In the past 20 years, many new endodontic technologies have enabled dentists, who have understood and embraced these 4 changes, to improve all 3 domains of the Endodontic Triad.Īt the 2016 Dentsply Sirona event, SIROWORLD, in Orlando, you were asked to present and represent endodontics in the gala opening ceremony. Throughout the duration of these 4 changes, the classic Endodontic Triad of “disinfection, preparation, and obturation” currently remains the proven protocol for long-term endodontic success. Third, increased longevity means patients are living longer, and their desire to look good, feel good, and be healthy is more essential than ever before.įourth, the value of predictably treating and saving endodontically diseased teeth now rivals implant placement success rates. Second, including endodontics in an interdisciplinary approach to dentistry has become an essential part of a comprehensive treatment planning process by facilitating the endodontist’s invaluable contribution to predictable patient outcomes. It is also more profitable for the endodontic clinician and a sound investment for the patient. Endodontics is now safer, more predictable, easier, and therefore more enjoyable for the dentist and the patient. First, technology and the prompt dissemination of endodontic information have transformed endodontics forever. West: There have been 4 major influential changes. How has endodontics changed in the past 20 years?ĭr. American theologian Reinhold Niebuhr once wrote about change more poignantly and eloquently: “Grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.” My goals in giving this interview are twofold: (1) to offer wisdom, based on 35 years of clinical experience and teaching, regarding rapidly and dramatically changing trends in endodontics, and (2) to help readers anticipate and adapt to the changing world of endodontics and therefore succeed in being the endodontic clinicians of the future. The only constant is change, and the future belongs to those who learn from the past and adapt to change in the future. The endodontists of the future-and the future of endodontics-are at the knee of the exponential curve of change. In endodontics, we have come to a moment of reckoning in diagnosis, treatment delivery, and treatment planning. John, would you like to make some opening comments to set the stage for this interview?ĭr. Let’s talk about some of the current trends and future issues in endodontics.
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