5.2 Tooth

5.3 Treatment plan

5.4 Technical aspects

5.5 Follow‐up

5.6 Learning objectives

5.7 How can this endodontic mishap be avoided?

6 Clinical Case 6 – Management of strip perforation and fractured instrument

6.1 Patient information

6.2 Tooth

6.3 Treatment plan

6.4 Technical aspects

6.5 Follow‐up

6.6 Learning objectives

6.7 How can this endodontic mishap be avoided?

7 Clinical Case 7 – Management of root canal treatment failure case with missed lateral canal anatomy and inadequate obturation

7.1 Patient information

7.2 Tooth

7.3 Treatment plan

7.4 Technical aspects

7.5 Follow‐up

7.6 Learning objectives

7.7 How can this endodontic mishap be avoided?

8 Clinical Case 8 – Management of a case with faulty cast post and asymptomatic lateral periodontitis

8.1 Patient information

8.2 Tooth

8.3 Treatment plan

8.4 Technical aspects

8.5 Follow‐up

8.6 Learning objectives

8.7 How can this endodontic mishap be avoided?

9 Clinical Case 9 – Management of a case with endo‐perio lesion following a previous root canal treatment

9.1 Patient information

9.2 Tooth

9.3 Treatment plan

9.4 Technical aspects

9.5 Follow‐up

9.6 Learning objectives

9.7 How can this endodontic mishap be avoided?

10 Clinical Case 10 – Management of a failed root canal treatment with silver cone obturation and fractured instrument

10.1 Patient information

10.2 Tooth

10.3 Treatment plan

10.4 Technical aspects

10.5 Follow‐up

10.6 Learning objectives

10.7 How can this endodontic mishap be avoided?

11 Clinical Case 11 – Management of a failed root canal treated maxillary molar with selective root treatment

11.1 Introduction to the concept of selective root treatment

11.2 Decision making

11.3 Laying down the treatment plan

11.4 Steps of selective retreatment

11.5 Introduction to the clinical case

11.5.1 Patient information

11.5.2 Tooth

11.5.3 Treatment plan

11.5.4 Technical aspects

11.5.5 Follow‐up

11.6 Conclusion

11.7 Learning objectives

11.8 How can this endodontic mishap be avoided?

References

12 Clinical Case 12 – Guided endodontics and its application for non‐surgical retreatments: Retreatment of a maxillary anterior tooth using static guidance

12.1 Introduction to guided endodontics

12.2 Pulp canal calcification

12.3 Improving the accuracy of access preparation

12.4 Static guidance

12.4.1 Advantages

12.4.2 Disadvantages

12.4.3 Challenges with static guidance

12.5 Approach to planning

12.5.1 Steps for planning and printing

12.6 Burs used for static guided endodontics

12.7 Introduction to the clinical case

12.7.1 Patient information

12.7.2 Tooth

12.7.3 Treatment plan

12.7.4 Technical aspects

12.7.5 Follow‐up

12.8 Learning objectives

12.9 How can this endodontic mishap be avoided?

12.10 FAQs for guided endodontics

12.11 Summary

References

13 Clinical Case 13 – Management of pulpal floor perforation with periapical lesion in the mesial root

13.1 Patient information

13.2 Tooth

13.3 Treatment plan

13.4 Technical aspects

13.5 Follow‐up

13.6 Learning objectives

13.7 How can this endodontic mishap be avoided?

14 Clinical Case 14 – Management of root canal treatment failure with missed canal anatomy and inadequate obturation

14.1 Patient information

14.2 Tooth

14.3 Treatment plan

14.4 Technical aspects

14.5 Follow‐up

14.6 Learning objectives

14.7 How can this endodontic mishap be avoided?

15 Clinical Case 15 – Management of root canal treatment failure with inadequate obturation, hidden fractured instrument and ledge formation in a severely curved mandibular molar

15.1 Patient information

15.2 Tooth

15.3 Treatment plan

15.4 Technical aspects

15.5 Follow‐up

15.6 Learning objectives

15.7 How can this endodontic mishap be avoided?

16 Clinical Case 16 – Management of root canal treatment with an instrument fracture in a mandibular molar

16.1 Patient information

16.2 Tooth

16.3 Treatment plan

16.4 Technical aspects

16.5 Follow‐up

16.6 Learning objectives

16.7 How can this endodontic mishap be avoided?

17 Clinical Case 17 – Management of a mandibular molar with fractured instrument extending in the periapical area

17.1 Patient information

17.2 Tooth

17.3 Treatment plan

17.4 Technical aspects

17.5 Learning objectives

17.6 How can this endodontic mishap be avoided?

18 Clinical Case 18 – Management of root canal treatment failure with inadequate obturation and apically calcified canals

18.1 Patient information

18.2 Tooth

18.3 Treatment plan

18.4 Technical aspects

18.5 Follow‐up

18.6 Learning objectives

18.7 How can this endodontic mishap be avoided?

19 Clinical Case 19 – Management of root canal treatment failure with inadequate obturation and missed canals

19.1 Patient information

19.2 Tooth

19.3 Treatment plan

19.4 Technical aspects

19.5 Follow‐up

19.6 Learning objectives

19.7 How can this endodontic mishap be avoided?

20 Clinical Case 20 – Management of root canal treatment failure with inadequate obturation, unusual distal root anatomy and suspected ledge formation in a mandibular molar

20.1 Patient information

20.2 Tooth

20.3 Treatment plan

20.4 Technical aspects

20.5 Follow‐up

20.6 Learning objectives

20.7 How can this endodontic mishap be avoided?

21 Clinical Case 21 – Management of root canal treatment failure with inadequate obturation and faulty post placement

21.1 Patient information

21.2 Tooth

21.3 Treatment plan

21.4 Technical aspects

21.5 Follow‐up

21.6 Learning objectives

21.7 How can this endodontic mishap be avoided?

22 Clinical Case 22 – Management of root canal treatment failure with inadequate obturation, multiple perforations, fractured instrument and ledge formation in maxillary right first molar

22.1 Patient information

22.2 Tooth

22.3 Treatment plan

The treatment was planned in different stages

22.4 Technical aspects

22.5 Follow‐up

22.6 Learning objectives. The reader should be able to understand:

22.7 How can this endodontic mishap be avoided?

23 Clinical Case 23 – Management of root canal treatment failure with inadequate obturation, fractured instrument and periapical lesion in mandibular left first molar

23.1 Patient information

23.2 Tooth

23.3 Treatment plan

23.4 Technical aspects

23.5 Follow‐up

23.6 Learning objectives. The reader should be able to understand:

23.7 How can this endodontic mishap be avoided?

24 Clinical Case 24 – Retreatment of Tooth 21

24.1 Patient information

24.2 Tooth

24.3 Treatment plan

24.4 Technical aspects

24.5 Follow‐up

24.6 Learning objectives

24.7 How can this endodontic mishap be avoided?

25 Nonsurgical versus surgical retreatment: Decision making

25.1 The evidence

25.2 The operator

25.3 The patient

25.4 Medical history

25.5 Medications

25.6 The tooth: factors to consider. Persistent periapical pathology

Presurgical CBCT evaluation

25.7 Quality of restoration and post

25.8 Root canal obturation quality and iatrogenic errors

25.9 Three clinical cases

Case 1 – preoperative microsurgical planning using CBCT imaging

Case 2 – decision for non‐surgical retreatment due to missed anatomy

Case 3 – decision for surgical treatment: PAP on mesial root only and no missed anatomy

References

Index

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I thank all the leading dental companies who trusted in this project and supported me for it. Thank you, Carl Zeiss, Zirc, FKG Dentaire, Coltène/Whaledent and bioMTA for your support.

I would like to thank the wonderful team at WILEY BLACKWELL for their genuine passion and professionalism for making this dream a reality. Thank you, Susan Engelken, Miss. Loan Nguyen, Tanya McMullin, Copyeditor Holly Regan‐Jones and Mustaq Ahamed for your support.

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