Endodontics And What They Can Do For Your Practice
Dr. Ron Kaminer shared his experience in successful treatment planning endodontic issues to attendees at the Updates in Contemporary Dentistry meeting event held recently in Tampa, Florida. Dr. Kaminer detailed how new products aid in diagnosis and treatment.
He began his hour-long lecture by addressing the 3 key factors for endodontic success: thorough debridement, disinfection, and obturation. He attributed the remaining debris in the root canal system as the primary reason for endodontic failure.
?With better instrumentation, irrigation, and obturation, our success rates for endodontic therapy will increase and fewer failures will be seen,? Dr. Kaminer said.
Anesthesia -- The First Step to Success
Dr. Kaminer stressed proper anesthesia as the first step in a successful endodontic procedure. In an interview with Dental Learning, he said articaine has been and continues to be his anesthesia of choice. In his experience, the lower cost of articaine makes it an attractive option for any dentist using a large amount of anesthesia.
?In my opinion, irrigation is the most critical step once you get the debris out,? Dr. Kaminer said. ?The important thing is to create enough straight line access so that we can get irrigants into that apical third. We can do that with syringes, or we can do that sonically.?
Dr. Kaminer suggested clinicians consider sonic handpieces because they assist in debriding the upper third of the root canal system. He cited a study in 2001 (Peters et al) that showed that 35% to 50% of the root canal system remains untouched when only rotary files are used.
An Opportunity for Practice Growth
Dr. Kaminer also discussed the practice growth potential of endodontics. Dr. Kaminer said he uses a combination of sonic handpieces and rotary files to give him a high quality result in a short period of procedure time. In an interview with Dental Learning, Dr. Kaminer mentioned using Medidenta?s Sonic Air MM 1500 and Medidenta's Revo-S in his practice. He states that the combination of the Sonic Air and Revo-S gives him a high-quality product in a short time, reducing chairside time and adding revenue to his practice.
?The great thing about the Revo system are its three cutting edges, located on three different radiuses; the R1, R2 and R3,? Dr. Kaminer said. ?This creates a snake like movement of the instrument inside the root canal.?
Dr. Kaminer also informed the attendees about how to increase their endodontic success rate. He provided tips on which types of endodontically treated teeth have high and low success rates. The results of 2,000 endodontically treated teeth showed that teeth with higher success rates were vital teeth, teeth without lesion, were conventionally treated, required a single appointment and a short filling level.
Dr. Kaminer on Endo Products
In an interview with Dental Learning, Dr. Kaminer pointed out that Pierrel Research?s Orabloc system offers the same rapid onset of action that dentists expect from existing articaine: anesthesia within 1 to 9 minutes, with complete anesthesia lasting about 1 hour for infiltrations and up to 2 hours for an inferior dental block. Additionally, the aseptic manufacturing process provides increased shelf life for Orabloc, up to 24 months at 25°C (77°F), compared to an 18 month shelf life for terminally sterilized articaine.
Dr. Kaminer ended his lecture with a simple message for dentists everywhere that alluded to the changing technology: ?In times of change, it is the ?learners? who will inherit the earth.? Wise words for a constantly changing science.