Endodontics
Diagnose pulpal disease and manage the root canal system.
Topics
8 notes
Pulpal and apical diagnosis
Combine symptom pattern, sensibility tests, percussion, palpation and radiographs. State pulpal and apical diagnoses separately.
Read detailed note ↗Emergency endodontic care
Identify the source of pain, assess spread of infection and provide definitive local treatment when possible, with appropriate analgesia and safety-netting.
Read detailed note ↗Access and anatomy
Access should find canal orifices while conserving tooth tissue. Expect anatomical variation and use magnification or referral when complexity exceeds competence.
Read detailed note ↗Working length
Establish a reproducible endpoint using an apex locator together with clinical judgement and appropriate imaging.
Read detailed note ↗Cleaning and shaping
Mechanical preparation creates space for disinfection without unnecessarily weakening the root. Irrigation reaches areas instruments cannot.
Read detailed note ↗Irrigation safety
Irrigants help dissolve tissue and reduce microbes, but extrusion can cause injury. Use controlled delivery and appropriate isolation.
Read detailed note ↗Obturation and coronal seal
Fill a disinfected, dry canal system and restore the crown promptly. Coronal leakage can compromise an otherwise good root filling.
Read detailed note ↗Failure and retreatment
Persistent disease requires reassessment of diagnosis, missed anatomy, leakage, fracture and restorability. Compare retreatment, surgery, monitoring and extraction.
Read detailed note ↗