Lesson 9: Reviewing teeth

Endodontic review protocol: Optimising long-term root canal success

Overview

This video provides a practical guide to the importance of regular endodontic reviews (follow-up appointments post-root canal treatment) for detecting failures, assessing healing, and ensuring the long-term success of root canal procedures. It outlines a structured review protocol incorporating radiographic imaging and clinical evaluation.

Key topics covered

• Classifying endodontic outcomes: Healed, partially healed, uncertain, and failing
• The role and interpretation of periapical radiographs and CBCT scans in endodontic reviews
• Discussing different possible review intervals: immediate post-operative, 6-month, 1-year, and long-term (2-5+ years)
• Clinical considerations for cases with uncertain healing or large periapical radiolucencies
• Identifying early indicators of endodontic failure, including rebound symptoms and sinus re-establishment
• The influence of restorative and periodontal factors on long-term endodontic success

Clinical relevance

Consistent endodontic reviews enable practitioners to proactively manage potential treatment failures and improve patient outcomes. Early detection of issues allows for timely intervention, preventing more complex and costly problems. This systematic approach ensures predictable results and reduces the need for retreatment.

Learning outcomes

After watching this video, dentists will be able to:

• Implement a structured protocol for endodontic reviews in their practice
• Accurately interpret radiographic findings to evaluate healing
• Identify cases requiring additional monitoring or intervention
• Communicate effectively with patients about the importance of follow-up appointments