Assessing inferior dental nerve injury risk in orthograde root canal treatment

Author:

Cruci Paul1,Gaon Allen2,Crean St John3,Brown Jackie4,Rout John4

Affiliation:

1. Clinical Lecturer in Endodontics, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Specialist in Endodontics, Gerrards Cross, Buckinghamshire

2. Clinical Lecturer in Endodontics, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Specialist in Endodontics, Edgware, Middlesex

3. Pro Vice Chancellor (Research, Innovation and Enterprise), Professor of Medicine in Dentistry, Consultant Oral and Maxillofacial Surgeon, University of Central Lancashire

4. Consultant in Dental and Maxillofacial Radiology, KCL Faculty of Dentistry, Oral and Craniofacial Sciences at Guy's and St Thomas' NHS Foundation Trust

Abstract

Nerve injury associated with root canal treatment is relatively rare, but can lead to significant morbidity. The role of 2D and 3D radiography in case assessment is explored and a new three-tier grading system is proposed to aid in risk assessment and clinical decision-making. This grading system would assist dentists to fully appraise patients, gain appropriate informed consent and guide treatment of endodontic cases where there is an increased risk of nerve injury. CPD/Clinical Relevance: A new three-tier grading system to assist in the pre-operative assessment and risk management of endodontic cases where there is an increased risk of nerve injury is proposed.

Publisher

Mark Allen Group

Subject

General Dentistry

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