Gentle Endodontics, which started with the help of Dr Mehdi Rahimi’s mum and long term nurse and friend, Amy, from nothing but a room full of boxes, high hopes and ambitions, (and very little certainty), has now turned into a multi-practice, multi-clinican, state of the art clinic. And along with this business growth, Dr Mehdi Rahimi himself has taken his passion and devotion to dentistry, (root canal therapy, or endodontics, in particular) to new heights by being actively involved in conference and advanced learning circles both nationally and internationally. So as a result, we’ve decided to initiate a blog on our website to keep both patients and referring dentists up to date with our doctors movement and the practice’s progress.
As I write this article Dr Mehdi Rahimi and a couple of the associates are attending the Australian Society of Endodontology (ASE) day course in Westin Hotel in Sydney. Dr Mehdi Rahimi is the secretary/treasurer of the ASE and he is there right now introducing the fantastic line of speakers.
The speakers today are: Dr Luke Maloney, Dr Derek Mahony, Dr Vincent Liew and an international guest speaker Prof Thomas Von Arx (Keynote speaker).
The subject of the conference is:
“Can I Save This Tooth?”
Rehabilitation of the Traumatised Dentition.
The anterior maxilla is the most traumatised region during childhood. Complications following trauma occasionally lead to tooth loss and a potential future need for implants. Unfortunately, it is contraindicated to place dental implants until growth is completed. Even in adults continued growth may result in rare cases of infra-occlusion of the implant supported prosthesis.
It is essential to coordinate the treatment sequence at the time of trauma. A multidisciplinary approach in many of the traumatic injuries is essential to ensure the best outcomes can be achieved. Predicting the viability of a pulp after injury can be challenging. The decision to undertake pulp extirpation should not be taken lightly and in many instances, unless there is clear evidence of pulp necrosis with infection, observation rather than intervention is preferable.
After loss of a traumatised anterior permanent maxillary incisor in young adults, treatment options are limited: orthodontic closure of the gap reshaping the adjacent teeth; or tooth extraction and maintaining the gap with a temporary restoration. Orthodontic space closure has limited indications requires prosthetic restoration of at least 2 teeth. Extraction temporary restoration will typically result in a need for bone augmentation before implantation. Other possible treatment options include orthodontic extrusion of the root remnant (in cases of untreatable root fracture or complicated crown-root fracture) and a temporary crown to serve the patient until the completion of growth and development, autogenous tooth transplantation, intentional extraction and immediate tooth replantation, distraction osteogenesis, and decoronation.
For pictures and short video clips relating to this day conference please visit the Australian Society of Endodontology website or Facebook page.