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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 08/04/2026 at 6:00 PM (CDT)
Speaker: Amir Azarpazhooh, D.D.S., M.SC., F.R.C.D. (C) (DPH), CERT. ENDO., PhD, F.R.C.D. (C) (ENDO), Dip ABE|The cornerstone of evidence-based decision-making in endodontics relies on the critical analysis of relevant and methodologically rigorous studies. Understanding prognostic outcomes in contemporary endodontics is essential for making informed treatment choices. However, studies on nonsurgical endodontic initial treatment and retreatment demonstrate variability, partly due to outdated practices that do not reflect current standards of care. Modern endodontics has undergone significant evolution with advancements in tools, materials, and technologies. This contemporary armamentarium allows clinicians to manage complex anatomical and pathological challenges with greater precision and predictability, marking a clear departure from conventional methods. These innovations underscore the importance of integrating state-of-the-art equipment and techniques into everyday clinical practice. This webinar aims to provide a comprehensive and up-to-date review of contemporary nonsurgical endodontic initial treatment and retreatment by examining robust research to understand expected outcomes and identify key prognostic factors. The primary objective is to equip clinicians with the knowledge required to make informed decisions, ultimately contributing to improved long-term outcomes in endodontic care.
CE Hours: 1.0
Description: The cornerstone of evidence-based decision-making in endodontics relies on the critical analysis of relevant and methodologically rigorous studies. Understanding prognostic outcomes in contemporary endodontics is essential for making informed treatment choices. However, studies on nonsurgical endodontic initial treatment and retreatment demonstrate variability, partly due to outdated practices that do not reflect current standards of care. Modern endodontics has undergone significant evolution with advancements in tools, materials, and technologies. This contemporary armamentarium allows clinicians to manage complex anatomical and pathological challenges with greater precision and predictability, marking a clear departure from conventional methods. These innovations underscore the importance of integrating state-of-the-art equipment and techniques into everyday clinical practice. This webinar aims to provide a comprehensive and up-to-date review of contemporary nonsurgical endodontic initial treatment and retreatment by examining robust research to understand expected outcomes and identify key prognostic factors. The primary objective is to equip clinicians with the knowledge required to make informed decisions, ultimately contributing to improved long-term outcomes in endodontic care.
Learning Objectives:
- Discuss the significance of critical appraisal skills for a comprehensive understanding of the literature.
- Explore the anticipated outcomes of contemporary nonsurgical endodontic treatment and retreatment.
- Identify the important prognostic factors affecting the outcomes of contemporary nonsurgical endodontic treatment and retreatment.
Amir Azarpazhooh, D.D.S., M.SC., F.R.C.D. (C) (DPH), CERT. ENDO., PhD, F.R.C.D. (C) (ENDO), Dip ABE
Dr. Amir Azarpazhooh (pronounced “Azar pa joo”) earned his DDS (Iran, 2001) and completed graduate training in Dental Public Health (2007), Endodontics (2010), and a PhD (2011) at the University of Toronto. He is a tenured Full Professor of Dentistry at the University of Toronto, specializing in Dental Public Health and Endodontics, and a Professor of Clinical Epidemiology at the Dalla Lana School of Public Health. He is also an investigator with the Toronto Health Economics and Technology Assessment Collaborative and leads the Divisions of Endodontics and Research at Mount Sinai Hospital. He has secured $1.5 million in research funding, supervised forty-five MSc and PhD trainees, edited an evidence-based dentistry textbook, authored seven book chapters, and published three hundred papers. His work has been cited over seven thousand times and is reflected in an H-index of forty-four and an I10-index of ninety-nine. He has delivered more than ninety presentations at national and international meetings and has received honours from Cochrane Canada, the Canadian Academy of Endodontics, the American Association of Endodontists, the WW Wood Award for Excellence in Dental Education, and multiple Journal of Endodontics Publication Awards (2020–2024). He also serves as an Associate Editor for the Journal of Endodontics. He is a Board-Certified Diplomate and Director of the American Board of Endodontics (2025–2028), and a fellow, examiner and a member of Board of Directors of the Royal College of Dentists of Canada. He practices part-time in a multi-specialty setting in Toronto and provides endodontic care to medically compromised patients at Mount Sinai Hospital.
I declare that I have NO 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.
- Discuss the significance of critical appraisal skills for a comprehensive understanding of the literature.
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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 07/10/2026 at 12:00 PM (CDT)
Speaker: Spyros Floratos, DMD|Vertical Root fracture (VRF) is a longitudinally oriented complete or incomplete fracture of the root that originates from its apical end and propagates coronally and is defined as one of the crack types. According to the literature, VRF is the third most common reason for extraction of an endodontically treated tooth. Prognosis of vertically fractured teeth is usually questionable or poor, oftentimes leading to extraction. Concerning incomplete VRFs, several surgical techniques have been described. A predictable microsurgical technique involves elimination of the fractured part of the root with simultaneous preservation of the healthy root length and regenerative technique to enhance bone reformation. This technique can ultimately save the teeth, obtain periradicular bone healing and restore functionality. The purpose of this presentation is to highlight microscopic surgical preservation for teeth with incomplete VRF in maxillary and mandibular teeth both posterior and anterior. Case selection for application of these techniques is critical, because incomplete vertical fractures are difficult to diagnose.
CE Hours: 1.0
Description: Vertical Root fracture (VRF) is a longitudinally oriented complete or incomplete fracture of the root that originates from its apical end and propagates coronally and is defined as one of the crack types. According to the literature, VRF is the third most common reason for extraction of an endodontically treated tooth. Prognosis of vertically fractured teeth is usually questionable or poor, oftentimes leading to extraction. Concerning incomplete VRFs, several surgical techniques have been described. A predictable microsurgical technique involves elimination of the fractured part of the root with simultaneous preservation of the healthy root length and regenerative technique to enhance bone reformation. This technique can ultimately save the teeth, obtain periradicular bone healing and restore functionality. The purpose of this presentation is to highlight microscopic surgical preservation for teeth with incomplete VRF in maxillary and mandibular teeth both posterior and anterior. Case selection for application of these techniques is critical, because incomplete vertical fractures are difficult to diagnose.
Learning Objectives:
- Diagnose and identify incomplete VRFs on endodontically treated teeth.
- Familiarize with elimination of the VRF line and preservation of sound root structure using microsurgical techniques.
- Describe the case selection criteria for applying microsurgical treatment on endodontically treated teeth with a VRF.
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 2018 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.
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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 05/14/2026 at 12:00 PM (CDT)
Speaker: João Filipe Brochado Martins, DDS, MsC|Selective root canal retreatment (sRCR) offers a minimally invasive alternative to full retreatment by addressing only diseased roots while preserving healthy ones. This webinar will explore the clinical efficacy, benefits, and risks of sRCR, with a focus on tooth preservation, fracture resistance, and cost-effectiveness. Participants will gain practical insights into integrating this philosophy into daily practice.
CE Hours: 1.0
Description: Selective root canal retreatment (sRCR) offers a minimally invasive alternative to full retreatment by addressing only diseased roots while preserving healthy ones. This webinar will explore the clinical efficacy, benefits, and risks of sRCR, with a focus on tooth preservation, fracture resistance, and cost-effectiveness. Participants will gain practical insights into integrating this philosophy into daily practice.
Learning Objectives:
- Describe at least two key findings on the clinical efficacy of selective root canal retreatment (sRCR) compared to full retreatment.
- Analyze how sRCR contributes to tooth preservation and fracture resistance
- Compare the relative cost-effectiveness of sRCR versus full root canal retreatment, identifying at least one patient-centered and one practice-centered implication.
João Filipe Brochado Martins, DDS, MsC
Dr. João Brochado Martins earned his dental degree from the University of Coimbra, Portugal, in 2013. After relocating to the Netherlands in 2016, he completed a postgraduate Master’s Program in Oral Health Sciences, specializing in Endodontology, at the Academic Centre for Dentistry Amsterdam (ACTA) from 2019 to 2022. He is currently a faculty member at ACTA, where he teaches undergraduate dental students and contributes to the postgraduate endodontics program.
In addition to his academic role, Dr. Brochado Martins maintains a referral-based clinical practice limited to endodontics. He is pursuing his PhD and has published in several international peer-reviewed journals. He also serves as a reviewer for leading journals and is a member of the Editorial Board of the European Endodontic Journal.
Dr. Brochado Martins is an active member of multiple professional organizations, including the Dutch Society of Endodontics (NVvE and TEN), the European Society of Endodontology (ESE), the Portuguese Society of Endodontics (SPE), and the American Association of Endodontists (AAE).Disclosure: I declare I have NO 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.
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Contains 5 Component(s), Includes Credits
Speaker: Steven D. Bender, DDS|While botulinum toxin is most widely recognized for its cosmetic applications, its therapeutic value in dentistry-and specifically in pain management-is rapidly expanding. This presentation will explore the scientific basis and clinical applications of botulinum toxin for managing pain and dysfunction in the orofacial region. Particular emphasis will be placed on its role in the endodontic practice. Attendees will gain an evidence-based understanding of how botulinum toxin works at the neuromuscular junction, as well as the central nervous system. Current research will be presented to provide a well-balanced overview of the applications for dental practice. Through didactic information and clinical case presentations this session will challenge participants to consider how botulinum toxin may enhance outcomes in complex pain management and interdisciplinary care and provide the endodontic specialist with an additional tool for pain management in clinical practice.
CE Hours: 1.0
Description: While botulinum toxin is most widely recognized for its cosmetic applications, its therapeutic value in dentistry-and specifically in pain management-is rapidly expanding. This presentation will explore the scientific basis and clinical applications of botulinum toxin for managing pain and dysfunction in the orofacial region. Particular emphasis will be placed on its role in the endodontic practice. Attendees will gain an evidence-based understanding of how botulinum toxin works at the neuromuscular junction, as well as the central nervous system. Current research will be presented to provide a well-balanced overview of the applications for dental practice. Through didactic information and clinical case presentations this session will challenge participants to consider how botulinum toxin may enhance outcomes in complex pain management and interdisciplinary care and provide the endodontic specialist with an additional tool for pain management in clinical practice.
Learning Objectives:
- Describe the pharmacology and mechanism of action of botulinum toxin relevant to dental applications.
- Identify clinical scenarios in endodontics where botulinum toxin may be beneficial, including persistent pain and suspected muscular disorders.
- Evaluate the current evidence supporting or disputing the therapeutic use of botulinum toxin in dentistry.
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Contains 5 Component(s), Includes Credits
Speaker: Ronald Zapata, Associate Professor, Division of Endodontics and Mohamed Ibrahim, BDS, MS, DMD, PhD|As endodontics advances into a new era of technological innovation, practitioners have access to an increasingly broad range of adjunctive irrigation devices and disinfection techniques. Technologies such as lasers and multisonic systems offer the potential for enhanced clinical outcomes; however, their efficacy warrants careful evaluation. This presentation will provide an in-depth review of adjunctive irrigation techniques-including sonics, ultrasonics, lasers, multisonic systems, and other emerging technologies-framed within the principles of evidence-based endodontics. Participants will gain comprehensive insights into the existing research landscape, including its current limitations, challenges, and prospects for future advancement. This session aims to present a balanced perspective to support informed decision-making and effective integration of innovations in contemporary endodontic practice.
CE Hours: 1.5
Description: As endodontics advances into a new era of technological innovation, practitioners have access to an increasingly broad range of adjunctive irrigation devices and disinfection techniques. Technologies such as lasers and multisonic systems offer the potential for enhanced clinical outcomes; however, their efficacy warrants careful evaluation. This presentation will provide an in-depth review of adjunctive irrigation techniques-including sonics, ultrasonics, lasers, multisonic systems, and other emerging technologies-framed within the principles of evidence-based endodontics. Participants will gain comprehensive insights into the existing research landscape, including its current limitations, challenges, and prospects for future advancement. This session aims to present a balanced perspective to support informed decision-making and effective integration of innovations in contemporary endodontic practice.
Learning Objectives:
- Revisit the fundamental goals of root canal disinfection and how modern irrigation devices may enhance or fall short of those goals.
- Discuss the challenges in generating high-quality evidence for adjunctive irrigation and the limitations of current research methodologies.
- Analyze the clinical effectiveness and limitations of advanced irrigation technologies.
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Contains 5 Component(s), Includes Credits
Speaker: Fred Barnett, D.MD|Root resorption is a common sequelae after traumatic injuries to the periodontal ligament and/or dental pulp. The course of root resorption involves an elaborate interaction among inflammatory cells and mediators, resorbing 'clastic' cells, and hard tissue structures. Types of tooth resorption include internal and external resorption. Internal resorption has been categorized into internal replacement and internal inflammatory resorption. External resorption has been classified into four categories by its clinical and histologic manifestations: external surface, external inflammatory, replacement and ankylosis. This presentation will address the etiology, diagnosis and clinical management of root resorption.
CE Hours: 1.0
Description: Root resorption is a common sequelae after traumatic injuries to the periodontal ligament and/or dental pulp. The course of root resorption involves an elaborate interaction among inflammatory cells and mediators, resorbing 'clastic' cells, and hard tissue structures. Types of tooth resorption include internal and external resorption. Internal resorption has been categorized into internal replacement and internal inflammatory resorption. External resorption has been classified into four categories by its clinical and histologic manifestations: external surface, external inflammatory, replacement and ankylosis. This presentation will address the etiology, diagnosis and clinical management of root resorption.
Learning Objectives:
- Describe the etiology and pathogenesis of the different types of root resorption.
- Develop a comprehensive treatment approach for teeth with root resorption.
- Identify the challenges involved when a tooth becomes ankylosed in the growing child.
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Contains 5 Component(s), Includes Credits
Speaker: Domenico Ricucci, MD, D.D.S|This presentation explores the biological relevance of filling lateral canals, grounded in histologic evidence and clinical observations. In the initial phase, the pulp's histological response to bacterial invasion is described. As bacteria colonize the necrotic tissue near the pulp chamber, an inflammatory response develops, while surrounding tissues remain uninflamed. Over time, with or without symptoms, necrosis progresses beyond the root canal orifices, and bacterial biofilms form along canal walls and anatomical complexities. When degeneration involves lateral canals, localized inflammation occurs, typically milder toward the periodontal ligament due to its rich blood supply. Eventually, biofilms may also form in these areas and, in some cases, extend beyond the root canal system, leading to extraradicular infections. The effectiveness of current cleaning protocols and modern devices in removing vital or necrotic tissue from lateral canals is critically evaluated through extensive histological studies on human specimens. It is shown that complete debridement is unachievable, and that forcing obturation materials into lateral canals does not equate to meaningful or effective filling. The discussion is supported by clinical cases and videos, offering a biologically and histologically informed perspective on whether filling lateral canals contributes to healing and long-term success.
CE Hours: 1.5
Description: This presentation explores the biological relevance of filling lateral canals, grounded in histologic evidence and clinical observations. In the initial phase, the pulp's histological response to bacterial invasion is described. As bacteria colonize the necrotic tissue near the pulp chamber, an inflammatory response develops, while surrounding tissues remain uninflamed. Over time, with or without symptoms, necrosis progresses beyond the root canal orifices, and bacterial biofilms form along canal walls and anatomical complexities. When degeneration involves lateral canals, localized inflammation occurs, typically milder toward the periodontal ligament due to its rich blood supply. Eventually, biofilms may also form in these areas and, in some cases, extend beyond the root canal system, leading to extraradicular infections. The effectiveness of current cleaning protocols and modern devices in removing vital or necrotic tissue from lateral canals is critically evaluated through extensive histological studies on human specimens. It is shown that complete debridement is unachievable, and that forcing obturation materials into lateral canals does not equate to meaningful or effective filling. The discussion is supported by clinical cases and videos, offering a biologically and histologically informed perspective on whether filling lateral canals contributes to healing and long-term success.
Learning Objectives:
- Describe the histological response of the pulp and periapical tissues to bacterial invasion, including the formation of biofilms within lateral canals.
- Evaluate the limitations of current endodontic techniques in cleaning and effectively filling lateral canals, based on histological evidence.
- Assess the clinical significance of lateral canal involvement in endodontic infections and healing outcomes, with a biologically informed perspective.
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Contains 5 Component(s), Includes Credits
Speaker: Matthew Davis, DDS|Endodontists are the specialists uniquely positioned to diagnose, manage, and prognosticate cracked and fractured teeth. Challenges of managing these cases abound due to multiple variables and inherent complexities. This presentation examines longitudinal tooth fractures from both a broad clinical perspective and a focused analysis of the literature to provide clarity on correct management. It specifically explores evidence-based modifications to our endodontic protocols that appear to improve the prognosis not just for endodontically-treated cracked teeth, but for all of our procedures generally . Recent clinical evidence suggests that treatment of cracked teeth, including those with radicular extension, can provide lasting benefits for patients and that the alternative of extraction and implant poses a significantly inferior option. Ours is the specialty of saving compromised teeth and this presentation reports insights into how we can provide more of this service to our patients and bolster our outcomes.
CE Hours: 1.5
Description: Endodontists are the specialists uniquely positioned to diagnose, manage, and prognosticate cracked and fractured teeth. Challenges of managing these cases abound due to multiple variables and inherent complexities. This presentation examines longitudinal tooth fractures from both a broad clinical perspective and a focused analysis of the literature to provide clarity on correct management. It specifically explores evidence-based modifications to our endodontic protocols that appear to improve the prognosis not just for endodontically-treated cracked teeth, but for all of our procedures generally . Recent clinical evidence suggests that treatment of cracked teeth, including those with radicular extension, can provide lasting benefits for patients and that the alternative of extraction and implant poses a significantly inferior option. Ours is the specialty of saving compromised teeth and this presentation reports insights into how we can provide more of this service to our patients and bolster our outcomes.
Learning Objectives:
- Explain how recent studies indicate that with proper management, endodontically treated cracked teeth, even those with radicular extension of the crack, should have favorable prognoses
- Describe how new evidence-based modifications to our procedures and post-operative protocols help us control certain variables that are relevant to outcomes not only for treatment of cracked teeth, but for all of our surgical and non-surgical endodontic procedures
- Explain how, with the increasing awareness of dental implant problems and patients' resolve to save their teeth, we endodontists can help patients save even more of their compromised teeth.
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Contains 5 Component(s), Includes Credits
Speaker: Zameera Fida, D.MD|Endodontists often care for patients with diverse and complex medical conditions. This session will explore the special health care needs encountered in both pediatric and adult populations, emphasizing how these considerations influence treatment planning. Participants will learn to identify critical information from patient histories that can impact clinical decision making. In addition, the presentation will review effective non-pharmacologic strategies for patient management, equipping clinicians with practical approaches to deliver safe, patient-centered care.
CE Hours: 1.0
Description: Endodontists often care for patients with diverse and complex medical conditions. This session will explore the special health care needs encountered in both pediatric and adult populations, emphasizing how these considerations influence treatment planning. Participants will learn to identify critical information from patient histories that can impact clinical decision making. In addition, the presentation will review effective non-pharmacologic strategies for patient management, equipping clinicians with practical approaches to deliver safe, patient-centered care.
Learning Objectives:
- Identify what is considered a special health care need and the prevalence of common conditions which an endodontist may encounter in practice.
- Identify key medical conditions that influence endodontic treatment planning and clinical decision-making across diverse patient populations.
- Integrate practical, non-pharmacologic approaches into your practice for treatment of patients with special health care needs.
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Contains 5 Component(s), Includes Credits
Speaker: Gianluca Plotino, DDS, PhD|The MB2 canal, an anatomical feature present in maxillary molars, has garnered significant attention in endodontics due to its clinical significance and challenges in identification and treatment. This lecture aims to explore strategies for predictably locating and treating the MB2 canal, enhancing clinicians' ability to achieve successful endodontic outcomes. The first part of the lecture delves into the anatomy of maxillary molars, emphasizing the variability and prevalence of the MB2 canal. Understanding the internal morphology of these teeth is crucial for predicting the presence and location of additional canals, such as the elusive MB2. Next, the lecture will review diagnostic techniques and technologies that aid in MB2 canal detection. From advanced imaging modalities like CBCT to clinical indicators such as the presence of additional orifices, attendees will learn practical methods for identifying the MB2 canal during treatment planning. The main focus will then shift to treatment protocols optimized for managing the MB2 canal. Techniques like modified access openings, careful exploration using ultrasonic tips and microscopes, and negotiation with specific instruments will be discussed in detail. Case studies illustrating successful MB2 canal treatment will be presented, highlighting key learning points and common pitfalls to avoid. Emphasis will be placed on predictable and efficient workflows that can be incorporated into everyday practice. In conclusion, this lecture will empower attendees with the knowledge and skills necessary to confidently navigate the complexities of the MB2 canal, ultimately improving clinical outcomes and patient satisfaction in endodontic procedures involving maxillary molars.
CE Hours: 1.0
Description: The MB2 canal, an anatomical feature present in maxillary molars, has garnered significant attention in endodontics due to its clinical significance and challenges in identification and treatment. This lecture aims to explore strategies for predictably locating and treating the MB2 canal, enhancing clinicians' ability to achieve successful endodontic outcomes. The first part of the lecture delves into the anatomy of maxillary molars, emphasizing the variability and prevalence of the MB2 canal. Understanding the internal morphology of these teeth is crucial for predicting the presence and location of additional canals, such as the elusive MB2. Next, the lecture will review diagnostic techniques and technologies that aid in MB2 canal detection. From advanced imaging modalities like CBCT to clinical indicators such as the presence of additional orifices, attendees will learn practical methods for identifying the MB2 canal during treatment planning. The main focus will then shift to treatment protocols optimized for managing the MB2 canal. Techniques like modified access openings, careful exploration using ultrasonic tips and microscopes, and negotiation with specific instruments will be discussed in detail. Case studies illustrating successful MB2 canal treatment will be presented, highlighting key learning points and common pitfalls to avoid. Emphasis will be placed on predictable and efficient workflows that can be incorporated into everyday practice. In conclusion, this lecture will empower attendees with the knowledge and skills necessary to confidently navigate the complexities of the MB2 canal, ultimately improving clinical outcomes and patient satisfaction in endodontic procedures involving maxillary molars.
Learning Objectives:
- Discuss practical methods for identifying the MB2 canal during treatment planning
- Describe treatment protocols optimized for managing the MB2 canal
- Perform predictable and efficient workflows that can be incorporated into everyday practice