Clinical Atlas of Retreatment in Endodontics

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CLINICAL ATLAS OF <b>RETREATMENT IN ENDODONTICS</b> <p><b>Explore a comprehensive pictorial guide to the retreatment of root canals and failed endodontic cases with step-by-step advice on retreatment management</b><p><i>Clinical Atlas of Retreatment in Endodontics</i> 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.<p>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:<ul><li>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</li><li>An explanation of various factors for instrument separation, supported with a case that includes the removal of a fractured instrument</li><li>Practical discussions of instrument retrieval, with a case that includes a fractured instrument at the apical third of mandibular molar</li><li>A step wise pictorial description for guided root canal therapy</li><li>Selective root canal treatment as a treatment option for retreatment of failed endodontic cases</li><li>A detailed clinical description for how to explore and modify the endodontic access cavity for locating extra/missed canals</li></ul><p>Perfect for endodontists, endodontic residents, and general dentists, <i>Clinical Atlas of Retreatment in Endodontics</i> 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.

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Library of Congress Cataloging‐in‐Publication Data applied for

[ISBN: 9781119509202]

Cover Design: Wiley

Cover Image: © Viresh Chopra

Foreword

Retreating an endodontic case can be quite challenging and the editor, Dr. Viresh Chopra, has masterfully categorized all the permutations of retreatment into different chapters with the emphasis on illustrating every point with his contributors.

The chapter on surgical vs nonsurgical endodontic retreatment provides a good discipline in treatment‐planning. Case selection (i.e., good judgement) is a critical issue because not every case previously treated (and failing) should be retreated; sometimes extraction is indeed the better choice.

The exciting new surgical endodontic technique using a 3D template for guided osteotomy and retro sealing apexes is explained and illustrated here very well—this novel approach will become much more popular once endodontists have the equipment and training to perform these conservative and effective surgical procedures.

I applaud Dr. Chopra for editing this richly illustrated book that should be in the library of every endodontist… and a round of applause to the contributors!

Stephen Cohen M.A., D.D.S., FICD, FACDDiplomate, American Board of Endodontics

Foreword

Contemporary endodontology is reliant on the sharing of evidence‐based knowledge and this atlas adroitly brings together the work of a number of international contributors who are congratulated for collaboratively addressing many of the clinical considerations and challenges faced during endodontic retreatment.

The inclusion of QR codes and links to the numerous helpful clinical video clips on the companion website is of significant additional benefit in demonstrating a range of operative procedures.

As editor Dr Chopra is to be congratulated for adeptly harmonising this well illustrated resource that will no doubt serve as an excellent reference guide for general practitioners with an interest in Endodontology and in particular to postgraduate students and endodontists who wish to enhance and refine their approach to endodontic retreatment.

Rahul Arora MSc, BDS, LDS, FFGDP, FCGDentDean, Oman Dental College

Preface

When Dr. Viresh Chopra asked me to provide the Preface for his Clinical Atlas of Retreatment in Endodontics, I was very surprised. After all, the Preface is done traditionally by the author himself or herself. However, he had compelling reasons for inviting me, he said. A few years ago, he discussed with me the idea of producing a book on Endodontics. We debated the shape, the form, and the content of the intended book and identified the features that would be of most benefit to busy clinicians in practice. So the Clinical Atlas on Retreatment was born.

Retreatment is one of the most challenging areas in Endodontics. By getting contributions from a group of eminent endodontists, this Atlas has enhanced its appeal and its value by providing a broader insight into the management of these failures successfully. Here is the collective clinical experience and the wisdom of fifteen endodontists.

There are twenty‐five cases presented in this Atlas, ranging from a perforation of the pulpal floor to cases with multiple failures such as inadequate obturation, fractured instrument, ledge formation in a severely curved root canal and multiple perforations. The cases are varied in their origins, nature, and complexity. The rich illustrations with their accompanying text make it easier to understand the management of these cases by the experts.

Dr. Chopra once told me that if his students cannot understand what he is trying to teach, then he has failed. Therefore, he spends a lot of time planning what and how he teaches. The same philosophy has been applied to this book.

Please read the Atlas and see for yourself. You will not be disappointed.

DYD SamarawickramaBDS, PhD, FDSRCS, FHEA, FCGDP, FODC Emeritus Professor of Conservative Dentistry Queen Mary University of London, UK

Acknowledgments

“If I have seen further than others, it is by standing upon the shoulders of giants.”

Sir Isaac Newton

Thank you is a small word which would never completely convey the sense of gratitude and regards which I feel for each of the following colleagues who have made this Clinical Atlas of Retreatment in Endodontics , first edition a reality.

We all start and stay in a state of rest, or of uniform motion in a straight line, unless motivated, inspired or compelled to become active by forces/people around us. Editing this book has really been an eye opener and made me learn a lot and appreciate the presence of everyone’s support around me.

First and foremost, my sincere gratitude to Prof DYD Samarawickrama for his belief in me and motivating me to make this dream a reality. Also, I would like to thank my Dean Dr. Rahul Arora, Vice Dean Dr. Nutayla Al Harthy and Prof. Mohammed Ismaily for trusting in this project and supporting me to make this dream a day.

To start is easy but to carry on is difficult. My sincere thanks to Dr. Aylin Baysan, for always sending me that positive energy and force that keep me going at all times.

I would like to take this opportunity to thank each one of my teachers who have helped me in my growth as an endodontist. With folded hands I bow forward to my Gurus Dr. S. Datta Prasad, Dr. Pravin Kumar, Dr. Himanshu Aeran, Dr. Vineeta Nikhil, Dr. Himanshu Sharma and Dr. Shibani Grover.

I would like to specially thank few people who have played a major role in my growth as an academician and as a clinician: Dr. Anil Kohli for always blessing me with his advice, Dr. Sanjay Miglani for being my mentor and a constant source of inspiration and support at every stage, Dr. K.S Banga for always motivating me to do better, Dr. V. Gopikrishna for always inspiring me with his wisdom and giving me one take home message in every interaction, and Dr. Vivek Hegde for always pushing me to give the best to my patients.

The actual strength of this book is the clinical contributions by eminent researchers and clinicians from across the world. I thank each one for accepting my invitation to contribute and for their kindness and generosity in sharing their knowledge and expertise.

I thank all the leading dental companies who trusted in this project and supported me for it. Thank you, Carl Zeiss, Zirc, FKG Dentaire, Coltène/Whaledent and bioMTA for your support.

I would like to thank the wonderful team at WILEY BLACKWELL for their genuine passion and professionalism for making this dream a reality. Thank you, Susan Engelken, Miss. Loan Nguyen, Tanya McMullin, Copyeditor Holly Regan‐Jones and Mustaq Ahamed for your support.

A special thanks to Sumit Dubey, Ashwani Mishra and Pankaj vats for being my friends and their timely advices.

My sincere thanks to each one of the following people at my place of work for helping me in various ways during the genesis of this book:

Oman Dental College:

Prof. Fugen Dagli Comert; my wonderful team of assistants Mr. Allan Renz Rodriguez, Ms. Christel Santisteban, Mr. Rony C. Joy, Ms. Mariamol Seethy Karammel, Ms. Bharati V. Bangera, Mr. Ibrahim for their everlasting support.

Finally, I owe my exceptional gratitude to my parents for their blessings, brother Dr. Vishal Chopra for his timely advice, wife Dr. Harneet Chopra, and children for their unflinching support.

V. Chopra

List of Contributors

Abhinay Agarwal, BDS, MDSProfessor, Department of Conservative Dentistry and Endodontics Teerthanker Mahaveer Dental College and Research Centre Moradabad, Uttar Pradesh, India

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