Director of Endodontics UNLV, School of Dental Medicine Las Vegas, Nevada
Participants should be aware of the following financial/non-financial relationships:
Ron Lemon, DMD: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Endodontics - "the branch of dentistry concerned with the etiology, PREVENTION, diagnosis and treatment of conditions that affect the tooth pulp..." (Grossman). Are we? Modern dental therapeutics is directed toward minimally invasive procedures. Advancement in biologic sciences and materials has paved the way for a paradigm shift in pulpal therapy. Diagnostic results that traditionally indicated endodontic therapy must now be questioned. Many cariously exposed vital pulps can now be preserved using the principles of Vital Pulp Therapy. Additional, during treatment, diagnostic information can be used to determine the indication for pulp cap, pulpotomy, or pulpectomy. The lecture will emphasize the critical components of the VPT treatment protocol, including preoperative diagnosis, total caries removal, mid-treatment pulpal evaluation after exposure, MTA placement (calcium silicate materials), and restoration. Appropriate research validation will be presented. Bring an open mind!
Explain the rationale for total caries removal using Caries Indicator verses "Indirect Pulp Cap."
Disinfect dentin after caries removal and, if the pulp is exposed, evaluate hemorrhage flow for additional diagnostic information with respect to the stage of pulpal inflammation.
Describe the diagnostic indicators for pulp cap, pulpotomy, or pulpectomy/endodontic therapy.