(TC39) Multidisciplinary Approaches to Complex Endodontic Cases

Abstract: This table clinic explores two very different cases that incorporate the importance of a multidisciplinary approach in order to best treat the teeth involved with the most palatable and advantageous outcome for the patient. While in some cases it can fall into the hands of the endodontist to make the final decision, it is important to understand when to work in tandem with our colleagues to provide the best patient outcome. The first case follows the trauma of #8 and #9 in a pediatric patient that was ultimately managed with a pediatric dentist, endodontic residents, and orthodontist. Following initial endodontic treatment, an apicoectomy was performed on #8 after evidence of external inflammatory resorption and sinus tract were noted. Treatment planning was discussed between the specialties and with the patient’s parents to choose the best course of action factoring in each of our areas of expertise. The second case details a patient who presented with previously treated #14 and chief complaint of persistent pain and maxillary unilateral sinus congestion since the treatment was performed three years prior. This case was tackled with both endodontic and periodontic residents to both retrieve gutta percha extruded into the sinus as well as resect the infected root of tooth #14. Using these cases as guidance, we can appreciate the necessity and value of forging strong connections with our peers across disciplines to present a diversity of evidence-based treatment options to address our patients’ conditions and concerns.