Evaluation of Endo Therapy Flashcards
What are some clinical signs of success after RCT?
- Asymtomatic
- No biting tenderness
- No swelling
- No sinus tract
- No dysfunction
What are some radiographic signs of success after RCT?
- More than one radiograph to evaluate
- Normal PDL
- Normal Lamina Dura
- Elimination of previous radiolucency
What are some histologic signs of success after RCT?
- Absence of inflammation
- Normal tissue architecture
- No root resorption
What is the overall success of non-surgical endo?
91%
What is the success of RCT if Vital or non-vital pulp with NO PA PATHOSIS?
96%
What is success after RCT with PA Pathosis?
86%
What is the success rate of Retreatment if no PA pathosis?
98%!
What is the success rate of retreatment if PA pathosis?
62%… The Worst…
What are some Clinical components to check for when evaluating a tooth for possible endo?
- Pain
- Swelling
- Mobility
- Periapical Symptoms
- Sinus Tract
- Periodontal Disease
- Function
What are 3 things you can evaluate in an Obturation?
- Length
- Taper
- Density
What can you evaluate radiographically after an RCT?
- PDL space
- Previous Rarefaction (density)
- Lamina dura
- Resorption
- Coronal restoration
- New periradicular lesion
What are some Histologic components you can evaluate post endo therapy?
- Inflammation
- Periodontal Regeneration
- Resorption
What are some main factors that contribute to Endodontic Success?
- Radiographic Interpretation
- Anatomy (curved canals, calcifications, fins, isthmuses, deltas, palatal grooves)
- Debridement
- Apical Seal
- Coronal Seal
- Operator Expertise
- Asepsis
- Systemic status of patient
What does POOR stand for in POOR PAST AM regarding Etiology of Endodontic Failture?
P: Perforation
O: Obturation Incomplete
O: Overextension
R: Root Canal Missed
What does PAST stand for in POOR PAST AM regarding Etiology of Endodontic Failure?
P: Periodontal Involvement
A: Another Tooth
S: Split Tooth
T: Trauma
