intro lecture Flashcards
endodontics def
Endodontics is the dental specialty
pertaining to the prevention and
treatment of apical periodontitis
REGENERATIVE ENDODONTICS
• 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
Endodontist:
Endodontist: 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 accredited by the ADA Commission on Dental Accreditation and who limits his or
her practice to endodontics.
Brief History of Endodontics
objectives of endodontics
- Correctly Diagnose Disease as LEO (lesion of Endodontic origin)
- Perform quality Endodontic Therapy
- Restore & Document Healed Outcome over time via Recall.
step wise process of endo treatment
The 2 Most Important PRINCIPLES to come away with from these TWO SEMESTERS:
DIAGNOSIS
CASE SELECTIOm
Why not just
extract?
Of course, we want to avoid the tilting, space loss and super-eruption that follows extraction and lead to periodontal compromise of affected teeth in area. Space and alignment must be retained as a preventive measure to prevent further dental destruction.
Tx options
ALL REASONABLE TREATMENT OPTIONS SHOULD BE CONSIDERED AND INTEGRATED WITH THE OVERALL TREATMENT PLAN FOR EACH PATIENT
CONSIDER THE STRATEGIC IMPORTANCE AND EXPECTED PROGNOSIS FOR SUCCESSFUL TREATMENT OF THE TOOTH IN QUESTION (OPTIONS)
a reliable source of endo information?
AAE is the reliable source of endodontic information Accepted as a dental specialty by ADA and recognized globally as the premier Endodontic organization.
All CODA accredited Post Graduate Endodontic Programs (about 50 in US with 400 students)
American Endodontic Society (AES)
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
N2: Sargenti Technique
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
Focal Infection Theory
Focal infection theory (FIT) 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.
validity began to be questioned in the mid 30s
• 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.
remains unproven
SOAP FORMAT
- 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!
what letters in SOAP stand for
S: Subjective (What the patient tells you)
This is an expansion of the Chief Complaint from your questions and the patient’s answers
O: Objective (What you observe to be true) ie. your pulp tests»>The results of your clinical examination and testing__________
A: Assessment (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.
P: Plan or Procedure (This is how & what you plan to accomplish in the way of treatment relating to the DX)
