Download Cohen’s Pathways of the Pulp PDF

Cohen's Pathways of the Pulp pdf

Cohen’s Pathways of the Pulp – Find the latest evidence-based research and clinical treatments! Cohen’s Pathways of the Pulp, 11th Edition covers the science, theory, and practice of endondontics with chapters written by internationally renowned experts. Full-color illustrations and detailed radiographs guide you through each step of endodontic care ― from diagnosis and treatment planning to proven techniques for managing pulpal and periapical diseases.

New to the print edition are seven new chapters, and the eBook version adds three more. As an Expert Consult title, Cohen’s Pathways of the Pulp lets you search the entire contents of the book on your desktop or mobile device, and includes videos, case studies, and more. Edited by noted specialists Kenneth Hargreaves and Louis Berman, this book is the definitive resource in endodontics!

  • Print version of the text includes 27 comprehensive chapters and meets the CODA requirements for endodontic dental education.
  • EBook version of the text consists of 30 searchable chapters, including the 27 chapters in the print version, and features videos, PowerPoint® slides, review questions, case studies, and more; this expanded version makes it easy to find clinical answers quickly, and meets the needs of students, clinicians, and residents in endodontics.
  • Videos and animations demonstrate key procedures such as palpation of the masseter muscle, introsseous anesthesia with the X-tip™ system, dentin hypersensitivity, indirect ultrasound, palpation of the temporomandibular joint, and ultrasonic settling.
  • Over 2,000 illustrations include full-color photos and line art, along with a wide range of radiographs, clearly demonstrating core concepts and reinforcing the essential principles and techniques of endodontics.
  • NEW co-editor Dr. Louis H. Berman joins lead editor Dr. Kenneth M. Hargreaves for this edition, anda respected team of contributors includes experts from many U.S.-based dental education programs, as well as programs in Canada, the U.K., Norway, Sweden, France, Germany, Italy, and Switzerland.
  • NEW chapter organization reflects the chronology of endodontic treatment with three comprehensive sections: Clinical Endodontics, focusing on core clinical concepts, and Biological Basis of Endodontics and Endodontics in Clinical Practice, both with information that advanced students, endodontic residents, and clinicians need to know.
  • NEW! Three chapters are available in the eBookUnderstanding and Managing the Anxious Patient, Endodontic Records and Legal Responsibilities, and Endodontic Practice Management.
  • NEW Radiographic Interpretation chapter clarifies the diagnostic process with coverage of imaging modalities, diagnostic tasks, three-dimensional imaging, cone beam computed tomography, intra- or post-operative assessment of endodontic treatment complications, and more.
  • NEW Pain Control chapter addresses the management of acute endodontic pain with coverage of local anesthesia for restorative dentistry and endodontics, along with nonnarcotic analgesics and therapeutic recommendations.
  • NEW Evaluation of Outcomes chapter helps you achieveoptimal treatment outcomes with information on topics such as the reasons for evaluating outcomes, outcome measurements for endodontic treatment, and the outcomes of vital pulp therapy procedures, non-surgical root canal treatment, non-surgical retreatment, and surgical retreatment.
  • NEW Root Resorption chapter covers the early detection, diagnosis, and histological features of root resorption, as well as external inflammatory resorption, external cervical resorption, and internal resorption.
  • NEW Iatrogenic Endodontics chapter addresses failed treatment scenarios with key information on the event itself, the etiology, soft and hard tissue implications and symptoms, and treatment options and prognosis; the events include cervico-facial subcutaneous emphysema, sodium hypochlorite accidents, perforations (non-surgical), inferior alveolar nerve injury, surgical, sinus perforation, instrument separation, apical extrusion of obturation materials, and ledge formation.
  • NEW Vital Pulp Therapy chapter provides an overview of new treatment concepts for the preservation of the pulpally involved permanent tooth, covering topics such as the living pulp, pulpal response to caries, procedures for generating reparative dentin, indications and materials for vital pulp therapy, MTA applications, and treatment recommendations.
  • NEW Bleaching chapter addresses procedures that can be utilized during and following endodontic treatment to eliminate or reduce any discoloration issues, reviewing internal and external bleaching procedures and their impact on pulpal health/endodontic treatment ― with presentations of cases and clinical protocols.

Preface – Cohen’s Pathways of the Pulp

The co-editors and publisher are pleased to present the tenthedition of a textbook that has been continuously evolving since1976. We are also proud to announce the renaming of this texttoCohen’s Pathways of the Pulp to reflect the leadership,passion, and expertise of Dr. Stephen Cohen, who has guidedthe production of all 10 editions.

This current edition has beencompletely updated and expanded to provide the latest clini-cally relevant, evidence-based knowledge, while also introduc-ing exciting new chapters on subjects such as RegenerativeEndodontics, Cone Beam Technologies, and Endodontic Prac-tice Management. The companion Expert Consult version ofthe book has also been greatly enhanced with supplementalcontent available only online. With its exceptional capacity toprovide continuous updates, the Expert Consult site is reflec-tive of the dynamic nature of our specialty, empowering ourreaders with not only the most current clinical informationavailable, but also with an invaluable feature that permits thedownloading of any figure in the book as a PowerPoint or jpegimage for the reader’s personal study or lectures. Cohen’s Pathways of the Pulp

Moreover,the online Challenge section provides self-assessment ofknowledge with a unique collection of hyperlinks that con-nects all of the multiple choice questions to relevant sectionsof the text. As editors, we feel privileged and honored to offerthis thoroughly updated and expanded version of the firstinteractive textbook in dentistry that enables the reader tocontinuously stay on the “cutting edge” of endodontics. We welcome your feedback at any time

Acknowledgment – Cohen’s Pathways of the Pulp

Working with such a talented, patient, and highly professional team at Elsevier has been anenriching experience. In the future, when we look back to the time that was devoted to developingthis tenth edition, we’ll always remember fondly the special people with whom we’ve forged a bondthrough hard work and how they helped us at every level. Some of the many people that we’d liketo express our gratitude to include:

John Dolan, Executive Editor

Courtney Sprehe, Senior Developmental Editor

Karen Rehwinkel, Senior Project Manager

Jill Norath, Multimedia Producer

Jessica Williams, Designer

Jaime Pendill, Freelance Editor Cohen’s Pathways of the Pulp
And to the many people who helped those named above we extend a heartfelt “Thank You”

About – Cohen’s Pathways of the Pulp

With the publication of this milestone tenth edition, the staffat Elsevier would like to thank Dr. Stephen Cohen for hismany years of dedication toPathways of the Pulp. In recogni-tion of Dr. Cohen’s leadership in making this a world-renowned text and for his many contributions to the field ofendodontics, the new edition has been renamedCohen’s Path-ways of the Pulp.Pathways of the Pulp has a longstanding reputation of pro-viding high-level, comprehensive content that conveys themost current endodontic information, materials, and tech-niques to an international audience. The tenth edition buildson this solid reputation with a book that delivers more thanever! Renowned contributors from across the country andaround the world offer expert perspectives and expand onobservations made by previous contributors. Cohen’s Pathways of the Pulp

Full-color pho-tographs, illustrations, and a wide range of radiographsclearly demonstrate core concepts and reinforce the essentialprinciples and techniques unique to the specialty ofendodontics.


Chapter 14: Pathobiology of the Periapex by Louis M. Linand George T-J Huang. This chapter looks at topics such asapical periodontitis, infection, asymptomatic apical periodon-titis (apical granuloma), the relationship between apical peri-odontitis and systemic diseases, and wound healing of apicalperiodontitis.Chapter 16: Regenerative Endodontics by Kenneth M.Hargreaves and Alan S. Law. This chapter describes the bio-logical basis for regenerating the pulp-dentin complex of teethwith necrotic pulps and reviews the clinical proceduresreported to date on this newly emerging procedure.Chapter 22: Restoration of Endodontically Treated Teeth by Didier Dietschi and Serge Bouillaguet. Cohen’s Pathways of the Pulp

Topics covered inthis chapter include a description of the unique physical char-acteristics of endodontically treated teeth, restorative materi-als, pretreatment evaluation and treatment strategies, and avariety of clinical procedures, including direct composite res-torations, veneers, selection of posts and core materials, andmuch more.Chapter 29: Cone Beam Imaging for Endodontics (online) by Dale A. Miles and Thomas V. McClammy. With the recentadvent of cone beam computerized tomography’s use in thedental office, this chapter elaborates on the enhanced radio-graphic capabilities now available for endodontic diagnosisand treatment planning.xiChapter 30: Key Principles of Endodontic Practice Manage-ment (online) by Roger P. Levin. Providing insight on market-ing, staff development, patient management, and referralrelationships, this chapter describes endodontic managementsystems and the goals necessary for the development of a suc-cessful endodontic practice.


As in the previous edition, the tenth edition is divided intothree parts, Part I: The Core Science of Endodontics, Part II:The Advanced Science of Endodontics, and Part III: RelatedClinical Topics.Part I begins with chapters that focus on the process of devel-oping an endodontic diagnosis, how to effectively diagnoseand manage acute dental pain, and how to identify pain ofnonodontogenic origin. The next chapter reviews the processof case selection and treatment planning, which is followed bychapters that prepare the clinician for endodontic treatment,including a thorough review of armamentarium, sterilization,and disinfection, where appropriate. The next chapter describestooth morphology and how it relates to techniques crucial forachieving access to the entire root canal system. Following arethree chapters that extensively describe the latest instruments,materials, techniques, and devices used for canal cleaning,shaping, and obturation. The concluding chapter in Part Ireviews the legal responsibilities of the clinician and givesguidance for avoiding potential legal issues pertaining topatient care.Cohen’s Pathways of the Pulp

Part II starts with a chapter that brings together what is knownabout the development, structure, and function of thedentinal-pulpal complex and is followed by a chapter on howthe pulp reacts to different stimuli, materials, and dental pro-cedures. Following are chapters on the pathobiology of theperiapex and the diverse aspects of endodontic microbiology,with special emphasis placed on the underlying principles forsound antimicrobial treatment of endodontic infections.Part III begins with a new chapter on the rapidly developingfield of regenerative endodontics and continues with a chapterthat details the endodontic management necessary for optimiz-ing favorable healing for the various types of traumatic dentalinjuries. The next chapter looks at the relationship betweenpulpal and periodontal tissues, and the following chapterpresents insight into the medications used in endodontics,especially as it relates to the pharmacologic management ofodontogenic pain. The chapter on periradicular surgery reviewshow it has evolved into a precise, biologically-based adjunct to

Key Features

  • A diverse and respected group of contributors includes experts such as Louis Berman, Gerald Glickman, Richard Walton, Gary Hartwell, and many more.
  • Preparation for Treatment chapter examines the issues that must be addressed before nonsurgical root canal treatment can begin, including proper infection control and occupational safety procedures for the entire health care team and treatment environment, appropriate communication with the patient (including case presentation and informed consent), premedication, effective administration of local anesthesia, a quality radiographic or digital-image survey, and thorough isolation of the treatment site.
  • Cleaning and Shaping of the Root Canal System chapter includes a new section on preventing/treating sodium hypochlorite accidents, and also addresses the framework of root canal treatment, the technical and clinical issues surrounding cleaning and shaping, and canal preparation and cleaning techniques.
  • Records and Legal Responsibilities chapter includes legal forms and descriptions of legal processes, guidelines for record keeping, and information on HIPAA doctor-patient rights and responsibilities, so you can avoid potential legal issues, operate your practice more smoothly and professionally, and know your options in all situations.
  • The Role of Endodontics After Dental Traumatic Injuries chapter focuses on the role of the dentino-pulpal complex in the pathogenesis of disease subsequent to dentinal trauma and how treatment of this complex can contribute to favorable healing.
  • Periradicular Surgery chapter covers this predictable, cost-effective alternative to extraction and tooth replacement with a new section on three-dimensional cone beam volumetric tomography and also covers topics including indications for periradicular surgery, the biological principles of wound healing, soft and hard tissue healing, systemic medications and the effect they have on wound healing, pre-operative evaluation, patient preparation, anesthesia, surgical access, periradicular curettage and biopsy, localized hemostasis, management of the root endguided tissue regeneration and endodontic surgery, intentional replantation, postoperative care, management of surgical complications, and more.
  • Pediatric Endodontics chapter provides a review of current therapies for the prevention and treatment of pulpal disease in primary and young permanent teeth.
  • Effects of Age and Systemic Health on Endodontics chapter discusses special considerations and procedures for older patients, including how medical and dental histories can impact treatment, diagnosis and treatment of the older patient, and endodontic surgery.
  • Digital Technology in Endodontic Practice chapter discusses integrating technology into the office, including the use of electronic records, with a new section on radiation addressing the NCRP recommendations, quality assurance, and patient education, and a section on Cone Beam CT examining CBCT advantages such as lower cost, less radiation, and greater accuracy, along with the newly introduced hybrid units like the Kodak 9000 3D extraoral imaging system.

Table of Contents – Cohen’s Pathways of the Pulp

Part 1: The Core Science of Endodontics

1. Diagnosis

2. Management of Endodontic Emergencies

3. Diagnosis of Non-odontogenic Toothache

4. Case Selection and Treatment Planning

5. Preparation for Treatment

6. Armamentarium and Sterilization

7. Tooth Morphology and Access Cavity Preparation

8. Instruments, Materials, and Devices

9. Cleaning and Shaping of the Root Canal System

10. Obturation of the Cleaned and Shaped Root Canal System

11. Endodontic Records and Legal Responsibilities

Part 2: The Advanced Science of Endodontics

12. Structure and Functions of the Dentin-Pulp Complex

13. Pulpal Reactions to Caries and Dental Procedures

14. Pathobiology of the Periapex NEW!

15. Microbiology and Treatment of Endodontic Infections

Part 3: Related Clinical Topics

16. Regenerative Endodontics NEW!

17. The Role of Endodontics after Dental Traumatic Injuries

18. Endodontic and Periodontal Interrelationships

19. Endodontic Pharmacology – Cohen’s Pathways of the Pulp

20. Local Anesthesia in Endodontics

21. Periradicular Surgery

22. Restoration of the Endodontically Treated Tooth NEW!

23. Pediatric Endodontics: Endodontic Treatment for the Primary and Young Permanent Dentition

24. Effects of Age and Systemic Health on Endodontics

25. Non-Surgical Retreatment

Expert Consult Chapters (online only)

26. Understanding and Managing the Fearful Dental Patient

27. The Law and Dental Technology: Focus on Endodontics

28. Digital Technology in Endodontic Practice – Cohen’s Pathways of the Pulp

29. CBCT for Endodontics NEW!

30. Endodontic Practice Management NEW!  

Details – Cohen’s Pathways of the Pulp

No. of pages: 992Language: EnglishCopyright: © Mosby 2011Published: 10th May 2010Imprint: MosbyeBook ISBN: 9780323085663eBook ISBN: 9780323168496eBook ISBN: 9780323079075eBook ISBN: 9780323315609

About the Author

Clinical Associate Professor Department of Endodontics School of Dentistry University of Maryland Baltimore, MD Faculty, Albert Einstein Medical Center Philadelphia, PA Private Practice, Annapolis Endodontics Annapolis, MD Diplomate, American Board of Endodontics

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