SP-2 A Case-Based Oral Pathology Review: What Every Endodontist Needs to Know
CE Hours: 1.25
Description: Endodontics is about more than saving teeth. It is easy to assume that any radiolucency associated with pain is of pulpal origin, especially if the tooth has a significant restorative history. However, numerous non-inflammatory pathologies of variable clinical significance can be identified in the periapical region. Differentiating the typical endodontic presentation from that of a more insidious etiology is of critical importance to ensure ideal management and outcome. Additionally, intra-oral examination should include a screening of the soft tissues for any abnormalities related to the dental pulp. A thorough evaluation of the soft tissues may result in the identification of pathologies not related to pulp inflammation. These changes can be reactive or neoplastic requiring timely and appropriate management to ensure the best prognosis. This discussion, based exclusively on clinical cases, will cover a variety of soft tissue and bone abnormalities to review the most relevant oral pathologies every endodontist needs to know.
Learning Objectives:
- Incorporate a systematic method to formulate a differential diagnosis of radiographic lesions found in the periradicular areas.
- Describe the growth pattern of soft tissues lesions to help differentiate reactive from neoplastic.
- Discuss the radiographic changes consistent with non-inflammatory etiologies and recognize when referral for biopsy is indicated.
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David J. Landwehr, D.D.S., M.S.
Dr. David Landwehr earned his D.D.S. at the University of Minnesota. He received an M.S. degree and certificate in oral and maxillofacial pathology at The Ohio State University followed by specialty training in endodontics at the University of Michigan. Dr. Landwehr has been a private practice clinician for more than twenty years and for the last nine years has provided exemplary patient care at Capital Endodontics in Madison, WI.
Dr. Landwehr’s ongoing work as an educator and opinion leader has positioned him at the forefront of modern endodontic treatment. Dr. Landwehr authored the chapter titled Lesions That Mimic Endodontic Pathosis for the most recent edition of Cohen’s Pathways of the Pulp and was the Chief of Endodontics for the Meriter Hospital general practice residency for more than ten years. He has lectured extensively on endodontic diagnosis and oral pathology both nationally and internationally. His teaching focuses on techniques used daily in his clinical practice that are efficient, predictable and evidence based.
Disclosure(s): Surround Medical: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)
