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Endodontology theory & practice for students

Endodontology theory & practice for students

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CONTENT
Chapter 1: Endodontic treatment plan:
 
Start with the end in mind
 
Case selection
 
The dental microscope: an indispensable tool in endodontic practice
 
infection control
 
Anaesthesia
 
Isolation Options
 
Endodontic access
 
Shaping and cleaning the root canal
 
Intracanal dressing
 
Root canal filling
 
Restoration of the tooth
 
Follow-up
 
Key points
 
Reference
 
Chapter 2: Internal anatomy and
 
endodontic cavity preparation
 
I. Morphology of the Root Canal System
 
A. Main anatomy
 
Canal configurations - classifications
 
Root curvatures/diiacerations
 
Lateral/accessory canals
 
Isthmus
 
B. Tographical and anatomica) features of Maxillary Teeth ....
 
1. Central incisor
 
2. Lateral Incisor
 
3. Canine
 
4. First premolar
 
5. Second premolar
 
6. First molar
 
7. Second Molar
 
C. Tographical and anatomical features of Mandibular Teeth
 
1. Central/lateral incisors
 
2. Canine
 
3. First Premolar
 
4. Second Premolar '
 
5. First Molar
 
6. Second Moiar
II. Endodontic Access Preparation - Access shape in relation
 
to orifice location 容2
 
A* Steps of access preparation  84
 
B. Objectives of access preparation 86
 
C. Speda! problems and considerations (errors
 
in access cavity preparation) 88
 
D. Guidelines for conservative access 89
 
E. Instruments used in access preparation 91
 
R Location of orifices 93
 
G. Difficulties of inadequate access preparation 98
 
Key points     99
 
Reference     贈
 
Chapter 3: Root canal preparation 1 ⑴
 
General objectives of root canal preparation
 
Working length determination (WL) -
 
Types of root canal preparation techniques П0
 
Steps of successful root canal preparation П1
 
Step back technique
 
Balanced Force Technique 1 夏 5
 
Crown-down pressureless technique   Ш
 
INSTRUMENTS     119
 
I. General guidelines for using hand endodontic instruments ….119 П. General guidelines for using rotary MiTünstruments ,131
 
The ProTaper Universal system    U2
 
How to use ProTaper Universal endodontic files 134
 
Types of Protaper Endodontic Files
 
ProTaper shaping technique    138
 
ProTaper finishing criteria
 
ProTaper Benefits     ⑷
 
ProTaper System: Clinical protocol 143
 
“Waveone” techniques   146
 
III. General Guidelines for Using Ultrasonic/
 
Sonic Instruments 150
 
Differences 150
 
Endosonic Ultrasonic Synergistic System -
 
‘‘acoustic streaming" 151
 
Advantages/Disadvantages   151
 
Effectiveness 152
 
Endodontic tips 152
 
How to manage the curved canals? 159
 
How to locate the calcified root canals? 160
 
Key points   ^3
 
Reference 164
Chapter 4: irrigation, smear layer removal and inter-appointment medication with Ca(OH)2 165
 
Efficacy of root canal irrigation in terms of debris removal
 
and eradication of bacteria depends on several factors 169
 
The ideal endodontic irrigant    170
 
SODIUM HYPOCHLORITE (NaOCI)
 
The smear layer 173
 
EDTA : 176
 
CITRIC ACÌD   Hg
 
METRONIDAZOLE :,.…
 
CHLORHEXIDINE     ng
 
HYDROGEN PEROXIDE (H2〇2) 178
 
CLINICAL PROTOCOLS 179
 
Clinical protocol in vital teeth cases 179
 
Clinical protocol in necrotic teeth cases Ì 80
 
Clinical protocol in retreatment cases 181
 
Internal resorption and external apica! resorption cases Ш
 
Interactions between irrigating solutions Ì82
 
Ultrasound in Endodontics 133
 
Newer Irrigation Devices and Techniques 185
 
Key points 193
 
Reference 194
 
Chapter 5: Root canal obturation 199
 
Requirements placed upon root canal sealers 200
 
GROSSMAN1 S REQUIREMENTS FOR ROOT
 
CANAL SEALERS (1958)   2Ш
 
Contemporary sealers ,.,.201
 
Step-by-step instructions for dosage and
 
"mixing two-paste sealers 202
 
Methods of sealer placement gutta-percha -
 
the contemporary core material 203
 
Obturation techniques 206
 
A. Cold gutta-percha points 206
 
B. Canai-warmed gutta-percba 2M
 
C. Thermopiasticized gutta-percha 218
 
D. Apical sealing in cases with apical resorption (open apex)
 
in chronic apicai periodontitis 220
 
Coronal obturation - orifices sealing procedure 225
 
Key points    232
 
Reference 233
Chapter 6: Endodontic failures
 
Local Factors causing endodontic failures
 
Root fracture
 
Size of periapical radiolucency
 
Perforations
 
Coronal calcification (Denticles, Pulp stones)
 
Management of separated endodontic instruments
 
Systemic factors causing endodontic failures
 
Key points
 
Reference
 
Chapter 7: Healing processes in the apical area after
 
endodontic treatment
 
The causes of persistent apical periodontitis
 
I. Microbial causes
 
II. Non-microbial causes
 
Management planning of root-fiied teeth with persisting
 
or new apical periodontitis *
 
Management options for root-canal treated teeth
 
with persistent apical periodontitis
 
Treatment outcome of non-surgical retreatment
 
Classification of periapical lesions
 
CLINICAL CASE 1
 
CLINICAL CASE 2
 
Endodontic outcome after treatment of chronic apical periodontitis
 
Factors affecting success or failure
 
Key points
 
Reference
 
Chapter 8; Restoration of endodontically treated teeth
 
Purpose of p〇sts
 
Post length
 
Post diameter
 
Ferrule
 
Classification of posts
 
Type of post and core
 
Preparation of tbe canal space and the tooth
 
Cementation
 
Clinical and technical aspects of fiber post restorations
 
Key points
 
Reference . ^
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