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  • Product not yet rated Contains 4 Component(s), Includes Credits Includes a Live Web Event on 12/13/2023 at 6:00 PM (CST)

    Speaker: Asgeir Sigurdsson, D.D.S., M.S. |It is paramount for all endodontists to have some understating on how to diagnose and treat the most common dental injuries, especially the emergency phase of the treatment. This is because the time from injury to treatment can differentiate between saving a tooth or losing it to later complications. Recently, the AAE has updated its recommendation of emergency treatment and follow up schedule as well as when and how to endodontically treat the most common dental, injuries. In the first part of the webinar there will a detailed description of diagnostic procedures needed in case of oral and dental trauma. Recommended radiographic, facio-skeletal and oral evaluations will be explored. The second part of the webinar will focus on changes in treatment recommendations from the last Guidelines and the rationale behind those changes.

    CE Hours: 1.0

    Description: It is paramount for all endodontists to have some understating on how to diagnose and treat the most common dental injuries, especially the emergency phase of the treatment. This is because the time from injury to treatment can differentiate between saving a tooth or losing it to later complications. Recently, the AAE has updated its recommendation of emergency treatment and follow up schedule as well as when and how to endodontically treat the most common dental, injuries. In the first part of the webinar there will a detailed description of diagnostic procedures needed in case of oral and dental trauma. Recommended radiographic, facio-skeletal and oral evaluations will be explored. The second part of the webinar will focus on changes in treatment recommendations from the last Guidelines and the rationale behind those changes.

    Learning Objectives: 

    • Explain the updated AAE’s Recommended Guidelines for the Treatment of Traumatic Dental Injuries. 
    • Describe the recommended emergency treatment of most common dental injuries.
    • Explain the need for follow-up and possible late complications.

    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.

  • Product not yet rated Contains 4 Component(s), Includes Credits Includes a Live Web Event on 10/18/2023 at 6:00 PM (CDT)

    Speaker: Peter Giannini, DDS |A variety of non-odontogenic lesions will be presented including neoplastic, reactive and cystic pathologic entities. Discussion will include clinical and/or radiographic presentation, differential diagnosis, histopathologic features and management.

    CE Hours: 1.0

    Description: A variety of non-odontogenic lesions will be presented including neoplastic, reactive and cystic pathologic entities. Discussion will include clinical and/or radiographic presentation, differential diagnosis, histopathologic features and management.

    Learning Objectives: 

    • Describe the clinical and/or radiographic features that distinguish benign and malignant intraosseous lesions.
    • Name the most common location for metastatic disease in the head and neck region.
    • Describe the clinical and/or radiographic features of reactive lesions of the jaws. 

    Peter Giannini, DDS

    Dr. Peter Giannini is an Associate Professor at the University of Nebraska Medical Center (UNMC) College of Dentistry, Department of Oral Biology, and Director of Clinical and Translational Research at the Cruzan Center for Dental Research.

    Dr. Giannini received his Doctor of Dental Surgery from the University of California, San Francisco School of Dentistry in 1997. He subsequently trained in Oral and Maxillofacial Pathology at The Ohio State University College of Dentistry, earning a Certificate in Oral and Maxillofacial Pathology and a Master of Science in Oral Biology in 2000. During that same year, Dr. Giannini joined the faculty of Temple University School of Dentistry in Philadelphia. He became a member of the UNMC College of Dentistry faculty in 2005.

    Dr. Giannini is a Diplomate of the American Board of Oral and Maxillofacial Pathology. In addition to practicing in the Oral Pathology biopsy service, he sees Oral Medicine referral patients at the college's University Dental Associates (UDA) faculty practice clinic. In the UDA Clinic, Dr. Giannini specializes in the diagnosis and management of oral lesions; including but not limited to: lichen planus, mucous membrane pemphigoid, burning mouth syndrome, xerostomia, bone pathology of the jaws, oral manifestations of systemic disease and complications of cancer therapy. In addition, Dr. Giannini also directs the Tobacco Cessation Clinic at the College of Dentistry. His research interests include oral carcinogenesis, the oral manifestations of drug abuse and the management of oral mucosal disease.

    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.

  • Product not yet rated Contains 4 Component(s), Includes Credits Includes a Live Web Event on 09/19/2023 at 6:00 PM (CDT)

    Speaker: Stephen P. Niemczyk, D.M.D. |Techniques and Technologies have been developed to satisfy the demands of evolving micro techniques but are not limited to the classical endodontic armamentarium. The most recent example is the implementation of the Piezosurgical technique for root end surgery. Posterior sites, with substantial cortical plate thicknesses and sensitive anatomy, present the dichotomy of visualization versus post-surgical regeneration of bone. The bony lid technique bridges the gap between these two concepts, and the application of Piezosurgery renders a precise and biocompatible osseous incision. This seminar will introduce the participant to the indications/contraindications of the Bony Lid technique, the fabrication of a precision endodontic surgical stent (PRESS) and execution of the technique in a mandibular molar site.

    CE Hours: 1.0

    Description

    Techniques and Technologies have been developed to satisfy the demands of evolving micro techniques but are not limited to the classical endodontic armamentarium. The most recent example is the implementation of the Piezosurgical technique for root end surgery. Posterior sites, with substantial cortical plate thicknesses and sensitive anatomy, present the dichotomy of visualization versus post-surgical regeneration of bone. The bony lid technique bridges the gap between these two concepts, and the application of Piezosurgery renders a precise and biocompatible osseous incision. This seminar will introduce the participant to the indications/contraindications of the Bony Lid technique, the fabrication of a precision endodontic surgical stent (PRESS) and execution of the technique in a mandibular molar site.

    Learning Objectives: 

    • Explain the development of the bony lid technique and the advantages/disadvantages.
    • Sequence the steps involved in the planning and fabrication of a precision endodontic surgical stent (PRESS)©
    • Evaluate the use of Piezoelectric surgery and PRESS© versus conventional techniques for posterior root end procedures.

    Stephen P. Niemczyk, DMD

    Dr. Niemczyk graduated from the University of Pennsylvania School of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at the IB Bender Postdoctoral Endodontic Program at Albert Einstein Medical Center in Philadelphia, and was recently named the Assistant Program Director in 2018. He is the 2020 recipient of the AAE Calvin D. Torneck Part-Time Educator Award, and also serves as a surgical consultant to the Naval Postgraduate Endodontic Program at the Walter Reed National Medical Center in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA. 
    Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the Journal of Endodontics and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.

    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: DENTSPLY Tulsa Dental Specialties (Individual(s) Involved: Self): Honorarium

  • Product not yet rated Contains 4 Component(s), Includes Credits Includes a Live Web Event on 07/26/2023 at 6:00 PM (CDT)

    Speaker: Garry L. Myers, D.D.S |This presentation will provide a concise overview of root resorption which will then be followed by case histories illustrating treatment rationales and treatment protocols for the various types of root resorption that is seen in the endodontic practice of today.

    CE Hours: 1.0

    Description: This presentation will provide a concise overview of root resorption which will then be followed by case histories illustrating treatment rationales and treatment protocols for the various types of root resorption that is seen in the endodontic practice of today.  

    Learning Objectives: 

    • Explain the basic etiologies and mechanisms of root resorption.
    • Identify and differentiate the various types of root resorption.
    • Creatively apply endodontic treatment principles toward the management of the resorptive process in various clinical scenarios.

    Garry L. Myers, D.D.S.

    Dr. Garry L. Myers currently serves as the graduate endodontic program director at Virginia Commonwealth University (VCU) in Richmond, Virginia. He completed his dental school education at the University of Texas Health Science Center/ San Antonio in 1985. Six years later he completed his endodontic residency program at Wilford Hall Medical Center at Lackland AFB in San Antonio. He became a Diplomate of the American Board of Endodontics in 1994. After serving on active duty for 13 years, Dr. Myers left the USAF in 1998 to enter full-time private practice in Olympia, Washington where he practiced for the next 16 years. In the summer of 2014, full time education entered the picture when Dr. Myers accepted a position at VCU where he now works. Dr. Myers has been active in organized dentistry having served as the president of the Washington State Association of Endodontists in 2006-07 and as the President of the American Association of Endodontists in 2017-18. Dr. Myers currently serves as an ABE Director and as the endodontic CODA Commissioner. He has spoken internationally at meetings in Japan, South Korea, San Diego and Guatemala.

    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.

  • Product not yet rated Contains 4 Component(s), Includes Credits Includes a Live Web Event on 06/22/2023 at 7:00 PM (CDT)

    Speaker: Jae M. Shin, DDS, MS, PhD | This course will offer broad and in-depth information regarding endodontic microbiology related to clinical practice.

    CE Hours: 1.0

    Description: This course will offer broad and in-depth information regarding endodontic microbiology related to clinical practice.

    Learning Objectives: 

    • Describe the update of old and new perspectives on endodontic microbiology.
    • Describe the microbiota of root canal infections.
    • Apply microbiological scientific evidence in clinical practice. 

     

    Jae M. Shin, DDS, MS, PhD

    Dr. Jae M. Shin is a full time endodontist and an adjunct Clinical Associate Professor at the University of Michigan. His research interests include oral microbiology and clinical research related to endodontics. Dr. Shin graduated from the University of Michigan with a DDS, MS (Endodontics) and PhD in Oral Health Sciences. Dr. Shin's career goals are to integrate evidence-based research with clinical practice to provide optimal patient care, and continue to dedicate his efforts in providing leadership, teaching, and service to the endodontic community.

    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.

  • Product not yet rated Contains 4 Component(s), Includes Credits Includes a Live Web Event on 03/28/2023 at 6:00 PM (CDT)

    Speaker: Ronald Ordinola-Zapata, DDS, MS, PhD|The relationship of the pulp and the periodontium is dynamic. Multiple anatomical and iatrogenic pathways can communicate these tissues in both health and disease. These pathways include furcation canals, dentinal cracks, and vertical root fractures. In other cases, a cemental root fracture (cemental tear) can mimic periapical pathosis. It is generally agreed that the pulp and its necrotic content affect the periodontal tissues. A controversy exists over the ability of periodontal disease to affect the dental pulp. During this presentation, we will review diagnostic techniques, the prognosis, and treatment alternatives for endo/perio lesions.

    CE Hours: 1.0

    The relationship of the pulp and the periodontium is dynamic. Multiple anatomical and iatrogenic pathways can communicate these tissues in both health and disease. These pathways include furcation canals, dentinal cracks, and vertical root fractures. In other cases, a cemental root fracture (cemental tear) can mimic periapical pathosis. It is generally agreed that the pulp and its necrotic content affect the periodontal tissues. A controversy exists over the ability of periodontal disease to affect the dental pulp. During this presentation, we will review diagnostic techniques, the prognosis, and treatment alternatives for endo/perio lesions.

    Learning Objectives: 

    • Evaluate the characteristics and clinical presentation of endo-perio lesions.
    • Discuss clinical presentation of cracked teeth, vertical root fractures and cemental tears.
    • Discuss the endodontic prognosis in cases with complex endo-perio involvement.

    Ronald Ordinola-Zapata, DDS, MS, PhD

    Dr. Ordinola Zapata obtained his D.D.S. degree in 2001 from Inca Garcilaso de la Vega University in Lima-Peru. After practicing for six years as a general dentist, Dr. Ordinola Zapata continued his career at the Endodontic Department of the University of Sao Paulo in Brazil, where he obtained a Master and a Doctoral degree in Endodontics. In 2014, he moved to USA to continue his training. Dr. Ordinola Zapata completed a two-year Advance Education in General Dentistry residency program at Larkin Community Hospital in Miami and his Endodontic residency program at the IB Bender Endodontic Division, Albert Einstein Medical Center in Philadelphia. In his academic career, Dr. Ordinola Zapata has published more than 70 scientific papers in peer-reviewed journals and lectured internationally in more than 10 countries. Dr. Ordinola Zapata also serves as Associate Editor of the International Endodontic Journal (UK) and is a member of the scientific advisory board of the Journal of Endodontics (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.

  • Product not yet rated Contains 4 Component(s), Includes Credits Includes a Live Web Event on 02/22/2023 at 6:00 PM (CST)

    Speaker: Spyros Floratos, DMD |The goal of modern endodontic microsurgery is a predictable elimination of the periapical pathosis in a minimally invasive way both for the hard and soft tissues. When we do an endodontic surgery we may solve the endodontic problem, but we may create an aesthetic problem for the patient. Knowledge of essential anatomical landmarks, soft tissue vasculature and wound healing are mandatory in order to obtain an excellent healing outcome after a microsurgical procedure. This presentation will address incisions and flap designs for all tooth locations, as well as criteria for proper flap design selection. At the same time, atraumatic flap manipulation and suturing techniques under the microscope can enhance the clinician’s surgical skills and will be thoroughly discussed throughout this presentation.

    CE Hours: 1.0

    Description: The goal of modern endodontic microsurgery is a predictable elimination of the periapical pathosis in a minimally invasive way both for the hard and soft tissues. 

    When we do an endodontic surgery we may solve the endodontic problem, but we may create an aesthetic problem for the patient. 

    Knowledge of essential anatomical landmarks, soft tissue vasculature and wound healing are mandatory in order to obtain an excellent healing outcome after a microsurgical procedure. This presentation will address incisions and flap designs for all tooth locations, as well as criteria for proper flap design selection. 

    At the same time, atraumatic flap manipulation and suturing techniques under the microscope can enhance the clinician’s surgical skills and will be thoroughly discussed throughout this presentation. 

    Learning Objectives: 

    • Describe indications of different flap designs in endodontic surgery.
    • Explain atraumatic manipulation, proper handling and predictable suturing of the mucosal tissues under the microscope.
    • Apply learned skills in muco-gingival surgical procedures. 

    Spyros Floratos, DMD

    Dr Floratos received his DMD from the University of Thessaloniki School of Dentistry in Greece in 2001. He received a Certificate in Endodontics at the University of Pennsylvania School of Dental Medicine in 2009. Since 2009, he holds an Adjunct Assistant Professor appointment at the Endodontic Department of University of Pennsylvania. He is a retired Commander of the Greek Navy and former Director of the Endodontic Department of the Athens Naval Hospital in Greece. Dr Floratos is the author of three chapters in Professor Kim & Kratchman’s textbook ‘Microsurgery in Endodontics’ published in 2017 and one chapter in Professor Tsesis’ ‘Endodontic – Periodontal Lesions’ textbook published in 2019. He has presented in endodontic meetings in USA and Europe and has published in national and international endodontic journals.

    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.

  • Contains 4 Component(s), Includes Credits

    Speaker: Alan Law, DDS, PhD |Arriving at a diagnosis for orofacial pain can be particularly challenging, and treatment without a well-formulated of diagnosis can result in mismanagement and might exacerbate existing pain. This webinar will provide a brief background on mechanisms of orofacial pain and explain why diagnosis orofacial pain can be challenging. In addition, it will cover diagnosis of conditions that might mimic pulpal and apical pain. To aid practitioners in diagnosis, the webinar will review the recently published International Classification of Orofacial Pain (ICOP).

    CE Hours: 1.0

    Description: Arriving at a diagnosis for orofacial pain can be particularly challenging, and treatment without a well-formulated of diagnosis can result in mismanagement and might exacerbate existing pain. This webinar will provide a brief background on mechanisms of orofacial pain and explain why diagnosis orofacial pain can be challenging. In addition, it will cover diagnosis of conditions that might mimic pulpal and apical pain. To aid practitioners in diagnosis, the webinar will review the recently published International Classification of Orofacial Pain (ICOP).

    Learning Objectives: 

    • Explain why non-odontogenic sources of pain can be mistaken as tooth pain by patients.
    • Explain how the International Classification of Orofacial Pain (ICOP) can be used by endodontists to aid in diagnosis.
    • List possible sources of non-odontogenic pain that might be misdiagnosed as endodontic pain.

    Alan S. Law, DDS, PhD

    Dr. Alan Law received his Doctor of Dental Surgery and Certificate in Endodontics from the University of Iowa College of Dentistry, Iowa City, Iowa. He also completed his PhD, “Mechanisms and Modulation of Orofacial Pain”, with the Department of Pharmacology at the University of Iowa. He is Immediate Past President of the American Association of Endodontists, a Past President of the Minnesota Association of Endodontists, and Past President of the American Board of Endodontics. He is in full–time practice in the Twin Cities, and President of The Dental Specialists, a multi-specialty dental practice with over 30 specialists. He is also a Research Professor in the Division of Endodontics at the University of Minnesota. 

    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: National Dental Practice-Based Research Network and the American Dental Association.

  • Product not yet rated Contains 4 Component(s), Includes Credits

    Authors: Domenico Ricucci, DDS; Isabela N. Roças, PhD; Flavio R. F. Alves, PhD; Pedro H. Cabello, PhD; Jose F. Siqueira, Jr., PhD| This retrospective study evaluated the long-term outcome of direct pulp capping in mature teeth using specific case selection and treatment procedures.

    CE Hours: 1.0

    Description: This retrospective study evaluated the long-term outcome of direct pulp capping in mature teeth using specific case selection and treatment procedures.

    At the conclusion of this article, the reader will be able to: 

    • Describe the preoperative and intraoperative clinical criteria for selection of carious teeth that can be treated with direct pulp capping using calcium hydroxide.
    • List the factors that mostly influence the pulp capping outcome.  
    • Compare the methodology adopted in the present study to those of previous follow-up studies reporting unpredictable results with calcium hydroxide. 

    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. In addition to his private practice, Dr. Ricucci was Professor of Cariology at “Magna Graecia” University of Catanzaro, Italy in 2002 -2003. He served in the Research Committee of the European Society of Endodontology from 1999 to 2005. 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.

    Isabela N. Rôças, D.D.S, M.Sc., Ph.D.

    Dr. Rôças is Professor at the Postgraduate Program in Dentistry and Head of the Molecular Microbiology Laboratory, Grande Rio University, Rio de Janeiro, RJ, Brazil. She is also Chairman and Professor at the Dental Research Group, Iguaçu University, Nova Iguaçu, RJ, Brazil. She received her DDS from State University of Rio de Janeiro, in 1992, and her certificate of endodontic specialist in Gama Filho University in 1996. In 2002, Dr. Rôças received her Master’s Degree in Clinical Bacteriology from State University of Rio de Janeiro. She concluded her PhD in Microbiology and Immunology in 2004 at Federal University of Rio de Janeiro. Dr. Rôças has co-authored the book “Treatment of Endodontic Infections” and contributed several chapters for leading international endodontic textbooks. She has published more than 220 scientific articles. Dr. Rôças has served as a reviewer for many international journals and is currently a member of the Editorial Board of the Frontiers in Dental Medicine journal.

    Flávio Rodrigues Ferreira Alves, D.D.S., M.Sc., Ph.D.

    Dr. Alves is the Coordinator of the Post-Graduate Program in Dentistry at Grande Rio University, Master's and Doctorate levels. He is also Professor of Endodontics at Iguaçu University. He received his DDS, endodontic certificate, and master's degree from Estácio de Sá University, Rio de Janeiro, in 1999, 2002, and 2004, respectively. Dr. Alves concluded his PhD in Microbiology and Immunology in 2008 at the Federal University of Rio de Janeiro. Dr. Alves has served as an associate editor of the European Endodontic Journal and Journal of Clinical and Experimental Dentistry, as well as a reviewer of numerous international journals. He has also contributed to more than 130 scientific papers.

    Pedro Cabello, B.S., Ph.D.

    Dr. Cabello is coordinator of the Genetics Laboratory at the University of Grande Rio and advisor in the Graduate Programs in Cellular and Molecular Biology at the Oswaldo Cruz Institute (Fiocruz/Rio de Janeiro) and at the Translational Biomedicine Program at the University of Grande Rio (Rio de Janeiro). He graduated in Biological Sciences at the Universidad Nacional Mayor de San Marcos in 1967 (Lima, Peru); he earned his master's degree in genetics in 1973 and his doctorate in science in 1977, both at the University of São Paulo (São Paulo/Brazil). Dr. Cabello was a Researcher at the Oswaldo Cruz Institute in Rio de Janeiro (1986-2014), where he was Head of the Human Genetics Laboratory. He has extensive experience in Applied Statistics to Biomedical Sciences and Genetics, leading two research groups of the National Council of Science and Technology (CNPq/Brazil), and has published more than 100 papers.

    José F. Siqueira Jr, D.D.S., M.Sc., Ph.D.

    Dr. Siqueira is Professor at the Postgraduate Program in Dentistry, Grande Rio University, Rio de Janeiro, RJ, Brazil. He is also Chairman and Professor at the Dental Research Group, Iguaçu University, Nova Iguaçu, RJ, Brazil. He received his DDS from Gama Filho University, Rio de Janeiro in 1989, and his endodontic certificate from Federal University of Rio de Janeiro in 1992. In 1996, he received his Master’s Degree in Microbiology and Immunology from Federal University of Rio de Janeiro. He concluded his PhD in Microbiology and Immunology in 1998 at Federal University of Rio de Janeiro. Dr. Siqueira has co-authored the books “Treatment of Endodontic Infections” and "Endodontology: An Integrated Biological and Clinical View", and other 8 books about Endodontics, Microbiology or Immunology. He has also contributed several chapters for leading international endodontic textbooks as well as more than 420 scientific papers. Dr. Siqueira is the recipient of the 2014 Louis I. Grossman award from the American Association of Endodontists (AAE) and the 2012 Louis I. Grossman award from the French Society of Endodontics (SFE). He served as an Associate Editor for the Journal of Endodontics from 2006 to 2008 and is currently a member of the Scientific Advisory Board of the Journal of Endodontics and the Editorial Board of the Journal of Oral Microbiology, British Dental Journal Open and Frontiers in Dental Medicine. He also serves as a reviewer for several other international journals and is actively lecturing on endodontics world-wide.

  • Contains 4 Component(s), Includes Credits

    Authored by Dr. Keith V. Krell| The incidences of cracked teeth have increased significantly in the United States over the last decade! Even before the pandemic, the AAE 2015 Special Committee on the Methodology of Cracked Tooth Studies conducted a survey and found 49% of 941 endodontists had seen an increase of cracked teeth and vertical root fractures compared with the previous decades. (1) Poor occlusion, bruxism/parafunctional habits, and wedging events combined with repetitive forces are all potential etiologies for tooth cracks. As these early cracks develop, bacteria and biofilms can form, eventually progressing towards the pulp and resulting in pulpal necrosis. (2) Cracks when left untreated, can propagate into fractures resulting in catastrophic failures and tooth loss, such as in the incidence of a split tooth. (3)

    CE Hours: 0.5

    Description: The incidences of cracked teeth have increased significantly in the United States over the last decade! Even before the pandemic, the AAE 2015 Special Committee on the Methodology of Cracked Tooth Studies conducted a survey and found 49% of 941 endodontists had seen an increase of cracked teeth and vertical root fractures compared with the previous decades. (1) Poor occlusion, bruxism/parafunctional habits, and wedging events combined with repetitive forces are all potential etiologies for tooth cracks. As these early cracks develop, bacteria and biofilms can form, eventually progressing towards the pulp and resulting in pulpal necrosis. (2) Cracks when left untreated, can propagate into fractures resulting in catastrophic failures and tooth loss, such as in the incidence of a split tooth. (3) 

    Early in the COVID-19 pandemic, a Sept. 11, 2020, article in USA Today reported that endodontists were seeing twice as many cracked teeth as they did in the prior year. (4) The March 21, 2021, ADA Huddle reported that an ADA Health policy survey had found a rise in stress-related tooth damage linked to pandemic stress. (5) More recently, the JOE published an article comparing the incidence of cracked teeth in a private endodontic practice over three years (2019, 2020, and 2021), showing a significant increase in the incidence of cracked teeth in the 40-60 age group (2020) and males 40-60 and over-60 age groups in 2021. (6) Regardless of direct or indirect causes, the diagnosis of cracked teeth was already highly prevalent before the pandemic and has subsequently and substantially increased since that time. We are at a point where we must include cracked teeth and vertical root fractures in almost every differential diagnosis of tooth pain.

    Let us look at the new definitions of cracked teeth and vertical root fractures.

    Learning Objectives:

    • Discuss the most recent definitions used for longitudinal fractures of teeth.
    • Describe the clinical diagnostic features of both cracked teeth and vertical root fractures. 
    • Describe the radiographic features of both cracked teeth and vertical root fractures.
    • Discuss current treatment options for both cracked teeth and vertical root fractures.
    • Discuss prognosis for cracked teeth requiring root canal treatment using the Iowa Staging Index.

    Keith V. Krell, D.D.S., M.S., M.A.

    Dr. Krell has been an endodontist for 40 years. He was a full time educator for 8 years at the University of Iowa and was in private practice in West Des Moines, Iowa for 29 years until he retired December 31,2017. He is still an adjunct clinical Professor in the department of Endodontics at the University of Iowa College of Dentistry. He now works part-time at Broadlawns Hospital in the Dental Department treating Medicaid patients. In 1993, he retired from the United States Army National Guard as a lieutenant colonel after 22 years of service. He is the immediate past president of the AAE, and past president of the ABE and AAEF (now the Foundation for Endodontics). He is a Diplomate of the American Board of Endodontics and is a Fellow in the American College of Dentists and the International College of Dentists.

    Dr. Krell has been married for 49.5 years to Diane and they have two grown children, Rayda and Nathan and five grandchildren. He still has research interests in cracked teeth and vertical root fractures and has provided continuing education nationally and internationally for the past 40 years. He has played guitar for more than 50 years and has collected guitars for the past 30 years.

    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.