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 dex_scription for guided root canal therapy
• Selective root canal treatment as a treatment option for retreatment of failed endodontic cases
• A detailed clinical dex_scription 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.

Foreword ix

Preface xi

Acknowledgments xiii

List of Contributors xv

List of Abbreviations xvii

About the Companion Website xix

Introduction to endodontic retreatment 1
Sanjay Miglani, Fugen Dagli Comert, Swadheena Patro, and Viresh Chopra

1 Clinical Case 1: Perforation repair: A case of repair of pulpal floor perforation caused by excessive cutting of the floor of the pulp chamber 5
Mohammad Hammo

2 Clinical Case 2: Instrument separation: A case of surgical removal of a fractured instrument 10
Abhinay Agarwal

3 Clinical Case 3: A case of retreatment of Tooth 16: Bypass of ledges and broken instrument 17
Garima Poddar

4 Clinical Case 4: Instrument retrieval: A case of fractured instrument at the apical third of the mandibular molar 23
Jojo Kottoor

5 Clinical Case 5: Perforation repair with instrument retrieval: Management of multiple endodontic mishaps 32
Padmanabh Jha

6 Clinical Case 6: Management of strip perforation and fractured instrument 38
Zaher Al Taqi

7 Clinical Case 7: Management of root canal treatment failure case with missed lateral canal anatomy and inadequate obturation 45
Antonis Chaniotis

8 Clinical Case 8: Management of a case with faulty cast post and asymptomatic lateral periodontitis 51
Antonis Chaniotis

9 Clinical Case 9: Management of a case with endo-perio lesion following a previous root canal treatment 58
Antonis Chaniotis

10 Clinical Case 10: Management of a failed root canal treatment with silver cone obturation and fractured instrument 64
Antonis Chaniotis

11 Clinical Case 11: Management of a failed root canal treated maxillary molar with selective root treatment 69
Gergely Benyöcs

12 Clinical Case 12: Guided endodontics and its application for non-surgical retreatments: Retreatment of a maxillary anterior tooth using static guidance 79
Gergely Benyöcs

13 Clinical Case 13: Management of pulpal floor perforation with periapical lesion in the mesial root 99
Zaher Al Taqi

14 Clinical Case 14: Management of root canal treatment failure with missed canal anatomy and inadequate obturation 108
Eugen Buga

15 Clinical Case 15: Management of root canal treatment failure with inadequate obturation, hidden fractured instrument and ledge formation in a severely curved mandibular molar 114
Eugen Buga

16 Clinical Case 16: Management of root canal treatment with an instrument fracture in a mandibular molar 121
Viresh Chopra

17 Clinical Case 17: Management of a mandibular molar with fractured instrument extending in the periapical area 128
Zaher Al Taqi

18 Clinical Case 18: Management of root canal treatment failure with inadequate obturation and apically calcified canals 134
Viresh Chopra

19 Clinical Case 19: Management of root canal treatment failure with inadequate obturation and missed canals 140
Viresh Chopra

20 Clinical Case 20: Management of root canal treatment failure with inadequate obturation, unusual distal root anatomy and suspected ledge formation in a mandibular molar 147
Eugen Buga

21 Clinical Case 21: Management of root canal treatment failure with inadequate obturation and faulty post placement 154
Viresh Chopra

22 Clinical Case 22: Management of root canal treatment failure with inadequate obturation, multiple perforations, fractured instrument and ledge formation in maxillary right first molar 161
Viresh Chopra

23 Clinical Case 23: Management of root canal treatment failure with inadequate obturation, fractured instrument and periapical lesion in mandibular left first molar 172
Viresh Chopra

24 Clinical Case 24: Retreatment of Tooth 21 180
Garima Poddar

25 Nonsurgical versus surgical retreatment: Decision making 187
Meetu Ralli Kohli and Bekir Karabucak

Index 201

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