Journal of Conservative Dentistry

: 2015  |  Volume : 18  |  Issue : 6  |  Page : 507-

Best practices in endodontics: A desk reference

Frederic Barnett 
 Chairman and Program Director, I.B. Bender Division of Endodontics, Albert Einstein Medical Center, Philadelphia, PA., USA

Correspondence Address:
Frederic Barnett
Chairman and Program Director, I.B. Bender Division of Endodontics, Albert Einstein Medical Center, Philadelphia, PA.

How to cite this article:
Barnett F. Best practices in endodontics: A desk reference.J Conserv Dent 2015;18:507-507

How to cite this URL:
Barnett F. Best practices in endodontics: A desk reference. J Conserv Dent [serial online] 2015 [cited 2020 Jul 7 ];18:507-507
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Full Text


Editors: Richard S. Schwartz, Venkat Canakapalli

Edition: One

Publisher: Quintessence Books, 2015

ISBN: 978-0-86715-677-5

The well written and beautifully illustrated textbook on contemporary and sophisticated clinical endodontics was designed to be a clinician's guide to being referred to in daily practice. The authors state that this text was not intended to cover the biology of endodontics but rather the clinical and practical aspects of root canal therapy for the serious clinician. As such, this text is both "microscope centric" and "cone-beam computed tomography (CBCT) centric" indicating that the contributors practice with the use of a dental operating microscope for all procedures and that CBCT imaging is an integral part of their daily practice. The contributors perceive the endodontic treatment as a branch of restorative dentistry in that their goal of treatment is the preservation of the tooth for the lifetime of the patient. This view appears to differ from the traditional goal of endodontic treatment that has meant the "prevention or elimination of apical periodontitis." This distinction is important to understand as it significantly relates to our outcomes measurements. Going beyond the traditional disease-centered outcome (absence of a periapical radiolucency) the focus of the contributors has shifted to the patient-centered outcome, defined as outcomes that are meaningful to the patient (absence of symptoms, tooth survival quality of life).

Part I of this text is comprised of chapters on optimal operatory design, ergonomics for microscope use and documentation using single images and video.

Part II deals with incorporating CBCT imaging into your practice and its clinical applications.

Part III covers nonsurgical endodontic procedures from access cavity preparation, obtaining working length, and canal preparation. The minimally invasive endodontic philosophy is clearly defined and beautifully illustrated. Clinical management of teeth with calcifications, C-shaped anatomy, and severe canal curvatures are clearly described so that the reader will gain a new understanding of how to approach these challenging cases.

Part IV covers endodontic retreatment and describes and illustrates in a step-by-step sequence how to bypass iatrogenic ledges and safely remove broken instruments. It also clearly and concisely details how to remove metal and fiber posts, gutta-percha, carriers, silver points and paste fillings.

Part V is comprised chapters concerning the significantly important restorative considerations that every clinician must be acutely aware of prior to the initiation of endodontic treatment. These include evaluating the restorability of the tooth, how to perform a preendodontic build-up and the fabrication of a custom resin matrix to ensure proper isolation. Placing posts and cores and the esthetic restoration of the access cavity is beautifully documented.

Parts VI and VIII clearly and concisely covers the diagnosis and management of the different types of root resorptive lesions as well as the management of dentoalveolar trauma.

Part VIII elegantly describes and beautifully illustrates topics such as endodontic management of teeth with open apices, approaches to vital pulp therapy, decompression of large periapical radiolucencies, microsurgical suturing and keys to effective communication.

In summary, this textbook is a must-read for all students and clinicians who are truly serious about enhancing their understanding of contemporary patient-centered endodontics and bringing their endodontic skills to an entirely new level. This text will be one that the clinician will refer to time and time again.