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What can you tell us about your background?
I was born and raised in Baltimore, Maryland. I attended college, dental school, and my postgraduate endodontic residency at the University...
What can you tell us about your background?I grew up in southern Orange County and earned a bachelor’s degree in biology at San Diego State University in 1983. There I met my future wife, Kim, at the...
Focus on family, patients, friends, growth, and community
What can you tell us about your background?
For as long as I can remember, I wanted to make people smile. I always loved getting the class laughing in grade school. Looking back, I am sure...
Dr. Robert Slosberg facilitates accurate mapping and obturation of the resportive defect with CBCT imaging
AbstractA patient presented with advanced internal root resorption of tooth No. 9. The prominent location of this tooth...
Drs. Brian Shaughnessy, Margaret Jones, Ricardo Caicedo, Joseph Morelli, Stephen Clark, and Ms. Jennifer Osborne review the occurrence of teeth presenting with condensing osteitis and their associated pulpal diagnosis over a 2-year period.
Dr. Andrei Zoryan dispels some of the common myths surrounding carrier-based obturation
Carrier-based gutta percha
Carrier-based obturation (such as Thermafil®, GT® obturator, ProTaper® obturator [Dentsply Tulsa Dental Specialties]) is one...
In part 2 of his series, Dr. Ace Goerig suggests ways to reduce stress in the practice
Almost all endodontists could be completely out of debt and on the way to financial freedom within 5 to 7 years if they only knew the secret. But the secret is...
Dr. Robert Fleisher ruminates on how to prepare for retirement
There are so many articles about everything that you become pretty much overwhelmed and can never expect to read them all. So you pick and choose. You like to learn about the latest and...
Dr. Roger Levin presents the 10 top ways to help create a perfect dental team
With the changes brought on by the economy, top companies are bringing in the best resources they can find to evaluate where their organizations stand. They want to know...
Dr. Julian Webber discusses his commitment to pain-free endodontics
One of the biggest advances is the advent of technology that has made it possible to anesthetize the patient so that there is no discomfort, whether from the anesthetic itself or the treatment.
I have used The Wand® (Milestone Scientific) for the last 13 years. What appealed to me originally was that it is very non-invasive. I feel I can give an injection absolutely painlessly without the need for a topical anesthetic. The different injection techniques available with The Wand, especially in and around the palatal area, are innovative and very well accepted by the patients—much more so than conventional syringe anesthetic delivery systems.
How it works, in essence, is that the anesthetic is delivered ahead of the needle. A technique is recommended of pushing on the tissue before you actually start the injection and starting to inject before you pierce the tissue so a topical anesthetic itself is delivered. I find that technique excellent for all Wand- recommended protocols—which are numerous. And, it is a big practice builder. The patients love it—they always comment positively on it.
There is always a learning curve with something new, but I would say it was minimal with regard to The Wand. I particularly like the new Wand, the Single Tooth Anesthesia (STA) System® (Milestone Scientific). The ease of giving intra-ligamental anesthesia, and the feedback it gives me so I know I am actually in the periodontal ligament is very worthwhile. Certainly at any stage of the endodontic procedure, the intra-ligamental technique with the Wand STA alone is more than adequate.
I always advocate this product. I talk about it in my lectures, I show images, and I always recommend the proper distributors. I suppose it is like anything; it is the initial cost that puts people off. And as there is a learning curve, if they don’t master it straight away, it goes in the drawer. I can only say that it is worth mastering straight away because you can reassure patients with complete confidence when you say there will be no discomfort.
Any anesthetic technique should be painless, however, with The Wand STA it always is. It is much easier to ensure that. It uses the same amount of anesthetic, and it takes the same amount of time as a conventional syringe, perhaps marginally less. The faster you are giving the local anesthetic, the much greater opportunity there is for discomfort during the delivery, which is a common complaint.
The Wand STA automatically reduces the speed at which I can administer the solution, and therefore, keeps the opportunity for pain at bay. So for me, speed is not the issue. It is the fact that with the technology as it is, I can give a truly painless injection, and that is all I am really interested in.
Professional tips for The Wand STA
Julian Webber, BDS, MSc, DGDP, FICD, is a partner at the renowned Lister House Endodontic Practice in London. He is Editor-in-Chief of Endodontic Practice and an editorial adviser to Independent Dentistry. He has taught at Guy’s and the Eastman Dental Schools and has lectured widely in Europe and the United States. Dr. Webber is a faculty member of the Pacific Endodontic Research Foundation in San Diego, California, where he has perfected and taught techniques on microscopic endodontics. He has written numerous articles and contributed to textbooks in the field of endodontics.
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