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Evaluation

Submitted Presentation

SP-2 - A Case-Based Oral Pathology Review: What Every Endodontist Needs to Know

Friday, April 19, 2024
1:15 PM – 2:30 PM PT
Location: 503
Earn 1.25 CE Credits

    Speaker(s)

  • David J. Landwehr, D.D.S., M.S. (he/him/his)

    Endodontist
    Capital Endodontics
    McFarland, Wisconsin

    Disclosure(s): Surround Medical: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)

    • Session Host(s)

  • Beth A. Damas, D.D.S., M.S.

    Endodontist
    Southwest Endodontics
    Orland Park, Illinois

    Disclosure(s): Dentsply Endodontics: Honorarium (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)

Endodontics is about more than saving teeth. It is easy to assume that any radiolucency associated with pain is of pulpal origin, especially if the tooth has a significant restorative history. However, numerous non-inflammatory pathologies of variable clinical significance can be identified in the periapical region. Differentiating the typical endodontic presentation from that of a more insidious etiology is of critical importance to ensure ideal management and outcome. Additionally, intra-oral examination should include a screening of the soft tissues for any abnormalities related to the dental pulp. A thorough evaluation of the soft tissues may result in the identification of pathologies not related to pulp inflammation. These changes can be reactive or neoplastic requiring timely and appropriate management to ensure the best prognosis. This discussion, based exclusively on clinical cases, will cover a variety of soft tissue and bone abnormalities to review the most relevant oral pathologies every endodontist needs to know.

Learning Objectives:

  • Incorporate a systematic method to formulate a differential diagnosis of radiographic lesions found in the periradicular areas.
  • Describe the growth pattern of soft tissues lesions to help differentiate reactive from neoplastic.
  • Discuss the radiographic changes consistent with non-inflammatory etiologies and recognize when referral for biopsy is indicated.