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Includes Credits
CE Hours: 1.0
Description: Pulp canal obliteration is a significant risk factor for endodontic insufficiency, and the clinical treatment approach is challenging even for specialists. Accessing root canals that may be calcified can present complications in locating, penetrating, and negotiating pulp spaces. Efforts to reduce the risk of technical errors and treatment time using new technologies, such as intraoral scanners and their software and 3D printers, have resulted in the development of a therapeutic approach to locate calcified root canals: endodontic guides or guided endodontics. During the present lecture, it will be described the therapeutic approach used in a series of cases of endodontic pathology requiring endodontic treatment of root canals, with different degrees of pulp canal obliteration. In all cases, virtually planned guided endodontics allowed access to obliterated pulp spaces. Once the canals were negotiated, endodontic treatment could be performed adequately. The present results showed static guided endodontics to be a safe accurate treatment approach in these clinical cases and a valuable tool to negotiate calcified root canals, reducing working time, risk of excessive removal of tooth structure, and iatrogenic damage to the root.
Learning Objectives:
- Evaluate different treatment options for clinical management of calcified canals.
- Describe the steps to carry out the guided endodontics procedure, in cases of obliterated canals.
- Perform static guided endodontics as a safe and predictable procedure to manage calcified canals.
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Includes Credits
CE Hours: 1.5
Description: The restoration of endodontic access cavity and subsequent build-up is a task which would historically be granted to referring general dentist or restorative dentist. Endodontists would have traditionally more surgical background with limited restorative skills. Nevertheless with the onset of adhesive protocols and techniques it is far more advantageous for the endodontist to be able to seal and rebuild the tooth core immediately after any procedure inside or near pulpal cavity - may it be RCT, NS-RCRT or vital pulp therapy. The presentation will guide through current possibilities to securely close and restore any core defect. Due to specific nature of the endodontic access cavity, great care must be paid to dentin adhesion and resin composite shrinkage issue. Outcome of such action will result in immediate seal of the root canal system and steady stress distribution within the remaining hard dental tissues.
Learning Objectives:
- Identify clinically relevant factors of adhesive postendodontic treatment
- Indicate the need to use a fiberpost or other form of resin composite during adhesive postendodontic treatment
- Describe in detail the single session procedure steps of adhesive buildup.
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Includes Credits
CE Hours: 0.75
Description: Dealing with obliterated root canals presents a significant challenge in endodontic practice, often leading to treatment difficulties, stress and compromised outcomes. This presentation aims to equip endodontists with essential knowledge of four key principles required to effectively map dentine and localize obliterated root canals. By implementing these principles, endodontists can lower the risks associated with missed anatomy, feel confident when working in highly calcified teeth, and navigate the challenges associated with complex root canal anatomy in a predictable way.
Learning Objectives:
- List 4 simple rules to locate canals in challenging endodontic cases.
- Describe the importance of dentinal color changes when locating canals.
- Minimize the occurrence of missed anatomy during treatments/retreatments.
Fernando Marques da Cunha, D.D.S, M.S., PhD
Dr. Fernando Marques received his Doctoral of Dental Surgery (D.D.S.), Certificate of Endodontics, Master's and Ph.D. degrees in Brazil, where he developed a solid Endodontic career as a clinician, presenter, faculty and researcher.
After 20 years as a private practice owner, he moved to the US, where he joined the University of Pennsylvania and earned his second Certificate of Endodontics.
Dr. Marques is an Adjunct Assistant Professor at Texas A&M School of Dentistry.Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 0.75
Description: The pulpal access preparation plays a crucial role in facilitating effective cleaning and shaping of the root canals. However, conducting visual evaluations and providing individual feedback to many students can be an extremely time-consuming task for faculty members. The well-known E4D Compare is a software widely used by US dental schools for prosthodontic laboratory assignments. Since their first year in dental school, students receive training on scanning and comparing their dental anatomy wax-ups to faculty-determined ideal models. This software was successfully adapted to compare students’ pulpal access cavities to the ideal access uploaded by faculty. In addition to the qualitative comparison, students receive a similarity score. Moreover, a specific tool permits students to evaluate their access opening size based on ADEX criteria, helping them prepare for this licensure exam. By utilizing 3D self-assessment evaluations, students can evaluate their work independently, and faculty members can provide targeted feedback where needed.
Learning Objectives:
- Recognize basic tools and functions of the software.
- Incorporate the 3D analysis into their teaching strategies.
- Involve students in the evaluation process through self-assessment.
Ane Poly, D.D.S., M.Sc., PhD
Dr. Ane Poly is a Clinical Assistant Professor of Endodontics at Texas A&M. Dr. Poly has been involved in practicing, teaching and research for over ten years. She has substantial expertise in educational research, CBCT and micro-CT volumetric analysis, and modeling and rendering 3D objects for 3D printing. She received a Dental degree in 2009, followed by an Endodontic specialty training in 2010. Later, she also received a Masters (2014) and Doctorate (2019) degrees. Part of the Doctorate was held at the University of Pennsylvania, Department of Endodontics.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.0
Description: Computer Guided Endodontic Solutions for Complex Cases. With the introduction of cone beam computed tomography (CBCT), intra-oral scanning, 3D planning software, 3D printers and computer aided dynamic navigation devices, It is possible to plan ahead, in a very precise, predictable, more conservative way computer aided procedures with lower clinical times for high difficulty cases, such as, severely calcified canals, endodontic microsurgery of cases with intact cortical bone close to important anatomical structures like the maxillary sinus, the mental foramen or the mandibular canal, and tooth autotransplantation of both mature or immature teeth. The necessary digital work flow for static 3D-printed guides or dynamic virtual guides and the available scientific evidence will be discussed in detail as well as the clinical protocols and required armamentarium. Several clinical cases of each type of guided treatment will be shown and described step by step with proper follow up periods displaying a positive outcome.
Learning Objectives:
- List the digital work flow necessary to perform computer aided endodontic treatments.
- Evaluate if a specific case is indicated, or not, to be treated with a computer aided or guided procedure.
- Discuss the possibility of offering these types of treatments to a patient.
Felipe Restrepo, D.D.S. M.Dent
Dr. Felipe Restrepo, was born and raised in Medellín - Colombia. Graduated from the University of Antioquia with a degree in Dentistry 2003, after one year as general practicioner he entered a two year Endodontic program and graduated from University CES in 2007. Associate Professor at the University of Antioquia teaching their postgraduate level students in endodontics and also Director of the Dental Emergencies Diploma. Dr. Restrepo has authored several scientific articles in peer-reviewed journals. Ex-president of the Antioquian Association of Endodontists. Private practice limited to Endodontics, Endodontic Microsurgery and Tooth Autotransplantation in Medellín since 2007, international speaker.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.5
Description: Soft tissue management is of paramount importance for a successful Endodontic Microsurgical procedure. Raising a flap is first step to gaining access to the apical area. The flap design determines the quality of the access to the surgical site and also influences the healing of the soft tissues. Many criteria should be considered when choosing a type of incision: position of the tooth to be treated, extent of the lesion, evaluation of the quality of the existing fixed prostheses, and status and health of the periodontium in the area of the surgery. A good knowledge of the anatomy of the soft tissues is also essential for choosing the right type of incision. This presentation will address all the theoretical and clinical aspects of proper soft tissue management in Endodontic Microsurgery.
Learning Objectives:
- Describe the anatomy of soft tissue encountered during Endodontic Microsurgery
- Choose the proper flap design for a successful Endodontic Microsurgery
- Choose the most suitable suturing technique for Endodontic Microsurgery
Guillaume Jouanny, D.D.S., M.S.
g.jouanny@gmail.com
Dr. Guillaume Jouanny received his DDS degree from the University of Paris Descartes in 2008. He practiced General Dentistry and Endodontics in Private practice from 2008 to 2012. He was clinical assistant from 2010-2012 in the same University in Restorative Dentistry and Endodontics. He moved to Philadelphia to specialize in Endodontics in 2012 at the University of Philadelphia where he graduated in 2015. Since 2015 he has been practicing Endodontics in Paris in private practice and teaching Endodontics at the University of Paris Descartes. His main topics of research are Root Resorptions and Endodontic Microsurgery.
Dr. Jouanny has written several articles focusing mainly on Surgical Endodontics and he lectures internationally.
He is the coauthor of the book "Microsurgical Endodontics" (Quintessence Pub) with Dr B. Khayat.Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.0
Description: Hospital based dentistry is an opportunity to provide care for those patients on Medicaid/Medicare, those who require sedation dentistry and also those with special health care needs. Hospital based dentistry is often conducted via a training program. However, some dentists may be able to provide care within a hospital setting outside the framework of a dental residency. It is important for endodontists to understand how dental care within a hospital may be similar or different to clinical practice in a private practice setting. The goal of this session is to help educate the endodontist on how to incorporate hospital based care into their practice so as to increase access to endodontic care for these special populations.
Learning Objectives:
- List the considerations for obtaining a hospital appointment.
- Explain how endodontic care can be provided in a clinical setting as compared to the operating room.
- Identify alternative ways to increase access to endodontic care in a hospital setting.
Zameera Fida, D.M.D
Dr. Zameera Fida is a dual trained, dual board-certified endodontist and pediatric dentist. Her clinical interest focuses on the endodontic treatment needs of the young patient. She is the Chair and Program Director for the post-graduate program in Endodontics at the Tufts University School of Dental Medicine.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 2.0
Description: The occurrence of tooth/root fracture is a well-recognized cause of tooth loss after endodontic treatment. It has been attributed to tooth structure removal associated with traditional endodontic cavity and canal instrumentation concepts. This understanding has given rise to novel Contracted Endodontic Cavity (CEC) designs that highlight directed dentin conservation while discarding traditional principles of outline and convenience form, and to minimal canal instrumentation/shaping, both in line with the contemporary concept of minimally invasive dentistry. It has been argued that tooth structure preservation directed access and instrumentation may increase fracture resistance of teeth potentially resulting in extended long-term survival; however, it has also been argued that it may compromise canal disinfection potentially resulting in impaired periapical healing.
This lecture will describe the clinical applications of CEC and minimal canal instrumentation/shaping and review contemporary research into their possible impacts in specific tooth types. The potential benefits and risks associated with tooth structure preservation directed access and instrumentation will be debated in the context of minimally invasive endodontics, and options for clinicians to consider.
Learning Objectives:
- Describe how various contracted endodontic cavity designs differ from traditional designs
- Discuss the contemporary research on the various impacts of contracted endodontic cavity designs and minimal canal instrumentation/shaping
- Debate the benefits and risks of contracted endodontic cavities and minimal canal instrumentation/shaping, and the clinical options for clinicians
Shimon Friedman, D.M.D.
Dr. Shimon Friedman is Professor Emeritus, former Head of Endodontics and Founding Director of the M.Sc. Endodontics Program at the Faculty of Dentistry, University of Toronto, Canada. He received the D.M.D. degree (1975) and endodontics certificate (1983) from the Hebrew University in Jerusalem, Israel. He is board-certified in endodontics in Israel and had served as Chairman of the Israel Endodontic Society from 1985 to 1988. With over 250 peer-reviewed articles, textbook chapters and research abstracts, and over 330 international lectures, Dr. Friedman has acquired extensive experience in endodontic practice, research and education. He is the recipient of several awards, culminating in the AAE’s 2008 Louis I. Grossman Award, as well as the AAE's 2018 I.B. Bender Lifetime Educator Award, for outstanding contributions to endodontic science and education. Though now retired, Dr. Friedman continues following the research and lecturing extensively on endodontic treatment outcomes, management of post-treatment endodontic infection, and impacts of contracted endodontic cavity designs on nonsurgical treatment efficacy and biomechanical responses of teeth.
Speaker Disclosure
In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: Sonendo Inc.: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing), Scientific Advisory Board member (Ongoing)