Category: Blog

Advancements in Endodontics: Treating Patients Better with Technology


The field of endodontics has made great strides forward in the last couple decades in regards to technology. As I noted in my last blog post, it’s an exciting time to be in this field as we learn how to perform root canal procedures and surgeries more efficiently and effectively while reducing the pain and discomfort for our patients.

Harvard 4The microscope has revolutionized the field of endodontics to the point where all endodontic residents are now required to learn how to perform procedures under the microscope before they graduate and begin practicing. All endodontists who are opening or joining practices now will use the microscope, which I think is an excellent step in the right direction when it comes to keeping our specialty moving forward. Our office has been using the microscope since we began practicing because we saw the incredible advantages it offers during treatment. We are now able to see canals that would have been difficult or impossible to locate without it. Canals are covered with layers of dentin that need to be uncovered. With the microscope, we are able to be very precise when removing layers of dentin, which results in a less invasive procedure and preservation of more of the tooth structure.

The microscope also helps us to identify very small fractures in teeth that would otherwise be missed. If a tooth is fractured into the root, it is not savable. If a root fracture is not identified and that tooth is operated on, it will become re-infected at some point and all the work that was done will be wasted. With the microscope, we can often make sure we are not performing unnecessary work on a tooth that will just need to be removed because of a fracture. This saves the patient, time, money and, more importantly, future procedures.

New technology is not limited to the microscope, though that is probably the most important advancement. We are also now able to use 3D CT scans to look at the tooth before we operate on it. We use this to identify fractures or roots and also see if the apices are located near nerves or sinuses that we will need to be aware of when we operate. The more information we can have on a tooth’s structure, the more precise we can be when we perform the root canal and the less chance we have of complications.

The instruments we use during treatment are also continually improving. The metallurgy of the files we use is constantly improving to allow us to preserve more tooth structure while more accurately following the curves of the canals. The materials we use to seal the canal are also improving, becoming more biocompatible with the composition of the natural tooth. This all helps us to clean and seal the tooth more thoroughly, which prevents re-infection.

As I have stated before, it’s an incredibly exciting time to be involved in this field—especially when you look at what is coming in the future. Materials and instruments will continue to improve and there is even the possibility that we will be able to re-grow nerve tissues that have been damaged or perhaps even grow an entirely new tooth. This would completely revolutionize the field and the way we are able to help patients.

All of us at Advanced Endodontics are dedicated to learning new technology that will help our patients. With all the new advancements currently in practice, we as a specialty have been able to improve the success rate of apicoectomies from around 50% to over 90%. What was once a hit or miss procedure is now incredibly successful. We’re excited to continue improving our knowledge and utilizing new technology that will help those who are under our care.

Categories: Blog, News, Press Release

Dentists and Endodontists: Working Together for the Patient

Dentists and Endodontists: Working Together for the Patient

Fimple 1Hi everyone, I’m Dr. Jacob Fimple, owner and endodontist at Advanced Endodontic Therapy in Omaha, Nebraska. It’s been my pleasure to work with patients and dentists in the Boston and now Omaha area since I began practicing endodontics 10 years ago. Working in such a specialized field has given me the opportunity to really appreciate the referring dentists I work with and makes me strive to be the best resource I can be for them and the patients under their care.

I have always had enormous respect for dentists practicing today. Since endodontists specialize in root canals, I know what a patient needs if they are referred to or walk into my office. Dentists, on the other hand, are constantly being thrown curveballs and must stay up on a number of practices. In a week’s time, they may perform cleanings, check-ups, fill some cavities, diagnose gum disease and more. I admire their ability to stay on their toes, be flexible and always do their best to help the patients they are able to and find resources for those they think may be better off seeing a specialist.

It’s difficult to stay abreast of all the new technology and techniques in any medical field, and endodontics is no different. With new equipment being introduced regularly and the introduction of the microscope, which has revolutionized the field of endodontics, it’s hard enough for a specialist to keep up to date, let alone a general dentist. That’s why we have always tried to reach out to dentists in the area to be a resource for them. Even if they are not referring a patient to us, we want dentists to know that we are always available for questions or to give advice on tough cases. Sometimes we’ll be able to help the dentist simply by providing some information or insight that we’ve gained from treating patients in our own office.

mail_image_preview (6)Our team has seen a lot throughout our years of specialty practice, including hard-to-locate canals, curvy canals, fractures we were unaware of until we looked through our microscope and much more. Being able to take these experiences and use them as educational tools to help dentists is one way we strive to be a resource for them. If they find they are uncomfortable handling a complicated treatment in their office or would just prefer to turn it over to a specialist, we know that we have made ourselves available to help out.

We also reserve room in our schedules for emergency cases that dentists are not able to handle. A general dentist is juggling many demands on his time and is not always able to immediately see a patient who is in an emergency situation. We have set up our practice hours so that we have slots available to get these patients in the same day. No dentist wants to turn away a patient in pain, so being able to refer them to an endodontist who can address their pain in a timely manner puts their mind at ease and assures them that they have provided the best care they can for that patient.

Making sure dentists feel comfortable referring patients to us is an area of emphasis for our practice. We appreciate the trust a referring dentist must have in a specialist when they make a referral, so we do our best to not only offer the highest level of technologically-advanced care, but to also communicate with the dentist throughout that patient’s care. Open and thorough communication between our practices helps provide the absolute best level of care for the patient and allows both practices to learn and grow from the shared experience. We also want referring dentists to know that not only will we take care of their patients with cutting edge technology, but that we also have a caring and attentive staff, all of whom do their best to make sure our patients are comfortable, well-informed about their care and well on their way to a quick recovery as soon as they leave our offices.

It’s an exciting time to be in the field of endodontics and we’re always eager to learn about new technologies or techniques that will help our patients now and in the future. We appreciate the dentists who trust our practice enough to send their valued patients to us for specialized care and know that we could not thrive as a practice and as an industry without their hard work and dedication. Thank you so much for taking the time to let me discuss the important relationship between dentists and endodontists. I look forward to chatting with you all again!

Categories: Blog, News

Comfort and Care is our Commitment | Advanced Endodontic Therapy

Having a highly trained staff and cutting-edge technology is just part of the story at Advanced Endodontic Therapy.

As any patient will tell you, it’s how they feel when they are in the office and how they are treated by the doctor and the staff that really matter.

The team at Advanced Endodontic Therapy understands this, and that’s why they always strive to go above and beyond their patients’ expectation. From the minute they walk in the door, their patients feel they are cared about—not just as patients, but as people. Patients know they will always be greeted with a smile by the warm and friendly staff and be made to feel comfortable before their procedure.

The staff also prides itself on education, making sure each patient is fully informed about their procedure before it begins.

Working hand-in-hand with referring doctors and insurance companies is another way that the team takes care of the patient and ensures that no detail is missed. The last thing a patient needs to be worried about is getting paperwork from their primary dentist or submitting information to their insurance company. The AET team knows this and handles the details so their patients can focus on relaxing before and after their treatment.

Added attention to detail is another area in which the team excels. With unexpected extras like free neck pillows, free sedatives and x-rays and a relaxing and serene environment, Advanced Endodontic Therapy takes the anxiety out of the experience and replaces it with peace of mind. Dedication to their patients’ comfort is a hallmark of each team member and a key component of the clinic’s reputation.

Categories: Blog, Video Blog

The Importance of Treatment and Diagnosis with Microscopic Technology | Advanced Endodontic Therapy

Advanced Endodontic Therapy uses all the modern equipment and techniques to provide the best possible care for patients.

One of the main reasons a root canal fails is missed anatomy.

With their training, the team at Advanced Endodontic Therapy knows where to look to locate these easily missed canals and uses ultrasonic equipment to brush away a small layer of dentin to locate these canals that would otherwise be undetectable.

With the added benefit of their microscope, Dr. Fimple and his team can locate easily missed canals and ensure that they are providing the most comprehensive treatment to save a patient’s tooth and relieve their pain.

As Dr. Fimple simply states: “If you can’t see it, you can’t treat it.”

Cutting-edge technology paired with caring customer service and availability ensures that Advanced Endodontic Therapy’s reputation is one of the soundest in Omaha. Their investment in top-notch technology is just another indication of their commitment to excellent patient care.

Categories: Blog, Video Blog

Advanced Endodontic Therapy Opens Second Location in Omaha

Advanced Endodontic Therapy is pleased to announce they have recently opened a second location at 15750 West Dodge Road, Suite #303. This complements their original location on 18015 Oak Street, Suite A.

Lead by Harvard-educated Dr. Jacob Fimple, Advanced Endodontic Therapy prides itself on using the latest cutting-edge technology while providing a caring and comfortable environment for their patients. All of their procedures are done under a specialized microscope, which allows them to locate problems that may otherwise be missed and perform detailed work on the many microscopic areas in the mouth. The practice offers root canals, root canal retreatments, treatment for cracked or injured teeth and apico surgeries. They also specialize in difficult endodontic cases and second opinions.

Dr. Fimple chose to open a second location to better serve his patients, especially those who need emergency or after-hours appointments. “We need to be available and convenient for our patients,” Dr. Fimple explained, “and the 156th & Dodge location has made it much easier for many of our patients to access the treatment they need.”

A need for more space prompted by their increased number of patients and growing reputation was another reason for the expansion.
For more information or to request an appointment, please call (402) 763-4929 or visit