Textbook of Endodontics Nisha Garg, Amit Garg
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Nisha Garg MDS (Conservative Dentistry and Endodontics) Ex-Resident, Postgraduate Institute of Medical Education and Research Chandigarh, India Ex-Resident, Government Dental College Patiala, Punjab, India Presently Reader Department of Conservative Dentistry and Endodontics Sri Sukhmani Dental College and Hospital Dera Bassi, Punjab, India Amit Garg MDS (Oral and Maxillofacial Surgery) Ex-Resident, Government Dental College Postgraduate Institute of Medical Sciences Rohtak, Haryana, India Consultant Oral and Maxillofacial Surgeon Faridabad, Haryana, India ForewordAnil Chandra
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This book has been published in good faith that the contents provided by the authors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the authors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the authors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Textbook of Endodontics
First Edition: 2007
Second Edition: 2010
Third Edition: 2014
Printed at
System requirement:
Accompanying CD/DVD-ROM is playable only in Computer and not in DVD player.
CD/DVD has autorun function—it may take few seconds to load on your computer. If it does not work for you, then follow the steps below to access the contents manually:
FM2DVD Contents
  1. Access, cleaning, shaping and filling of a canal in an acrylic block using crown-down technique
  1. Access, cleaning, and shaping of root canal using hand ProTaper instruments
  2. Access preparation, cleaning and shaping of root canal using rotary ProTaper instruments
  3. Multiple Choice Questions according to chapters
FM5Dedicated to
FM7Contributors FM9Foreword
It gives me immense pleasure to introduce you to the third edition of the Textbook of Endodontics. Past several years have witnessed the publication of many new textbooks on the subject of endodontics by well-known scholars and scientists. Several critically important paradigm shifts have occurred in dentistry, particularly in the field of endodontics in the past decades, a shift towards the comprehensie approach in the endodontic practice today. It is of foremost importance to put this work into the context of the continuum of endodontic literature.
Endodontics has become so important in the last several decades that books which condense all the techniques and treatment options are certainly looked-for. Written by the two leading authorities on this important aspect of dentistry, Drs Nisha Garg and Amit Garg have accumulated a tremendous amount of knowledge to summarize this important information into easy-to-read chapters. This compact yet comprehensive work clearly portrays their efforts. The authors have invested extensive time and effort to freshly describe the existing literature and have added interesting chapters like Endodontic Failures and Retreatment, Tooth Hypersensitivity, and Tooth Infractions. I am sure the new edition of the book will be equally appreciated by the undergraduate and postgraduate students as well as the researchers.
I am delighted and honored to introduce and recommend the book, which will effectively bridge the gap between the scientific esoteric and practitioner's daily need for relevant knowledge, and will become one of the most significant steps in understanding the subject of endodontics.
Anil Chandra
Department of Conservative Dentistry and Endodontics
King George's Medical University
Lucknow, Uttar Pradesh, India
FM11Preface to the Third Edition
In presenting the third edition of the Textbook of Endodontics, we would like to express our appreciation in the kindly manner in which the earlier editions were accepted by dental students and professionals across the country.
The scope of the third edition of this book is as earlier to be simple yet comprehensive Textbook of Endodontics that serves as an introductory for dental students and a refresher source for general practitioners. The book attempts to incorporate most recent advances in endodontics while at the same time not losing the sight of basics, therefore, making the study of endodontics easier and interesting.
In an attempt to improve the book further, many eminent personalities were invited to edit, write and modify the important chapters in form of text and photographs. We would especially thank Dr Jaidev Dhillon, Dr Anil Dhingra, Dr Neelam Mittal, Dr Poonam Bogra, Dr Sachin Passi, and Dr Manoj Hans for providing us clinical case-photographs and radiographs for better understanding of the subject.
We are indebted to Dr Poonam Bogra for writing an important chapter Biofilm in Endodontics for the book and editing chapters, Access Cavity Preparation, Cleaning and Shaping of Root Canal System, Irrigation and Intracanal Medicaments.
We fall lack of words to thank Dr Sri Rekha for critically evaluating the chapter; Working Length Determination, Endodontic Instruments and Management of Traumatic Injuries.
We are thankful to Dr Sanjay Miglani for modifying chapter Internal Anatomy, Dr Navjot Singh Khurana for editing chapter Management of Traumatic Injuries, Dr Monia Sharma for Endodontic Periodontal Lesions, Dr Ruchi Vashisht for Obturation of Root Canal System and Surgical Endodontics, Dr Shinam Pasricha for Tooth Infractions and Tooth Resorption, Drs Amita and Suresh Saini for Postendodontic Restorations, Dr Bobbin for Flare-ups, Drs Sandhya Kapoor Punia and Vikas Punia for editing Geriatric Endodontics and Tissue Engineering.
We are specially thankful to Yoshitsugu Terauchi for sharing his new device for removal of the fractured instrument.
We are thankful to Dr RS Kang and Dr JS Mann for their constant support, motivation and encouragement. We are also thankful to Dr Arundeep Singh, Dr Rahul Jain and Dr Gaurav Aggarwal for providing photographs and radiographs for the book. Also thankful to Dr Shaweta for helping us in sorting out the MCQs for the book.
We offer our humble gratitude and sincere thanks to Mr Avtar Singh (Chairman), and Mr Daman Jeet Singh, Sri Sukhmani Dental College (SSDC), Dera Bassi, Punjab, India, for providing healthy and encouraging environment for our work.
We would like to express our thanks to staff of Department of Conservative Dentistry and Endodontics, Sri Sukhmani Dental College, Dera Bassi, Punjab, India, Dr Sachin Passi, Dr Rajnish Kumar and Dr Rahul Jain for their ‘ready to help’ attitude, constant guidance and positive criticism which helped in improvement of the book.
We are thankful to Dr Vivek Hegde and Dr Gurkirat Singh for providing us video of a crown-down technique.
We are grateful to Dentsply, Coltene Whaledent, AMT dental products for providing videos and high resolution images of products related to endodontics.
It is hoped that all these modifications will be appreciated and render the book still more valuable basis for endodontic practice.
We are thankful to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr Tarun Duneja (Director-Publishing), Mr KK Raman (Production Manager), Mr Sunil Kumar Dogra (Production Executive), Mr Neelambar Pant (Production Coordinator), Mr Manoj Pahuja (Senior Graphic Designer), Mr Binay Kumar (Proofreader), Mr Chandra Dutt (Typesetter) and staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for showing personal interest and trying to the level best to bring the book in present form.
Nisha Garg
Amit Garg
FM13Preface to the First Edition
The amount of literature available in dentistry today is vast. Endodontics being no exception. However, during both our graduation as well as postgraduation, we always felt the need for a book which would help us to revise and update our knowledge. When we were doing undergraduation, there were no Indian authored books on endodontics. We were thus motivated to frame a specialized, precise, concise, easy to read and remember yet, up-to-date Textbook of Endodontics.
The line diagrams are in an expressive interpretation of endodontic procedures, which are worked upon and simplified to render them more comprehensive and comparable with real photographs. These illustrations (around 1200) are easy to remember and reproduce during examinations.
Emphasis is laid upon the language which is simple, understandable and exclusively designed for undergraduates, postgraduates, general practitioners and teachers in the field.
It took us more than three years to accomplish the arduous task of writing this book. This thrust for knowledge led us to link everywhere, where we could Medline journals, books and more.
Nevertheless, a never-ending approach and internal craving of mind and soul finally resulted in publication of the book. God perhaps gave us some ability and showered his light on us, guiding us for this task.
Till the last week before the publication of the book, we were frantically looking for loopholes, missing information and any important updates we might have missed out. To the best of our knowledge, we did everything we could. But for knowledge, one life is not enough. The sky is the limit.
We await the response of this first edition, which would improve us in the next editions to come.
Nisha Garg
Amit Garg