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					    Endodontics and the
         Dental Student
[Insert presenter name, degree]
           [Insert practice name]
                      [Insert date]
What We’ll Cover Today


  Endodontic facts
  Endodontists and general practitioners
  Using the Case Difficulty Assessment Form
  Careers in academia



                        2
Endodontic Facts

 Endodontics is the science of treating
 problems associated with the pulp tissue
 inside the tooth.
 There are approximately 4,000 active
 endodontists in the United States.
 In the past 20 years, the number of
 endodontists has grown by 84 percent.

                      3
Endodontic Facts
  There are 50 postdoctoral endodontic training
  programs nationwide.
  Nearly 400 postdoctoral dental students are
  enrolled in these programs.
  The number of root canals performed in the
  United States is growing (root canals increased by
  13 percent between 1990 and 1999).
  Root canals account for 95 percent of procedures
  performed by endodontists.

                         4
Endodontists and General Practitioners

  Endodontists and general practitioners enjoy a
  strong reciprocal relationship.
  More than 95 percent of general practitioners refer
  patients to endodontists each year.
  While younger general practitioners may wish to
  perform their own endodontics, the quality of
  treatment is held to the standard of care of
  the specialist.


                          5
Endodontists and General Practitioners

  Endodontists have up to three additional years of
  specialized training in performing root canals and
  complex endodontic procedures.
  Endodontists are technical leaders in the
  profession and are knowledgeable about the latest
  treatment techniques and instruments.
  Once in practice, endodontists perform an
  average of 25 root canals per week. General
  practitioners perform two.


                          6
Endodontists and General Practitioners


  Endodontists treat more complex endodontic cases,
  while general practitioners treat basic cases.
  The Case Difficulty Assessment Form is designed to
  help general practitioners determine when to refer
  root canals to endodontists.




                         7
Benefits Of Referring To An Endodontist


Most endodontists:
    accept emergency referrals;
    provide immediate relief to patients in pain;
    utilize advanced endodontic technologies;
    share in the responsibility of treating
    complex cases; and
    help keep general dentists’ practices on schedule.


                           8
Good Referring Dentists


 Good referring dentists:
    are educated to recognize the complexity
    of a case;
    have enough experience to understand their own
    abilities and limitations; and
    are aware of advanced equipment available to
    complete treatment effectively.


                          9
The Case Difficulty Assessment Form
The Assessment Form helps practitioners
assign a level of difficulty to an individual case.
    Minimal difficulty: routine complexity with
    predictable outcome
    Moderate difficulty: preoperative condition is
    complicated; predictable outcome is challenging
    High difficulty: preoperative condition is
    exceptionally complicated; predictable outcome is
    challenging for even the most experienced
    practitioner
                         10
The Case Difficulty Assessment Form



Assess each case to determine its level of
difficulty. If the level of difficulty exceeds your
experience, education level and comfort, refer
the patient to an endodontist.




                         11
The Case Difficulty Assessment Form

Patient considerations
   Medical history (using ASA Classification System)
   Anesthesia
   Patient disposition
   Ability to open mouth
   Gag reflex
   Emergency condition
                           12
The Case Difficulty Assessment Form
 Diagnostic and treatment considerations
    Diagnosis
    Radiographic difficulties
    Position in the arch
    Tooth isolation
    Morphologic aberrations of crown
    Canal and root morphology
    Radiographic appearance of canal(s)
    Resorption
                           13
The Case Difficulty Assessment Form


 Additional considerations
    Trauma history
    Endodontic treatment history
    Periodontal-endodontic condition




                        14
The Case Difficulty Assessment Form
 Case study: abnormal anatomy
                                              Patient presents for root
                                              canal treatments in lower
                                              first and second bicuspids.
                                              It is expected that there
                                              would be two canals in the
                                              first bicuspid, one canal in
                                              the second.
 Photo courtesy of Dr. Sashi Nallapati




                                         15
The Case Difficulty Assessment Form
 Case study: abnormal anatomy



                                              Upon treatment, it is
                                              discovered that each
                                              bicuspid has three canals.



 Photo courtesy of Dr. Sashi Nallapati



                                         16
The Case Difficulty Assessment Form
 Case study: abnormal anatomy
                                         Why should you refer this case?
                                          Endodontists are exposed to the
                                          most leading-edge studies on
                                          internal anatomy and have the
                                          expertise to handle such cases.
                                          Endodontists have enhanced
                                          surgical equipment, such as
                                          microscopes, for use in
                                          treatment to meet patients’
                                          specialized needs.
 Photo courtesy of Dr. Sashi Nallapati



                                         17
The Case Difficulty Assessment Form


Case study: medically compromised patient

 A female diabetic patient presents with intra-oral
 swelling and is in pain. She also is very anxious
 about dental treatment. She has a limited range
 of opening due to TMJ.




                          18
The Case Difficulty Assessment Form


Case study: medically compromised patient
Why should you refer this case?

 Because of her acute pain, anxiety and swelling, the
 patient is difficult to anesthetize. Endodontists have
 specialized training in administering anesthesia and
 have the necessary experience to properly manage
 the risks involved with this case.



                          19
The Case Difficulty Assessment Form


Case study: medically compromised patient
Why should you refer this case?

 The patient has limited range of opening
 secondary to mylo-facial pain dysfunction.
 Endodontists frequently work with cases of similar
 difficulty and can creatively address each situation
 more efficiently.


                          20
Careers in Academia

Become a full- or part-time endodontic educator.
   Part-time positions allow you to teach while
   maintaining a private practice.
   Most universities offer flexible schedules for part-
   time and adjunct faculty.
   Part-time teaching positions complement private
   practice by exposing endodontists to a wide variety
   of complex cases and conditions.


                           21
Careers in Academia
By pursuing an academic career in
endodontics you will:
   shape the minds of tomorrow’s professionals;
   influence dental education policies;
   develop advances in oral health through research;
   benefit from life-long learning;
   help alleviate the crisis in dental education; and
   give back to your community, profession and
   specialty.

                           22
Careers in Academia



          For more information, visit
        www.rootcanalspecialists.org
 or the American Dental Education Association
               at www.adea.org.




                      23
Q&A



 [Insert presenter name, degree,
    address,
    Web site and
    phone number.]




                     24

				
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