PODCAST · health
Hotel Calcification
by Dr. Tom Shackleton, Dr. Joel Fransen, Dr. Rich Mounce
Two endodontists and a general practitioner with a practice limited to endodontics and oral and facial pain discuss, with humor and a clinical viewpoint, all things dental and endodontic.
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44
Local Anesthesia: Profound, Comfortable, Predictable
Send us Fan MailDr. Tom Shackleton and Dr. Rich Mounce discuss all things local anesthesia for endodontic treatment. As a bonus, a brief digression into the dating world, unrelated to endodontics is also included near the end. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Endodontic Iatrogenic Events: To the Apex and Beyond, Part IV
Send us Fan MailThe genesis of, prevention of, and management of iatrogenic events at and beyond the root apex are discussed in detail. Emphasis is placed on excellent length control and instrumentation and irrigation to the minor constriction respecting apical tissues. Dr. Fransen's 15 minutes of global fame is also mentioned. Google: "crazy Canadian suit world cup" and Dr. Fransen lights up the planet. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Instrumentation Iatrogenic Errors, Part 3: Jumbotron Dreaming in Toronto
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce discuss instrumentation errors in the apical third and their impact on case prognosis. Dr. Fransen also describes the Maple Leaf costume he will be wearing the Canada v. Bosnia World Cup game in Toronto on Friday June 12 and his hope to be seen on the stadium Jumbotron. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Iatrogenic Events Part 2: Avoiding Mishaps From the Access to Shaping
Send us Fan MailDr. Tom Shackleton and Dr. Rich Mounce discuss avoidance of iatrogenic errors from access through shaping. Loaded with clinical tips, this discussion has few digressions, although several youthful misdeeds are revealed. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Iatrogenic Events 1: What They Are? How do I Avoid Them? And a Brief Treatise on Pisco Sours.
Send us Fan MailDr. Tom Schackleton, Dr. Joel Fransen, and Dr. Rich Mounce define iatrogenic events in endodontics and strategies for avoidance. This multipart episode discusses diagnostic errors leading to clinical iatrogenic events and access errors. Future episodes will discuss intra-operative episodes. A brief digressing on the libations known as Pisco Sours is also included for cultural enrichment. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Study Clubs, Cosmetic Endo Deficits, Technical Endo Deficits (knowing the difference), MRONJ
Send us Fan MailDr. Tom Shackleton, Dr. Joel Fransen, and Dr. Rich Mounce discuss the value of Study Clubs, how to know what acceptable clinical results are (i.e. what are cosmetic defects in treatment that can be tolerated and what are technical defects that predispose a case to failure, and Medication Related Osteonecrosis of the Jaw. If you like the podcast, tell a friend. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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38
Evidence Based Endodontics, Resorption, No CE in BC
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce discuss how to improve endodontic skills, chose an evidence base, and evaluate and treat internal and external root resorption. A brief digression on the current state of CE requirements in British Columbia Canada is also included. If you like the podcast, tell a friend. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Restoring Endodontically Treated Teeth, Office Music, and a Case Discussion
Send us Fan MailDr. Tom Shackleton, Dr. Joel Fransen, and Dr. Rich Mounce discuss clinical techniques and materials for post and core build ups of endodontically treated teeth. A short digression on our selected office music is included as well as a complex case discussion. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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36
Surgery Versus Non Surgical Endodontic Retreatment: Decision Making
Send us Fan MailDr. Tom Shackleton, Dr. Joel Fransen, and Dr. Richard Mounce discuss surgical versus non surgical retreatment planning considerations in endodontics with a small digression at the end about taking art photos of holiday cocktails. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Practicing Endodontics in a Remote Location & the Latest on KP + JT
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce discuss the opportunities and challenges of practicing endodontics in a remote location such as Whitehorse in the Yukon Territories. Trading JT and JB for future draft picks is also discussed. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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34
Trigeminal Neuralgia From a Root Canal? Coming to a Theatre Near You: The Ledge from MB2
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce discuss trigeminal neuralgia (origins, diagnosis, treatment) and an untoward injection causing a significant anxiety attack. Also featured is a short discussion of musical preferences among the host, and the upcoming Christmas concert at Eagle Summit Dental Group in Eagle River, AK. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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33
Optimizing Endodontics for General Practitioners: The AI Question
Send us Fan MailDr. Tom Shackleton returns to the podcast along with Dr. Joel Fransen and Dr. Rich Mounce to discuss strategies for optimizing endodontic diagnosis, clinical techniques and patient management. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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32
Where, How and Why to Set Up an Endo and General Dental Practice:
Send us Fan MailDr. Joel Fransen and Dr. Rich Mounce discuss where, how and why to set up an Endo or general dental practice. The conversation touches on practice marketing, scheduling, staff management, patient conversations and financial policies. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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31
Clinical Tips and Tricks: Making Endodontics More Predictable
Send us Fan MailDr, Joel Fransen and Dr. Richard Mounce discuss a host of small tips and clinical tricks that align with basic principles to make endodontics safer and more predictable. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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30
Dental Burn Out: Causes, Effects, Solutions
Send us Fan MailDr. Joel Fransen and Dr. Rich Mounce describe the deleterious effects of professional burn out, its avoidance, and solutions for keeping at the top of your game. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Dental Record Keeping: What to Leave In, What to Leave Out
Send us Fan MailDr. Richard Mounce discusses the Do's and Dont's of dental record keeping. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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28
Asymptomatic Irreversible Pulpitis: Be a Prophet, Not Make Excuses
Send us Fan MailDr. Rich Mounce discussed the pulpal diagnosis of asymptomatic irreversible pulpitis, pulpal diagnosis, and its importance to the foundation of restorative dentistry. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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27
Lasers: When, Why, How, and a brief digression on Gary Lineker
Send us Fan MailDr. Joel Fransen and Dr. Rich Mounce discuss their purchase of lasers answering the why, how and when of their laser use. Included is a brief introduction to the famous English football player Gary Lineker and one hosts loyalty to Tottenham Hotspur football club. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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26
Calcium Hydroxide: When to, How to, and Why
Send us Fan MailDr. Joel Fransen and Dr. Richard Mounce discuss the use, misuse and clinical application of calcium hydroxide. The episode also features a discussion of irrigation protocols and how calcium hydroxide is interrelated to various endodontic disinfection concepts. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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25
Endodontic Associate Relationships (Plus a Clinical Case History)
Send us Fan MailDr. Joel Fransen and Dr. Richard Mounce discuss endodontic associate relationships from both the associate and owner perspective, as well as a recent clinical case history.Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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24
Obturation: Why, How, and What Can Go Wrong
Send us Fan MailDr. Tom Shackleton, Dr. Joel Fransen and Dr. Richard Mounce discuss all things related to endodontic obturation. Unique intro, and outro to this episode. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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23
Hand Files and Shaping Strategies: Feeling the "Pop"
Send us Fan MailDr. Tom Shackleton, Dr. Joel Fransen, and Dr. Richard Mounce discuss the use of hand files in endodontics with an emphasis on their integration with shaping protocols and reducing nickel titanium instrument fracture. A digression on Canadian politics, Justin Trudeau, and the scintillating nightlife in Burnaby BC Canada are also included. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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The Advice We Would Give Our Younger Selves: Dr.'s Fransen, Shackleton, Mounce
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce discuss the personal and professional advice they would give their younger selves if they could do it over. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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21
Dental Trauma: Guidelines and Resources
Send us Fan MailDr. Tom Schackleton, Dr. Joel Fransen, and Dr. Rich Mounce discuss guidelines and resources in the clinical management of dental trauma. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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20
Marketing in a Specialty Practice
Send us Fan MailDr. Tom Shackleton, Dr. Joel Fransen and Dr. Rich Mounce discuss strategies to market a specialty dental practice, what worked, did not work, and what each doctor might embrace in the future. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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MB2: How to Find It, Treat It, and NOT be a Dinkelheimer!
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce discuss endodontic access, location, discovery and management of the MB2 Canal. Also, discussed, are strategies on how not to be a Dinkelheimer when root canal treating upper molar teeth. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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18
Artificial Intelligence in Endodontic Diagnosis
Send us Fan MailA Solo Episode by Dr. Joel Fransen discussing the current status, merits and limitations of AI in Endodontic diagnosis. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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17
Endo or Exo? Three Opinions on Tooth Restorability
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton and Dr. Rich Mounce discuss their decision making strategies for making the decision to either extract teeth or perform endodontic therapy. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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What Makes a Great Referral: Part 2
Send us Fan MailDr. Tom Shackleton, Dr. Joel Fransen, and Dr. Rich Mounce discuss the good, bad and ugly of the referral relationship between general dental practitioners and endodontists. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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What Makes a Great Referral: Part 1
Send us Fan MailDr. Tom Shackleton, Dr. Joel Fransen, and Dr. Rich Mounce discuss the good, bad and ugly of the referral relationship between general dental practitioners and endodontists. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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14
New Endodontic and Dental Technology: Game Changer or Dust Collector?
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce discuss the risks, benefits, and pitfalls of buying new endodontic and dental devices, instruments and technologies. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Reflections from the AAE 2024: What We Took Back to the Office Monday Morning
Send us Fan MailDr. Joel Fransen, Dr. Tom Schackleton, and Dr. Rich Mounce discuss what they learned, saw and took back to the operatory from the AAE 2024 held in April in Los Angeles. Topics include resorption, lasers, equipment purchases, clinical technique advances among others. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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The Language We Use With Patients & Knowing When to Sedate
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce discuss the language we use with patients, how to communicate key dental and endodontic concepts, and when sedation is necessary versus simply using local anesthetic. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Root Canal Does Not Equal RIP & Optimal Endodontic Learning Strategies
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton and Dr. Richard Mounce discuss the movie Root Cause, Biologic Dentistry, Nico Lesions in the first part of the podcast and how best to learn endodontic clinical techniques in the second part. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Single Visit Endodontics: When, Why, How
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Richard Mounce discuss single versus multiple visit endodontic treatment. Included in the conversation is a discussion of the rationale for single versus multiple visits, decision making, iatrogenic potential and outcomes. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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9
Antibiotics: Medications with Consequences
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Richard Mounce discuss the use of antibiotics in endodontics. Included in the conversation is a discussion of the distinction between inflammation and infection as well as indications and contraindications for antibiotic usage. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Part 2 of 2: Endodontic Pre and Post Operative Pain: A Clinicians Perspective
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce, discuss pre and post operative endodontic pain management. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Part 1 of 2: Endodontic Pre and Post Operative Pain: A Clinicians Perspective
Send us Fan MailDr. Joel Fransen, Dr. Tom Shackleton, and Dr. Rich Mounce, discuss pre and post operative endodontic pain management. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Practice Does Not Make Perfect: Part 4 of 4, A Discussion of Dental Malpractice From a Clinicians Perspective
Send us Fan MailDr. Tom Shackleton (Calgary, Alberta), Dr. Joel Fransen (Vancouver, Canada) and Dr. Richard Mounce (Alaska, USA) continue with part 4 of a 4 part discussion of how to minimize the risk of dental malpractice claims. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Practice Does Not Make Perfect: Part 3 of 4, A Discussion of Dental Malpractice From a Clinicians Perspective
Send us Fan MailDr. Tom Shackleton (Calgary, Alberta), Dr. Joel Fransen (Vancouver, Canada) and Dr. Richard Mounce (Alaska, USA) continue with part 3 a 4 part discussion of how to minimize the risk of dental malpractice claims. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Practice Does Not Make Perfect: Part 2 of 4, A Discussion of Dental Malpractice From a Clinicians Perspective
Send us Fan MailDr. Tom Shackleton (Calgary, Alberta), Dr. Joel Fransen (Vancouver, Canada) and Dr. Richard Mounce (Alaska, USA) continue with part 2 a 4 part discussion of how to minimize the risk of dental malpractice claims. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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Practice Does Not Make Perfect: Part 1 of 4, A Discussion of Dental Malpractice From a Clinicians Perspective
Send us Fan MailDr. Tom Shackleton (Calgary, Alberta), Dr. Joel Fransen (Vancouver, Canada) and Dr. Richard Mounce (Alaska, USA) begin a 4 part discussion of how to minimize the risk of dental malpractice claims. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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The Chieftains of Complaint Part 4
Send us Fan MailDr. Tom Shackleton (Calgary, Alberta), Dr. Joel Fransen (Vancouver, Canada) and Dr. Richard Mounce (Alaska, USA) continue into part 4 of a 4 part discussion assessing a patients chief complaint with an eye toward making an accurate clinical diagnosis. Part 4 continues (without introductions) with Dr. Shackleton discussing non endodontic pain entities and concludes this topic. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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The Chieftains of Complaint Part 3
Send us Fan MailDr. Tom Shackleton (Calgary, Alberta), Dr. Joel Fransen (Vancouver, Canada) and Dr. Richard Mounce (Alaska, USA) continue into part 3 of a 4 part discussion assessing a patients chief complaint with an eye toward making an accurate clinical diagnosis. Part 3 concludes with Dr. Shackleton discussing non endodontic pain entities and the conversation continues in part 4. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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The Chieftains of Complaint Part 2
Send us Fan MailDr. Tom Shackleton (Calgary, Alberta), Dr. Joel Fransen (Vancouver, Canada) and Dr. Richard Mounce (Alaska, USA) continue into part 2 of a 4 part discussion assessing a patients chief complaint with an eye toward making an accurate clinical diagnosis. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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The Chieftains of Complaint Part 1
Send us Fan MailDr. Tom Shackleton (Calgary, Alberta), Dr. Joel Fransen (Vancouver, Canada) and Dr. Richard Mounce (Alaska, USA) begin a 4 part discussion of assessing a patients chief complaint with an eye toward making an accurate clinical diagnosis. Iatrogenic Endodontic Events: To the Apex and Beyond, Part IV
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