
Apexification
Apexification
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Product not yet rated Includes Credits
CE Hours: 0.75
Description: Calcium hydroxide has a long history of applications in endodontics and dental traumatology. The material has strong disinfectant and osseo-inductive properties. With regard to dental traumatology, the use of calcium hydroxide has applications in vital pulp therapy of complicated crown fractures, pulp necrosis following trauma, avulsions with extended dry time, apexification, MTA barrier techniques and regenerative endodontics. However, the use of calcium hydroxide in apexification has become controversial. Cvek identified a high incidence of transverse root fractures for immature teeth treated with long-term calcium hydroxide dressings. In vitro studies have reported calcium hydroxide has decreased the fracture strength of root dentine over time. However, this finding is also controversial with inconsistent and conflicting observations reported. Calcium hydroxide has been used for 50 years and now some authors and organizations advocate for the use of MTA barrier techniques rather than calcium hydroxide. The purpose of this presentation is to discuss the science around calcium hydroxide, its use of and concerns with calcium hydroxide in dental traumatology.
Learning Objectives:
- Critically appraise the calcium hydroxide literature.
- Follow fracture mechanics principles of root fracture mechanics.
- Appraise the different approaches to treat immature permanent teeth with pulp necrosis and infection.
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Product not yet rated Includes Credits
CE Hours: 1.0
Description: Severe traumatic dental injuries in growing patients often lead to a range of complications, including pulp necrosis, ankylosis, infra-occlusion, complex restorability issues, tooth loss and subsequent bone loss. These issues can severely impact the patient’s quality of life, since the most affected teeth are the maxillary central incisors in the aesthetic area. Given that young patients have limited options for tooth replacement, preserving both the architecture and amount of bone in the affected area is crucial. Effective bone preservation ensures that when the time comes for future prosthetic solutions, such as implants, they can be implemented with minimal additional procedures. By employing effective bone preservation techniques, both immediate and long-term results can be improved, making future tooth replacement easier and less costly. This presentation will cover a series of clinical cases that demonstrate how these strategies can significantly impact aesthetic and functional outcomes for young patients.
Learning Objectives:
- Identify the range of complications that can arise from severe traumatic dental injuries in young patients.
- Explain bone preservation techniques and how they can potentially maintain both the architecture and quantity of bone in these patients assisting in future replacement procedures.
- Describe practical skills in applying effective bone preservation strategies in clinical practice to ensure optimal outcomes for future prosthetic interventions.
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Includes Credits
CE Hours: 1.5
Description: Immerse yourself in the Data and Clinical Blitz sessions, where attendees are presented with a streamlined dive into the latest research findings or captivating and intricate Endodontic cases. It is an innovative learning experience not to be missed. The key elements for successful outcomes for VPT will be presented within the context of a "process". Products used for VPT are important but are only part of the formula for success. The audience will have the opportunity to obtain meaningful information from brief presentations and short discussion on Pulp Biology research and the new trends for clinical protocols aiming to preserve the vitality and/or regeneration of the dental pulp to increase longevity of the tooth.
Learning Objectives:
- Describe the importance of Vital pulp therapy as a process not as a product and the visual appearance of the exposed pulp tissues.
- Determine the perspective on pulpotomy of mature teeth with irreversible pulpitis and the factors predicting outcomes.
- Explain the ideal recall time on Regenerative Endodontics, possibility of immediate induction and the applicability of cell-based regeneration therapy.
Tatiana M. Botero, D.D.S., M.S.
Dr. Botero received her dental degree (DDS, 1987) from CES University in Medellin, Colombia, Specialty training in Endodontics at Pontificia Universidad Javeriana in Bogotá, Colombia (1995) and the advanced Specialty Certificate in Endodontics from University of Michigan in 2005. She was Clinical Assistant Professor at CES University and had her private practice in Colombia (1989-2000). Dr. Botero joined the University of Michigan in 2001 and presently she is full time Clinical Professor and teaches Endodontics to graduate and undergraduate students. She is the director of the dental postgraduate fellowship program in endodontics. She also practices Endodontics at a private Dental clinic in Michigan.
In 2012 Dr. Botero became a Diplomate of the American Board of Endodontics and she joined the Regenerative Endodontic committee from the American Association of Endodontics since 2013 and chair 2014-2020. She is Past-president of the Pulp Biology and Regeneration group of the American Association and International Association of Dental Research. Dr. Botero has authored and co-authored numerous scientific peer reviewed articles and book chapters. She serves as reviewer for several endodontic and dental journals. Her research of interest and publications are on caries-induced angiogenesis 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.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
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
Stephane Simon, DDS, MSc, PhD, HDR
Stéphane SIMON has been qualified as Doctor in Dental Surgery in 1994 at the University of Reims. He got a certificate in Biomaterials in 1998 (University of Paris 7) and in Endodontology in 2000 (Paris 7). He taught Endodontics from 2001 to 2005 at the University of Paris 7 as Assistant Professor, and from 2006 to 2008 at the University of Birmingham (United Kingdom) as a Clinical lecturer. He has got a Master Degree (MPhil) in Molecular and cell Biology in 2005 (Paris 7), and completed in 2009 his PhD in Pulp Biology in the frame of a co-supervised Thesis between the University of Paris 7 and the University of Birmingham. He was the President of the Pulp Biology and Regeneration Group of the IADR and is still a member of the education committee of the European Society of Endodontology.
From 2012 up to august 2019, he was a full time academic teacher/researcher, awarded as Professor in Endodontics at the Paris Diderot University and was the director of the Postgraduate Endodontic Program at Paris Diderot University (3 years full time program).
He is the author of 8 Endodontic books, authored 8 chapters in clinical books, and three chapters in Tissue engineering books. He has also published 47 papers in per-reviewed scientific journals (Endodontics and Science) and more than 95 papers in clinical per-reviewed journals ; he is also one of the editor of Visualendodontics software.
In 2011, he received the Hans Genett Award from the European Society of Endodontology.
He has a private practice limited to endodontics for 20 years, and is the founder and scientific director of a postgraduate course company named Endo Académie.Disclosure(s): No financial relationships to disclose
Claudia Brizuela, D.D.S., D.MD, M.S., Ph.D
My life weaves a tapestry of love, growth, and gratitude, anchored by my roles as a devoted wife and mother of three. These cherished roles have shaped my journey in dentistry, where my unwavering commitment to excellence resonates deeply with those I serve.
I specialized in Endodontics at the University of Concepcion in Chile, refining my skills in delivering compassionate dental care. A master's degree in education from Pontificia Universidad Católica de Chile enriched my commitment to nurturing young minds.
Earning a Doctorate Cum Laude in Health Sciences from the Universitat Internacional de Catalunya in Spain reflected both my academic worth and personal growth. Embracing the title of Full Professor, I proudly review esteemed journals such as JOE and IEJ, standing as a guardian of academic excellence.
Beyond the classroom, sharing knowledge at international conferences and publishing in respected journals brings me immense joy. Prestigious research awards, including FONIS and FONDECYT, fuel my fervor for pioneering innovation.
For over two decades, I've extended compassionate endodontic care, offering comfort and healing. At the Universidad de los Andes, I lead research in artificial intelligence, dental regeneration, and biomarkers. As Director of Research and Doctoral studies, I'm profoundly grateful for a life illuminated by education, family, and purpose, enriching my journey with profound fulfillment.
In the words of Chilean singer-songwriter Violeta Parra, "Thanks to life that has given me so much."
Disclosure(s): No financial relationships to disclose
Ove A. Peters, D.M.D., Ph.D., M.Sc.
Dr. Ove A. Peters joined the University of Queensland, Brisbane, Australia, in 2020 after faculty positions in Heidelberg, Germany and Zurich, Switzerland, as well as at the University of California, San Francisco. He currently serves as the Professor of Endodontics and Head of Clinical Dentistry at UQ. Before moving to Australia, Dr. Peters was the founding director of the postgraduate endodontic program at the Arthur A. Dugoni School of Dentistry in San Francisco, a professor with tenure and the Chair of the Department of Endodontics at that school.
Dr. Peters has wide-ranging clinical and research expertise and has published more than 230 manuscripts related to endodontic technology and biology. He has authored two books and contributed to several leading textbooks in dentistry; he also is an associate editor for the International Endodontic Journal as well as the Australian Endodontic Journal, an academic editor for PLOS One and serves on the review panel of multiple other journals. Among others awards, Dr Peters has received the Hans Genet Award of the European Society of Endodontology and more recently the Louis I. Grossman Award of the American Association of Endodontists. He is a Diplomate of the ABE, a member of OKU and a Fellow of the International and American Colleges of Dentistry.Disclosure(s): Dentsply Sirona: Grant/Research Support (Ongoing), Honorarium (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)
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Product not yet rated Includes Credits
CE Hours: 1.0
Description: The pediatric endodontic patient poses a challenge both in patient management and the status of root development. Often treatment decisions are affected by the ability to manage the behavior of the child. Knowing the various modalities available will be reviewed so that optimum treatment is sought. Dr. Usman has a philosophy of proactive treatment versus "waiting and watching" which will minimize untoward sequelae such as infection and discoloration of the tooth as well as facilitate an optimum and conservative, long-term restorative solution. Starting with a thorough understanding of diagnosis and the role of frequent recall, she will demonstrate the management of various patients who have undergone trauma or have gross caries which threaten the premature loss of the permanent tooth. A review of diagnosis and the various spectrum of pupal therapeutic techniques from apexogenesis to indirect pulp capping, modified apexification, and regenerative treatments. The clinical uses of various materials such as MTA, Endosequence bioceramics, Biodentine calcium silicate cement and collagen containing materials which have been demonstrated to have applications, will be compared. Using her own personal cases Dr. Usman will highlight her process of establishing a treatment plan taking into consideration the psychosocial factors, diagnosis and short term and long term prognoses. Some interdisciplinary time-sensitive treatments will be discussed such as decoronation and autotransplantation which involve other specialists such as orthodontics and oral-maxillofacial surgery and periodontics.
Learning Objectives:
- List various treatment options available to manage the complex pediatric endodontic patient.
- List the materials needed to perform the intended treatment on the complex pediatric patient.
- Create a treatment plan based on the patient's psychosocial factors, diagnosis and desired treatment outcome.
Najia Usman, D.D.S.
Originally born and raised in Toronto Canada, Najia Usman graduated from SUNY Buffalo in 1995 with her D.D.S. After completing a 1 year general practice residency at the OHSU, Portland, Oregon in 2002. She became a Diplomate of the American Board of Endodontics in 2009.
Dr. Usman has been in Private Practice since 2002 having started her own private practice Visage Endodontics. Though she practices full scope endodontics, she has cultivated an interest in the endodontic management in trauma, pediatrics and resorptive Lesions. She has organized and lectured in dental trauma symposiums. She has lectured and clinically taught, dental students, endodontic and pediatric residents. She holds a position as clinical associate instructor at CWRU SODM. She has lectured nationally and locally to study clubs on topics such as “Endo-Perio”, “Atypical Facial Pain”, “Regenerative Endodontics” and “Pulpal injuries after Oro-Facial Trauma”. She has been heavily involved in organized dentistry sitting and chairing the Membership Commitee and serving two terms on the Annual Session Commitee. She is a former executive board member of the ODA holding the 2 year position of Secretary and has been an ADA delegate for 6 years and was recently appointed to a 4 year position on the Council of Dental Examination and Licensure. She has served as President of the Ohio Association of Endodontists and is currently serving on the American Association of Endodontics Public and Professional Relations Council. She also has a quarterly opinion-ed column for the past ten years in The ODA Today "the Happy Dentist".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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Product not yet rated Includes Credits
CE Hours: 1.0
Description: This epidemiological analysis used procedure codes from dental insurance claims data to identify apexification cases and evaluate survival at the toothlevel.
At the conclusion of this article, the reader will be able to:
- Describe the survival of apexification procedures, with an average follow-up time of 64 months, performed in a United States population.
- Compare survival rates of apexification reported in this study to success rates of apexification previously reported in the endodontic literature.
- Describe potential barriers to access to care for treatment for immature permanent teeth, as discussed in this manuscript.
Lorel E. Burns, D.D.S.
Dr. Lorel Burns is a clinician-investigator and assistant professor at New York University (NYU) College of Dentistry. She is a Diplomate of the American Board of Endodontics. Dr. Burns earned her DDS degree at NYU College of Dentistry, completed her specialty training in Endodontics at the University of Pennsylvania School of Dental Medicine and was awarded her master’s degree in Clinical Investigation by NYU School of Medicine. In 2019, she was selected as the American Association of Endodontists (AAE) Foundation’s Endodontic Educator Fellow. In 2022, she recognized with the American Dental Education Association (ADEA) Junior Faculty Award. Dr. Burns’ research interests include endodontic treatment outcomes, access to dental care, clinician decision-making, and dental education. Her research has been funded by the National
Institutes of Health (NIH)/ National Institute of Dental and Craniofacial Research (NIDCR), the Robert Wood Johnson Foundation (RWJF), and the American Dental Education Association, ADEAGies Foundation. Her work has been published in peer- reviewed journals including the Journal of Endodontics (JOE), the International Endodontic Journal (IEJ), the Journal of the American Dental Association (JADA), and the Journal of Dental Education (JDE). Dr. Burns maintains part-time private practice limited to Endodontics in New York, USA.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.
Nihan Gencerliler, MPH
Nihan Gencerliler has a master’s degree in public health, with an advanced certificate in applied biostatistics. She participated in this study as an Assistant Research Scientist in the Department of Endodontics and New York University College if Dentistry.
Kelly Terlizzi, MS
Kelly Terlizzi has a master’s degree in clinical research. She participated in this study as an Analyst at New York University Health Evaluation and Analytics Lab.
Claudia Solis-Roman, MSc, MPA
Claudia Solis-Roman has master’s degrees in public administration and applied statistics. She participated in this study as a Lead Analyst at New York University Health Evaluation and Analytics Lab.
Asgeir Sigurdsson, D.D.S., M.S.
DDS from University of Iceland. Graduated from University of North Carolina (UNC) in 1992, with certificate in endodontics and MS. Full time faculty at UNC 1992-2004, was the Graduate Program Director of Endodontics 1997 to 2004. From 2004 to 2012 in a private endodontic practice in Reykjavik, Iceland and London, UK and Honorary Clinical Teacher in Endodontology, UCL Eastman Dental Institute, UK. In 2012, he became the Chairman and tenured Professor at NYU Dentistry, Department of Endodontics. Additionally, he is an adjunct Professor at UNC. Dr. Sigurdsson is past President of the International Association for Dental Traumatology and 2014 he was appointed as a Director of the American Board of Endodontics and served as the President of the Board 2019-20. He is currently on the editorial board of Dental Traumatology. Dr. Sigurdsson has been invited numerous times to lecture in 47 countries all over the world, on the topics of pain, endodontics, dental trauma and/or forensic sciences. He has written or co-written over 85 per-reviewed articles and 23 textbook chapters on same topics.
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.
Heather T. Gold, PhD
Dr. Heather T. Gold is a Professor in the Department of Population Health and NYU Langone Health. She has a health economist and health services researcher.
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CE Hours: 0
*Handout onlyCourse Description:
This lecture will exam the current and future trend in vital pulp treatment. A case-based analysis will be used to explore treatment options that incorporate evidence-based treatment protocols into the everyday clinical practice. Pulp necrosis in immature teeth subsequent to caries or trauma has a major impact on long-term tooth retention. The aim of vital pulp therapy is to maintain pulp viability by eliminating bacteria from the dentin-pulp complex and to establish an environment in which apexogenesis can occur. The presentation will discuss various materials and treatment protocols that can achieve this goal.
At the conclusion, participants should be able to:
- Discuss the importance of tooth development and retention in long-term for long-term skeletal development.
- Describe the concepts for selecting teeth for various treatment options.
- Discuss the clinical application of various materials to pulpal tissue.
David E. Witherspoon, B.D.S., M.S., M.F.A., D.D.S, F.I.C.D
Graduated from University of Queensland with a Bachelor of Dental Sciences. Practiced General Dentistry for 5 years in both in Australia and the United Kingdom. Graduate from Baylor College of Dentistry graduate endodontic programm. Currently is in fulltime endodontic practice in Plano Texas.
• President’s Award American Association of Endodontists (AAE) 2015
• Diplomat of the American Board of Endodontics 2003-Present
• Lifetime member of the College of Diplomats American Board of Endodontics
• Fellow of the International College of Dentists 2013- present
• General Chair for the American Association of Endodontists annual meeting 2015
• Program Chair for the American Association of Endodontists annual meeting 2014
• Program Vice Chair for the American Association of Endodontists annual meeting 2013
• Workshop Chair for the American Association of Endodontists annual meeting 2007-2011
• American Association of Endodontists annual session planning committee 2001-2003, 2007-2016
• Research and Scientific Affairs Committee American Association of Endodontists 2000-2003
• Edward M. Osetek Educator Award. American Association of Endodontists 1999
• Co-author of the surgery chapter in the 9th and 10th ed. of Pathways of the Pulp
• Published over 30 articles in peer reviewed journalsDisclosure(s): No financial relationships to disclose
David E. Witherspoon, B.D.S., M.S., M.F.A., F.I.C.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.
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