Endodontic Prognosis Clinical Guide for Optimal Treatment Outcome

This book serves as a clinical guide to help the practitioner improve endodontic treatment outcomes. It focuses on the various factors affecting the prognosis of endodontic treatments and on their impact on short-term and long-term results.The text incorp

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Endodontic Prognosis

Nadia Chugal • Louis M. Lin Editors

Endodontic Prognosis Clinical Guide for Optimal Treatment Outcome

Editors Nadia Chugal Section of Endodontics UCLA School of Dentistry Los Angeles California USA

Louis M. Lin Dept of Endodontics NYU College of Dentistry New York New York USA

ISBN 978-3-319-42410-1    ISBN 978-3-319-42412-5 (eBook) DOI 10.1007/978-3-319-42412-5 Library of Congress Control Number: 2016960548 © Springer International Publishing Switzerland 2017 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 This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland The registered company address is Gewerbestrasse 11, 6330 Cham, Switzerland

To my family, friends, and mentors for their love, support, and encouragement. Nadia Chugal

Foreword

It is indeed a privilege to write this foreword for an Endodontics book with prognosis as its main emphasis. While all practitioners aspire to achieve the highest levels of success of treatment, the definition of this success and the factors that affect it receive very little attention among clinicians. Complicating this matter is that, with the exception of resolution of pain or purulent drainage, true and complete endodontic success is not demonstrable clinically until a long period has passed after treatment, typically measured in years. The difficulty in establishing an effective follow-up program for all patients, especially that they are typically asymptomatic, has led many practitioners to rely only on surrogate measures of success like the quality of the obturation and the resolutions of symptoms. While there are some population-based data in the literature to support reliance on these parameters, they clearly provide an incomplete assessment of prognosis. As one reflects on this book’s working definition of endodontics, as the prevention and/or elimination of apical periodontitis, it is reasonable