pre endodontic essentials - dr. abhishek john samuel mds
TRANSCRIPT
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PRE-ENDODONTIC
ESSENTIALS &
ASSESSMENT
SPEAKER: DR.ABHISHEK JOHN SAMUEL MDS
VENUE: PARK WEST FAMILY DENTISTRY,
COIMBATORE
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HOW WOULD YOU RATE THE
PROGNOSIS?
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Pre-Op Workflow
Chief ComplaintMedical History
Stress Reduction
Oral EvaluationInvestigationsDiagnosis (explain
prognosis)
Premedication
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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
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Pulp
DEGENERATION
PULP
NECROSIS
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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
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Swelling
Origin
Location
Duration
Nature
Pus draining
Associated with a painful or mobile tooth
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TEST PICS
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INTERNAL RESORPTION
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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
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Medical History &
PREVIOUS DENTAL HISTORY
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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
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PATIENT SELECTION CRITERIA
Accessibility
RESTORABILITY
Skill
Strategic Position
AFFORDABILITY
DESIRE
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SUBJECTIVE EXAMINATION – EXTRA
ORAL
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INTRA ORAL EXAMINATION
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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
√
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OBJECTIVE TESTING
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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
√
√
√
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INVESTIGATIONS
RVG (not IOPA)
CBCT
OPG
BLOOD INVESTIGATIONS
ENT/ PHYSICIAN / SURGEON
REFERRAL
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The importance of Diagnosis
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DIAGNOSIS & TREATMENT
PLANNING
ELIMINATION > RESULT
EXPLAINING THE DIAGNOSIS
-use simple words
EXPLAINING THE TREATMENT PLAN
EXPLAINING THE PROGNOSIS
EXPLAINING THE COST ESTIMATE
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Can a cyst resolve with RCT?
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Controversies!
SINGLE v/s MULTIPLE VISIT
IS ORTHO TREATMENT POSSIBLE
AFTER RCT
WHEN TO CALL A SPECIALIST
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SINGLE V/s MULTIPLE
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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.
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The BEST RCT starts with the RIGHT planning
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Data Analysis
“WHEN you have eliminated the impossible
whatever remains, however improbable, must
be the truth”
- Sherlock Holmes
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CONTACT US@
DR. ABHISHEK JOHN SAMUEL
PARK WEST FAMILY DENTISTRY
COIMBATORE
(0422) 4398111, 9894751309
DR. PRAVIN PRATHIP
MALLIGAI DENTAL HOSPITALS AND
ACADEMY
CHENNAI
8015022207, 8015022208