OSC-10 - Thinking Beyond the Pulp

Invited Speaker(s)

• 

  Bruno Azevedo, D.D.S. MS

  Oral Maxillofacial Radiologist
  University of Louisville School of Dentistry

  Disclosures: J.Morita USA: Consultant

Speaker(s)

• 

  David Landwehr, D.D.S., M.S.

  Capital Endodontics

  Disclosures: DENTSPLY Tulsa Dental Specialties: Honorarium

Invited Speaker(s)

• 

  Don Nixdorf, D.D.S., M.S.

  Associate Professor
  University of Minnesota

  Nothing to disclose

Facilitator(s)

• 

  Scott Doyle, D.D.S., M.S.

  Metropolitan Endodontics, University of Minnesota

  Nothing to disclose

Session Host(s)

• NC

  Nauman Chatha

As endodontists, it is easy to assume that any periapical radiolucency associated with pain is of inflammatory origin, especially if the tooth has a significant restorative history. Although a bacterial etiology is by far the most common, it is not a clinical certainty. This case-based discussion will highlight clinical characteristics from the perspective of an oral radiologist, an orofacial pain specialist and an oral pathologist to aid clinicians in differentiating the typical endodontic presentation from that of a potentially more threatening or insidious etiology.

Learning Objectives:

• Recognize two and three dimensional radiographic characteristics to help distinguish periapical inflammatory disease from other pathologies.
• Explain that there are numerous pathologies that can mimic disease of pulpal/inflammatory origin.
• Differentiate odontogenic pain from non odontogenic pain and develop a differential diagnosis based on clinical presentation.