Endodontic Irrigation Chemical disinfection of the root canal system

This book reviews the available information on bacterial disinfection in endodontics, with emphasis on the chemical treatment of root canals based on current understanding of the process of irrigation. It describes recent advances in knowledge of the chem

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Endodontic Irrigation Chemical Disinfection of the Root Canal System

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Endodontic Irrigation

Bettina Basrani Editor

Endodontic Irrigation Chemical Disinfection of the Root Canal System

Editor Bettina Basrani Department of Dentistry University of Toronto Toronto Canada

ISBN 978-3-319-16455-7 ISBN 978-3-319-16456-4 DOI 10.1007/978-3-319-16456-4

(eBook)

Library of Congress Control Number: 2015945163 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)

This book is dedicated: To my father, Enrique, for leaving his fingerprints of endodontic passion in my life To my mother, Clarita, and mother-in-law, Enid, for being my dearest and most unconditional fans To my husband, Howard, for helping me, every day, in becoming a better person To my children, Jonathan and Daniel, for teaching me what life is really about To my coworkers, Shimon, Cal, Anil, Andres, Gevik, and Pavel, for being my second family Finally, to my students for making me a better teacher

Foreword

Apical periodontitis is an infectious disease related to the presence of microorganisms in the root canal system of teeth. Its treatment therefore must be directed at eliminating or, at the very least, reducing the infecting microbiota, to levels that allow healing to occur. Advances in microbiology have identified the nature and complexity of the infecting microbiota and the ability of some of its members to collectively survive under the harshest of conditions. The treatment of apical periodontitis has historically been based upon two pillars, the mechanical removal of necrotic tissue and microorganisms from the root canal system and the irrigation of the root canal system with chemical agents, to supplement removal of tissue and microorganisms from areas of the system tha