Best Practices in Endodontics: A Desk Reference


This book is a compilation of practical information shared by some of the finest clinical endodontists in the world. Most of the chapters are short and focus on how to perform a single clinical procedure.

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They are written in simple language with ample photographic support. This book provides guidance for most common endodontic procedures but also for some procedures that are less common, such as how to treat teeth containing Russian Red; surgical extrusion; root submergence; and decompression. Because most of the procedures described are performed under a dental operating microscope, there are chapters on operatory design for microscopic endodontics, microscope ergonomics for the doctor and assistant, and how to set up and use a microscope for photography and video documentation. In addition, two chapters are devoted exclusively to understanding and applying CBCT imaging. Written at a specialist level, the book serves as a desk reference for clinical procedures and as a daily practical guide, but it contains information that is useful to anyone who aspires to perform endodontics at a high level.


Part I of this text is comprised of chapters on optimal operatory design, ergonomics for microscope use and documentation using single images and video.

Part II deals with incorporating CBCT imaging into your practice and its clinical applications.

Part III covers nonsurgical endodontic procedures from access cavity preparation, obtaining working length, and canal preparation. The minimally invasive endodontic philosophy is clearly defined and beautifully illustrated. Clinical management of teeth with calcifications, C-shaped anatomy, and severe canal curvatures are clearly described so that the reader will gain a new understanding of how to approach these challenging cases.

Part IV covers endodontic retreatment and describes and illustrates in a step-by-step sequence how to bypass iatrogenic ledges and safely remove broken instruments. It also clearly and concisely details how to remove metal and fiber posts, gutta-percha, carriers, silver points and paste fillings.

Part V is comprised chapters concerning the significantly important restorative considerations that every clinician must be acutely aware of prior to the initiation of endodontic treatment. These include evaluating the restorability of the tooth, how to perform a preendodontic build-up and the fabrication of a custom resin matrix to ensure proper isolation. Placing posts and cores and the esthetic restoration of the access cavity is beautifully documented.

Parts VI and VIII clearly and concisely covers the diagnosis and management of the different types of root resorptive lesions as well as the management of dentoalveolar trauma.

Part VIII elegantly describes and beautifully illustrates topics such as endodontic management of teeth with open apices, approaches to vital pulp therapy, decompression of large periapical radiolucencies, microsurgical suturing and keys to effective communication.

In summary, this textbook is a must-read for all students and clinicians who are truly serious about enhancing their understanding of contemporary patient-centered endodontics and bringing their endodontic skills to an entirely new level. This text will be one that the clinician will refer to time and time again.


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