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Trauma and Emergencies

T-2 - Iatrogenic Injuries: Etiology, Diagnosis & Management

Thursday, April 3, 2025
10:00 AM – 11:30 AM EST
Location: Hynes Convention Center, Floor 2, Room 200
Earn 1.5 CE Credits

    Speaker(s)

  • Alan H. Gluskin, D.D.S.

    Professor of Endodontics
    University of the Pacific, Arthur A. Dugoni School of Dentistry
    San Francisco, California

    Disclosure(s): No financial relationships to disclose

    Handouts

  • Gordon Lai, D.D.S., M.S.D.

    Assistant Clinical Professor
    University of the Pacific Arthur A. Dugoni School of Dentistry
    San Francisco, California

    Disclosure(s): No financial relationships to disclose

    Handouts

    • Session Host(s)

  • Alex Dahlkemper, D.D.S.

    Resident
    Division of Endodontics, University of Minnesota School of Dentistry
    MINNEAPOLIS, Minnesota

    Disclosure(s): No financial relationships to disclose

Disclosure(s):
Alan H. Gluskin, D.D.S.: No financial relationships to disclose
Gordon Lai, D.D.S., M.S.D.: No financial relationships to disclose
Alex Dahlkemper, D.D.S.: No financial relationships to disclose
Patient injury as a result of endodontic treatment can have devastating consequences for both the patient and the endodontist. Mishaps that occur during the therapeutic stages of endodontic therapy can result in significant irreversible damage to teeth and the jaws as well as neurologic damage within the head and neck, with an unpredictable course and an uncertain prognosis. This presentation will discuss the evidence and best practices regarding clinician competence and judgement as well as actions and behaviors resulting in patient injury and impairment as a result of endodontic care. The presentation will review the data for prognosis and how to determine treatment and intervention strategies in local anesthetic injury; chemical harm from overfill; subcutaneous emphysema from root canal treatment; as well as irrigation accidents and the resulting neural trauma caused by surgical error.

Learning Objectives:

  • Recognize the advantages of imaging technologies in identifying key neurovascular structures and their proximity to the root canal systems of teeth.
  • Appreciate the hydraulic outcomes of common interim medicament delivery methods and obturation methods as well as their potential for injury and mishaps.
  • Be familiar with prognosis and best practice for injuries and overfill mishaps that result in neurologic damage