Presentation on theme: "American Association of Endodontists oGeneral Information oMembership oCertification oMajor Research and Technology Changes oTrends in Education oChanges."— Presentation transcript:
American Association of Endodontists oGeneral Information oMembership oCertification oMajor Research and Technology Changes oTrends in Education oChanges in Scope of Practice
American Association of Endodontists oImpact of Bisphosphonates oImprove Magnification and New Materials oReferral Patterns oPrinciple Health Services oChanges over the past 10 Years oPractice Settings
Membership Projections o1-2% growth annually oMembers transitioning into Life and Retired membership oIncrease in number of International members
AAE Surveys 2003-2009 results indicated: o80% of people who receive root canal treatment by a specialist would return to one o94% of general dentist have positive perceptions of endodontists o9 out of 10 general dentists partner with endodontists
Membership Surveys 2009 results indicated: o83% of endodontists provided charitable care to underserved populations. oThe average specialist performs 10 or more charitable procedures per year.
American Board of Endodontics Recent Changes o4-year identity requirement eliminated oResident/graduate students allowed to sit for written exam in last year of program oTrack II allows clinicians to submit case portfolio before taking written exam oExtension of eligibility oMulti-site testing centers
Preliminary Application Submitted 2006 or After StepMaximum Time Part I3 years Part II6 years Final Application1 year Part III2 years
Track One for Board Certification oWritten Examination – Part I oCase History Portfolio – Part II oOral Examination – Part III
Track Two for Board Certification o Case History Portfolio – Part I o Written Examination – Part II o Oral Examination – Part III
Major conditions routinely treated: oPulpal and Periapical Disease oCaries oDental Trauma oPeriodontal Disease oExtensive Restorations oTooth Fractures or Host Factors
Changes in Scope of Practice ‘Patients with multiple systemic diseases including diabetes experienced decreased retention of endodontically treated teeth and increased need for retreatment by endodontists.’ Mindiola MJ, Mickel AK, Sami C, Jones JJ, Lalumandier JA, Nelson SS. Endodontic treatment in an American Indian population: a 10-year retrospective study. J Endod 2006; 32: 828-32.
Changes in Scope of Practice ‘97% of endodontically treated teeth (nearly 1.5 million teeth) were retained in the oral cavity eight years after initial treatment.’ Salehrabi R, Rotstein I. Endodontic treatment outcomes in a large patient population in the USA: an epidemiological study. J Endod 2004; 30: 846-50.
Impact of Bisphosphonates ‘Bisphosphonates, associated with osteonecrosis of the jaws (ONJ), has significant medical and dental implications.’ Carter G, Goss AN, Doecke C. Bisphosphonates and avascular necrosis of the jaw: A possible association. Med J Aust 2005; 182: 413-15.
Impact of Bisphosphonates ‘Pathogenesis of ONJ is related to the profound inhibition of oseoclast function brought on by the Bisphosphonates’ Ruggiebo SL, Drew SJ. Osteonecrosis of the jaws and bisphosphonate therapy. J Dent Res 2007; 86: 1013-1021
o60% of patients have treatment performed by general dentist o19-24% of patients have treatment performed by endodontists o38% of patients receive knowledge of endodontics from their dentist
Referral Patterns 2005-2007 surveys of general dentist: o42% report doing all 8% of the root canal procedures in their office o22% refer most 20% or all 8% of the cases to specialist o94% consulted with an endodontist over the past 12 months o68% believe referral to endodontists makes good business sense
oVital pulp therapy oIndirect pulp cap oDirect pulp cap & Pulpotomy oNonsurgical endodontic treatment oExpertise in pulp system anatomy oRecognition of anomalies
Principle Health Services oTeam work in dealing with complex restorations oManagement of patients with complicated medical histories oEndodontic retreatment oSurgical endodontic treatment: root- end resection
Trends and Changes: oPrivate Practice increased 2% oSolo Private Practice increased 12% oPrivate practitioners in a group practice decreased 10%
Practice Settings Trends and Changes: oMultidisciplinary practices increased 1% oOther practice settings increased 2%
Practice Settings o Vacancies in dental school endodontic positions decreased 5% o 248 full-time endodontic educators o 415 part-time educators compensated o 347 part-time volunteers o 4,600 active practicing endodontists in U.S. o 200 in federal dental health services o 250 full-time educators o 4,150 in private practices o 800 part-time private practitioners