Pitt Ford's Problem-Based Learning in Endodontology by Shanon Patel, Henry F. Duncan

By Shanon Patel, Henry F. Duncan

Pitt Ford's Problem-Based studying in Endodontology combines the speculation and perform of endodontics, supplying the reader with info that's either clinically correct to daily perform and likewise proof established.

It incorporates a wealth of situations that span issues resembling the upkeep of a necessary pulp, root canal therapy, surgical endodontics and trauma. each one case is observed via complete color photos and/or radiographs that illustrate the most important levels in analysis, therapy making plans, remedy and analysis. additionally, the special remark offers info on conceivable replacement therapy options, cause (biologic issues) for the therapy defined, evaluate of the present facts for/against the process therapy and at last the prognosis.

The ebook permits the reader to use their current wisdom to a number of scientific eventualities and to achieve new wisdom and use it on extra medical events. additionally the reader should be inspired to move wisdom and diagnostic talents from one challenge to a different and guided to enhance their self-directed studying and reflective skills.

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Parafunctional Behaviour Are you conscious of tooth clenching or grinding at night or during the day? Do you have any other oral habits like finger nail biting, lip/cheek biting, or tooth tapping? indd 44 4/20/11 11:33 AM The management of musculoskeletal pain Diagnosis & treatment planning The persistent tooth site pain reported by this patient was considered to be of musculoskeletal origin. What is your treatment plan? Non-steroidal anti-inflammatory medication was prescribed for a week. The patient was also asked to follow a structured exercise program consisting of moist heat application and vigorous stretching of the symptomatic muscle.

1. (a) Section passing through the canal and foramen. The overview shows a circular empty space approximately in the centre of the pathologic tissue mass (H&E, original magnification ×25). (b) Detail of the lesion. The empty space contains some necrotic debris and is surrounded by a concentration of inflammatory cells. This feature allows the diagnosis of abscess excluding the empty space being a histologic artefact (H&E, original magnification ×100). (c) Magnification of the area demarcated by the rectangle in (b).

The adjacent teeth responded positively to electric pulp testing and cold thermal sensitivity testing. 1 (a) Sinus tract draining extraorally, (b) periapical radiograph of the lower right quadrant, note the periapical radiolucency associated with the 45. Diagnosis and treatment planning What was the diagnosis? Chronic periapical periodontitis with an extraoral sinus associated with an infected necrotic root canal. indd 26 4/20/11 11:34 AM Chronic periapical periodontitis with an extraoral sinus The treatment options discussed with the patient were: • Root canal treatment.

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