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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 12/12/2025 at 12:00 PM (CST)
Speaker: Daniel Cerny MUDr., Ph.D.| Immediate adhesive restoration of endodontically treated tooth provides both structural rehabilitation and microbiological isolation to the root canal treated tooth. In the hands of the treating endodontist, it provides both functions on the spot. No insecure period, no risk of reinfection, no need to put rubber dam again. Key elements of such restorations will be provided together with plethora of clinical cases.
CE Hours: 1.0
Description: Immediate adhesive restoration of endodontically treated tooth provides both structural rehabilitation and microbiological isolation to the root canal treated tooth. In the hands of the treating endodontist, it provides both functions on the spot. No insecure period, no risk of reinfection, no need to put rubber dam again. Key elements of such restorations will be provided together with plethora of clinical cases.
Learning Objectives:
- Describe the core principles of root canal treated tooth restoration
- Indicate the limits of adhesive endo-restorations
- Describe appropriate clinical steps and their technical details
Daniel Cerny, MUDr., PhD
Daniel Cerny (*1974) has received his dental degree at the Charles University, Medical School in Hradec Kralove, Czech Republic (1998). Doctorate degree earned at Palacky University in Olomouc in 2018 with the topic of adhesive post-endodontic treatment.
Part-time faculty member at Palacky University Olomouc (2019-2021). Previously an assistant professor at Charles University, Medical School in Hradec Kralove at the Dpt of Conservative Dentistry and Endodontics (1998-2007).
Private practice in Hradec Kralove limited to endodontics and adhesive dentistry since 2001.
Immediate Past President of the Czech Endodontic Association (CES) 2015-2023.Disclosure(s): Micerium: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)
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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 08/27/2025 at 6:00 PM (CDT)
Speaker: Justin Klonick, DDS|Bacterial testing of root canal systems in patients has traditionally presented with many difficulties. The culture technique never gained wide acceptance as the procedure is arduous and time consuming. DNA-based identification such as polymerase chain reaction suffers from high false positive readings by detecting DNA from dead bacterial cells. A newly introduced ATP assay detection method provides rapid identification of organic residues in root canal systems by detecting ATP, as well as its degradation products ADP and AMP, using a combination of luminescent reactions. The resulting luminescence is measured and displayed as a 0 – 100 Endoscore, with low scores indicating less cellular (bacterial) contamination. The ability to acquire results within 10 seconds can have significant ramifications in endodontics by allowing dentists to assess and modify cleaning and disinfection protocols in real time. Extrapolating data from research in extracted teeth, with artificially created biofilm, to clinical treatment of patients is complicated with potential inaccurate and erroneous inferences. This presentation will review the ATP assay detection method and present data illustrating how this method can be used to validate an Er,Cr:YSGG laser-assisted endodontic protocol for the cleaning and disinfection of root canal systems.
CE Hours: 1.0
Description: Bacterial testing of root canal systems in patients has traditionally presented with many difficulties. The culture technique never gained wide acceptance as the procedure is arduous and time consuming. DNA-based identification such as polymerase chain reaction suffers from high false positive readings by detecting DNA from dead bacterial cells.
A newly introduced ATP assay detection method provides rapid identification of organic residues in root canal systems by detecting ATP, as well as its degradation products ADP and AMP, using a combination of luminescent reactions. The resulting luminescence is measured and displayed as a 0 – 100 Endoscore, with low scores indicating less cellular (bacterial) contamination.
The ability to acquire results within 10 seconds can have significant ramifications in endodontics by allowing dentists to assess and modify cleaning and disinfection protocols in real time. Extrapolating data from research in extracted teeth, with artificially created biofilm, to clinical treatment of patients is complicated with potential inaccurate and erroneous inferences.
This presentation will review the ATP assay detection method and present data illustrating how this method can be used to validate an Er,Cr:YSGG laser-assisted endodontic protocol for the cleaning and disinfection of root canal systems.
Learning Objectives:
- Describe a rapid chair-side test for root canal cleanliness
- Test to evaluate endodontic treatment protocols.
- Describe how this test can be utilized to evaluate the efficacy of a laser-assisted endodontic protocol, utilizing an Er,Cr:YSGG laser, for the cleaning and disinfection of complex root canal systems.
Justin Klonick, DDS
Dr. Kolnick received his dental degree, cum laude, from the University of the Witwatersrand in South Africa, where he was the first dental school graduate to be awarded the University Scholarship for Overseas Postgraduate Study. He received his postdoctoral endodontic training from Columbia University in the City of New York.
Dr. Kolnick has been committed to endodontic education, first as an Associate Clinical Professor in Endodontics at Columbia University and then as an Attending at Westchester Medical Center and an Associate Clinical Professor in Endodontics at New York Medical College. Although he no longer holds these positions, he continues to lecture extensively on local, national and international levels and has published several articles on endodontics. Dr. Kolnick is dedicated to fostering excellence in endodontics through education and the incorporation of the latest technology. For the past 18 years, his experience and expertise in lasers has made a significant contribution to the development of a comprehensive, laser-assisted treatment concept in endodontics.
Disclosure(s): Biolase, EdgeEndo: Consultant, Honorarium/Gift
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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 05/21/2025 at 6:00 PM (CDT)
Speaker: Gabriela Lagreca, DMD|We'll examine key survival rates and success metrics for both options, delving into the fundamental distinctions between teeth and implants. The presentation identifies crucial factors that influence tooth preservation and evaluates the documented evidence regarding implant performance over time compared to natural dentition. Drawing from current research, we'll analyze which restoration approaches and treatment strategies demonstrate optimal long-term outcomes. This evidence-based discussion aims to provide clarity on the durability and effectiveness of both treatment pathways, helping inform clinical decision-making for lasting dental solutions.
CE Hours: 1.0
Description:
We'll examine key survival rates and success metrics for both options, delving into the fundamental distinctions between teeth and implants. The presentation identifies crucial factors that influence tooth preservation and evaluates the documented evidence regarding implant performance over time compared to natural dentition. Drawing from current research, we'll analyze which restoration approaches and treatment strategies demonstrate optimal long-term outcomes. This evidence-based discussion aims to provide clarity on the durability and effectiveness of both treatment pathways, helping inform clinical decision-making for lasting dental solutions.
Learning Objectives:
- Explain the similarities and differences between a tooth and an implant in terms of long-term survival
- Recognize the factors for clinically acceptable results and success
- Discuss treatment planning alternatives and sustainability of treatment
Gabriela Lagreca, DDS, DMD, MBA, FACP
Dr. Lagreca is a Board-Certified Prosthodontist and fellow of the American Board of Prosthodontics. She received her first dental degree (DDS) from the Universidad Central de Venezuela in Caracas. She then received her certificate in Prosthodontics, Implant Fellowship training and and currently Doctor of Dental Medicine (DMD) degrees from Tufts University School of Dental Medicine (TUSDM). Dr. Lagreca teaches in classroom, clinical and preclinical prosthodontics to pre and postdoctoral residents and supports the Office of Academic Affairs in faculty development, training, and calibration. Dr. Lagreca is the President of the American College of Prosthodontics Massachusetts section, where she leads the prosthodontics community in the state, organizes continuing education programs and collaborates with dental professionals and educators from Harvard, Tufts and Boston University. Dr. Lagreca’s achievements have been recognized by the Incisal Edge Magazine 40-under-40 2021 Award and The American Dental Association.
In accordance with this policy, I declare I do not 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.
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Contains 5 Component(s), Includes Credits
Speaker: Nelson L. Rhodus, DMD, MPH, FICD, FRCSEd|Systemic health is related to oral health and vice versa. Many systemic diseases are manifested in the oral cavity and many oral conditions and therapies have a profound impact upon systemic diseases. In addition, some of the therapies used to these conditions have significant effects on the oral cavity. For those reasons, it is important for dentists ( and dental health care professionals) to know about their patients' medical conditions before treating them and to understand which diseases manifest themselves in the oral cavity. This course will present a thorough overview of the principles of the management of medical conditions in dental patients, Furthermore, the participant will be updated upon current understanding and treatment of oral conditions such as oral cancer, xerostomia, lichen planus and candidiasis among others.
CE Hours: 1.5
Description: Systemic health is related to oral health and vice versa. Many systemic diseases are manifested in the oral cavity and many oral conditions and therapies have a profound impact upon systemic diseases. In addition, some of the therapies used to these conditions have significant effects on the oral cavity. For those reasons, it is important for dentists ( and dental health care professionals) to know about their patients' medical conditions before treating them and to understand which diseases manifest themselves in the oral cavity. This course will present a thorough overview of the principles of the management of medical conditions in dental patients, Furthermore, the participant will be updated upon current understanding and treatment of oral conditions such as oral cancer, xerostomia, lichen planus and candidiasis among others.
Learning Objectives:
- Describe the changing epidemiology of medical problems in dental patients
- Review the medical manifestations and treatment options for medical problems in dental patients
- Identify the oral manifestations and potential complications of medical problems in dental patients
Educational support provided by Endodontic Practice Partners
Nelson L. Rhodus, D.M.D., M.P.H.
NELSON L RHODUS, DMD, MPH, FICD, FRCSEd, FAAOM, Diplomate American Board of Oral Medicine, is a Morse Distinguished Professor and Director of the Division of Oral Medicine, Oral Diagnosis and Radiology in the Department of Diagnostic and Biological Sciences in the University of Minnesota School of Dentistry. He is also an Adjunct Professor of Otolaryngology in the Medical School and an Adjunct Professor of Epidemiology in the School of Public Health . He is a Diplomate, examiner and past President of the American Board of Oral Medicine, He is also past President of the American Academy of Oral Medicine. He is an inductee in the University of Minnesota Academic Health Center Academy of Excellence and the Academy of Distinguished Teachers and the University of Minnesota Scholar’s Walk of Fame. He is a Fellow in the International College of Dentists and of the American College of Dentists and a Fellow in the Royal College of Surgeons of Edinburgh. He is an Attending member of the Minnesota Masonic Cancer Center and the Hospital Staff of the University of Minnesota Hospital and Clinics, a consultant to the US Navy Hospital and Hennepin County Medical Center.
Dr. Rhodus directs several oral medicine courses and has been awarded "Professor of the year " for fourteen years and is a recipient the School of Dentistry Century Club Professor of the Year . He has been active in faculty governance and served in many capacities in the University Senate for over 27 years.
Dr. Rhodus has been active with the American Dental Association and the Minnesota Dental Association having served on several committees and the editorial board and has been selected often( x 10) as Best Dentist by Minnesota Monthly and Top Dentist-USA.
Dr. Rhodus has been active in basic and clinical research for over 38 years and he has published over three hundred- eighty refereed scientific papers and abstracts. His H index is 42 and his research has been cited over 5000 times. He has presented over seven-hundred lectures and courses throughout the United States and abroad. He is on the medical advisory board for the National Oral Cancer Foundation and the National Sjogren’s Syndrome Foundation. He is an editor of the Journal of Oral Surgery, Oral medicine, Oral Pathology and Oral Radiology. He co-authors two textbooks: DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT (10ed.) and OROFACIAL DISORDERS.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 below:
Disclosure(s): NIH, SSF (Grants/Research Support), US Army, Navy, VA (Consultant)
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Contains 5 Component(s), Includes Credits
Speaker: George T-J Huang, M.Sc| Vital pulp therapy (VPT) has gained more attention in the past decade due to the use of calcium silicate-based cement, understanding of the biological and molecular basis of pulp response to infection and knowing the regenerative capacity of dental pulp stem cells.Calcium hydroxide has been the pulp capping materials for half a century; however, it has not been a popular practice for carious pulp exposure or teeth with symptomatic pulpitis due to low success rates. Furthermore, it has been a clinical perception that pulp capping with Ca((OH)2 would lead to severe canal calcification. For these reasons, VPT therapy has not been a mainstream practice in the endodontic specialty. The introduction of MTA, discovery of dental pulp stem cells, and the advancement of the understanding of pulp inflammation in the past decade led to the resurrection of VPT. This presentation will discuss several key areas concerning VPT that either have been misunderstood or lack of understanding: i) Source of replacement odontoblasts and the quality of the new dentin, ii) progression of pulp inflammation responding to infection, iii) pulp stem cell response to the capping materials, iv) the mystery of pulp undergoing calcific metamorphosis after capping, and v) biological basis of clinical failure and how to improve success rates.
CE Hours: 0.75
Description: Vital pulp therapy (VPT) has gained more attention in the past decade due to the use of calcium silicate-based cement, understanding of the biological and molecular basis of pulp response to infection and knowing the regenerative capacity of dental pulp stem cells. Calcium hydroxide has been the pulp capping materials for half a century; however, it has not been a popular practice for carious pulp exposure or teeth with symptomatic pulpitis due to low success rates. Furthermore, it has been a clinical perception that pulp capping with Ca((OH)2 would lead to severe canal calcification. For these reasons, VPT therapy has not been a mainstream practice in the endodontic specialty. The introduction of MTA, discovery of dental pulp stem cells, and the advancement of the understanding of pulp inflammation in the past decade led to the resurrection of VPT. This presentation will discuss several key areas concerning VPT that either have been misunderstood or lack of understanding: i) Source of replacement odontoblasts and the quality of the new dentin, ii) progression of pulp inflammation responding to infection, iii) pulp stem cell response to the capping materials, iv) the mystery of pulp undergoing calcific metamorphosis after capping, and v) biological basis of clinical failure and how to improve success rates.
Learning Objectives:
- Describe the source of replacement odontoblasts from the pulp.
- Clarify the nature of pulp calcific metamorphosis.
- Relate the knowledge of the biological and molecular basis of pulp inflammation to diagnosis and treatment outcomes including clinical failures.
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Contains 5 Component(s), Includes Credits
Speaker: Garry L. Myers, D.D.S|This presentation will provide an overview of the relationship between trauma and root resorption. It will be clinically focused discussing management principles of various types of root resorption through a series of case illustrations to include inflammatory root resorption, replacement root resorption and invasive cervical resorption. Diagnosis, Classification and Etiology of root resorption will also be reviewed.
CE Hours: 1.5
Description: This presentation will provide an overview of the relationship between trauma and root resorption. It will be clinically focused discussing management principles of various types of root resorption through a series of case illustrations to include inflammatory root resorption, replacement root resorption and invasive cervical resorption. Diagnosis, Classification and Etiology of root resorption will also be reviewed.
Learning Objectives:
- Explain the clinical methods used for determining what type of resorption has been encountered.
- Differentiate key factors related to each of the various types of root resorption seen in the endodontic practice.
- Describe general principals of management for each type of root resorption.
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Contains 5 Component(s), Includes Credits
Speaker: Gabriela Martin; D.D.S., PhD|Maxillary sinusitis of endodontic origin refers specifically to sinusitis secondary to periradicular disease of endodontic origin. This pathology requires an accurate diagnosis followed by appropriate endodontic treatment to remove the source of endodontic pathogens associated with the periapical disease and secondary sinus infection. The use of CBCT imaging significantly improve the ability to detect mucosal soft tissue changes, sinus membrane thickening and odontogenic sources for sinusitis, such as untreated canals. In this presentation, several cases of maxillary sinusitis of endodontic and dental origin, with different manifestations, diagnostic challenges, treatment and outcomes will be described. All of them with inflammatory sinus changes represented by mucositis, osteoperiostitis or partial obstruction; that showed sinus signs and symptoms which disappeared after dental management. In most of them, the sinus condition had an endodontic origin, however, in one case, sinusitis was caused by trauma to the face. All cases had a satisfactory response of the periradicular tissues and maxillary sinus to treatment that consisted of root canal therapy or trauma management.
CE Hours: 0.75
Description: Maxillary sinusitis of endodontic origin refers specifically to sinusitis secondary to periradicular disease of endodontic origin. This pathology requires an accurate diagnosis followed by appropriate endodontic treatment to remove the source of endodontic pathogens associated with the periapical disease and secondary sinus infection. The use of CBCT imaging significantly improve the ability to detect mucosal soft tissue changes, sinus membrane thickening and odontogenic sources for sinusitis, such as untreated canals. In this presentation, several cases of maxillary sinusitis of endodontic and dental origin, with different manifestations, diagnostic challenges, treatment and outcomes will be described. All of them with inflammatory sinus changes represented by mucositis, osteoperiostitis or partial obstruction; that showed sinus signs and symptoms which disappeared after dental management. In most of them, the sinus condition had an endodontic origin, however, in one case, sinusitis was caused by trauma to the face. All cases had a satisfactory response of the periradicular tissues and maxillary sinus to treatment that consisted of root canal therapy or trauma management.
Learning Objectives:
- Describe classification of maxillary sinusitis of endodontic origin.
- Diagnose through CBCT maxillary sinusitis associated with endodontic infection.
- Evaluate different treatment alternatives for teeth causing maxillary sinusitis.
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Contains 5 Component(s)
Speaker: Franklin Tay, BDSc, PhD|The primary objective of root canal obturation is to create a thorough three-dimensional seal of the canal space following chemomechanical debridement to prevent microleakage and bacterial re-contamination. Voids within the root canal fillings act as reservoirs for microorganisms, significantly impacting the effectiveness of the treatment. Tricalcium silicate sealers are known for their excellent biocompatibility, chemical stability, flowability, and radiopacity. Recent clinical observations have shown a success rate of 90.9% when using a premixed tricalcium silicate sealer with the single-cone technique over a period of 30.1 months. Despite these advantages, in vitro studies reveal that this method may lead to the formation of voids, occupying up to 6.29% of the canal volume in round or slightly oval canals, and as much as 15.39% in more elongated canals.This presentation introduces a refined obturation technique that involves the application of a mild apical negative pressure during the insertion of the tricalcium silicate sealer. This method facilitates the sealer's movement from the canal orifice to the apex, effectively reaching full working length. The technique, when combined with the single-cone method, significantly reduces void formation in elongated root canals to just 0.42%, compared to 15.39% with the traditional method alone. This approach enhances the quality of root canal fillings by minimizing voids and avoids complications such as sealer extrusion by using smaller taper and size gutta-percha points. Unlike the vacuum obturation method proposed by Dr. Adrian Lussi, this negative pressure technique simplifies the procedure, offering a practical and efficient solution for practitioners.
CE Hours: 0.75
Description: The primary objective of root canal obturation is to create a thorough three-dimensional seal of the canal space following chemomechanical debridement to prevent microleakage and bacterial re-contamination. Voids within the root canal fillings act as reservoirs for microorganisms, significantly impacting the effectiveness of the treatment. Tricalcium silicate sealers are known for their excellent biocompatibility, chemical stability, flowability, and radiopacity. Recent clinical observations have shown a success rate of 90.9% when using a premixed tricalcium silicate sealer with the single-cone technique over a period of 30.1 months. Despite these advantages, in vitro studies reveal that this method may lead to the formation of voids, occupying up to 6.29% of the canal volume in round or slightly oval canals, and as much as 15.39% in more elongated canals.This presentation introduces a refined obturation technique that involves the application of a mild apical negative pressure during the insertion of the tricalcium silicate sealer. This method facilitates the sealer's movement from the canal orifice to the apex, effectively reaching full working length. The technique, when combined with the single-cone method, significantly reduces void formation in elongated root canals to just 0.42%, compared to 15.39% with the traditional method alone. This approach enhances the quality of root canal fillings by minimizing voids and avoids complications such as sealer extrusion by using smaller taper and size gutta-percha points. Unlike the vacuum obturation method proposed by Dr. Adrian Lussi, this negative pressure technique simplifies the procedure, offering a practical and efficient solution for practitioners.
Learning Objectives:
- Describe the limitations of traditional root canal obturation, including the formation of voids.
- Utilize the principle behind the negative pressure obturation technique, to minimize void formation and improve the quality of seal in the root canal.
- Compare the performance of the negative pressure obturation technique with conventional singlecone and other obturation methods.
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Contains 5 Component(s), Includes Credits
Speaker: Filippo Santarcangelo, DDS|Evidence-based research consistently demonstrates the correlation between microbial contamination of the root canal system and apical periodontitis. Cleaning and disinfection of the apical third remains one of the most critical factors leading to healing and favorable endodontic outcome. Besides the microbiological challenges, from a clinical perspective, the root canal system imposes physical and anatomical complex challenges that are difficult to overcome. The development of new technologies and new evidence from the literature has only widened the already existing debate. The purpose of this presentation will be to provide a clinical perspective on how to overcome these challenges in order to obtain a predictable and efficient disinfection of the apical third.
CE Hours: 0.75
Description: Evidence-based research consistently demonstrates the correlation between microbial contamination of the root canal system and apical periodontitis. Cleaning and disinfection of the apical third remains one of the most critical factors leading to healing and favorable endodontic outcome. Besides the microbiological challenges, from a clinical perspective, the root canal system imposes physical and anatomical complex challenges that are difficult to overcome. The development of new technologies and new evidence from the literature has only widened the already existing debate. The purpose of this presentation will be to provide a clinical perspective on how to overcome these challenges in order to obtain a predictable and efficient disinfection of the apical third.
Learning Objectives:
- Review the clinical challenges for disinfection of the apical third.
- Describe the advantages and disadvantages of contemporary techniques.
- Discuss new clinical protocols to enhance disinfection and increase predictability.
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Contains 5 Component(s), Includes Credits
Speaker: David Witherspoon, MS, DDS|Vital pulp therapy offers a promising approach to significantly prolong the lifespan of a tooth. Over the past decade, the evidence and outcomes associated with vital pulp treatment have evolved substantially. In 2021, the American Association of Endodontists (AAE) released a new position paper on this topic, providing a foundation for updated practices. This presentation will build on that foundation to highlight key aspects of vital pulp therapy, with a primary focus on managing teeth with carious exposures and symptoms of irreversible pulpitis. Through case-based analysis, it will explore treatment options grounded in evidence-based protocols. Additionally, the presentation will address common challenges to implementation, such as coding, scheduling, and material selection.
CE Hours: 1.0
Description: Vital pulp therapy offers a promising approach to significantly prolong the lifespan of a tooth. Over the past decade, the evidence and outcomes associated with vital pulp treatment have evolved substantially. In 2021, the American Association of Endodontists (AAE) released a new position paper on this topic, providing a foundation for updated practices. This presentation will build on that foundation to highlight key aspects of vital pulp therapy, with a primary focus on managing teeth with carious exposures and symptoms of irreversible pulpitis. Through case-based analysis, it will explore treatment options grounded in evidence-based protocols. Additionally, the presentation will address common challenges to implementation, such as coding, scheduling, and material selection.
Learning Objectives:
- Identify appropriate teeth for various treatment options and understand the expected outcomes for each approach.
- Gain a comprehensive understanding of the essential steps involved in performing vital pulp therapy.
- Evaluate the key prognostic factors that influence the success of vital pulp treatment.