Diabetic Patient: Endodontic Management
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- čas přidán 4. 07. 2024
- In this video, Dr. Ian Grayson, Post-doctoral Endodontic Resident at Harvard Post Doctoral Endodotnics discusses the endodontic management of a medically compromised patient with diabetes.
See the video on RWE website here: realworldendo.com/videos/endo...
Thank you Dr Ian and Dr Allen
Wonderful as always
Thanx for video
What an informative video 😊
Doctor I just graduated from dentistry school what source to study endodontic
What should be random blood sugar or INR level should be safe for non-surgical endodontic treatment?
Non-surgical endo is not really affected much by either of those tests as it's non-invasive. Blood Pressure is a more important value (less than 160/110)
a question please ,why calcium hydroxide was used in the first appointment, although there is no periapical pathosis?thanks in advance
+shahenda mahmoud because he wanted to do the procedure in two short visits due to the patient's medical history. Anytime you do a procedure in two visits you should put Ca(OH)2 in the canals (he did two visits because he or the patients wanted to shorter visits vs. a long visit.)
+RealWorld Endo thank you very much :)
Still I won't use Ca(OH)2 for several reasons in two visit treatment! And if you look in the proper literature and RCTs using Ca(OH)2 not beneficial and has even several drawbacks!
@@salima7394 what are the major drawbacks
@@keepintouch7095 well the best evidence shows calcium hydroxide doesn't improves te healing. Drawbacks: not effective, more costs, difficult to remove and may impair sealing of sealer against the dentin wall and alkaline environment strengthen some biofilm species in vivo
Ok so there was not apical pathology and we go for two visit endo.
I don't want to seem rude but in case of pulpits I would have tried direct pulp capping or pulpotomy! Much better option than a RCT. And if the pulp is really inflamed I would still go 1,5-2mm from the apex since it is a vital case and you can do this in 1 session!
BTW: there is only association between DM and periodontitis and apical periodontitis and NO CASUAL relationship!
I agree with the one session but not with being 2mm short. It's a decision Dr. Grayson made probably to keep the length of the appointment short. But whenever possible, doing vital cases in one appointment is the correct approach.
Thank you very much for your reaction. But can you explain why you do not agree to stay bit short in vital cases. Because we know from histological studies of Wu, Wesseling and Walton 2000 and from the study of Engström & Spånberg 1967 that we can have still a vital non infected pulp stump of 3mm if we stay "short" in vital cases.
In my opinion this would have been more predictable, faster and more cost effective instead of treatment in 2 sessions.