About the Tenth Edition
With the publication of this milestone tenth edition, the staff at Elsevier would like to thank Dr. Stephen Cohen for his many years of dedication to Pathways of the Pulp. In recognition of Dr. Cohen’s leadership in making this a world-renowned text and for his many contributions to the field of endodontics, the new edition has been renamed Cohen’s Pathways of the Pulp.
Pathways of the Pulp has a longstanding reputation of providing high-level, comprehensive content that conveys the most current endodontic information, materials, and techniques to an international audience. The tenth edition builds on this solid reputation with a book that delivers more than ever! Renowned contributors from across the country and around the world offer expert perspectives and expand on observations made by previous contributors. Full-color photographs, illustrations, and a wide range of radiographs clearly demonstrate core concepts and reinforce the essential principles and techniques unique to the specialty of endodontics.
Chapter 14: Pathobiology of the Periapex by Louis M. Lin and George T-J Huang. This chapter looks at topics such as apical periodontitis, infection, asymptomatic apical periodontitis (apical granuloma), the relationship between apical periodontitis and systemic diseases, and wound healing of apical periodontitis.
Chapter 16: Regenerative Endodontics by Kenneth M. Hargreaves and Alan S. Law. This chapter describes the biological basis for regenerating the pulp-dentin complex of teeth with necrotic pulps and reviews the clinical procedures reported to date on this newly emerging procedure.
Chapter 22: Restoration of Endodontically Treated Teeth by Didier Dietschi and Serge Bouillaguet. Topics covered in this chapter include a description of the unique physical characteristics of endodontically treated teeth, restorative materials, pretreatment evaluation and treatment strategies, and a variety of clinical procedures, including direct composite restorations, veneers, selection of posts and core materials, and much more.
Chapter 29: Cone Beam Imaging for Endodontics (online) by Dale A. Miles and Thomas V. McClammy. With the recent advent of cone beam computerized tomography’s use in the dental office, this chapter elaborates on the enhanced radiographic capabilities now available for endodontic diagnosis and treatment planning.
Chapter 30: Key Principles of Endodontic Practice Management (online) by Roger P. Levin. Providing insight on marketing, staff development, patient management, and referral relationships, this chapter describes endodontic management systems and the goals necessary for the development of a successful endodontic practice.
As in the previous edition, the tenth edition is divided into three parts, Part I: The Core Science of Endodontics, Part II: The Advanced Science of Endodontics, and Part III: Related Clinical Topics.
Part I begins with chapters that focus on the process of developing an endodontic diagnosis, how to effectively diagnose and manage acute dental pain, and how to identify pain of nonodontogenic origin. The next chapter reviews the process of case selection and treatment planning, which is followed by chapters that prepare the clinician for endodontic treatment, including a thorough review of armamentarium, sterilization, and disinfection, where appropriate. The next chapter describes tooth morphology and how it relates to techniques crucial for achieving access to the entire root canal system. Following are three chapters that extensively describe the latest instruments, materials, techniques, and devices used for canal cleaning, shaping, and obturation. The concluding chapter in Part I reviews the legal responsibilities of the clinician and gives guidance for avoiding potential legal issues pertaining to patient care.
Part II starts with a chapter that brings together what is known about the development, structure, and function of the dentinal-pulpal complex and is followed by a chapter on how the pulp reacts to different stimuli, materials, and dental procedures. Following are chapters on the pathobiology of the periapex and the diverse aspects of endodontic microbiology, with special emphasis placed on the underlying principles for sound antimicrobial treatment of endodontic infections.
Part III begins with a new chapter on the rapidly developing field of regenerative endodontics and continues with a chapter that details the endodontic management necessary for optimizing favorable healing for the various types of traumatic dental injuries. The next chapter looks at the relationship between pulpal and periodontal tissues, and the following chapter presents insight into the medications used in endodontics, especially as it relates to the pharmacologic management of odontogenic pain. The chapter on periradicular surgery reviews how it has evolved into a precise, biologically-based adjunct to nonsurgical root canal therapy and is followed by a new chapter designed to help clinicians make informative decisions about the restorative options available to endodontically-treated teeth. Part III concludes with a chapter that looks at the special considerations that must be addressed when treating geriatric, pediatric, and medically compromised patients, followed by a chapter that provides the information necessary for proper treatment-planning considerations and management of nonsurgical endodontic retreatment.
In addition to the 25 chapters in the text there are also five new chapters included on Expert Consult, the book’s online component. These chapters address topics such as management of the fearful dental patient, the law and dental technology, the role of digital technology in practice, cone beam computerized tomography, and endodontic practice management. Expert Consult also provides access to a wide range of essential educational and clinically-based topics, which are further described on the next page.