BREAKING DOWN CLINICAL BARRIERS
Technology in dentistry is advancing rapidly, allowing us to be
better clinicians and predictably handle situations that we once
viewed as complicated. I see this in various aspects of my practice,
most recently in endo. I was able to attend a hands-on course that
taught the TF Adaptive System (Kerr Endodontics). Endo has always
been intimidating for me, but a hands-on course allowed me to gain
the confidence I needed to keep procedures in-house. I can now do
root canals without the fear of file separation, which is a huge relief.
Figures 1–3 are examples of cases that I might have referred out
previously but was able to keep in-office after purchasing the TF
Adaptive System. While sometimes it is necessary to refer complicated cases, with the right tools and training many of the cases we
refer can be handled in-office.
I encourage you to step back and look at the barriers you put in
front of your patients. Then, look for ways to tear them down. You can
improve the lives of your patients and the health of your practice by
treating more endo cases in-house. Using the right system makes it
both affordable and predictable. When you do this, you will unlock
hidden profit centers and build stronger patient relationships. In the
end, it comes down to trusting the products you are working with and
your patients trusting you as their provider. Successful relationships
are built on trust. Don’t be afraid to make the first move!
I encourage you to step back and
look at the barriers you put in
front of your patients. Then, look
for ways to tear them down.
Figure 1a: This preoperative
image of No. 12 shows
deep decay with periapical
radiolucency. Endo was started
and finished the same day.
Figure 1b: This postoperative
image shows a final length of 23
mm and two canals filled using
gutta-percha carrier. A post and
buildup were placed, and the
final CEREC crown was designed,
milled, and bonded in place.
Figure 2a: This preoperative
image shows No. 10
decay around a bridge
margin showing periapical
radiolucency. The bridge was
removed, and endodontics
were started and finished the
Figure 2b: This postoperative image
shows No. 10 with a final length of 21
mm. Gutta-percha carrier was used
to fill. The post and buildup were
placed and the three-unit bridge was
prepped and extended to include No.
11 along with No. 10, which resulted
in a four-unit bridge.
Figure 3a: A preoperative image
of No. 6, which had hot and
cold sensitivity with a positive
percussion test. The temporary
bridge was removed, and endo
was started and finished the
Figure 3b: This postoperative
image shows a final length of
24 mm, filled using TF Adaptive
System prefit gutta-percha
points. Post and buildup were
placed and final prep designed
and final impression taken.
BRIAN C. HARRIS, DDS, owns and operates three Harris Dental locations in
Phoenix, Arizona. He is the cofounder of OnCall Dental Urgent Care, which treats
patients who do not see a dentist regularly. He developed smilevirtualconsult.
com, which allows patients to get free virtual dental consults and dentists to gain
cosmetic cases. He lectures on multiple topics, including practice management,
dental materials, cosmetic dentistry, and CAD/CAM.