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8 Cards in this Set

  • Front
  • Back
Indications for root canal treatment
An irreversibly damaged or necrotic pulp with or without clinical and/or radiological findings of apical periodontitis

Elective devitalization
Contra-indications for root canal treatment
1. Teeth that cannot be made functional nor restored
2. Teeth with insufficient periodontal support.
3. Teeth with poor prognosis, uncooperative patients or patients where dental treatment procedures cannot be undertaken.
4. Teeth of patients with poor oral condition that cannot be improved within a reasonable period.
Indications for root canal retreatment
1. Teeth with inadequate root canal filling with radiological findings of developing or
persisting apical periodontitis and/or symptoms.

2. Teeth with inadequate root canal filling when the coronal restoration requires
replacement or the coronal dental tissue is to be bleached.
Indications for surgical endodontics
Radiological findings of apical periodontitis and/or symptoms associated with an obstructed canal

Extruded material with clinical or radiological findings of apical periodontitis and/or symptoms continuing over a prolonged period.

Persisting or emerging disease following root canal treatment when root canal retreatment is inappropriate

Perforation of the root or the floor of the pulp chamber and where it is impossible to treat from within the pulp cavity.
Contra-indications for surgical endodontics
1. Local anatomical factors such as an inaccessible root end.

2. Tooth with inadequate periodontal support.

3. Uncooperative patient.

4. Patient with a compromised medical history
Considerations Prior to Endodontic Therapy
Is the tooth needed or important? Does it have an
opponent?

Could it some day serve as an abutment for prosthesis?

Is the tooth salvageable, or is it so badly destroyed that it cannot be restored?

Is the entire dentition so completely broken down that it
would be virtually impossible to restore?

Is the tooth serving esthetically, or would the patient be better served by its extraction and a more cosmetic replacement?

Is the tooth so severely involved periodontally that it would be lost soon for this reason?

Is the practitioner capable of performing the needed
endodontic procedures?
Six Steps to Root Canal Therapy?
Dental radiograph
Pain and anxiety management
Root canal access
Disinfection and preparation
Obturation
Permanent restoration
Root canal treatment involves
the separate stages of?
Access cavity preparationentry
into the tooth pulp

Chemo-mechanical
preparation- disinfecting,
medicating and preparing the
tooth for a filling

Obturation- filling and sealing
the tooth