Endo Case Selection Flashcards
what three things should the clinician consider before commencing endodontic treatment
is treatment indicated
is patients oral health needs met best by maintaining the tooth
who should treat
what three factors should be part of your patient evaluation when considering endodontics
medical
psychological
social
is pregnancy a contraindication to endodontic treatment
no - but in first trimester it is emergency intervention only
is cardiovascular disease a contraindication to endodontic treatment
if MI in last 6 months - yes
emergency treatment should be provided with consult from patient’s cardiologist
what is involved in the stress reduction protocol
short appointments
sedation
pain and anxiety control
is cancer a contraindication to endodontic treatment
no - but liaise with oncologist as chemotherapy and radiotherapy can impair healing
how should diabetic patients be treated for endodontic disease
appointments scheduled as to not interfere with normal insulin and meal schedule
minimise stress
are bisphosphonates a contraindication to endodontic treatment
no - perform non-surgical endodontic treatment of teeth that would otherwise require extraction
how do allergies to latex rubber or gutta percha affect endodontic treatment
latex = vinyl rubber dam should be used
gutta percha = no risk as non cross-reactive
what restorative factors should be considered when debating whether to undertake endodontic treatment
sub-osseous caries
poor crown/ root ratio
misalignment of teeth
existing of pre-existing full coverage restorations
what mirrors should ideally be used for endodontic treatment
front surface mirrors - to reduce distortion
what may aid you in assessment of whether to refer an endodontic case or not
AAEE case difficulty assessment form
Restorative Dentistry Index of Treatment Complexity Assessment
what levels are the AAEE difficulty assessment form split into
minimal difficulty
moderate difficulty
high difficulty
what factors are included in the high difficulty level of endodontic treatment
ASA class 3-5
difficulty achieving anaesthesia
uncooperative
significant limited opening
extreme gag reflex
severe pain or swelling
what is considered complexity level 3 in the restorative dentistry index of treatment need guidelines (5 aspects)
single/ multiple root canals with curvature more than 40 degrees
single/ multi rooted canals that are NOT negotiable from radiographic or clinical evidence
periradicular surgery
teeth with iatrogenic damage or pathological resorption
teeth with difficult root morphology
