Emergency Endodontic Procedures Protocol

1. Initial Patient Contact

• Obtain chief complaint and pain level (1-10 scale)
• Document duration and nature of symptoms
• Screen for fever and swelling
• Schedule based on urgency criteria

2. Emergency Classification

Immediate Treatment Required (Same Day)

• Severe pain (7-10/10)
• Facial swelling
• Traumatic dental injury
• Avulsion

Urgent Treatment (24-48 hours)

• Moderate pain (4-6/10)
• Cracked tooth with sensitivity
• Lost temporary restoration

3. Clinical Assessment Protocol

Required Tests

1. Pulp vitality testing
2. Percussion testing
3. Palpation examination
4. Periodontal probing
5. Radiographic examination

Documentation Requirements

• Clinical findings
• Diagnostic tests performed
• Treatment provided
• Post-operative instructions

4. Emergency Treatment Procedures

Pulpitis

1. Local anesthesia administration
2. Access preparation
3. Pulp extirpation
4. Temporary restoration placement

Abscess Management

1. Drainage establishment
2. Canal debridement
3. Calcium hydroxide placement
4. Antibiotic prescription if indicated

5. Post-Treatment Protocol

• Provide written post-operative instructions
• Prescribe appropriate medications
• Schedule definitive treatment
• 24-hour follow-up call

6. Emergency Kit Requirements

• Antibiotics
• Local anesthetics
• Temporary filling materials
• Emergency instruments
• Documentation forms