Part 1: Endodontic Treatment Outcomes in 2-D and in 3-D: Impacts and Dilemmas
CE Hours: 1.0 CE hour
Description: Knowledge of treatment outcomes empowers clinicians to (1) inform patients on prognosis for alternative treatment options, (2) assess effectiveness of specific treatment interventions, and (3) define for patients the specific post-treatment outcome of a treated tooth. The current emphasis on evidence-based endodontics and the favorable outcomes of implants have led to an increased interest in endodontic outcome studies; however, because measuring and reporting outcomes may be biased, reported outcomes vary and may misrepresent actual reality.The growing interest in endodontic treatment outcomes has generated two contemporary dilemmas: (1) Should outcomes be assessed with CBCT considering the limitations of periapical radiographs in detecting periradicular disease? (2) Should outcome assessment focus on health/disease, primarily assessed by radiographic imaging, or on absence/presence of clinical signs/symptoms? This session will address these dilemmas in three parts. It will characterize the detection ability of periradicular findings by 2D and 3D imaging. It will then define appropriate endodontic treatment outcomes and debate the possible role of 3D imaging in assessing periradicular health/disease. Finally, it will summarize the current best evidence for nonsurgical endodontic treatment outcomes with regards to periradicular health/disease and clinical signs/symptoms based on 2D imaging, and relate those outcomes to assessment with 3D imaging.
At the conclusion, participants should be able to:
- Recognize the differences in detecting periradicular findings by 2D and 3D imaging
- Discuss the specific goals of endodontic treatment and the associated treatment outcomes
- Inform patients on the pre-treatment prognosis and define the post-treatment outcome based on the current best evidence
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Robert E. Grover, D.D.S.
Dr. Grover was born and raised in Staunton, Virginia. In addition to his endodontics practice, he is Associate Professor of Endodontics at the University of Virginia Department of Dentistry and Assistant Professor of Endodonitcs at the Virginia Commonwealth School of Dentistry. Dr. Grover served as a dentist in the United States Navy with the rank of Lieutenant. He is a graduate of Hampden-Sydney College, the Medical College of Virginia School of Dentistry, and received a certificate of Advanced Graduate Studies in Endodontics from Boston University School of Graduate Dentistry. Dr. Grover has been a member of the American Dental Association since 1984, the Virginia Dental Association since 1987, and the American Association of Endodontics since 1993. Dr. Grover, his wife Brenda and their children Andrew and Sarah, have been residents of Charlottesville, Virginia since 1992.
Robert E. Grover, D.D.S.
I declare that I have NO past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith.
