February 2014 E-Newsletter

APICES 2014, Practice Management and More!

Happy New Year 2014! Residents and new practitioners, the AAE and the Resident and New Practitioner Committee would like to wish you and your families a very healthy and prosperous 2014.

This issue of The Paper Point brings you information on the "Importance of a Job Description to Build a Team," graciously contributed by Ms. GorgAnna Randolph from PBS Endo. The job description is an important piece that is instrumental in recruiting staff of your choice. In the Residency Program Q&A, you’ll get a peek into the Baylor College of Dentistry’s graduate endodontic program. I hope you’ll look in to the Journal of Endodontics podcast referenced in this issue and that the Crazy Case will draw your attention too.

The 2014 AAE Annual Session is fast approaching, bringing excitement and opportunity with it. Scheduled from April 30 through May 3 in Washington, D.C., it will be a great opportunity to feast on a wide variety of things that the Capital has to offer. APICES 2014, exclusively for residents, will take place at the University of Texas Health Science Center at Houston on Aug. 8-9, and and you can preview the schedule in this issue of The Paper Point.

We continue to try to provide a wide range of subjects and areas of interest to residents and new practitioners and hope that you enjoy The Paper Point. If there is a topic you would like us to focus on in upcoming issues, please feel free to contact us, at residents@aae.org. Until then, stay warm! - Manpreet S. Sarao, B.D.S., D.D.S, resident and New Practitioner Committee Chair



AAE 2014 Annual Session Activities for Residents and New Practitioners

Don’t miss out on the Resident and New Practitioner events held at the upcoming AAE 2014 Annual Session in Washington, D.C. They will include:

Career Fair

If you are looking for the perfect job or trying to find that special endodontist who will match your organization’s needs, the Annual Session Career Fair is the place to be. It is a fantastic opportunity for job seekers and potential employers from across the country to meet and network. AAE members who are residents and new practitioners (practicing five years or less) and potential employers from private practice, academia or the military are invited to attend. The Career Fair is Friday, May 2 from 3:30 to 5 p.m. in room Maryland D at the Gaylord National Resort and Convention Center in National Harbor, Md. Fill out the participation form to participate as a job seeker or employer.

Resident Reception

Swing by the Resident Reception, hosted by Treloar & Heisel, Inc. and Medical Protective, where endodontists in training from across the U.S. and Canada will enjoy refreshments, network with peers and take advantage of the great location. The reception is Friday, May 2, from 5 p.m. to 6:30 p.m. in Maryland Ballroom C at the Gaylord National Resort and Convention Center, following the Career Fair. No registration is necessary. Please come mingle with your colleagues and introduce yourself to the members of the Resident and New Practitioner Committee. 



The Importance of a Job Description to Build a Team
By GorgAnna Randolph, CEO, PBS Endo


One of the goals of every endodontic practice is to have a cohesive team that strives for excellence.

A successful team has three characteristics:

  1. The team has the same goals focused on excellent endodontics and happy referrals and patients.
  2. The team has respect and trust for each other. Everyone knows that each team member will do their best.
  3. Each team member has skills that complement the other team members. While cross-training is helpful, everyone brings their unique personality and skills to the practice. Any differences are seen as an asset to the practice.

To build an outstanding team, we can start by finding the right people. A job description becomes an important first step. A detailed job description includes the requirements of the position and the kind of personality needed for the position. 

The Job Description – Two Sections
Section 1: List all the tasks and responsibilities
With as much detail as possible, list all the tasks and responsibilities for the position. 

  • Example:  The document could simply include: Keep the reception area tidy.
  • However, a better level of detail would be: Straighten all magazines at the beginning of each day. Remove any torn magazines. Ensure that a variety of magazines is maintained. Dust all furniture and plants once a week. Ensure that the cleaning staff maintains glass, floors and window coverings.


  • The office is open from 8 a.m. to 5 p.m. Monday through Friday. Arrive at the office 30 minutes before the office opens to open the office and check messages.

Section 2:  List the requirements of the position
The requirements include education, experience and skills related to personality traits.

  • Examples: Experience required - Two years as an office manager of a dental or dental specialty office.
  • Overall requirements of the position: Self-motivated, team player, confident, reliable, dedicated, ethical.

Supportive Documents
A policy and procedure manual includes the office policies that apply to all employees. This document is also needed to define the overall expectations for everyone in the office.


  • Jewelry and hair will be minimized.
  • Policy on sick leave: 
    • Three sick days per six months are allowed with pay. 
    • The employee is expected to call as soon as they know that they will not be available for work.
    • Termination for cause is an option if more than 20 sick days are taken in a six-month period.

Take the first step to find the best assets for the practice. Create a job description and office policy manual for each employee. You can build the perfect team.

Crazy Case
By George D. Kohout, D.D.S., resident, Baylor College of Dentistry

A 23-year-old female patient was presented due to a suspected resorption noted on #3 during routine bitewing radiographs. She had no restorations, carious lesions, or symptoms in the area, but she did have a history of extensive orthodontic treatment. New radiographs were made and a radiolucency consistent with invasive cervical resorption was noted distal to the pulp chamber of #3 (Fig. 1 and Fig. 2).

All other radiographic and clinical findings were normal. The tooth did not show any discoloration and the suspected resorption could not be entered with an explorer. A CBCT was made which showed a distinct entry point of the resorption into the DB root beneath the crest of the alveolar bone (Fig. 3). The defect then spread within the tooth to the pulp chamber and in the buccal-palatal direction (Fig. 4). The resorption was classified as Heithersay Class III and the pulpal and periapical diagnoses were normal. The treatment plan was root canal treatment #3 with internal removal and repair of the resorptive defect.

The tooth was accessed and four canals were shaped with LSX and Vortex Blue (Fig. 5). The resorptive tissue was then accessed (Fig. 6) and removed with a slow-speed carbide round bur until the bone was reached in the entry point (Fig. 7).

Ninety percent trichloroacetic acid was used to scrub the surrounding dentin for one minute (Fig. 8). MTA was placed over the bone in the entry point (Fig. 9) and a layer of glass ionomer was used to protect it. Final irrigation was performed with EndoVac and all canals were filled with a BC Sealer single cone technique (Fig. 10 and 11). An amalgam build-up was placed at the conclusion of treatment. The prognosis is favorable, however, the possibility of recurrence of the resorption was discussed with the patient.

Submit your Crazy Case to residents@aae.org for a chance to be featured in an upcoming issue of The Paper Point!


Residency Program Profile

In an attempt to acquaint residents with their peers across the nation, the Resident and New Practitioner Committee will be introducing the Residency Program Profile as a reoccurring feature in The Paper Point. In each issue, you can read questions and answers from residents at an endodontic program to learn more about their personal experiences at different institutions.

Texas A&M Health Science Center Baylor College of Dentistry

Dr. Nicole A. Shinbori, D.D.S.

1. How many residents are in the endodontic program?

We currently have eight residents total – three first years, four second years and one third year. Baylor is a 27-month certificate program or a 36-month master’s program. 

2. How many different places in the country/outside of the country are represented by residents in your program?

We come from all over the country: California, North Carolina, Arizona, Oklahoma and Texas.

3. Where is your program located in the city of Dallas?

The program is located at the TAMHSC Baylor College of Dentistry - 3302 Gaston Ave, Dallas, TX 75246. The dental school is located close to great neighborhoods in Dallas like Deep Ellum and the Arts District.

4. On average, how many hours per week do you spend in the clinic?

We spend about 26 hours in the clinic per week. Our other hours are spent covering classical and current literature and going over case presentations with our faculty. We teach the second-year dental students in their preclinical course and help out in the undergraduate clinic as well.

5. What is your favorite thing about the endodontic residency at Baylor?

There is great camaraderie amongst all the residents here. We thrive off learning from one another and genuinely enjoy each other’s company day in and day out! Additionally, we are encouraged to master a variety of techniques and materials here, rather than being bound to a single ideology. This breadth of learning enables us to stay current with the latest technology on the marketplace and to critically evaluate each material’s pros and cons.

6. Are you given hands-on experience with new endodontic technology?

Yes, we have access to the latest armamentarium such as various irrigations devices, rotary files, motors and obturation systems. Every case is treated through the operating microscope with video and digital photography for documentation. We also are encouraged to utilize CBCT when indicated.

7. What is something unique about your program that no one else would know?

Baylor College of Dentistry alumnus Dr. Ben Johnson is the inventor of Thermafil and the ProFile NiTi endodontic instrument and the founder of Tulsa Dental Specialties. Additionally, one of our faculty members, Dr. Bill Wildey, was the co-inventor of the Lightspeed and LSX endodontic instruments.

8. Anything else you would like to add about the program?

It can be easy to have “tunnel vision” during residency and become complacent in keeping up with advances in other fields of dentistry as a specialty resident. At Baylor College of Dentistry, each month we are given the opportunity to get together with residents of all other specialty programs and engage in an open discussion of a complex interdisciplinary treatment planning case. A representative from each specialty is elected to speak on the information pertinent to his/her respective field. This interdisciplinary approach to dentistry is invaluable in clinical practice, and allows us to enhance our communication skills with colleagues of other specialties.



JOE Podcast: Identifying Characteristics Associated With Increased Referrals to Endodontists

Have you taken the opportunity to check out the Journal of Endodontics monthly podcasts? In the February 2014 podcast, JOE Online Editor Dr. Robert A. Goldberg interviews Dr. James F. Wolcott, coauthor of an article published in the February 2014 JOE about a survey that examines referral patterns and the relationships between endodontists and referring dentists. This podcast and article provide both up-to-date survey results and marketing information to position yourself in the dental community.

American Association of Endodontists
211 E. Chicago Ave., Suite 1100
Chicago, IL 60611-2691
Phone: 800/872-3636 (U.S., Canada, Mexico) or 312/266-7255
Fax: 866/451-9020 (U.S., Canada, Mexico) or 312/266-9867


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