October 6, 2021 at 2 PM Eastern/11 AM Pacific
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Originally posted by DrJeff
If you look at the percentage of a specialty that does the most (placement of the implant body that is), it would be the OMFS folks, followed by the perio folks and then about equal between the endo and prosth guys. If you look at absolute numbers of docs, then its the GP's that place the most.
In my practice, its an OMFS that places them for me.
I understand what you're saying; my thinking is that the procedure is inherently both surgical and periodontal...but what does it really have to do with dental pulp? That's what I'm having trouble reconciling.Originally posted by groundhog
Well if one thinks of the titanium anchor as an artificial root, placement of the anchor by an Endodonitst may well fall within ethical standards. If technology advances to such a point that implants become both more economical and reliable than root canals, Endodonitsts would certainly desire to have established a stakehold in the implant arena. This gets us back to the point I was making in my previous post. I beleive this whole bio/tech thing is going to blur the boundaries making dental speciaities an obsolete idea sometime in the future.
Originally posted by aphistis
I'm wondering about this too. I don't see how an endo could say implants are within his/her scope of practice.
Great info as always...thanks!Originally posted by DrJeff
I actually called up one the the endodontists in the group that I refer to and asked him this today(he does place implants). To paraphrase his response: His view of the scope of endodontics is that he not only specializes in the pulp and its treatment and restoration, but also the root and its treatment and "restoration". He rightly acknowledges that the endodontic treatment of a tooth, while having a long term success rate in the 95%+ range, is not 100%, and also due to other factors such as root fracture/ perforation, and unrestorable teeth secondary to extensive coronal decay/ perio disease, and failed previous endodontic treatment, that he needs to have an alterbative treatment option for the replacement of that tooth, without potentially compromising the health of the pulps of the adjacent teeth that a bridge can do long term.
Frankly I agree with him 100% on this assessment. Believe you me, if an endondontist can do anything to save that tooth, they will, but as all of you here will eventually find out, not everything you do/can do works 100% of the time Plus, from the surgical side of things, if an endodontist has the surgical skills to perform an apicoectomy on the DB root of #15 they can certainly "spin some titanium" and sink an implant. BTW, when I asked my endodontist what percentage of his practice is implants, we said "less than 5%, .........maybe even less than 2%" so you can infer that he uses way more titanium in his NiTi files than in titanium implant bodies.
Originally posted by groundhog
Thanks to bio/tech advances, continuing education courses, and (fankly) economics, I predict that dentistry will evolve as follows:
Dental schools will be absorbed by the medical schools.
Originally posted by DrJeff
If you look at the percentage of a specialty that does the most (placement of the implant body that is), it would be the OMFS folks, followed by the perio folks and then about equal between the endo and prosth guys.