Endodontic Resources to Make You Better Tomorrow!
Dear Clinician,
The 2 Day Root Camp Boot Camp will make you a better clinician and help you finally learn a root canal system or playbook. The 4 Quarters of the Root Canal Game playbook will give you a step-by-step method and will help you avoid feeling lost inside a tooth during your next root canal. Come and learn with me and be ready to dominate your next root canal.
Reid
ProRoot ES (Endodontic Sealer) from Dentsply Tulsa is a new sealer that came to market in May 2016. It comes in a box with 12 MTA like packets and 12 gel ampules. Each packet is intended to be a unidose and contains plenty of powder to predictably obturate any tooth in the mouth whether it has 1 or 6 canals. In this RCA product demonstration, I’ll describe Dentsply’s ProRoot ES, communicate its benefits, and in a patient video demonstration, provide insight to how to use ProRoot ES with patients.
ProRoot ES represents a continuing paradigm shift in endodontic sealers toward calcium silicates or bioceramics. These new sealers are not just sealers but can also serve as an apical filler. Historically the gutta percha cone is buttered or lightly coated with a thin layer of Thermaseal Plus Ribbon Sealer (Dentsply Tulsa) or Pulp Canal Sealer EWT (Kerr Endodontics) and then placed in the canal to working length. The ultimate goal is to have a thin layer of sealer between the gutta percha, dentin and any portal of exit (foramen). The sealer serves as a sealer and in this technique it is better to have a tight fitting gutta percha cone that “fits and fills” the apex or the foramen with just a small layer of sealer in between. The Warm Vertical compaction technique serves to heat the apical end of the gutta percha so that it can be molded and plugged to intimately fill the foramen or apical exit thus obtaining an excellent seal between the ‘inside’ and ‘outside’ of the canal system.
ProRoot ES Description
In reality, it is difficult to place a heated tip into the gutta percha within 4-5mm of the working length. Heat only travels 4-5mm down the gutta percha point so in order to heat the apical 1/3 and get a true apical seal the heated tip must reach that level. Often times this is not possible due to canal curvature, length, or smaller canal shapes (04 taper). So in essence the majority of dentists are performing a single cone obturation with Thermaseal Plus Ribbon Sealer or Pulp Canal Sealer EWT due to the fact that they are unable to get the heated tip within 4-5mm of the apical gutta percha.
It is my opinion that most dentists are performing a single cone obturation with the wrong sealer mainly because they feel warm vertical condensation is either too technique sensitive or takes too much time.
ProRoot ES represents a shift in sealer technology in that it not only seals the canal system but it also acts as a filler. Dentists can perform a double butter single cone hydraulic condensation with ProRoot ES and the new Dentsply Tulsa micronized gutta percha points (excellent fit due to greatly reduced error rate on size) and not worry as much if the apical end of the gutta percha cone fits perfectly into the foramen size. The ProRoot sealer will flow into the apical foramen filling any excess space and forming a tight seal.
ProRoot ES Patient Demonstration
What are some other benefits of ProRoot ES and calcium silicate sealers?
1- Massive reduction of post-operative sensitivity.
2- Osteogenic/Osteoconductive= can promote cementum growth
3- Antibacterial
4- Setting pH 11.6, Set pH 11.7
5- Bonds to the dentin and gutta percha
6- Hydrophilic= the sealer will set in moisture
7- Excellent Flowability
8- Excellent Coatability- the sealer coats the dentinal walls in a 360 degree fashion
9- Does not promote periradicular inflammation
10- 65 minute working time
11- Relatively quick set time of 12 hours (quick in the sealer world)
12- Re-treatable
13- Can seal apical perforations (in theory)
Here is what the packaging looks like:
Calcium silicate sealer, such as ProRoot, can certainly help us with our desired E3 goals of being more effective and efficient, yielding excellent results with patients.
–Reid Pullen
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I have seen numerous dentists roll through my 2 Day Root Camp Boot Camp courses these last 3 years and I have received a ton of feedback on whether these courses really help the general practitioner to practice E3 Endodontics. E3 Endodontics means being Effective in technique, Efficient in its application, and thus achieving an Excellent result. E3 Endodontics is where it’s at. If you are not confident and effective during the root canal process than the efficiency is reduced. If the efficiency is reduced than it is more challenging to produce an excellent obturation and final post-op radiograph.
LIVE or ONLINE: 4 Qtrs of the Root Canal Game
My goal in teaching the 2 Day Root Camp Boot Camps (Standard RCT and Simple ReTx boot camps) is to help the general dentist “Be Better Today and Tomorrow” while performing root canals and simple Re-Tx’s in their practice. How do I achieve this grand goal?
#1 The 2 Day Root Camp Boot Camps will give you a root canal plan or prescription that works for every case. I call it the Root Canal Playbook. You will learn to follow the 4 Quarters of the Root Canal Game for each and every case.
#2 The 2 Day Root Camp Boot Camps will give you the confidence that you are performing better technique and using it in the correct application.
#3 The 2 Day Root Camp Boot Camps will increase your efficiency and reduce your total root canal treatment time. The live patient demonstration along with lecture, discussion and hands-on shows you how this can be done.
#4 The 2 Day Root Camp Boot Camp will help you boost your office endo production. You will learn to tackle simple to medium cases and complete them in 1/2 time you were before. Material overhead for each endo case averages $50-75 while your molar production can be anywhere from $700-1200 or higher. Not a bad overhead to production ratio!
#5 Lastly, The 2 Day Root Camp Boot Camp will make you better in endodontics forever as long as you consistently apply the 4 Quarters of the Root Canal Game principles.
Satisfied Customer
My friend found this online and sent me this unsolicited testimonial:
“Joseph, I recently attended a Dentsply endo weekend Boot Camp, given by Dr. Reid Pullen in Brea, CA. I think it’s the best course (besides cerecdocs, of course) I’ve ever taken. I wanted to feel more confident doing molar endos, finding and obturating MB2, getting around curves, etc. Pullen is an absolute master and excellent teacher. We spent 2 days in his office. Small group of 6. Now I went to feeling indifferent about endo to loving it. Attached is a recently done upper second molar.” –Dr. E. Prouty
Dr. E. Prouty Tooth #15
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See Reid Pullen’s teaching schedule on the Root Canal Academy ‘Learn’ page.
Keywords: 2 Day Root Camp Boot Camp, E3 Endodontics, Root Canal Playbook, 4 Quarters of the Root Canal Game, Learning Endodontics, Learning Root Canal Procedures