Elective Endodontics? It’s all about Communication – PDP202

Does ‘elective’ or ‘pre-emptive’ endodontics have a role in Restorative Dentistry?

It almost feels dirty to me as I try my best to PRESERVE pulp vitality!

But sometimes this bites you, and you wish you had carried out root canal treatment before cementing that crown.

At what point can pre-emptive root canal be justified in a world where MTA and biodentine exist?

In this episode, Jaz sits down with renowned endodontist Dr. Brett Gilbert to delve into the intriguing world of elective or pre-emptive endodontics. Together, they explore challenging cases where teeth with uncertain pulpal health may require root canal treatment, whether due to caries or crown prep. Dr. Gilbert sheds light on patient communication strategies, the role of bioactive materials like biodentine and bioceramic sealers, and how to make crucial decisions about preserving pulp vitality.

Protrusive Dental Pearl: Dr. Pav Khaira suggests using Alvogyl, commonly used for dry sockets, to treat pericoronitis! After cleaning and disinfecting the area, place a small amount under the operculum for immediate relief and to soothe inflammation.

Highlights of this Episode:

• 3:01 Protrusive Dental Pearl
• 03:55 Dr. Brett Gilbert’s Journey and Philosophy
• 07:17 Elective or Pre-emptive Endodontics
• 11:06 Radiographic Measurement
• 11:40 Real-Life Encounters 
• 15:29 Discussing Treatment Options and Patient Communication
• 20:28 Can Biodentine Prevent Root Canal?
• 22:45 Materials and Techniques in Endodontics
• 26:16 Death of Gutta-percha?

This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance. 

This episode meets GDC Outcomes B and C.

AGD Subject code: 070 Endodontics (Endodontic infections, microbiology and treatment)

Dentists will be able to: 

1. Learn what elective or preemptive endodontics entails and recognize scenarios where root canal treatment may be required due to caries or crown preparation, and how to approach them.
2. Discover effective strategies for explaining treatment options to patients, improving trust and decision-making.
3. Gain insights into the use of bioactive materials like biodentine and bioceramic sealers, and their benefits in preserving pulp vitality.

If you liked this episode, you’ll love Post Operative Pain after Endodontics – Prevention and Management – GF017