Should I do Endo? Comment Questions
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- čas přidán 8. 10. 2022
- In response to a comment question/email... Dr. Nasseh shares some of his views about whether going back to school to study Endodontics is going to be a good choice for a clinician restorative dentist.
I am currently working this exact problem in my own life.
I am a 23 year old D1 (in the US) working hard to keep my grades as high as possible, to leave the door open for Endodontics. I've always wanted to be a RCT wizard, mostly because I think it is the coolest dental procedure there is, but now that I am in dental school I've learned just how much I really enjoy all aspects of dentistry.
Thank you for the advice! Love your videos, Dr. Nasseh!
This is very nice to know! I definitely think being a super dentist is a lot more challenging and you are able to mix up your interests. So, don’t let specialization be a pressure on you! Meanwhile, keeping up good grades never hurts as it not only leaves your options open it’s also a great indication of you learning the first principles that are critical for your overall success and innovation in the field! Cheers!
Thank you Dr for this video...I needed this today.
Dentistry is going down a very steep hill here in my country, Iraq and sometimes I feel Endodotics and the time i spend training on teeth and reading is a waste of time...hopefully it won't be that and might reach great hights like you!
Good luck!
Thank you for sharing this knowledge with us! These videos are pretty niche and might not bring in as many viewers compared to some more generalized and broader videos about dentistry catered towards entertainment but as a dental student in the US this type of down-to-earth discussion about endodontics from a practicing specialist is extremely valuable and insightful. Earned a new sub from me!!
My pleasure! Let me know if other specific topics can be helpful. :)
Also, yes I agree that achievements, awards, honors, and degrees aren't going to fill the hole in your soul if you have one. Neither will a partner, a house, or anything else.. that's an entirely different problem than one of financial success and status. That's something that requires perspective change, like you said, and also a ton of personal exploration-- finding one's place in the world again and feeling fulfilled day to day. Whether that's taking up a hobby that was ignored in favor of career advancement, joining a community simply for social connection etc etc. It differs from person to person.
I think outside of that, though, solely looking at endodontics vs general dentistry and what either one can offer you.. Endodontists in the US can charge higher fees for treatments due to their specialty license, and they focus on RCTs, RC retreatments, and apical surgery, like you said-- doing the same thing over and over again. This might be intellectually "boring", but business wise it can prove extremely streamlined with lower overhead costs, less patients seen to produce the same amount as a general dentist doing the same procedures. And the narrower scope of practice may be a better fit for certain personalities who have a hard time juggling a plethora of patients all with different needs, treatment plans, etc.
Of course, this is all from an outside perspective as a D3 who hasn't even practiced general dentistry yet. Just throwing my thoughts out there.
@@Alex-mt7vg True, like anything else, your best decision becomes clear only with introspection, after you’ve known yourself, your values and priorities, and what you want to do with the time that’s given to you on this earth! ;)
Loved the message of this video. I'm soon to graduate and starting to feel that sense of discontentment with my abilities and slight dread about daily practice. Thanks for sharing
Great and helpful video, Dr. Nasseh! Will definitely share this video with one of my student too. Hope and wish the follow Romanian will find the correct answer for his next career move and continue to do good to his patients by "saving some teeth":)
Great video Dr. Nasseh
Words of wisdom
Drip coffee?! I am surprised you don't measure the water temp to 12 significant digits. Maybe I should be an Endodontist?
Beleive it or not my morning congee is just instant coffee!!! Not a coffee snob at all as you can tell! 😂
I'm a nontraditional student (computer science degree a few years ago) who is applying to dental school next year and I really have loved watching your videos over the past couple years. I think endo is amazing for a lot of reasons and I really identify with that feeling of repetitiveness and how its based on perspective. I just recently became a phlebotomist for the experience in healthcare and doing a procedure on a patients and it makes me satisfied to address each person as a new challenge to accomplish the goal of finding a good vein to draw from and help them be comfortable. I'm a long ways away from helping patients as the doctor but I really look forward to it.
Sadly, due to the cost of d school (USA) specializing seems like a mandatory option for me to comfortably pay back my loans. I don't just desire to be rich but it's expensive and risky to pursue a new career like this today, so I feel like I'll have to specialize for it to financially make sense. I still have shadowed dentistry extensively and find the interactions and procedures amazing at best and usually satisfying to some degree at worst.
That’s great to hear and I agree with your incremental steps into healthcare making sure it’s the right field for you. The future is combing dissimilar capabilities and if you are for innovation computer science and dentistry are basically a match made in heaven when considering the digital future of dentistry!!! :)
Good luck!
This video was very helpful for me too. I am a female endodontist living in Serbia and I'm 30 years old, this residency was purely my passion , but this is in our country our cheapest service. For that reason every dentist here decides to be an oral surgeon or orthodontist. Because my father has his own private practice and I work together with him in a small town, now after residency everything become very questionable. But I hope as I get older and wiser I will continue to work as best as I can, without worrying about our earnings all the time. P.S. Our root canal costs 8€ per canal ( 3 year residency) . Greetengs from 🇷🇸
I couldn't imagine that it would be that low. Only the materials would cost 20 euros per visit roughly
Scope of practice for endo is getting smaller and smaller. Cases will get harder and harder. Hopefully the endo programs are at least teaching implant surgery as well since would be a useful skill in the future when in cases retreats are not as predictable for an outcome.
Endo is still more predictable than implants. Endodontists simply have to be better surgeons; not to do implants but to do surgical endo. All specialization is getting harder. We all have to do better.. with robotics and AI we all have to be better versions of ourselves in all aspects of life, not just endo! ;)
Thank you Dr. Allen!
You inspired it Michael! I have to make another one for the second part of your email! ;)
@@AANasseh Yes, I could tell :) Thank you for taking the time, for inspiring me, and, of course, I'd wait for that next video as well. Take care Ali!
Great video!
You are great 👌❤❤
D3 going into D4 (US) - Wow... I stumbled on this video by chance... since I have been torn about pursuing Endodontics or Oral Surgery... It is interesting, it is difficult to determine... or commit... I really enjoy doing ENDO; but want to do something that I am passionate about... did an externship in Oral Surgery (enjoyed aspects of that), but trying to figure out what life would be like as an Endodontist vs. Oral Surgeon.
It's different lifestyles, partially based on practice base and the other is location you live. If you live in the US, endodontists and oral surgeons make similar income. LIfesyle of endodontists tends to be a little better and the practice is cleaner. Patients are, in general, more upscale than oral surgeons (Prefer to save their teeth rather than extract them!) I think you won't go wrong with either decision, it's a matter of what you prefer to do. I started dental school with the goal of becoming an oral surgeon like my Dad; but after my rotation I realized I didn't want to do another 6 years of school and was ready to get on with my life after a shorter residency. In retrospect I"m happy but you have to see what your main goals are in life and also speak to as many people as you can who share the same vision in their lives. There's no right or wrong, just different tastes or visions when it comes to this decision. Good luck! :)
Hey Dr. Al, somewhat of a related question; how can I progressively build my skills towards harder cases? I had a 12 year come into the office with a Radix Entomolaris on her first mandibular molar, and the extra root is really complex, very thin and extremely curved (60-75 degrees in 3 different planes!).
On the one hand, I want to do the best for the patient so I am considering referral, on the other hand, I am the best equipped dentist in a 100km radius and I do want to progress as a clinician.
This kind of a case is both exciting and intimidating, as you might imagine.
How does one know if one is skilled enough without trying, when the risk of a procedural mishaps is high?
What do you tell your residents in such cases? How would you encourage them?
Thank you once again and I hope you'll have a great weekend!
In private clinic itis difficult to work as a pure endodontist or you will lose many patients
Does doing apicoectomies satisfy your itch for surgery? (as you mentioned that you were interested in surgery)
7:36 regarding satisfaction, i feel like i am sacrificing the satisfaction of my 20s, mainly my mental state, by channeling all of my energy into dental school and later, endo residency. Is it possible for me to work on my mental state during the rigors of school to achieve that satisfaction? Or will I have to wait until after I’m done with school+residency?
My philosophy has always been a motto I learned from my Mom: “Do the hard part first!”
By staying focused on your main goals you will not sway far away from them with time; whereas the other way around you may not have the motivation to complete your education in the future.
Of course, this is not a simple answer and is based on the individual; but managing one’s mind and still working towards your goals do t have to be mutually exclusive. It’s doable and I’m sure you can do it. But if the messages you hear or give yourself are the opposite then it becomes harder to achieve your goals. IMHO, stay in school and finish your education, work on yourself throughout the process, and then you’ll have a much more enjoyable time at the end of this journey when you have more time and resources to enjoy this next phase.
The Hollywood message of life is short, have desert first… is just awful. Work hard first… then enjoy it for the rest of your life. Good luck! 👍
@@AANasseh you're the best. I was always told the same, but seeing someone who made it where I want to be means a lot. Thank you!
Why is dental treatment so costly, is not because the profit expected through treatments are very high....why can't doctors reduce their profit margins and inturn benefit the patient's.
By reducing profits one needs to reduce his/ her needs equally,lead a life of minimalism.
Also colleges need to reduce the fees of colleges, just for sake of profits everything is pricier and common man is unable to afford quality treatment,
Thus at the end of the day the main goal of being a doctor has been defeated of providing care and treatment for the needed.
it's exactly that-- the cost needed to enter the field needs to be worth it at the end.. in certain countries where medical education is not as costly like in Europe, the medical services are much cheaper for the patients and govt provides free healthcare... compensation for providers is lesser. In the US medicine is an entirely different beast
but for those that can afford to get to the highest echelons of healthcare, the compensation is insane, and the job security is unparalleled. The rich get richer. We have US govt subsidized healthcare for people below a certain income level, but that keeps people poor, and avoiding accurate tax reports through loopholes, because they lose that subsidized healthcare... it's a weird system.