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To Treat or Extract? Factors to Consider for Tooth Retention with Root Canal Therapy
Educational Objectives
After completing this webinar, participants will:
- Identify the determining factors that would improve the outcome for a tooth to be saved
- Determine if a tooth should be saved using endodontic procedures or extracted and replaced with an implant
- Assess and implement ways that would increase the likelihood of long term tooth retention when performing root canal treatment
Abstract
Implants have changed the way patients deal with edentulism, missing teeth, and teeth that have poor to hopeless prognosis. Unfortunately, implants have more recently been seen as a substitute for teeth that are salvageable with the right treatment approach. This has specially come to light as more and more implant failures have been observed in the past 5-10 years. Implants have also forced endodontists to more critically self evaluate and determine what can be improved in performing root canal treatment in order for endodontic teeth to have an overall better long term outcome.
This presentation reviews factors that would determine whether a tooth should have endodontic treatment/retreatment or be extracted and replaced with an implant. Dr. Odabashian will discuss patient, tooth and other appropriate questions that should be asked and answered in determining whether a tooth should be kept or extracted. Finally, Dr. Odabashian will go over the lessons learned from 30 years of practice which include 10 years of general and restorative dentistry and 20 years of endodontic practice
Additional Information
Author Bio
Dr. Nishan Odabashian
Dr. Nishan Odabashian received his DMD degree from Tufts University School of Dental Medicine in 1991. After practicing restorative and preventive dentistry in Glendale until 1999, he committed to a residency in endodontics at Loma Linda University under his program director, Dr. Mahmoud Torabinejad. He received his certificate of specialty in endodontics in 2001 and a master of science degree in endodontics in 2003. He has been a part-time assistant professor of endodontics at the department of graduate endodontics at LLU since 2001. Dr. Odabashian is the district VII director for the AAE, past president of the Glendale Academy of Dentists, past president of the California State Association of Endodontists, and past president-elect of the International Academy of Endodontics. He has served on many committees for the AAE and the IAE. He has lectured locally, nationally, and internationally at the AAE, Armenian American Medical Society, Glendale Academy of Dentists, Northern California State Association of Endondontists, US Naval Academy in San Diego, LLUSD, Armenian Dental Association in Armenia, and International Beirut Dental Meeting in Lebanon. What defines Dr. Odabashian most is his passion for the field of endodontics, and his commitment to providing patient-centered treatment. He is a life-long student and is always looking for ways to improve his knowledge and patient treatment through study, collaboration with colleagues, and critical follow-up of his past treatments. He is married to Lilit and has 3 children; Galia, 15, Serge, 12, and Noah, 10.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of SS White. Dr. Nishan Odabashian is a consultant and/or speaker for the following companies and/or organizations: Dental Learning, SS White. Dr. Nishan Odabashian may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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