Indications and Contraindications of Endodontic Therapy

Indications of endodontic therapy

 * 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

 * 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