Endodontic Complications and Consent

Endodontic treatment can be challenging for a number of reasons. Despite best efforts, complications can and do occur during the course of treatment, which can lead to increased stress for dentists and patients. Learning strategies to prevent and mitigate complications can lead to better treatment outcomes. Communication with patients regarding complications - both before and after they occur - is essential. As clinicians, it is our duty to provide information to patients about their health in a way that they can make a fully informed decision regarding their treatment. Whilst every interaction is unique, there are key elements that must be included in a dialogue to reduce the chance of miscommunication and future complications, and to fulfil our ethical and legal obligations to our patients.   

The aim of this presentation will be to discuss complications in endodontic practice, management strategies and possible effects on outcome. This presentation will also present the ethical and legal  obligations of gaining valid consent, with an example of an informed consent  discussion in an endodontic setting. 

Learning Outcomes: 

- Learn strategies to prevent mitigate Endodontic  complications
- Understand specific endodontic complications, including  fractured instruments, perforations and sodium hypochlorite injuries
- Understand what information is required for valid consent 
- Learn strategies on how to present clinical information to patients

Dr Mark Johnstone graduated from the University of Melbourne with a Bachelor of Dental Science with Honours in 2008, Doctor of Clinical Dentistry (Endodontics) in 2014, and a Master of Health and Medical Law in 2019. He is a Fellow of the Pierre Fauchard Academy. He has been involved in teaching at continuing education programmes throughout Australia and works in private practice in Maribyrnong, Victoria.