Advertisement

The Differential Diagnosis of Endodontic Disease

  • Peter Murray
Chapter

Abstract

Millions of teeth are extracted every year and most dentists are doing everything possible to save teeth. But many patients feel that having a painful tooth extracted is the most economical way to solve their problem. Patients need to be told that if root canal treatment and restoration can be used to save the tooth; that getting the treatment is preferable over the long term to maintain their quality of life and ability to chew food. The patient’s own description of their pain is an important diagnostic aid. The diagnosis of pulp, periodontal tissue and dentin status should follow a consistent and logical order to ensure that a tooth is given the most appropriate endodontic treatment. A comprehensive endodontic examination is not restricted to a hot tooth and should be performed on all new and existing patients. The ideal radiograph will show the crown and cervical aspects of the tooth. Diagnosis is part science and part experience. Avoiding pitfalls will improve the success of endodontic treatment. There are appropriate and inappropriate endodontic treatments based on the pulp sensibility and differential diagnosis of the tooth. The best treatment plan is the one most likely to benefit the patient and provide them with the highest quality longest lasting endodontic care.

Keywords

Root Canal Dental Pulp Periodontal Therapy Endodontic Treatment Root Canal Treatment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Bibliography

  1. 1.
    Torabinejad M, Anderson P, Bader J, Brown LJ, Chen LH, Goodacre CJ, Kattadiyil MT, Kutsenko D, Lozada J, Patel R, Petersen F, Puterman I, White SN. Outcomes of root canal treatment and restoration, implant-supported single crowns, fixed partial dentures, and extraction without replacement: a systematic review. J Prosthet Dent. 2007;98:285–311.PubMedCrossRefGoogle Scholar
  2. 2.
    Bortoluzzi MC, Traebert J, Lasta R, Da Rosa TN, Capella DL, Presta AA. Tooth loss, chewing ability and quality of life. Contemp Clin Dent. 2012;3:393–7.PubMedCrossRefPubMedCentralGoogle Scholar
  3. 3.
    Berman LH. Failing before starting: when not to do endodontics. Gen Dent. 2010;58:529–33.PubMedGoogle Scholar
  4. 4.
    Engström B, Segerstad LH, Ramström G, Frostell G. Correlation of positive cultures with the prognosis for root canal treatment. Odontol Revy. 1964;15:257–70.Google Scholar
  5. 5.
    Kerekes K, Tronstad L. Long-term results of endodontic treatment performed with a standardized technique. J Endod. 1979;5:83–90.PubMedCrossRefGoogle Scholar
  6. 6.
    Fleury A, Regan JD. Endodontic diagnosis: clinical aspects. J Ir Dent Assoc. 2006;52:28–38.PubMedGoogle Scholar
  7. 7.
    Lin J, Chandler NP. Electric pulp testing: a review. Int Endod J. 2008;41:365–74.PubMedCrossRefGoogle Scholar
  8. 8.
    Petersson K, Söderström C, Kiani-Anaraki M, Lévy G. Evaluation of the ability of thermal and electrical tests to register pulp vitality. Endod Dent Traumatol. 1999;15:127–31.PubMedCrossRefGoogle Scholar
  9. 9.
    Dinh A, Sheets CG, Earthman JC. Analysis of percussion response of dental implants: an in vitro study. Mater Sci Eng C Mater Biol Appl. 2013;33:2657–63.PubMedCrossRefGoogle Scholar
  10. 10.
    Chen E, Abbot PV. Dental pulp testing: a review. Int J Dent. 2009;2009:365785.PubMedCrossRefPubMedCentralGoogle Scholar
  11. 11.
    Cohen SC. Endodontics and litigation: an American perspective. Int Dent J. 1989;39:13–6.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Peter Murray
    • 1
  1. 1.Department of EndodonticsNova Southeastern University College of Dental MedicineFort LauderdaleUSA

Personalised recommendations