A AE21 D AILY EDITIO N! ENDO TRIBUNE The World’s Endodontic Newspaper · U.S. Edition WEDNESDAY, ARPIL 21, 2021 — Vol. 5, No. 1 www.dental-tribune.com THIS MAY, SAVE THE TEETH! Use your new mask and take some selfies, all in the name of protecting natural teeth. ” page 3 MORE LENGTH JUST FOR YOU Burs can help locate separated instruments and uncover hidden canals. ” page 4 UNCOVER THE TRUTH With cone beam imaging, change the way you do root canals and diagnose pain. ” page 5 Let’s all connect! By Fred Michmershuizen, Endo Tribune Managing Editor It’s opening day of AAE21, the an- nual meeting of the American As- sociation of Endodontists, and that means it’s time to log on to the AAE21 website — www.aae.org/AAE21 — where you can navigate to educational sessions, the virtual exhibit hall and much more using the tiles on the home page or through links on the left-hand navigation menu. Access the entire meeting, which is taking place today through Saturday (April 21-24), at your own convenience. You can pick and choose what live ses- sions to attend each day, and access other sessions at a later date. At the conclusion of each live presenta- tion, a recording of the live stream broad- cast will be made available on the web- site. You may log in and watch sessions as Illustration/Provided by the AAE ” See CONNECT, page 3 Come take part in the AAE Virtual Career Fair Are you a practice owner looking for an endodontic candidate for an open posi- tion? Or are you an endodontic profes- sional looking to join a winning team? Employers and jobseekers are invited to register for the AAE Virtual Career Fair, to be held April 30 from 11 a.m. to 3 p.m. CDT. This is the only career fair designed for the endodontics specialty. No travel is required, and AAE members get reduced rates. Learn more and register at www.aae. org/careerfair. (Source: AAE) Illustration/Provided by the AAE
4 E X H I BI TOR S Endo Tribune U.S. Edition | April 21, 2021 Looking for more length? Try Munce Discovery Burs By CJM Engineering Staff Munce Discovery Burs feature round carbide heads on 31 mm (Shallow Trougher) and 34 mm (Deep Trougher) non-flexible shafts that facilitate posi- tive troughing control for locating sepa- rated instruments and uncovering hid- den canals. AD the newly Along with released diamond-tipped TruGrit Trough Refiner, these longer-than-standard-length burs draw the handpiece head away from tooth structure, creating the favorable geometry that opens a functional view corridor to the deep target area. In contrast to standard 2.35 mm shaft diameters, the narrow shafts of Munce Discovery Burs — 0.7 mm on the three smallest head sizes and 1 mm on all oth- er head sizes — prevent shaft impinge- ment on deep access cavity walls, signifi- cantly reducing ledging and perforation risk while preserving the shaft stiffness required for troughing-type procedures. In addition, the 0.7 mm shaft diameter on the smallest head sizes allows paral- lel cement-line dissection around posts and post core-out procedures and of- Top, Munce Discovery Burs. Middle, using the Munce Discovery Burs. Bottom, the new bur block. Photos/Provided by CJM Engineering fers visibility of the tiny heads in such operations as exploring for calcified ca- nals deep within root structure where visibility would otherwise be blocked by standard-diameter shafts. Also now available is a new bur block designed to hold the full complement of Munce Discovery Burs, including the TruGrit Trough Refiner. To learn more For more information, call (888) 256-0999, visit www.cjmengineering.com or stop by the Munce Discovery Burs/CJM Engineering virtual booth dur- ing the AAE21.
Endo Tribune U.S. Edition | April 21, 2021 E X H I BI TOR S 5 Uncover hidden obstacles with 3-D cone beam imaging By Henry Schein Dental Staff Imagine walking down a dark pathway at night. You turn on a flashlight and suddenly you are alerted to things you couldn’t see before that could trip you up — tree roots, uneven ground, wind- ing turns. That’s what a 3-D cone beam imaging system does inside a patient’s mouth. It takes comprehensive, highly precise im- ages that highlight the oral cavity and surrounding anatomy in ways that tra- ditional 2-D X-rays, the standard of care, simply cannot. Dr. Daniel Butterman is a general den- tist in Arizona who invested in cone beam technology for one reason — to gain more confidence in diagnosis and implant treatment planning. However, he found that it was not just powerful but also adaptable to almost every type of dentistry he was doing, including end- odontics work. Cone beam applications in endodontics • Locating canals: Root canals are com- plex procedures, and one reason is the challenge of mapping the canals to be sure nothing is missed and every part of the infection is dealt with successfully. To have the best chance for a good outcome, all of the canals should be seen and become a part of the treatment plan. 3-D imaging helps endodontists see how many canals there are and where they are located. Doctors save a lot of time because they can see immediately if there are unusual anomalies, like a sec- ond mesiobuccal canal or missed lingual canals, or roots right on top of sinus cavi- ties. If there’s an anomaly, endodontists know before beginning the procedure and can adjust their treatment plan ac- cordingly. In fact, a study evaluated how treatment plans were affected when cone beam imaging data was added to cases vs. only traditional X-rays. their It found in 62 percent of the cases, treatment evaluators changed plans on the strength of the 3-D images. This proves it significantly influences the direction and effectiveness of a patient’s treatment, when made available, pre- sumably for the better. • Discovering other unusual patholo- gies: 3-D imaging can also help endodon- tists see other conditions that are diffi- cult, if not impossible, to see in intraoral X-rays: vertical root fracture, cracked teeth or interior or exterior root reab- Photos/Provided by Henry Schein Dental sorption. A clinical assessment, which asks a lot of questions looking for red flags, is done alongside the 3-D image. • Diagnosing pain: Most doctors have been frustrated when they are unable to find a reason for patient pain because X-rays and other clinical assessments haven’t located the source. Butterman uses his cone beam with al- most every patient as he believes it gives him so much detailed information to discover the source of pain, helping solve For more information Contact a Henry Schein representative at https://pages.henryscheindigital.com/why3d to learn more about 3-D solutions for endodontists or stop by the Henry Schein virtual booth at the AAE21. problems that were previously myster- ies. “I can’t tell you how many patients have come in with massive infections in exist- ing root canals,” said Butterman, who adds that previous 2-D X-rays showed no signs of trouble. In a 2015 joint position statement of the American Association of Endodontists and the American Academy of Oral and Maxillofacial Radiology, cone beam im- aging was recommended as the standard for patients with “contradictory or non- clinical signs” because the cone beam was able to detect problems earlier than traditional X-rays.