This book is a comprehensive guide to apical periodontitis in root-filled teeth that covers not only all aspects of diagnosis and management but also epidemiology, etiology, consequences, clinical decision-making, and prognosis. There is a particular focus on the available surgical and nonsurgical methods of retreatment designed to restore healthy periapical conditions. Alternatives to retreatment are also explored, including a conservative approach involving monitoring of the diseased tooth without intervention and the option of extraction and replacement with an implant or a fixed prosthesis.
The goal of root canal treatment is to save the natural tooth even when tissue breakdown has resulted in pathological conditions of the pulp and periradicular tissue. However, population studies reveal that complete healing is often absent in root-filled teeth, and apical periodontitis is frequently observed in conjunction with root fillings of poor technical quality. Under these
circumstances, questions arise as to how the apical periodontitis is impacting on the patient and how the condition should be tackled. Readers will find this well-illustrated book to be of great value in directing clinical practice.
Thomas Kvist, DDS, PhD, is Associate Professor and Head of the Department of Endodontology at the Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden. Dr. Kvist graduated in 1983 from the School of Dentistry, Göteborg in 1983 and went on to complete his Specialist Certification in Endodontics in 1994 and his doctorate in Odontology (Göteborg University) in 2001. Prior to joining the Institute of Odontology at The Sahlgrenska Academy, he was Director of Postgraduate Training in Endodontology in the Department of Endodontology, Faculty of Odontology, Public Dental Health, Gothenburg and Head of Clinic, Special Clinic for Endodontics, Public Dental Health Service, Gothenburg. Dr. Kvist has been a lecturer or instructor on numerous continuing endodontic courses and workshops and an invited speaker at numerous national and international meetings. He has served as Treasurer of the Scandinavian Society of Endodontology and Secretary of the Swedish Endodontic Society and in 2014 became a Member of the Cochrane Oral Health Group Restorative Speciality Expert Group.
Introduction.- Incidence, frequency and prevalence.- Etiology.- Consequences.- Decision making.- Surgical retreatment.- Non surgical retreatment.- Prognosis.- Alternatives - Extraction and tooth replacement.- Index.