Endodontic Prognosis: Clinical Guide for Optimal Treatment by Nadia Chugal, Louis M Lin

By Nadia Chugal, Louis M Lin

This publication serves as a scientific advisor to aid the practitioner enhance endodontic therapy results. It specializes in a few of the components affecting the diagnosis of endodontic remedies and on their influence on temporary and long term results.

The textual content contains updated wisdom, suggestions and therapy protocols. every one bankruptcy has been conscientiously selected to deal with both foundational wisdom or a decide upon element of endodontic remedy. The authors research the information accrued from loads of final result experiences and supply the reader with a severe appraisal indicating the strengths and weaknesses of these experiences. this knowledge is then used to make tips on find out how to are expecting the result of the meant therapy. The authors emphasize that the endodontic diagnosis is a multifactorial phenomenon, underscoring how different factors, singularly and together, impact the remedy consequence. Readers are supplied with instruments to effectively investigate the diagnosis of the proposed remedy on the outset and to execute the deliberate therapy eager about optimum outcome.

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Light and electron microscopic studies on root canal flora and periapical lesions. J Endod. 1987;13:29–39.  Biofilms and apical periodontitis: study of prevalence and association with clinical and histopathologic findings. J Endod. 2010;36(8):1277–88.  Microbial biofilm formation: a need to act. J Intern Med. 2014;276(2):98–110. 29.  Surface sensing in Vibrio parahaemolyticus triggers a programme of gene expression that promotes colonization and virulence. Mol Microbiol. 2011;79(1):240–63.  Physiological heterogeneity in biofilms.

M. edu S. Loghin • D. it © Springer International Publishing Switzerland 2017 N. M. M. Lin et al. Introduction Inflammatory pathosis of the pulp-periapical tissue complex can be caused by many factors such as caries, trauma, mechanical and chemical injuries, or periodontal disease. Nevertheless, caries, an infectious disease caused by plaque biofilm, is the primary etiology. If caries is not treated, dentin will be gradually destroyed. The bacterial toxins and their metabolic by-products will penetrate through the involved dentinal tubules into the pulp leading to immuno-inflammatory reaction in the pulp.

It is assumed that when the pulp is exposed by caries, the pulp is not capable of self-healing because it is enclosed in uncompromised rigid dentin walls and lacks collateral blood circulation to effectively deliver cellular and humoral immune components to the injured site to eliminate bacteria. Therefore, root canal therapy is required. However, recent systematic review of vital pulp therapy in vital permanent teeth with carious exposed pulps showed that vital teeth with carious pulp exposure could be successfully treated with vital pulp therapy [13, 14].

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