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    How Genius Endo can simplify endodontics

    Exploring the benefits of Ultradent’s Endo-Eze Genius Endodontic System.

    As a general dentist, I get to see it all. The biggest reason I didn’t specialize is that I have a very wide range of interests and I was concerned that I might not enjoy doing the same procedure(s) day after day. I’m very much a “variety is the spice of life” kind of guy when it comes to my profession and my hobbies.

    Of course, the drawback to that is I need to stay up to date with the changes and advances in multiple dental disciplines. That’s where passion and dedication come into the equation. My patients put a huge amount of trust in me and I owe it to them to provide them the very best, state-of-the-art care that I possibly can. As general dentists, we need to spend a decent amount of time learning and keeping up with the frequent changes that our procedures undergo.

    Now as I said, I love variety. Yet I also really, really love endo. Of all the procedures I get to perform, endodontic therapy is by far and away my favorite. At this point, for all of you who are asking “Why?” my answer is: I can’t really say. Some people have a love of surgery; my engine just runs a little faster when I see endo on the schedule.

    It may be because I have good success. It may be because a good endodontist friend taught me a ton through one-on-one, hands-on experience (thanks Jerry). Or it may be because the procedure has evolved to incorporate tons of high-tech gear. Suffice it to say that at this point I just don’t know.

    Related reading: How to simplify endodontics with technology

    However, because I’m so passionate about it, I have invested a substantial amount of time and treasure to become as knowledgeable as my limited brain power will allow. That means that over the years I’ve listened to and studied the techniques of a lot of experts. One of the things I’ve discovered in all of this is that there is no singular system that will work 100 percent of the time. Anyone who says differently is trying to sell you something—and it’s usually their endo system.

    So, what do we do when we are looking for a way to perform endo therapy as well as we possibly can, yet no one system can do it all? I propose finding a system you like and becoming incredibly proficient with it while referring cases that are outside the scope of your system.

    Answering the call

    With that guideline in mind, I’d like to tell you about Ultradent’s newest idea to make endo easier. It’s called the Endo-Eze Genius Endodontic System and it is something I think the profession needs to know more about.

    The Genius system is based on science and research, which are two of my favorite things. One of the biggest endo problems for the general practitioner is the use of rotary files. While there are certainly clinical situations where rotary does an excellent job, there are also plenty of areas where it would not make an excellent first choice. Also, there is the absolutely warranted concern over file separation with a file rotating 360 degrees.

    More from the author: The huge mistake that could cripple your dental practice

    The amazing advantage of Genius is that it is a combination system of reciprocating and rotary, in that order. However, unlike other systems, reciprocating is the heart of Genius. This has two serious clinical benefits:

    1. Utilizing reciprocating greatly reduces the incidence of file fracture. It is much more difficult (though not impossible) to break a file that is oscillating than to break a file that is rotating.

    2. Most root canals are not perfectly round. Because of this, in many canals there are small ribbons or other anatomical differences that perfectly round instrumentation can miss. Utilizing reciprocation and a brushing motion against all sides of the canal can provide for better cleansing while also decreasing the incidence of fracture.

    The perfect example of the benefits would be an upper second premolar. It is usually a single canal with a figure-eight or elongated ribbon shape. Instrumentation utilizing rotary with a large taper can create a very round preparation in the middle but leave the buccal and lingual surfaces basically uninstrumented.

     

    Continue to page two for more...

    Dr. John Flucke
    Dr. John Flucke is in private practice in Lee’s Summit, Mo. He also serves as technology editor for Dental Products Report magazine and ...

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