With improvements in oral health and changes in patient attitudes, it is no longer acceptable to extract teeth simply because of periapical disease and endodontic failure. This book provides practitioners with a concise, practical overview of biological principles and practical techniques for handling endodontic failures. Because careful treatment planning is integral to success, case assessment and selection are emphasized.
164 pp; 294 illus;
ISBN: 1-85097-086-6; 1850970866;
978-1-85097-086-6; 9781850970866;
Contents
Chapter 1 Defining Success and Failure 1
Chapter 2 Understanding Endodontic Failure 11
Chapter 3 The Decision-Making Process 23
Chapter 4 Biological Objectives of Retreatment 51
Chapter 5 Disassembling the Coronal Restoration 65
Chapter 6 Achieving Radicular Access 89
Chapter 7 Managing Canal Obstructions 109
Chapter 8 A Surgical Alternative 123
Index 148
Preface
With a continuing improvement in oral health and a change in patient attitude, it is no longer acceptable to extract teeth simply because of periapical disease and endodontic failure. Advances in scientific knowledge and technical skills have helped improve the prognosis of treatment, but it may not always lead to the desired healing response in clinical practice. If initial treatment is unsuccessful, practitioners are increasingly expected to possess the necessary knowledge and skills to perform ever more technically demanding procedures to save teeth. The focus on evidence-based treatment has resulted in secondary care providers, such as local oral surgery units, no longer being willing unquestioningly to accept failing endodontic cases for surgery, prior to an attempt having been made to retreat by non-surgical means. The aim of this book is therefore to provide practitioners with an understanding of the biological principles and the practical techniques to handle endodontic failures. To this end, it is hoped that its contents are clear, rational, practical and helpful in dealing with endodontic retreatment situations in everyday clinical practice.
Since careful treatment planning is integral to success, a substantial part of this text is dedicated to case assessment and selection. It is inevitable that there will be some repetition of relevant points. There is a myriad of techniques available to manage the many and diverse retreatment situations. It is impossible to cover them all in this book. Emphasis is placed, however, on principles and techniques relevant to general practice, followed briefly by some insight into more advanced methods. For practical instruction on retreatment techniques, practitioners are encouraged to attend hands-on courses.
Reviews
"...Dr. Chong does an excellent job in presenting the rationale for managing endodontic failures. This concise book is up-to-date on all new materials, devices and techniques used in endodontics. After reading this book, every practitioner should have a better understanding of the prognosis of retreatment."
Reviewed by Steven Stern, DDS
NYSDJ
December 2004
"It is said that completing a good meal should leave one wanting more. This is indeed the case with this super 150-page book on endodontic retreatment. Endodontic retreatment is not just about how you remove various objects from root canals, but more about understanding why the root canal treatment has not been successful in the first place, and that is all about understanding the basis tenets of endodontics. The author tackles this thorny, but basic issue splendidly, and in my opinion gets the reader off on the right track in the first three chapters. In chapter three, Decision Making, he outlines how we can simplify this process, and his algorithm on page 24 would be a great asset to the aspiring endodontic retreater!..."
Reviewed by Chris Emery BDS, MRD, MGDS.
Primary Dental Care
October 2005
