By Peter Murray
This medical consultant is a concise up to date source that covers quite a lot of endodontic strategies, together with non-surgical root canal remedy, surgical root canal remedy, trauma care and the administration of fractured enamel, apexification, apexogenesis, revascularization, regeneration, Cvek partial pulpotomy, root canal retreatment, and periapical surgical procedure. the supply of diverse flowcharts, checklists, and suggestion on errors avoidance for every technique will help in decision-making in day-by-day perform. clinical and medical facts concerning the use and efficacy of the several different types of remedy is summarized, and invaluable info can also be offered on instrumentation. The inclusion of examination questions will support these getting ready for endodontic examinations. A Primer on Endodontic Treatment may be of price for dental scholars, citizens in education to turn into endodontists, endodontists, pediatric dentists, and confirmed dentists.
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Extra info for A Concise Guide to Endodontic Procedures
12. Diagnostic Complications Due to Radicular Anomalies Some cases of chronic periodontitis do not heal following fistulas that have a vertical developmental radicular groove anomaly. These developmental anomalies allow the ingress of bacteria, which infects the periodontal tissues. 2 Periapical diagnosis based on patient responses to percussion and radiographic appearance Pulp vitality diagnosis Normal, healthy, and vital Asymptomatic apical periodontitis Symptomatic apical periodontitis Acute apical abscess Chronic apical abscess Patient response to percussion None None Pain Severe pain and swelling Little or no pain Radiographic appearance Periodontal ligament and lamina dura are uniform in width and intact Periapical lesion Any No Periapical lesion 26 1 The Differential Diagnosis of Endodontic Disease Is tooth tender to percussion?
Infraction—A small fracture contained within the tooth enamel without any loss of tooth structure. The involved tooth has a no pain response to percussion and no increased mobility and a normal sensibility response is an indicator for a low risk of necrosis. Intrusion—A displacement of the tooth into the alveolar bone accompanied by a fracture of the alveolar socket. This involved tooth causes no pain in response to percussion, but it creates a metallic sound. The tooth has no increased mobility and no response to the sensibility test.
The accurate and complete diagnosis of the disease state of the pulp, periodontal tissues, and dentin is necessary to develop a treatment plan which will benefit the patient and provide them with the highest-quality longest-lasting endodontic care. Dental traumatic injury and resorption are described in Chap. 2. 3. 3 Summary of the diagnosis of pulp, periodontal tissue, and dentin status 32 The Differential Diagnosis of Endodontic Disease Quiz for the Topics Covered in Chapter 1 33 Quiz for the Topics Covered in Chapter 1 1.