Index. shapes, sizes, and locations, 282 small bone defects, through-and-through bone defect, treatment techniques, 285, 287
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1 Index A Accessory canal, Accidental pulp exposure, 100, Adhesive dentistry, Ankylosis, Anterior superior alveolar (ASA), 81 Anxiety, 36 Apical periodontitis asymptomatic, inflammatory resorption, 68, 69 radiological signs, 216 success and failure clinical decisions, controversies, indication, 216 local spread of disease, 219 meticulous analysis, naturalist theory, normativist theory, patient values, 221 persistent pain, prevalence, 218 radiographic evaluation, 217 systemic effects, 219 time factor, triad of disease, illness, and sickness, symptomatic, 215 tooth retention over time, Apicoectomy, ASA. See Anterior superior alveolar (ASA) B Barrier-type technique, Bone defect classification apical endodontic area, 283 apicomarginal bone defect, 285, 286 cervical/periodontal area, 283 large bone defects, shapes, sizes, and locations, 282 small bone defects, through-and-through bone defect, treatment techniques, 285, 287 C Cardiac pain, 35 Cement-dentinal junction (CDJ), 141 Cemento-enamel junction (CEJ), Ceramics, Chlorhexidine (CHX), 148 Chronic orofacial pain, 32 Cold testing, 44 Concomitant lesion, 40 Cone beam computed tomography (CBCT), 49, 50, 53, 217 C-shaped canal system, Cuspal fracture, D Debridement accessory anatomy, apical size, 147 intracanal microorganisms, 146 irrigation, NaOCl and CHX, radicular walls, 148 smear layer, systematic approach, Depression, 36 Diagnosis ankylosis, cracked/fractured teeth, 62 craze lines, 59, 61 fractured cusp, split tooth, 62 VRF, Springer-Verlag Berlin Heidelberg 2017 O.A. Peters (ed.), The Guidebook to Molar Endodontics, DOI /
2 294 Depression (cont.) endodontic periodontal lesion, external surface resorption, 67 extraoral exam, inflammatory resorption apical periodontitis, 68, 69 cervical external root resorption, irritation, 67 MIEARR, root apex, 67, 68 internal resorption, 66 intraoral exam, pathologies, external resorption, patient interview chief complaint, dental history, 30 medical history, periradicular test biting test, normal assessment, percussion test, 47 pulpal testing accuracy, asymptomatic irreversible pulpitis, 55, 56, 58 dentin hypersensitivity, 55, 56, 58 endodontic therapy, 57, 58 EPT, histological studies, pulp necrosis, 57, 58 radiographic assessment, reversible pulpitis, 55, 56, 58 symptomatic irreversible pulpitis, 57, 58 thermal testing, radiography abnormal structures, 53 bitewing radiographs, CBCT, 49, 50, 53 children, digital radiography, 49 mandibular first molar tooth, 51 maxillary antrum, 51, 52 radiolucent variations, 52 radiopaque variations, 52 structures, restoration, sinus tract, tooth resorption, Digital technology, 175 Distobuccal (DB), 7 Distolingual root, E Electric pulp testing (EPT) diagnosis, mandibular anesthesia, 78 Endodontic microsurgery apicoectomy, bone defect classification apical endodontic area, 283 apicomarginal bone defect, 285, 286 cervical/periodontal area, 283 large bone defects, shapes, sizes, and locations, 282 small bone defects, through-and-through bone defect, treatment techniques, 285, 287 curretage, 275 diagnosis, 270, 271 drying preparation, 279, 281 flap design access cavity, rectangular and triangular flaps, rules of, flap elevation, 273, 274 hemostasis, incision, 273, 274 intentional replantation clinical case, 288, 289 contraindications, 287 definition, 287 indications, 287, 288 recommendations, technique, 288 isthmus, 278 osteotomy window, rationale for, 270 retraction, 273, 275 retrograde fill, root-end preparation, Endodontic treatment, Ethylenediamine tetraacetic acid (EDTA), F Facial pain, 36 First mesiobuccal (MB1) canal, 10 Flap design, Index
3 Index G Glide path preparation, 142 Gutta-percha filling, 156, 157, 159 master cones, outcome, 134 H Headaches, 34 Heat testing, 44 Hemostasis, Herpetic neuritis, 35 I Inferior alveolar nerve (IAN), 78 Inferior alveolar nerve block (IANB), Intentional pulp exposure, , Intentional replantation clinical case, 288, 289 contraindications, 287 definition, 287 indications, 287, 288 recommendations, technique, 288 Intraligamentary (PDL) injection, Intraosseous injection (IO), Intrapulpal injection, Irreversible pulpitis asymptomatic, 55, 56, 58 inflammation, 98 symptomatic, 57, 58 Isthmus, 21 23, 278 J J-shaped radiolucency, 65 K K-files, 124, 142, 145, 254 L Lateral canals, 18 20, 151, 152 Local anesthesia checklist, 90 IANB injection, 85 inflammatory change, 76 intraosseous injection, intrapulpal injection, mandibular anesthesia block technique, compounds, 80 IANB, mandibular buccal infiltration injection, maxillary anesthesia compounds, infiltration technique, PDL injection, periapical changes, 76 pulpal anesthesia, supplemental anesthetic techniques, 84 topical anesthesia, M Mandibular anesthesia block technique, compounds, 80 IANB, Mandibular molars accessory and lateral canals, apical ramifications, C-shaped canal system, danger zone, 12, 13 distal root, 16, 18 distolingual root, intracanal communications, isthmi, middle mesial root canal, Maxillary anesthesia compounds, infiltration technique, Maxillary molars MB1 canal, 10 MB2 canal CBCT imaging, 9 challenge, 11 cross-sectional shape, 11, 12 C-shaped canal system, 11 distobuccal, 7 micro-computed tomography, 6 7 occurrence, 11 orifice, 10 prevalence, 6, 9 pulp horns and pulp chamber, 7, 8 ultrasonic tips/long-shank round burs, 10 MB3 root, 10, 11 Middle superior alveolar (MSA), 81
4 296 Mineral trioxide aggregate (MTA), Molar access CEJ, 120, 129 locating canal orifices, 121 mandibular first molar distal root, lingual and buccal canal walls, mesial root, three-rooted configuration, 127 mandibular second molars, maxillary first molars blockage or transportation, 124 distobuccal canal entrance, 123 identification and instrumentation, 125 mesiobuccal canal entrance, 123 palatal canal entrance, 123 root morphology, 124 maxillary second molars, 124 patient-specific variables, 118 restorations, root canal system anatomy, 128 straight-line access, , , 129 tooth-specific variables, 118 Molar root canal anatomy classification, 2 5 components, 2 4 intraradicular microflora, 2 kidney-shaped roots, 3 4 mandibular molars accessory and lateral canals, apical ramifications, C-shaped canal system, danger zone, 12, 13 distal root, 16, 18 distolingual root, intracanal communications, isthmi, middle mesial root canal, maxillary molars (see Maxillary molars ) nickel-titanium instruments, 4 5 Multiple idiopathic external root resorption (MIEARR), Muscle disorder pain, 33 N Neuropathic pain, Non-odontogenic pain cardiac pain, 35 muscular, 33 neoplasia, neuropathic pain, Index neurovascular, 34 non-somatoform, 36 vs. odontogenic pain, sinus/nasal structures, 33 Non-somatoform pain, 36 Nonsurgical retreatment altered root canal morphology, 243 bypassing ledges buccolingual projection, 252 canal entrance, 252, 253 C+Files, 254 false canal, false pathway, instrument tip, mesial canal, 254 proximal projection, 252 three-dimension, cause of failure, coronal seal lack of, 244, 246 loss of, 240, 242 definition, 234, 235 eliminating ledges, epidemiological study, etiology, 250 filling material removal, implantology, 237 inadequate root canal filling, 238 incomplete treatment, 238, 239 instrument fragment removal broken instrument, prognosis, 256 re-intervention, 256 staging platform, 258 straight-line radicular access, 256, 258 locating ledges, 251 maxillary molar, 234, 236 microtube removal methods, operating microscope, 246 pastes, 248 patient expectations, 246 perforation repair apical one-third, collacote, coronal third and bifurcations, level, location, size and shape, and time, 260 materials and techniques, 262 middle one-third, 261 MTA, periodontal involvement, 244, 245 periradicular radiolucency, 242 planning, 238 professional experience, 246
5 Index satisfactory quality, sealers, 248 second mesiobuccal (MB2) canal, , 237 silver point removal, 249 vs. surgical retreatment, 247 suspected vertical fracture, 244 typical situation, 234, 235 ultrasonic techniques, 258 vertical fractures, 240, 241 O Obturation canal drying and sealer application, factors, filling (see Root canal filling ) master cones, materials and techniques, quality, timing, 153, 154 Outcome assessment apical periodontitis (see Apical periodontitis ) clinical course, clinical studies, 229 natural history, pathosis, 208 prognosis, pulp necrosis, retreatment accessibility, 224, bone destruction, 223 clinician and patient preferences, 225 cost of treatment, 225 restorative requirements, surgical/nonsurgical retreatment, 223 technical quality, technological development, 225, 227 tooth-supporting bridge, 228 symptomatic pulpitis, 214 vital pulp therapies indirect pulp capping, 212 primary dentin, 212 pulp exposure, stepwise excavation, 212 P Percussion test, 47 Periapical index (PAI), 218 Posterior superior alveolar (PSA), 81, 82 Pulpal anesthesia, Pulpal testing accuracy, asymptomatic irreversible pulpitis, 55, 56, 58 dentin hypersensitivity, 55, 56, 58 endodontic therapy, 57, 58 EPT, histological studies, pulp necrosis, 57, 58 radiographic assessment, reversible pulpitis, 55, 56, 58 symptomatic irreversible pulpitis, 57, 58 thermal testing, Pulp necrosis, Q QuickSleeper system, 87, 88 R Radix entomolaris, Resin-based composites, 197, 199 Restoration, adhesive dentistry, bio -materials, 176 bonding system cast post, clinical evidence, fiber post, limitation, metal post, 186 retention, cuspal coverage, digital technology, 175 direct/indirect restoration, endocrown advantages, 192 bond strength, clinical study, pulp chamber, 190, 191 in vitro data, 190 full-crown, placement of, multi-unit restorations, repair of, Reversible pulpitis, 55, 56, 58, 98 Root canal filling apical portion lateral compaction, vertical compaction, completion, paste,
6 298 Index S Second mesiobuccal (MB2) canal CBCT imaging, 9 challenge, 11 cross-sectional shape, 11, 12 C-shaped canal system, 11 distobuccal, 7 micro-computed tomography, 6 7 occurrence, 11 orifice, 10 prevalence, 6, 9 pulp horns and pulp chamber, 7, 8 ultrasonic tips/long-shank round burs, 10 Shaping analysis, 136 canal preparation, 135 canal scouting, coronal modifications, desired size, foramen, apical adjustment, glide path preparation, 142 high complexity, low complexity, moderate complexity, patency advantages, 139 conditions, recommendations, watch-winding, working length, Sinus tract, Sodium hypochlorite (NaOCl), Somatoform pain, 36 Stabident system, T Temporomandibular pain, 33 Tertiary dentinogenesis, Third mesiobuccal (MB3) root canal, 10, 11 Tooth resorption, Topical anesthesia, Trigeminal neuralgia, V Vertical root fracture (VRF) vs. advanced crack, definition, 63 Vertucci s classification, 2 3 Vital pulp therapy apexogenesis, 95 capping agents, classification, 94 controversy, 94 deep caries, 94, 95 direct pulp capping Class I, 100, direct pulp capping Class II, , emergency pulpotomy, 103 factors controlling prognosis, full pulpotomy, 103, indications, 99, indirect pulp therapy partial excavation, stepwise exaction, inflammation clinical evaluation, and tertiary dentin, 97 outcome assessment indirect pulp capping, 212 primary dentin, 212 pulp exposure, stepwise excavation, 212 partial pulpotomy, 102, stepwise exaction, tertiary dentinogenesis, W Working length (WL), X X-Tip system, 87 89
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