ENDO IS A PRACTICE BUILDER FOR THE EDUCATED DENTIST
Endodontic therapy is a cornerstone treatment modality in dentistry. It has been estimated that over 90% of all root canal therapy performed on patients in the U.S. is completed by general dentists. Statistics also show that success rates in endo performed by GPs is estimated at 80%. Older studies showed a wide gap between success rates of GPs and specialists, but thanks to enhanced education and the availability of amazing technology—combined with streamlined techniques—that gap has been greatly narrowed, according to recent studies. The main difference is the level of case difficulty and the fact that endodontists treat more molars than general dentists.
General dentists who perform endodontics routinely find that this area is a strong practice builder. Patients know and trust the office and staff of their GP, and they appreciate not having to be referred to another practice, as well as the generally lower fees charged by their dentist. This is all good news—as long as the GP is properly trained and aware of his or her own personal practice limitations.
Sound endodontic therapy is based on several principles, all of which must come together for success: proper diagnosis, access to the canals, thorough canal cleansing, proper canal shaping, and complete obturation. It all begins with education beyond dental school. There are many advanced courses available, providing access to the highest levels of information. With education and clinical practice comes experience.
Technologies such as 3D imaging have transformed diagnosis and planning in endodontics, forever altering the 2D approach toward understanding endodontic pathology. When coupled with technologies such as chairside microscopy or eyewear magnification, mysteries are minimized. Shaping and cleansing of the root canal system is enhanced by reciprocating and rotary systems, along with files that allow for proper shaping and cleansing, and irrigants that optimally remove debris and disinfect the canals. Devices that accurately measure the length of each canal allow dentists to continually check their working length. And the final key of proper obturation and apical seal is facilitated by technologies from form-fitted gutta-percha points to heated units that facilitate a complete apical seal of each canal.
Whether being performed by a GP or an endodontist, it is clear that the practice of endodontics today is not the one taught in dental school. Dental school provided the sound basics to endodontic therapy. Leaders in practice provide the knowledge to both generalists and specialists on how to enhance skills and improve care. Academic dentistry and the industry as a whole provide a wealth of knowledge and advancements that make endodontic treatment the cornerstone in dental care that it is today.
Eugene L. Antenucci, DDS, FAGD
Bay Shore, NY