SP-12 - My Lip Is Still Numb a Week After My Root Canal!recognising and Managing Endodontically Induced Nerve Injury Risk in Posterior Mandibular Teeth

Thursday, April 28, 2022

3:15 PM – 4:15 PM PST

Location: 127

CE: 1.0

Speaker(s)

Allen F. Gaon, BDS MSc (Endo) MFDS RCPS (Glasg) MDTFEd MFDS RCSEd MFGDP(UK)

Specialist Endodontist, Practice Limited to Endodontics, PhD student University of Warwick, United Kingdom
Private Practice
Buckinghamshire, England, United Kingdom

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Paul G. Cruci, BDS MSc Endo MSc Imp Dent FDSRCSEd MFDSRCSEd MFDSRCPS Glasg MDTFEd MGDSRCSEng DPDS Brist MFGDP(UK) LDSRCS Eng

Specialist Endodontist
Kingsway Specialist Dental Practice
Buckinghamshire, England, United Kingdom

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Session Host(s)

BH

Bradley Harris, D.D.S.

Clinical Assistant Professor
University of Tennessee College of Dentistry
Memphis , Tennessee

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Inferior Alveolar Nerve injury is a relatively uncommon occurrence but nonetheless is a serious side effect of endodontic treatment of mandibular posterior teeth. It can result in permanently altered sensation which can have serious and detrimental effects on the patient’s quality of life. It is largely avoidable with correct preoperative assessment and judicious treatment protocols.

Endodontic treatment related inferior alveolar and mental nerve injuries are most commonly (but not exclusively) reported in relation to mandibular second molars and premolars.

An understandable desire to retain these teeth coupled with complex restorative histories, increasingly present practitioners with challenging endodontic cases which may involve greater risk of nerve damage.

We look forward to proposing a new tiered grading system based upon radiographic and clinical factors to aid risk assessment and thus decision-making regarding suitability for treatment, further investigation or early appropriate referral to specialist endodontists.

Learning Objectives:

Evaluate the relationship of the Inferior alveolar canal and the apical portion of teeth using 2D and 3D radiographic modalities
Use the new tiered grading system to evaluate the risk of nerve injury associated with endodontic treatment
Plan appropriate endodontic treatment methodologies to manage moderate and high risk cases