Clinical Cases in Endodontics

Takashi Komabayashi

• Publisher: Wiley-Blackwell
• Year: 2017
• Print ISBN: 9781119147046
• eBook ISBN: 9781119147060
• Edition: 1
• Topic: Medicine
• Subtopic: Dentistry

A problem-based text that presents a wide range of real cases in endodontics

Clinical Cases in Endodontics presents actual clinical cases, accompanied by academic commentary, that question and educate the reader about essential topics in endodontic therapy. It begins with sets of cases illustrating the most common diagnoses and the steps involved in preparing a treatment plan. Subsequent chapters continue in this style, presenting exemplary cases as the basis of discussing various treatment options, including nonsurgical root canal treatment, re-treatment, periapical surgery, internal and external resorption, emergencies and trauma, and treating incompletely developed apices.  The progression from common to increasingly challenging clinical cases enables readers to build their skills, aiding the ability to think critically and independently.

The Clinical Cases series is designed to recognize the centrality of clinical cases to the profession by providing actual cases with an academic backbone. Clinical Cases in Endodontics applies both theory and practice to real-life cases in a clinically relevant format. This unique approach supports the trend in case-based and problem-based learning, thoroughly covering the full range of endodontic treatment.

• Unique case-based format supports problem-based learning
• Promotes independent learning through self-assessment and critical thinking
• Covers all essential topics within endodontics
• Presents numerous illustrations and photographs throughout to depict the concepts described

Clinical Cases in Endodontics is an ideal resource for students mastering endodontic treatment, residents preparing for board examinations, and clinicians wanting to learn the most recent evidence-based treatment protocols.

Chapter 1
Introduction

Takashi Komabayashi

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Learning Objectives

• To understand the purpose, special features, and benefits of this book.
• To understand the scope and approach of each chapter.
• To understand the terminology and common frames of reference used.

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Copiously illustrated in full color, Clinical Cases in Endodontics brings together actual endodontic clinical cases chosen by national and international master clinicians and leading academics, building from the simple to the complex and from the common to the rare. Part of the Wiley-Blackwell Clinical Cases series, and with cases ranging from nonsurgical root canal treatment to complicated therapy, this book presents practical, everyday applications accompanied by rigorously supported academic commentary in a unique approach that questions and educates readers about essential topics in clinical endodontics. The format of Clinical Cases in Endodontics fosters case-based, problem-based and evidence-based independent learning and prepares readers for case-based examinations. It is, therefore, useful as a textbook from which predoctoral dental students and postgraduate residents may learn about the challenging and absorbing nature of endodontic treatment. However, the book's range and depth of detail will also make it an excellent reference tool for practitioners whenever perplexing cases arise in the dental office.

Each chapter provides a brief recap of key theoretical concepts, situates cases within the framework of standard protocols, and considers the advantages and disadvantages of the clinical regimen. This approach enables student readers to build their skills, aiding their ability to think critically and independently. However, by simulating a step-by-step visual presentation, this book also facilitates development and refinement of technique regardless of one's years of experience in endodontic treatment. Clinical Cases in Endodontics will make all readers more confident in their understanding of endodontic treatment.

Composition of each Chapter (Chapters 2 to 25)

Clinical Cases in Endodontics adheres to the same four-part structure for each chapter.

1. Learning Objectives

Each chapter opens with a statement of learning objectives for that chapter, a format familiar from course syllabi at many dental schools or dental continuing education courses.

2. Clinical Case (With Radiographs and Pictures)

The focus of each chapter is a single case, presented in the case-based format of the American Board of Endodontics (ABE) Case History Exam. Since this book is intended for dental students and general dentists, as well as endodontic residents and endodontic specialists, the level of case difficulty may not be the same as that reflected in the ABE Case History Exam. All cases are real cases, however, chosen by master clinicians and/or leading academics for uniqueness and complexity. Overall, the level of difficulty is high.

The following are common guidelines used by all authors for each chapter.

• The dental notation system in this textbook is the “Universal Tooth Designation System” used in the United States (i.e., tooth #1 to #32). If you are a student/resident/dentist outside the United States, it is likely that your country/region is using a different tooth designation system, such as the International Standards Organization designation system (ISO System) by Fédération Dentaire Internationale (FDI) World Dental Federation or Palmer method. International readers may consult Figure 1.1 to see how these systems relate to one another. International coverage and perspectives will be sought. The Pulpal & Apical Diagnostic Terminology (Figure 1.2) used in this textbook follows that published in the December 2009 special issue of the Journal of Endodontics. Also consulted were Mosby's Dental Dictionary (Mosby 2013) and Dentistry at a Glance (Kay 2016).
• In each chapter, text, radiographs and pictures, including many follow-up radiographs and clinical photos, combine to provide sufficient and necessary detail for understanding each case. Taken together, the individual cases demonstrate the full scope of the field of endodontics.
• Unlike other endodontics textbooks, each chapter provides a detailed history, diagnosis, and treatment procedures for the case described. The case series focuses on using critical thinking and analysis to merge concepts and actual patient treatments.
• Clinical Cases in Endodontics uses a case- and evidence-based format throughout, with appropriate citations and references.

Figure 1.1 Tooth designation: three system summary.

Figure 1.2 Pulpal and apical diagnostic terminology.

Structure of clinical cases

• Chief Complaint
• Medical History
• Dental History
• Clinical Evaluation (Diagnostic Procedures)
  1. Examinations (Extra-oral and Intra-oral)
  2. Diagnostic Tests (Summarized in Table)
  3. Radiographic Findings
• Pretreatment Diagnosis
  1. Pulpal
  2. Apical
• Treatment Plan
  1. Recommended
  2. Alternative
  3. Restorative
• Prognosis (Favorable, Questionable, or Unfavorable)
• Clinical Procedures: Treatment Record
• Post-Treatment Evaluation

3. Five Self-Study Questions

The self-study questions will be useful at all levels to assess mastery of the concepts and techniques set forth in the chapter. A student might use them in studying for midterm and final exams at a dental school or residency program, an endodontic resident might use them to prepare for a mock oral examination, or an endodontist to prepare for board examinations. The self-study questions may also serve as an abstract and publications writing tool for endodontic professionals.

4. Answers to the Five Self-Study ...

Table of contents

• Cover
• Title Page
• Copyright
• Table of Contents
• Contributors
• Acknowledgements
• Chapter 1: Introduction
• Chapter 2: Diagnostic Case I: Tooth Fracture: Unrestorable
• Chapter 3: Diagnostic Case II:: Exploratory Surgery: Repairing Incomplete Fracture
• Chapter 4: Emergency Case I: Interprofessional Collaboration between Medical and Dental
• Chapter 5: Emergency Case II: Pulpal Debridement, Incision and Drainage (Intra-oral)
• Chapter 6: Emergency Case III: Pulpal Debridement, Incision and Drainage (Extra-oral)
• Chapter 7: Non-surgical Root Canal Treatment Case I: Maxillary Anterior
• Chapter 8: Non-surgical Root Canal Treatment Case II: Mandibular Anterior
• Chapter 9: Non-surgical Root Canal Treatment Case III: Maxillary Anterior/Difficult case (Calcified Coronal ½ Canal System)
• Chapter 10: Non-surgical Root Canal Treatment Case IV: Maxillary Premolar
• Chapter 11: Non-surgical Root Canal Treatment Case V: Mandibular Premolar
• Chapter 12: Non-surgical Root Canal Treatment Case VI: Mandibular Premolar / Difficult Anatomy (three canals)
• Chapter 13: Non-surgical Root Canal Treatment Case VII: Maxillary Molar/Four Canals (MB1, MB2, DB, P)
• Chapter 14: Non-surgical Root Canal Treatment Case VIII: Mandibular Molar
• Chapter 15: Non-surgical Root Canal Treatment Case IX: Maxillary Molar / Difficult Anatomy (Dilacerated Molar Case Management)
• Chapter 16: Non-Surgical Re-treatment Case I: Maxillary Anterior
• Chapter 17: Non-surgical Re-treatment Case II: Maxillary Premolar
• Chapter 18: Non-surgical Re-treatment Case III: Mandibular Molar
• Chapter 19: Periapical Surgery Case I: Maxillary Premolar
• Chapter 20: Periapical Surgery Case II: Apical Infection Spreading to Adjacent Teeth
• Chapter 21: Periapical Surgery Case III: Maxillary Molar
• Chapter 22: Perio–Endo Interrelationships
• Chapter 23: Traumatic Injuries:: Avulsed and Root-Fractured Maxillary Central Incisor
• Chapter 24: Incompletely Developed Apices
• Chapter 25: External/Internal Resorption
• INDEX for Clinical Cases in Endodontics
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