When Tooth Replantation Is an Option
Historically, replantation treatment has been considered a last-resort option. The removal of the tooth and the eventual replantation generally isn’t on the table until other options are considered by the doctor and patient. In the December 2017 issue of the Journal of Endodontics, a study of replantation procedures revealed an 89.1 percent success rate. This success rate doesn’t mean replantation should be a more common option for patients, but it does have its place in the endodontist’s toolkit, along with conventional endodontic treatment. For instance, replantation may be considered first when it’s clear that other treatments may be too challenging or too risky. Dr. Samuel I. Kratchman, an associate professor of endodontics and the assistant director of graduate endodontics at the University of Pennsylvania, gives the following example:
“Indication for replantation is when the tooth is positioned too close to the mandibular canal or mental foramen or completely in the sinus, and surgery could cause irreversible damage or permanent paresthesia. “Some cases present with iatrogenic damage to a tooth where a post may perforate in an area that is inaccessible surgically. One would have to remove healthy bone and root in order to approach this perforation site, thereby compromising the crown/root ratio of the tooth, whereas if the tooth was extracted and the perforation site repaired and then replanted, this would not compromise the tooth.” There are other instances where replantation may be advised, but generally, it comes down to risk and how comfortable the endodontist is performing the procedure. Another aspect for both the doctor and patient to consider is cost. Dr. Kratchman points out that “replantations are more cost-effective than a single tooth implant and if a replantation is not successful, there is always the alternative of an implant.”
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For further reading, see AAE.org/specialty/2018/01/08/indications- replantation-recommended-techniques .
Recall
Photos courtesy of Dr. Jason Hales, www.theendoblog.com
The Profound Simplicity of ‘Getting Everything You Can Out of All You’ve Got’
Jay Abraham’s“Getting Everything You Can Out of All You’ve Got”is one of those evergreen business books every entrepreneur should pick up at some point. Rather than latch on to fleeting business trends or the gimmicks of the early dot-com era, Abraham, a business coach who has spent his entire career solving problems and fixing companies, re-examines the basics of business. By returning to and interrogating the building blocks of growth, he is able to deliver the sort of timeless wisdommost business authors only dream of being able to capture. What makes“Getting Everything You Can”stand out is the simplicity of the ideas it presents. In fact, Abraham’s central thesis is that our tendency to overlook or dismiss the mundane, everyday aspects of our business is what keeps us from seeing its real value. As Abraham puts it,“You are surrounded by simple, obvious solutions that can dramatically increase your income, power, influence, and success.”Finding those solutions is what“Getting Everything You Can”is all about. What makes Abraham so successful as a business coach for small companies and international brands alike is his practical, methodical approach, which shines through in this book. You won’t find banal platitudes or sweeping summations within these pages. Instead, Abraham uses direct, approachable language to outline clear, actionable steps to get you to“recognize the income- and success- increasing connections that are all around you.”
With this workmanlike approach,“Getting Everything You Can”breaks down success in business into its component processes: attracting new clients, increasing the average size per sale of a client, and boosting client retention. These three aspects of success, according to Abraham, hinge on your ability to leverage a
“unique selling proposition,”or USP. Put bluntly, a USP stems from the aspects of your business that make it stand out from the competition—what you bring to the table that others can’t. Identifying a USP sounds like a simple-enough concept, but as Abraham explains, business owners are often blind to the real value of their company. Seeing what truly makes your brand unique requires looking at old problems in newways and fundamentally shifting your perspective on the basics of running a business. Finding solutions hidden in plain sight is no easy task, but“Getting Everything You Can Out of All You’ve Got”is committed to getting you there. 3
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