Managing Endodontic Failure in Practice (Quintessentials of by Bun San Chong

By Bun San Chong

This booklet offers practitioners with a concise, sensible assessment of organic rules and strategies for dealing with endodontic mess ups.

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Additional resources for Managing Endodontic Failure in Practice (Quintessentials of Dental Practice, Volume 23; Endodontics, Volume 2)

Sample text

Fig 1-5 Primary teeth act as a natural space maintainer for the permanent teeth. The Chronology of the Development of the Dentition The development of the primary and permanent dentitions is affected by: • genetic factors • nutrition • somatic growth and development. 32 There is little variation reported between different races in the timing of eruption of the primary dentition. Racial variation, however, can be seen in the eruption of the permanent dentition – for example, Asian children complete their dental development faster that their Caucasian peers.

Dry The detection of caries in its early stages relies on the differences in the porosity and therefore refractive index of carious versus sound dental hard tissue. When we dry the teeth we will have the ability to detect disease at its earliest visible stage (the white spot lesion). Classification systems have been developed that use the appearance of the teeth wet and dry to classify the stage and activity of the disease. Drying the teeth helps with caries activity assessment: • A white spot enamel lesion has a matt enamel (acid-etched appearance) surface; this frequently indicates an active lesion.

For every tooth, work round its surfaces in a systematic manner, as it is all too easy to miss the lingual surfaces of lower teeth or the buccal surfaces of upper teeth (Fig 2-14). 62 Fig 2-13 FDI notation: secondary and primary teeth. Fig 2-14 White spot lesion on the lingual surface of tooth 46, with the possibility of more advanced lesions on the mesial and distal surfaces. These can easily be missed. Clean Dental plaque is not translucent, so to diagnose even quite advanced lesions it must be removed (Fig 2-15).

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