# Non-surgical endodontic management for the medically complex - hints and tips for the general dental practitioner

## TL;DR

This paper provides guidance for general dentists on safely performing non-surgical root canal treatments on patients with complex medical conditions.

## Contribution

It offers practical tips and risk assessments for managing medically complex patients in primary dental care.

## Key findings

- Non-surgical endodontic treatment is a low-risk option for many medically complex patients.
- Extraction should be avoided when possible to maintain oral function and prevent complications.
- Multidisciplinary collaboration is essential for safe and effective dental care in these patients.

## Abstract

The management of patients with additional medical complexities is challenging and can cause apprehension when considering if dental treatment is able to be provided in primary care. Non-surgical endodontic treatment is generally a low-risk procedure for many patient cohorts. This paper describes commonly seen medical conditions, the impact on bleeding and infection, and where extraction would preferably be avoided. It explores the risk assessment of these conditions and provides ‘hints and tips' for the provision of endodontic treatment, allowing for the safe and effective provision of dental care, in the appropriate setting, by the appropriate specialty.

Emphasises the role of multidisciplinary collaboration in providing safe and effective care for medically complex patients.Explores the essential adaptations required in endodontic treatment for patients with complex medical histories.Offers practical endodontic tips tailored for general dental practitioners.

Emphasises the role of multidisciplinary collaboration in providing safe and effective care for medically complex patients.

Explores the essential adaptations required in endodontic treatment for patients with complex medical histories.

Offers practical endodontic tips tailored for general dental practitioners.