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The third edition of Textbook of Endodontology provides lucid scholarship and clear discussion of endodontic principles and treatment to dental students and dental practitioners searching for current information on endodontic theories and techniques. * Completely revised and updated new edition * Features six new chapters * Provides pedagogical features to promote understanding * Includes clinical case studies to put the information in the clinical context * Illustrated in full color throughout with clinical images and detailed diagrams * Offers interactive multiple-choice questions on a companion website…mehr
The third edition of Textbook of Endodontology provides lucid scholarship and clear discussion of endodontic principles and treatment to dental students and dental practitioners searching for current information on endodontic theories and techniques. * Completely revised and updated new edition * Features six new chapters * Provides pedagogical features to promote understanding * Includes clinical case studies to put the information in the clinical context * Illustrated in full color throughout with clinical images and detailed diagrams * Offers interactive multiple-choice questions on a companion website
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The Editors Lars Bjørndal, PhD, is Associate Professor in the Section of Cariology and Endodontics, Department of Odontology, Faculty of Health and Medical Sciences at the University of Copenhagen in Copenhagen, Denmark. Lise-Lotte Kirkevang, PhD, is Associate Professor in the Department of Dentistry and Oral Health at Aarhus University in Aarhus, Denmark and Professor of Endodontics, at the Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo in Oslo, Norway. John Whitworth, PhD, is Professor of Endodontology/Consultant in Restorative Dentistry in the School of Dental Sciences at Newcastle University/Newcastle Hospitals NHS Foundation Trust in Newcastle, UK.
Inhaltsangabe
List of contributors xiii
Foreword xvii
Preface xix
About the companion website xxi
1 Introduction to endodontology 1 John Whitworth, Lise-Lotte Kirkevang, and Lars Bjørndal
Endodontology 1
The objective of endodontic treatment 2
Clinical problems and solutions 2
The diagnostic dilemma 6
The outcome dilemma 6
The tools of treatment 6
References 7
Part 1 The Vital Pulp
2 The dentin-pulp complex: structure, functions, threats, and response to external injury 11 Lars Bjørndal and Alastair J. Sloan
Introduction 11
The odontoblast and the dentin-pulp complex 11
The dental pulp 17
Immune responses in the dentin-pulp complex 22
Responses of the healthy dentin-pulp complex to nondestructive stimuli 25
The dentin-pulp complex and responses to external injuries 25
Summary 29
References 29
3 Dentinal and pulpal pain 33 Inge Fristad and Matti N¨arhi
Introduction 33
Classification of nerve fibers 33
Morphology of intradental sensory innervation 33
Function of intradental sensory nerves 36
Sensitivity of dentin: hydrodynamic mechanism in pulpal A-fiber activation 38
Responses of intradental nerves to tissue injury and inflammation 40
Local control of pulpal nociceptor activation 44
Dentin hypersensitivity 44
Pain symptoms and pulpal diagnosis 45
References 46
4 Clinical pulp diagnosis and decision-making 49 Kerstin Petersson and Claes Reit
Introduction 49
Evaluation of diagnostic information 49
Diagnostic accuracy 50
Diagnostic strategy 51
Clinical manifestations of pulpal and periapical inflammation 51
Collecting diagnostic information 52
Diagnostic methodology: assessment of pulp vitality 53
Diagnostic methodology: evaluation of reported pain 55
Diagnostic methodology: provocation/inhibition of pain 56
Diagnostic methodology: evaluation of tooth discolorations 58
Diagnostic classification 58
References 59
5 Caries pathology and management in deep stages of lesion formation 61 Lars Bjørndal
Enamel lesions without clinical cavitation 63
Progressive stages of enamel-dentin lesions without surface cavitation and exposure of dentin to the oral environment 65
Cavitation of the dentin lesion 67
Concluding remarks on the natural history of dental caries 72
Strategies for the management of deep caries 72
Detailed treatment protocol for deep caries management 74
References 76
6 Treatment of vital pulp conditions 79 Lars Bjørndal, Helena Fransson, and St´ephane Simon
Introduction 79
Indications and treatment concepts for preserving vital pulp functions 80
Protocols for treatments aiming to preserve the vitality of the exposed pulp 81
Factors of importance in preserving vital pulp functions 87
Capping materials and healing patterns 89
Tissue-biomaterial interaction and pulp healing 91
Pulp-preserving treatments - a controversial treatment? 92
Indications and treatment concepts for treating the irreversibly inflamed vital pulp (pulpectomy) 93
Postoperative considerations 96
Choosing between pulp-preserving vital pulp therapies and pulpectomy 96
Concluding remarks on the avoidance of pulpectomy by vital pulp therapies 97
