Brandon Seto, D.D.S., M.S.D.
Santa Monica, California, USA
University of California, Los Angeles, School of Dentistry
Friday, June 26, 2021
International Academy of Endodontics, Annual Meeting
The Scottsdale Princess Resort
Scottsdale, Arizona, USA
“Clinical cases spanning 40 years from a private practice"
Although survival of teeth is the goal of endodontics, often the primary focus of treatment is conformity with the endodontic triad: clean, shape, obturate. My experience over the last 9 years in private practice has led me to rethink these clinical objectives. Seeing recalls of patients treated in my family’s endodontic practice over the past 40 years has been a confusing, yet enlightening experience. Survival of teeth labeled with a guarded prognosis, failure in perfectly treated teeth, and long term retention of teeth with severe treatment deficiencies and radiolucent periapical findings have caused me to challenge existing paradigms. This presentation will review selected cases from a 40-year-old endodontic practice, explore them in-depth, and arrive at conclusions by which parameters for accurate outcome prognostication can be based.
1) Tooth survival as it relates to patient-centered, disease-centered, and process-centered outcome parameters.
2) Retention of teeth with “guarded” or “poor” prognosis.
3) Failure of technically superior endodontic treatment.
Revisit clinical cases and techniques performed in the 1970s and 1980s
Understand why traditional process-centered and biologic-centered outcomes may not be good predictors of tooth survival.
Understand why patient-related and other factors outside of the clinician’s control may have the greatest impact on tooth survival.
University of California, Los Angeles, School of Dentistry. Part-time clinical graduate/undergraduate clinical faculty
About the Presenter:
Dr. Brandon Seto is in full-time private practice in Santa Monica, CA and teaches weekly at the UCLA School of Dentistry student clinics. He received his Doctor of Dental Surgery from the University of California, Los Angeles in 2008 and his certificate in endodontics and Master of Science in Dentistry degree from the University of Washington in 2011. He joined his father, Dr. Bradley Seto, in a group endodontic practice that has been serving patients for over 40 years.