April 21-24, 2021 | Virtual
AAE21
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Includes Credits
CE Hours: 1.5
Description: The idea of moving a small instrument through the apical constriction with the intention of preventing debris accumulation and canal blockage during root canal instrumentation, as well as disrupting bacterial biofilms in the foraminal area, has gained increasing popularity among clinicians. Within this presentation the varying histologic and microbiologic conditions of the apical pulp tissue present at the initiation of root canal treatment are illustrated. On the basis of histologic and histobacteriologic observation of a large number of human biopsies, the advantages and disadvantages of this procedure will be critically analysed.
- Explain the different histologic conditions present in the various clinical scenarios.
- List the limitations of current instrumentation techniques in removing vital or necrotic tissue from the apical ramifications and other anatomical irregularities.
- Discuss the impact of apical patency on the wound healing process.
Domenico Ricucci, M.D., D.D.S.
Dr. Domenico Ricucci received his degree in General Medicine from “La Sapienza” University of Rome in 1982, and his DDS from the same University in 1985. Since then on he has maintained private dental practices limited to endodontics. He achieved the National Scientific qualification as full professor in the Italian higher education system in 2018. Dr. Ricucci’s primary research interest relates to pulpal and periapical tissue reactions to caries and treatment procedures, biofilms in endodontic infections, etiology of RTC treatment failure, pulp regeneration/revascularization. Since 1998 he has run his own histology laboratory and has developed considerable skills in hard tissue preparations for light microscopy.
Dr Ricucci has published 113 papers and has lectured both nationally and internationally. He has authored the Textbook and Atlas “Patologia e Clinica Endodontica”, the textbook and atlas “Endodontology. An integrated biological and clinical view”, also translated into Chinese, Russian, Japanese. He has also authored or co-authored 22 book chapters. He is recipient of the Louis I. Grossman International Award by the French Society of Endodontics in 2017, and the Louis I. Grossman Award by the American Association of Endodontists in 2023.
Disclosure(s): No financial relationships to disclose
Domenico Ricucci, D.D.S., MD
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
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Includes Credits
CE Hours: 1.5
Description: Regenerative endodontics represents a paradigm shift with the primary goal of preservation or reestablishment of homeostatic physiological pulp functions. An inflamed dental pulp has been thought to be incapable of healing. This dogma is even reflected in the diagnostic term: “irreversible pulpitis”. Also, pulp necrosis has been a condition that required root canal spaces to be filled with inert materials to prevent growth of microorganisms. Unfortunately, obturation also prevents the growth of patients own living tissues that could bring back important physiological functions lost due to partial or total pulp necrosis. Advancements in biological understanding, techniques and materials have made regenerative endodontic procedures (vital pulp therapies and revitalization) alternatives to teeth requiring non-surgical endodontic treatment. In this lecture, the application of regenerative endodontic approaches will be discussed in light of real clinical scenarios, presenting the advantages and disadvantages of these procedures and their possible pitfalls while contrasting with what is well-known in more “traditional” non-surgical endodontic therapies.
- Explain what regenerative endodontic procedures are.
- Recognize the advantages and disadvantages of regenerative endodontic procedures.
- Discuss and support clinical decisions with evidence, but also consider patients' expectations and restorative needs.
Anibal R. Diogenes, D.D.S., M.S., Ph.D.
Dr. Anibal Diogenes received his D.D.S. from UFPE in Brazil, his M.S. in Molecular Biology from the University of Nebraska, and his Ph.D. in Pharmacology and Certificate in Endodontics from the University of Texas Health Science Center at San Antonio. Dr. Diogenes is the Vice-Chair of the department of Endodontics at the University of Texas Health at San Antonio, and a director of the American Board of Endodontics. His areas of research include, inflammation, pain and regenerative endodontics.
Speaker Disclosure
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation
Anibal Diogenes, D.D.S., PhD
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
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Includes Credits
CE Hours: 1.0
Description: An intact coronal seal is important for maintaining the integrity of a root canal filling and preventing reinfection. Coronal leakage provides a source of viable microorganisms and nutrients that initiate and sustain periradicular inflammation. Despite research supporting the effectiveness of coronal barriers, a universally accepted protocol that incorporates a coronal barrier after root canal treatment is non-existent. Different materials have been advocated for use as canal orifice barriers, including temporary or intermediate filling materials, zinc oxide-eugenol cements, amalgam, glass-ionomer cements, resin composites, flowable resin liners and tricalcium silicate cements. While each of these materials has its own benefits and limitations, the appropriateness of using resin-based materials as long-term canal orifice barriers will be examined in this presentation by correlating their barrier properties with their physicochemical and antibacterial characteristics, as well as the durability of the bonds created in dentin to retain these materials.
- State the rationale for placement of a coronal seal immediately after root canal treatment.
- Identify the merits and limitations of using resin-based materials as canal orifice barriers.
- Perform a reasonably durable coronal seal using an antibacterial self-etch adhesive and a radiopaque resin composite.
Franklin Tay, B.D.S., PhD
I am an academic clinician and researcher in the field of dental medicine who currently holds the titles of Professor and Chairman in the Department of Endodontics at the Dental College of Georgia – Augusta University. I also serve as a professor in the Department of Oral Biology and the College of Graduate Studies at the same institution. My extensive research interests are demonstrated by my substantial grant acquisitions and prolific publications. I've led groundbreaking research projects in dentin bonding and in the biomineralization of collagen matrices. My scholarly work has significantly impacted the field, as evidenced by numerous publications in peer reviewed journals and presentations at prestigious international conferences. I am presently ranked 79th among top scientists in the field of Materials Science in the United States and 182nd in the world. I have 617 publications and 59,385 citations.
Disclosure(s): No financial relationships to disclose
Franklin Tay, B.D.S., PhD
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation
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Includes Credits
CE Hours: 1.5
Description: Considerable advancements have been made in the recent years in endodontic surgery with a consistently high success rate in published outcome studies. Till today, the decision to proceed with endodontic surgery as the first treatment option following a failed non-surgical initial treatment is still a point of debate, particularly when the quality of root canal is inadequate at the time of treatment. In this presentation we will review the most current literature on the outcome of surgical and non-surgical endodontic retreatment. We will also identify clinical scenarios where endodontic retreatment is necessary and others where it would be detrimental to the survivability of the tooth.
- Evaluate the potential outcomes of endodontic surgery.
- Explain the necessity of proper treatment planning.
- List guidelines for decision-making in the day-to-day clinical practice.
Adham A. Azim, D.D.S., B.D.S.
Dr. Azim is an Associate Professor, Chair of the Endodontic Department, and the Director of the Post-Graduate Program at University of the Pacific, Arthur A. Dugoni School of Dentistry. He maintains a private practice limited to Endodontics and he is also the Founder and CEO of Endolit. Dr. Azim earned his BDS from Cairo University, where he also did his Endodontic training. He later completed his Endodontic certificate at Columbia University, and since then, he has been a full-time Educator and a Part-Time Private Practitioner. Before Joining the University of the Pacific, he Served as the Division Head and the Director of the Endodontic Post-Graduate Program at University at Buffalo. Dr. Azim is the recipient of the 2023 AAE Edward M. Osetek Award for outstanding educators. He is Diplomate of the American Board of Endodontics and has lectured all over the world. He has over 40 publications in peer-reviewed journals and several text-book chapters contributions. He is a member of the Scientific Advisory Board of the Journal of Endodontics, and a reviewer for multiple other Endodontic Journals.
Speaker Disclosure
Disclosure(s): Endolit LLc: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing); FKG Dentaire, Switzerland: I am a consultant (Ongoing); Odne: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing); Woodpecker: royalties (Ongoing)
Adham A. Azim, D.D.S., B.D.S.
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:FKG Dentaire, Switzerland (Self) : Honorarium (Status: Terminated --- 2020), the company paid me honorarium for giving a course in Switzerland in Dec 2019
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Includes Credits
CE Hours: 0
Description: This clinical presentation will examine patients and their endodontics problems throughout years of private practice and the documentation. The cases presented will be challenging to audience and their eyes and mind. Treatment planning at time prior to implants, required trying to save teeth that today would be doomed to extraction and replacement. The principles followed still apply today. However today, many would say "it shouldn't work". Success will be demonstrated through healing over decades that these patient were followed. The cases represent a sampling. The statistics can't be garnered however the drive to replace might be challenged. Let's have fun and learn that what Shouldn't Work Just Might. The presentation will honor those that taught us how to think-Bender and Seltzer and in my case also Rossman.
- Explain treatment planning for advanced endodontic problems in an easily understood manner.
- Give the participant confidence that many teeth thought to be hopeless have an excellent chance of being restored.
- Explain the impossible situation that with proper treatment, be resolved successfully, with high functionality for years.
Louis E. Rossman, D.MD
Dr. Louis Rossman is a Diplomate of the American Board of Endodontics, and a Fellow in the American College of Dentists. Dr. Rossman is Past President of the Foundation for Endodontics. A Past President of the American Association of Endodontists, he is also a Past President and Director of the American Board of Endodontics. As Chairman Emeritus of the I.B. Bender Division of Endodontics at Albert Einstein Medical Center in Philadelphia, he remains a Senior Attending, a visiting professor of endodontics at Tufts University and a Clinical Professor of Endodontics, University of Pennsylvania. Dr. Rossman has lectured extensively in the United States, Europe, the Middle East and the Far East. He has published numerous articles and has written chapters in several endodontic, periodontic, microbiology and veterinary textbooks. In addition he serves as a consulting editor for several scientific journals. He maintains a full time clinical practice of Endodontics in center city Philadelphia.
Louis E. Rossman, D.MD
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
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Includes Credits
CE Hours: 1.5
Description:
Apical periodontitis should be resolved with a correct root canal treatment which takes care of the infection and promotes healing. Nevertheless, 31-36% of persistent AP has be reported. Many clinical and procedural factors have been correlated to the outcome of endodontic therapy. Furthermore, the systemic health of the patient and the genetic predisposition of the host may also play a role in the healing of apical periodontitis. Some chronic systemic conditions affecting the patients, and new categories of medications (like biologic drugs) offer an interesting insight into unknown aspects of the patient response to endodontic treatment. At the same time, the research is bringing to our attention how future protocols may enhance the healing of AP (following a state-of-the-art root canal treatment ) by complementing endodontic treatment with both systemic and local immuno-modulatory therapies. Most of this research has been already conducted in the periodontal field. Future direction in the overall treatment of AP will be discussed.
- Define the state-of-the-art treatment outcome for apical periodontitis.
- Describe the importance of genetic predisposition of the patient and host immune-response on the natural history and response to treatment of apical periodontitis.
- Discuss the treatment options provided by new immune-modulatory drugs that boost the host response to apical periodontitis.
Elisabetta Cotti, D.D.S., M.S.
Elisabetta Cotti, DDS, MS, received her DDS from the University of Cagliari – Italy and the specialty and MS in Endodontics from the University of Loma Linda- California.
She is Full Professor of Conservative Dentistry and Endodontics, and the Chairman of the Department of Conservative Dentistry and Endodontics at the School of Dentistry, University of Cagliari- Italy. She is currently the Director of the Post Graduate programme (Master) in Clinical Endodontics at the University of Cagliari, lecturer in the Department of Endodontics at Loma Linda University, USA. She is the president of IFEA (International federation of Endodontic Associations). She practices limited to Endodontics, and is author of several articles and chapters in the field of Endodontics with has a specific interest in apical periodontitis, imaging and trauma.
Disclosure(s): Dentsply Sirona Endodontic SBU: Honorarium (Ongoing), serve as consultant in products development and as lectures (Ongoing)
Elisabetta Cotti, D.D.S., M.S.
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
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Includes Credits
CE Hours: 0.75
Description: The endodontic access cavity preparation has provided the doorway into shaping, disinfecting and obturating the root canal systems of teeth requiring root canal therapy. Recently, endodontic access designs have undergone a variety of transformations as technology and practice philosophies have evolved. The objectives of root canal therapy have remained essentially the same over the years, however the concept of what an ideal access design should look like has changed. This presentation will provide an overview of the endodontic access preparation – where we have been, where we are now and what the future may hold in store.
- Describe why the traditional principles of endodontic access design have recently begun to change.
- Identify how newer technologies have influenced the transformation of the “ideal” access design over time.
- Apply concepts of access design into their respective practice philosophies of the 21st century.
Garry L. Myers, D.D.S.
Garry Myers graduated dental school in 1985 from San Antonio. He spent thirteen years in the Air Force during which time he completed his endodontics residency at Wilford Hall Medical Center. He next spent sixteen years in private practice in Olympia, Washington. For the past ten years he has been the Graduate Program Director at Virginia Commonwealth University.
Speaker Disclosure:
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
Garry L. Myers, D.D.S.
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation. -
Includes Credits
CE Hours: 1.25
Description: Endodontics - "the branch of dentistry concerned with the etiology, PREVENTION, diagnosis and treatment of conditions that affect the tooth pulp..." (Grossman). Are we? Modern dental therapeutics is directed toward minimally invasive procedures. Advancement in biologic sciences and materials has paved the way for a paradigm shift in pulpal therapy. Diagnostic results that traditionally indicated endodontic therapy must now be questioned. Many cariously exposed vital pulps can now be preserved using the principles of Vital Pulp Therapy. Additional, during treatment, diagnostic information can be used to determine the indication for pulp cap, pulpotomy, or pulpectomy. The lecture will emphasize the critical components of the VPT treatment protocol, including preoperative diagnosis, total caries removal, mid-treatment pulpal evaluation after exposure, MTA placement (calcium silicate materials), and restoration. Appropriate research validation will be presented.
Bring an open mind!
- Explain the rationale for total caries removal using Caries Indicator verses "Indirect Pulp Cap."
- Disinfect dentin after caries removal and, if the pulp is exposed, evaluate hemorrhage flow for additional diagnostic information with respect to the stage of pulpal inflammation.
- Describe the diagnostic indicators for pulp cap, pulpotomy, or pulpectomy/endodontic therapy.
Ron Lemon, D.M.D
Dr. Ron Lemon serves as Associate Dean for Advanced Education and Predoctoral Program Director in Endodontics at UNLV, School of Dental Medicine. He is a member of the Postgraduate Faculty in the Advanced Education Program in Pediatric Dentistry, the General Practice Residency program, and a member of the Graduate College.
He is a Diplomate of the American Board of Endodontics. He earned both Predoctoral (1971) and Postdoctoral degrees (1977) from the University of Kentucky.
Prior to his appointment at UNLV, he served for 28 years at the LSU, School of Dental Medicine in New Orleans (15 years as Chair).
His current research activities include Vital Pulp Therapy and materials science. These methods offer a paradigm shift in endodontic treatment philosophy. Teaching interests include continual changes in teaching methodologies to match changing student populations.Speaker Disclosure
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation
Ron Lemon, D.M.D
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation. -
Includes Credits
CE: 1.5
Description: This session will provide an overview of pain mechanisms from the perspective of making biologically-based recommendations for diagnosis and management of odontogenic and non-odontogenic pain patients. We will use selected cases from our practices to describe how increased knowledge of pain biology can improve our care of patients in pain.
At the conclusions, attendees will be able to:
- Describe differences between nociceptive, inflammatory, and neuropathic pain.
- Describe peripheral and central pain mechanisms.
- Apply this knowledge to make evidence-based diagnostic and therapeutic decisions in treating endodontic pain patients.
Kenneth Hargreaves, D.D.S., Ph.D.
Ken Hargreaves received his DDS from Georgetown University, his PhD in physiology from the Uniformed Services University of the Health Sciences in Bethesda, MD, and his certificate in Endodontics from the University of Minnesota. Ken spent 5 years at the Pain Clinic of the NIDCR and 7 years as an associate professor of Endodontics and Pharmacology at the University of Minnesota. He joined the University of Texas Health Science Center at San Antonio in 1997, as professor and Chair of the Department of Endodontics and is cross-appointed as professor in the Departments of Pharmacology, Physiology and Surgery in the Medical School. He maintains a private practice limited to endodontics and is a Diplomate of the American Board of Endodontists. Ken has received an NIH MERIT Award for research, two IADR Distinguished Scientist Awards, the ADA Gold Medal for Research and the Louis I. Grossman Award from the AAE. He has published more than 190 articles and, with Harold Goodis and Frank Tay, co-edited the 2nd edition Seltzer and Bender’s Dental Pulp, and, with Lou Berman, co-edited the 11th edition of Cohen’s Pathways of the Pulp. Ken also serves as editor of the Journal of Endodontics.
Speaker Disclosure:
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation
Nikita Ruparel, D.D.S., M.S., Ph.D.
Dr. Ruparel is Board certified Endodontist who practices in San Antonio at UT Faculty Endodontics. She is the Director of the Advanced Program in Endodontics at UT San Antonio. She received her certificate in Endodontics in 2013 after receiving her doctoral (PhD) and DDS at The University of Texas Health Science Center at San Antonio. Her practice in Endodontics includes all aspects of modern endodontics. She also lectures at national and international meetings on pain biology and management and regenerative endodontics. She has also been awarded the American Association of Endodontics Educator Fellowship for committing her career to academics. Nikita Ruparel is committed to a long-term career as a clinician-scientist.
Speaker Disclosure
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
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Includes Credits
CE: 1.5
Description: This presentation aims to highlight what neuropathic pain is, its prevalence and impact and how much of it can be prevented in relation to dentistry. Neuropathic pain is easily identified and the International Classification of Orofacial Pain (ICOP) includes Post-traumatic neuropathic pain, Trigeminal neuralgia and Post herpetic Neuralgia and non-traumatic secondary neuropathic pain. Endodontists are more often exposed to the potential diagnostic dilemma of neuropathic dental pain versus inflammatory dental pain, I aim to provide some clinical tips to assist those faced with this predicament.
The majority of chronic pain clinics are filled with patients with post traumatic neuropathic pain. It is often post surgical and although low incidence related to dentistry caused by LA, implant, endo and extractions, due to the high volume of dental surgery has a significant prevalence overall. Unfortunately for the dental patients the majority of endodontic and implant patients have neuropathic pain which is permanent. Endodontists have a particular role in prevention and management of neuropathic pain in the trigeminal system, I aim to provide evidence base for those listening.
At the conclusion of this presentation, attendees will be able to:
- Define neuropathic pain with a focus on dentistry-realted post-traumatic neuropathic pain.
Assess and diagnose dentistry-related post-neuropathic pain.
Manage dentistry-related post-traumatic neuropathic pain.
Tara Frances. Renton, BDS MDSC PhD
Dr. Tara F. Renton, a specialist in oral surgery, is a dentist with a particular interest in trigeminal nerve injuries and pain. She completed her dentistry at Guys (1984), oral and maxillofacial surgical training in Melbourne (1991), undertook a Ph.D. in trigeminal nerve injury at KCL (1999-2003). Over the past 10 years at KCL roles included: • Education development of undergraduate teaching modern oral surgical and local anesthesia techniques. The first orofacial pain masters program oustide the United States and supervised eight Ph.D.'s • Research includes a program of trigeminal nerve injury and orofacial pain research publishing more than 150 peer reviewed articles, with grants from MRC, Grunenthal, Pfizer & Bioresource. • Service leading KHP multidisciplinary orofacial pain service seeing over two thousand patients a year. Dr. Renton has set up two patient-facing websites: first, a patient lead initiative resulted in the development of the trigeminalnerve.org.uk, a website advising both patients and clinicians in preventing and managing iatrogenic nerve injury in relation to dentistry, and then a website for patients with chronic trigeminal pain at orofacialpain.co.uk. Dr. Renton is on the dental update editorial board, she has co-edited the BDA clinical manuals for oral surgery books I and II & editor of Warman OFP book. Dr. Renton is an elected member of the RCS England FDS Board, the RCS Eng National Advisor for OS and member of the Oral Surgery SAC. She represents dentistry on the National Surgical Safety Board, she is London South CLRN lead and she is president of the British Association Oral Surgery.
Tara Frances. Renton, BDS MDSC PhD
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
- Define neuropathic pain with a focus on dentistry-realted post-traumatic neuropathic pain.