What alternative treatment options should be considered when a restorative and/or endodontic failure occurs?
Advancements in delivering periapical surgery have resulted in success rates that
can be equivalent to implant replacement when certain guidelines are adhered to.
Periapical surgery as an adjunct to endodontic treatment is a proven approach.
With the introduction of new surgical techniques and a systematic method to the
diagnosis and treatment of compromised teeth, the clinician should be able to
more accurately determine the long term prognosis for these treatment options.
Evaluate treatment options with an evidence-based approach when a tooth is
ailing or failing. This course will describe the indications and contraindications for
performing or referring a patient for apical surgery. With a specific 7 step workup,
including a correct history, radiographic and clinical evaluation, the decision to
perform an apicoectomy will be weighed against further evaluation, a retreatment
option, or extraction and replacement with an implant (immediate or
delayed). As a result, a decision is more accurately made as to whether an
implant or a fixed bridge (fixed partial prosthesis), a removable prosthesis (fixed
or transitional temporary prosthesis), or other options would be the final treatment
plan discussed with the patient.
* Learn the many Pros and Cons for maintaining a tooth vs. removal and replacement with an Implant
* Learn a simple radiographic technique to use when evaluating a tooth for a fracture
* List the 7 step work-up, consisting of procedures and tests that should be used when performing or referring a patient for an apicoectomy
* Understand the principles of guided tissue regeneration, and know the indications and contraindications for its use
* Recognize how the location of a sinus tract can be a key critical diagnostic indicator for the final prognosis
* Identify the signs to differentiate between an Endo/Perio vs. Perio/Endo lesions and understand the difference as it relates to the final prognosis