Harty's Endodontics in Clinical Practice

This package provides you with the book plus the eBook - giving you the printed book, plus access to the complete book content electronically. Evolve eBooks allows you to quickly search the entire book, make notes, add highlights, and study more efficiently. Buying other Evolve eBooks titles makes your learning experience even better: all of the eBooks will work together on your electronic "bookshelf", so that you can search across your entire library of Dentistry eBooks. The new edition of the now classic Endodontics in Clinical Practice has been revised and updated to cover recent developments in the specialty. Offering the latest information in an easy-to-read, practical format, the book provides comprehensive coverage of the subject at a level which is ideal for the dental student, general dental practitioner and those embarking on continuing education courses. Topics include general and systemic aspects of endodontics, pulp space anatomy and access cavities, preparation of the root canal system, surgical endodontics, endodontics and traumatic injuries, periodontal disease and the dental pulp, and restoration of endodontically treated teeth. New to this edition * Includes new imaging techniques such as Cone Beam Computed Tomography * A new chapter on diagnosis, integral to treatment planning, patient management and care * Recent research findings on the pathogenesis of endodontic disease and the management of persistent infection in previously treated teeth * A completely rewritten chapter on the restoration of endodontically treated teeth * Newer treatment modalities and materials such as regenerative techniques and Mineral Trioxide Aggregate in endodontics * The use and development of NiTi instruments, both hand and rotary, which are increasingly popular for preparing root canals * Published for the first time in full colour with over 185 new images! Edited by Bun San Chong, BDS(Lond), LDS, RCS(Eng), MSc(Lond), MFGDP(UK), MRD, PhD(Lond), FDS, RCS(Eng), Specialist in Endodontics, King's College London Dental Institute at Guy's, King's College and St Thomas' Hospitals, London, UK Table of Contents: 1 Introduction & overview Summary Introduction Modern endodontics Scope of endodontics Role of microorganisms Tissue response to root canal infection Quality assurance Recent developments Learning outcomes References 2 General and systemic aspects of endodontics Summary Introduction Differential diagnosis of dental pain Maxillary sinus Systemic disease and endodontics Use of antibiotics in endodontics Control of pain and anxiety British National Formulary Learning outcomes References 3 Diagnosis Summary Introduction History Examination Investigations Differential diagnosis Restorability Treatment options Specific endodontic treatment options Learning outcomes References 4 Pulp space anatomy & access cavities Summary Introduction Nomenclature Accessory and lateral canals Location of apical foramina Variations in pulp space anatomy Effects of irritation dentine on pulp space Pulp space anatomy and access cavities Pulp space anatomy of primary teeth Apical closure Learning outcomes References 5 Maintaining dental pulp vitality Summary Introduction Pulp-dentine complex Pulp response to irritants Pulpal irritants Management of deep caries Management of pulp exposure Regenerative developments Pulp response and maintaining pulp vitality Learning outcomes References 6 Instrumentation in endodontics Summary Introduction Basic instrument pack Rubber dam Instruments for access cavity preparation Instruments for root canal preparation Devices to determine working length Irrigant delivery devices Instruments for retrieving broken instruments and posts Instruments for filling root canals Storage and sterilization of endodontic instruments Loupes, fibre-optic lights and operating microscopes Learning outcomes References 7 Preparation of the root canal system Summary Introduction Gaining access to the root canals Working length determination Root canal irrigation Instrumentation techniques Controversies in root canal cleaning and shaping Learning outcomes References 8 Intracanal medication Summary Introduction History Rationale and overview of applications Microbiology of endodontic infections Antimicrobial agents Resistance of oral microbes to medicaments Concept of predictable disinfection in endodontics Induction of hard tissue formation Pain of endodontic origin Exudation and bleeding Root resorption Tissue distribution of medicaments Tissue toxicity and biological considerations Suggested clinical procedures Learning outcomes References 9 Root canal filling Summary Introduction Canal anatomy Access and canal preparation Criteria for filling Materials used to fill root canals Sealers Smear layer Gutta-percha Other methods of root canal filling Coronal seal Follow-up Treatment outcome Learning outcomes References 10 Surgical endodontics Summary Introduction Treatment choices Indications for periradicular surgery Preoperative assessment Surgical kit Surgical technique Periradicular surgery of particular teeth Repair of perforation Replantation/transplantation Regenerative procedures Treatment outcome - aetiology and evaluation Retreatment of surgical procedures Learning outcomes References 11 Endodontics in primary teeth Summary Introduction Treatment of primary teeth Learning outcomes References 12 Endodontic aspects of traumatic injuries Summary Introduction History, examination and immediate management Types of injury Effects of trauma on the dental tissues Management of primary teeth Management of permanent teeth Root canal treatment of immature teeth Avoidance of cervical root fracture Surgical treatment of immature teeth Revascularisation treatment of immature teeth Regenerative treatment of immature teeth Auto-transplantation of an immature premolar into the incisor space Complications Orthodontic treatment Learning outcomes References 13 Marginal periodontitis & the dental pulp Summary Anatomical considerations Effect of inflamed pulp on the periodontium Effect of marginal periodontitis on the pulp Classification Complications due to radicular anomalies Alternatives to implants Learning outcomes References 14 Problems in endodontic treatment Summary Emergency treatment Failure of anaesthesia in acute inflammation Problems with preparation of the root canal system Problems with filling of the root canal system Learning outcomes References 15 Restoration of endodontically treated teeth Summary Introduction Effects of endodontic treatment on the tooth Survival of the endodontically treated tooth Timing the restorative procedure Restoration choice Posts Learning outcomes References