Root Canal Filling Mishaps
Refine your search results by using the drop-down menus below, or choose “Advanced Search This List.”
-
Includes Credits
CE Hours: 1.5
Description: Dr. John Olmsted and Katie Panikian, JD, CPCU, ARM will present case studies of several real endodontic malpractice cases to the audience. They will highlight endodontic procedures that became issues for dentists, and also endodontic procedures that developed problems for endodontists. A discussion will follow each case, giving the audience a chance to discuss the risk management issues involved in each case. The audience will then be asked to act as a jury, reaching a verdict on the case, and a dollar amount on a judgment. The audience will then be given the real-life verdicts and awards.
Learning Objectives:
- Describe how errors in record keeping, diagnosis, treatment planning, and endodontic treatment will affect the claims handling and legal process.
- List the cost in terms of judgments rendered against dentists/endodontists through the discussion of real life malpractice case examples.
- Outline the steps of risk management.
-
Includes Credits
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
-
Includes Credits
CE Hours: 2.25
Description: Patient injury as an outcome 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 thinking and actions 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; 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.
- Identify safe protocols for avoiding extra-radicular overfill of the root canal space when there is close proximity to neurovascular anatomy.
- Become familiar with prognosis and best practice for injuries and overfill mishaps that result in neurologic damage.
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
-
Includes Credits
CE Hours: 1.5
Description: Protocols and standards in root canal treatment should always allow for the ability of the operator to function in context, always practicing within a legal standard of care. The context for endodontists will change as knowledge and technology create new pathways to improve patient outcomes and become tools for communication between stakeholders, including peer professionals and patients. The utilization of needle delivery of anesthetics and medication in dentistry is universal. Unfortunately, improper utilization of needle delivery in dentistry can have serious and injurious outcomes in patient care. This presentation will discuss and consider the untoward events that can occur in the use of needle delivery of solutions and pastes in the practice and delivery of endodontic care.
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 syringe methodologies and their potential for injury and mishaps
- Identify safe protocols for avoiding extra-radicular overfill of the root canal space or confined tissues spaces using needle irrigation or paste delivery
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
-
Includes Credits
CE Hours: 1.0
Description: Stereolithographic (STL) files created by Cone Beam Computed Tomography (CBCT) can be used to develop patient-specific three-dimensional (3D) printed models. In the preclinical phase, these 3D models can facilitate treatment planning and improve treatment precision and safety by reducing surgical time and operator stress, and increasing patient comfort through minimally invasive approaches. They offer a tremendous advantage in developing the operator's skills and provide him/her with a variety of opportunities to practice complex and challenging procedures prior to the operative phase. For complicated root canal systems, root resorptions, teeth with calcified canals and teeth with apices near critical anatomical structures, 3D models reduce the risk of procedural errors and minimize the risk of negative outcomes. This presentation highlights some interesting applications of 3D-printed models and provides a step-by-step guide to obtaining 3D models from CBCT, giving a comprehensive overview of this technology to achieve safe and durable treatment results.
Learning Objectives:
- Plan customized 3D models for training procedures prior to the operative phase.
- Evaluate different therapeutic approaches through safe and accurate pre-clinical training with 3D models.
- Perform some complex surgical and non-surgical endodontic procedures with a much more predictable outcome.
Riccardo Tonini, DDS
Riccardo Tonini, DDS MSc graduated from dental school of University of Brescia (Italy) at 2004. At 2007 he carried out his Master degree from university of Verona (Italy) in Endodontics. His scientific work includes publications, continuous participation in national and international meetings and teaching experience in Italy (university of Brescia). Since 2010 he is an active member of the Italian Society of Endodontics and the Italian Society of Microscopic dentistry.
He is also a member of Style Italiano study club. He is the inventor of ProTrain® and a new endo hollow post for injection molding technique and has collaborated for several other innovations in dental industry. Dr Tonini maintains Private Practice limited in Endodontics for the last five years in Brescia, Italy.
Disclosure(s): ProTrain (Inventor) (Ongoing)