Best Sealer & Best Dental Team Kerr Pulp Canal Sealer EWT & Hiring Staff

This show opens with discussing the upcoming Super Bowl LV and how it will be especially unique this year. Next, Ruddle reveals his sealer of choice, its benefits, and why it is the best. Ruddle and Lisette are then joined by Phyllis Ruddle, human resources expert, to talk about hiring the best dental team. To close the show, enjoy some lifestyle footage of Ruddle and his family utilizing the new gym at The Ruddle Show studio.

Show Content & Timecodes


00:09 - INTRO: Super Bowl LV
03:49 - SEGMENT 1: The Best Sealer
31:13 - SEGMENT 2: How to Hire the Best Dental Team
50:00 - CLOSE: Lifestyle - Ruddle Gym

Extra content referenced within show:

  • Phyllis' Aptitude Tests "Spelling, Vocabulary, Math" (see downloadable PDF below)
  • Phyllis' Aptitude Tests "Answer Key" (see downloadable PDF below)

  • Extra movie/video content:

  • Ruddle Just-In-Time® Video from Advanced Endodontics: "3-D Obturation – Concepts, Objectives & Tools"
  • Ruddle Just-In-Time® Video from Advanced Endodontics: "Conversations with Cliff - Endodontic Overfills: Traditions, Semantics & Reality"
  • Ruddle Just-In-Time® Video from Advanced Endodontics: "Breakout Session – Surplus After Filling: Factors to Consider"

  • Select PDF content displayed below. See Ruddle's complete library of downloadable PDF content at www.endoruddle.com/pdfs

    See also Ruddle's complete Just-In-Time® Video Library at www.endoruddle.com/jit

    Downloadable PDFs & Related Materials

    Ruddle Article
    "Filling Root Canal Systems"
    Apr 2010

    Virtually all dentists are intrigued when endodontic post-treatment radiographs exhibit filled accessory canals. Filling root canal systems represents the culmination and successful fulfillment of a series of procedural steps that comprise start-to-finish endodontics...

    Ruddle Article
    "Endodontic Overfills: Good? Bad? Ugly?"
    May 1997

    Many dentists practice with the misconception overfills cause biological harm. Many receive misinformation that overfills cause clinical failure. Others have embraced preparation schemes that intentionally work short of the canal terminus due to the overfill myth...

    Phyllis' Aptitude Tests
    "Spelling, Vocabulary, Math"
    Jan 1991

    Phyllis' Aptitude Tests "Spelling, Vocabulary, Math" for Hiring Employees

    Phyllis' Aptitude Tests
    "Answer Key"
    Jan 1991

    Phyllis' Aptitude Tests "Answer Key" for Hiring Employees

    Related Polls
    Disclaimer

    This transcript is made available by The Ruddle Show in an effort to share opinions and information, and as an added service. Since all show text has been transcribed by a third party, grammatical errors and/or misspellings may occur. As such, we encourage you to listen/watch the show whenever possible and use the transcript for your own general, personal information. Any reproduction of show content (visual, audio or written) is strictly forbidden.

    INTRO: Super Bowl LV

    Lisette

    Welcome to The Ruddle Show. I’m Lisette and this is my dad, Cliff Ruddle. How are you doing today?

    Cliff

    Absolutely excellent.

    Lisette

    Are you getting excited for the Super Bowl this Sunday?

    Cliff

    I am. After all 55 of them, of course I am, and I’m ready to watch the pigskin fly!

    Lisette

    Yes, it is Super Bowl 55 and for our international viewers who might not know this, it’s the annual championship for the National Football League, and it’s usually played on the first Sunday in February. And since 1967 when the first game was played, the Super Bowl has pretty much become an American icon and is celebrated with social gatherings, cookouts, and excessive alcohol consumption.

    Cliff

    Big parties!

    Lisette

    Yes. So, this Super Bowl though is going to be a little bit different. Why don’t you start off by telling us why.

    Cliff

    Well, we’ve got the Tampa Bay Buccaneers and we’ve got the Kansas City Chiefs. The Kansas City Chiefs were there last year, and what’s interesting is they have this kid who last year was 24, now he’s 25, and he’s already got a Super Bowl, he’s won one, and he’s going to be playing against Tom Brady who has been in 10 Super Bowls, won six Super Bowls, and he is 43.

    Lisette

    Patrick Mahomes is the –

    Cliff

    Patrick Mahomes.

    Lisette

    We just call him “the kid.”

    Cliff

    Oh yeah, the kid is Patrick Mahomes.

    Lisette

    Well, it’s also an unusual Super Bowl because it’s the first time that it’s going to be held in the stadium of one of the competing teams, so it’s going to be in the Tampa Bay Buccaneers home stadium. And the location is generally chosen like well in advance, generally in a warmer climate, but it’s just never been the case that a competing team has had like – that the Super Bowl has been their home game.

    Cliff

    Yeah, it’s interesting though. The State of Florida, this will be their 17th Super Bowl hosting because of the warm weather you talked about, the 17th.

    Lisette

    Yeah. So, I guess they’re also letting in healthcare workers, right?

    Cliff

    Yeah, there’s about 66,000 fans. They’re going to let 22,000 in because of COVID, and then out of those 22,000, 7,500 are getting free admission and they’ve been vaccinated, and that was a gesture from the NFL to people who had gotten vaccinated, and they’re special people, they get to come to the game.

    Lisette

    Yeah, I also heard like they’re giving everybody hand sanitizer and KN95 masks and all that.

    Cliff

    Hell, I almost went to the game to get vaccinated!

    Lisette

    I guess they’re thinking that the ticket sales are going to go way up this week because of the more limited seating, and usually there’s people that try to resell tickets like at the last minute, so they think it’s going to be maybe the most expensive seats ever.

    Cliff

    You’re describing a scalper.

    Lisette

    I guess. Okay, so we’re excited about it. We usually watch it together, but maybe not this year. Maybe we won’t watch.

    Cliff

    Ever since you were born, we’ve watched Super Bowls together, so on Sunday I know we’ll be watching the game.

    Lisette

    Okay, well we have an exciting show for you today. We even have a special guest who you will see who it is shortly. So, we’re excited. Let’s get going.

    SEGMENT 1: The Best Sealer

    Cliff

    You know, today I’m going to talk about something that I rarely talk about. When we talk about obturation, everybody goes do you do this technique, is it vertical, are you using a carrier-based obturator? Is it a single cone, is it a squirt technique? And then we assume and use your sealer. So today, the producer asked me to actually talk about sealer in endodontic obturation, and I’ve actually never made that lecture before on just sealers. So, here we go. This will not be a comprehensive piece. Obviously, there’s a lot of chemistry, physics, and different things we could look at, and all the leakage studies and stuff, but this will be a quick, clinical overview of the importance and the rationale for sealer and endodontics.

    And when you look at Paque’s work, Frank did micro CTs and he shared a number of these with me. But when you look at this, it’s obvious our files are going to touch small amounts of the root canal space. It’s obvious that if we use a solid, semi-solid material like gutta percha, it’s going to fit into the shape canal, and it won’t be touching even closely the preponderance of the anatomy that’s inside these teeth. So, we’re going to need to have some sealer, and we all know that, and sealer is actually what affects the seal.

    So, with this rationale, let’s get started, but we can also go back and have the same rationale even from the early 1900’s. You’ve seen this book a thousand times, but as I tell everybody, this is the foundation of everything we do in clinical endodontics. So, I do not mind coming back to old material because it is a foundational philosophy that everything builds upon.

    So, can you imagine the webs, the anastomosing, the fins, the cul-de-sacs. Okay, lateral canals, how are we going to get those filled? We’re going to need a sealer. You know in 1935, Louis Grossman came up with his own sealer. He made a sealer and worked with a commercial company and made Grossman’s Cement. All right? And out of that he described the characteristics and traits of an ideal sealer. And so, you’ll know everything to this moment in time today we still talk about the ideal requirements of a sealer according to Grossman, because the requirements are just as relevant today as when he wrote them and published them in 1940.

    So, we need to have a really tacky material. It needs to adhere and have good adhesion to the walls. It needs to seal the root canal space. It should be radiopaque so we can see it radiographically. It should be well tolerated. We’re going to get extrusion or what Schilder described as surplus after filling. Get the distinction, not surplus and underfilling, but surplus after filling, so we would like to have it tolerated well and not be cytotoxic. Bacteriostatic, it should be a cement that tries to kill bacteria or residual organisms, because I don’t think we get every one of them out; do you? So, if we’re going to have them entombed, wouldn’t it be good to have it be bacteriostatic?

    Finally, the material should be stable. It should be biologically inert, and it should not be carried away rapidly through resorption. In the retreatment situation, Grossman recognized even back then that not all endodontics works, and when it doesn’t work, we do oftentimes retreatment, whether it’s non-surgical or surgical, and we should be able to readily remove the cement, unlike the tri-calcium sealers today, okay? There are no real solvents that are miscible in your tri-calcium, which is commonly known around the world as BC sealers.

    And then if it is in the tissue, we would like it to be insoluble, which is a little bit of a take off of we wouldn’t really want it to be, you know, tissue tolerant and we don’t want it to be insoluble. So, we want it to be non-cytotoxic and we want it to stay there. Many of you get a puff of cement and you were trained, you know, that was bad. And so, you look at the puff and at six months on the recall, you’re so excited when the cement is gone, but if you really think carefully, if it’s being carried away out of the bone, associated with the portal of exit, maybe it’s starting to wash out of the portal of exit and open up the root canal system to secondary leakage, and that means inviting longitudinal failure.

    So, make the connection. Schilder was Grossman’s student. Schilder was in Philadelphia. Schilder was there when Grossman was describing and making all this stuff, and he came along as a student and he worked with the Kerr Company and he worked to invent Kerr Pulp Canal Sealer. Schilder had graduate students and for years and years they did their two-year master thesis and it’s in the BU library, but a number of his students worked on the chemistry so that they could have an optimal sealer. So, they enhanced the sealers that were available in that day. They wanted it to flow better. They wanted it to be more archival and not resorb. They wanted it to be thixotropic. Okay, thixotropic. In other words, I’ll describe that in a little bit.

    But this is what Schilder was doing even in 1960. Notice, filling the root canal systems. Notice, filling the root canal system. Schilder used to say, as you get away from the heat source, the gutta percha will move a little bit laterally, but probably the rest of this could be sealer. So, like a car engine where you have a piston and a cylinder block, as you get a piston of guttapercha moving, it will drive sealer in front of it and get the hermetic seal. So, I wanted to acknowledge Schilder because of the Kerr Pulp Canal Sealer, and I wanted you to know he’s Grossman’s student.

    So, this is what Schilder did with the Kerr Company. You can get Kerr Pulp Canal Sealer with and without extended working time. You can just get regular Pulp Canal Sealer, or you can get extended working time. Extended working time will set on the bench in 30 minutes, very fast by today’s sealer standards. Regular Kerr Pulp Canal Sealer, it’s about 15 minutes on the bench, thus require the sealer goes inside the body, that’s 37 degrees, there’s humidity, it’s going to set even faster.

    Okay, so it’s a rapidly setting cement. Schilder recognized there would be the Schilder puff, and he didn’t want runny cement sitting out on the bone taking hours, if not days to set up. That creates a whole cascade of pathological events called inflammation. So, if we can have our cement rapidly set, it becomes biologically stable and it is going to allow healing to begin. So, it’s a eugenol, you have a eugenol-based liquid and then we have a zinc oxide powder. The powder/liquid ratio, so the powder/liquid ratio manufacturer says is 1:1. Let me make these big so you can see them, 1:1. So, when is it 1:1? Longer systems, narrower systems, and more curved systems, 1:1.

    But if you’re in something that is different, it’s shorter, wider, straighter, you can take two shovels of powder, two shovels of powder to one drop of liquid. This is perhaps the only sealer left in the world where you can change the viscosity based on the clinical situation. I like that flexibility. And there are many other advantages. Now I’m going to go through this, not now, but I’m going to have a case or two with each one of those, say a sentence or two, and then you can come back later and re-watch this movie and you can jot these down and you’ll begin to see why Ruddle uses this over the fast people going into that BC sealer world, oh they delve into the pool, it’s like a resilon, a hydron, come on you guys, you know there’s deficiencies. You can’t remove it.

    So, why don’t we use a sealer that has what? 60 years of research, how about that, not five years, 60 years. I know you don’t like watching it mix, but I thought you’d like the gloved hand of the assistant. It’s quite nice, right, with the gloves and the nails. You see the nails? Nice nail care on that. Anyway, in this case, you want to have your powder out, and then you put some drops in, maybe 1:1. Some of these we’ll put a little liquid over on the side in case we need to incorporate a little bit more.

    There is research and scientific papers that show even how you spatulate it, using a very firm, vigorous motion, use a big part of the pad and feather it out, and you’ll make it set even more rapidly, which means less resorbable, more archival. And it’s just better. There’s even a lot of ideas even in the mixing. You want to mix it so when you pull it up, it suspends about an inch or two and doesn’t go rapidly crashing back down to the pad. That would be too runny and too loose. So, you want good body, good viscosity. Oh, that’s a thing of beauty. See, we got this great verticality here, yes, we’re going up maybe a couple inches, yes, very nice.

    So, how do we deliver it? Okay, if you’re using a carrier-based obturation method, all you need to do is pick up a bead on a straight explorer and streak it around the orifice, that’s it. Just like a window washer uses a squeegee to dry the window, this warm gutta percha is going to squeegee and capture that sealer and drive it into the complexities known as the root canal system. Intricacies, webs, fins, lateral canals, bifidities, it’s the hydraulics. The carrier has the internal plugger, so the carrier is a plugger with gutta percha and you can do it in seven to eight seconds.

    So, everybody can do three-dimensional obturation. I did my research on this at Harvard back in the 70’s, not CBOs, but just the adaptation of warm gutta percha to walls. You can break off the carrier. You can see that you’re going to have that gutta percha wall to wall and you’re going to have a sealer interface of about six, seven or eight microns. So, it would be like reading a newspaper. You could read through the sealer and read the print on the other side, very thin.

    So, one way we can deliver the sealer is with a straight explorer streaking the orifice. If I’m going to fit a cone and I’m not using CBO, then I’m going to sputter coat the walls with the endo-activator. So, I can use the endo-activator and a tip like this one, and I can just pick up a bead like you would on an explorer on the endo-activator tip and just sputter-coat the walls, a very efficient way to distribute lightly a thin coat of sealer below the orifice.

    So, if you look at the actual clinical footage, not the animation, you bring it out of the oven and two, three, four, you count to seven, you got it home. If you’ve got swing space, you could break the handle off, and we can go around the horn and get the rest of the system. If you already have sealer in these two, these two oftentimes have communication back and forth, anastomosing, webbing and stuff like that, and then we can go ahead and just cut to the recall. That’s carrier-based obturation. Furcal canals, multiple portals of exit with all the roots.

    So, sealer, we’re talking about the rationale for sealer, and it’s just not any sealer, it’s a sealer that was made specifically for warm gutta percha. Most of the sealers aren’t. Try taking a hot instrument and plunging it into bio-ceramic sealers. It bubbles. Try doing it in resin sealers. It bubbles. Calcium hydroxide, forget about it. I just gave you three of the four family of sealers. Resins, calcium hydroxides, okay, tri-calcium silicates, that’s the, you know, the rage, that’s the big rage today, and of course, zinc oxide eugenol.

    So, and another way to deliver sealer, we’re talking sealer, deliver sealer, is you have a wet canal, you dry the canal per usual, you butter the cone, you butter the cone in the sealer, just lightly, and cement the cone. You’ll see similarities that maybe you’re a little devoid, but as you start packing down with the heat and you put a little pressure with the selected pluggers that you’re using, you can load this material laterally and vertically and you can get sealer driven into all this anatomy down here.

    So, if we just pick up the last wave of condensation, how do you deliver sealer, what sealer are you going to use? You’re going to come in with heat, you’re going to get a heat wave all the way to the end of the root. Now when you come in with the plugger, step, step, step, step, circumferentially around the canal, make a platform and press. The five-second press loads the material and drives it into all aspects of the anatomy that’s been actually cleaned out. Oh, cleaned out.

    Okay, now this is pretty interesting. Some of you go well Ruddle’s been doing this for almost 50 years, you know, we see a lot of the same cases, so this time you’re going to see a lot of new cases that we put in. Sometimes we show new cases. Sometimes I like old cases, because I can show you 10-year, 20-year, 30-year, almost 40-year recalls. That lets us know about the sealer, okay? So, when you look at that, that’s like a capillary bed. What kind of hydraulics would do that? What kind of loads? You got anatomy in here, multiple portals of exit, but that looks like a labyrinth.

    So, in one slide we can look at nine apical one-thirds, but what you see everywhere is thin, little shapes because of thin roots, multiple portals of exit, and highly curved systems, a labyrinth. Who even knows what’s going on? Loops, bore heads, multiple lateral canals, mid-mesials, lateral canals, lateral canals, bifidities, this is the world you live in. And so, if you start using something like the endo-activator, you can clean it out. If you start using a good sealer and a low load, you can pack in about 10, 15 minutes. You can pack a four-canal molar, and you can start seeing the thrill of the fill.

    So now let’s go through that big list very quickly. You might want to have variable viscosity, because sometimes we have really long systems. Sometimes big, long, sweeping curves. So, you make your access, you fill a furcal canal and look at that distal root. That distal root has one, two, three, four, five, six portals of exit, seven, eight. Okay, so mix the cement based on length, diameter, and curvatures and re-curvatures.

    Next, flow. We need a sealer. Schilder made the sealer with the Kerr Company to reduce the flow so he could get it into the micro anatomy. When you start packing down on these mandibular bicuspids, it’s the anterior abutment of the bridge; it’s a significantly strategic tooth, and look at all the anatomy. I don’t even know how many are there. And we won’t take time to count. But you need to have flow. You need to be able to load the material, either with an internal plugger, CBO, or with an external plugger, vertical condensation, and you can deliver your sealer into the anatomy.

    Heat activated. This is that property called thixotropic. What that means is when you load a material, when you heat a material, it gets decreased viscosity. That means it can flow better. This is one of the only sealers that is thixotropic. You’re going to love it! Try it and see it because sometimes, like this is the bone in here, I’m subcrustal, there’s the orifice, I’m subcrustal, and this thing takes off and goes for millimeters and in the more mesial view, it has its own separate apical portal of exit, so you can drive sealer millimeters and millimeters because it’s thixotropic. Try saying that several times. Sets fast.

    You know, this is bigger. This portal of exit right here, it’s bigger than where I instrumented to. It’s a lateral canal that’s probably resorbed and blown out. It’s massive! And when I pack it, there’s a sealer trail up to the sulcus because it probed pre-treatment, but it was a necrotic tooth. We’ll get into the show and we’ll talk about Endo-Perio and their interrelationships. But right now, you want it to set fast because there’s saliva, and this is a two-way street, and you don’t want to end up with an infrabony pocket, so you need to set fast, because healing begins two hours after cleaning and shaping and packing, two hours, two hours.

    And if you have this patient back it’s thrilling. I hope I can get you excited. I mean just filling the anatomy is so much fun, and then when you see the bone, when you see the bone rise up to the surface, and when you see it kind of level out here, actually, it’s right in here, but when we see it kind of level out and you see what we had here is a big vertical defect, a three-wall osseous defect, then, of course, endodontics makes a difference. And you want it to set fast, because you don’t want saliva and then the pocket remains.

    Non-cytotoxic. I like to show this to scare the Hell out of you. You know, when I used to show these cases in the late 70’s, people go oh, that’s too big, it’s just too big, you can’t have this kind of surplus. That’s surplus. Yep. You know what it is? It’s surplus after filling. Down here you see barely a little puff. We can control our apical puffs. We cannot control our lateral puffs. That’s why we mix the cement more viscous sometimes on shorter, straighter, and less curved canals, so you can mix it.

    But you can see in any event, notice the bone repair. Recall, as I keep stressing, endodonics is a regenerating procedure. We actually grow bone and properly performed endodontics is the cornerstone of restorative and reconstructive dentistry. So the sealers make all the difference. Keep going through that big list.

    Blocks pain. You’re going to like this. When you mix zinc oxide with eugenol, it forms zinc eugenolates. Those eugenolates, what they do is they block prostaglandin and prostaglandin is well known in the pain cycle by causing mast cells to light, which releases histamine. You can block the pain pathway by just knowing the right sealer. How about that? So, you’re going to get sometimes some pretty big splashes. You want to be well tolerated, so let’s use a sealer that the body can heal. Sets in about 15-30 minutes, EWT [30 minutes] vs. regular Pulp Canal Sealer [15 minutes].

    Well, non-resorbable. Now you’ve seen this case before, maybe, but the DB and the MB roots have been amputated 25 or 30 years earlier. This is the lone palatal root. Notice the bifidity known as the loop, but notice the lateral canal to the base of the pocket. Endodontics has to seal the root canal system, not just the mother canal, not just where you put your files.

    We got to also treat the un-instrumental portions of root canal systems. Well, when you put six units, a six-unit splint, canine, bi, second bi is gone, palatal root, first molar, second molar, third molar, when you do all this kind of work, your endodontics has to be successful, because the foundation is the endodontic abutment, and then all the restoratives are built on top of that, so we really have to have an eye towards good work, solid work, archival work.

    Adhesion dentistry. Some people say well, you know, you can’t use a eugenol clip and have any expectations that you’re going to be able to bond. And we’re in a day and age of like what are we on, like fifth, sixth generation adhesion dentistry products? Well after you pack a case, we’re not going to talk about the treatment, I’m going to suggest squirting with your gun, your gutta percha gun, squirting, you know, with a canula. You can squirt gutta percha in warm, thermal softened gutta percha. Now when you cut the cone off, and now when you commence with your down-pack, with your plugger, guess what, you’ll get hydraulics.

    You can see the down-pack if you look really careful. I’ll erase it. But you can even see a little impression right here for my plugger sunk into that big thermal mass, and I’m driving that material laterally, vertically, and I’m filling the root canal system, but how do we manage this space? We’re going to do bonding. So, take Xylol or chloroform, either one is a solvent in gutta percha sealers. They’re miscible in the solvent. And you can take Xylol on a cotton pellet and flush out, clean the internal aspects of the pulp chamber and even down below the orifice if you are going to post, okay?

    So, the first thing is Xylol. And you do that with a cotton pellet that’s saturated. Maybe do two cotton pellets. When that’s pretty clear, in other words, it’s not pink or grey like Kerr Pulp Canal Sealer, then use 70 percent isopropyl alcohol, OH for alcohol, and that will remove the precipitates of chloral-percha if it’s chloroform or with a Xylol, and it will remove those precipitates, and many textbooks have shown the resin tags in dentinal tubule, so you can definitely do adhesion dentistry. So, don’t give up a world class sealer because somebody told you in a lecture, that was a restoring dentist no doubt, well we’ve moved now over here to our resin cements like AH Plus or we moved over here now to BC sealer because, you know, we can now bond.

    Well, there’s the world that is and there’s the world we see, and they’re not always the same, are they, especially when there’s too much misinformation. So, you can see we can do great adhesion dentistry.

    And I’m just about done, but we want a sealer that is reversible. I have said this for decades, but 90 percent of my practice for years and years and years was redoing other people’s work. That means I had to do a lot of disassembly, and when you do disassembly, you got to get those old materials out, whether it’s a silverpoint, a carrier or gutta percha, not pace fillers. Those require a solvent. So, when we see all the BC noise and we hear all the euphoria, they just haven’t gotten to their cycle of retreatment, and they like to show a little straight plastic block that you can get it all out cause you can get out the gutta percha. Come on! If they’re even thinking about anatomy, they’re not round little tubes, are they? They’re systems. Say systems.

    So, you get out the silverpoint, the gutta percha, the old Grossman type sealer that was placed, down-pack, get that way the rubber going right up in there and dry that material laterally and compress that sealer up against those walls and get that 6, 7, 8, 9 microns and backpack and watch the bone work over many, many years. So, it’s a reversible procedure.

    Okay, I hope you’ve learned a little bit about sealer. I’ll let you go to the web and punch in the Kerr Pulp Canal Sealer and start learning more about the chemistry. There’s some really great articles that should be very encouraging to you. I would say the only negative is you have to mix it. You have to mix it. And you have to have a lot of spatula pressure, and you’ve got to have an assistant, you know, that has Nautilus arms so she can really crush that, get a thin layer, nice and smooth and creamy, put it inside your canals and start watching the anatomy pop if you give that material a little load during the cooling cycle. I hope this has helped you fill root canal systems.

    SEGMENT 2: How to Hire the Best Dental Team

    Lisette

    Okay, so today we wanted to talk about hiring staff for your dental office, and so things to consider to maximize your dental team. Because to be an excellent clinician, you need to surround yourself with an excellent staff. So today we are joined by my mom, Phyllis Ruddle, who is going to help us with our discussion today because of the large role she played over the years in hiring staff in my dad’s office. So, welcome to the show, Mom.

    Phyllis

    Thank you.

    Lisette

    So, I understand if I was looking to work in Dad’s office, that you would be my first person that I talk to. So, what would I do? Just drop off a resume?

    Phyllis

    If you have a resume or come in and fill out an application, and we always maintain a current legal application that I would get at the local office supply place, because it would incorporate all of the California laws.

    Lisette

    So, say you thought I was worthy enough from how I filled out the application to possibly work in the office, then what?

    Phyllis

    Then set up an interview time to come in and take my tests.

    Lisette

    Now I understand that – could you tell us a little bit more about these tests?

    Phyllis

    Well, let me go back to the beginning. Somebody thinks everyone is wonderful and nobody lies, so it became obvious after one fairly disastrous hire that –

    Cliff

    Thank you.

    Phyllis

    – they’re not all wonderful, and he needed somebody to kind of weed out the good ones and the shaky ones. So, that’s when I came up with my little routine of my tests and just ways to find out about people and kind of put a picture together before he got to meet them.

    Lisette

    Well, let me show you some examples of these tests that she has. Here we have a spelling and a vocabulary test. Then there’s an arithmetic test. And this I – oh, this is a typing test and here we have a writing test. So, we’ll have these in our show notes, and we’ll also have the answer keys too, so you can check your work if you want to do that.

    Phyllis

    See how smart you are, see if we would hire you.

    Lisette

    So, did anyone ever refuse to test?

    Phyllis

    I had one lady who came in with her resume. She had been in the business for many years, was well trained as a front person, receptionist, insurance, she had all of the qualifications, and that was fine. And I just said, you know, this is my little routine, it’s just a very simple – takes you 10 minutes. I want you to take the test like everybody, and she said, “Absolutely not! I’ve been in town forty years and no, no test.” I said, “Well it’s been nice seeing you.” And she left.

    Lisette

    So, it’s not –

    Cliff

    Was it bye-bye?

    Phyllis

    Yeah, bye-bye.

    Lisette

    So, it’s also willingness to take the test was part of the test. So, I guess we would maybe now have a little different test, you know, for the modern-day dental office.

    Phyllis

    Yes.

    Lisette

    Maybe like testing computer skills or computer knowledge, maybe a proofreading test instead of a typing test cause everyone types now, but I do see a lot of errors in emails and stuff.

    Cliff

    Oh yeah.

    Phyllis

    It isn’t as important as it used to be.

    Lisette

    So, what would be – what would you say when you were interviewing somebody? What would you say would be your priorities?

    Phyllis

    Priorities would be willingness to work with a team, and we had a lot of systems and structures that a lot went into that to make things run smoothly and efficiently, and I needed somebody that was willing to at least listen to how we were doing it and be part of the team before diving in and wanting to change everything. So, that was a high priority. And we actually hired a lot of girls over the years who had no experience, either at the front or assisting, and we’d train them to fill into the positions, or would have other staff members help train. And we had really good success with that. And presentation, obviously, is important. Honestly is probably one of the highest things we required, because if they’re not honest about anything, they’re not a good team player.

    Lisette

    You know I just actually read something about Elon Musk that the one interview question that he asks everybody to test their honesty, and I guess he asks them to talk about some problem they were confronted with and then go into detail about how they solved that problem, and he could tell right away, like if you don’t go into much detail, then probably you’re making it up and lying. Like he could tell by the amount of detail that they gave.

    Cliff

    Interesting.

    Phyllis

    Yeah, that is.

    Lisette

    What about you, Dad? Cause I know you interviewed assistants a lot that were going to work back with you, what would you say your priority was?

    Cliff

    I would say the most important thing was enthusiasm, willingness to learn, well I’m a male, but appearance was very important to me. I want to be around people that took care of themselves and had good energy and they were outgoing and if they were willing to learn, then everybody is coachable, and you can make an all-star. So, that experience was fine, but what’s your line about experience?

    Phyllis

    Bad experience is worse than no experience.

    Cliff

    Yeah, so a lot of times you get somebody that’s been out there seven or eight years and they’ve even been saying an endo office.

    Phyllis

    Hard to reach.

    Cliff

    But a lot of times, their endodontist did things so different than me that I was untraining, breaking their game apart to reassemble a new game, to have the right person. So, we used to hand out cards around town, on the airplane, airports and just say we meet some incredible person, if you’re looking for work, here’s my card.

    Lisette

    Now I know that both you, if I would ask you both, and I’m going to, but if I would ask you both what deal breakers are, both of you would say know-it-alls. And I know that when I started working for you, Dad, you told me to just do the work for six months, learn everything, don’t ask a lot of – don’t come with me – don’t come to me with suggestions on how we can start changing everything, to wait six months first, that’s kind of the policy you guys had, right?

    Cliff

    Well yeah, you’d hire somebody and about the third day, “Dr. Ruddle,” and, you know, “What’s going on?” “I have an idea. I have an idea, a way to do it that would be better.” So, the rule was no damn suggestions for six months. Watch, observe, be respectful, because she probably set up a system and structure that has a lot of thinking behind it. After six months, spill your guts. Tell me everything I’m doing wrong or I could do better, cause I, too, can learn.

    Lisette

    Right. So, what would you say are other dealbreakers for you?

    Phyllis

    If somebody isn’t honest, if they lie about something, and it’s pretty easy to figure that out. I’m never clear why people go that direction, because I’m going to find out, and a number one thing that we had to work on since we were married, people come into the office with a pre-assumption that I’m the wife, I’m going to be a problem.

    Cliff

    You were a problem.

    Lisette

    And that’s actually common. A lot of dental offices, the wife is the manager in a lot of dental offices.

    Phyllis

    Yeah, and it varies with, you know, hygienists assisting, running the front, just doing the books. You know, sometimes they’re just sneaking in the back door, but I was always fully involved as a team member, and so we had to always have that conversation with anybody we were hiring that it’s okay, we’re a team, and if it’s a technical thing about patients or all of that part of the business, you talk to him. If there’s anything else, you talk to me. And if they would sneak behind my back and talk to him, I always found out, and we had to have a little conversation the next day about the right direction to go when you had a problem.

    Lisette

    Which is actually just bizarre for me to even think about, because if I thought – think back too when I was a kid if I did anything wrong, I’d always go to you first and not go to dad. I mean unless I wanted to get really in trouble. You know, I’d go to the buffer first. So, you know, I’ve heard you guys say a couple times, “team,” the word “team”, and I know that your staff was pretty much like a team and that even if you weren’t – like for me, I’m not good at everything, but there’s a lot of areas, like customer service maybe isn’t my strongpoint, you know, so but you guys are really good at finding what a person is good at and putting them more into that area and –

    Phyllis

    That’s important.

    Lisette

    – you know, maximizing their potential there, instead of having someone in a position where they’re going to struggle all the time. So, I think that’s kind of how you guys ran your office.

    Phyllis

    Yeah.

    Cliff

    Well, I always go to sports, as you know, growing up, but in sports, you can have terrific players like by themselves in and of themselves, but when you put five people together in basketball, can people give up the ball a little bit more, can you sacrifice for the better good of the team? So, staff has to come in and realize it’s a functioning office, and that was a good point you made, cause you always want to hire to your greatest weakness because then you’ll get the right people.

    And then you put a lot of effort into these people and cross-training is huge, because at some point there’s not the luxury of having people standing in the sidelines ready to come in, in the sports analogy, to come in because Patrick Mahomes broke his leg. I shouldn’t have said that, bad luck. Anyway, you want people that can assist and can fill in at the front desk and you want no egos. They need to be able to do different jobs, bathrooms, floors, everything.

    Lisette

    Right. I do remember that, like when I started working for you guys, that it was like we all are going to participate in cleaning the office, we’re all going to be janitors, we’re all going to answer the phones, we’re all going to just do all the various jobs.

    Phyllis

    No primadonnas. That was the number one rule in front and back, no primadonnas.

    Cliff

    The number one rule is just win, baby.

    Lisette

    Okay, so besides just basic skills, is there anything that a new employee could bring to the table that you would look at as wow, this is just excellent that they know how to do this? What about you, dad? Or mom, you want to start?

    Phyllis

    I’ll start. An important thing I discovered when I got more involved every single day in the office, not everyone is good at technical stuff, and that’s fine, but there’s usually one person on the team that can talk to the repair guy who comes by.

    Cliff

    Oh, very good.

    Phyllis

    To fix the handpiece that broke or the air or whatever. A lot of them will just say, yeah, he came. And you’re going, “And?” “Well, I don’t know; he’s gone now.”

    Cliff

    Lisette, the answer is you want to hear, “And they fixed the O-ring.” And then you’re going, “Oh, okay.”

    Phyllis

    Now we started a little booklet, a repair booklet, that they would make notes in, and there was always one person on the team who would was the best at doing that sort of thing. So, I was personally, being in computers and stuff, I was always looking for that kind of a person who could kind of step outside of their role as receptionist or assistant, that they knew they could step into the IT part.

    Cliff

    Yeah, I think – we live in Santa Barbara and our community is about 50 of 60 percent Hispanic, so it would be really good if somebody who applied for a job, they could speak another language, as an example, Spanish. That would be very helpful.

    Phyllis

    Yeah.

    Cliff

    And you know, some people are good at working with ordering supplies. They’re detailed. They get the best price, you know, they shop. So, yeah, you hire these kinds of people and then get out of the way and let them flower.

    Phyllis

    Some love talking on the phone; others were terrified of the phone. I was not a phone person, so I loved the ones who loved talking on the phone. I could have them do all the phone work, because that wasn’t my strong point.

    Lisette

    So, I assume you guys checked references?

    Phyllis

    Yes.

    Lisette

    That’s something that you didn’t just skip over ever?

    Phyllis

    No, I always called, and I always would listen and kind of read between the lines, because obviously if they’re listed as a reference, they’re going to say good things.

    Cliff

    Reading between the lines means simply this. Somebody can work in your office or another office for 25 years and they’re now in your office and they’re applying for work, same town, one mile away. And you call the person up, a dentist, and he or she says, “They were fabulous, they were very gifted, always punctual, good appearance, on time, big enthusiasm.” And you’re going, “Well why did they – what happened?”

    Phyllis

    What happened?

    Cliff

    So, reading between the lines? Yeah, there’s the things I know and there’s the things I don’t know I don’t know.

    Phyllis

    Yeah, so we would try to debug those kinds of things.

    Lisette

    Yeah, I think that – I once heard something that when you first start interacting with someone, like maybe there’s like three or four sentences that are going to just be like very surface, but if you persist in that conversation, you’ll start to get deeper and deeper and see what’s actually happening. But you just have to devote a little more time to it, a few more questions.

    Phyllis

    And occasionally we would have somebody that just outright lied about the employee, and you wondered later, what happened, you know, so it does happen, but yeah, we would always check all the references.

    Lisette

    Okay. Now I know that a lot of you – a lot of you, both of you, keep in touch with your past staff, and I know that they speak really highly of you, and I even remember as a kid when they came over to the house, people saying how great it was to work for you guys. So, why do you think it’s so great to work for you guys?

    Cliff

    I think you have to create the environment. It’s a team environment again. I would be with my staff more hours per day than I was ever with you, or with her, literally, so you better get people you enjoy being with, people that can, if Cliff’s feeling a little flat, I get a lot of energy, I get a lot of energy, all of a sudden, we’re going to do it together. And it really is helpful to have that enthusiasm, that infectious attitude that we can do this, come on, come on, Cliff, we can do this.

    Phyllis

    We became a family, and we would have, you know, occasional parties and get-togethers, Christmas, and we were always very generous with our pay and the benefits that we did offer. We really wanted to take care of them so they didn’t have to worry about that part of their life, and they could just come in and be family and be team. And that’s how we got the most out of people.

    Lisette

    You guys had something called Well Pay, which I think is very motivating. What – describe that.

    Phyllis

    We had somebody that advised us of that idea many years ago, and it was in a time when the health insurance for the small offices had been a great idea, maybe through the 70’s and early 80’s and all of a sudden, it got so complicated it was almost impossible to keep up with. So, he recommended this Well Pay idea, and if they had absolutely no sick day during the entire month, they got paid an extra day of time on their month-end paycheck. And it worked wonderfully. Nobody ever was sick.

    Lisette

    Or that you were aware of.

    Phyllis

    That we were aware of.

    Cliff

    Oh, very good.

    Lisette

    Okay, so just really quick, cause we’re running out of time, but was there anything that was just not allowed in the office? Dad?

    Cliff

    Well, I hate whispering, you know, whispering, you know, when you hear whispering, why are they whispering? Is it about the patient, is it about Cliff Ruddle, are they having a fight? So, I would rather hear every word and hear very clearly in my ear than to hear whispering. So, if you have to whisper, get out of the office, go to the back room, go to the lounge, go somewhere else.

    Phyllis

    He needs to see a psychiatrist about this. There’s something in his past about whispering that is a problem.

    Cliff

    Okay, it was my grandparents. They used to come to the house, and they’d stay for about three or four days and then they’d always smile and joke. They were like in their 80’s and they’d say, “I heard whispering.” And we’d go, “What?” They’d go, “When we hear whispering, it’s time to go, and today we’re leaving.”

    Lisette

    Okay, Mom, so if you could think back to the best employee you guys ever had and I know you can’t name names, because you’re still in touch with most of them, and you can’t say me, but if you could think of the best employee you’ve ever had, what would you say are maybe the qualities in them that made them the best?

    Phyllis

    Probably my favorite quality are the ones who don’t get flustered. It doesn’t matter what is happening on, you know, you’re talking to somebody about the finances or if they’re in pain or whatever it is, and they just handle it. And we had a couple of staff over the years that I would just marvel at how well they stayed so balanced and just, “Okay, did you want to come in on Monday or Tuesday next week?” And it was just like that just never happened, you know, the whole freaking-out thing, and they would just smooth it over and things would move on, and that was my favorite employee.

    Lisette

    That’s funny, because actually, that’s the quality I’ve noticed most about you, like how I always say my mom never gets flustered, she just like keeps a really even keel.

    Phyllis

    Go with the flow.

    Cliff

    Cool, calm, and collected would be the three words that come to mind.

    Phyllis

    Collecting.

    Cliff

    Oh collecting. Collectibles, yes, that was important.

    Lisette

    Okay, well thank you to both of you and thanks for coming on the show, Mom, and maybe now if you’re looking to hire some staff you have maybe some ideas of what you’re looking for, so thank you.

    Phyllis

    You’re welcome. It’s great to be here.

    Cliff

    Yeah, thanks.

    CLOSE: Lifestyle – Ruddle Gym

    Lisette

    So, that’s our show for today. We’re going to now leave you with some lifestyle footage of my dad working out with some of the family in the Ruddle Studio gym right over there. So, thank you for watching and we’ll see you next time.

    [Begin gym footage]

    Sophia

    You know, when I was here for the first day, I grabbed one of those medicine balls, and I—because you know when you like throw it down and you like catch it, I threw it down and I wasn’t expecting it to bounce up so hard and I—I throw it down and it shoots back up and it hits me right in the face.

    Noah

    Is this going in the show?

    Isaac

    Okay, here we go.

    Lisette

    And you do it without holding any handlebars or are you supposed to hold on to down here?

    Sophia

    You can either hold on to here, but if you hold on down here, it measures your heartrate which is interesting.

    Lisette

    And then, is this your favorite equipment in here?

    Sophia

    This is one of them. I also like using the treadmill and then I do core exercises with like a mat on the floor.

    Lisette

    I heard that, I think Lori comes here with Noah and does yoga, do you do that too?

    Sophia

    I don’t do that. I do other, just like little stretches like after I play. But I do it in my room.

    Lisette

    Is there anything in here you never use?

    Sophia

    I feel like I’m bad at this, so I want to get better at it. Like, I got kinda frustrated when I’ve gotten on it before, but I need to keep on working at it.

    Phyllis

    Maybe Papa can show you how it works.

    Lisette

    Do you come over here like every day?

    Sophia

    Like, honestly like four to seven days, it kinda ranges per week.

    Lisette

    Do you come by yourself or do you come with Noah?

    Sophia

    I feel like the times I normally come, I happen to be by myself because I’ll go and he might be at the club or mom’s at work or something.

    Lisette

    So, Noah, what is it that you’re doing right now?

    Noah

    I’m doing some of the Tom Brady band exercises.

    Lisette

    This is actually like reverse rowing, almost.

    Noah

    Yeah. Yeah, I like to do it both ways. So, sometimes I’ll stretch it and then stretch more.

    Lisette

    Yeah, you know what, when we work out with our sensi, we always do like, we’ll do pushing up but then he makes us do, like always like the reverse.

    Noah

    Yeah, yeah, I like to do that as well.

    Lisette

    What’s your favorite thing to do in here?

    Noah

    It’s like picking between children, I don’t really know. I like—I love all of it. It’s tough decisions.

    Lisette

    Is there anything that you do not ever use?

    Noah

    The treadmill, it’s the only one. I like to run outside.

    Lisette

    Yeah, me too. Treadmills are a little bit dangerous too.

    Noah

    Yeah, my mom has gone through it a little bit.

    Lisette

    [Laughter] Yes, we do that too when we do our weights.

    Noah

    Yeah.

    Lisette

    And do you ever like, hold it together and push it out, like that.

    Noah

    I don’t.

    Lisette

    Because we do that sometimes.

    Noah

    That’d be something for me to try.

    Cliff

    Oh, that’s a good one. That’s the one I did.

    Lisette

    Are there any rules in here?

    Noah

    Rules?

    Lisette

    Yeah.

    Noah

    You gotta wipe down the equipment, that’s one. I sweat a lot, so that’s a must for me.

    Lisette

    Okay. Do you—when you work out, do you watch that TV over there, do you listen to music?

    Noah

    I watch a lot of tennis and sports.

    Lisette

    Okay. While you’re working out?

    Noah

    Yeah.

    Lisette

    I always thought it was kinda hard to hear the TV if I was on the treadmill but you don’t really use that.

    Noah

    Yeah, it’s a little similar with the bike, but tennis, you don’t really need to hear a lot.

    Lisette

    Especially when the announcers aren’t really talking about the players.

    Noah

    That’s pretty frequently, unfortunately.

    Lisette

    And for my physical therapy, when I tore my ACL, so I had to stand on like something that wobbled a lot on one foot and throw that weighted ball back and forth with them and catch it and still—and it was—I used to think that was such a—I made it such a game.

    So, mom, how did you end up choosing all of this equipment, did you ask what people wanted?

    Phyllis

    I did. I asked the family. I was aware of what they were using up at the club. I had them actually pick the types and the name brands of what they wanted.

    Lisette

    Like, who wanted the rowing machine?

    Phyllis

    That is dad.

    Lisette

    Okay.

    Phyllis

    He had an old one that he thought was too clunky so he wanted a nice fancy one.

    Lisette

    So, when you thought about maybe having a trainer—because I know you’re not going to Jesse anymore, right?

    Phyllis

    No. We thought about once, you know, everything opens up again and I know the equipment people, they have a whole trainer group that can come out and help you learn how to do everything and also Jesse might, but he starts on his favorite direction. So, yeah, we talked about it.

    Lisette

    It would be fun if it could be like a group thing, with you and dad together.

    Phyllis

    Yeah.

    Lisette

    So, are you over here a lot rowing?

    Cliff

    I’ve done it about three times since the new gym went in five minutes ago.

    Lisette

    Do you watch TV when you are here?

    Cliff

    No, I look out over that view.

    Lisette

    Yeah, it’s a really nice view.

    Cliff

    You can see the city and the harbor and the ocean and the islands.

    Lisette

    Yeah, you look out that way and you see the city. Or we can, if you want to see yourself, you look behind you.

    Cliff

    Yeah, I have to do this **** to keep strong because these young fast followers, these young endodontists, they’re such a big threat, you know, I gotta go faster and really work. Woah. **** [inaudible] awhile.

    Lisette

    Dad, is there anything in here you avoid and never go near?

    Cliff

    I walk.

    Lisette

    Are you happy with the layout here?

    Cliff

    [playing on treadmill]

    Lisette

    I like to use it when it’s not on because you can do high knees better. High knees is easier when it’s not moving.

    Isaac

    You’re pretty athletic Pops, can’t lie.

    END

    Watch Season 5

    1:03:57

    s05 e01

    Common Endo Errors & Discipline Overlap

    Apical and Lateral Blocks & Whose Job Is It?

    53:04

    s05 e02

    Post Removal & Discounts

    Post Removal with Ultrasonics & Why Discounts are Problematic

    58:38

    s05 e03

    EndoActivator History & Technique

    How the EndoActivator Came to Market & How to Use It

    59:36

    s05 e04

    Gamechangers

    New Disinfection Technology and Q&A

    53:47

    s05 e05

    Exploration & Disassembly

    Exploratory Treatment & the Coronal Disassembly Decision Tree

    52:40

    s05 e06

    Advancements in Gutta Percha Technology

    Zoom Interview with Dr. Nathan Li

    01:04

    The Ruddle Show

    Commercial Intro S05

    Watch Season 4

    55:16

    s04 e01

    Tough Questions & SINE Tips

    Who Pays for Treatment if it Fails and Access Refinement

    54:02

    s04 e02

    Endodontic Diagnosis

    Assessing Case Difficulty & Clinical Findings

    50:12

    s04 e03

    CBCT & Incorporating New Technology

    Zoom with Prof. Shanon Patel and Q&A

    56:53

    s04 e04

    Best Sealer & Best Dental Team

    Kerr Pulp Canal Sealer EWT & Hiring Staff

    49:44

    s04 e05

    Ideation & The COVID Era

    Zoom with Dr. Gary Glassman and Post-Interview Discussion

    59:00

    s04 e06

    Medications and Silver Points

    Dental Medications Q&A and How to Remove Silver Points

    53:40

    s04 e07

    Tough Questions & Choices

    The Appropriate Canal Shape & Treatment Options

    53:15

    s04 e08

    Q&A and Recently Published Articles

    Glide Path/Working Length and 2 Endo Articles

    46:19

    s04 e09

    Hot Topic with Dr. Gordon Christensen

    Dr. Christensen Presents the Latest in Glass Ionomers

    50:44

    s04 e10

    AAE Annual Meeting and Q&A

    Who is Presenting & Glide Path/Working Length, Part 2

    00:52

    The Ruddle Show

    Commercial Intro S04

    01:43

    The Ruddle Show

    Commercial Promo S04

    Watch Season 3

    48:42

    s03 e01

    Treatment Rationale & Letters of Recommendation

    Review of Why Pulps Break Down & Getting a Helpful LOR

    52:27

    s03 e02

    Profiles in Dentistry & Gutta Percha Removal

    A Closer Look at Dr. Rik van Mill & How to Remove Gutta Percha

    48:10

    s03 e03

    Artificial Intelligence & Endo Questions

    AI in Dentistry and Some Trending Questions

    58:54

    s03 e04

    How to Stay Safe & Where to Live

    A New Microscope Shield & Choosing a Dental School/Practice Location

    48:20

    s03 e05

    3D Disinfection

    Laser Disinfection and Ruddle Q&A

    48:28

    s03 e06

    Andreasen Tribute & Krakow Study

    Endodontic Trauma Case Studies & the Cost of Rescheduling

    55:22

    s03 e07

    Ruddle Projects & Diagnostic Imaging

    What Ruddle Is Working On & Interpreting Radiographs

    1:05:24

    s03 e08

    Obturation & Recently Published Article

    Carrier-Based Obturation & John West Article

    55:48

    s03 e09

    Retreatment Fees & the FRS

    How to Assess the Retreatment Fee & the File Removal System

    1:00:42

    s03 e10

    Research Methodology and Q&A

    Important Research Considerations and ProTaper Q&A

    00:44

    The Ruddle Show

    Commercial Opener S03

    01:05

    The Ruddle Show

    Commercial Promo S03

    Watch Season 2

    51:43

    s02 e01

    ENDO 101: WAVEONE GOLD

    Product History, Description & Technique

    51:42

    s02 e02

    Interview with Dr. Terry Pannkuk

    Dr. Pannkuk Discusses Trends in Endodontic Education

    58:21

    s02 e03

    3D Disinfection

    GentleWave Update and Intracanal Reagents

    1:04:53

    s02 e04

    GPM & Local Dental Reps

    Glide Path Management & Best Utilizing Dental Reps

    1:01:10

    s02 e05

    3D Disinfection & Fresh Perspective on MIE

    Ultrasonic vs. Sonic Disinfection Methods and MIE Insight

    53:03

    s02 e06

    The ProTaper Story - Part 1

    ProTaper’s 20+ Year Journey as Told by the Creators, the 3 Amigos

    57:53

    s02 e07

    The ProTaper Story - Part 2

    ProTaper’s 20+ Year Journey as Told by the Creators, the 3 Amigos

    1:06:40

    s02 e08

    Interview with Dr. Cherilyn Sheets

    Getting to Know this Top Clinician, Educator & Researcher

    1:13:21

    s02 e09

    Broken Instrument Removal

    Why Files Break & the Ultrasonic Removal Option

    49:01

    s02 e10

    3D Obturation & Technique Tips

    Warm Vertical Condensation Technique & Some Helpful Pointers

    Special Reports

    36:27

    special e02

    SPECIAL REPORT: COVID-19

    The Way Forward

    51:17

    special e01

    SPECIAL REPORT: COVID-19

    How the International Dental Community Is Handling the Pandemic

    Watch Season 1

    45:30

    s01 e01

    An Interview with Cliff Ruddle

    The Journey to Becoming “Cliff”

    52:35

    s01 e02

    Microcracks & the Inventor's Journey

    Ruddle Insights into Two Key Topics

    47:17

    s01 e03

    Around the World Perspective

    GentleWave Controversy & China Lecture Tour

    40:29

    s01 e04

    Endodontic Access

    What is the Appropriate Access Size?

    52:13

    s01 e05

    Locating Canals & Ledge Insight

    Tips for Finding Canals & the Difference Between a Ledge and an Apical Seat

    53:14

    s01 e06

    Censorship in Dentistry

    Censorship in Dentistry and Overcooked Files

    50:22

    s01 e07

    Endodontic Diagnosis & The Implant Option

    Vital Pulp Testing & Choosing Between an Implant or Root Canal

    55:30

    s01 e08

    Emergency Scenario & Single Cone Obturation

    Assessing an Emergency & Single Cone Obturation with BC Sealer

    49:36

    s01 e09

    Quackwatch & Pot of Gold

    Managing the Misguided Patient & Understanding the Business of Endo

    58:05

    s01 e10

    Stress Management

    Interview with Motivational Speaker & Life Coach, Jesse Brisendine

    Continue Watching

    01:52

    Behind-the-Scenes Studio Construction

    Timelapse

    01:53

    Happy New Year

    2020

    01:05

    The Ruddle Show

    Commercial Promo S02

    00:44

    The Ruddle Show

    Commercial Opener S02

    00:56

    The Ruddle Show

    Commercial Opener S01

    The Ruddle Show
    Season 5

    Disclaimer

    The content presented in this show is made available in an effort to share opinions and information. Note the opinions expressed by Dr. Cliff Ruddle are his opinions only and are based on over 40 years of endodontic practice and product development, direct personal observation, fellow colleague reports, and/or information gathered from online sources. Any opinions expressed by the hosts and/or guests reflect their opinions and are not necessarily the views of The Ruddle Show. While we have taken every precaution to ensure that the content of this material is both current and accurate, errors can occur. The Ruddle Show, Advanced Endodontics, and its hosts/guests assume no responsibility or liability for any errors or omissions. Any reproduction of show content is strictly forbidden.