Indications and Contraindications of Endodontic Therapy
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Indications of endodontic therapy[edit | edit source]
- Irreversibly damaged pulp tissue
- Necrosis or gangrene of pulp tissue
- Injury (trauma)
- Complicated fracture of the tooth crown --> Pulp involvement --> Closed Apex (Pulpotomy for Open apex)
- Prosthetic
- Lower incisors
- Premolars
Why? Because pulp chamber can easily be penetrated during
a crown preparation,
a bridge preparation
- When there is lack of retention --> Use post & core
Contraindications of endodontic therapy[edit | edit source]
- Social
- Lack of time (patient, doctor)
- Economic constraints
- Restless patient (Down syndrome, Parkinsonism)
- Lack of interest from the patient
- Poor hygiene
- Patient prefers other solution (denture, fixed bridge)
- Technical
- Extreme root canal anatomy (e.g. dens in dente)
- Fractured instrument in the canal
- Non removable root canal filling or cast post
- Unsatisfactory armamentarium of the dentist
- Conservative
- Heavy marginal periodontitis
- Vertical fracture of the root
- Deep root caries
- Huge resorption of the root
- Tooth with no importance (majority of those teeth are the wisdow)
- Focal infection
Links[edit | edit source]
Related Articles[edit | edit source]
Bibliography[edit | edit source]
- OTT, Daniel. Endodontics [lecture for subject Restorative Dentistry, specialization Endodontics, LF1 Charles university in Prague]. Prague. April 2012.
