By John S. Rhodes
The complicated difficulties linked to endodontics retreatment could be time-consuming and problematical. this article from one of many authors of the very winning 'Endodontics: Problem-Solving in medical perform' tackles those tricky facets and publications the practitioner throughout the difficulties and techniques concerned. With over four hundred color and black-and-white illustrations, this article is going to be of curiosity to endodontics, basic dental practitioners with a distinct curiosity to endodontics and postgraduates in restorative and endodontic specialties.
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Extra resources for Advanced Endodontics
The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endodontics and Dental Traumatology 1986; 2: 20–34. Molven O, Halse A. Success rates for gutta percha and Kloropercha N-Ø root fillings made by undergraduate students: radiographic findings after 10–17 years. International Endodontic Journal 1988; 21: 384–390. Sjögren U, Häglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. Journal of Endodontics 1990; 16: 498–504.
The margin of the crown can be undermined using a small diamond bur or an A Coupland’s chisel should be held firmly in the hand with a forefinger placed near the blade. This will help prevent injury to the patient should the instrument slip. 5). An access cavity can be cut in the occlusal surface and the instrument inserted between underlying core material and the crown. By cutting an access cavity, retention of the crown is significantly reduced and should therefore make crown removal easier. There are numerous burs available for preparing an occlusal cavity through crowns.
If patient expectations are commensurate with the clinician’s expectations and experience, then a happy outcome should be achieved. Cost Although a clinician will endeavour to avoid the removal of any functional natural tooth, this may not be an option because alternative treatment is too costly. The cost–benefit ratio of any treatment has to be weighed against all the alternative options. Root canal retreatment and a new crown may be less expensive than the replacement of a tooth with a bridge or implant.
Advanced Endodontics by John S. Rhodes