Emergency Endodontic Diagnosis and Treatment Algorithms

- Dr. Roberto Christian Cristescu

An endodontic emergency represents one of the main challenges that a
practioner has to face in a professional career as a dentist. The quality of life
of the patient is seriously impaired during those acute periods of pain and
there is an imperious need for proper diagnosis and management of those
clinical situations. This presentation will focus on some basic algorithms to
be followed in the office, which can avoid iatrogenics and can lead to a
smooth path to the regaining of the pain-free status.
Key Learning Points:
1. Understanding the proper diagnosis of an endodontic emergency
2. A better understanding of the mechanisms of endodontic pain
3. An easy to follow algorithm for the different endodontic emergency
scenarios.

The Challange of Implant Placement in Esthetic Zone
In diagnosing the anterior tooth trauma, it is difficult to determine a
hopeless tooth from a treatable tooth. One should not ignore the fact that
the goal of modern Implant therapy requires more than just the successful
osseointegration of the implant. A successful result must also include an
esthetic restoration, surrounded by stable peri-implant tissues that are in
harmony with the existing dentition. Therefore, the clinician should consider
several treatment options including retention of natural teeth.

Key learning points:
1. Introducing the challenge of implant placement in the esthetic zone
2. Identifying risk factors and potential complication in esthetic cases
3. Understanding the need for organized treatment protocol
4. 5 key biologic principles
5. Reviewing treatment options on clinical cases

Biologically Guided Implantology
In modern implantology, it is essential to know and understand the biology,
when to augment, how to perform an atraumatic extraction, how to perform
a minimally invasive bone split and how to deal with cases of severe bone
atrophy.

Keywords
1. Socket preservation-open healing concept.
2. Tissue level implant-flapless implantology.
3. Lateral augmentation with autologous bone.
4. Zygomatic implants-all-on-4.