{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Protrusive Dental Podcast","title":"Endodontics vs Implants with Omar Ikram – PDP238","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/c275957f\"></iframe>","width":"100%","height":180,"duration":3644,"description":"Should we be doing more to save questionable teeth?\nWhat if you could buy more time — without compromising patient care?\nDr. Omar Ikram returns for a powerful episode diving into the real-world decision-making between endodontics and implants. Together with Jaz, they explore tough scenarios — like teeth with nasty cracks or minimal remaining structure — and ask the critical question: when is it truly time to extract?\nThey break down concepts like retained roots, root burial, amputation, and a new term Jaz introduces — palliative endodontics. Because sometimes the best outcome isn’t immediate replacement, but smart, strategic delay.\n https://youtu.be/5msP908JvuI \nWatch PDP238 on Youtube\nProtrusive Dental Pearl: When discussing treatment longevity with older patients, tailor your language to be more relatable. Instead of saying, “I plan my dentistry to age 100,” say, “I want this to last well into your eighties or nineties.” This makes the conversation more personal and realistic, helping patients better connect with the concept of long-term outcomes.\nNeed to Read it? Check out the Full Episode Transcript below!\nKey Takeaways\nUnderstanding the limitations of implants compared to natural teeth is vital.\nMedical history significantly impacts dental treatment decisions.\nManaging patient expectations is crucial for satisfaction.\nPalliative endodontics can provide temporary relief and management.\nReading and interpreting CBCT scans requires skill and experience. If it’s not that five millimeter defect, it’s up to you.\nThe second molar is a good one because often second molars can’t be replaced with an implant.\nRetaining roots is definitely a good way to go.\nYou need to risk assess the patient before extraction.\nPalliative endo is technically always an option.\nSuccess in endo can be often difficult to achieve.\nAsymptomatic and functional is a good criteria.\nIf endo is on the table, it’s feasible.\nHighlights of this episode:\n00:00 Teaser\n00:35 Introduction\n01:48...","thumbnail_url":"https://img.transistorcdn.com/hLSIeRiYSp0oTfIk0BzEukFutShD18hH3f6fq4QHsWw/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lZmM0/ZTNjYzdiZDJhNGFj/MzBiYmU2NTUwNmM2/NzQ2My5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}