Join Me for a Webinar on Intraoral Scanning June 17th

 

Intraoral scanning is mainstream and only getting better!  In an industry survey I saw not too long ago, answers indicated if an office didn't yet own a scanner, it was the #1 tech the doctor expected to purchase next.

I actually started digital scanning way back when with a CEREC 2.  For those of you who don't know, that little machine booted with *a floppy disc*!!!  Basically all that means is that I've been scanning for well over two decades now and I've seen changes that have blown my mind.  Scanning is no longer a "cool to have" technology, it's a "must have".  

However, like any piece of technology it needs to be used the right way.  Add to that, there are tons of things you can do with scanning and those scans.  Intraoral scanners are a gateway technology to a totally digital workflow.  So if you're scanning and want to know some tips & tricks, join me on June 17th.  If you don't yet own a scanner and are trying to decide exactly how to proceed, join in as well.

The great folks at Medidenta have asked me to tell you about my experiences and what I've learned. I can't imagine practicing without this tech and I'm excited to share what I know with all of you.  Follow this link to register.  

Clinical Integration of Artificial Intelligence and Mixed Reality-Based Dynamic Navigation for Implant Placement in the Anterior Maxilla

 Today's post dovetails well with a discussion I recently had on The Technology Evangelist Podcast with Dr. Mark Whitefield.  

Mark is an incredibly smart, outside the box thinker and the developer of the "Flex-on-X" implant retained denture system.  He's working on using a combination of AI and AR (Augmented Reality) vision to help during implant placement surgeries.  The concept is to use digital surgical glasses combined with magnification to superimpose CBCT and other digital info directly over the surgical site during treatment to simplify the procedure.  Imagine being able to see under the tissue live while you create the osteotomy!  Live and dynamically updating info throughout the surgical process is on the near horizon.  It's a fascinating discussion!

It also goes well with a recent study published in The Journal of Dentistry regarding using similar systems in a study based environment to evaluate the benefits or drawbacks to using this type of system in implant placement.  In a nutshell, the study found:

Results

The clinical integration of AI and MR-DN allowed accurate and time-efficient guided implant placement in the anterior maxilla.

However, there's a lot more to it than just the results achieved.  You can find the article here to get a really deep dive into how they performed the procedure and how they evaluated the results.  

The development of technologies that allow multiple datasets to be merged and projected over the surgical field through vision systems holds an incredible promise for surgery.  The potential benefits to both medicine and dentistry and massive.  My gut tells me that we are standing right on the edge of an incredible leap forward in how all surgeries are performed.  Information is powerful.  Simply put, the more data that a doctor has access to, the more potential for improvements we have.  Being able to take this clinical data and provide it directly into the doctor's eyes could change things incredibly.  

Be sure to watch the Dr. Mark Whitefield episode and then spend some time reading the study to see what the future of surgery holds.  

The podcast is available almost anywhere you get your podcasts.  To get links that will take you to your favorite platform follow this link to the Medidenta page that has all the info.  

California Attorney General Bonta Announces Settlement with Aspen Dental Over Corporate Practice of Dentistry and False Advertising

 

Today's post is a recent press release from the Office of the Attorney General for the State of California.  The state has been in litigation with Aspen Dental and the info below is on the settlement agreed to by both parties.

California Attorney General Rob Bonta announced reaching a settlement with Aspen Dental Management, Inc. (Aspen Dental) for allegedly violating California’s ban on the corporate practice of dentistry and engaging in false and misleading advertising. Owned by private equity firms, Aspen Dental describes itself as a dental support organization that provides business management and administrative services to dental offices, each of which operates under the “Aspen Dental” name and branding. However, the company is alleged to have exceeded that role by, among other things, interfering with and unlawfully directing the practice, ownership, and management of dentistry in California. The settlement, which remains subject to court approval, includes unprecedented injunctive terms to protect California consumers and clinical staff, $2 million in penalties, and $300,000 in restitution funds for certain patients.  

“As Americans face an affordability crisis, there is no room for unlawful business practices that can increase healthcare costs or harm consumers. We allege that Aspen Dental went beyond providing business support services and became involved in managing dental operations, while also using advertising that misrepresented services to consumers,” said Attorney General Bonta. “With this settlement, my office is making clear that patient care must remain in the hands of licensed professionals. If you believe you are a victim of false or misleading advertising, please report it to oag.ca.gov/report.” 

Since its founding in 1998, Aspen Dental has expanded to more than a thousand offices nationwide. It entered California in 2019 and has since opened 19 offices and served tens of thousands of patients. As part of this expansion, it is alleged that Aspen Dental did not contract with existing dental offices, but rather selected, purchased, staffed, and advertised its offices without clearly identifying an independent dentist-owner. For example, Aspen Dental designed, built out, and furnished all of its offices and made detailed decisions about each location, down to the artwork in bathrooms. It also selected, purchased, and installed all dental equipment across offices.

Aspen Dental also encouraged the sale of particular products and services through direct incentives to practices’ clinical employees. For example, Aspen Dental developed and implemented an incentive program for hygienists to encourage the sale of clear aligners. The program offered hygienists $50 per sale to new patients or $100 per sale to existing patients. Business practices of this kind limited dentist-owners, restricted staff, misguided patients, and purportedly violated California’s ban on the corporate practice of dentistry and California’s Unfair Competition Law. 

Further, many advertisements that Aspen Dental created contained misleading and/or false representations, including misleading testimonials, ambiguity, misleading cost claims, and inexact pricing language. Some Aspen Dental advertisements represented that its offices worked with all insurance or no insurance. However, Aspen Dental offices did not accept state or federally funded insurance programs. Other advertisements described low prices for certain products or procedures without clearly disclosing the factors that affect the price or what’s provided.

As a part of the settlement, Aspen Dental has agreed to $2 million in penalties, $300,000 in restitution funds, and injunctive terms, including:

• Not replacing any practice owner with another dentist of its choosing.
• Not requiring practice owners to effectively give up ownership of any dental practices if they decide to terminate their contractual relationship with Aspen Dental.
• Not owning the property for any practice. 
• Not practicing dentistry, including but not limited to owning or managing any dental office.
• Not basing service fees on revenue, sales, or profits.
• Not suggesting, directing, or encouraging any licensed clinician, other than a practice owner, to sell or increase revenue for any service or product.
• Not compensating any of its employees based on the sales or revenue of practices.
• Not paying any practice employees incentives based on practice sales, revenue, or profit, including the sale of a particular service or product.
• Discontinuing the use of and not enforcing any existing contractual provision that restricts where any licensed clinician may practice or be employed. 
• Providing a written fee schedule for products and laboratory services.
• Registering with the Dental Board of California as a Dental Group Advertising and Referral Service. 
• Clearly and conspicuously identifying the practice owners name when creating, publishing, or disseminating advertisements.

AMD Picasso Pro Laser Available for Pre-Order

I've always enjoyed endodontics and anytime something new and exciting in the field comes along, I always look at it with interest.  As a tech guy, I'm always looking for the latest and greatest, but I *really* perk up when I see something that just might make endo easier and/or provide better results.

Along those lines, I recently made a post about AMD Lasers and their new LEAP endo system that uses their newest laser, the Picasso Pro.

Today I'd like to pass along some more info for those of you who are interested in this new system.  I recently was notified by AMD that this new system is available for pre-order that includes a $600 savings.  

Personally, I think the value here is that this isn't an "endo specific" system.  The Picasso Pro is a fully functional diode laser that allows you to use it in a variety of clinical applications.  The big plus is that it also gives you a new way to perform endo for your patients.

I've been using soft tissue lasers in my clinical practice since around 1998 and I can tell you from personal experience that soft tissue lasers will change the way you think and treat.  The predictability of lasers allows you to do some amazing things.  As an example, I'll use gingival recontouring in aesthetic cases.  Properly used, a soft tissue laser can allow you to perform gingival recontouring as well as preparation for aesthetic dentistry at the same appointment.

A laser can allow you to gently ablate tissue that doesn't shrink as it heals.  That means the gingival margin stays exactly as you contoured it.  When the crowns or veneers are seated, the tissue is right where you left it.  This means patients get their cosmetic treatment faster with more predictable results.

Of course that's just one example of the benefits of laser dentistry.  You can also perform biopsies, tissue retraction for fixed prosthetics, frenectomies, and much, much more.  I've got several soft tissue lasers in the office and if someone came in and stole them, I'd be on the phone the next day ordering a new one.  Their effect on my treatment is that profound.  

Adding endodontics to the procedural list is the icing on the cake.  AMD has been working on developing the LEAP system since at least 2019 and they have done a lot of research and testing to fine tune this to get it just right. 

Here's what AMD has to say about the Picasso Pro and the new LEAP endo system...

A New Frontier in Laser Dentistry

The new Picasso Pro isn’t just another diode laser system; it’s a complete practice tool chest allowing you to deploy the power of lasers in ways you never imagined.  

Root Canal Disinfection

Developed exclusively for the Picasso Pro, the LEAP Laser Endodontic Ablation Procedure is a generational breakthrough in interior tooth dentistry. Achieve 99.999% canal disinfection in just a few seconds while reducing pain and retreatment risk. Stop referring out simple endo cases!

Pain-Free Injections

The Picasso Pro also features the LAPA Laser-Assisted Pain Alleviation protocol. Use photobiomodulation (PBM) and specially designed disposable tips to deliver chemical-free painless anesthetic injections. Say goodbye to flinching patients!

Bang for Your Buck

The Picasso Pro was created to elevate more aspects of your practice than ever before: hygiene, periodontics, smile aesthetics, restorative dentistry, endodontics, you name it. And at less than $10,000, its value is unbeatable. Preorder now and receive over $600 in free specialty tips and other goodies!

Pearl RCM Launches to Improve Insurance Workflows and Claim Outcomes in Dentistry

AI companies continue to expand their offerings and menus of services to the industry.  The competition in this segment of the market is fierce and AI service providers are constantly pushing their R&D teams for more features and smoother workflows.  Here's the latest info from Pearl on their new features and even a mention of what's coming in the not too distant future:
 

New Pearl product embeds AI insurance intelligence into daily practice and clinical operations, streamlining benefits verification, reducing patient billing surprises, and helping practices submit cleaner claims faster

Pearl, the global leader in dental AI solutions, today announced Pearl RCM, a revenue cycle management platform that embeds insurance intelligence throughout the dental workflow. By connecting eligibility verification, imaging quality assurance, clinical documentation, and clean claim preparation, Pearl RCM helps practices create and submit cleaner claims, reduce reimbursement delays, and improve revenue predictability.

Dental practices struggle to maintain predictable revenue cycles and expend considerable staff resources navigating the complex, fragmented patient insurance claim process. Often patient insurance is verified in one system (or manually across many), clinical documentation and imaging is loaded in another, and claim creation and submission is completed in a third. Staff piece claims together manually by switching between insurance portals and software platforms. This disconnected workflow frequently leads to errors: Claims are filed for treatments that are not covered by a patient’s insurance, required documentation is left out, clinical evidence doesn’t meet carrier requirements, etc. The result: Claims are subject to processing delays, downcodes, and denials. These are major pain points for dental practice owners, who ranked insurance-related issues, including delayed or denied payments and low reimbursement rates, among the top concerns for dental practices heading into 2026. Across U.S. healthcare more broadly, claim denials cost providers close to $30 billion annually. The impact of insurance friction extends to patients as well: Unexpected out-of-pocket costs are a key factor contributing to dentistry’s patient trust gap.

Unlike traditional dental RCM systems that operate downstream after treatment has already been completed, Pearl RCM embeds insurance intelligence upstream – during scheduling, imaging, diagnosis, and treatment planning – when issues can still be identified and corrected before they delay, downcode, or compromise a claim. This unique approach ensures that every clinical interaction is claim-ready, eliminating a major source of administrative overhead in dental practice management and revenue operations. With Pearl RCM, insurance eligibility verification and claim optimization integrate directly with daily clinical and operational workflows by surfacing coverage data, missing prerequisites, and claim-readiness status in high visibility touchpoints within Pearl’s dental AI platform.

Critically, Pearl RCM is built on a foundation of FDA-cleared radiologic AI that powers key capabilities including real-time x-ray quality assessment at the point of capture, automated selection of clinically relevant AI-annotated images for claim attachments, and AI-generated narratives grounded in what the imaging actually shows.

“Dental practices lose enormous time and revenue navigating disconnected insurance workflows,” said Ophir Tanz, founder and CEO of Pearl. “Pearl RCM addresses claim issues proactively, before they become denials. Moving insurance verification and claim readiness to the point of care gives practices clarity and predictability that they've never had, and patients get a billing experience that finally matches the quality of their clinical care.”

Customers can already see the impact:

“Pearl saves our team hours daily by both auto-verifying insurance and making coverage details clear and easy to find,” said Christine Marcin of Ballard Dental Partners. “The new RCM toolset goes a big step further, ensuring we have the right evidence, codes, and documentation to clear claims without insurance back and forth.”

In early deployments across select practices, Pearl RCM has helped teams achieve:

• Up to 35 staff hours per week saved on eligibility verification and claim creation
• Up to 80% fewer downcodes and denial related to missing, incomplete or non-compliant supporting documentation.
• Up to 2X improvement in first-pass clean claim submission rates

The platform's core features deliver clarity and efficiency across the entire revenue cycle:

• Precheck™: Confirms eligibility and code-level benefits automatically from four clearinghouses and over 300 carrier portals. Coverage data, including remaining benefits and frequency limits, is surfaced directly in the appointment card and schedule view, reducing time spent calling payers and helping to eliminate patient billing surprises.
• Claim Actions: Proactive, in-schedule alerts guide the team by flagging missing X-rays, outdated imaging, quality issues, or coverage gaps ahead of the visit, connecting clinical need, image quality, and insurance requirements in one view.
• Imagecheck™: Reduces avoidable denials due to non-diagnostic x-ray evidence by flagging x-ray issues at the point of capture, detecting quality defects like cone cuts, poor exposure, or missing apices before they reach a claim.
• Clean Claim (coming soon): Helps teams build stronger claims through automation, including Auto-Attach, which automatically selects and attaches the most clinically relevant, AI-annotated images, and Auto-Remark, which generates tailored clinical narratives and remarks for each procedure code and payer.
• Claim Insights (coming soon): Offers retrospective analytics on claim outcomes across the practice, surfacing actionable patterns by procedure, payer, provider, and location to help fix the root cause of lost revenue.

For practices, this suite of capabilities power an end-to-end approach to revenue cycle automation that enables a highest standard of revenue cycle efficiency in the dental industry. Pearl RCM is available now to dental practices across the United States. To learn more, visit hellopearl.com/products/rcm.

About Pearl

Pearl is a dental AI company committed to enhancing how patient care is delivered. Founded in 2019 by a team with decades of experience developing successful, enterprise-grade computer vision solutions, Pearl introduced the first-ever FDA-cleared AI capable of reading and instantly identifying diseases in dental x-rays. With regulatory clearance in 120 countries, Pearl's AI assists dentists in making precise clinical decisions and effectively communicating with patients, thereby transforming the dental care experience worldwide. As dentistry’s global AI leader, Pearl is committed to the ongoing innovation of robust, accessible AI tools that improve patient health outcomes and build greater trust in dental medicine. To request a demo, please visit hellopearl.com/demo.

Ambitious Program Launched to Advance Research and Promote Gum Health as the Link Between Oral and Overall Health

 

Promoted by the American Academy of Periodontology Foundation, with SEPA Playing a Leading Role Through the Levi-Richman Integration Initiative

• One of the most significant global efforts to strengthen dentistry’s contribution to overall health and to raise awareness among health care professionals and the general public about the strong association between periodontal diseases and systemic conditions such as diabetes, metabolic syndrome, and cardiovascular disease
• The Levi-Richman Integration Initiative is currently funded at $2.5 million, and its scope is expected to expand in the coming years
• The SEPA Foundation, the charitable arm of the Spanish Society of Periodontology and Osseointegration, is playing a particularly prominent role as a strategic partner and recipient of a $200,000 philanthropic gift, which is expected to grow to $500,000, to implement the Working Together initiative.
• “Our goal is to reconnect the mouth to the body,” says Dr. Paul Levi Jr., who has highlighted SEPA’s important role in advancing periodontal health.
• The American Academy of Periodontology Foundation (AAP Foundation) has launched an ambitious initiative to deepen understanding of the relationship between oral health and systemic health. The effort is part of the Levi-Richman Integration Initiative, which will mobilize more than $2.5 million in existing and new investments to highlight the role of periodontal health as a critical link between oral and overall health.
• A new program developed under the umbrella of the Levi-Richman Integration Initiative is called Working Together, and the SEPA Foundation, the charitable arm of the Spanish Society of Periodontology and Osseointegration, will play a central role in its implementation. As explained by Dr. Paula Matesanz, President of SEPA, “The goal is to foster collaboration between oral health professionals and key public health stakeholders in alignment with global health priorities.” 

An Extraordinary Philanthropic Gift

The Levi-Richman Integration Initiative, named in honor of its founding donors Patty and Paul Levi and Dr. Colin Richman, is supported by major philanthropic contributions totaling approximately $2 million to date, including a $1 million gift made by Dr. Richman in 2020 and more than $250,000 previously contributed by the Levis and other donors. Patty and Paul Levi have now committed additional previously undisclosed funds and have also established a planned gift to further increase their support in the future.

Specifically, a $200,000 philanthropic contribution has been awarded, through an endowment model (permanent donation), to the SEPA Foundation, the charitable arm of the Spanish Society of Periodontology, to support implementation of the Working Together program. The AAP Foundation has committed to sustaining this effort over the next five years and is actively seeking additional funding to expand the initiative further, with the goal of reaching $500,000.

According to President Paula Matesanz, “The collaboration between the SEPA Foundation and the AAP Foundation, made possible through Professor Levi’s extraordinary generosity, represents a shared global effort to place oral health and the professionals who work in this field at the forefront of addressing major modifiable risk factors for diseases such as periodontitis, which also have important implications for overall health.”

Reconnecting Oral Health and Overall Health

“My family and I are proud to support this ambitious project,” said Dr. Colin Richman, “and to advance understanding of the bidirectional relationship between oral health and systemic health. Our existing Periodontics-Orthodontics (Perio-Ortho) grants have already sought to strengthen collaboration between periodontists and orthodontists. With this new initiative, we are extending that same spirit of integration to our colleagues in systemic health and addressing another subject that is deeply important to me: the oral-systemic connection.”

“Our goal is to reconnect the mouth to the body,” added Dr. Paul Levi Jr., quoting the late Dr. Bruce Donoff, a dentist and physician who served as Dean of Harvard School of Dental Medicine for 28 years. “For many years, evidence has continued to accumulate demonstrating the strong association between periodontal diseases and systemic conditions such as diabetes, metabolic syndrome, and cardiovascular disease. More recently, emerging research has linked oral health to an expanding list of conditions ranging from Alzheimer disease to erectile dysfunction. Although these relationships are well known among periodontists, they remain largely unfamiliar to the general public and to many physicians, including cardiologists, pulmonologists, and endocrinologists, whose patients may be in urgent need of periodontal care.”

“Periodontal and peri-implant diseases, as well as the dysbiosis and inflammation associated with these conditions, have been linked to the development and progression of numerous systemic diseases,” said Dr. Mia Geisinger, Past President of the American Academy of Periodontology and Chair of the Advisory Committee for the Levi-Richman Integration Initiative. Although these associations do not necessarily establish causation, patients with systemic conditions are known to be at increased risk for periodontal disease and should be evaluated for periodontal treatment, particularly when they present with one or more warning signs of periodontal disease.

In this regard, Dr. Geisinger noted that greater medical-dental integration, including the widespread adoption of electronic health records, could significantly improve assessment of the bidirectional effects of periodontal and systemic diseases. “Future longitudinal and epidemiologic studies may help further clarify best practices to improve diagnostic and treatment outcomes.” In response to this need, the Levi-Richman Integration Initiative will fund research exploring causal links between periodontal disease and systemic conditions and will help disseminate those findings through education and advocacy.

Planned Activities

The Levi-Richman Integration Initiative will support new research, disseminate knowledge through educational programs for dentists, physicians, and allied health professionals, and raise awareness about periodontal and peri-implant diseases, the importance of their treatment, and the specialists who are uniquely qualified to provide this care.

Programs supported by the Initiative will include:

• A new and ambitious research grants program focused on interdisciplinary investigation of the relationship between oral health and systemic health.
• The existing Richman Family Foundation Perio-Ortho Grants, established in 2021 through Dr. Richman’s generous support.
• Expanded Patty and Paul Levi Research Awards, originally created in 2016 to recognize prevention-related research conducted by predoctoral dental students and funded by contributions from the Levi family and more than 100 donors. These awards will now include a second prize for postgraduate residents in periodontology.
• Educational programs for dentists, physicians, and allied health professionals.
• Funding for key initiatives within the American Academy of Periodontology, including the upcoming Best Evidence Consensus on the prevention of peri-implant diseases.
• Collaborations with the SEPA Foundation, Europe’s leading charitable organization dedicated to periodontology, including:
• A biennial global online symposium on prevention, beginning in 2027.
• International expansion of the AAP Foundation’s PerioDash 5K run/walk.
• A series of educational webinars for dentists and physicians held in conjunction with observances such as World No Tobacco Day and World Diabetes Day.

The SEPA Foundation: A Key Strategic Partner

One example of this outreach effort is PerioDash, the AAP Foundation’s annual 5K run/walk designed to raise awareness about periodontal diseases, the importance of treatment, and the specialists who can help. Now incorporated into the Levi-Richman Integration Initiative, PerioDash will expand to Europe through a partnership with the SEPA Foundation.

With financial support from the Initiative, the SEPA Foundation will also develop educational programs open to oral health and systemic health professionals worldwide, in collaboration with the AAP Foundation and other organizations. These efforts will begin in 2026 with a series of webinars held in conjunction with international health awareness observances, including World No Tobacco Day (May 31) and World Diabetes Day (November 14). The programs will include both global and local components, enabling periodontists to connect with physicians in their communities, broaden understanding of the oral-systemic relationship, and strengthen referral networks.

This Initiative marks an important new chapter for the AAP Foundation, which in 2025 celebrated surpassing $10 million in cumulative grants, scholarships, and financial awards over its 35-year history, including support for programs of the American Academy of Periodontology and the American Board of Periodontology. “The AAP Foundation is proud to continue its longstanding commitment to academic periodontics,” said its President, Dr. Christopher R. Richardson, “and now complements that core mission with this ambitious initiative, which is designed to directly support clinicians in private practice and improve both periodontal and overall health.”

About the American Academy of Periodontology Foundation

Founded in 1990, the American Academy of Periodontology Foundation (AAP Foundation) advances the specialty of periodontics and dental implant surgery through advocacy, research, and education. Over the past 35 years, more than 350 dental students, periodontology residents, faculty members, and practicing clinicians have received educational and research awards from the AAP Foundation, totaling more than $10 million. These awards have been made possible through support from more than 150 corporate and organizational donors, as well as nearly 5,000 individual professionals.

About the SEPA Foundation

The SEPA Foundation is the charitable arm of one of the world’s leading scientific societies in periodontology and implant therapy. It is widely recognized nationally and internationally for its role in promoting periodontal and peri-implant health through education, research, and scientific outreach. The Foundation is governed by a distinguished Board of Trustees that reflects the spirit of an open, collaborative institution committed to society and to improving people’s health by advancing initiatives that connect scientific knowledge with clinical practice and the broader community.

About Colin Richman

Born in Johannesburg, Dr. Colin Richman studied in South Africa and England before earning his certificate in periodontics from the University of Connecticut. A highly respected periodontist based in Georgia, Dr. Richman has extensive training and experience in periodontics and has delivered more than 350 lectures throughout the United States and internationally. He has served as an Adjunct Professor at Emory University School of Dentistry and as a Clinical Instructor at the University of Connecticut. He is currently a professor at the Medical College of Georgia.

About Patty and Paul Levi

Patty and Paul Levi Jr. have been married for nearly 60 years, with Patty playing an essential role in supporting Dr. Levi throughout his teaching and professional career in periodontics. After completing his postgraduate training in periodontics at the Tufts University School of Dental Medicine, Dr. Levi established his private practice in Burlington and taught at the University of Vermont School of Dental Hygiene for 27 years. He later began commuting to Boston to teach part-time at Harvard School of Dental Medicine and Tufts University School of Dental Medicine, where he currently serves as a faculty member. Patty and Paul share a deep commitment to prevention. Their connection with the Spanish periodontal community began when Dr. Levi taught in Barcelona for one academic year. Since then, he has maintained close ties with SEPA and has been a frequent speaker at its congresses.

Analysis of Endodontic Obturation Techniques

 

A short post today, because the real info is in the study.  I happen to love endodontics.  It's one of my favorite procedures.  Like anything in the profession, there are lots of schools of thought and lots of debate about different techniques.  The knowledge base is always growing.

A recent study was done to systemically compare the outcomes of different techniques of obturation through a systemic review and meta-analysis.  They looked at results from both initial treatment as well as retreatment.  Of course, instrumentation is probably the primary concern.  If a canal isn't properly decontaminated/instrumented, the type of obturation won't matter much.

Yet, I found the info in the study interesting and I hope those of you who are performing endo will find it interesting as well.  The study was published in Scientific Reports  and you can read the study by following this link:  Effect of root canal filling techniques and materials on endodontic treatment outcomes: a systematic review and meta-analysis 

Also, as an aside to this post.  I try to honor copyrights, so I asked an AI system to "Create image of x-ray of endodontically treated human lower first molar."  That image is the one at the top of this post.  It appears the system created a graphic of a film radiograph.  I found that a little humorous.  I haven't used film since around the year 2000.