Indications and Contraindications of Endodontic Therapy

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pulpectomy

Indications of endodontic therapy[edit edit | edit source]

  • Irreversibly damaged pulp tissue


TREATMENT
Vital extirpation
Removal of infected dentinal tubules


  • Necrosis or gangrene of the pulp tissue


  • Prosthetic reasons
Lower incisors and premolars must always be endodontically treated before a crown preparation, because pulp chamber can easily be penetrated
Lack of retention for prosthetic work (use of post & core)
When we want to make parallel wall in teeth for a bridge work


TREATMENT
Vital extirpation and root canal filling in one visit


  • Injury (trauma)
Complicated fracture of the tooth crown, root apex is already developed


TREATMENT
Vital extirpation and root canal treatment in one visit


Contraindications of endodontic therapy[edit 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 | edit source]

Related Articles[edit edit | edit source]

Bibliography[edit edit | edit source]

  • OTT, Daniel. Endodontics [lecture for subject Restorative Dentistry, specialization Endodontics, LF1 Charles university in Prague]. Prague. April 2012.