T-2 Iatrogenic Injuries: Etiology, Diagnosis & Management
CE Hours: 1.5
Description: Patient injury as a result 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 significant irreversible damage to teeth and the jaws as well as neurologic damage within the head and neck, with an unpredictable course and an uncertain prognosis. This presentation will discuss the evidence and best practices regarding clinician competence and judgement as well as actions and behaviors resulting in patient injury and impairment as a result of endodontic care. The presentation will review the data for prognosis and how to determine treatment and intervention strategies in local anesthetic injury; chemical harm from overfill; subcutaneous emphysema from root canal treatment; as well as irrigation accidents and the resulting neural trauma caused by surgical error.
Learning Objectives:
- Recognize the advantages of imaging technologies in identifying key neurovascular structures and their proximity to the root canal systems of teeth.
- Appreciate the hydraulic outcomes of common interim medicament delivery methods and obturation methods as well as their potential for injury and mishaps.
- Be familiar with prognosis and best practice for injuries and overfill mishaps that result in neurologic damage
Key:
Complete
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Alan Gluskin, D.D.S.
Professor of Endodontics
University of the Pacific
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. Dr. Gluskin has completed his tenure on the Executive Board of Directors of the American Association of Endodontists as a Past President of the AAE. He 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 and was awarded the Distinguished Faculty Award in 2023 by the dental school faculty. He is co-editor of the textbooks Decision Making in Dental Treatment Planning and Practical Lessons in Endodontic Treatment.
Disclosure(s): No financial relationships to disclose
Gordon Lai, DDS, MSD
Dr. Gordon Lai received his DDS degree from University of California San Francisco School of Dentistry in 2006 and subsequently completed a one year GPR at the VA Palo Alto. While serving as the associate dental director at a community clinic in the SF Bay Area for 10 years, he was also active in mentoring residents for the UCSF/NYU Langone AEGD residency program. He subsequently completed his endodontics specialty training at University of Pacific Arthur A. Dugoni School of Dentistry in 2020 and is currently teaching part time as an assistant professor at UOP as well as working in private practice. One of his passions is teaching students and general dentists worldwide about the fundamentals of endodontics through his Instagram account: @predoc_endo_tips, One of his main areas of research interest is finding innovative ways to incorporate 3D printing, Virtual Reality, and Augmented Reality into clinical practice as well as dental education.
Disclosure(s): No financial relationships to disclose