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<p>Pulpal and Apical Diagnoses<br>Captain Patricia A. Tordik, DC, USN, Commander Terry D. Webb, DC, USN and Captain Carol Diener Weber, DC, USN<br><br>Purpose<br>In December 2009, the Journal of Endodontics published an update of Endodontic Terminology from the American Association of Endodontists. The purpose of this Clinical Update is to ensure that military clinicians are informed of the revised terminology for endodontic diagnoses. The use of these terms at the Naval Postgraduate Dental School (NPDS) replaces the previous Clinical Updates on terminology.<br><br>The significant changes reflect a clinical diagnosis made with-out an over-reliance on a radiographic interpretation or an attempt to relate a histological diagnosis. The diagnosis relies on the signs and symptoms of the patient on the day seen by the provider. Another change is replacement of the previously used terms “periradicular” and “periapical” with “apical” to describe the tissues surrounding the root-end.<br><br>It is critically important to have a standard diagnostic terminology because of the wide variety of training backgrounds of military dental officers and civilian dentists serving for the U.S. Navy. Standardization of terminology within Navy Dentistry will improve communication between all clinicians.
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<br>Subjects: Dentistry;  Dentists;  Endodontics</div>
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U.S. Navy. Naval Postgraduate Dental School</div>
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