2021 Fall |Endodontics and Neurovascular Injury
CE Hours: 0.5
Description: When planning endodontic treatment on mandibular teeth, the location of the inferior alveolar nerve (IAN) must be taken into consideration. Failure to properly assess the potential for injury to the IAN may result in sensory disturbances such as paresthesia, anesthesia, or dysesthesia to the chin, lip, or associated anatomic structures and dermatomes. (1,2) These post-traumatic sensory neuropathies can present as a range of symptoms from merely a minor annoyance to devastating life-altering changes which can affect everyday well-being. (3) This is why it is critical for the clinician to carefully assess and manage any pending endodontic treatment in the mandible, particularly when a reasonably careful clinician should have foreseen and thus prevented any undue risk of harm to their patient.
At the conclusion, participants should be able to:
- Discuss the advantages of new imaging technologies in identifying key neurovascular structures and their proximity to the root canal systems of teeth.
- Describe the sequelae of chemical and obturation overfill into neurovascular anatomy and the potential for injury.
- Evaluate surgical versus non-surgical interventions for neurologic injury with outcome expectations.
Key:
Complete
Next
Failed
Available
Locked
Alan H. Gluskin, D.D.S.
Alan H. Gluskin DDS is currently Professor, Department of Endodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific in San Francisco, California. He served as Chairperson of the Endodontic Department for over thirty years. He is at present a Fellow of the International College of Dentists and the American College of Dentists. Dr. Gluskin has served on numerous AAE committees including the Educational Affairs Committee and the Research and Scientific Affairs Committee, as well being General Chair for both AAE10 and AAE18. Dr. Gluskin has just completed his tenure on the Executive Board of Directors of the American Association of Endodontists as Immediate Past President of the AAE. He additionally functions on the editorial boards of the Journal of Endodontics and the International Journal of
Endodontics. Dr. Gluskin is the 2017 recipient of the University of the Pacific’s Eberhardt Teacher-Scholar Award. He is co-editor of the textbooks Decision Making in Dental Treatment Planning and Practical Lessons in Endodontic Treatment.
Speaker Disclosure
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
Louis H. Berman, D.D.S., F.A.C.D.
Dr. Berman received his dental degree from the University of Maryland School of Dentistry, and his Certificate in Endodontics from Albert Einstein Medical Center, where he is currently a clinical instructor and guest lecturer. He is also a clinical associate professor of endodontics at the University of Maryland School of Dentistry. He has lectured internationally and published in several peer-reviewed journals, and is a member of the Journal of Endodontics' Scientific Advisory Board. Dr. Berman is the co-author for the chapter on Diagnosis in the ninth, tenth and eleventh editions of Cohen’s Pathways of the Pulp and is the co-editor of the current eleventh edition along with Dr. Kenneth Hargreaves. Dr. Berman is also the senior editor and contributing author of the comprehensive textbook, A Clinical Guide to Dental Traumatology. A Diplomate of the American Board of Endodontics, Dr. Berman has been in full-time private practice for 32 years.
Marcus D. Johnson, DDS
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
