Contemporary Root Canal Filling Strategies


Book Description

"Currently, clinicians can choose from a wide range of root canal filling materials and techniques, some of which have been evaluated in this thesis. Methacrylate resin-based sealers suffer from polymerization shrinkage stresses. This limitation may partly be overcome by a two-step cementation procedure. This alternative placement technique results in an increase and homogenization of the adhesion of the material to intraradicular dentin. Subsequent research should aim at developing sealers with shorter setting times for clinical implementation and confirm the present proof of concept. It remains to be proven whether an increase in adhesion could be considered as a surrogate for improved sealing ability. With the used methodology, we could not demonstrate any association between the sealing ability and the adhesiveness of an adhesive root canal filling material. Using the low surface tension fluid transport method, the sealing ability of the single-cone technique, after post space preparation, was found to be material dependent, with the epoxy and methacrylate resins providing a better seal than the calcium silicate-based sealer. Roots canals filled with a single-cone technique using gutta percha and a calcium silicate-based root canal sealer were less porous than root canals filled with lateral compaction of gutta percha and the same sealer. Delamination and tearing defects could be observed in root canals filled with hydrogel-coated hygro-expandable cones and a calcium silicate-based sealer. Hydrogels are smart materials that may currently be inadequate for endodontic use with calcium silicate sealers. The use of simulated body fluids for testing the bioactive potential of calcium silicate-based fillings leads to the deposition calcium phosphate. This phenomenon may however be simply reflecting a thermodynamic process rather than expressing bioactivity potential. [...]"--Samenvatting auteur.




Shaping for Cleaning the Root Canals


Book Description

This book provides clinicians with up-to-date, scientifically based guidance on the most important stages of endodontic treatment, i.e., cleaning and shaping of the root canal space, including mechanical preparation and chemical disinfection. Five internationally recognized experts present and discuss recent developments and new perspectives in the field. Important advances in root canal preparation and irrigation procedures are described with the aid of numerous high-quality illustrations. A key feature of the book is the detailed attention devoted to the latest research findings and to their impact on contemporary evidence-based clinical guidelines and modern clinical practice. On this basis, simple treatment protocols are proposed that take the anatomy of the root canals fully into account. In addition, emerging problems and trends are considered. The book will be an excellent resource for clinicians and advanced practitioners who are seeking to update their practice.




Endodontic Materials in Clinical Practice


Book Description

Endodontic Materials in Clinical Practice delivers a much-needed comprehensive and clinically oriented reference to the materials used in endodontic practice. It provides complete details on the properties of the materials required for specific techniques in order to help in the selection of the appropriate materials and improve patient outcomes. Comprehensive in scope and filled with helpful illustrations, the book covers endodontic materials used from the pulp to the root-end. In addition, the text considers the location and technique for each of the materials presented. Designed to be a practical and accessible reference, the book is organised by specific clinical procedure. Presents an illustrated guide to all materials used in endodontic practice Focuses on the clinical application for each material Explains why specific materials are used Includes information on how to select the correct material Considers locations and techniques in making material decisions Written for specialist endodontists and residents, dental material specialists, post-graduate students, general dentists, and dentistry students, Endodontic Materials in Clinical Practice is an essential resource for selecting the right materials for specific techniques.




Minimally Invasive Approaches in Endodontic Practice


Book Description

This book describes the latest minimally invasive approaches in endodontics and explains the principles that guide them. The advantages and limitations of these approaches are critically analyzed with the intention of defining new endodontic gold standards. The trend toward the use of more conservative procedures within endodontics reflects the wider adoption of minimally invasive dentistry in general and is being fostered by the introduction of new materials, devices, instruments, and techniques as well as the use of magnification and advanced three-dimensional diagnostic imaging technologies. In this book, readers will find clear explanation of these advances and their impacts. Minimally invasive access to the root canal system is described, and detailed attention is devoted to the application of novel strategies in root canal instrumentation and disinfection, root canal filling, coronal restoration, retreatment, and endodontic surgery. Minimally invasive alternatives to complete endodontic treatment, such as vital pulp therapies, and to dental extraction and implant placement, including surgical extrusion, intentional replantation, and tooth autotransplantation, are also discussed. Minimally Invasive Approaches in Endodontic Practice will be of value for endodontists at all levels of experience.




Problem Solving in Endodontics


Book Description

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.




Clinical Endodontics


Book Description

D-Day and operation OVERLORD are often regarded as one of the most important operation of all time. The stretch of beach along the Calvados coast is world famous for the part it played in turning around World War II on the 6th of June 1944, when British, Canadian and American troops broke through Nazi defenses. Normandy is indelibly marked by the ......




Strategies in Management of Complexities in Root Canal Anatomy


Book Description

The root canal system anatomy is remarkably diverse and unpredictable, contributing to the complexity while undergoing any endodontic procedures and these complexities increase as we travel from the coronal part to the root apex of the tooth. Complex root canal anatomies, characterized by the presence of curved canals, accessory canals, calcified canals, apical delta, isthmus, root fusion, presence of radicular groove, hypercementosis, taurodontism, dens invaginatus that pose unique challenges and demand advances skills, techniques, and technologies for successful treatment outcomes. Canal systems are, however, almost infinitely variable and can have lateral canals, additional canals, multiple foramina, accessory canals, accessory foramina, fins, deltas, loops, web or internal connections, and anastomoses. This book would reflect the challenges we face in predicting the various root canal anatomies in our routine clinical practice and the strategies in the management of such complex root canal anatomies.




The Root Canal Anatomy in Permanent Dentition


Book Description

This book describes the most commonly methods used for the study of the internal anatomy of teeth and provides a complete review of the literature concerning the current state of research employing contemporary imaging tools such as micro-CT and CBCT, which offer greater accuracy whether using qualitative or quantitative approaches. In order to facilitate the management of complex anatomic anomalies, specific clinical protocols and valuable practical tips are suggested. In addition, supplementary material consisting in high-quality videos and images of different anatomies obtained using micro-CT technology is made available to the reader. The book was planned and developed in collaboration with an international team comprising world-recognized researchers and experienced clinicians with expertise in the field. It will provide the readers with a thorough understanding of canal morphology and its variations in all groups of teeth, which is a basic prerequisite for the success of endodontic therapy.




Endodontic Irrigation


Book Description

This book reviews the available information on bacterial disinfection in endodontics, with emphasis on the chemical treatment of root canals based on current understanding of the process of irrigation. It describes recent advances in knowledge of the chemistry associated with irrigants and delivery systems, which is of vital importance given that chemical intervention is now considered one of the most important measures in eliminating planktonic microbes and biofilms from the infected tooth. Recommendations are made regarding concentrations, exposure times and optimal sequences. Possible complications related to the use of the different solutions are highlighted, with guidance on response. In addition, clinical protocols are suggested on the basis of both clinical experience and the results of past and ongoing research. Throughout, a practical, clinically oriented approach is adopted that will assist the practitioner in ensuring successful endodontic treatment.