• When is a treatment considered ineffective? • How is a failed treatment diagnosed radiologically? • Is a retreatment always indicated? • What are the best solutions for correct disinfection and irrigation? • Which are the most appropriate obturation techniques in retreatments? • When should a lesion of apical origin be considered resolved? • What type of restorations may be performed in teeth with retreatments? • Which are the most appropriate techniques for the removal of endocanalar materials? • Can endodontic surgery be a first therapeutic choice? • When can a post-extraction implant be performed? The ten chapters of the volume answer these ten fundamental questions and the clinician who faces an apical pathology of endodontic origin will therefore have the solutions. The aim of this text/atlas is to provide a guide to the diagnostic approach and to the execution of endodontic retreatments of complex cases. The book is enriched by over 150 clinical cases by world-famous authors of various nationalities and illustrated with a high-quality iconography, expansion boxes and decision- making algorithms that guide the professional in the therapeutic choice.

CLINICAL ATLAS OF RETREATMENT IN ENDODONTICS Explore a comprehensive pictorial guide to the retreatment of root canals and failed endodontic cases with step-by-step advice on retreatment management Clinical Atlas of Retreatment in Endodontics delivers an image-based reference to the management of failed root canal cases. It provides evidence-based strategies and detailed clinical explanations to manage and retreat previous endodontically failed cases. It contains concrete evidence-based and practical techniques accompanied by full-colour, self-explanatory clinical photographs taking the reader through a journey of successful management of the failed clinical cases. Using a variety of clinical cases, the book demonstrates why and how endodontic failures occur, how to prevent them, and how to manage them in clinical practice. It also emphasises on evaluating the restorability and prognosis of the tooth in order to make a proper case selection for providing retreatment. This book also discusses the various factors that can help the clinician to make a case for nonsurgical or surgical retreatment. Readers will benefit from the inclusion of clinical cases that provide: A thorough introduction to perforation repair, with a clinical case that includes the repair of pulpal floor perforation caused due to excessive cutting of the floor of the pulp chamber An explanation of various factors for instrument separation, supported with a case that includes the removal of a fractured instrument Practical discussions of instrument retrieval, with a case that includes a fractured instrument at the apical third of mandibular molar A step wise pictorial description for guided root canal therapy Selective root canal treatment as a treatment option for retreatment of failed endodontic cases A detailed clinical description for how to explore and modify the endodontic access cavity for locating extra/missed canals Perfect for endodontists, endodontic residents, and general dentists, Clinical Atlas of Retreatment in Endodontics is also useful for undergraduate dental students and private practitioners who wish to improve their understanding of endodontic retreatment and are looking for a one-stop reference on the subject.

Endodontic retreatment is technically more difficult to perform, involves greater risks, and is more unpredictable clinically compared with primary endodontic treatment. This book addresses topics such as indications for endodontic retreatment; safe and efficient removal of existing restorations and obturation material; challenges such as fractured instruments, hard pastes, blockages, and negotiation of the canal; treatment of perforations; management of a tooth with a wide-open apex; and assessment of prognosis and success. Well-illustrated with clinical photographs, radiographs, and diagrams, the book will enable practitioners to undertake endodontic retreatment with greater confidence.

This book provides clear, concise guidance on a range of essential treatment strategies for the provision of reliable endodontic care. Practical clinical procedures are described step by step and key concepts emphasized with the aid of a wealth of high-quality illustrations and photographs. Examples of best practice are documented by means of clinical case examples, and the provision of concise tips and recommendations ensures that the reader will quickly be able to find solutions to any one of the myriad of endodontic challenges with which he or she may be confronted. In addition, the most relevant key literature is reviewed in order to support and reinforce the discussed clinical concepts. The described endodontic treatment strategies are all grounded in a sound scientific evidence base. The book should enable practitioners to manage any endodontic case from first principles and will be of value for both dental practitioners and endodontic trainees/specialists.

This book is a comprehensive guide to apical periodontitis in root-filled teeth that covers not only all aspects of diagnosis and management but also epidemiology, etiology, consequences, clinical decision-making, and prognosis. There is a particular focus on the available surgical and nonsurgical methods of retreatment designed to restore healthy periapical conditions. Alternatives to retreatment are also explored, including a conservative approach involving monitoring of the diseased tooth without intervention and the option of extraction and replacement with an implant or a fixed prosthesis. The goal of root canal treatment is to save the natural tooth even when tissue breakdown has resulted in pathological conditions of the pulp and periradicular tissue. However, population studies reveal that complete healing is often absent in root-filled teeth, and apical periodontitis is frequently observed in conjunction with root fillings of poor technical quality. Under these circumstances, questions arise as to how the apical periodontitis is impacting on the patient and how the condition should be tackled. Readers will find this well-illustrated book to be of great value in directing clinical practice.

This book is intended for the general practitioner with a special interest in endodontics, students undergoing specialist training and specialists alike. Endodontic retreatment poses many practical challenges. Advances in scientific knowledge and the integration of operating microscopes into endodontic practice have seen the possibilities for predictable endodontic treatment and retreatment expand dramatically. Advanced Endodontics: Clinical Retreatment describes many of the techniques and methods available for practitioners who wish to undertake the planning and treatment of complex endodontic retreatment. The text is referenced to provide a comprehensive but discreet source of scientific evidence, principles and further reading. Knowledge and theory are important in managing complex endodontic retreatment cases, but cannot be a substitute for essential practical and clinical experience. These skills need to be learned and practiced. Novices should always start with the simplest cases and never proceed beyond their confidence or skill level. Numerous practical courses are available for instruction on retreatment techniques and attendance on them can only be encouraged.