Perform endodontics with ease and confidence

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Endodontic procedures may not necessarily be your focus, but odds are that every week some of your patients will need root canal treatment. Some dentists consider endodontic activities to be outside of their comfort zone, so they’d rather refer their patients to an endodontist. A survey by the American Association of Endodontists (AAE) reported that on average, general dentists were referring to endodontists, approximately 46% of their root canal treatments. [1] However, this trend is currently shifting, because it’s now much easier to handle endodontic care “in-house.”

The challenges of endo, according to dentists

 

While many dentists relish the challenge, others have an ambivalent attitude toward endo procedures. And endodontic specialists aren’t immune to difficulty: a survey showed that over half of them are “somewhat uncomfortable” with endo procedures.[2] 

 Here are a few reasons why endodontics cause stress, as reported by dentists themselves:[3] 

●    High risk of complications

Complex RCTs can lead to complications such as "inappropriate mechanical debridement, the persistence of bacteria in the canals and apex, poor obturation quality, over and under an extension of the root canal filling, and coronal leakage."[4] 

●    Risk of retreatment and failure

Specialists who love endo procedures agree that it’s “not always possible to get 100%.”[5] Despite best efforts, it’s not uncommon for a tooth to become re-infected or painful several weeks or months later. What’s more, the dentist is usually held accountable for failure and retreatment.

●    Complex tooth anatomies

An endodontic treatment’s success can depend strongly on the patient’s anatomy, yet it lies beyond the dentist’s control. Curved canals or difficult accesses can complicate a procedure considerably so that dentists must operate somewhat blindly in hard-to-reach areas. According to one dentist: “A highly infected molar is difficult to treat. Front teeth are much easier.”

●    Time-consuming

The average root canal treatment takes between 45min and 90min, sometimes more. This greatly impacts the working day, because dentists can schedule fewer appointments and they must also perform at a high level of concentration, creating fatigue and tension. 

Of course, not all dentists are affected by these issues, and most practice endodontic care comfortably in their clinics. Unfortunately, these ambivalent attitudes towards in-office endodontic care can lead some dentists to dismiss these procedures, despite the potential to enhance their business. 

Pursuing the ideal endodontic technique 

When performing a root canal treatment, dentists usually choose between well-known techniques, commonly categorized as “cold technique” or “warm technique.” Their choice heavily depends on skill level, available time, level of experience with each technique, or simply a professional preference for one solution over the other. While each technique presents specific benefits and risks, in the past, the warm technique could claim superiority overall due to more successful results. The following classification briefly describes the most popular techniques before the introduction of hydraulic sealers.

Cold technique Warm technique

The cold technique allows dentists to perform endodontics quite easily while remaining affordable

 On the other hand, before the use of hydraulic sealers, the method did not guarantee optimal healing and often required retreatment

The warm technique is often considered trickier

However, it has the advantage of offering optimal sealing and obvious robustness.

This technique can be more expensive due to the need for extra equipment. It also requires a lot of time and experience to master. 

Choosing between warm technique and cold technique can be difficult. In this scenario, using one technique over the other usually meant dentists had to compromise on ease and price to achieve the best results.  

Hydraulic sealers

When hydraulic sealers were introduced on the market, they quickly gained traction among practitioners. Sealer shrinkage was the principal obstacle to optimal obturation and the gutta-percha was used to obturate and guarantee a high seal. However, a latest-generation hydraulic sealer such as BioRoot™ RCS doesn’t shrink and is stable over time, eliminating the need for more complicated techniques such as warm technique and multiple GPs. This change is confirmed by a growing body of research and experts such as Pr. Simon: “The true paradigm shift is to revisit the ‘single cone technique.’ The GP is not used as a core anymore, it’s used as a carrier and in the possible case of re-treatment.”[6] 

Better income

Opting for hydraulic sealers could have a direct effect on your clinical profitability, thanks to these improvements. By achieving faster, more successful treatments, you can increase patient satisfaction and loyalty, which can, in turn, increase your new and returning appointments. And practicing using the latest endo treatments will add to your clinic’s positive image and enhance your reputation. 

Perhaps by now you’re convinced that endodontics can be practiced simply and efficiently. You’re ready to save time on your procedures, all while increasing your success rate. The sealer solution BioRoot™ RCS could be your next best ally. 

BioRoot RCS, a solution designed to facilitate endodontic care

Faced with the enduring difficulty and perfectibility of endodontic procedures, Septodont, using patented technology, developed an effective tricalcium hydraulic sealer called BioRoot™ RCS. This root canal sealer provides reliability and a high-sealing quality, even with a single cone root canal obturation technique.

Thanks to high alkaline pH, BioRoot™ RCS limits bacterial growth, and bioactive properties promote periapical healing, lowering the risk of clinical failure and retreatment. According to a study, 98% of fibroblast cells survive 24 hours after using BioRoot™ RCS, which is one of the highest bio-efficiency rates on the market.[7]

And if you’re a general practitioner who prefers to use cold techniques, BioRoot™ RCS is the right solution to perform effective endo procedures. BioRoot™ RCS can transform your endodontic practice by yielding premium lasting results using a simple technique you’re familiar with, and without the need for extra equipment. Introduce BioRoot™ RCS into your care routine and join the thousands of dentists who have already embraced the future of hydraulic sealers. 

[1] Survey commissioned by Septodont. How Comfortable Do You Feel When Performing Endodontic Procedures? Dentists Usage and Attitudes - Market Research. (2014)
[2] Suazio Consulting. Dental Professionals - Insights. Commissioned by Septodont. (2014), p.19
[3] Tabassum, S., & Khan, F. R. (2016). Failure of endodontic treatment: The usual suspects. European journal of dentistry, 10 (1), 144–147. https://doi.org/10.4103/1305-7456.175682 (Accessed 25 May 2021)
[4] Dental Professionals - Insights, op.cit. (and subsequent citations.) 
[5] Simon, S. “Interview Septodont.” Youtube, uploaded by Dental Sky Ltd, April 4, 2016. https://youtu.be/-oxF4rKKZHo 
[6] Charlotte Jeanneau, et al. BioRoot™ RCS modulates the initial steps of inflammation and regeneration. Journal of Endodontics, Elsevier, In press. (2020) hal-02529058
[7] Charlotte Jeanneau, et al. BioRoot™ RCS modulates the initial steps of inflammation and regeneration. Journal of Endodontics, Elsevier, In press. (2020) hal-02529058