Endodontic Failures: humility, anger, and acceptance.

I woke up this morning and chose chaos. I gave this presentation to the SLU residents on August 30, 2023. Whenever we talk about failures in endo, it's important to discuss how and what you measure. Endodontics is a unique specialty in that we constantly " measure" our outcomes every time we take a radiographic image, but does that mean anything? As my favorite band, Queen, said, "Nothing really matters. Anyone can see."

This will generate controversy, and I'm happy to discuss it with anyone in the comments!

00:00 Introduction
00:28 Redefining "Failure"
00:58 Defining Failure in Endo
03:25 How to measure outcomes
03:50 Process-Centered Outcomes (in which I anger every dental school educator)
06:27 Doctor-Centered Outcomes (in which I anger every BU graduate)
08:41 Histological-Centered Outcomes (in which I anger every histologist)
12:26 Radiographic Outcomes (in which I anger everyone? I think?)
16:43 Patient (Value) Centered Outcome (Whoever is still here, I thank you)
22:40 Plan for Failure
24:30 Causes of Endodontic Failure (What you came here for)
24:41 Untreated Anatomy (Find your MB2's!!)
26:44 MB2's and Maxillary Molars
29:06 Vertical Root Fractures
33:41 Obturation Failures
37:13 Separated Instruments
39:10 Recurrent Decay
42:22 Resorption
44:21 Extraradicular Bacteria and Cysts
46:45 Perforation
48:38 Immunotherapy
49:32 New Restorations/Occlusion
54:31 Conclusion
55:23 Q/A

Northern Nevada Endodontics
Redefining Endodontics
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