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Article: Volume 42 Number 7 Page 599 - September 2015

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  Dent Update 2015; 42: 599-611

Endodontics:  Modern Endodontic Planning Part 1: Assessing Complexity and Predicting Success

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Abstract: Following a diagnosis of irreversible pulpal disease, periapical disease or failed endodontic therapy, the options for the tooth are extraction or root canal treatment. There is increasing evidence that certain factors may allow the clinician to predict the likely outcome of root canal therapy (RCT) and thus better inform the patient of the possible success rates. Should the patient choose root canal treatment, the clinician must also be able to gauge the potential difficulties that may be encountered and consequently determine whether it is within their competency.

Clinical relevance: Assessing outcomes and complexity of care is an essential part of informed consent. Knowing when to refer is an essential component of best clinical practice.

Author notes: Sarra Jawad, BDS, BSc, MFDS, Specialty Registrar/Honorary Clinical Lecturer in Restorative Dentistry, University Dental Hospital of Manchester, Carly Taylor, BDS, MSc, MFGDP, FHEA, Clinical Lecturer/Honorary Specialty Registrar in Restorative Dentistry, Dental School, University of Manchester, Reza Vahid Roudsari, DDS, MFDS, MSc, PGCert(OMFS), Clinical Lecturer/Honorary Specialty Registrar in Restorative Dentistry, Dental School, University of Manchester, James Darcey, BDS, MSc, MFGDP, MEndo, FDS(Rest Dent), Consultant and Honorary Clinical Lecturer in Restorative Dentistry, University Dental Hospital of Manchester and Alison Qualtrough, BChD, MSc, PhD, FDS MRD, Senior Lecturer/Honorary Consultant in Restorative Dentistry, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester M15 6FH, UK.

Objective: To understand which cases are more likely to have favourable outcomes and what difficulties may be encountered throughout treatment.

ADG