Evaluate the whole tooth and the whole patient
Treatment planning for a compromised tooth may involve pulpal and periapical diagnosis, remaining tooth structure, periodontal support, restorability, previous treatment quality, anatomy, symptoms, medical considerations, patient preferences, and the likely long-term restorative plan.
The decision should be individualized. No single image, symptom, or rule determines the right option for every patient.
AAE Treatment Options Guide
The American Association of Endodontists’ Treatment Options for the Compromised Tooth: A Decision Guide presents case examples with radiographs and clinical photographs, clinical considerations, and prognosis-based guidance.
Open the current AAE Treatment Options Guide
This official AAE page replaces the older PBHS-hosted copy used by the former website, keeping the resource available without depending on the previous website provider.
The guide can support conversations about:
- Initial nonsurgical root canal treatment
- Nonsurgical retreatment
- Endodontic surgery
- Cracks, fractures, resorption, and procedural complications
- Periodontal and restorative considerations
- When extraction may be necessary
Coordinate before extraction when appropriate
When a tooth’s prognosis is uncertain, consultation with an endodontist may reveal options that are not obvious from the initial presentation. Dr. Moore can evaluate whether the tooth appears restorable, discuss reasonable endodontic options, and coordinate findings with the restorative dentist.
Call 913-642-3636 to discuss a patient or arrange an evaluation.