Correct dignosis is the first step towards the success in Endodontics. Normally focus is always on types of rotary files, irrigation, medications and obturation system used for root canal treatment. But remember without proper diagnosis and treatment plan you will have high rate of failure.
How long has this tooth been hurting? (Helps to differentiate between acute and chronic.)
? Does this pain wake you up at night? (Endo pain does; perio pain usually does not.)
? Do hot or cold liquids make the tooth hurt? (Cold positive usually indicates some type of pulpitis while heat sensitivity can indicate a degenerating pulp.)
? Is the pain spontaneous? (Endo pain is mostly spontaneous )
? Does the tooth hurt when you bite down? (Indicates inflammation in the PDL;also indicates a necrotic tooth or an occlusal discrepancy)
? Have you had any swelling? (Can indicate a possible necrotic tooth.)For sake of simplicity this process can be summarized in 13 steps.
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