The evolution of endodontics

The evolution of endodontics

7th January 2023

[This article first appeared in The Probe, December 2022]

“If you always do what you’ve always done, you’ll always get what you’ve always got.”

Henry Ford

Evolution is such a powerful word and it’s something I lean into on a daily basis. The dictionary definition refers to the ‘gradual development of something’ – the word gradual appearing in almost every version.

I apply Kaizen theory to my work as a clinician, as well as in my daily life. Based on the Japanese words that translate to mean ‘good change’ or ‘improvement’, Kaizen business theory suggests that we can continue to make things better, even if they seem to work well right now. Again, the emphasis is on gradual improvements.

What is so satisfying about the evolution of anything, but particularly for me, endodontics, is that any progression is built on legacy knowledge. It’s not about a swift about-turn or a complete change of direction. It’s the incremental improvement that follows the stage before.

Technology within endodontics is one of the key pillars of change. It is so exciting to witness and experience something new that is effective and efficient. Embracing these new approaches is where I believe the future lies. I am grateful for the foundations of all the teaching I’ve received, and continue to receive, over the years but I am equally energised by the next steps – the future of endodontics. For me, right now, that lies in technology.

Shaping and cleaning within a root canal procedure is a good example of endo practice aided by emerging technologies. Traditional methods can involve blind cleaning and multiple visits. The evolution of this has introduced new technology and greater understanding, particularly of irrigation and disinfection. The result? Single visit treatment using excellent visualisation and new techniques using strict aseptic protocol, nickel-titanium instrumentation and copious irrigation. By using better equipment we make fewer errors, provide improved cleaning and shaping and overall, much better canal prep. This places the patient front and centre and means we are working to gold standard care.

As clinicians we are blessed with the ability to enhance services through innovative improvements in materials, methods and treatment protocols and such opportunity demands an obligation to integrate them into our treatment modalities. 

Evolution propels us into striving for more. I am doing exactly that – in my clinical practice; through my evo endo teaching work; and every hour of personal development. I feel very lucky to have such a forward thinking and rewarding day job!