Move
-

Practice Profile

Top Headline

Scott A. Norton, DMD, MSD

Scott A. Norton, DMD, MSD

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...

Read More...

Dr. Fleur A. Blethen

Dr. Fleur A. Blethen

Empathy, tenacity, and perseverance are keys to this clinician’s flourishing practice  What can you tell us about your background? I was born and raised in Seattle, Washington, and lived there until I was 13 years old. My family relocated...

Read More...

Dr. Ernest Reeh, Practice Profile

Dr. Ernest Reeh, Practice Profile

Focus on patients, family, academics, and endodontics What can you tell us about your background? I have a bachelor’s degree in chemistry with a minor in business. I was accepted off of the alternate list for dental school and then attained...

Read More...
Move
-

Clinical Articles

Top Headline

GuttaCore® system: a step forward in the evolution of endodontics

GuttaCore® system: a step forward in the evolution of endodontics

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...

Read More...

Endodontic retreatment of a lower right first molar with WaveOne®

Endodontic retreatment of a lower right first molar with WaveOne®

Dr. David C. Baker uses a technique that facilitates quick and predictable results Patient history The patient is a 34-year-old female who was referred by a local colleague. She had broken her lower right first molar and complained of some general...

Read More...

The Laschal FXP set incorporates transferred oscillation technology

Background There are other ultrasonic devices on the market that depend upon direct contact with a separated file to loosen and remove. However, it is absolutely impossible to restrict the contact of the tip to the file remnant itself. The vibrations...

Read More...
Move
-

Practice Management

Top Headline

Superior customer service

Superior customer service

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...

Read More...

Office Matters: Hard-piped filtered water system vs. self-contained bottled water system

John Bednar helps avert problems coming down the pipe If your office currently has a hard-piped filtered water system, now is a good time to consider if and when you should change to a self-contained bottled water system. A hard-piped filtered water...

Read More...

Secrets to financial and personal freedom for endodontists

Secrets to financial and personal freedom for endodontists

In part 1 of his series, Dr. Ace Goerig offers the first steps to becoming debt-free I was presenting at a recent AAE national meeting with over 200 endodontists in the room, and I asked the question, “How many of you are completely debt-free?” ...

Read More...

webber_main

Dr. Julian Webber discusses his commitment to pain-free endodontics



It’s far easier now to do a root canal than it ever was before, thanks to all the fancy instruments, gizmos and gadgets that we have. However, the basic principles remain exactly the same.

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

  • Maximize the use of palatal and periodontal ligament injections as they numb the tooth and not the mouth.
  • When injecting into the palate, press a cotton bud (the Wand is supplied with tipped applicators) against the back of the bevel to create pressure anesthesia and to catch drops.
  • Another technique for preventing the anesthetic dripping into the patient’s mouth when injecting into tight tissue is to leave the aspirate button on at the end of the injection. This causes the anesthetic to be sucked inwards. Tap the foot pedal and withdraw the needle after three beeps, then lift the handpiece out of the mouth.
  • When carrying out a block, place the needle on the mucosa, then rotate the handpiece several times through an arc of 180 degrees. This equalizes the pressure on the needle bevel, allowing it to go straight in to the injection site.
  • It’s possible to conceal the Wand from phobics and nervous patients. This can be achieved by snapping off a section of the plastic handpiece so you can hide the rest of the handpiece and needle inside your hand.
  • It’s advisable to carry out this process for PDL and palatal injections as it enables even better control and improves access.
  • If you use 2.2 ml cartridges, always keep a spare adaptor so that you are not left with an unusable Wand if you lose the only one.
  • Avoid running out of handpieces by hiding a number–say 15–so that you have a buffer stock if you use all the others up. This will ensure you do not run out while waiting for the next delivery.

 

Bio

webberJulian 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.

 

 

Subscribe

EndodonticPracticeUS_MarchAprilSubscribing to Endodontic Practice US magazine has never been easier.

 

1 Year Subscription $99.00
3 Year Subscription $239.00

Subscribe

Latest News

So Sophisticated It’s Simple™: Designed to safely and efficiently navigate the most challenging canals

Brasseler USA®, a leading manufacturer of quality instrumentation, has introduced the new ESX® Rotary File System. Designed with several performance-enhancing patented features, ESX is a two file shaping system with a minimally invasive protocol which seeks to maximize the long-term prognosis of the treated tooth.   

Advertising Info

advertise

Take advantage of many web and print advertising opportunities.

Get Info

Subscribe Now

image

Subscribe online, or call our team (866) 579-9496.

Subscribe

Get Credit

credits3

Receive CE credits through our website.

Get Info

Contact Us

image

Contact our website news team via our Online Customer Support Service.