By John S. Rhodes
The complicated difficulties linked to endodontics retreatment might be time-consuming and troublesome. this article from one of many authors of the very winning 'Endodontics: Problem-Solving in scientific perform' tackles those tough facets and publications the practitioner throughout the difficulties and approaches concerned. With over four hundred color and black-and-white illustrations, this article will be of curiosity to endodontics, common dental practitioners with a distinct curiosity to endodontics and postgraduates in restorative and endodontic specialties.
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Extra resources for Advanced Endodontics
Journal of Californian Dental Association 2004; 32: 493–503. 36. Friedman S. Treatment outcome and prognosis of endodontic therapy. In: Ørstavik D, Pitt Ford TR, eds. Essential endodontology. Oxford: Blackwell Science; 1998. 37. Briggs PFA, Scott BJJ. Evidenced-based dentistry: endodontic failure – how should it be managed? British Dental Journal 1997; 183: 159–164. qxd 10/11/05 9:46 PM Page 45 3 DISMANTLING CORONAL RESTORATIONS CONTENTS ● Introduction ● Removing Crowns ● Methods for Removing Crowns ● Removal of Posts ● Removing Plastic Core Material ● References INTRODUCTION Gaining access to root canals for non-surgical retreatment is relatively easy when a direct intracoronal restoration is in place.
The balance of factors to consider in a case of failed root canal treatment, where review is considered, include an assessment of the risk of future disease against the risk of leaving untreated disease. One of the most difficult decisions is whether to retreat a root-filled tooth that requires a crown when it shows no evidence of a defective core The mandibular left first molar has recently been root filled. Four root canals were located, shaped, cleaned and obturated. The root filling is of good quality and there are no radiographic signs of periapical pathology.
Crown Removers This instrument consists of a hook that is inserted under the margin of a restoration. The hook is in turn connected to a rod with either a weight or a spring-loaded device which can apply a sudden force to break the cement lute. Well-fitting restorations obviously present a problem, as it is difficult to find a margin under which the instrument can be inserted. The KaVo Coronaflex (KaVo Dental Ltd, Amersham, Buckinghamshire, UK) works by delivering a pneumatic force. Special forceps or bands are provided which can be linked to either crowns or bridges.