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Evaluation and clinical management of previous endodontic therapy
The Journal of Prosthetic Dentistry
|May 1, 1982
Summary
Evaluating endodontic treatment quality is crucial before restorative procedures. A comprehensive assessment, including clinical history and radiographic review, ensures a stable foundation for dental work.
Area of Science:
- Dentistry
- Endodontics
- Restorative Dentistry
Background:
- Clinical experience and recall studies have refined criteria for assessing endodontic treatment success.
- Evaluating prior endodontic treatment is essential for prosthodontists before initiating restorative work.
Purpose of the Study:
- To outline comprehensive criteria for evaluating the quality of endodontic treatment.
- To emphasize the importance of a thorough assessment beyond symptom absence or radiographic evidence.
Main Methods:
- Combined evaluation of endodontic history, radiographic findings, and clinical examination.
- Physical assessment of all root canals and their seals.
- Consideration of retreatment for endodontics of questionable quality.
Main Results:
- Lack of symptoms and radiographic evaluation alone are insufficient indicators of successful endodontic treatment.
- A multi-faceted approach is necessary for a risk-free, permanent foundation for restorative work.
- Retreatment via the canal is recommended for questionable endodontic quality.
Conclusions:
- Prosthodontists must perform a thorough evaluation of endodontic treatment quality before restorative procedures.
- Comprehensive assessment ensures the longevity and success of restorative dental work.
- Surgical endodontics should be a last resort after attempting retreatment.