Indications and Contraindications of Endodontic Therapy

From WikiLectures
pulpectomy

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.