SP-03 Personalised, Precise or P4 Endodontics: Pathways Towards Effective Lifelong Disease Management?

CE Hours: 1.25

Description: Traditional definitions of endodontic care often emphasize localized treatment goals while neglecting broader impacts on systemic health and quality of life. A more comprehensive, patient-centered approach-aligned with the principles of P4 Medicine (predictive, preventive, personalized, and participatory)-may enhance the efficacy, accessibility, and relevance of endodontic therapy.Pulpal disease affects an estimated 30% of the global population, with substantial unmet treatment needs resulting in pain, tooth loss, and diminished daily function. While standardized competencies and technical quality measures guide clinical care, evolving concepts of oral health call for broader success criteria-incorporating patient-reported outcomes and long-term wellness.The integration of P4 principles into endodontic care encourages a proactive shift: predictive diagnostics can help identify individuals at elevated risk; preventive strategies, including minimally invasive care and public health initiatives, may reduce disease incidence; personalization of treatment based on genetics, behavior, and health history enhances clinical precision; and participatory care empowers patients through shared decision-making and education.Yet, significant barriers remain. The high cost of specialist training and inequities in access to care limit the global scalability of these approaches. Expanding educational opportunities, incorporating dental auxiliaries, and leveraging emerging technologies are essential for closing these gaps.This presentation will examine the relationship between endodontic disease and general health, evaluate how evolving treatment goals inform clinical decision-making, and explore practical strategies for implementing P4 concepts in diverse care settings to support lifelong oral health.<br/><br/>

Learning Objectives:  

• Discuss the global burden of endodontic disease and its impact on systemic health and quality of life.
• Apply patient-centered and P4-based principles to guide endodontic treatment planning and outcome assessment.
• Identify barriers to delivering optimal care globally and explore models to enhance access, efficiency, and equity.