Endo Saturation?

[Titus Times]

---

Members don't see this ad.

So, I've been at work most of the day and decided to browse all about Endo, Ive found a ton of info. Except for saturation.

My question is does Endo have a problem with saturation in california, if they don't then im sure theres no issue anywhere else.

Thanks guys. keep working hard. Any and all advice will be appreciated.

 

[Titus Times]

Endotontics does not get much love here I see.

This is unfortunate.

 

[Silent Cool]

I don't think Endo is saturated anywhere.

 

[tooth knockn]

Endodontists will probably be replaced by implant specialists one day.

Why do a rct or apico on a tooth, which will then need a post and crown.

And then all that work has a shelf life of maybe 5-20 years. I am going to guess 75% of rct teeth will last this 5 years and maybe 1-5% will last 20 yrs.


An implant can be placed immediately after extracting a tooth, if all infection/abscess is absent radiographically. Then poof, a near 90% success rate, for 10yrs plus....

 

[yappy]

The numbers for implant failure are not that great either.
I would take the rtc + crown over surgery + implant + crown.

 

[Golfguy]

Endodontists will probably be replaced by implant specialists one day.

Why do a rct or apico on a tooth, which will then need a post and crown.

And then all that work has a shelf life of maybe 5-20 years. I am going to guess 75% of rct teeth will last this 5 years and maybe 1-5% will last 20 yrs.


An implant can be placed immediately after extracting a tooth, if all infection/abscess is absent radiographically. Then poof, a near 90% success rate, for 10yrs plus....

Almost all of this is incorrect.

 

[tooth knockn]

Almost all of this is incorrect.

Yea....

Well, I have witnessed this.

Most pt would probably option for implant.

Why deal with a 1st or second molar rct tooth, and possibly re growth of infection due to who knows what and or 5th or 6th canal.

Yes It is ideal to maintain natural tooth but natural tooth has many more weakness once injured vs an implant.

Not worth the pain.


Implants pop right in, wait a good 4-6 months and crown up.

 

[Golfguy]

Yea....

Well, I have witnessed this.

Most pt would probably option for implant.

Why deal with a 1st or second molar rct tooth, and possibly re growth of infection due to who knows what and or 5th or 6th canal.

Yes It is ideal to maintain natural tooth but natural tooth has many more weakness once injured vs an implant.

Not worth the pain.


Implants pop right in, wait a good 4-6 months and crown up.

How many implants have you worked with and how much endo have you done?

Pulling out a restorable tooth amenable to RCT to put an implant in is NOT the treatment of choice. Nothing is better than a natural tooth. I'll let you answer why that is.

You're "guesses" about how long root canal teeth last are also completely wrong.

Implants have different criteria for "success" than do RCT teeth. Implants will indeed have an assumed amount of bone loss that you won't have with natural teeth. You will also lose some papilla and margin height, and implants are usually contraindicated before bone growth has ceased. Acting like implants can just "pop right in" is also very naive. A good amount of people simply aren't good candidates to start with, and the placement of the screw is very technique sensitive. And we haven't even begun to consider the cost differences.

 

[DaleDoback]

Yea....

Well, I have witnessed this.

Most pt would probably option for implant.

Why deal with a 1st or second molar rct tooth, and possibly re growth of infection due to who knows what and or 5th or 6th canal.

Yes It is ideal to maintain natural tooth but natural tooth has many more weakness once injured vs an implant.

Not worth the pain.


Implants pop right in, wait a good 4-6 months and crown up.

I would caution taking advice from pre-dents who have "seen it with my own eyes". It raises questions about giving advice when you are minimally educated on the topic.....or the field for that matter.

To the OP, in the south, endo saturation is not a problem. Can't help you on the west coast. I am an OMS guy and love me some implants, but will always see a need for an endodontist. Almost weekly, I will refer a patient instead of shucking a tooth that is salvageable. It's not always the profitable thing to do, but it is the right thing to do....I think.

 

[tooth knockn]

How many implants have you worked with and how much endo have you done?

Pulling out a restorable tooth amenable to RCT to put an implant in is NOT the treatment of choice. Nothing is better than a natural tooth. I'll let you answer why that is.

You're "guesses" about how long root canal teeth last are also completely wrong.

Implants have different criteria for "success" than do RCT teeth. Implants will indeed have an assumed amount of bone loss that you won't have with natural teeth. You will also lose some papilla and margin height, and implants are usually contraindicated before bone growth has ceased. Acting like implants can just "pop right in" is also very naive. A good amount of people simply aren't good candidates to start with, and the placement of the screw is very technique sensitive. And we haven't even begun to consider the cost differences.

Ok too be clear.

Implants that I speak of are implants for pt with good bone density, no health issues.

If health issues are present then rct route is the best way.

But if young healthy 30yr old pt has a deep cavity, sub gingiva decay on a molar, I think implant would be best.

Period my opinion.

How good would be that tooth be with all that required post rct work needed.


Price difference is not that big.

Here in ny a rct for a molar by a specialist easily 1500-2000 per molar
Plus post, buildup prep and cr.

Already that is close to 4k for one tooth by specialist

Implant plus restoration can be obtained for less thAn 3k


Endodontists charge too much.

Yes it's tedious but why would a healthy pt want to go through all that?

 

[tooth knockn]

Endo is not saturated, if anything. They are not really needed.

 

[Golfguy]

Ok too be clear.

Implants that I speak of are implants for pt with good bone density, no health issues.

If health issues are present then rct route is the best way.

But if young healthy 30yr old pt has a deep cavity, sub gingiva decay on a molar, I think implant would be best.

Period my opinion.

How good would be that tooth be with all that required post rct work needed.


Price difference is not that big.

Here in ny a rct for a molar by a specialist easily 1500-2000 per molar
Plus post, buildup prep and cr.

Already that is close to 4k for one tooth by specialist

Implant plus restoration can be obtained for less thAn 3k


Endodontists charge too much.

Yes it's tedious but why would a healthy pt want to go through all that?

More misinformation. I think it would behoove you to start dental school before throwing out clinical advice. Since you have never done endo you have no clue about the value of an endodontist to dentistry. And I say this as someone who's going into a different specialty.

 

[DaleDoback]

Endo is not saturated, if anything. They are not really needed.

Said the person with the least dental experience.

I was confused by you at first, but you admitted being a predent from NY. I got you now. Best of luck to you kid.

 

[tooth knockn]

Said the person with the least dental experience.

I was confused by you at first, but you admitted being a predent from NY. I got you now. Best of luck to you kid.

Thanks.

Old man.

I know what I know and
You know what you know.

 

[DaleDoback]

Thanks.

Old man.

I know what I know and
You know what you know.

But who knows more?

 

[tooth knockn]

You.

 

[tooth knockn]

You are like a vulture.

 

[Screwtape]

Tooth knockn, it would be best if you lose this attitude/ type of thinking before dental school.

 

[Titus Times]

You are like a vulture.

Please man, just stop.

Im here looking for sound advice, these men have experience, are in the Field, OMS and dentist of other fields unspecified. You are not qualified to answer this question. And show respect, please.

 

[Titus Times]

How many implants have you worked with and how much endo have you done?

Pulling out a restorable tooth amenable to RCT to put an implant in is NOT the treatment of choice. Nothing is better than a natural tooth. I'll let you answer why that is.

You're "guesses" about how long root canal teeth last are also completely wrong.

Implants have different criteria for "success" than do RCT teeth. Implants will indeed have an assumed amount of bone loss that you won't have with natural teeth. You will also lose some papilla and margin height, and implants are usually contraindicated before bone growth has ceased. Acting like implants can just "pop right in" is also very naive. A good amount of people simply aren't good candidates to start with, and the placement of the screw is very technique sensitive. And we haven't even begun to consider the cost differences.

Thank you for you Post,

I would caution taking advice from pre-dents who have "seen it with my own eyes". It raises questions about giving advice when you are minimally educated on the topic.....or the field for that matter.

To the OP, in the south, endo saturation is not a problem. Can't help you on the west coast. I am an OMS guy and love me some implants, but will always see a need for an endodontist. Almost weekly, I will refer a patient instead of shucking a tooth that is salvageable. It's not always the profitable thing to do, but it is the right thing to do....I think.

Thank you for your advice, could you please elaborate on why endo is not saturated in the south, If possible? And maybe you can answer this question as well, can and Endo, or any specialist for that matter, survive without refferals? Does a fair amount of pateints simply seek them out directly?

Also thank you very much for you post, I really appreciate your advice.

 

[tooth knockn]

Please man, just stop.

Im here looking for sound advice, these men have experience, are in the Field, OMS and dentist of other fields unspecified. You are not qualified to answer this question. And show respect, please.

What makes everyone else here qualified to you?

You asked about saturation of Endodontists nothing scientific there.

 

[tooth knockn]

I also have 15 years of clinical experience in a successful conservative multi-specialty dental practice.

Very close staff.

 

[bucktoothdental]

I will give you some advice. I have been in private practice for a little more than 4 years. Graduated from dental school shortly before that.

I do not believe that endo will ever be replaced by implant dentistry. Though implants have revolutionized the industry and treatment for patients, root canal therapy can be more conservative that implants. In the area I practice which is rather saturated as a whole (starving orthodontists all over the place) the endodontists have more than enough work.

To those that think patients prefer implants over RCT let me weigh the options for you as my patients do.
1) Cost of treatment. My UCR fee is 4000 for an implant abutment and crown. (not including any bone grafting, or membrane) RCT, Build up and Crown 2400. Last I checked our country is all about health care, so if insurance/government doesn't cover it I don't want it.
2) Time of treatment ( people are busy) Implant extraction and placement ( if immediate placement) wait 3-4 months impression (unless an uncovery is needed, add a week of healing of tissue) 3 weeks for abutment and crown to be made. So 4-5 months best case senario add 2 months if not placed immediately. For a RCTed tooth 1 appointment for Rct Bu and crown. 3 weeks later. Seat crown.
3) Experience: Though there is a stigma that RCT is difficult, explaining extraction and a post screwed into bone sometimes unnerves patients more.

Is endo over saturated not in most places. They may not be as in demand now vs. 15 years ago but that may be due to more implants and easy of root canal therapy for general dentists to do.

Good luck

 

[Titus Times]

I will give you some advice. I have been in private practice for a little more than 4 years. Graduated from dental school shortly before that.

I do not believe that endo will ever be replaced by implant dentistry. Though implants have revolutionized the industry and treatment for patients, root canal therapy can be more conservative that implants. In the area I practice which is rather saturated as a whole (starving orthodontists all over the place) the endodontists have more than enough work.

To those that think patients prefer implants over RCT let me weigh the options for you as my patients do.
1) Cost of treatment. My UCR fee is 4000 for an implant abutment and crown. (not including any bone grafting, or membrane) RCT, Build up and Crown 2400. Last I checked our country is all about health care, so if insurance/government doesn't cover it I don't want it.
2) Time of treatment ( people are busy) Implant extraction and placement ( if immediate placement) wait 3-4 months impression (unless an uncovery is needed, add a week of healing of tissue) 3 weeks for abutment and crown to be made. So 4-5 months best case senario add 2 months if not placed immediately. For a RCTed tooth 1 appointment for Rct Bu and crown. 3 weeks later. Seat crown.
3) Experience: Though there is a stigma that RCT is difficult, explaining extraction and a post screwed into bone sometimes unnerves patients more.

Is endo over saturated not in most places. They may not be as in demand now vs. 15 years ago but that may be due to more implants and easy of root canal therapy for general dentists to do.

Good luck

Wow, That's some great insight, you truly give me a better understanding of what I felt would likely be the case given my research. I really appreciate you taking the time for such a lenghty comprehensive response.

If you don't mind would you please enlightment me on the % of , and thought process you go through before you actually refer out a patient to an Endo, and even what endo you would refer to vs another (what influences this / do you give new Endo refferals exct?). And finally could an Endo gain patients on his own strength, then reffer totally new patient crowns To You (for example)

Thank you again.

 

[agent2362]

Endo is getting easier with some of the new systems coming out (e.g. protaper and wave one - you have be a nearly incompetent dentist to not be able to use wave one, yeah yeah and I know all NiTi files break at some point. I debated this with many different endodontist). Most general dentists will do anteriors and premolars in a heart beat. Less will try to 1st molars and very few try 2nd molars. I don't think implants will completely displace endo, ever. Putting in a second molar implant is annoying for many surgeons due to limited arch opening, so I would probably recommend an endo before an implant. However, I might recommend an implant before I would an apicoectomy (pain in the butt to do), because they have probably had several retreats and possibly broken files, accessory untreated canals, unnavigatable ledges, ect by the time you get to that point. Or if you have a poorer population, 1st molar occlusion is just fine, extract that sucker. Anterior teeth in smile line with a high smile are unquestionably easier to do with RCT and crown (better bone preservation). Worst patient I ever had was concerned placing and restoring implant for #9 with sever bone loss and a high smile (female)...lots of additional perio surgery needed...

Take away: with easier, better endo systems and with the economy as a strong factor, more and more GPs will be doing RCTs. However endo is potentially the strongest dental specialty in rough economic times (more so than ortho or shucking 3rds), especially with molar RCTs...there's nothing like tooth pain. Patients will do a lot to get out of that pain

 

[DaleDoback]

Thank you for you Post,



Thank you for your advice, could you please elaborate on why endo is not saturated in the south, If possible? And maybe you can answer this question as well, can and Endo, or any specialist for that matter, survive without refferals? Does a fair amount of pateints simply seek them out directly?

Also thank you very much for you post, I really appreciate your advice.

Not sure if I have a great reason why endo isn't saturated in the south. My guess would be the number of programs and the number of graduates coming out each year, but that's completely a guess.

Honestly, I don't think any specialist will thrive without referrals. You may be able to survive, but it won't be worth the long term investment you put into a dental residency. Most of the time, IMO, the general dentist is the head coach of the team and all the specialists try to fight to be the star player, depending on RCT, Implants, Ext, etc. Insurances and other things come into play, but many OMS guys in my community don't even take insurances at all. They have such a great reputation here in town with other dentists that patients will come to them regardless of reimbursement.

Regardless, if Endo is what you want to do and you fully enjoy it, I would highly recommend it.

 

[Miley Cyrus.]

Endo is getting easier with some of the new systems coming out (e.g. protaper and wave one - you have be a nearly incompetent dentist to not be able to use wave one, yeah yeah and I know all NiTi files break at some point. I debated this with many different endodontist). Most general dentists will do anteriors and premolars in a heart beat. Less will try to 1st molars and very few try 2nd molars. I don't think implants will completely displace endo, ever. Putting in a second molar implant is annoying for many surgeons due to limited arch opening, so I would probably recommend an endo before an implant. However, I might recommend an implant before I would an apicoectomy (pain in the butt to do), because they have probably had several retreats and possibly broken files, accessory untreated canals, unnavigatable ledges, ect by the time you get to that point. Or if you have a poorer population, 1st molar occlusion is just fine, extract that sucker. Anterior teeth in smile line with a high smile are unquestionably easier to do with RCT and crown (better bone preservation). Worst patient I ever had was concerned placing and restoring implant for #9 with sever bone loss and a high smile (female)...lots of additional perio surgery needed...

Take away: with easier, better endo systems and with the economy as a strong factor, more and more GPs will be doing RCTs. However endo is potentially the strongest dental specialty in rough economic times (more so than ortho or shucking 3rds), especially with molar RCTs...there's nothing like tooth pain. Patients will do a lot to get out of that pain

How much do you think the better endo systems being used by GP's will cut the endodontist pie? Also, do you think that if the economy gets better, GPs will slow down on the amount of endo they do themselves? If the technology is really good, then why wouldn't they just do it even if they have a steady flow of patients with some extra money to spend???

 

[mmpatel0]

Ha, a lot of endodontists overreacting!

My opinion about Endo is that RCT will remain as tx but occupation as "endodontist" will slowly phase out. Here is a reason.

1) Economy is tough and GPs need to pay their bills. GPs will try to see most of their own endo unless they find it not worth doing.
2) Endo became easier with systems such as Wave One. In fact, endo became quicker and it is one of few money makers for GPs working in mills. Few of my friends are pushed to finish straight 1st molar case within 30 minutes. I have done it and it is definitely possible. Will it be good quality? I'm not sure. But do they care? I don't think so.
3) Implants - will also take a cut out of Endodontist's pie. In the old days where implants didn't exist, endodontists could try something heroic to save a tooth so that it can remain as an abutment for FPD. Howevers, these days, teeth with unfavorable prognosis will be extracted and replaced with implants. Also, if you are GP, would you refer your pt to endodontists and make him happy? or place your own implant and make some $$$?

So, endodontists will only get either crazy patients who are adamant about saving a bombed out tooth with decay going into the bone OR really ****ty cases that GPs don't even want to deal with.

 

[yappy]

Ha, a lot of endodontists overreacting!

My opinion about Endo is that RCT will remain as tx but occupation as "endodontist" will slowly phase out. Here is a reason.

1) Economy is tough and GPs need to pay their bills. GPs will try to see most of their own endo unless they find it not worth doing.
2) Endo became easier with systems such as Wave One. In fact, endo became quicker and it is one of few money makers for GPs working in mills. Few of my friends are pushed to finish straight 1st molar case within 30 minutes. I have done it and it is definitely possible. Will it be good quality? I'm not sure. But do they care? I don't think so.
3) Implants - will also take a cut out of Endodontist's pie. In the old days where implants didn't exist, endodontists could try something heroic to save a tooth so that it can remain as an abutment for FPD. Howevers, these days, teeth with unfavorable prognosis will be extracted and replaced with implants. Also, if you are GP, would you refer your pt to endodontists and make him happy? or place your own implant and make some $$$?

So, endodontists will only get either crazy patients who are adamant about saving a bombed out tooth with decay going into the bone OR really ****ty cases that GPs don't even want to deal with.

There is some element of truth to the things that you're saying but I believe that your conclusions are flawed; I don't think it's nearly as binary as you're implying.It reminds me of people who are panicked, or enthralled, by short trends and always fall victim to recency bias.

 

[Titus Times]

Ha, a lot of endodontists overreacting!

My opinion about Endo is that RCT will remain as tx but occupation as "endodontist" will slowly phase out. Here is a reason.

1) Economy is tough and GPs need to pay their bills. GPs will try to see most of their own endo unless they find it not worth doing.
2) Endo became easier with systems such as Wave One. In fact, endo became quicker and it is one of few money makers for GPs working in mills. Few of my friends are pushed to finish straight 1st molar case within 30 minutes. I have done it and it is definitely possible. Will it be good quality? I'm not sure. But do they care? I don't think so.
3) Implants - will also take a cut out of Endodontist's pie. In the old days where implants didn't exist, endodontists could try something heroic to save a tooth so that it can remain as an abutment for FPD. Howevers, these days, teeth with unfavorable prognosis will be extracted and replaced with implants. Also, if you are GP, would you refer your pt to endodontists and make him happy? or place your own implant and make some $$$?

So, endodontists will only get either crazy patients who are adamant about saving a bombed out tooth with decay going into the bone OR really ****ty cases that GPs don't even want to deal with.

Everything that you said was stated earlier and debunked for the most part by the other guys.

You introduced the mills and I assume corporates which raises the only new eyebrow barring what the previous stated.

I know it's your opinion and thanks for your input but based upon what the others have already posted does your opinion not waiver slightly do you see no true undying need for endos. If new procedures and new tech has the ability to end a specialty don't you also simply assume. Every single specialty will be filling the same trend equally rapidly. Consider gps do implants so prosth and perio will be left out. Invisalign means no more orthos. Brave gps means no more oral surgeons and kid loving gps means no more Peds. And dental chains mean no more private practice and dental therapist means no more dentist. I mean there's a threshold, there's a point where evidence does not conclude a true conclusion or a conclusion that will ever be fully attained.

 

[Titus Times]

Right? Otherwise dentistry would've been cutting specialties years ago. Same for medicine. Just a thought to bounce back with you guys.

 

[tooth knockn]

Right? Otherwise dentistry would've been cutting specialties years ago. Same for medicine. Just a thought to bounce back with you guys.

I think you need more experience in the field....

OMS will always be needed.
Period, all branches of dentistry will go to an experienced surgeon for a final decision.

Ortho will always be needed
Some cases will have so advanced mal occlusion/ overlapping teeth or natural teeth unerupted that a GP will be like, " wow what a case, refer"

Perio will always be needed-
Infected gums, is it genetics , or is it not, is this type of perio problem serious or advanced? Can it be controlled? GP says,"refer pt, pt has a chance to save his teeth, let's see what perio dr says".

Pedo will always be needed
Not much explaining here, some kids are just plain old difficult.

Endo are needed but not so much...
Ok, so a pt has a 1-4mm curved root or two, maybe 30mm deep, can an Endodontist get all the way to the apex all of the time, No.

A GP knows that, and a GP who likes endo and has experience with a lot of endo might just do it, and probably have a successful root canal for the pt.

With this example pt, if the roots ending near a nerve, then the Endodontist is needed, but even then is it worth for Endodontist to do the rct? 3-d imaging will be needed, time and time later, the pt will want to just see the surgeon.


Another thing, these teeth that need rct will not last forever, maybe a handful will, but as I said before, pt might option for the quick extraction and lay away implant abutment and crown.

Some general dentists are very smart and skillful, some say why specialize, if I can do any case I want, especially if that dr has a niche for that type if case.


No matter what, pt must always be made aware of all possible risks and all possible ways to save a tooth or teeth.

 

[tooth knockn]

Endo saturation, no.

Probably no where. Maybe in highly populated cities.

 

[charlestweed]

Not all endodontists are equal. There are plenty of successful endodontists who are practicing in saturated areas. My neighbor, who was also my former dental school classmate, is one of them. Before endo, he practiced as a GP for a few years. My neighbor started his endo residency and his own practice much later than my dental school little brother (who is also an endo) but he (my neighbor) is much more successful. That's because (according to my friend who is his referring GP) he is very good at communicating with the GPs and he makes their life easier. It's not just endo. This applies to other specialties as well. Without good GP-specialist communication, specialists can't survive.

One problem about endo that I don't like is the emergencies that they have to deal with. Endo deals with acute pains a lot; therefore, the endodontists have to be ready to accept the GP referrals at any time in a day. If a GP refers an endo case to you, he/she expects you to tx that patient to get the patient out of pain asap. If you are not available, the GP will send the patient to another endo office. That's why I think perio is more suitable for my wife. Perio diseases are usually chronic and there is really no urgency to treat the patient right away. My wife can come in to work at any time and any day that she likes....and has more time for our kids. And the same thing for ortho as well...no emergencies.

Another reason why my neighbor is more successful than other endos is he accepts many of the same insurance plans that his referring GPs are accepting. Certain insurance plans don't pay him much but his good clinical skills and speed make up for that. My little brother, who always complains about his endo practice, doesn't accept a lot of plans.....it's mostly a fee for service endo practice.

 

[tooth knockn]

Endo saturation, no.

Probably no where. Maybe in highly populated cities.

And that is not a bad thing!

 

[mmpatel0]

Everything that you said was stated earlier and debunked for the most part by the other guys.

You introduced the mills and I assume corporates which raises the only new eyebrow barring what the previous stated.

I know it's your opinion and thanks for your input but based upon what the others have already posted does your opinion not waiver slightly do you see no true undying need for endos. If new procedures and new tech has the ability to end a specialty don't you also simply assume. Every single specialty will be filling the same trend equally rapidly. Consider gps do implants so prosth and perio will be left out. Invisalign means no more orthos. Brave gps means no more oral surgeons and kid loving gps means no more Peds. And dental chains mean no more private practice and dental therapist means no more dentist. I mean there's a threshold, there's a point where evidence does not conclude a true conclusion or a conclusion that will ever be fully attained.

This does show that you are still inexperienced with private practice side of dentistry

What dictates viability of specialty in private practice is money.

So for example, lets use example of OS...

OS exists because GPs don't want to spend hours doing complicated extractions. Also, if GPs eff up, they are not as well protected as OS in that they don't have as good of malpractice insurance (which is very expensive) as OS guys and that they are not "specialists" of the field. Thus, GPs will rather do simple resto over wasting time for exo.

Same goes for pedo, GPs don't want to waste time fighting with crazy kids. In fact, GPs will see good kids but they will refer out crazy kids to pedodontist - simply for the sake of efficiency

and etc etc
.
Endo used to be like other specialty where GPs would rather send case out than work on it by themselves. However, with rotary and all other fancy endo equipments + bad economy + relatively good collection on endo, GPs are less and less willing to refer out case to Endodontist unless it is indeed really ****ty case. It sounds like you want to do endo, but I want to tell you that it will get harder and harder to get referrals from GPs. My endodontist attending during my GPR year told me that his business slowed down quite a bit especially after recession and considering to sell his practice...

 

[DaleDoback]

OS exists because GPs don't want to spend hours doing complicated extractions. Also, if GPs eff up, they are not as well protected as OS in that they don't have as good of malpractice insurance (which is very expensive) as OS guys and that they are not "specialists" of the field. Thus, GPs will rather do simple resto over wasting time for exo.

OS doesn't exist bc GP's don't want to do it. Ever think it may be just a higher level of care for surgical patients?

 

[mmpatel0]

OS doesn't exist bc GP's don't want to do it. Ever think it may be just a higher level of care for surgical patients?

I'm just sick of this kind of OS ego. OS in private practice who only does T & T exists b/c GPs don't find T&T worth it for themselves. OS guys do really drop their ego when they go around GP clinics asking for referrals. Don't worry, you will give up your ego when you go into private practice 😀

 

[tooth knockn]

OS ppl, yea, they are their own kind.

 

[AU07DMD]

OS in private practice who only does T & T exists b/c GPs don't find T&T worth it for themselves.

While I agree egos should be checked at the door when it comes to doctor-to-doctor communication and relationships in private practice, your statement here is misguided (and comical). There is plenty of money to be made in T&T for the provider so why would most GPs not find it "worth it" to them to keep these procedures in house?

 

[Titus Times]

My questions are here to challenge your reasoning not state them as false. I challenge them because we see competing answers and I can better asses the truth by challenging the origin of answers. Get what I'm saying?

How can we assume endo can get wiped out by technology and recession essentially and all other specialties are safe in the future as we gain more and more tech and experience in whatever economic climate we are in.

I'm pre dental I enjoy knowledge. I've researched things that claim nearly every specialty is in trouble, even that dentistry is not worth it. I strongly disagree about dentistry's worth, hence my pre dent status. And am simply gaining knowledge on if I can even consider specializing. I like endo, Peds, and heh GPR's/CE, I'm exploring, I'm early In the game. I've shadowed these doctors, even ortho by the way.

Thanks guys really appreciate your advice.

 

[tooth knockn]

My questions are here to challenge your reasoning not state them as false. I challenge them because we see competing answers and I can better asses the truth by challenging the origin of answers. Get what I'm saying?

How can we assume endo can get wiped out by technology and recession essentially and all other specialties are safe in the future as we gain more and more tech and experience in whatever economic climate we are in.

I'm pre dental I enjoy knowledge. I've researched things that claim nearly every specialty is in trouble, even that dentistry is not worth it. I strongly disagree about dentistry's worth, hence my pre dent status. And am simply gaining knowledge on if I can even consider specializing. I like endo, Peds, and heh GPR's/CE, I'm exploring, I'm early In the game. I've shadowed these doctors, even ortho by the way.

Thanks guys really appreciate your advice.

You should learn to be more honest and up front, you were irrational in the beginning of your thread, quick to shut another person down....

You have a lot to learn .... Not just about dentistry....

 

[tooth knockn]

So, I've been at work most of the day and decided to browse all about Endo, Ive found a ton of info. Except for saturation.

My question is does Endo have a problem with saturation in california, if they don't then im sure theres no issue anywhere else.

Thanks guys. keep working hard. Any and all advice will be appreciated.

 

[tooth knockn]

Please man, just stop.

Im here looking for sound advice, these men have experience, are in the Field, OMS and dentist of other fields unspecified. You are not qualified to answer this question. And show respect, please.

 

[DaleDoback]

I'm just sick of this kind of OS ego. OS in private practice who only does T & T exists b/c GPs don't find T&T worth it for themselves. OS guys do really drop their ego when they go around GP clinics asking for referrals. Don't worry, you will give up your ego when you go into private practice 😀

This is ego? I love how that when an OMS disagrees with a GP, then it becomes my outrageous ego.

Sorry if my statement about providing better surgical care for patients with my additional training is so offensive.

 

[DaleDoback]

OS ppl, yea, they are their own kind.

So are guys who haven't even made it into dental school and talk a big game.

 

[tooth knockn]

So are guys who haven't even made it into dental school and talk a big game.

Point proven....

There is nothing wrong with talking, I have not said anything incorrect or totally out of place....

 

[Titus Times]

You should learn to be more honest and up front, you were irrational in the beginning of your thread, quick to shut another person down....

You have a lot to learn .... Not just about dentistry....

I am honest, I live by integrity everyday, I don't expect you believe that. I could have stated a million things in my original post but please tell me, who would read all that information. Leaving arbitrary information out is not lying, that's malevolently specious of my character.

I don't understand the personal attacks, and I do have a lot to learn about life and dentistry I accept that. But are you free from the pursuit of knowledge? Maybe you can learn from me, and be able to learn from someone you somehow manage to convolute offense from. I apologize if I offended you. I actually really appreciate your advice.

Please don't take offense to this because none was intended, if we could discuss endo further I will work on my life outside of the forum.

Once again I apologize if I offended anyone, life's to short to put others down. I think You've got a cool looking avatar tooth knockin it's swagged up.

 

[tooth knockn]

I am honest, I live by integrity everyday, I don't expect you believe that. I could have stated a million things in my original post but please tell me, who would read all that information. Leaving arbitrary information out is not lying, that's malevolently specious of my character.

I don't understand the personal attacks, and I do have a lot to learn about life and dentistry I accept that. But are you free from the pursuit of knowledge? Maybe you can learn from me, and be able to learn from someone you somehow manage to convolute offense from. I apologize if I offended you. I actually really appreciate your advice.

Please don't take offense to this because none was intended, if we could discuss endo further I will work on my life outside of the forum.

Once again I apologize if I offended anyone, life's to short to put others down. I think You've got a cool looking avatar tooth knockin it's swagged up.

Ok fine, things are better now, since you said I got a swaggy avatar...

But I don't like yours

😛

.


Ok, I have said all there is for me to say about endo.

Bye

 

[Titus Times]

You should learn to be more honest and up front, you were irrational in the beginning of your thread, quick to shut another person down....

You have a lot to learn .... Not just about dentistry....