I-10 Endodontic Overfill and Neurologic Injury: Considerations and Strategies to Address Legal, Surgical and Neuropathic Outcomes

5 (2 votes)

CE: 1.5

Course Description: 

Neurologic injury as an outcome of endodontic treatment can have devastating consequences for both the patient and the endodontist. Mishaps that occur during the therapeutic stages of endodontic therapy can result in neurologic damage with an unpredictable course and an uncertain prognosis. Dr. Gluskin will discuss the evidence and best practices regarding neurologic injury as a result of endodontic care. He will review the data for prognosis and how to determine treatment and intervention strategies as a result of the chemical harm from overfill. Dr. Gregg will discuss orofacial neuroanatomy, the spectrum of trigeminal nerve injuries, differential diagnosis of post-trauma, neuropathic pain sequelae (peripheral and central), and especially surgical, non-surgical and rehabilitative interventions with outcome expectations.

At the conclusion, participants should be able to:

  • Describe the sequelae of obturation overfill into neurovascular anatomy and the potential for injury.
  • Explain the differential diagnosis of post-traumatic neuropathic pain sequelae from endodontic overfill that occurs both peripheral and central.
  • Recognize surgical, non-surgical and rehabilitative interventions with outcome expectations.


MP3 Audio
Open to listen to or download MP3 audio.
Open to listen to or download MP3 audio.
Open to view video.
7 Questions
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
1.50 CE credits  |  Certificate available
1.50 CE credits  |  Certificate available

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 is at present a Fellow of the International College of Dentists and the American College of Dentists. Dr. Gluskin is a member of numerous societies including the American Association of Endodontists, the American Dental Association and the San Francisco Dental Society. He has served on the Educational Affairs Committee and the Research and Scientific Affairs Committee of the AAE. and was General Chair for AAE10 and AAE18. Dr. Gluskin is presently on the Executive Board of Directors of the AAE as Vice-President, and 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.

John M.. Gregg, D.D.S. M.S. Ph.D

Currently, Dr. John M. Gregg is Adjunct Professor of Oral & Facial Surgery, Virginia Commonwealth University School of Dentistry and Virginia Tech Carilion School of Medicine Department of Surgery, and is a Diplomat of the American Board of Oral and Maxillofacial Surgery. He received his dental degree at The University of Michigan as well as Doctor of Philosophy in Neuroanatomy at the UM medical school where he also completed his Residency training. His career has included broad spectrum orofacial surgery practices spanning 48 years, national and international lecturing, and multiple academic appointments. Dr. Gregg’s major clinical and research interests have related to trigeminal nerve injuries and associated neuropathic pain. He has been instrumental in the development of microsurgical management of nerve injuries and his work is documented in over 100 peer-reviewed publications, textbook chapters and book editing. He lives on a farm in the Southwest mountains of Virginia, enjoys backpacking, cycling and improvisational jazz trumpet.

Alan H. Gluskin, D.D.S.

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.

John M. Gregg, D.D.S. M.S. Ph.D

Nothing to Disclose