Endo Case Selection

Question 1

Evaluation of pt

Answer 1

• medical
• psychological
• social factors

Question 2

Pregnancy wit Endo

Answer 2

• no contraindication
• first trimester emergency intervention only
• pain and infection managed in collab with obstetrician/ physician

Question 3

Cardiovascular

Answer 3

• myocardial infarction within the past 6 months is a contraindication
• consult pt’s cardiologist
• Stress reduction protocol
• short appt
• sedation
• pain and anxiety control

Question 4

Cancer

Answer 4

• chemotherapy and radiotherapy to head and neck region can compromise healing
• consult with oncologist

Question 5

Diabetes

Answer 5

• they must be well- controlled
• do not interfere with pt’s normal insulin and meal schedule
• they may have poor healing

Question 6

Bisphosphonates

Answer 6

• IV bisphosphonates has greater risk than oral
• do non surgical endo

Question 7

Allergies

Answer 7

• allergy to latex rubber, a dam should be made of vinyl
• GP endo not a risk

Question 8

Dental evaluation using BPE

Answer 8

Question 9

Restorative consideration

Answer 9

• sub-osseous caries
• poor crown/ root ratio
• misalignment of teeth
• presence of pre-existing full coverage restorations
• if tooth unrestorable, the no endo

Question 10

AAE

Answer 10

American Association of Endodontists

Question 11

Options of tx

Answer 11

• no active tx
• extraction
• orthograde root canal tx
• surgical endodontics

Results
- pt assessment
- dental assessment
- pt motivation
- patient time
- financial implications

Question 12

Treat or refer?

Answer 12

• depends on root number/ chronic/ acute
• AAE endodontic case difficulty assessment form
• Restorative dentistry index of tx need - complexity assessment

Question 13

Obtaining consent

Answer 13

• procedure
• prognosis
• alternatives
• risks
• agree on plan -> may not only need endodontics