The following are clear indications for endodontic treatment:
- Teeth with confirmed lasting or severe hot and/or cold sensitivity.
- Teeth with confirmed periapical lesions of endodontic origin with/without biting sensitivity.
Pain symptoms outside the above parameters generally requires the use of other tests for an accurate diagnosis.
Treat or Refer?
If all the canals are clearly visible in the radiograph of the tooth, (80-90% of teeth), then the root canal treatment can be attempted by the general dentist. Some exceptions are listed below.
These cases are generally done by an endodontist:
- Teeth where all the canals are not visible (calcified canals)
- Teeth where the canal seems to start mid-way down the root
- Teeth with previous root canal treatments
- Teeth with separated instruments
- Teeth with extremely long roots
- Teeth with severe root curvature
- Posterior teeth with difficult access
- Teeth requiring endodontic microsurgery
- Difficult diagnosis situations