Preparation of teeth prior to root canal treatment

Tutorial 01 Year 4 Endodontics DB 305C 2012/2013

Case scenario
A 32-year-old Malay women came to your Policlinic session with a complaint of dull ache at the 47 area. The tooth had a fractured temporary restoration. At the time, she did not suffer any serious pain. She was medically fit and healthy.

Case scenario
Clinical findings revealed that the tooth was brittle with a very large IRM filling. Soft brown discolouration was noted around the periphery of the temporary restoration. The margin was subgingival. It was tender to percussion, tender to palpation, and non-responsive to any sensibility testing. You gave a diagnosis of chronic apical periodontitis of the 47. The patient has heard of root canal treatment. She insisted to have it done onto her tooth.

 Explain in laymans term what root canal treatment is.

List the treatment options for the case described.

Case scenario
Patient still insist on saving the tooth and is ever willing to change habits. What could you offer next?

 List at least 5 possible consequences when fail to prepare teeth before root canal treatment
a. b. c. d. e.

 Describe methods of restoring a restorable tooth prior to root canal treatment and explain why each method is suitable

 You have decided that orthoband placement is best suited to support severely broken down tooth while root canal treatment is to be carried out for a patient. Assuming that your partner is your patient, describe how you are going to get his/her consent to place the band in.

The end