Endodontic case study: referred pain leads to diagnostic uncertainty

By David Landwehr, DDS

Many variables are involved in determining the outcome of root canal treatment. Microanatomy within the root canal and complex interactions within a bacterial biofilm can prevent clinical success even with the most modern treatment protocols. In spite of anatomical variability, success rates for conventional endodontics are high and approach 90% in many studies. However, one way to be absolutely certain of a problem following endodontic treatment is to enter the incorrect tooth.

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