Guidelines for Clinical Practice
Written by an international group of renowned experts in the field of reconstruction of pulpless teeth, this is a very practical book explaining in detail, step by step, the general principles of correct decision-making in endodontics, reconstructions and aesthetics of root canal treated teeth. How to avoid fractures? Should we carry out retreatment, or use implants? Should we restore pulpless teeth with direct or indirect restorations? How we can bleach discolourations after teeth have been endo-treated? How can aesthetics be improved in compromised cases? Should we use fibre posts? How can sub-gingival defects be treated? Can we opt for porcelain veneers or ceramic crowns? The aim of the book is to answer these questions and help practising dentists make the right decisions, which often require making difficult choices. Each of the 10 chapters include detailed photographs of clinical cases, descriptions of technical procedures, and practical tips for dental practitioners.
Chapter 01. Are root canal - treated teeth more fragile than vital teeth?
The causes for root canal - treated tooth loss • Mechanical resistance of the ETT • Tooth cracks and longitudinal fractures
Chapter 02. When to decide on retreatment and how to execute it?
Introduction • Diagnosing problems related to endodontic failure • Treatment planning • Nonsurgical endodontic retreatment: procedure • Perforations • Final preparation and obturation • Irrigation and disinfection • Root canal obturation with the warm vertical condensation technique
Chapter 03. When to use fiber posts to restore root canal - treated teeth?
The aims of contemporary endodontics • Materials and techniques for restoring endodontically treated teeth • Fiber posts
Chapter 04. How to prepare root canal - treated teeth for indirect restorations?
Composite fillings • Indirect restorations • Evaluation of endodontic treatment quality • Core buildup prior to tooth reduction for indirect restorations • Inlay, onlay, or overlay? should we perform cusp coverage? • Treatment procedures
Chapter 05. How to bleach discolored teeth?
Introduction • Bleaching vital teeth • Bleaching discolored root canal - treated teeth • Procedures for the modified walking bleach technique • Potential adverse effect on restorations • Durability of whitening effect after the walking bleach technique • Other techniques of bleaching
Chapter 06. How to obtain esthetic direct restoration in root canal - treated anterior teeth?
Introduction • Posts • Color and form • Tooth preparation • The surface of the restoration • Tips and tricks to manage color in nonvital teeth • Conclusions
Chapter 07. Can porcelain veneers be placed on root canal - treated teeth?
Introduction • Clinical success with porcelain veneers • The rule of minimal preparation • Determining the correct incisal edge position of maxillary central incisor • Facebow registration • Supragingival or juxtagingival tooth reduction • Porcelain veneers and root canal - treated teeth • Choice of ceramic system • Treatment procedures • Porcelain veneers and recovery of tooth function • Conclusions
Chapter 08. How to proceed in cases with subgingival defects?
Introduction • Immediate dentin sealing and gingival margin elevation • Surgical/periodontal crown lengthening • Treatment procedures
Chapter 09. How to restore discolored anterior teeth resistant to bleaching,simply and predictably?
Indications and planning • Direct composite veneers • Deciding about post application
Chapter 10. Criteria of decision making in compromised cases: is an implant preferred to a tooth
Introduction • Tooth survival • Patient-related factors • Periodontal and surgical factors • Prosthetic factors • Esthetic consideration