Systematic Endodontic Diagnostic Protocol: Cracked Tooth Syndrome/ Vertical Root Fractures and Endo/Perio Case Presentation

Gary Glassman, DDS, FRCD(C)


A complete endodontic diagnosis must include both a pulpal and a periapical diagnosis for each tooth evaluated before endodontic treatment can be rendered. It is much like going on a reconnaissance mission, gathering as much information as possible and not relying on a single isolated piece of this information before endodontic treatment is provided. This presentation will take the participant on a diagnostic journey to be able to come to a proper decision systematically and logically on whether the patient’s symptoms are odontogenic in origin or coming from another source. 

Learning Objectives

  1. To predictably carry out pulpal and periapical tests in a logical and efficient sequence.
  2. To make a pulp and periapical diagnosis according to the American Association of Endodontists classification.
  3. To discuss and present cases of Cracked Teeth, Vertical Root Fractures and others of Endo/Perio significance, differential diagnosis and treatment.
  4. To be able to differentiate between odontogenic and Musculo-skeletal (MSK) origin of symptoms. 


Gary Glassman, DDS, FRCD(C) 

Endodontist, Canada

Dr. Gary Glassman graduated from the University of Toronto, Faculty of Dentistry in 1984 and was awarded the James B. Willmott Scholarship, the Mosby Scholarship and the George Hare Endodontic Scholarship for proficiency in Endodontics. A graduate of the Endodontology Program at Temple University in 1987, he received the Louis I. Grossman Study Club Award for academic and clinical proficiency in Endodontics.


The author of numerous publications, Dr. Glassman lectures globally on endodontics, is on staff at the University of Toronto, Faculty of Dentistry in the graduate department of endodontics. As Adjunct Professor of Dentistry and Director of Endodontic Programming from 2010-2017, Gary helped develop the dental school curriculum for the Oral Health Science programme for the University of Technology, Kingston, Jamaica.  


Gary is a fellow of the Royal College of Dentists of Canada, Fellow of the American College of Dentists, endodontic editor for Oral Health dental journal, Editorial Advisory Board for Inside Dentistry, Faculty Chair for DC Institute and Chief Dental Officer for dentalcorp Canada. 


He maintains a private practice, Endodontic Specialists in Toronto, Ontario, Canada. His personal/professional website is and his office website is  He can be reached at