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Practicalapproachtoclinicalendodontics
Practical approach to clinical endodontics
Obj ectives
Rediscovering what we already know
and applying it to achieve predictable
and consistent results.
Who was the first dentist in recorded history?
Chief of the toothers and the physicians, Egyptian about 3,000 B.C.
HESI-RE
th
Demosthenes (4 century BC)
“As a general marches at the head
of the troops…so leaders should
endeavor to march at the head of
affairs, in so much as they oug ht not
to await the event to know what
measures to take, but the measures
which they take oug ht to p roduce
the event…”
st
Dentistry in the 21 century
Our obj ective as dentists……………….
Our obj ective as dentists……………….
OBJECTIVE
• Have fun…
• Closing the gap
• Understand endodontic disease process
• Developing a paradig m shift
• Systematic approach to clinical testing
• Do’s and NEVER don’ts
• Listen to the endontic words
• Simplify diagnosis
• Diagnosis confidence
• Learn at least one thing today..
Implant treatment planning
Tooth ache started 4 days ago getting much wor
Extreme sensitivity to touch
Started penicillin 3 days ago slightly better toda
Tooth broke a year ago
No evidence of thermal sensitivity
I dedicate this lecture to
Dr. Ray Scott
A person with excellent
endodontic knowledge and a
master at teahing it
Treating entire anatomy
Q
History
• Pain upper left are for now 3 weeks
• Recent restorations # 14 -15 due to moderate pain in
teeth
(2 weeks ago)
• Dentist unable to fully anesthetize during procedure
• Severe cold sensitivity when teeth were drilled
• Pain worse after restoration now spontaneous
• Ibuprofen makes it better for only 2hours at a time
• Patie
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