Case Selection and Treatment Planning Flashcards
what would you consider when choosing a pt for endo treatment
- is tx indicated
- does it help the pt
- are needs met by endo tx
- does the pt meet medical, psychological and social factors
if you do not carry out a risk assessment it could result in
damage, risk to pt
pregnancy and endo considerations
- postpone non essential tx until at least 2nd trimester
- only emergency would necessitate 1st trimester tx
CVD and endo considerations
- try to wait 6 months after an MI
- consult with cardiologist
- stress reduction [short appt, sedation, pain and anxiety control]
cancer and endo considerations
- thorough history
- infection risk
- chemo/radiotherapy in head/neck compromise healing
- consult oncologist
diabetes and endo considerations
- can compromise well-controlled diabetic
- uncontrolled diabetes contraindication
- appt not interfere with meal/insulin schedule
- minimise stress
- poor healing
bisphosphonates and endo considerations
- IV greater risk
- preventative care to avoid extraction
- caution used
allergies and endo considerations
- latex allergy = vinyl rubber dam
- gutta percha not a risk
periodontal considerations and endo
BPE essential
if poor perio prognosis, may necessitate loss of tooth
restorative considerations
sub-osseous caries, poor crown-root ratio, misaligment of teeth
if a tooth is unrestorable, should RCT be done
NO
all decay/restoration should be removed so extent of healthy tooth structure can be determined first
calcification considerations
RC is compromised due to truama, size, decay, age
isolated or continuous
can make tx difficult
resorption considerations
less root
external or internal
antomical considerations
deep split in root, extra canals, curved canals
