Root Resorption & Bioceramics: Saving Teeth We Used to Extract | Dr. Ryan Walsh

Cervical resorption used to mean "watch it until it hurts, then place an implant." Endodontist Dr. Ryan Walsh explains why he's seeing more of it, why most cases show up with no symptoms, and how bioceramics now let him treat many of these teeth from the inside with good results at 1 to 3 year recalls. He also covers when to monitor versus treat, how to answer patients who saw "Root Cause," and the bioactive composite he's happy to have a crown placed right on top of.

In this episode:
- Why cervical resorption seems to be rising, and what a 500-case study did (and didn't) find
- Why most resorption is found on a routine X-ray, with no symptoms
- Treating resorption internally with bioceramics instead of surgery
- His layered fill: bioceramic sealer, bioceramic putty and glass ionomer
- When to monitor and when to treat: resorption can go from zero to non-restorable in under six months
- Trauma and avulsed teeth
- How to answer patients who ask about the "Root Cause" documentary
- Bioactive composites with 45S5 bioglass at the coronal end

📰 Plus dental news from summer 2022: the BA.5 COVID wave, a follow-up on the McCarran-Ferguson repeal, and the ADA HPI poll on staffing and health insurance for dental teams.

Dr. Ryan Walsh is an endodontist in the Dallas-Fort Worth area. He graduated from the University of Iowa College of Dentistry, completed his endodontics residency at Baylor in Dallas, and teaches dentists and endodontists around the world, with a research focus on bioceramics. He discloses a long research relationship with Avalon Biomed.

🙌 Special shout out to Q-Optics for making this episode possible!

Chapters:
0:00 Intro
2:16 Welcome
2:48 News: the BA.5 COVID wave
3:28 News: McCarran-Ferguson repeal follow-up
4:49 News: ADA HPI poll on staffing and health insurance
6:15 Please rate and review our podcast
8:03 Meet Dr. Ryan Walsh
10:56 Why he became an endodontist
13:58 How endo has changed in the last decade
16:07 Patients asking about "Root Cause"
19:00 Why resorption cases seem to be rising
20:59 Cervical resorption is on the rise
22:34 A cervical resorption case
24:01 Why bioceramics changed treatment
25:05 Treating resorption from the inside
26:35 The layered fill: sealer, putty and glass ionomer
27:57 When to monitor and when to treat
30:35 Trauma and avulsed teeth
32:19 Finding resorption by surprise
35:40 Resorption on front teeth: an internal approach
38:14 A three-year recall
39:34 Crown down: the coronal end
40:22 What is 45S5 bioglass?
41:01 Bioactive composite in artificial saliva
43:01 Putting the crown on the composite
44:18 Thank you, Dr. Walsh
45:20 Closing: talk to your specialists

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