Endodontics Future

[BigDreams3]

Why are people so set on talking about the failing nature of being an endodontist? Every single metric about the US population points to the fact that we will have a very old population by the year 2040. I imagine with an aging population there will naturally be a lot more decay that occurs within their teeth. I also imagine that they will be much less willing to get implants done as it is more costly and takes a much longer time to complete and anecdotally speaking my grandparents hate anything that requires them to leave the house for any extended period of time. Meanwhile root canals are a very quick operation and have a very short recovery time as well. I am a predental student but I just wanted to gain some insight on this. Mainly I wanted to hear what everyone's opinions are about this as it seems like the entire narrative around SDN and reddit is that endo or specialization in general is this futile endeavor. I feel as though endodontistry is here to stay and will always be a top specialty program to specialize in along with peds, OMFS, and ortho but obviously my knowledge is very limited compared to the practicing dentists/specialists here. Thanks in advance for all the insight!

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[Torshammer]

 

[LFA20]

I stopped reading after I saw the word “pre-dental student”

Come back and worry about this once you picked up a hand piece or an endo file..

 

[BigDreams3]

I stopped reading after I saw the word “pre-dental student”

Come back and worry about this once you picked up a hand piece or an endo file..

Haha! I was just wondering as my uncle has been a practicing endodontist for years and that's what mainly drew me to this topic. Yeah you are right in reality it makes no sense for me to concern myself with this and I am not but it was just more of an intriguing thought I had as it seems to be a hot topic of discussion. Regardless, thank you for your response and more importantly thank you for your service. Go Navy!

 

[Digitalangel]

pretty sure this has been debated over the last few decades

-endo is fine
- implants are cool when endo doesnt work
- my endos near me are always booked out a few weeks

 

[BigDreams3]

pretty sure this has been debated over the last few decades

-endo is fine
- implants are cool when endo doesnt work
- my endos near me are always booked out a few weeks

Thank you for the reply!

 

[redchesus]

Haha! I was just wondering as my uncle has been a practicing endodontist for years and that's what mainly drew me to this topic.

Is your uncle doing okay?
Has he starved to death yet because everyone’s getting implants?

 

[FutureDent020]

Haha! I was just wondering as my uncle has been a practicing endodontist for years and that's what mainly drew me to this topic. Yeah you are right in reality it makes no sense for me to concern myself with this and I am not but it was just more of an intriguing thought I had as it seems to be a hot topic of discussion. Regardless, thank you for your response and more importantly thank you for your service. Go Navy!

Is your uncle saying this? Who are these people? I would say endo is becoming more popular these days because procedures are becoming quicker and we are also able to retreat cases that they couldn’t retreat 20 years ago. Plus microsurgery has come a long. So we are saving teeth they wouldn’t even try to save years ago. I know this for a fact because the partner I work with, 20 years older than me, passes certain retreat cases and surgeries to me because of the microscope and techniques I use. Implants are an amazing option as a last resort. But often, patients I have seen that have one, usually opt to try a root canal or retreat (as long as the prognosis is favorable) before getting another one. It’s not a walk in the park.

But as others have said, don’t concern yourself with this yet. All the specialties are fine. Be more concerned with DSO’s, educations costs, and a new school popping up every year.

 

[BigDreams3]

Is your uncle doing okay?
Has he starved to death yet because everyone’s getting implants?

Haha not yet!! Quite the opposite but this topic is usually not something he concerns himself with he’s pretty optimistic about endo future as he says it will always be around. It just seems like a lot of other practitioners I shadow/get mentored from have a lot to say about this topic.

 

[yappy]

My perspective as a GP - with newer bioactive materials being used in restorative dentistry and endodontics, in addition to minimal access/instrumentation, and 3D imaging to identify anatomy, I think endo has a very bright future. Most failures I see are mechanical, not biological. The shapes that endodontists make that I refer to are very small, leaving a lot of tooth behind for fracture resistance. I think endodontics is great service to patients if performed by someone who is competent.

 

[P7898]

I think Endo is the best specialty. All patients want to try and save their teeth before losing it. Until that changes (which it won't ever) then we can talk about this.

I am GP and love doing lots of endo but appreciate our specialists colleagues more and more everyday. Not everything is as straight forward as it seems. It could look easy on the x-ray and when you open up that maxillary pre-molar and think there is a confluence and a weird ass canal - you close it up and send it to your local endodontist aka the most talented clinicians in dentistry in my humble opinion.

They can find canals and orifces when they are non-existent. That said all specialists are fantastic. We as GP cannot live without them and vice versa.

 

[FutureDent020]

My perspective as a GP - with newer bioactive materials being used in restorative dentistry and endodontics, in addition to minimal access/instrumentation, and 3D imaging to identify anatomy, I think endo has a very bright future. Most failures I see are mechanical, not biological. The shapes that endodontists make that I refer to are very small, leaving a lot of tooth behind for fracture resistance. I think endodontics is great service to patients if performed by someone who is competent.

Yep. Most failures I see are either missed anatomy, obvious poor treatment (thready, short fills, probably no rubber dam), or fracture. The fracture things is interesting. Usually around 10-15 years after treatment, well treated, but obvious cracked tooth extending apically or VRF extending coronally. We treat a ton of cracked teeth so were a lot of these failures already cracked and the crack just propagates or are they post treatment root fractures? Bringing into the conversation minimally invasive Endodontics. Shapes and thinner preps aren’t proven to make a difference. But logically it should. Preserving pericervical dentin is the only research backed method that reduces fracture.

 

[yappy]

Yep. Most failures I see are either missed anatomy, obvious poor treatment (thready, short fills, probably no rubber dam), or fracture. The fracture things is interesting. Usually around 10-15 years after treatment, well treated, but obvious cracked tooth extending apically or VRF extending coronally. We treat a ton of cracked teeth so were a lot of these failures already cracked and the crack just propagates or are they post treatment root fractures? Bringing into the conversation minimally invasive Endodontics. Shapes and thinner preps aren’t proven to make a difference. But logically it should. Preserving pericervical dentin is the only research backed method that reduces fracture.

What i see are “hogged out” areas in the coronal third that fracture, with J lesions, at the 2-5 year time. Now a days my Endodontist does MIE canal preps and often times it looks like very little pericervical dentin was removed. With the elimination of those failures, long term prognosis for root canal treated teeth seems good.

 

[PerioDont]

I’ve literally never heard someone actually in dentistry say that endo is going away or declining as a field.

I work with endo residents every day. It’s a very promising field that’s growing every day.

I would have done endo had I not picked periodontics.

 

[P7898]

I’ve literally never heard someone actually in dentistry say that endo is going away or declining as a field.

I work with endo residents every day. It’s a very promising field that’s growing every day.

I would have done endo had I not picked periodontics.

Our specialists colleagues are "special" 😉. We need them. So as long as we need them, no specialty will die.

 

[George Lincoln]

Why are people so set on talking about the failing nature of being an endodontist? Every single metric about the US population points to the fact that we will have a very old population by the year 2040. I imagine with an aging population there will naturally be a lot more decay that occurs within their teeth. I also imagine that they will be much less willing to get implants done as it is more costly and takes a much longer time to complete and anecdotally speaking my grandparents hate anything that requires them to leave the house for any extended period of time. Meanwhile root canals are a very quick operation and have a very short recovery time as well. I am a predental student but I just wanted to gain some insight on this. Mainly I wanted to hear what everyone's opinions are about this as it seems like the entire narrative around SDN and reddit is that endo or specialization in general is this futile endeavor. I feel as though endodontistry is here to stay and will always be a top specialty program to specialize in along with peds, OMFS, and ortho but obviously my knowledge is very limited compared to the practicing dentists/specialists here. Thanks in advance for all the insight!

It’s way too early in your career to limit yourself. Professional career path requires many hurdles to get over before you get to the next one. So the hurdle in front of you is Dental School acceptance and matriculation. That’s your focus right now. Don’t put the cart before the horse is clearly the expression that fits your situation.

 

[MidwestOwl]

Yep. Most failures I see are either missed anatomy, obvious poor treatment (thready, short fills, probably no rubber dam), or fracture. The fracture things is interesting. Usually around 10-15 years after treatment, well treated, but obvious cracked tooth extending apically or VRF extending coronally. We treat a ton of cracked teeth so were a lot of these failures already cracked and the crack just propagates or are they post treatment root fractures? Bringing into the conversation minimally invasive Endodontics. Shapes and thinner preps aren’t proven to make a difference. But logically it should. Preserving pericervical dentin is the only research backed method that reduces fracture.

when i were an endo resident, ive thought those research papers were lying about 95% of first maxillary molars have mb2. now, 2-3 years after residency, i concede that those were telling the truth. i become very nervous if i dont find mb2 in #3 or #14 these days. Sometimes i have to drill 4-5 mm below the orifice to find them but they are there...WHEN GPS ASK ME HOW MANY CANALS MAXILLARY FIRST MOLARS HAVE, I ALWAYS TELL THEM AT LEAST 4...

 

[Torshammer]

when i were an endo resident, ive thought those research papers were lying about 95% of first maxillary molars have mb2. now, 2-3 years after residency, i concede that those were telling the truth. i become very nervous if i dont find mb2 in #3 or #14 these days. Sometimes i have to drill 4-5 mm below the orifice to find them but they are there...WHEN GPS ASK ME HOW MANY CANALS MAXILLARY FIRST MOLARS HAVE, I ALWAYS TELL THEM AT LEAST 4...

Do you have CBCT in your office? Seems like these days more endos are just taking CBCT preop in order to determine if there's an MB2 before troughing and potentially weakening the tooth. Thoughts?

 

[MidwestOwl]

CBCT is a must for endo offices these days. They are not that expensive either. CBCT images is an excellent tool to communicate with patients and GPs alike...I do take CBCT for all cases. I only charge the patients for CBCT if they need retreats though. The rest i just told them that they are special to me and I give them CBCT for free
I can live without microscopes but not CBCT- cases with limited opening, loupes seemed to be better.
Iam very skeptical about those severe perio-endo cases these days. If I see severe boneloss with deep Probing/ minimal attachment especially on molars, I just tell the GPs to remove the tooth. Dont wanna waste my time doing RCT and then have to refund patients in the near future

 

[PerioDont]

CBCT is a must for endo offices these days. They are not that expensive either. CBCT images is an excellent tool to communicate with patients and GPs alike...I do take CBCT for all cases. I only charge the patients for CBCT if they need retreats though. The rest i just told them that they are special to me and I give them CBCT for free
I can live without microscopes but not CBCT- cases with limited opening, loupes seemed to be better.
Iam very skeptical about those severe perio-endo cases these days. If I see severe boneloss with deep Probing/ minimal attachment especially on molars, I just tell the GPs to remove the tooth. Dont wanna waste my time doing RCT and then have to refund patients in the near future

I agree. Severe endo-perio, hemisections etc cases usually just fail within a few years and its a waste of everyone's time and pt ends up pissed even if you tell them a hundred times it's a temporary fix and won't last.

 

[P7898]

Yep. Most failures I see are either missed anatomy, obvious poor treatment (thready, short fills, probably no rubber dam), or fracture. The fracture things is interesting. Usually around 10-15 years after treatment, well treated, but obvious cracked tooth extending apically or VRF extending coronally. We treat a ton of cracked teeth so were a lot of these failures already cracked and the crack just propagates or are they post treatment root fractures? Bringing into the conversation minimally invasive Endodontics. Shapes and thinner preps aren’t proven to make a difference. But logically it should. Preserving pericervical dentin is the only research backed method that reduces fracture.

And like doc said here ^ it is easy as GPs to start and endo and know something is not right towards the end (cannot instrument a canal fully or think you are missing something ini terms of anatomy, ect.).

But the right thing to do is to temporize and immediately refer and obviously refund the patient for the RCT. This happens and if you are trying to do a lot of endo as a GP (like me) it will happen more times than you think and that is ok. You start to understand further your limits and you start to refer without attempting. It is all a learning curve.

But if I think there is a crack that I cannot see and is causing pain; my protocol is always Endo referral and asking them to take a CBCT and evaluate/treat at their discretion. Cracked teeth can be hard to properly diagnose so it is always better to just refer to specialists that can identify hard cases and treat them - makes crowning the teeth that much easier 🙂

 

[New_Vegas]

It’s way too early in your career to limit yourself. Professional career path requires many hurdles to get over before you get to the next one. So the hurdle in front of you is Dental School acceptance and matriculation. That’s your focus right now. Don’t put the cart before the horse is clearly the expression that fits your situation.

I don't really agree with this. If you want to specialize, you basically need to know that before dental school. The reason being- you need the motivation to work your ass off and finish towards the top of your class (for the competitive specialties like OMFS and Ortho... and even endo to an extent). If you don't come into dental school with that motivation, specializing becomes difficult.

 

[P7898]

I don't really agree with this. If you want to specialize, you basically need to know that before dental school. The reason being- you need the motivation to work your ass off and finish towards the top of your class (for the competitive specialties like OMFS and Ortho... and even endo to an extent). If you don't come into dental school with that motivation, specializing becomes difficult.

I agree and disagree. I was in the top of my class but decided to be a GP. You can "know" that you want to specialize going in but having an open mindset to things that you like or dislike doing is key. I would not specialize in something just to do it if I found out I did not have an interest in doing that procedure.

So I would not specialize in OMFs just to do it because I found out that I hate extractions and love RCT/BU/Crn. I agree with the notion of you need to work your ass off... I think this should be regardless. Soo many average practitioners out there. This attitude will carry you into your career - so always work you tail off no matter what.

 

[MidwestOwl]

I agree and disagree. I was in the top of my class but decided to be a GP. You can "know" that you want to specialize going in but having an open mindset to things that you like or dislike doing is key. I would not specialize in something just to do it if I found out I did not have an interest in doing that procedure.

So I would not specialize in OMFs just to do it because I found out that I hate extractions and love RCT/BU/Crn. I agree with the notion of you need to work your ass off... I think this should be regardless. Soo many average practitioners out there. This attitude will carry you into your career - so always work you tail off no matter what.

For me dentistry is boring regardless of specialty. I chose endo because it has the second highest income potential after OMFS. Ive always told my staff that if I had 10m in my bank, I would rather do art/ languages, etc...at the end of the day, dentistry is a job...not many ppl have fun/ interesting jobs including porn stars...

 

[P7898]

For me dentistry is boring regardless of specialty. I chose endo because it has the second highest income potential after OMFS. Ive always told my staff that if I had 10m in my bank, I would rather do art/ languages, etc...at the end of the day, dentistry is a job...not many ppl have fun/ interesting jobs including porn stars...

I lol'ed at this. It is a job. People try to find some kind of fulfillment in jobs (I am guilty) but at the end of the day it is a JOB. I would much rather be working out and traveling everywhere.

 

[yappy]

I lol'ed at this. It is a job. People try to find some kind of fulfillment in jobs (I am guilty) but at the end of the day it is a JOB. I would much rather be working out and traveling everywhere.

Hedonism and decadence are our culture's value system.

 

[New_Vegas]

Speaking of the future of endo, apparently this topic is nothing new. I found this quote from a similar post in 2006. Some of it aged like milk (platinum age thing) lol.

Were people really this optimistic about the future of dentistry in 2006 or was this guy just naïve? Lol.

Now in 2022, there couldn't be a worse time to become a dentist. The massive student debt, all the new schools and oversaturation, dental therapists on the horizon, corporate takeover, dealing with insurance, insurances refusing to raise reimbursement rates, everybody threatening to sue you, negative google reviews.. Are we in the dark ages of dentistry?

 

[MidwestOwl]

I lol'ed at this. It is a job. People try to find some kind of fulfillment in jobs (I am guilty) but at the end of the day it is a JOB. I would much rather be working out and traveling everywhere.

Most fresh endo grads, who are willing to work 5 days per week, tend to take home at least 350k per year pretax. Not a bad income for a not so difficult job

 

[2TH MVR]

Speaking of the future of endo, apparently this topic is nothing new. I found this quote from a similar post in 2006. Some of it aged like milk (platinum age thing) lol.

View attachment 357041

Were people really this optimistic about the future of dentistry in 2006 or was this guy just naïve? Lol.

Now in 2022, there couldn't be a worse time to become a dentist. The massive student debt, all the new schools and oversaturation, dental therapists on the horizon, corporate takeover, dealing with insurance, insurances refusing to raise reimbursement rates, everybody threatening to sue you, negative google reviews.. Are we in the dark ages of dentistry?

Yeah. I was on the top of the world in 2005-2006. Placed a holding deposit on a new Ferrari. Invested a million dollars for a 2nd location with real estate. Then the recession hit. Things never felt the same after that.

As for the Ferrari. If you are a nobody (me) with no history of owning a Ferrari. You typically place a holding deposit and it usually takes 2 years before you can order a new Ferrari. I waited the 2 years and then I was notified that I could place an order. Then the recession hit. Decided no on the Ferrari and got my deposit back. 🙁

 

[AONLINE]

Most fresh endo grads, who are willing to work 5 days per week, tend to take home at least 350k per year pretax. Not a bad income for a not so difficult job

350k is great for fresh specialist grads. Does anyone happen to know the income for fresh ortho, peds and perio grads? Is it comparable to endo?

 

[P7898]

Most fresh endo grads, who are willing to work 5 days per week, tend to take home at least 350k per year pretax. Not a bad income for a not so difficult job

I mean I know new grad GPs doing fillings and crowns for $200k+ no AEGD or more added debt from residency 4-5 days a week and invest a lot of their money in the market and live simple lives. To each their own.

 

[MidwestOwl]

I mean I know new grad GPs doing fillings and crowns for $200k+ no AEGD or more added debt from residency 4-5 days a week and invest a lot of their money in the market and live simple lives. To each their own.

endo fresh grad can bring in 200k per year easily working 2-3 days per week. Most endo associates get paid 45-55% of collection - so to make 2500 per day, endo grad only need to do 3-4 RCTs. much easier on the body compared to GP too...
you are not gonna be young forever, maximize your income potential as much as you can now....

 

[yappy]

I mean I know new grad GPs doing fillings and crowns for $200k+ no AEGD or more added debt from residency 4-5 days a week and invest a lot of their money in the market and live simple lives. To each their own.

Yeah, i was earning more at less thsn 2 years out as a gp @ 5 days per week.

 

[bracketbuster68]

350k is great for fresh specialist grads. Does anyone happen to know the income for fresh ortho, peds and perio grads? Is it comparable to endo?

350k pretty standard for ortho grads. Ive seen plenty of 400k offers. Some are even up to 500k.

 

[schmoob]

And like doc said here ^ it is easy as GPs to start and endo and know something is not right towards the end (cannot instrument a canal fully or think you are missing something ini terms of anatomy, ect.).

But the right thing to do is to temporize and immediately refer and obviously refund the patient for the RCT. This happens and if you are trying to do a lot of endo as a GP (like me) it will happen more times than you think and that is ok. You start to understand further your limits and you start to refer without attempting. It is all a learning curve.

But if I think there is a crack that I cannot see and is causing pain; my protocol is always Endo referral and asking them to take a CBCT and evaluate/treat at their discretion. Cracked teeth can be hard to properly diagnose so it is always better to just refer to specialists that can identify hard cases and treat them - makes crowning the teeth that much easier 🙂

This is an excellent post. I do alot of endo, but I find the more I do the more I refer out to the specialist. I still do more endo, but I send out that tough case to the specialist who can do it with a scope and their eyes closed. In the same I’m I can do a bu/crown and even and MOD and make more money with less headache. The referred patient comes back to me with a pretty tooth that’s ready for me to restore.

Endo as a specialty or even a discipline is going absolutely nowhere. I’ve done WAY more RCT’s then implants.

 

[2TH MVR]

Personally,
I would always prefer to save my tooth with RCT.

Another issue with implants that people seldom think about. As an orthodontist ..... I shudder when I see implants on a patient. Essentially means I cannot orthodontically move the impanted tooth or any teeth near it. Makes treatment planning difficult when trying to accomodate the immovable implant tooth. And unfortunately .... the implanted tooth was typically restored to the specs of the original malocclusion.

Yes. The restoration could be changed, but patients typically do not want to hear it.

 

[New_Vegas]

Personally,
I would always prefer to save my tooth with RCT.

Another issue with implants that people seldom think about. As an orthodontist ..... I shudder when I see implants on a patient. Essentially means I cannot orthodontically move the impanted tooth or any teeth near it. Makes treatment planning difficult when trying to accomodate the immovable implant tooth. And unfortunately .... the implanted tooth was typically restored to the specs of the original malocclusion.

Yes. The restoration could be changed, but patients typically do not want to hear it.

On the rare occasion, you can use an implant as absolute anchorage though. Free TAD!

 

[BigDreams3]

350k pretty standard for ortho grads. Ive seen plenty of 400k offers. Some are even up to 500k.

That’s interesting. I feel like I’ve seen so many doom and gloom posts about ortho especially on SDN with how many new ortho grads there are and the corporate takeover. I wonder why that’s the case when the job offers look phenomenal. How often are these 400 and 500k offers if you don’t mind me asking as I feel like new ortho grads are usually only given 1000-1500 a day based off what I’ve read on SDN and seen online.

 

[bracketbuster68]

That’s interesting. I feel like I’ve seen so many doom and gloom posts about ortho especially on SDN with how many new ortho grads there are and the corporate takeover. I wonder why that’s the case when the job offers look phenomenal. How often are these 400 and 500k offers if you don’t mind me asking as I feel like new ortho grads are usually only given 1000-1500 a day based off what I’ve read on SDN and seen online.

They have no clue what they're talking about. I've only looked for jobs in three desirable states (not California). I've seen almost 5 associate offers 450-500k in less than a year.

 

[2TH MVR]

That’s interesting. I feel like I’ve seen so many doom and gloom posts about ortho especially on SDN with how many new ortho grads there are and the corporate takeover. I wonder why that’s the case when the job offers look phenomenal. How often are these 400 and 500k offers if you don’t mind me asking as I feel like new ortho grads are usually only given 1000-1500 a day based off what I’ve read on SDN and seen online.

I work Corp ortho now after years of private practice.
Your figure of the daily minimum does not include bonuses. The bonuses makes all the difference. If you are a new grad with decent abilities. Work 5 days per week. You can make before tax ..... easily 400K and higher. This compensation does not include the affordable heath insurance, free CE, free malpractice premiums, PTO (not generous at my DSO). These benefits can easily add another 2-3K per month to your bottom line.

The ortho jobs are out there. At this point in my life .... a stress free Corp job is nice.

 

[MidwestOwl]

I work Corp ortho now after years of private practice.
Your figure of the daily minimum does not include bonuses. The bonuses makes all the difference. If you are a new grad with decent abilities. Work 5 days per week. You can make before tax ..... easily 400K and higher. This compensation does not include the affordable heath insurance, free CE, free malpractice premiums, PTO (not generous at my DSO). These benefits can easily add another 2-3K per month to your bottom line.

The ortho jobs are out there. At this point in my life .... a stress free Corp job is nice.

I think there are plenty of jobs out there. However, some specialist grads might have to travel more than others. Endo might have to work at two different offices to have 5 days a week job. Perio might have to travel to 4-5 more GP offices to place implants beside their principal office, etc...Im not sure about ortho, but the more the desirable the town is, the harder to find a "desirable" job..

 

[dentalWorks]

pretty sure this has been debated over the last few decades

-endo is fine
- implants are cool when endo doesnt work
- my endos near me are always booked out a few weeks

Amen to that.
some of the most successful dentists I know are long practicing endos.

Endo isn't going anywhere anytime soon and one of the least talked reasons is..... Some patients do not want an implant no matter how hard you try to convince them otherwise, plain and simple, they cringe at the idea of having a screw in the face

 

[PerioDont]

Amen to that.
some of the most successful dentists I know are long practicing endos.

Endo isn't going anywhere anytime soon and one of the least talked reasons is..... Some patients do not want an implant no matter how hard you try to convince them otherwise, plain and simple, they cringe at the idea of having a screw in the face

even if they want them, let's also be real many patients are not candidates for implants.

the market has been been flooded with poorly placed implants in patients that were never candidates in the first place.

 

[P7898]

even if they want them, let's also be real many patients are not candidates for implants.

the market has been been flooded with poorly placed implants in patients that were never candidates in the first place.

^ Truth. Defects that you just cannot fix and finances etc. Periodont knows what he or she is talking about.

Tons of poorly placed implants. I tailor my practice much like to a prosthodontist without surgical implant placement and sprinnkle in exts and endo. Poorly placed implants, just like any implants, are easy to restore. BUT knowing what to look for (mesial and distal spacing between adjacent teeth; emergence profile, possible issues for cantilevers, lateral forces on the implant restoration that could compromise integration, ect.)

Soo many factors to look at. However, a lot of implants are being placed and they are being place by GPs. Peri-implantitis and implant failures will be flooding into you my friend so be ready 🙂

 

[dentalWorks]

even if they want them, let's also be real many patients are not candidates for implants.

the market has been been flooded with poorly placed implants in patients that were never candidates in the first place.

yep,

Love the local ADs "implants as low as $600, 2nd one 50% off!!!!!"
It is kinda sad, but I extract quite a few failed implants that were just recently placed (within 1-2 years), they don't wanna go back to the same guy

 

[2TH MVR]

So. To get this back on topic.

Are Endodontists doing alot of implants?

 

[redchesus]

So. To get this back on topic.

Are Endodontists doing alot of implants?

Nope. I know some do but it is not the norm.

 

[FutureDent020]

So. To get this back on topic.

Are Endodontists doing alot of implants?

No, majority of us want nothing to do with that.

 

[P7898]

No, majority of us want nothing to do with that.

I lol'd to this. If my Endodontists placed implants I would not refer to him. He is supposed to be the master of saving teeth (he is thank god). But really the last thing I want to do is send a #14 RCT to my endo buddy and get back an implant with a sinus lift lol

 

[allDAT]

I lol'd to this. If my Endodontists placed implants I would not refer to him. He is supposed to be the master of saving teeth (he is thank god). But really the last thing I want to do is send a #14 RCT to my endo buddy and get back an implant with a sinus lift lol

Dude…I WISH my endo would place implants. That would be absolutely amazing. Why not have them extract and graft a tooth that they determine is not restorable? If the GP can place the implant, then it’s ready for them. If they can’t, I’d let the endo do it and restore the crown. No big deal. Saves everyone time.