What 3 factors should be evaluated prior to carrying out endodontic treatment?
- medical
- psychological
- social factors
Name 6 medical contraindications to endodontic treatment
- pregnancy
- cardiovascular disease
- cancer
- diabetes mellitus
- bisphosphonate therapy
- allergy
How should you treat a patient who is pregnant (endodontics)
- not a contraindication to endodontic therapy
- first trimester emergency intervention only
- pain and infection managed in collaboration with obstetrician/physician
Why is endodontic therapy a contraindication for pts with CVD, and how should they be treated
- if they have had a MI within the past 6 months
- emergency treatment should be provided in consultation with the pts cardiologist
What are 3 stress reduction protocols when providing endodontic therapy to a pt with CVD?
short appointments
sedation
pain and anxiety control
Why might cancer be a contra indication for providing endodontic therapy to a pt?
- a thorough history is essential
- treatment for cancer?
- chemotherapy and radiotherapy to the head and neck region can compromise healing
- consult with oncologist
how should a pt with diabetes be managed for endodontic therapy?
- pts with controlled/uncontrolled diabetes must be carefully monitored
- appointments should not disrupt a pts normal insulin and meal schedule
(minimise stress)
What does BRONJ stand for
bisphosphonate-related osteonecrosis of the jaw
Why is a pt taking bisphosphonates a contraindication for endodontic therapy? and what is recommended
- BRONJ
- non-surgical endodontic treatment of teeth that might otherwise be extracted
- use the ENTIRE health care team, when developing treatment plans for these patients
Which administration of bisphosphonates has a greater risk when carrying out endodontic therapy?
IV bisphosphonates greater risk than oral administration
Why would allergies be a contraindication of endodontic therapy?
if pt allergic to later rubber: a dam should be made of vinyl
Why is perio so important when doing a dental evaluation for endodontic therapy?
poor perio prognosis may necessitate tooth loss
periodontal probing is essential- BPE and tooth of interest
