Disinfection of Root Canal Systems

Clean root canal systems are essential for successful endodontic treatment. With contributions from leading endodontists from around the world, Dr. Nestor Cohenca here presents the etiology of endodontic disease caused by the endodontic biofilm and all therapies available to predictably disinfect the root canal system, thus increasing successful endodontic outcomes. Disinfection of Root Canal Systems: The Treatment of Apical Periodontitis is an evidence-based manual that describes root canal anatomy, the endodontic biofilm, and the role of disinfection before presenting the most up-to-date methods of irrigation and disinfection. Individual chapters are devoted to each method, such as positive pressure irrigation, apical negative pressure irrigation, sonic activation, photodynamic therapy, laser technology, and ozonization and electrochemical activation. Clinical photographs throughout show proper irrigation and disinfection techniques.

Auteur

Dr. Nestor Cohenca serves as Professor of Endodontics and
Adjunct Professor of Pediatric Dentistry at the University of
Washington. He is the Director of Endodontics and Traumatology at
the Center for Pediatric Dentistry and Seattle Children's
Hospital. Prior to his current appointment, Dr. Cohenca was on
faculty at the University of Southern California and The Hebrew
University of Jerusalem. He has published extensively on endodontic
topics, and speaks at U.S. and international dental
conferences.

Contenu

Contributors vii

Introduction ix

Preface xi

Acknowledgments xiii

Part 1: Background 1

1 Root Canal Infection and Endodontic Apical Disease 3

Nestor Cohenca and Ana Maria González Amaro

2 The Anatomy of the Root Canal System as a Challenge to
Effective Disinfection 15

Eric Herbranson

3 Biofilms in Root Canal Infections 29

Christine M. Sedgley and Rogério de Castilho
Jacinto

4 Efficacy of Root Canal Disinfection 57

Ashraf F. Fouad

5 Impact of Root Canal Disinfection on Treatment Outcome
71

James D. Johnson and Natasha M. Flake

Part 2: Nonsurgical Intracanal Disinfection 89

6 Shaping the Root Canal System to Promote Effective
Disinfection 91

Ove A. Peters and Frank Paqué

7 Topical Disinfectants for Root Canal Irrigation 109

Bettina Basrani and Markus Haapasalo

8 Fluid Dynamics of Irrigation within the Root Canal System
141

Franklin R. Tay

9 Positive Pressure Irrigation 169

Cesar de Gregorio, Carlos Heilborn, and Nestor Cohenca

10 Apical Negative Pressure Irrigation (ANP) 189

Nestor Cohenca, Cesar de Gregorio, and Avina Paranjpe

11 Disinfection of the Root Canal System by Sonic, Ultrasonic,
and Laser Activated Irrigation 217

Luc van der Sluis, Bram Verhaagen, Ricardo Macedo, and Michel
Versluis

12 Ozonization and Electrochemical Root Canal Disinfection
239

Roberta Pileggi

13 Intracanal Medication in Root Canal Disinfection 247

Lea Assed Bezerra da Silva, Raquel Assed Bezerra da Silva, Paulo
Nelson-Filho, and Nestor Cohenca

14 Emerging Technologies in Root Canal Disinfection 277

Anil Kishen, Annie Shrestha, and Nestor Cohenca

Part 3: Apical Response and Surgery 297

15 Healing of Apical Lesions: How Do They Heal,Why Does the
Healing Take So Long, and Why Do Some Lesions Fail to Heal?
299

Zvi Metzger and Anda Kfir

16 Surgical Endodontics: The Complimentary Approach 319

Richard Rubinstein and Alireza Aminlari

Index 341