Dr Busch Endodontic Diagnosis PDF
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Uploaded by AmenableVampire
New York University College of Dentistry
Leigh R. Busch
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Summary
This document contains a presentation on endodontic diagnosis by Dr. Leigh R. Busch, covering topics such as diagnostic testing, procedures, and various conditions like pulpitis and abscesses. It's a lecture or a presentation, not an exam paper, given at New York University College of Dentistry.
Full Transcript
Endodontic Diagnosis Leigh R. Busch, D.D.S. Director, Predoctoral Endodontics 2006-2021 New York University College of Dentistry Former Chief of Endodontics, Metropolitan Hospital Center September 5,2001 If you can’t diagnosis it properly you can’t treat it properly Approach for Di...
Endodontic Diagnosis Leigh R. Busch, D.D.S. Director, Predoctoral Endodontics 2006-2021 New York University College of Dentistry Former Chief of Endodontics, Metropolitan Hospital Center September 5,2001 If you can’t diagnosis it properly you can’t treat it properly Approach for Diagnosis You must have a step by step sequenced examination and testing approach Don’t skip your procedures Diagnostic Procedures Speak to Your Patient Ask Pertinent Questions Determine What Tests To Do Know How to Relate Answers and Test Findings to a Proper Diagnosis Diagnostic Tests Radiographs—PA and BW, Why? Vitality Testing—EPT, Cold—Meaning? Percussion—Does it Tell Vitality? Tracing Sinus Tract Palpation Heat Anesthesia Test Cavity Why I Always Take a PA and a Bite Wing More Angles Help Vitality Testing Reversible Pulpitis VITAL TOOTH Thermal Sensitivity—Not lingering Frequently Post Treatment No Treatment Indicated Irreversible Pulpitis VITAL TOOTH Classic Symptom: Lingering Pain to Cold May Or May Not Be Sensitive To Percussion Some Cases Pain With Heat Relieved By Cold RCT Required Percussion Palpation Two Stomas Present Perio or Endo Problem? Always Trace the Sinus Tract Both GP Points Traced to Mid Root No GP in Apical Third of Canal Yet no PAP External Sinus Tract Sinus Tract Healed Heat Radiolucent Areas Apices of #s 29 & 30 Non Surgical RCT #29&30 Again Proper Dx =Proper Tx PAP or PCD? Chronic Apical Periodontitis Non Vital—No Response To Thermal Stimuli Or EPT Asymptomatic Periradicular Radiolucency Present No Pain To Percussion RCT Indicated Acute Apical Periodontitis Tender To Percussion May Be Vital Or Non Vital May Or May Not Require RCT Many Reasons For Tenderness To Percussion Chronic Suppurative Periodontitis AKA Chronic Apical Abscess Non Vital—Necrotic Pulp Draining Sinus Tract or Fistula Usually Asymptomatic Due To Drainage Requires RCT Acute Apical Abscess Non Vital—Necrotic Pulp Spontaneous Pain May Or May Not Be Swelling Pain To Percussion & Palpation May Or May Not Be PAP Perio Abscess Diagnostic Tests Radiographs—PA and BW, Why? Vitality Testing—EPT, Cold—Meaning? Percussion—Does it Tell Vitality? Tracing Sinus Tract Palpation Heat Anesthesia Test Cavity