"A smart man learns from his mistakes; a wise man learns from the mistakes of others." Modern root canal treatment is an extremely technique sensitive procedure and iatrogenic errors can often occur, affecting the long-term prognosis of the treatment.

The purpose of this series is to highlight preoperative complications and procedural errors that have occurred and show how they were treated. This will enable general practitioners to learn from the mistakes of others, as well as being able to brief their patients on the treatment options should a procedural error or complication arise.

In this 3 part TubulesLive, Dr. Omar Ikram discusses calamities in endodontics, cases that may not have gone the ideal way…

Endodontic calamities. How am I going to get out of this mess. Part 1 - Dr. Omar Ikram

Aims and objectives:

Gain an understanding of endodontic calamities, taking into consideration:

  • Anatomy, photographs, radiographs, magnification, documentation
  • Pre-operative situations which may warrant caution, curved roots, caries, ledges, bone loss
  • Incidence of MB2 canal in upper first molar teeth, studies
  • How pre-operative and iatrogenic complications will affect outcome
  • Management of fractures
  • Cyclic fatigue, torsional failure
  • Clinical tips in order to make treatment much easier
  • Instrumentation, ultrasonic, ProGlider path file, rubber dam, sodium hypochlorite
  • Post-operative review
  • Literature with regards to the treatment of iatrogenic errors 

Endodontic calamities. How am I going to get out of this mess. Part 2 - Dr. Omar Ikram

Aims and objectives:

Gain an understanding of endodontic calamities, taking into consideration:

  • Anatomy, photographs, radiographs, CBCT, magnification, pre-operative assessment
  • Pre-operative situations which may warrant caution
  • How pre-operative and iatrogenic complications will affect outcome
  • Hypochlorite accident
  • Perforation
  • Apical surgery
  • Facial sinus tract
  • Cracked tooth syndrome, pulpally involved, parafunction, splint, education
  • Clinical tips in order to make treatment much easier
  • Instrumentation, sodium hypochlorite, chlorhexidine, MTA, Shaper X
  • Post-operative review
  • Literature with regards to the treatment of iatrogenic errors 

Endodontic calamities. How am I going to get out of this mess. Part 3 - Dr. Omar Ikram

Aims and objectives:

Through this question and answer session with the live audience, gain an understanding of endodontic calamities, taking into consideration:

  • Microscopes, loupes
  • Symptoms
  • Single-step vs two-step endodontics, practicalities, time, shape, operator skill
  • Calcium hydroxide
  • Cracked tooth syndrome
  • Apical surgery, apicectomy, extrusion
  • Sterile necrosis, apical resorption
  • Ultrasonic tips
  • Referral protocol 

3 videos
90 mins CPD/CE
673 views
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