If a patient insists on endodontic therapy on an asymptomatic tooth before preparing a crown, what is the recommended response?

The recommended response to a patient's insistence on endodontic therapy on an asymptomatic tooth before preparing a crown is to reiterate your recommendation for the crown. This response is appropriate because it reflects the dental professional's responsibility to prioritize the patient's health and well-being by providing evidence-based care.

In this situation, the dentist should discuss the rationale behind their recommendation for a crown rather than endodontic therapy, emphasizing that a crown is typically indicated for structural support and protection of a tooth that has undergone significant decay or damage. An asymptomatic tooth may not require endodontic treatment if there are no signs of pulpitis or infection, and proceeding with unnecessary treatment could expose the patient to avoidable risks and costs.

Additionally, reiterating the recommendation allows the dentist to engage the patient in a dialogue about their treatment options, educate them on the potential consequences of their decision, and address any concerns they may have. This patient-centered approach not only fosters trust but also ensures that the patient is making informed choices regarding their dental health.