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PRE-ENDODONTIC
ESSENTIALS &
ASSESSMENT
SPEAKER: DR.ABHISHEK JOHN SAMUEL MDS
VENUE: PARK WEST FAMILY DENTISTRY,
COIMBATORE
HOW WOULD YOU RATE THE
PROGNOSIS?
Pre-Op Workflow
Chief ComplaintMedical History
Stress Reduction
Oral EvaluationInvestigationsDiagnosis (explain
prognosis)
Premedication
Points to Evaluate!!
Origin? O
Vital or Non-Vital? V
Inflammatory or Infectious process? I
Pulpal or Periradicular or both (disease origin)? P
Periodontal component involvement M
O M V I P
Pulp
DEGENERATION
PULP
NECROSIS
PAIN
Origin
Location
Character
Worse in the morning / evening
Worse on lying down
What increases or starts the pain
Once initiated, how long does pain last
What makes the pain better
What makes the pain worse
Swelling
Origin
Location
Duration
Nature
Pus draining
Associated with a painful or mobile tooth
TEST PICS
INTERNAL RESORPTION
Points to Evaluate!!
Origin?
Vital or Non-Vital?
Inflammatory or Infectious process?
Pulpal or periradicular or both?
Periodontal component involvement
O M V I P
√
√ / X
Medical History &
PREVIOUS DENTAL HISTORY
UNDERSTANDING STRESS
(33% adults & 58% children)
De – stress your clinic
Patience in handling a patient
Understand the patient’s situation
Avoid late timings for appointment
Unexpected pleasures
PATIENT SELECTION CRITERIA
Accessibility
RESTORABILITY
Skill
Strategic Position
AFFORDABILITY
DESIRE
SUBJECTIVE EXAMINATION – EXTRA
ORAL
INTRA ORAL EXAMINATION
Points to Evaluate!!
Origin?
Vital or Non-Vital?
Inflammatory or Infectious process?
Pulpal or periradicular or both?
Periodontal component involvement
O M V I P
√
√ / X
√
OBJECTIVE TESTING
Points to Evaluate!!
Origin?
Vital or Non-Vital?
Inflammatory or Infectious process?
Pulpal or periradicular or both?
Periodontal component involvement
O M V I P
√
√ / X
√
√
√
INVESTIGATIONS
RVG (not IOPA)
CBCT
OPG
BLOOD INVESTIGATIONS
ENT/ PHYSICIAN / SURGEON
REFERRAL
The importance of Diagnosis
DIAGNOSIS & TREATMENT
PLANNING
ELIMINATION > RESULT
EXPLAINING THE DIAGNOSIS
-use simple words
EXPLAINING THE TREATMENT PLAN
EXPLAINING THE PROGNOSIS
EXPLAINING THE COST ESTIMATE
Can a cyst resolve with RCT?
Controversies!
SINGLE v/s MULTIPLE VISIT
IS ORTHO TREATMENT POSSIBLE
AFTER RCT
WHEN TO CALL A SPECIALIST
SINGLE V/s MULTIPLE
2 points to note:
CAOH before obturation resulted in a 10%
increase in healing rates.
clincally important.
SVE only when all protocol is performed
correctly.
The BEST RCT starts with the RIGHT planning
Data Analysis
“WHEN you have eliminated the impossible
whatever remains, however improbable, must
be the truth”
- Sherlock Holmes
CONTACT US@
DR. ABHISHEK JOHN SAMUEL
PARK WEST FAMILY DENTISTRY
COIMBATORE
(0422) 4398111, 9894751309
PARKWESTCARE@GMAIL.COM
DR. PRAVIN PRATHIP
MALLIGAI DENTAL HOSPITALS AND
ACADEMY
CHENNAI
8015022207, 8015022208
ADMIN@MALLIGAIDENTAL.COM
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