Canal, Pulp
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Includes Credits
CE Hours: 1.0
Description: This study aimed to assess the effect of cavity designs on instrumentation, obturation and fracture resistance for mandibular first premolars with Vertucci V canal.
At the conclusion of this article, the reader will be able to:
- Discuss which cavity design is appropriate for mandibular first premolars with Vertucci V canal.
- Compare the effectiveness of different cavity designs in instrumentation, obturation and preservation of dentin and fracture resistance.
- Describe the steps of preparing an access cavity for premolars with Vertucci V canal.
Yuxuan Liu, DDS
Yaxu Feng, DDS
Xianhua Gao, DDS
Wei Fan, DDS, PhD
Bing Fan, DDS, MSc, PhD
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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: 0.75
Description: The goal of root canal treatment is to prevent or reverse apical periodontitis by removal of necrotic/infected or irreversibly inflamed tissues, followed by obturation of the root canal space. Mechanical instrumentation and irrigation play a key role in the removal of pulp tissue, contaminants, debris, and microorganisms from the root canal system. Different adjunctive agitation techniques have been developed to help irrigating solutions penetrate the complexities of the root canal system. Passive ultrasonic irrigation, apical negative pressure irrigation systems, sonic activation, multisonic agitation, and laser activation have been reported to be superior to conventional positive pressure needle irrigation in regards to smear layer removal, antimicrobial effect, and decreased post-operative pain. Minimally invasive canal preparation has been promoted with the activated irrigation approaches. However, what is not known is the effect of minimally invasive instrumentation, in conjunction with an activated irrigation approach on clinical outcomes (retention/longevity, healing of apical periodontitis). Can infected root canals be predictably disinfected following conservative root canal preparation? Based on a review of the current literature and personal clinical experience, appropriate preparation sizes for root canal treatment will be explored.
Learning Objectives:
- Describe how apical preparation size during root canal treatment affects the clinical outcome.
- Evaluate the current best available evidence to support minimal invasive canal preparation with different irrigation protocols.
- Choose the appropriate preparation size for root canal treatment upon irrigation protocol.
Qian Xie, D.D.S., Ph.D.
Dr. Qian Xie received her BDS and PhD degrees from Sichuan University, Chengdu, China. After a few years of practice, Dr. Xie returned to graduate school at the University of Illinois at Chicago College of Dentistry, where she received her Certificate of Specialty in Endodontics. Dr. Xie is a Diplomate of the American Board of Endodontics. Dr. Xie has been a member and an active participant in the American Association of Endodontists, the American Dental Association, the Chicago Dental Society, and the Edgar D. Coolidge Endodontic Study Club. She is a fellow of the International College of Dentists. Dr. Xie has a broad background in oral science and clinical dentistry, with specific training and expertise in oral microbiology research and clinic experience in endodontics. Her research background includes caries research, oral biofilm and endodontic irrigation.
Disclosure(s): No financial relationships to disclose
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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: 1.25
Description: As bioceramic sealers are growing in popularity, there is also a rise in the number of cases obturated with bioceramic sealers that need to be retreated. One important goal during retreatment is to eliminate the etiology of persistent disease through the complete removal of the root canal content including the existing root-filling material. Compared to traditional sealers, set bioceramic sealers may be more difficult to remove or bypass with instruments due to their unique physical properties. There is also a lack of effective solvent for set sealers, therefore creating potential difficulties in retreatment. Controversies exist in the literature regarding the effectiveness of bioceramic sealer removal. This presentation will provide a comprehensive review of the available evidence on the retreatment of bioceramic sealer-obturated canals and discuss the clinical tools and techniques to facilitate bioceramic sealer removal.
Learning Objectives:
- Describe the principles of non-surgical root canal retreatment.
- Describe the available solvents and techniques for the removal of bioceramic sealers.
- Discuss the existing scientific evidence on the retreatment of bioceramic sealer-obturated canals.
Jianing He, D.M.D., Ph.D.
Dr. Jianing (Jenny) He received her dental degree from West China University of Medical Sciences in 1996, and a certificate in Endodontics, and a PhD in Oral Biology from the University of Connecticut Health Center in 2003.
Dr. He has been actively involved in endodontic education, research, and clinical practice. She is a Diplomate of the American Board of Endodontics and a fellow of the American College of Dentists. She has published over 50 manuscripts in peer-reviewed journals and served on the Research and Scientific Affairs Committee for the AAE. Dr. He is currently an Associate Editor of the Journal of Endodontics.
Dr. He is a Clinical Associate Professor at Texas A&M University College of Dentistry and maintains a full-time private practice limited to Endodontics in Flower Mound and McKinney, TX.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: Brasseler USA (Individual(s) Involved: Self): Honorarium (Terminated)
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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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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: 1.0
Description: Tooth autotransplantation, intentional replantation and surgical extrusion are different treatment options with a similar principle; the preservation of the periodontal ligament (PDL) in order for the tooth to heal and be newly articulated with the bone. Tooth autotransplantation is defined as the surgical movement of a tooth from one alveolar socket to another, either after extraction or by surgically preparing the recipient site in the same patient, it is a viable option to replace lost teeth or poor prognosis teeth. Thus, both function and preservation of the alveolar bone crest is maintained. Its success is associated with healing of the PDL and pulp tissue, absence of root resorption, soft tissue healing, and radicular formation. Intentional replantation is the atraumatic extraction of a tooth enabling the clinician to do a procedure (mostly endodontic microsurgery, or cervical resorption treatment) in less than 15 minutes (extra-alveolar time) in teeth in which, otherwise, access would not be possible. Surgical extrusion consists of atraumatic luxation and coronal repositioning of a tooth with in its same socket, this with the purpose of exposing root resorption, root fractures or decay and treat it, leaving sound tooth structure subgingival.Over the last 15 years these techniques have had a great evolution due to the introduction of cone beam computed tomography (CBCT), intraoral scanning, 3D planning software, 3D printers and computer aided dynamic navigation devices. All this technology enables a more predictable, faster and safer procedure with lower extra-alveolar times. In this lecture several clinical cases, with a proper follow up period, show the rapid progress of the technique always based in the best scientific evidence available and trying to inspire Endodontists to have this type of treatments as valid options to help their patients.
Learning Objectives:
- Evaluate if a patient is a potential candidate for Tooth Autotransplantation, Surgical Extrusion or Intentional Replantation.
- List the digital work flow necessary to perform computer guided Tooth Autotransplantation.
- Introduce these type of treatments as possible options for clinical cases that otherwise would be hopeless.
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: 1.0
Description: Vital pulp therapy (VPT) is a collection of techniques that are intended for preserving the vitality ad function of the dental pulp after traumatic injury, deep caries, or insult from restorative procedures. These techniques include indirect or direct pulp capping, partial pulpotomy, or complete pulpotomy. Contemporary application of VPT techniques is not only limited to the preservation of the radicular pulp in immature adult teeth, to enable complete formation of the root apex. These techniques have been recommended as alternatives for root canal therapy, for the treatment of mature adult teeth with completely formed apices. Pulpotomy, for example, has been used as a permanent treatment procedure for teeth that have either reversibly inflamed or irreversibly inflamed pulps. Since the publication of the European Society of Endodontology position statement on the management of deep caries and the exposed pulp in 2019, the American Association of Endodontists (AAE) has published a new position statement on VPT in 2021. The AAE position statement focused on 5 issues: diagnostic consideration for VPT, caries management, pulp management, placement of biomaterials, and timing for placement of a permanent restorative material. The objective of this presentation is to examine the quality of the evidence currently available for these five aspects of VPT.
Learning Objectives:
- Describe factors that affect an endodontist's decision for the amount of pulpal tissue removed or retained to create the optimal conditions for pulp tissue repair in VPT.
- Appreciate the quality of evidence currently available for different aspects of VPT, and the major gaps in scientific knowledge associated with VPT in mature adult teeth.
- Identify the problems that deter the clinical acceptance of VPT techniques by endodontists.
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
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Includes Credits
CE Hours: 0.75
Description: This session will delve into the fascinating world of pulpitis diagnosis and treatment, boldly embracing the underlying biology that drives critical clinical decisions. In this talk, we'll journey through the latest advancements and breakthroughs in the field, challenging traditional paradigms and redefining how we approach dental pulp pain and inflammation. The session will elucidate the intricate mechanistic processes that underpin pulpitis, shedding light on how a deeper understanding of biology can revolutionize diagnostic techniques and treatment modalities. From cutting-edge diagnostic approaches to vital pulp therapy, this session will empower dental professionals with knowledge and insights regarding pulpitis, allowing them to appreciate pulp tissue and shift their perspective to reshape their future endodontic practice.
Learning Objectives:
- Develop a comprehensive understanding of the intricate relationship between dental pain and inflammation, exposing the limitations of current pulpal diagnosis methods. Learn how to shift our perspective and also effectively communicate these complexities to patients.
- Investigate the most recent advancements and breakthroughs in pulpitis diagnosis while identifying the challenges and obstacles hindering their seamless integration into clinical practice.
- Acquire valuable insights into vital pulp therapies that harness the biological insights of pulpitis. Recognize their limitations and constraints in delivering patient-centered endodontic care for treating pulpitis more effectively.
Ozge Erdogan, DDS
Ozge graduated from Yeditepe University Dental School, Turkey and completed endodontic residency training at Hacettepe University, Turkey. During residency, she treated patients with excruciating toothache on a daily basis. This experience motivated her for pain research. She worked as a full-time instructor at NYU College of Dentistry, and was involved in clinical pain studies. In hopes of better understanding the underlying mechanisms of dental pain and its relationship with dental infection, she decided to go back to being a student, one more time. She completed a Doctor of Medical Sciences, co-mentored by Dr. Jennifer Gibbs and Dr. Isaac Chiu, in the study of how sensory neurons of dental pulp modulate host innate immune response during bacteria induced dental infection. Ozge is now a research fellow at the Harvard School of Dental Medicine. She teaches at the AGE Endodontics clinic and practices limited to endodontics.
Disclosure(s): No financial relationships to disclose