Judicious critical thinking is the essence of treatment planning and decision-making in health care. In this webinar, Dr. Pannkuk will detail the important components of an endodontic exam with a comprehensive perspective which constructs a predictably successful treatment plan. The discussion will highlight assessment of remaining tooth structure, evaluation of cracks, proposed tooth function, and consideration of occlusal forces. Case histories will highlight endodontic technique from access preparation with strategic extension, prudent removal of infected dentin, and thorough exploration of complex root canal system anatomy with the aid of microscopy and advanced CBCT imaging.
Disease transmission through multiple portals of exit is a key challenge in performing effective root canal therapy and management of the apical third of the root requires advanced expertise. Dr. Pannkuk will explain irrigant properties and flow enhanced through activation and the lowering of fluid viscosity. The selection and placement technique of an appropriate root filling material will be shown in great detail with several case examples highlighting special cases and a clinical rationale for the choices made.
Decision-making that addresses fracture resistance, consideration of biologic width, and the selection of appropriate core build-ups will be explained with the aid of cases histories followed up on long term recall examination with extensive documentation. Interdisciplinary communication and a team approach to patient-centered care will be emphasized.
• At the end of this presentation the participant will be able to perform a comprehensive endodontic exam and develop a predictably successful treatment plan.
• At the end of this presentation the participant will be able to perform an endodontic access that develops a convenience form that best debrides the apical third of a root.
• At the end of this presentation the participant will be able to choose and activate an appropriate sequence of irritants that best cleans complex root canal system anatomy.
• At the end of this presentation the participant will be able to choose and place appropriate root filling materials in compromised and uncompromised tooth roots.
• At the end of this presentation the participant will be able to place a core with an aseptic durable seal. • At the end of this presentation the participant will be able address root fractures and biologic width complexities.
Dr. Terrell F. Pannkuk
M.Sc.D. in Endodontics
Boston University, United States
A native of California, Dr. Terry Pannkuk, graduated from University of California at Los Angeles with a degree in Biology, Georgetown Dental School with a D.D.S., and Boston University with an M.Sc.D. in Endodontics.