By John S. Rhodes
Complex endodontic difficulties that require extra paintings at the a part of the clinician will be time-consuming and not easy. This hugely illustrated textual content, from one of many authors of the very profitable Endodontics: Problem-Solving in medical perform, tackles those tough elements and courses the practitioner throughout the difficulties and tactics involved.
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Additional info for Advanced Endodontics
Have the original presenting symptoms been improved or changed as a result of the treatment? When Was It Completed? If the root filling has only recently been completed, then it may be too early to ascertain whether it is failing. The timing of original treatment may give an indication of the techniques and materials that have been used. The operator must remember that a single radiograph gives a ‘snap shot’ in time and does not provide any historical information. 15 Root canal retreatment of the maxillary left second premolar was completed by an endodontist.
Marbach JJ, Hulbrock J, Hohn C, Segal AG. Incidence of phantom tooth pain: an atypical facial neuralgia. Oral Surgery, Oral Medicine, Oral Pathology 1982; 53: 190–193. Rowbotham M, Harden N, Stacey B, Bernstein P, Magnus-Miller L. Gabapentin for the treatment of postherpetic neuralgia: a randomized controlled trial. JAMA 1998; 280: 1837–1842. qxd 10/11/05 9:42 PM Page 23 2 DECISION MAKING AND TREATMENT PLANNING CONTENTS ● Introduction ● What is success? ● Clinical Guidelines of the European Society of Endodontics ● Decision Making ● Decision Making and Treatment Planning Process ● Decision-making Factors Affecting Outcome ● Treatment Planning ● Conclusion ● References INTRODUCTION Although outcomes of endodontic treatment have been of interest for many years, there is an apparent disparity between the success rates reported by cross-sectional studies (31–60%) and those of longitudinal studies (85–95%).
Complicated cases may be preferentially referred to a specialist or highly experienced colleague. Referral may be appropriate when: ● the clinician is unable to make a diagnosis ● access is limited ● root canal treatment has failed ● retreatment has failed ● complexity of treatment is greater than the clinician’s expertise ● surgical endodontic treatment is required ● patients present with complex medical histories ● combined multidisciplinary problems ● patient requests referral. DECISION MAKING AND TREATMENT PLANNING PROCESS Clinical Assessment With respect to root canal retreatment, several factors regarding previous treatment are of interest.