DR. N. UDAYA BHASKER
Branch of dentistry concerned with the
of the human dental pulp and periradicular tissues.
Its study and practice encompass the basic and clinical
biology of the normal pulp
treatment of diseases and injuries of the pulp and
associated periradicular tissues.
Principles of endodontic therapy
Isolation – Rubber dam isolation
According to Ingle, diagnosis is the procedure of
accepting a patient
recognizing that he has a problem
determining the cause of the problem and
developing a treatment plan that will solve or alleviate
Patient should be informed about the condition of
his teeth and the treatment options available
Instructions to the patient about improvement of the
Similar to the local anaesthesia given for various
other dental procedures.
Supplemental anaesthesia may be required for
certain cases – "HOT TOOTH"
Rubber Dam isolation - usually a single tooth isolation
Isolation is very important not only for maintaining a
sterile field but also to prevent Aspiration of irrigation
materials and instruments
Inadequate crown root
Vertical tooth/root fracture
Patient's general medical condition
Patients general medical condition is never an absolute
contraindication to endodontic therapy
Considerations prior to endodontic therapy
Is the tooth needed or important? Does it have an opponent?
Could it some day serve as an abutment for prosthesis?
Is the tooth salvageable, or is it so badly destroyed that it
cannot be restored?
Is the entire dentition so completely broken down that it
would be virtually impossible to restore?
Is the tooth serving esthetically, or would the patient be
better served by its extraction and a more cosmetic
Is the tooth so severely involved periodontally that it
would be lost soon for this reason?