Comparison of Endodontic Treatment Planning Decisions Using Cone Beam Computed Tomography Versus Periapical Radiography in Previously Endodontically Treated Molars


Book Description

Objectives: The aim of this study was to determine if treatment plans differ when evaluating previously endodontically treated molars using periapical images (PA's) alone versus PA's and CBCT. Methods: A retrospective cohort chart review was conducted including 67 previously treated molars that had a CBCT taken. Two calibrated board-certified endodontists evaluated standard PA's. A data sheet questionnaire regarding radiographic findings and treatment plan decisions was completed. Two weeks later, the same steps were repeated but the examiners evaluated both PA's and CBCT images and again arrived at a recommended treatment plan. Results: Agreement between raters was assessed with Cohen's Kappa statistic. Change in treatment planning decisions between the PA's alone and the CBCT evaluation was assessed using McNemar's Chi-squared test. There was a significant difference in the proposed treatment planning decisions as they differed in 48% of the cases. Conclusion: The use of CBCT imaging altered treatment planning 48% of the time in molar retreatment cases supporting the rationale for the use of CBCT as presented in the AAE and AAOMR position paper.




Cone Beam Computed Tomography in Endodontics


Book Description

In recent years, cone beam computed tomography (CBCT) has become much more widely available and utilised in all aspects of dentistry, including endodontics. Cone Beam Computed Tomography in Endodontics is designed to inform readers about the appropriate use of CBCT in endodontics, and enhance their clinical practice with this exciting imaging modality.




Clinical Cases in Endodontics


Book Description

A problem-based text that presents a wide range of real cases in endodontics Clinical Cases in Endodontics presents actual clinical cases, accompanied by academic commentary, that question and educate the reader about essential topics in endodontic therapy. It begins with sets of cases illustrating the most common diagnoses and the steps involved in preparing a treatment plan. Subsequent chapters continue in this style, presenting exemplary cases as the basis of discussing various treatment options, including nonsurgical root canal treatment, re-treatment, periapical surgery, internal and external resorption, emergencies and trauma, and treating incompletely developed apices. The progression from common to increasingly challenging clinical cases enables readers to build their skills, aiding the ability to think critically and independently. The Clinical Cases series is designed to recognize the centrality of clinical cases to the profession by providing actual cases with an academic backbone. Clinical Cases in Endodontics applies both theory and practice to real-life cases in a clinically relevant format. This unique approach supports the trend in case-based and problem-based learning, thoroughly covering the full range of endodontic treatment. Unique case-based format supports problem-based learning Promotes independent learning through self-assessment and critical thinking Covers all essential topics within endodontics Presents numerous illustrations and photographs throughout to depict the concepts described Clinical Cases in Endodontics is an ideal resource for students mastering endodontic treatment, residents preparing for board examinations, and clinicians wanting to learn the most recent evidence-based treatment protocols.




Endodontic Advances and Evidence-Based Clinical Guidelines


Book Description

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.




Endodontics


Book Description

From renowned endodontics experts Mahmoud Torabinejad, Ashraf Fouad, and Shahrokh Shabahang comes Endodontics: Principles and Practice, 6th Edition. This focused and extensively revised new edition contains all the clinically-relevant information needed to incorporate endodontics into general dentistry practice. Illustrated step-by-step guidelines and vivid online videos address the ins and outs of diagnosis, treatment planning, managing pulpal and periapical diseases, and performing basic root canal treatments. Updated evidence-based coverage also includes topics such as the etiology of disease, local anesthesia, emergency treatment, obturation, and temporization. It’s the perfect endodontics guide for both entry-level dental students and general dentists alike. Well-known, international contributors share guidelines, expertise, and their clinical experience with contemporary technologies and procedures. Authoritative, visually detailed coverage provides a practical understanding of basic endodontic principles and procedures, including pulpal and periapical diseases and their management. Clinically-relevant organization reflects the order in which procedures are performed in clinical settings, enhancing your understanding of the etiology and treatment of teeth with pulpal and periapical diseases. Over 1,000 full-color illustrations ensure a clear, accurate understanding of procedures, and include radiographs and clinical photographs. Learning objectives help you meet the theoretical and procedural expectations for each chapter. More than 67 video clips located on the companion website demonstrate essential procedures. NEW! Sharper focus on the most clinically relevant content eliminates much of the basic science that you have already studied and focuses on the information and skills that are most-needed during clinical practice. NEW! Fully updated, evidence-based content integrates the best clinical evidence with the practitioner’s clinical expertise and the patient’s treatment needs and preferences. NEW! Expert Consult access is included via a unique pin-code to make the text relevant for both practitioners and students alike. NEW! Mid-chapter questions check your understanding of the concept before moving onto the next topic.




Comparison of Treatment Planning Decisions when Combining CBCT and Digital Radiography Verses Digital Radiography Alone


Book Description

Cone beam computed tomography (CBCT) is the recommended imaging modality of choice for evaluating previous endodontic treatment (1). The aim of this study was to compare treatment planning decisions made when evaluating previous endodontic treatment to determine if treatment planned and projected prognosis differs when digital radiography is used alone or in combination with CBCT. A retrospective chart review was conducted. Patients for whom a CBCT was taken were included in the study. Twenty-eight patients qualified. Patient's periapical digital radiographs (Dexis©) were evaluated by 2 calibrated endodontists, a treatment plan was identified and a prognosis was projected. Later the same radiographs were viewed with CBCT scan. The CBCT provided significant information 75% of the time. CBCT provided the only information for an accurate diagnosis 17% of the time. Prognosis changed 38% of the time when CBCT was added. An unfavorable or questionable prognosis changed to favorable 30% of the time.




3D Imaging in Endodontics


Book Description

This book, now in an extensively revised second edition, 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 technology 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.




Cohen's Pathways of the Pulp - E-Book


Book Description

Stay up on the latest research and techniques in endodontics with Cohen’s Pathways of the Pulp, 12th Edition. Written by a team of internationally renowned experts and trusted for more than 40 years, this definitive guide covers the science, theory, and practice of endodontics. Full color illustrations and detailed radiographs guide readers through each step of endodontic care — from diagnosis and treatment planning to proven techniques for managing pulpal and periapical diseases. This new twelfth edition also boasts the very latest evidence-based research and techniques, reorganized and condensed chapters, plus other features designed to help you locate important information quickly and easily. Complete with access to Expert Consult, it’s everything you need to stay ahead in the field of endodontics. Extensive illustration collection includes over 2,000 full-color photos, line art, and radiographs to clearly demonstrate core concepts and reinforce the essential principles and techniques of endodontics. Video clips and case studies demonstrate key procedures such as palpation of the masseter muscle, introsseous anesthesia with the X-tip system, dentin hypersensitivity, and more. Diverse and respected contributor pool includes experts from many national- and international-based dental education programs. NEW! Updated content and new images incorporate the most recent developments in research and clinical endodontic techniques. NEW! Additional topics cover pulp biology, pathobiology, diagnosis, treatment planning, pain control, isolation, access, cleaning and shaping, obturation, restoration, assessment of outcomes, emergencies and surgery. Each online topic comes with assigned reading lists, a PowerPoint lecture, written lesson objectives, and example exam questions. NEW! Compliance with the Commission on Dental Accreditation Curriculum ensures that the needs of all dental programs are met. NEW! Reorganized sections now divide chapters by those covering clinical endodontics, those covering the biological basis of endodontics, and chapters which detail endodontics in private practice to make content easier for both clinicians and students to navigate. NEW! Condensed chapters remove unnecessary duplication of content across the text and make the physical text lighter and easier to use.




Endodontics-South Asia Edition, 6e - E-Book


Book Description

From renowned endodontics experts Mahmoud Torabinejad, Ashraf Fouad, and Shahrokh Shabahang comes Endodontics: Principles and Practice, 6th Edition south Asia Edition. This focused and extensively revised new edition contains all the clinically-relevant information needed to incorporate endodontics into general dentistry practice. Illustrated step-by-step guidelines address the ins and outs of diagnosis, treatment planning, managing pulpal and periapical diseases, and performing basic root canal treatments. Updated evidence-based coverage also includes topics such as the etiology of disease, local anesthesia, emergency treatment, obturation, and temporization. It’s the perfect endodontics guide for both entry-level dental students and general dentists alike. Well-known, international contributors share guidelines, expertise, and their clinical experience with contemporary technologies and procedures. Authoritative, visually detailed coverage provides a practical understanding of basic endodontic principles and procedures, including pulpal and periapical diseases and their management. Clinically-relevant organization reflects the order in which procedures are performed in clinical settings, enhancing your understanding of the etiology and treatment of teeth with pulpal and periapical diseases. Over 1,000 full-color illustrations ensure a clear, accurate understanding of procedures, and include radiographs and clinical photographs. Learning objectives help you meet the theoretical and procedural expectations for each chapter. NEW! Sharper focus on the most clinically relevant content eliminates much of the basic science that you have already studied and focuses on the information and skills that are most-needed during clinical practice. NEW! Fully updated, evidence-based content integrates the best clinical evidence with the practitioner’s clinical expertise and the patient’s treatment needs and preferences. NEW! Mid-chapter questions check your understanding of the concept before moving onto the next topic.




Evidence-Based Decision Making in Dentistry


Book Description

This clinically oriented book covers all aspects of the evidence-based decision making process in multidisciplinary management of the natural dentition. The book opens by clarifying the principles of evidence-based decision making and explaining how these principles should be applied in daily practice. Individual chapters then focus specifically, and in detail, on endodontic, periodontal, and prosthetic considerations, identifying aspects that need to be integrated into decision making and treatment planning. Evidence-based decision making with regard to preservation of the natural tooth versus extraction and implant placement is then discussed, and a concluding chapter examines likely future trends in dentistry and how they may affect clinical decision making. The authors include leading endodontists, periodontists, and prosthodontists. Given the multidisciplinary and comprehensive nature of the book, it will be relevant and interesting to the entire dental community.