article

Single Use Endodontic Files By Dr Matthew Gentner - BDSc MDSc (QLD) MRACDS (ENDO)

For many years now, the endodontic group have enforced the policy of single use of endodontic files. There are protocols for cleaning and sterilising of endodontic instruments, however they are quite cumbersome and it is difficult to get consistency in results from these procedures. There is also the risk of sharps injuries to staff in performing the procedure.

Several government agencies around the world, for example in the United Kingdom recommend the single use endodontic files. This action has arisen out of concern for the difficulties encountered in their cleaning and sterilization after use and the possibility that they may act as vehicle for disease transmission when re-used. Of particular concern is the transmission of prion protein, a pathogenic isoform of a common host cell receptor, which causes acquired iatrogenic Creutzfeldt-Jakob Disease (iCJD), a type of the spongiform encephalopathy. No treatment or prophylaxis is available for this disease and its acquisition nearly always proves fatal. Disease transmission associated with the re-use of endodontic hand and rotary files and reamers has not yet proven itself to be a clinical problem in endodontic practice although there is still concern in the literature.

The other risk is instrument separation. This risk increases with more use of files. It can be very difficult to track the number of times instruments have been used (and do you count number of teeth or canals?). It is also difficult trying to take into account the type of canals they were used in – highly dilacerated or relatively straight? Studies also demonstrate the decline in efficiency of endodontic files when machining dentine. This tends to lead to pushing harder, exacerbating the risk of instrument separation.

When initialling making this decision we asked ourselves “What would we like used on ourselves.” Once you answer this question, the decision seems quite simple. There are cost implications for patients; however most are quite happy to pay more for the use of new instruments. This ensures the highest possible care available.

branches

BrisbaneWatkins Medical Centre 9th Floor 225 Wickham Tce Brisbane QLD 4000 p: 07 3837 0000 f: 07 3839 0058 info@endodonticgroup.com.au

AspleyAspley Medical Centre Unit 2/1311 Gympie Road Aspley QLD 4034 p: 07 3837 0055f: 07 3862 8254 aspley@endodonticgroup.com.au

Sunshine Coast MaroochydorePlaza Central Suite 1, 31-33 Plaza Parade Maroochydore QLD 4558 p: 07 5458 9600 f: 07 5479 4377 sc@endodonticgroup.com.au

Gold Coast RobinaHQ @ Robina Suite 35, Level 3, 58 Riverwalk Ave Robina QLD 4226 p: 07 5501 8900 f: 07 5562 1055 gc@endodonticgroup.com.au

IpswichIpswich Professional Centre 46 Limestone Street Ipswich QLD 4305 p: 07 3281 5899f: 07 3812 0690 info@endodonticgroup.com.au

Toowoomba22a James Street Toowoomba QLD 4350 p: 07 4638 5000 f: 07 3839 0058 info@endodonticgroup.com.au

www.endodonticgroup.com.au

Tell us what you think... Our aim is to provide the highest level of service to you,our referring practices, support and care of your patients. If you have any feedback on ways that we could improve our service to you and make your lives a little easier, please go to the feedback section on our website www.endodonticgroup.com.au/dentist-feedback-form and tell us what you think!

Launch of the new Job Board

Available now on Dentist Connect.Read inside for further details

articleSingle Use Instruments – by Dr. Matthew GentnerFind out why the endodontic group are following in the United Kingdom’s footsteps...

eventsWe have an actioned packed calendar planned for 2012! Check out our calendar of events to find the next educational function in your area.Details inside....

practice newsWe value your feedback and are always looking at ways that we can improve our service to your practice and patients.

AUTUMNNEWSLETTER

2012

more inside

With 10 endodontists over 6 locations, a combined experience of 183 years, we are always on hand to treat your patient emergencies!

endodontic_newsletter.indd Spread 1 of 2 - Pages(4, 1) 4/10/12 3:54 PM

article

Single Use Endodontic Files By Dr Matthew Gentner - BDSc MDSc (QLD) MRACDS (ENDO)

For many years now, the endodontic group have enforced the policy of single use of endodontic files. There are protocols for cleaning and sterilising of endodontic instruments, however they are quite cumbersome and it is difficult to get consistency in results from these procedures. There is also the risk of sharps injuries to staff in performing the procedure.

Several government agencies around the world, for example in the United Kingdom recommend the single use endodontic files. This action has arisen out of concern for the difficulties encountered in their cleaning and sterilization after use and the possibility that they may act as vehicle for disease transmission when re-used. Of particular concern is the transmission of prion protein, a pathogenic isoform of a common host cell receptor, which causes acquired iatrogenic Creutzfeldt-Jakob Disease (iCJD), a type of the spongiform encephalopathy. No treatment or prophylaxis is available for this disease and its acquisition nearly always proves fatal. Disease transmission associated with the re-use of endodontic hand and rotary files and reamers has not yet proven itself to be a clinical problem in endodontic practice although there is still concern in the literature.

The other risk is instrument separation. This risk increases with more use of files. It can be very difficult to track the number of times instruments have been used (and do you count number of teeth or canals?). It is also difficult trying to take into account the type of canals they were used in – highly dilacerated or relatively straight? Studies also demonstrate the decline in efficiency of endodontic files when machining dentine. This tends to lead to pushing harder, exacerbating the risk of instrument separation.

When initialling making this decision we asked ourselves “What would we like used on ourselves.” Once you answer this question, the decision seems quite simple. There are cost implications for patients; however most are quite happy to pay more for the use of new instruments. This ensures the highest possible care available.

branches

BrisbaneWatkins Medical Centre 9th Floor 225 Wickham Tce Brisbane QLD 4000 p: 07 3837 0000 f: 07 3839 0058 info@endodonticgroup.com.au

AspleyAspley Medical Centre Unit 2/1311 Gympie Road Aspley QLD 4034 p: 07 3837 0055f: 07 3862 8254 aspley@endodonticgroup.com.au

Sunshine Coast MaroochydorePlaza Central Suite 1, 31-33 Plaza Parade Maroochydore QLD 4558 p: 07 5458 9600 f: 07 5479 4377 sc@endodonticgroup.com.au

Gold Coast RobinaHQ @ Robina Suite 35, Level 3, 58 Riverwalk Ave Robina QLD 4226 p: 07 5501 8900 f: 07 5562 1055 gc@endodonticgroup.com.au

IpswichIpswich Professional Centre 46 Limestone Street Ipswich QLD 4305 p: 07 3281 5899f: 07 3812 0690 info@endodonticgroup.com.au

Toowoomba22a James Street Toowoomba QLD 4350 p: 07 4638 5000 f: 07 3839 0058 info@endodonticgroup.com.au

www.endodonticgroup.com.au

Tell us what you think... Our aim is to provide the highest level of service to you,our referring practices, support and care of your patients. If you have any feedback on ways that we could improve our service to you and make your lives a little easier please go to the feedback section on our website www.endodonticgroup.com.au/dentist-feedback-form and tell us what you think!

Launch of the new Job BoardAvailable now on Dentist Connect.Read inside for further details

articleSingle Use Instruments – by Dr. Matthew GentnerFind out why the endodontic group are following in the United Kingdom’s footsteps...

eventsWe have an actioned packed calendar planned for 2012! Check out our calendar of events to find the next educational function in your area.Details inside....

practice newsWe value your feedback and are always looking at ways that we can improve our service to your practice and patients.

AUTUMNNEWSLETTER

2012

more inside

With 10 endodontists over 6 locations, a combined experience of 183 years, we are always on hand to treat your patient emergencies!

endodontic_newsletter.indd Spread 1 of 2 - Pages(4, 1) 4/10/12 3:54 PM

Emergency patient managementIf you have a patient emergency we will always endeavour to see them on the same day. Please call our reception team directly on 3837 0000 and the first available endodontist will accommodate you. See a full list of our branch locations on the back.

Veteran Affairs / EPC patientsThe endodontic group are happy to treat your Veteran Affairs and Enhanced Primary Care patients. For more information please visit http://www.endodonticgroup.com.au/connect-view/management-o f - e n h a n c e d - p r i m a r y - c a re -patients-20 or contact our friendly reception team.

GA/ IV sedationFor patients that find it difficult to have their treatment under local anaesthetic alone treatment can be arranged under general anaesthetic or intravenous sedation. For more information please visit http://www.endodonticgroup.com.au/connect-v i e w / w e - c a n - o f fe r - g e n e r a l -anaesthetic-iv-sedation-19.

CPD CertificatesKeep track of your CPD certificates on Dentist Connect. View and download all previous endodontic group educational event CPD Certificates at your convenience.

practice news

The endodontic group have an exciting year ahead with the launch of the new job board, the continued development of the website and Dentist Connect. In addition to this we are always looking at ways that we can improve our service to your practices and patients. Outlined below is more detail of what we have been up to.

New online Job Board

Fiji trip to the Suva Dental SchoolDrs Ross Applegarth and Bayardo Martell visited Fiji in September to present a series of lectures at the Suva Dental School and the Nandi University campus. They enjoyed the

warmth and hospitality of the Fijian dental community, and took the opportunity to dive in the crystal clear waters of the Mamanuca Island. As you would expect, the equipment at the Fijian Dental School is very basic. The endodontic group have made a donation to the Suva Dental School that includes equipment, instruments and textbooks in an effort to improve the quality of endodontic training.

Did you know the endodontic group have a facebook page? Like us on facebook and keep up to date with the latest practice news,

upcoming events, links to useful practice related articles our specialists are reading and other hot topics! Have you heard of the happiness advantage? Use this for your next practice meeting, moredetails on our facebook pagewww.facebook.com/pages/endodontic-group/207818483688

Action packed calendar for 2012!Some of the events on the calendar will be:

South side educational evening “Irrigation

and Bleaching in Endodontics” – 9th of May

North side educational evening “Current

Controversies in Endodontics” – 31st of May

North coast educational afternoon – 20th of July

Big Dave afternoon “Positioning in the Marketplace

Stay tuned on Dentist Connect “Upcoming Events” www.endodonticgroup.com.au/connect- category/dentist-upcoming-events-5 for details!

www.endodonticgroup.com.au

and Teambuilding”– 23 and 24 of Augustthrd

Dentist Connect Dentist Connect is continuing to grow and has been created entirely for the benefit of our referring professional dentists. It allows you to gain access to:

Access the new Job Board Download your personalised online referral desktop icon Keep track of CPD certificates Keep track of your online patient referrals Download lecture notes Read up on the latest case studies Upcoming educational events Past gallery of events Practice newsletters Useful links and much more

Log onto Dentist Connect today www.endodonticgroup.com.au/connectForgot your username and password? Simply contact the practice to have yours re-sent.

events

The endodontic group is committed to working with its referring practitioners; in supporting them to improve and build their practices. For this reason we have continued to provide many educational and social opportunities throughout 2012 and have an actioned packed calendar planned!

Past events All lecture notes are available on dentist connect to download!

New Graduate Forum with a Panel of Experts Our first New Graduate Forum was a huge success and we thank those who came along for their input. We hope to see you at future educational functions later in the year. Thanks also goes to our guest speaker Dr Geraldine Moses, who provides a drug information service to members of the ADA and can be contact directly on 0419 752 528 or email druginfo@adaq.com.au

Dr John McNamaraEndodontist

Dr Tim SmithEndodontist

Dr Jonathan MooreEndodontist

Dr Geraldine MosesConsultant Clinical Pharmacist

StokehouseThank you to those who joined us for the recent "Seafood and Chardonnay Evening" at The Stokehouse. We hope you enjoyed the Chardonnay tastings and delicious canapé accompaniments by renowned Chef Tony Kelly. We certainly enjoyed your company!

The Rules for Financial Success as a DentistPresented by Graham Middleton

of The Synstrat Group

Thank you to all those who attended the extremely popular seminar on Friday 23rd of March presented by Graham

Middleton from The Synstrat Group. If you are interested in the booklets "The 50 Rules for Financial Success as a Dentist" and "Buying and Selling General and Specialist Dental Practices" or any further information from The Synstrat Group, please refer to the fact sheet PDF, which is now available to download from Dentist Lecture Notes. Or visit The Synstrat Group website www.synstrat.com.au for further details.

Coming upBIG DAVE AFTERNOON on"Positioning in the Marketplace and Teambuilding"

Gold Coast – Thursday 23rd of August Brisbane – Friday 24th of August

Look out for your invitation! For future details please contact Michelle Rafton via email MRafton@endodonticgroup.com.au

www.endodonticgroup.com.au

endodontic_newsletter.indd Spread 2 of 2 - Pages(2, 3) 4/10/12 3:54 PM

Emergency patient managementIf you have a patient emergency we will always endeavour to see them on the same day. Please call our reception team directly on 3837 0000 and the first available endodontist will accommodate you. See a full list of our branch locations on the back.

Veteran Affairs / EPC patientsThe endodontic group are happy to treat your Veteran Affairs and Enhanced Primary Care patients. For more information please visit http://www.endodonticgroup.com.au/connect-view/management-o f - e n h a n c e d - p r i m a r y - c a re -patients-20 or contact our friendly reception team.

GA/ IV sedationFor patients that find it difficult to have their treatment under local anaesthetic alone treatment can be arranged under general anaesthetic or intravenous sedation. For more information please visit http://www.endodonticgroup.com.au/connect-v i e w / w e - c a n - o f fe r - g e n e r a l -anaesthetic-iv-sedation-19.

CPD CertificatesKeep track of your CPD certificates on Dentist Connect. View and download all previous endodontic group educational event CPD Certificates at your convenience.

practice news

The endodontic group have an exciting year ahead with the launch of the new job board, the continued development of the website and Dentist Connect. In addition to this we are always looking at ways that we can improve our service to your practices and patients. Outlined below is more detail of what we have been up to.

New online Job Board

Fiji trip to the Suva Dental SchoolDrs Ross Applegarth and Bayardo Martell visited Fiji in September to present a series of lectures at the Suva Dental School and the Nandi University campus. They enjoyed the

warmth and hospitality of the Fijian dental community, and took the opportunity to dive in the crystal clear waters of the Mamanuca Island. As you would expect, the equipment at the Fijian Dental School is very basic. The endodontic group have made a donation to the Suva Dental School that includes equipment, instruments and textbooks in an effort to improve the quality of endodontic training.

Did you know the endodontic group have a facebook page? Like us on facebook and keep up to date with the latest practice news,

upcoming events, links to useful practice related articles our specialists are reading and other hot topics! Have you heard of the happiness advantage? Use this for your next practice meeting, moredetails on our facebook pagewww.facebook.com/pages/endodontic-group/207818483688

Action packed calendar for 2012!Some of the events on the calendar will be:

South side educational evening “Irrigation

and Bleaching in Endodontics” – 9th of May

North side educational evening “Current

Controversies in Endodontics” – 31st of May

North coast educational afternoon – 20th of July

Big Dave afternoon “Positioning in the Marketplace

Stay tuned on Dentist Connect “Upcoming Events” www.endodonticgroup.com.au/connect- category/dentist-upcoming-events-5 for details!

www.endodonticgroup.com.au

and Teambuilding”– 23 and 24 of Augustthrd

Dentist Connect Dentist Connect is continuing to grow and has been created entirely for the benefit of our referring professional dentists. It allows you to gain access to:

Access the new Job Board Download your personalised online referral desktop icon Keep track of CPD certificates Keep track of your online patient referrals Download lecture notes Read up on the latest case studies Upcoming educational events Past gallery of events Practice newsletters Useful links and much more

Log onto Dentist Connect today www.endodonticgroup.com.au/connectForgot your username and password? Simply contact the practice to have yours re-sent.

events

The endodontic group is committed to working with its referring practitioners; in supporting them to improve and build their practices. For this reason we have continued to provide many educational and social opportunities throughout 2012 and have an actioned packed calendar planned!

Past events All lecture notes are available on dentist connect to download!

New Graduate Forum with a Panel of Experts Our first New Graduate Forum was a huge success and we thank those who came along for their input. We hope to see you at future educational functions later in the year. Thanks also goes to our guest speaker Dr Geraldine Moses, who provides a drug information service to members of the ADA and can be contact directly on 0419 752 528 or email druginfo@adaq.com.au

Dr John McNamaraEndodontist

Dr Tim SmithEndodontist

Dr Jonathan MooreEndodontist

Dr Geraldine MosesConsultant Clinical Pharmacist

StokehouseThank you to those who joined us for the recent "Seafood and Chardonnay Evening" at The Stokehouse. We hope you enjoyed the Chardonnay tastings and delicious canapé accompaniments by renowned Chef Tony Kelly. We certainly enjoyed your company!

The Rules for Financial Success as a DentistPresented by Graham Middleton

of The Synstrat Group

Thank you to all those who attended the extremely popular seminar on Friday 23rd of March presented by Graham

Middleton from The Synstrat Group. If you are interested in the booklets "The 50 Rules for Financial Success as a Dentist" and "Buying and Selling General and Specialist Dental Practices" or any further information from The Synstrat Group, please refer to the fact sheet PDF, which is now available to download from Dentist Lecture Notes. Or visit The Synstrat Group website www.synstrat.com.au for further details.

Coming upBIG DAVE AFTERNOON on"Positioning in the Marketplace and Teambuilding"

Gold Coast – Thursday 23rd of August Brisbane – Friday 24th of August

Look out for your invitation! For future details please contact Michelle Rafton via email MRafton@endodonticgroup.com.au

www.endodonticgroup.com.au

endodontic_newsletter.indd Spread 2 of 2 - Pages(2, 3) 4/10/12 3:54 PM

article

Single Use Endodontic Files By Dr Matthew Gentner - BDSc MDSc (QLD) MRACDS (ENDO)

For many years now, the endodontic group have enforced the policy of single use of endodontic files. There are protocols for cleaning and sterilising of endodontic instruments, however they are quite cumbersome and it is difficult to get consistency in results from these procedures. There is also the risk of sharps injuries to staff in performing the procedure.

Several government agencies around the world, for example in the United Kingdom recommend the single use endodontic files. This action has arisen out of concern for the difficulties encountered in their cleaning and sterilization after use and the possibility that they may act as vehicle for disease transmission when re-used. Of particular concern is the transmission of prion protein, a pathogenic isoform of a common host cell receptor, which causes acquired iatrogenic Creutzfeldt-Jakob Disease (iCJD), a type of the spongiform encephalopathy. No treatment or prophylaxis is available for this disease and its acquisition nearly always proves fatal. Disease transmission associated with the re-use of endodontic hand and rotary files and reamers has not yet proven itself to be a clinical problem in endodontic practice although there is still concern in the literature.

The other risk is instrument separation. This risk increases with more use of files. It can be very difficult to track the number of times instruments have been used (and do you count number of teeth or canals?). It is also difficult trying to take into account the type of canals they were used in – highly dilacerated or relatively straight? Studies also demonstrate the decline in efficiency of endodontic files when machining dentine. This tends to lead to pushing harder, exacerbating the risk of instrument separation.

When initialling making this decision we asked ourselves “What would we like used on ourselves.” Once you answer this question, the decision seems quite simple. There are cost implications for patients; however most are quite happy to pay more for the use of new instruments. This ensures the highest possible care available.

branches

BrisbaneWatkins Medical Centre 9th Floor 225 Wickham Tce Brisbane QLD 4000 p: 07 3837 0000 f: 07 3839 0058 info@endodonticgroup.com.au

AspleyAspley Medical Centre Unit 2/1311 Gympie Road Aspley QLD 4034 p: 07 3837 0055f: 07 3862 8254 aspley@endodonticgroup.com.au

Sunshine Coast MaroochydorePlaza Central Suite 1, 31-33 Plaza Parade Maroochydore QLD 4558 p: 07 5458 9600 f: 07 5479 4377 sc@endodonticgroup.com.au

Gold Coast RobinaHQ @ Robina Suite 35, Level 3, 58 Riverwalk Ave Robina QLD 4226 p: 07 5501 8900 f: 07 5562 1055 gc@endodonticgroup.com.au

IpswichIpswich Professional Centre 46 Limestone Street Ipswich QLD 4305 p: 07 3281 5899f: 07 3812 0690 info@endodonticgroup.com.au

Toowoomba22a James Street Toowoomba QLD 4350 p: 07 4638 5000 f: 07 3839 0058 info@endodonticgroup.com.au

www.endodonticgroup.com.au

Tell us what you think... Our aim is to provide the highest level of service to you,our referring practices, support and care of your patients. If you have any feedback on ways that we could improve our service to you and make your lives a little easier, please go to the feedback section on our website www.endodonticgroup.com.au/dentist-feedback-form and tell us what you think!

Launch of the new Job Board

Available now on Dentist Connect.Read inside for further details

articleSingle Use Instruments – by Dr. Matthew GentnerFind out why the endodontic group are following in the United Kingdom’s footsteps...

eventsWe have an actioned packed calendar planned for 2012! Check out our calendar of events to find the next educational function in your area.Details inside....

practice newsWe value your feedback and are always looking at ways that we can improve our service to your practice and patients.

AUTUMNNEWSLETTER

2012

more inside

With 10 endodontists over 6 locations, a combined experience of 183 years, we are always on hand to treat your patient emergencies!

endodontic_newsletter.indd Spread 1 of 2 - Pages(4, 1) 4/10/12 3:54 PM

article

Single Use Endodontic Files By Dr Matthew Gentner - BDSc MDSc (QLD) MRACDS (ENDO)

For many years now, the endodontic group have enforced the policy of single use of endodontic files. There are protocols for cleaning and sterilising of endodontic instruments, however they are quite cumbersome and it is difficult to get consistency in results from these procedures. There is also the risk of sharps injuries to staff in performing the procedure.

Several government agencies around the world, for example in the United Kingdom recommend the single use endodontic files. This action has arisen out of concern for the difficulties encountered in their cleaning and sterilization after use and the possibility that they may act as vehicle for disease transmission when re-used. Of particular concern is the transmission of prion protein, a pathogenic isoform of a common host cell receptor, which causes acquired iatrogenic Creutzfeldt-Jakob Disease (iCJD), a type of the spongiform encephalopathy. No treatment or prophylaxis is available for this disease and its acquisition nearly always proves fatal. Disease transmission associated with the re-use of endodontic hand and rotary files and reamers has not yet proven itself to be a clinical problem in endodontic practice although there is still concern in the literature.

The other risk is instrument separation. This risk increases with more use of files. It can be very difficult to track the number of times instruments have been used (and do you count number of teeth or canals?). It is also difficult trying to take into account the type of canals they were used in – highly dilacerated or relatively straight? Studies also demonstrate the decline in efficiency of endodontic files when machining dentine. This tends to lead to pushing harder, exacerbating the risk of instrument separation.

When initialling making this decision we asked ourselves “What would we like used on ourselves.” Once you answer this question, the decision seems quite simple. There are cost implications for patients; however most are quite happy to pay more for the use of new instruments. This ensures the highest possible care available.

branches

BrisbaneWatkins Medical Centre 9th Floor 225 Wickham Tce Brisbane QLD 4000 p: 07 3837 0000 f: 07 3839 0058 info@endodonticgroup.com.au

AspleyAspley Medical Centre Unit 2/1311 Gympie Road Aspley QLD 4034 p: 07 3837 0055f: 07 3862 8254 aspley@endodonticgroup.com.au

Sunshine Coast MaroochydorePlaza Central Suite 1, 31-33 Plaza Parade Maroochydore QLD 4558 p: 07 5458 9600 f: 07 5479 4377 sc@endodonticgroup.com.au

Gold Coast RobinaHQ @ Robina Suite 35, Level 3, 58 Riverwalk Ave Robina QLD 4226 p: 07 5501 8900 f: 07 5562 1055 gc@endodonticgroup.com.au

IpswichIpswich Professional Centre 46 Limestone Street Ipswich QLD 4305 p: 07 3281 5899f: 07 3812 0690 info@endodonticgroup.com.au

Toowoomba22a James Street Toowoomba QLD 4350 p: 07 4638 5000 f: 07 3839 0058 info@endodonticgroup.com.au

www.endodonticgroup.com.au

Tell us what you think... Our aim is to provide the highest level of service to you,our referring practices, support and care of your patients. If you have any feedback on ways that we could improve our service to you and make your lives a little easier please go to the feedback section on our website www.endodonticgroup.com.au/dentist-feedback-form and tell us what you think!

Launch of the new Job BoardAvailable now on Dentist Connect.Read inside for further details

articleSingle Use Instruments – by Dr. Matthew GentnerFind out why the endodontic group are following in the United Kingdom’s footsteps...

eventsWe have an actioned packed calendar planned for 2012! Check out our calendar of events to find the next educational function in your area.Details inside....

practice newsWe value your feedback and are always looking at ways that we can improve our service to your practice and patients.

AUTUMNNEWSLETTER

2012

more inside

With 10 endodontists over 6 locations, a combined experience of 183 years, we are always on hand to treat your patient emergencies!

endodontic_newsletter.indd Spread 1 of 2 - Pages(4, 1) 4/10/12 3:54 PM