Oh No!! Another Emergency!!!
You will receive 1 unit(s) of continuing education credit upon successful completion of this course. The purchase price of this course is $41.00

Description:

This course will discuss methods essential to making a rapid, yet accurate, diagnosis of pulpal and periapical pain and outline the kind of emergency treatment needed to effectively relieve such pain quickly, efficiently, and with compassion.


Author:
Dr. Donald Antrim, DDS
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Learning Objectives:

Upon completion of this course, participants should be able to do the following:

  1. Recognize the symptoms necessary to differentiate between reversible and irreversible pulpal problems.
  2. Understand the differences between a pulpal and a periapical endodontic problem.
  3. Be able to diagnosis and treat an endodontic problem that is pulpal in nature.
  4. Recognize and effectively treat an endodontic emergency that is a combined pulpal-periapical problem.
  5. Perform the proper treatment on an acute periapical abscess.
  6. Understand the three kinds of drainage of an apical abscess and be able to initiate the proper treatment sequence for each.


Abstract:

How many of you have had your daily treatment schedule torn asunder by the unscheduled endodontic emergency? A patient suddenly appears in your office complaining of acute pain. Being conscientious, you, like most dentists, will disrupt your normal schedule in an effort to eliminate the patient’s pain, hoping that this can be accomplished with minimal inconvenience to other patients and members of your office team. The alleviation of dental pain is one of the prime objectives of the dental profession. The key to successful pain management is diagnosing and treating the condition efficiently and effectively. Approximately 90% of patients requesting treatment for the relief of pain have pulpal and/or periapical disease and thus become candidates for endodontic therapy. This course will discuss the methods essential to making a rapid, yet accurate, diagnosis of pulpal and periapical pain; then it will outline the kind of emergency treatment needed to effectively relieve such pain quickly, efficiently, and with compassion.



Outline:

COURSE OUTLINE

  1. Introduction

  2. Pulpal Pain

    1. Reversible

      1. Diagnosis

      2. Treatment

    2. Irreversible/acute pulpitis

      1. Diagnosis

      2. Treatment

  3. Pulpal-Periapical Pain/Acute Pulpitis with Apical Periodontitis

    1. Diagnosis

    2. Treatment

  4. Periapical Pain/Acute Periapical Abscess

    1. Description

    2. Diagnosis

      1. Swelling

    3. Treatment

      1. Drainage

  5. Summary

References:
  1. Antrim DD, Bakland LK, Parkeer MW. Treatment of endodontic urgent care cases. Dent Clin North Am. 1986; 30:549.
  2. August DS. Managing the abscessed open tooth: instrument and close, part 2. J Endod. 1982; 8:364.
  3. Baumgartner JC. Treatment of infections and associated lesions of endodontic origin. J Endod. 1991; 17:418.
  4. Cohen S, Burns RC. Pathways of the Pulp. 6th ed. St. Louis, Mo: Mosby; 1994.
  5. Gatewood RS, Himel VT, Dorn SO. Treatment of the endodontic emergency: a decade later. J Endod. 1990; 16:284.
  6. Gutmann JL, Dumsha TC, Lovdahl P, Hovland EJ. Problem Solving in Endodontics. 3rd ed. St. Louis, Mo: Mosby; 1997.
  7. Ingle JI, Bakland LK. Endodontics. 4th ed. Philadelphia, Pa: Williams & Wilkins; 1994.
  8. Matusow RJ. The acute endodontic cellulitis syndrome: biologic and clinical aspects. J Endod. 1990; 16:401.
  9. Torabinejad M. Management of endodontic emergencies: facts and fallacies. J Endod. 1992; 18:417.
  10. Weine FS. Endodontic Therapy. 4th ed. St. Louis, Mo: Mosby; 1996.





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ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.