Indications and Contraindications of Endodontic Therapy

Indications of endodontic therapy

 * 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

 * 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