Endo Tribune U.S. No. 6, 2012
AAE to hold joint session with pediatric dentists / Interview: The collaboration between endodontists and restorative doctors to preserve dentin ... What’s next?
AAE to hold joint session with pediatric dentists / Interview: The collaboration between endodontists and restorative doctors to preserve dentin ... What’s next?
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The multidisciplinary conference will highlight new and emerging treatment options for traumatic injuries using an evidence-based approach. The program speakers include nationally and internationally recognized clinicians and scientists from both specialties, providing a unique educational opportunity in identifying the best dental practices and emerging treatment concepts. Preservation of the natural dentition has always been the ultimate goal in dentistry. Traumatic injuries often result in damage to developing permanent teeth that compromises the long-term prognosis and presents unique treatment challenges to the clinician. Treatment generally necessitates emergent and follow-up care that is often multidisciplinary. Contemporary research has led to scientific advances that provide a better understanding of new treatment modalities that enhance the prognosis of teeth with traumatic injuries. Technologic developments have improved diagnostic and The AAE and the AAPD will hold a joint session in Scottsdale, Ariz. Photo/www.sxc.hu therapeutic techniques that include apical barriers, revascularization/regeneration, ridge preservation, decoronation, orthodontic extrusion and root fortification. These treatment approaches have proven to be highly beneficial for patients with dental trauma. At the conclusion of this symposium, the participants will be able to: • Identify the types, etiology, and epidemiology of traumatic injuries that occur to the dentition. • Identify methods of preventing damage to the permanent dentition in trauma injuries. • Discuss the rapid physical assessment of an injured child and related management techniques. • Describe the purpose and use of the International Association of Dental Traumatology Guidelines. • Discuss diagnostic methods used in traumatic injuries and their interpretation. • Describe the use of three-dimensional dental imaging in diagnosis. • Discuss the management and treatment options for the tooth with immature root formation. • Define regeneration and revascularization and describe the indications and treat- ment procedures required for success. • Discuss the indications for and the concepts of ridge preservation and decoronation in traumatic injuries. • Discuss the indications and criteria for orthodontic root extrusion. • Describe restorative techniques for teeth subjected to dental trauma. • Discuss treatment outcomes of previously traumatized permanent teeth in children. The meeting will be held at the Westin Kierland Resort & Spa. More information is available at www.aae.org/traumameeting. (Source: AAE) Interview: The collaboration between endodontists and restorative doctors to preserve dentin ... What’s next? By Fred Michmershuizen, Managing Editor and the keys to achieving great clinical outcomes there, and the restorative dentist have been looking at the pericervical dentin and how can they create a longlife crown. We worked with each group to look at both facets. That is the big idea. In an interview conducted at the recent American Association of Endodontists Annual Session in Boston, Tom Gallop, CEO of SS White, discussed the collaboration between endodontists and restorative dentists to preserve dentin and therefore improve outcomes for patients. Your company is making a big splash with a new, expanded booth and presence. What are you trying to accomplish? To me, with a “me-too” idea, you need to play it low-key to be authentic, but with an ability to execute on a big idea, having a major presence is more appropriate. So, what’s the big idea? Doctors tell us that what we do is help them to preserve the maximum amount of healthy tissue, in a very efficient manner that increases the life of the restoration and allows for more endodontic treatments. Increasing the collaborative effort between the restorative dentist and the endodontist is one key byproduct we have seen as a result. In some ways we have had the endodontist looking at the lower apical third SS White looks to bring greater collaboration between the endodontic community and the restorative dental community, says Tom Gallop, CEO of SS White. The preservation of dentin is one element that benefits clinician and patient alike, and can be a bridge to connect these two respected practices. Photo/Fred Michmershuizen, Dental Tribune What’s new and exciting for endodontists? SS White has always been known within the endodontic community for very specific products, like Great White Burs for faster endodontic access through metal, Great White Z Diamonds for access through zirconia and recently EndoGuide Burs for more precise endodontic access. This year we are introducing a full line of endodontic products driven around our passion toward conservation and efficiency. Those products include the redevelopment of the very popular V-Taper File System, V-Glide Path File, V-Fill Obturation system and other unique endodontic instruments that are all designed to create more conservative and more efficient endodontic procedures. ” See INTERVIEW, page C2[2] => industry interview C2 “ INTERVIEW, Page C1 ENDO TRIBUNE What sets the V-Taper file apart from other, similar files? V-Taper is unique because of the variable taper design, which allows for the preservation of cervical dentin to a higher degree than any other file system on the market. It also allows less instrumentation than most systems and more efficiency Most endodontists want an 06 taper down at the apex to allow them to get better irrigation, better obturation, better three-dimensional fill. But when they have to negotiate around tight curves, often times they have to compromise and use an 04 tapered file. So they are either compromising by not getting the shape they want at the apex, or they are compromising by having to remove too much structure to get the 06 taper down to the apex. With the unique design of the V-Taper system, it allows for the endodontist to have the best of both worlds: get that 06 taper but with much more ease in negotiating those tight curved canals, so they can get the best results. SS White has traditionally been known as a restorative dental company. How does that enhance your ability to add endodontic instruments to your offerings? SS White is in a unique position in that we are looking at the tooth as a whole. I think that perspective is different from most other endodontic companies, who mainly focus on the endodontic side of the procedure and do not take into account the needs of the restorative dentist. What about access techniques to preserve more of the dentin? SS White originally developed the standard round carbide bur, which unfortunately has not been the ideal instrument for use during endodontic access procedures. When we developed the round bur, it was intended for use in cutting cavity preparations. To effectively cut a cavity preparation, you need a bur that cuts both laterally and vertically. Up until the launch of the EndoGuide Burs, no other manufacturer listened to the endodontist and general dentist on their need to design an access-specific bur that would allow for greater precision in gaining access to the root canal. Rather, the manufacturer said this is what we have on the shelf already available for you to use for your access preparations. At SS White, we asked clinicians: How can we design a product specific to procedure challenges and anatomy? We focused on the conical shape and small tip diameter as two of the defining features that create more precise access and control. Doctors tell us EndoGuide Burs are Corrections Endo Tribune strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please report the details to Managing Editor Fred Michmershuizen at f.michmershuizen@dental-tribune. com. Endo Tribune U.S. Edition | July 2012 Publisher & Chairman Torsten Oemus t.oemus@dental-tribune.com Chief Operating Officer Eric Seid e.seid@dental-tribune.com Group Editor Robin Goodman r.goodman@dental-tribune.com Editor in Chief ENDO Tribune Frederic Barnett, DMD BarnettF@einstein.edu Managing Editor ENDO Tribune Fred Michmershuizen f.michmershuizen@dental-tribune.com Managing Editor Show Dailies Kristine Colker k.colker@dental-tribune.com Managing Editor Sierra Rendon s.rendon@dental-tribune.com Managing Editor Robert Selleck, r.selleck@dental-tribune.com Account Manager Humberto Estrada h.estrada@dental-tribune.com Marketing Manager Anna Kataoka-Wlodarczyk a.wlodarczyk@dental-tribune.com Marketing & SALES Assistant Lorrie Young l.young@dental-tribune.com C.E. DIRECTOR Christiane Ferret c.ferret@dtstudyclub.com The SS White sales and marketing team shows off its new booth during the recent CDA Presents The Art and Science of Dentistry meeting in Aneheim, Calif. Photo/Robert Selleck, Dental Tribune better than existing products when they are contending with calcified canals or troughing. They also indicate that the product helps them reduce perforations and conserve vital pericervical dentin. EndoGuide Burs were developed with our team of endodontic and restorative specialists, which include Dr. David Clark, Dr. John Khademi and Dr. Eric Herbranson. EndoGuide is the first truly endodontic-access-specific-designed product that has been developed with collaboration and input from the manufacturer, endodontist and restorative dentist, allowing for a more precise, efficient and conservative pathway for gaining proper endodontic access. The dental market worldwide has given EndoGuide Burs a very warm welcome. Key opinion leaders and leading universities in such diverse markets as Mexico, the Netherlands, Italy, Germany, Russia and India, to name a few, have implemented the use of EndoGuide in their teaching, training and other forms of education. The drive and passion that has been put forth worldwide in creating more conservative endodontic access has truly been astonishing. What came next? The next challenge SS White undertook after the launch of EndoGuide Burs was that of creating more refined and conservative root canal shaping procedures. The shaping of the root canal procedure has significant value to the quality of the final restoration. Research has shown that preserving dentin has a direct correlation to creating longer lasting restorations. Our challenge was to develop a system that will shape the root canal without eliminating key segments of dentin at the same time, such as the dentin triangle, which is vital to the strength of the tooth. One school of thought is that the dentin triangle should be removed to create proper visibility and to effectively irrigate and obturate the canal. Following this philosophy causes the removal of dentin that could strengthen the tooth if left intact. The system that had the most appeal to us to accomplish our goal of effective shaping, while preserving dentin when possible, was the V-Taper 2 NiTi File System, which has been redeveloped and relaunched here at the AAE meeting in Boston. Can you talk more about how endodontists and GPs can collaborate to preserve tissue? The industry has done a remarkable job in the development of more efficient file systems that allow for greater numbers of patients to gain treatment. This has been a step in the right direction. Advances in diagnostics have also taken a major step forward over the past 10 years as well. We have seen a rapid adoption of microscopes, cone-beam and digital X-ray. The combination of increased visibility, better diagnostics and the preservation of dentin is now in place, with the goal of creating better patient outcomes. As a result, the patient benefits from the developmental and collaborative effort with longerlife restorations and stronger teeth. In closing, what would you like to say to both endodontists and restorative dentists? Thank you for bringing your thoughts and ideas to us. We will continue to listen and develop more effective instrumentation. With what we have done already, we are confident that both the restorative doctor and the endodontist can achieve faster, stronger and longer-life restorations. When this happens, we have seen the relationship and collaborative effort between GPs and endodontists continue to grow. Dental Tribune America, LLC 116 West 23rd Street, Suite 500 New York, NY 10011 Phone (212) 244-7181 Fax (212) 244-7185 Published by Dental Tribune America © 2012 Dental Tribune America, LLC All rights reserved. Dental Tribune American strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please contact Managing Editor Fred Michmershuizen at f.michmershuizen@dentaltribune.com. Dental Tribune American cannot assume responsibility for the validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names or statements made by advertisers. Opinions expressed by authors are their own and may not reflect those of Dental Tribune America. Editorial Board Frederic Barnett, Editor in Chief Dr. Roman Borczyk Dr. L. Stephen Buchanan Dr. Gary B. Carr Prof. Dr. Arnaldo Castellucci Dr. Joseph S. Dovgan Dr. Unni Endal Dr. Frnando Goldberg Dr. Vladimir Gorokhovsky Dr. Fabio G.M. Gorni Dr. James L. Gutmann Dr. William “Ben” Johnson Dr. Kenneth Koch Dr. Sergio Kuttler Dr. John T. McSpadden Dr. Richard E. Mounce Dr. John Nusstein Dr. Ove A. Peters Dr. David B. Rosenberg Dr. Clifford J. Ruddle Dr. William P. Saunders Dr. Kenneth S. Serota Dr. Asgeir Sigurdsson Dr. Yoshitsugu Terauchi John D. West Tell us what you think! Do you have general comments or criticism you would like to share? 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