SP-33 Treatment of Endodontic Failures: Non-Surgical or Surgical Approach?

4.67 (3 votes)

CE: 0.75

Course Description: 

Prevalence of apical periodontitis in previously treated teeth is reported to be as high as 50% in epidemiological studies. Although one cannot conclude that all these teeth need treatment, it is fair to assume that a large number of teeth with primary root canal treatment will require secondary treatment, surgical or non-surgical. The success of treatment of endodontic failures has been reported in the literature to be 70-80%. However effect of modern technique and technology on prognosis is yet to be known. The aim of this presentation is to evaluate indications for surgical and non-surgical approach. Treatment plan will be discussed and treatment option chosen based on quality of restoration and obturation of the previous treatment. A self-evaluation by the operator, of predictably improving disinfection, is the key to treatment planning. The procedure should be least invasive, time conscious and be chosen after a thorough risk assessment from tooth centered and patient centered perspective.

At the conclusion, participants should be able to:

  • Explain decision making process based on quality of previous treatment and risk factors for both kinds of treatment.
  • Examine additional factors like medical history and patient’s preference/choice.
  • Discuss series of clinical cases and show practical tips to help clinician make an appropriate treatment plan.

Key:

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Evaluation
7 Questions
Quiz
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Certificate
0.75 CE credits  |  Certificate available
0.75 CE credits  |  Certificate available

Ilya Mer, DMD

Dr. Mer graduated from the Dental School of the Tver Medical University, Tver, Russia, in 1997. After maintaining general dental practice for eight years Dr. Mer limited his practice to endodontics at 2005. Dr. Mer completed international endodontic program of the University of Pennsylvania in 2014. Dr. Mer lectures on several topics of endodontics throughout Russian Federation. He also serves as a scientific editor of publishing house Quintessence Russia and Dental Azbuka. Dr. Mer organized and maintained study club in endodontics in Russia.

Ilya Mer, DMD

I declare I have a 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, as indicated: American Society for Asset Protection (Self) : Honorarium (Status: Ongoing)