From: "Brad Blair"
Newsgroups: roots
To: "ROOTS"
Sent: Friday, April 01, 2005 1:25 AM
Subject: [roots] 15 min endo...are you kidding?

Yes, that was my assistant's reaction to this ad. "It takes that long to
talk to them and get them numb!"

Maybe I just need to learn how to "diagnose canals,", "accelerate my files,"
and of course, "transfer half of the labor to the dental assistant."

Without a doubt though, we need to "synchronize our choreography" - Brad

Here's what all of us are doing wrong right off the website:

Efficient Endo................. is more than a set of files. The 15 Minute
Molar Endo procedure is a concert of choreography, labor redistribution,
intelligent armamentarium selection, canal diagnosis, decision making
algorithms, protocols, time and motion reduction, constant application of
instrumentation and purposefulness.

I've got to get to Texas for the seminar.  The two I finished today took we
2 visits and 3 visits, and I'm still not happy with the 3 visit molar.
Probably 41/2 hours. - Gary

No, you only need to develop a high level of bull crap to sell this manure - Guy

After watching the reactions on DT, I've realized what Perkins is selling.
He is not selling 15 minute molar endo or crowns.  He's selling himself.
These people have fallen under a spell of Scott Perkins BS.  When he called
me I was immediately repelled.  40 minutes later I was even more repelled.
These people know nothing about endo and Perkins is like these traveling
preachers.  He shouts and pushes and massages until the masses fall into a
state of lover and reverence for the man and not the message.  He's right.
It is not about 15 minute molar endo.  It is about Scott Perkins making a
buck.  Guy

Ken, I'm a bit scared to disagree with you but I do here.  I agree that
discussing Perkins's BS has no value but the discussion over there on DT has
wandered into the area that we will soon have no endodontic specialty.  This
scares the crap out of me and I'm not an endodontist.  The endodontic
specialty is being threatened on all sides from implantologists and "gurus"
like Perkins that say endo is not that big a deal and he can do it in 15
minutes.  He's got GP's roaring to his courses and buying his crap.  I don't
mind courses like those that Joey D and Jerry Avillion give because they
emphasize excellence and doing it right.  Joey essentially is saying, "if
you want to do endo then you'd better do it on the same level as
endodontists".  Kit Weathers has much the same lesson in his course.  Kit is
very specific in telling GP's to refer out to endodontists if they can't do
certain things.

Perkins is minimizing even the most complicated endodontic procedures and
telling GP's they don't need to refer these out.  He's telling them they can
immediately find all canals with a bit of hot bleach tossed into the chamber
and then finish the rest quickly.  Sadly our profession tends to jump on
money making ideas.  We are the biggest suckers in the world for a gimmick
and something to make a buck without working.  Perkins is only going to
spawn more crap like this.

If we turn away from him and others as a cranks, PITA, promoters in the face
of a growing following of his sales pitch and others then we could see a
political situation arise that could threaten the specialty of endodontics.
We already know that the vast majority of endo is done by GP's and a huge
portion of it poorly.

Perkins is a man of wordiness.  He uses big words that makes him sound
extremely knowledgeable.  BUT, he posted a molar for me that he had done
very quickly he said and went into a vast description of a delta on the
distal canal apex and a "floor" on the mesial canal.  Honestly, I thought it
looked like an average endo with patency on the distal root and mesial
canals that were pretty simple.  Now, I'm sure that when I go back to see
his response it will be that I have no knowledge of canal and coronal
anatomy.  Which is not true.  My knowledge falls short of most of you guy's
knowledge but I'm not ignorant of basic canal and chamber anatomy.  Take a
look at this tooth that is supposedly full of difficult anatomy that his hot
bleach opened up magically.  It is under EndoFiles and the "you da Man"
section.  Guy

I don't
> mind courses like those that Joey D and Jerry Avillion give because they
> emphasize excellence and doing it right.  Joey essentially is saying, "if
> you want to do endo then you'd better do it on the same level as
> endodontists"

Exactly!

> Perkins is minimizing even the most complicated endodontic procedures and
> telling GP's they don't need to refer these out.

The problem is 2 fold...

1.  The less you know, the more likely you are to think this is purely a mechanical problem....
2.  Perkins only concentrates on the mechanics and doesn't realize it's the stuff he can't clean
    out in 15 minutes that comes back to haunt you
Joey D

Doing endo on a referral basis puts an entirely different spin on things.  The last thing you want is
for one of your root canals to fail, compromising some other dentist’s complex restorative prosthesis.
Mark I agree, you’ve got to kill those bugs and get rid of that substrate!