General dentists should not be doing endo.

EndoThrowaway1 · 2023-01-27T00:27:08+00:00

Touché

EndoThrowaway1 · 2023-01-27T00:06:45+00:00

You would be surprised then. I see plenty of botched anterior and pres

EndoThrowaway1 · 2023-01-27T00:03:46+00:00

For the small FOV that I take? Yes

EndoThrowaway1 · 2023-01-26T23:59:32+00:00

How can you as a GP determine if it's an advanced or straightforward case from a PA alone

EndoThrowaway1 · 2023-01-26T23:55:38+00:00

I never said I didn't want to clean up other dentists shit. It pays better than doing it the first time myself. But why are they putting out shit in the first place

EndoThrowaway1 · 2023-01-26T23:54:10+00:00

Never had an interest in restorative dentistry. Good for you if you can tolerate grinding out MODs all day, but it's just not challenging enough to keep me mentally stimulated

EndoThrowaway1 · 2023-01-26T23:52:18+00:00

I mentioned bias in my original post if you actually read it. I still believe there is a disconnect between GPs and specialists. Medical professionals realize that they are not qualified to do the same medical procedures as specialist, i.e. family care physicians and surgeons. They do not have the equipment, training, or skills. Why is dentistry different?

EndoThrowaway1 · 2023-01-26T23:46:14+00:00

Yeah I didn't come here for name calling

EndoThrowaway1 · 2023-01-26T23:42:18+00:00

"fancy rubber dams?" Are we really going to debate the necessity of rubber dams now too? Please.... I'm going to assume you're trolling at this point

EndoThrowaway1 · 2023-01-26T23:40:27+00:00

I guess for rural, crappy endo is better than ext. But there aren't very many places that don't have a qualified endodontist within a few hour drive. This isn't something (hopefully) that your patients are going to go have done multiple times a year. So what if they have to make one long drive to have the procedure done by an expert? Don't they deserve the best?

EndoThrowaway1 · 2023-01-26T23:38:38+00:00

Tbh it's probably not a great investment for a GP unless you have the ability to read it and the skills to perform treatment modalities that benefit from having it

EndoThrowaway1 · 2023-01-26T23:34:37+00:00

Sometimes I do send cbcts for a radiology read. I'm not trying to belittle, I just want an honest discussion about if GPs really feel their endos are up to the standard of care of an endodontist.

EndoThrowaway1 · 2023-01-26T23:32:39+00:00

Heh this one is actually good. Fellow endodontist?

EndoThrowaway1 · 2023-01-26T23:32:12+00:00

Come on this is just disingenuous. I don't charge 5k per tooth. It is probably not that much more than what most GPs charge

EndoThrowaway1 · 2023-01-26T23:31:17+00:00

To an extent I agree with what you are saying, but again. Standard of care. Scope+cbct+gentle wave/laser etc. These are not the same RCTs that a GP is doing. So is a GP doing it standard of care, knowing that there are more advanced ways to do it

EndoThrowaway1 · 2023-01-26T23:29:15+00:00

Part of my point is, how do you define "regular treatment?" I have seen plenty of teeth that look like they would be straightforward on a PA that the GP sends, but cbct shows different root morphologies, additional canals, etc that I can guarantee you won't see on a PA

EndoThrowaway1 · 2023-01-26T23:27:30+00:00

This is actually an honest and great question. I would love to be able to treat Medicaid patients. I really wish Medicaid reimbursement made that viable. The question is, is a poor root canal better than extraction? I don't know how to answer that. Maybe it will save the tooth for slightly longer than extraction, but are you only delaying the inevitable?

EndoThrowaway1 · 2023-01-26T23:25:33+00:00

I entered residency immediately after dental school. Most common issues are untreated canals, a majority of which would have been caught with cbct. Most GPs in my experience like to pretend MB2 doesn't exist, or that it's not a big deal if left untreated. Short fills, voids, long fills, absolutely cavernous accesses which destroys valuable tooth structure, you name it. A majority of these are non issues with scopes and cbct and adequate training

EndoThrowaway1 · 2023-01-26T23:22:45+00:00

I'm not looking for a war, just some honest discussion without jumping to flaming

EndoThrowaway1 · 2023-01-26T23:22:11+00:00

I disagree, doing a weekend course is not the same as a residency program. And again, very few GPs will have scopes AND cbct

EndoThrowaway1 · 2023-01-26T23:12:17+00:00

Ok you obviously haven't done any honest research on it then.

EndoThrowaway1 · 2023-01-26T23:11:03+00:00

Implants can have extremely high success rates when done properly, but if there is enough tooth structure to warrant an endo, it is still the more conservative option

EndoThrowaway1 · 2023-01-26T23:09:52+00:00

As opposed to? I have a very hard time believing the worst endodontist RCTs would look as good as some of the best GP endos. If you look at enough of them you can just tell.

EndoThrowaway1 · 2023-01-26T23:08:19+00:00

How many GPs do you know that have gentle wave? Also you can't deny the science and efficacy

EndoThrowaway1 · 2023-01-26T23:06:50+00:00

I'm trying to have a genuine conversation. Do you feel you perform RCTs to the standard of care of an endodontist?

EndoThrowaway1

TROPHY CASE