how long should it take to do root canal

[albany11]

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Hi,
How long should a GP, not specialist, take to do a

central incisor, tooth # 30, tooth # 3 ( 4 canals)


This is what I was told by an endodontist for a GP dentist:
Central incisor- 1 visit, 1 hour ( 40 minutes- endodontist)
Tooth # 30- 3 visit, 3 hours total (2 visits- 2 hours)
Tooth # 3 - 4 visits, 3.5 hours total ( 3 visits- 2.5 hours)

What do you think? I heard of 15 minutes molar endo 😱 --but is this feasible?

 

[mike3kgt]

Hi,
How long should a GP, not specialist, take to do a

central incisor, tooth # 30, tooth # 3 ( 4 canals)


This is what I was told by an endodontist for a GP dentist:
Central incisor- 1 visit, 1 hour ( 40 minutes- endodontist)
Tooth # 30- 3 visit, 3 hours total (2 visits- 2 hours)
Tooth # 3 - 4 visits, 3.5 hours total ( 3 visits- 2.5 hours)

What do you think? I heard of 15 minutes molar endo 😱 --but is this feasible?

Haha, yeah, doesn't it take about 15 minutes to call up your endo colleague down the street and make an appointment for your client to refer the case out?? tee hee.

-Mike

 

[DcS]

There are a lot of variables that you would have to take into account. For example, if a tooth is necrotic, it is mandatory to spread the tooth to 2 appts, even for the incisor. If it is irreversibly inflamed, but still vital, then you can finish it off it 1 appt. Just one example of the many variables that change those figures.

 

[aphistis]

There are a lot of variables that you would have to take into account. For example, if a tooth is necrotic, it is mandatory to spread the tooth to 2 appts, even for the incisor. If it is irreversibly inflamed, but still vital, then you can finish it off it 1 appt. Just one example of the many variables that change those figures.

How does tooth vitality affect the time required to do the RTC? We haven't done endo yet, alas.

 

[DcS]

How does tooth vitality affect the time required to do the RTC? We haven't done endo yet, alas.

Basically, it boils down to this. If a pulp is irreversibly inflamed (but still vital), the philosophy of the UNC Endo Dept is that the point of doing a pulpectomy in this case is for PREVENTION of apical periodontitis. If, however, the pulp is necrotic, the point of a pulpectomy is to disinfect the canal (which, since the tooth is non-vital, we know is swarming with bacteria). As a result, on a tooth that is necrotic, once you instrument the upper 2/3rds of the canal, you place CaOH for a week to disinfect the canal. Then the patient comes back, you instrument the apical 1/3, obturate and place the restoration. On a case where the tooth is vital but irreversibly inflamed, you are really removing the pulp to prevent the tooth from getting necrotic and resulting in apical periodontitis. Thus, because we know that the extent of bacterial invasion is pretty minimal if anything, there is no need to disinfect the canal. Instrumenting it and removing the pulp is sufficient, and the root canal therapy can be completed the same appt.

Does that make sense??

 

[cusp of carabelli]

How does tooth vitality affect the time required to do the RTC? We haven't done endo yet, alas.

if you have a necrotic tooth that has been infected with bacteria, you wanna make sure that you clean out and stop the growth of as much of the bacteria that is present in the canal...maybe through the use of calcium hydroxide (hi pH, dries canal===> bad for bacteria) or other intracanal medicaments. since after you do a root canal it is considered to be a sterile environment (thus the use of a rubber dam...always use protection..hahaha), you have to make sure you clean it out as good as you possibly can. doing the instrumentation can take you out of pain...but treating the overall disease may involve other steps. Also the presence of lateral canals, or accessory canals can complicate things...curved roots, calcified canals, etc etc etc...many things to think about when doing micro-masturbating err...i mean doing endo. (has anyone else heard endo called this? i thought it was hillarious...hope i don't get banned for saying it... 😎 )

 

[DcS]

What was funny to me was that I've always heard about how boring endo gets. In our endo lab, I really enjoyed everything and thought "hey this isn't so bad, especially not for 400gs a year".

Anyways, I completed my 1st endo case 2 weeks ago, and for the 1st time in dental school, I had this thought mid-procedure: "this is so incredibly boring, I wonder what's on TV tonight". It was when I was on my 3rd row of files, and there I was twiddling away. I mean, in the middle of treating a patient i basically turned all my thoughts away while turning files one after another. NOW i certainly understand how boring endo can get!

 

[aphistis]

Yep, makes sense. Thanks to both of you for explaining. 😀

 

[UNCdentalguy]

Nice find, toothcaries. You probably wouldn't be surprised to know that now all us pre-docs are learning endo with Resilon composite obturation instead of gutta percha. I'm sure it's just a coincidence that Dr. Trope helped develop that, too!

 

[DcS]

There's a reason why we were ranked 3rd nationally in NIH funding when we started school. So guys like Trope can continue to advance their respective fields.