Intro to Endo Flashcards
_______ is the dental specialty pertaining to the prevention and treatment of apical periodontitis
Endodontics
What is the only disease endo treats?
Apical periodontitis
As the global leaders in advocating the value and quality of endodontics, the ____ developed the Endodontic Competency White Paperto identify the knowledge and skill that should provide a standard for all practitioners who diagnose, develop a treatment plan, and perform endodontic procedures.
AAE
As the global leaders in advocating the value and quality of endodontics, the AAE developed the Endodontic Competency ______ to identify the knowledge and skill that should provide a standard for all practitioners who diagnose, develop a treatment plan, and perform endodontic procedures.
White Paper
The white paper focuses on what three key areas critical to competent endodontic treatment?
diagnosis,
treatment planning
prognosis
________ include the ability of the dentist to assimilate the necessary subjective, objective and radiographic information to establish a pulpal and/or periapical diagnosis, provide appropriate emergency care and referral, and maintain proper patient records and
Diagnostic standards
_________ include case assessment to evaluate the difficulty of treatment and consideration of referral, development of a treatment plan that takes into account the restorability of the tooth, and special consideration for traumatic dental injuries.
Treatment planning standards
Competency in the _______ of endodontic treatment requires that clinicians be able to forecast the outcome of initial nonsurgical root canal treatment.
prognosis
The incorporation of newer biological therapies seek to allow us to:
–Revitalize previous necrotic teeth (dead pulps)
–Re-establish normal tooth sensation
–Continue the root formation of immature teeth with open apices
–Newer materials and protocols
Regenerative Endo
A dentist with two or more years of advanced training in the scope of endodontics who has received a certificate in endodontics from an advanced education program accreditedby the ADA Commission on Dental Accreditation and who limits his or her practice to endodontics.
Endodontist
As defined by the American Board of Endodontics, an endodontist who has passed the certifying examination administered by the American Board of Endodontics. . . Written, Oral, Cases
Board-certified endodontist:
What are the 3 objectives of endo?
- Correctly DiagnoseDisease as LEO(lesion of Endodontic origin)
- Perform quality Endodontic Therapy
- Restore& Document Healed Outcome over time via Recall. (Yes, it needs a crown)
Treat patient _____ and tooth _____
First; second
What are the 2 most important principles to come away with in endo lecs?
Diagnosis
Case Selection
____ is the reliable source of endodontic information
Accepted as a dental specialty by ADA and recognized globally as the premier Endodontic organization.
AAE
NOT Accepted by ADA or any recognized faction of organized dentistry in the World.
Not affiliated with any recognized graduate Programs, SODs in US or military.
Standards of care are questionable and open to possible legal liability.
Encourage non-recognized, dangerous and often illegal methods and materials such as N2, RC2B or Sargenti method
American Endodontic Society (AES)
- Non-FDA approved material
- Sloppy technique (not biologically sound)
- Contains para-formaldehyde and other hazardous chemicals that are left in the treated tooth PERMANENTLY
- Court precedent of large judgments following damage related to N2 usage (no defense for its use)
- Malpractice insurance companies may ask (on their application) if you use this material
- Some insurance companies will “rate” you for using N2
- Use at your own risk
N2: Sargenti Technique
______ is the notion that a local infection affecting a small area of the body can lead to subsequent infections and/or symptoms in other parts of the body.
Focal infection theory (FIT)
Seeks to establish RCT teeth as the source of infection within the body & seeks removal of the RCT tooth as a cure for many and sundry (unrelated) diseases and maladies.
•Not based in fact & remains unproven by scientific studies in > 100 years.
•It may be true that severe periodontal disease has a role in increased risk of low birth weight babies, cardiovascular disease and diabetes.
Focal infection theory (FIT)
- The universally preferred schema of organization & documentation of case histories.
- Think in terms of using this method for all cases
- Required by many insurance companies.
- Don’t go to Court without it!
“SOAP” FORMAT
A proper ____ precedes any treatment
Proper medical history
(What the patient tells you) This is an expansion of the Chief Complaint from your questions and the patient’s answers
S: Subjective
(What you observe to be true) ie. your pulp tests»>The results of your clinical examination and testing
O: Objective
Diagnosis) What your findings indicate to be the problem. This must relate to the chief complain (CC.) Need both Pulpal DX and Peri=Radicular DX.
A: Assessment(
(This is how & what you plan to accomplish in the way of treatment relating to the DX)
P: Plan or Procedure