O1A Pain Control during retreatment
- what are the 11 steps to pain control during retreatment?
- whats the use of a gow gates block
- more effective , targets the site where there are more foramina
- less blood vessles ⇒ positive aspiration unlikely
- Whats the best method for intra-osseous injections
- pdl, takes the least specialized equipment and least risk
- whats the use of a gow gates block
Synopsis
- Pain management during treatment is crucial. Just one anesthetic technique during treatment won’t cut it for the majority of patients
- Pre-appointment iburprofen can help if the inflammation isn’t already severe
- we should have an 11 step flowchart to eliminating pain
O1B - Post Op Pain Management
- what are the three D’s
- Diagnosis
- Dental Treatment
- Drugs
- What follows the three D’s
- Review
- Reassess
- reconsider the management strategy
- What combination is best for endo pain relief
- paracetamol 1000 + ibuprofen 400
- What intervals should we give these meds
- alternate at 2 hourly intervals
- to keep blood concentration high!
Synopsis
- post op pain management depends on the diagnosis
- generally post op pain is increased if there is pain during or before the treatment
- the best combo to use is paracetamol + ibuprofen on an alternating 2 hourly interval
- codeine isn’t very effective as people are poor metabolizers an most combos on the market are less then 30 mg (the generally regarded minimum effective dose )
- be careful in patients who can’t have NSAIDs
- ibuprofen is generally the most effective, theoretically because it blocks inflammatory precurors higher up in the pathway
O2. Antibiotics and Antifungals
- what dental conditions are antibiotics necessary for
- mostly facial cellulitis and sometimes abscesses
- even in the case of abscesses, restricted blood supply and pus makes it difficult for abx to reach and tx plus drainaige can help a lot more!
- what is correlated with abx perscription
- fridays and more acute conditions, both of which are inappropriate!
- mostly facial cellulitis and sometimes abscesses
- what are the correct doses of antibiotics and which ones are most common for each condition?
- Should we use broad-spectrum abx?
- based on the data of common dental pathogens, we can prescribe specific abx , the benefit given by broad spectrum is not worth the bacterial resistance!
O3 Treatment Outcomes, Persistent Radiolucency’s, Options for Management
- what are the criteria for a favourable outcomes, how about an unfavourable one
- whats more important the RCF or the final restoration?
O4 EndoPerio
- whats the best terminology for endo-perio?
- what are the main communication pathways
- what are the absolute essentials for diagnosing endo perio
- why not do only 1 kind of pulp test?
O5 EndoSurgery
- who can do endo surgery?
- only endodontists
- what should you do before endo surgery ? what should you try?
- what are the kinds of surgical flaps? what are the best flaps for endo surgery?
- best flaps are triangular and trapezoidal
- whats the best retrograde root filling material
O6A Discoloured Teeth
- what are the two different kinds of discolouration
- What are the different sources of extrinsic discolouration? Intrinsic?
- Why must we be careful of all added endo matreials to the pulp chamber
- What alternatives are there to internal bleaching? Disadvantages?
- disadvantages of internal bleaching
- What is the best stack of materials to use? for bleaching
O6B Discoloured Teeth
- what are the steps for internal bleaching
- What are the most predictable outcomes (based on colour)
O7A Conservative Pulp
- whats the difference between pulp exposure due to caries and that due to trauma?
- does size and time of pulp exposrue (traumatic) effect prognosis?
Is a dentine bridge necessary ?? **Is it a sign of successful treatment ??
- what materials can we ue
O7B Conservative Pulp II
- what are the diagnosis cases wehre we should do endodontic treatment
- what material to use?