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    Post Endodontic Treatment Disease: Michael Gossack

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    abolojeen
    The document discusses post endodontic treatment disease versus endodontic failure. It covers topics such as diagnosis through clinical examination, radiographs and eliminating other potential causes. Etiology can include inadequate prior root canal treatment, fractures, coronal leakage or complex root canal anatomy. Treatment options are presented as retreatment, periapical surgery, extraction or intentional replantation. Considerations for treatment include the patient's motivation and the tooth's prognosis, periodontal status and restorability. Clinical cases are also presented.

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    Post Endodontic Treatment Disease: Michael Gossack

    Uploaded by

    abolojeen
    8 views48 pages
    The document discusses post endodontic treatment disease versus endodontic failure. It covers topics such as diagnosis through clinical examination, radiographs and eliminating other potential causes. Etiology can include inadequate prior root canal treatment, fractures, coronal leakage or complex root canal anatomy. Treatment options are presented as retreatment, periapical surgery, extraction or intentional replantation. Considerations for treatment include the patient's motivation and the tooth's prognosis, periodontal status and restorability. Clinical cases are also presented.

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    ECDS Lecture

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    The document discusses post endodontic treatment disease versus endodontic failure. It covers topics such as diagnosis through clinical examination, radiographs and eliminating other potential causes. Etiology can include inadequate prior root canal treatment, fractures, coronal leakage or complex root canal anatomy. Treatment options are presented as retreatment, periapical surgery, extraction or intentional replantation. Considerations for treatment include the patient's motivation and the tooth's prognosis, periodontal status and restorability. Clinical cases are also presented.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    8 views48 pages

    Post Endodontic Treatment Disease: Michael Gossack

    Uploaded by

    abolojeen
    The document discusses post endodontic treatment disease versus endodontic failure. It covers topics such as diagnosis through clinical examination, radiographs and eliminating other potential causes. Etiology can include inadequate prior root canal treatment, fractures, coronal leakage or complex root canal anatomy. Treatment options are presented as retreatment, periapical surgery, extraction or intentional replantation. Considerations for treatment include the patient's motivation and the tooth's prognosis, periodontal status and restorability. Clinical cases are also presented.

    Copyright:

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    of 48

    Post Endodontic Treatment Disease

    Michael Gossack

    12/9/2013

    ECDS Meeting May 2002

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    ECDS Meeting May 2002

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    ECDS Meeting May 2002

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    ECDS Meeting May 2002

    Post Endodontic Treatment Disease


    vs

    Endodontic Failure
    12/9/2013 ECDS Meeting May 2002 5

    Topics of Discussion

    Diagnosis Etiology Treatment Options Clinical cases

    12/9/2013

    ECDS Meeting May 2002

    Diagnosis

    Patient Complaint ( if any) Clinical Examination Radiographic Examination Elimination of Other Possible Etiologies

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    Patient Complaint

    Can patient localize symptoms to a particular tooth Temperature sensitivity Previous swelling or drainage Sensitivity to pressure chewing

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    Clinical Examination

    Percussion sensitivity Palpation sensitivity Swelling Sinus tract Periodontal pocketing Fracture lines
    12/9/2013 ECDS Meeting May 2002 9

    Radiographic Examination

    Evaluation of previous endodontic treatment Periapical radiolucent lesion Bone loss on lateral aspect of root Tracing of sinus tract

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    ECDS Meeting May 2002

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    Eliminate Other Etiologies

    Pulpitis from another tooth Healing in progress Sinusitis Perio TMJ Neuralgias
    12/9/2013 ECDS Meeting May 2002 11

    Etiology

    Inadequate prior root canal therapy Fractures Coronal leakage Complex root canal anatomy

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    ECDS Meeting May 2002

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    Inadequate Prior Treatment

    Canal treated short of apex Poorly cleaned and shaped canal Poorly obturated canal Missed canal-MB root Max Molars most common - D roots Mand Molars, Mand Incisors, Max Premolars Iatrogenic Errors- perforations, separated instruments, ledged canals, post perforations, transported canals
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    Treatment Options

    Retreatment with possible disassembly Periapical Surgical Treatment Extraction (Intentional Replantation)

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    Treatment Considerations

    Patients motivation to save tooth or pursue best long term outcome Periodontal Status of Tooth Restorability of Tooth Strategic Value of Tooth Costs Involved Time Constraints Previous Treatments Performed Clinicians Experience, Skill, and Armamentarium
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