hi every one ,im a local dentist ,in my practice i have to refer certain cases to other dentists such as posteior endodontically involved teeth to complete RCT for them but im surprised that the endodontist is requesting me to restore all carious teeth before referring the patient sometimes its possible but in some cases the prognosis is poor or requier immediate treatment beside the patient is really worrying about that endo tooth ,im a government employer and the spcialist or endodontist is postponding the RCT tell im done with all restorations wich may takes weeks of visits ofcourse with recurrent of pain and swellings with the endo involved tooth even after inetial pulp therapy .my Q is ethicaly dose the endodontist have the right to not proceeding with the RCT unless patient is caries free or is he trying to escape his responsibelity....thank you

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  • Dr.Ritz

    Dr.Ritz 07 - February - 2011, at 20:19 PM

  • In my view there is no such thing who will do the treatment first. Whenever the patient comes, we take care of his chief complaint. If it is abscessed tooth or acute pain with needs endodontic treatment then in my view that should be taken care before going for other problems. The Endodontist has to just do root canal. The crown part is given referrring general dentist. So even if the adjacent teeth are carious, the referring dentist has to take care of these before going for crown placement. I think this is mutual understanding and what ever is best for patient should be done. You can discuss this with your endodontist.

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