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Endodontics Supporting Your Practice

What Should You Consider When Making an Endodontic Diagnosis?


Dr. Joel Fransen, an endodontist from B.C, recently spoke with Dr. John O’Keefe about the terms used in endodontic diagnosis.


Without the right diagnosis, endodontic treatment cannot be successfully performed. Reviewing the basics is important to help us become the “pulp whisperers”.

Each tooth should have a diagnosis of the pulp tissue and periradicular area. Additionally, the adjacent teeth should also have similar diagnoses.


  • Ensure the reception team reminds patients to bring in their current medication list.
  • Take a thorough medical and dental history.
  • Use appropriate dental and endodontic terminology when communicating with dental providers.
  • Determine if the pulp tissue is healthy and utilize various clinical and diagnostic tools.
  • Take any required radiographs at various angles.
  • Determine the proper course of treatment to fit the endodontic diagnosis.



Dr. Joel Fransen is a Certified Specialist in Endodontics. A graduate of UBC Dentistry, he worked for seven years before pursing specialty training at the Baylor School of Dentistry, Texas A&M Health Sciences Center. He opened his first office, Richmond Endodontic Centre, in 2010. In 2011, he became the first certified specialist in endodontics in the Yukon Territory. He travels to Whitehorse about five times a year to provide endodontic services to the residents of the Yukon, Northern BC, and South East Alaska. He also travels to Fort St. John and Williams Lake a few times year to provide specialty endodontic diagnosis and treatment. Dr. Fransen is the resident endodontic specialist at BC Children’s Hospital helping to save teeth for children with complex medical conditions.

Dr. Fransen loves saving teeth and sharing knowledge about all that endodontics has to offer with colleagues, the public, and the wider dental community. He publishes a monthly newsletter and has given presentations in Alberta, British Columbia, California, Hawaii, Ohio, Pennsylvania, and Washington State.

Dr. Fransen practices the full scope of modern endodontics including differential diagnosis, revascularisation and vital pulp therapy, non-surgical treatment and re-treatment, and endodontic microsurgery. He is one of only a handful of endodontists in North America that has pursued advanced training in implant dentistry. He currently participates in two implant study clubs.

When he is not trying to save teeth Dr. Fransen also likes to fight cancer. Over the last five years he rode in the BC Ride to Conquer Cancer and has raised over sixty-two thousand dollars for oral cancer research. He is an avid skier and his family spends as much time as possible on the slopes of BC, weather permitting.

1 Comment

  1. Terrance P October 27, 2017

    Great video explaining this, thank you.


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