Diagnosis

My expertise covers a broad range of specialist root canal treatment (endodontics) and root surgery.  The specialist or endodontist must have a full knowledge and clinical experience to manage the complex diseases of the root canal. The most important starting point is the diagnosis and the cause of the presenting complaint.

Diagnosis of dental pain or sometimes the absence of pain is crucial, so that the clinician or root canal specialist (endodontist) obtains the correct prescription for treatment.

I use SEVEN important clinical tests generally to help concentrate and correctly diagnose the cause of the disease:

PPPOMVX

These stand for: Percuss, Periodontal pocket depth, Palpate, check Occlusion and cracks, Mobility, Vitality and X-ray.

I need to test the patient's response to certain stimuli. This will help mimic or produce the chief complaint of the patient to help diagnose the problem.  It's important to compare adjacent teeth, opposing teeth and contra-lateral teeth. Our patient may respond in different variations of the clinical "normal", but which is normal for them.  The clinician or root canal specialist will be able to differentiate the complex abnormalities and thereby diagnose the problem.

Once the diagnosis is made the endodontist (root canal specialist) will be then be able to describe the reason and cause of the infection to the patient.  The endodontist (root canal specialist) will then prescribe the treatment necessary to restore health to the root canal and supporting tissues. 

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