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Neurovascular Injuries in Endodontics – Ep. 38

Guest: Paul G. Cruci, BDS, MSc Endo, MSc Imp Dent & Allen F. Gaon, BDS, MSc Endo

Drs. Paul Cruci and Allen Gaon give a shocking update on paraesthesia, aguesia and other neurovascular Injuries. They provide advice and best practices to avoid iatrogenic traumas to aid recent graduates and seasoned clinicians alike. This episode offers electrifying discussion and synapses on effective treatment plan methodologies and clinical management of moderate and high-risk cases. What are the management protocols and legal implications when nerve injuries occur? How does imaging influence decision making? What are the recommendations for risk assessment and proper navigation of consent forms? With thoughtful consideration, understanding and experience, Drs. Cruci and Gaon give listeners a taste of their new tier grading system to evaluate the risk of nerve injury associated with endodontic treatment. This informative conversation flows likes a myelinated neuron. Get energized about nerve safety and listen today!

Episodes of Endo Voices may include opinion, speculation and other statements not verifiable in the scientific method and do not necessarily reflect the views of AAE or the sponsor(s). Listeners should use their best judgment in evaluating the merits of any content.

Episode Resources

  1. Morse DR. Endodontic-related inferior alveolar nerve and mental foramen paresthesia. Compend Contin Ed Dent. 1997; 18 (10): 963-978. 2
  2. Gluskin AH, Lai G, Peters C, et al. The double-edged sword of calcium hydroxide in endodontics, Precautions and preventive strategies for extrusion injuries into neurovascular anatomy. JADA 2020:151(5):317-326
  3. Nevares G, Monteiro G, Sobral A et al. Hardened exogenous material after extrusion of calcium hydroxide with barium sulfate: Case study and histopathologic and laboratory analyses. J Am Dent Assoc. 2018 Jan;149(1):59-66

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