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Updated: Sep 11, 2025

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
Published on: May 24, 2022
A guide to diagnosing and managing dental pain and infections
Joshua Hockaday1, Anna Zurek, Jonathan Jelmini
1Joshua Hockaday is a PA at John Peter Smith Hospital in Fort Worth, TX. Anna Zurek is a noncategorical oral and maxillofacial surgery intern at John Peter Smith Hospital. Jonathan Jelmini is an oral and maxillofacial surgeon at Three Rivers Oral and Facial Surgery in Tualatin, OR, and an assistant professor in the Oral and Maxillofacial Surgery Department at Oregon Health & Science University in Portland, OR. Todd Wentland is an oral and maxillofacial surgeon at John Peter Smith Hospital. Cortney Moore is a registered dental assistant at John Peter Smith Hospital. John Stella is chairman of the Oral and Maxillofacial Surgery Department at John Peter Smith Hospital. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Dental pain, infections, and abscesses are common concerns in primary care settings. Prompt diagnosis and targeted management are essential to prevent severe complications such as sepsis, bone or soft tissue loss, and airway compromise. This article provides physician associates and other clinicians with practical, evidence-based strategies to identify and manage odontogenic infections, distinguish between infectious and noninfectious dental pain, and select appropriate antibiotic regimens, with special attention to antibiotic resistance trends. It also highlights circumstances under which collaboration with dental specialists becomes necessary and emphasizes patient education to prevent recurrence. By bridging knowledge gaps in dental health management, this article empowers clinicians to address these conditions confidently in outpatient settings, improving patient outcomes, reducing unnecessary ED visits, and lowering healthcare costs.
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