Dentistry & Oral Care

Biography

Biography: Fayeq Hasan Migdadi

Abstract

Endodontic pain diagnosis is similar to a puzzle-diagnosis and cannot be made from a single isolated piece of information. The importance of correct diagnosis and treatment planning must not be underestimated. There are many causes of facial pain and the differential diagnosis can be both difficult and demanding. All the relevant information must be collected; this includes a case history and the results of both a clinical examination and diagnostic tests. The practitioner should be fully conversant with the prognosis for different endodontic clinical situations, only at this stage the cause of the problem be determined, a diagnosis made, the appropriate treatments discussed with the patient and informed or valid consent obtained. The clinician must systematically gather all of the necessary information to make a “probable” diagnosis. When taking the medical and dental history, the clinician should already be formulating in his or her mind a preliminary but logical diagnosis, especially if there is a chief complaint. The clinical and radiographic examinations in combination with a thorough periodontal evaluation and clinical testing (pulp and periapical tests) are then used to confirm the preliminary diagnosis. In some cases, the clinical and radiographic examinations are inconclusive or give conflicting results and as a result, definitive pulp and peri-apical diagnoses cannot be made. It is also important to recognize that treatment should not be rendered without a diagnosis and in these situations; the patient may have to wait and be reassessed at a later date or be referred to an endodontist.