X-Ray Malfunction

Question 1

Performing RCT. Machine used to process RCT breaks down - no back up machine and engineer can’t repair till next week. What do?

Answer 1

Remember duty of candour - be open and honest with the patient
Advise will not cause harm to pt but at worst delay completion of tx

Question 2

What is role of rectangle on x-ray machine?

Answer 2

Collimator - reduces amount of radiation exposure by focusing beam and also reduces scatter

Question 3

What are risks of RCT?

Answer 3

Perforation, file fracture, failure to negotiate canals and tooth fracture
Tx failure

Question 4

What is 5-year success rate of primary RCT?

Answer 4

84%

Question 5

When should RADs be taken during RCT?

Answer 5

Pre-op
WL assessment
Cone fit assessment
Post-obturation

Question 6

If no RADs available for WL, what can use?

Answer 6

Could use apex locator - guidelines recommend combination technique for best results

Question 7

What to do if pt wants to carry on - even if situation not safe?

Answer 7

Explain doing what is best for patient and explain potential repercussions where you to continue

Question 8

How to manage complaint?

Answer 8

Local resolution - talk to pt and find out main concerns before trying to alleviate
If want formal complaint - provide w/ copy of practice complain policy - acknowledge within 3 working days
Investigate within 10 working days