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.
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 Gonz?lez 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 Rog?rio 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 Clƒž