{"id":768,"date":"2012-06-30T18:56:24","date_gmt":"2012-06-30T18:56:24","guid":{"rendered":"http:\/\/endojamaica.com\/?p=768"},"modified":"2012-07-01T18:37:01","modified_gmt":"2012-07-01T18:37:01","slug":"advanced-endodontics-newsletter-8","status":"publish","type":"post","link":"https:\/\/endojamaica.com\/?p=768","title":{"rendered":"Advanced Endodontics Newsletter 8"},"content":{"rendered":"

\"\"<\/a>Quite a few colleagues ask me if I do all my treatments in one visit and if I do a case in multiple visits, what are the criteria for multiple appointments? While it’s true that a lot of cases that I do are done in a single visit (which includes a permanent core build up) I still do quite a few cases in 2 or more visits. The reasons for 2-visit endo are:<\/p>\n

Cases with necrotic pulp and large lesions, I tend to do them in 2 visits (even if the canals are dry at the end of visit 1)<\/p>\n

    \n
  1. Canals that cannot be dried at the end of first visit.<\/li>\n
  2. Retreatment of cases with lesions.<\/li>\n
  3. Vital cases with a lot of pulp tissue in the isthmus that bleed incessantly.<\/li>\n
  4. Emergency cases that have to be worked into the busy schedule with not enough time for a complete endodontic treatment.<\/li>\n
  5. When the case is anatomically challenging and needs more time than what one appointment can afford us.<\/li>\n
  6. Patients that cannot open their mouth for full appt time.<\/li>\n
  7. Questionable perio\/endo cases that need a two visit approach to see if the perio symptoms disappear after the first visit.<\/li>\n
  8. Questionable endo cases (read : cases with treatment, retreatment, surgery done previously) that I dont want to commit the patient to a full fee until I know my treatment is getting the healing response.<\/li>\n
  9. Trauma cases where teeth were avulsed\/ luxated extruded intruded and teeth with open apices.<\/li>\n<\/ol>\n

    These are the general guidelines that I follow. once a while there may be exceptions to the rule and I may decide to do some of the above mentioned cases in one visit.<\/p>\n

    Here are the last few cases that I treated in my practice past 2 to 3 weeks. Some of them are done in 2 visits and some are in one.<\/p>\n

    You see the pattern that I followed with these cases. You can also appreciate the complex anatomy of the cases that we have here and the need to address this anatomy in a predictable and consistent basis. My mentor Dr.Gary Carr says “you are only as good as your last root canal”. I like to say, “‘you are only as good as your last 10 root canals”. Consistency is the key to endodontic excellence.<\/p>\n

    \"\"<\/a><\/p>\n

    \"\"<\/a><\/p>\n

    \"\"\"\"<\/a><\/p>\n

    \"\"<\/a><\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    Quite a few colleagues ask me if I do all my treatments in one visit and if I do a case in multiple visits, what are the criteria for multiple appointments? While it’s true that a lot of cases that … Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":859,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/posts\/768"}],"collection":[{"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=768"}],"version-history":[{"count":34,"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/posts\/768\/revisions"}],"predecessor-version":[{"id":1096,"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/posts\/768\/revisions\/1096"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=\/wp\/v2\/media\/859"}],"wp:attachment":[{"href":"https:\/\/endojamaica.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=768"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=768"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endojamaica.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}