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Inside Dentistry
November 2020
Volume 16, Issue 11

Challenges in Endodontics

The Roundtable video series is a forum for discussion and debate on key topics, trends, and techniques in dentistry. For each edition, Inside Dentistry's editor-in-chief, Robert C. Margeas, DDS, and a panel of experts examine a subject to help expand your knowledge and improve your practice. This month, our panel discusses the endodontic principles and procedures as well as the developments in technology, techniques, and materials that are advancing the predictable delivery of care.

The discussion begins with the panel sharing their insights regarding the most challenging aspects of endodontic treatment today. Gregg Helvey, DDS, CDT, and Rebekah Lucier Pryles, DMD, agree that endodontic re-treatment is the most challenging. Along with re-treatment, Jonathan Uhles, DDS, notes that "big picture-wise, managing patient fears and anxieties can be the most challenging aspect, but also the most rewarding one."

The conversation then moves on to current technology and the future of endodontic technology, and the panel discusses cutting-edge procedures and products that they're excited about using in the coming years.

The panel also shares tips on how to avoid breaking files during treatment. "The file system that you're using and how many times you use it makes a difference. It is important to constantly check the integrity of the file and make sure that you're using the correct torque from the manufacturer's instructions," Helvey says.

When asked about aging populations, Pryles explains that the treatment is unique due to medical management. "Our patients live longer, might experience more health issues, and may be on more medications. For me, it requires more coordination with their medical providers and occasional altering of treatment plans."

The roundtable concludes with the panel sharing key factors that they believe are essential to achieving predictable long-term success.

Watch the full video on AEGIS TV at

What You'll Learn

The most challenging aspects of endodontic treatment

Current and forthcoming technologies in irrigation, obturation, and file systems

Key factors for predictable success in endodontics

Gregg Helvey, DDS, CDT, is a master of the Academy of General Dentistry and an adjunct associate professor at the Virginia Commonwealth University School of Dentistry. He maintains a private practice in Middleburg, Virginia.

Rebekah Lucier Pryles, DMD, is an assistant clinical professor in the Department of Endodontics at the Tufts University School of Dental Medicine. She maintains a private practice in White River Junction, Vermont.

Jonathan Uhles, DDS, is a part-time instructor in the Department of Endodontics at the University of Tennessee Health Science Center. He maintains a private practice in Cookeville, Tennessee.

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