Download Advanced Endodontics by John S. Rhodes PDF

By John S. Rhodes

The complicated difficulties linked to endodontics retreatment may be time-consuming and complicated. this article from one of many authors of the very winning 'Endodontics: Problem-Solving in medical perform' tackles those tough points and courses the practitioner throughout the difficulties and tactics concerned. With over four hundred color and black-and-white illustrations, this article will be of curiosity to endodontics, normal dental practitioners with a unique curiosity to endodontics and postgraduates in restorative and endodontic specialties.

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Treatment outcome and prognosis of endodontic therapy. In: Ørstavik D, Pitt Ford TR, eds. Essential endodontology. Oxford: Blackwell Science; 1998. 37. Briggs PFA, Scott BJJ. Evidenced-based dentistry: endodontic failure – how should it be managed? British Dental Journal 1997; 183: 159–164. qxd 10/11/05 9:46 PM Page 45 3 DISMANTLING CORONAL RESTORATIONS CONTENTS ● Introduction ● Removing Crowns ● Methods for Removing Crowns ● Removal of Posts ● Removing Plastic Core Material ● References INTRODUCTION Gaining access to root canals for non-surgical retreatment is relatively easy when a direct intracoronal restoration is in place.

Removing the coronal restoration may also be important in deciding whether a tooth is actually restorable. After all, unless the foundation work can be completed successfully, extraction may be the only course of action. Removing a restoration, therefore, allows thorough investigation, assessment of restorability, removal of caries and location of orifices which may not be possible when working through an access cavity. 1 From a technical viewpoint, it can sometimes be difficult to achieve good positioning of the rubber dam clamp when a crown has been removed.

9 Root canal retreatment of these maxillary central incisors in a young adult should be relatively simple as the single cone root filings can be easily removed. It is important to try and retain such teeth if an alternative such as an implant solution is to be considered in the long term. Root canal retreatment is normally indicated when: ● conventional root canal treatment has failed ● there are signs of inflammation or infection associated with a root-filled tooth ● there are persistent symptoms from a rootfilled tooth, or the presence of a sinus tract, swelling or pain ● a root-filled tooth has failed for technical reasons ● there is systemic risk if no intervention is made ● the tooth is restorable ● the tooth has evidence of periapical radiolucency and requires a new restoration ● the existing root filling is technically deficient and a new restoration is required ● the patient conserts to retreatment.

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