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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: Pierre Wohlgemuth, D.D.S; Ye Shi, D.D.S., M.S.|Cemental tear is an important condition of relevance to Endodontics and Periodontics but is often overlooked. The diagnosis of cemental tear is often challenging, even for the experienced clinician. In practice, it is common for a cemental tear to be misdiagnosed as a vertical root fracture, an endodontic–periodontal lesion, or a failed periodontal or endodontic treatment. Dentists may treat these clinical cases as pure periodontal and periapical lesions due to misdiagnosis of cemental tears. In some cases, the presence of cemental tears was realized after the extraction of non-healing teeth. Some failed cases, for unknown reasons, are due to the presence of cemental tear. The limited attention received is most likely due to the unawareness amongst dental professionals and challenges in accurately diagnosing them, resulting in misdiagnosis and erroneous treatment. In this lecture, we will review 1) the etiology, 2) clinical, radiographic, and histological features, (3) classification, 4) recommended treatment strategies linked to the classification 5) treatment outcomes of cemental tear.
CE Hours: 1.5
Description: Cemental tear is an important condition of relevance to Endodontics and Periodontics but is often overlooked. The diagnosis of cemental tear is often challenging, even for the experienced clinician. In practice, it is common for a cemental tear to be misdiagnosed as a vertical root fracture, an endodontic–periodontal lesion, or a failed periodontal or endodontic treatment. Dentists may treat these clinical cases as pure periodontal and periapical lesions due to misdiagnosis of cemental tears. In some cases, the presence of cemental tears was realized after the extraction of non-healing teeth. Some failed cases, for unknown reasons, are due to the presence of cemental tear. The limited attention received is most likely due to the unawareness amongst dental professionals and challenges in accurately diagnosing them, resulting in misdiagnosis and erroneous treatment. In this lecture, we will review 1) the etiology, 2) clinical, radiographic, and histological features, (3) classification, 4) recommended treatment strategies linked to the classification 5) treatment outcomes of cemental tear.
Learning Objectives:
- Explain the different etiology of cemental tear.
- Elaborate clinical and radiographic presentation of cemental tear.
- Demonstrate different treatment strategies for cemental tears depending on the classification.
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Contains 5 Component(s), Includes Credits
Speaker: Sami Chogle, D.M.D., B.D.S., M.S.D.; Pinelopi Pani, D.D.S., CAGS, M.S.|The pulp and periodontium have embryonic, anatomic and functional inter-relationships. The simultaneous existence of combined endodontic-periodontal lesions either with or without root damage is a clinical dilemma that can complicate diagnosis, prognosis and treatment planning. These lesions should be classified according to signs and symptoms that have direct impact on their treatment, such as presence or absence of fractures, perforations and external root resorption, presence or absence of periodontitis, and the extent of periodontal destruction around the affected teeth. Management of combined endodontic-periodontal lesions can be challenging especially when severe destruction of the surrounding periodontal tissues is noted. Exposing a CBCT scan may be an important diagnostic tool to confirm the real extent of both lesions and their possible communication and reveal root anatomic factors that may predispose to the clinical outcome. Understanding the complex pathogenesis of both lesions can determine the therapeutic approach for a successful regenerative treatment outcome.
CE Hours: 1.25
Description: The pulp and periodontium have embryonic, anatomic and functional inter-relationships. The simultaneous existence of combined endodontic-periodontal lesions either with or without root damage is a clinical dilemma that can complicate diagnosis, prognosis and treatment planning. These lesions should be classified according to signs and symptoms that have direct impact on their treatment, such as presence or absence of fractures, perforations and external root resorption, presence or absence of periodontitis, and the extent of periodontal destruction around the affected teeth. Management of combined endodontic-periodontal lesions can be challenging especially when severe destruction of the surrounding periodontal tissues is noted. Exposing a CBCT scan may be an important diagnostic tool to confirm the real extent of both lesions and their possible communication and reveal root anatomic factors that may predispose to the clinical outcome. Understanding the complex pathogenesis of both lesions can determine the therapeutic approach for a successful regenerative treatment outcome.
Learning Objectives:
- Identify and classify endodontic periodontal lesions.
- List and sequence therapeutic approaches to treat endodontic periodontal lesions.
- Define diagnostic tools to clinically assess combined endodontic periodontal lesions.
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Contains 5 Component(s), Includes Credits
Speaker: Ashraf F. Fouad, D.D.S., M.S.; Elisabetta Cotti, D.D.S. M.S.|Apical periodontitis (AP) is a complex inflammatory disease with different clinical and radiographic presentations. The pathogenesis of AP involves an interplay of the innate and adaptive immune responses, that aim at preventing root canal microflora from causing spreading systemic infection and/or osteomyelitis. This session will discuss the major pathways involved in the progression and healing of AP. It will also address the way a myriad of systemic factors may affect this apical immune response.
CE Hours: 1.5
Description: Apical periodontitis (AP) is a complex inflammatory disease with different clinical and radiographic presentations. The pathogenesis of AP involves an interplay of the innate and adaptive immune responses, that aim at preventing root canal microflora from causing spreading systemic infection and/or osteomyelitis. This session will discuss the major pathways involved in the progression and healing of AP. It will also address the way a myriad of systemic factors may affect this apical immune response.
Learning Objectives:
- Discuss the major immunological pathways involved in the pathogenesis of AP
- Discuss the major immunological mechanisms of healing and bone regeneration following endodontic treatment
- Discuss the potential role of systemic factors in mediating pathogenesis or healing of AP
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Contains 5 Component(s), Includes Credits
Speaker: Nandana R. Patil, MDS; Sami Chogle, D.M.D., B.D.S., M.S.D.| The ultimate goal in endodontics is to save the natural tooth. This can be especially challenging when the restorability is questionable and extraction has been recommended, but the patient insists on saving it. This presentation provides a framework for an Endo-Restorative practice in less-than-ideal situations, where minimal intervention procedures could maximize tooth preservation correlated with improved fracture resistance. This presentation follows the outcome of over 160 teeth from 4yrs to 18 years after endo-restorative rehabilitation. All endodontic and restorative procedures were done in a solo- private practice, between 2006 and 2020. Outcome was evaluated based on both clinical and radiographic findings at recall. Teeth were classified as healed, survived or failed. With diligent planning and patient compliance, this modality could be a promising option for medically compromised/geriatric patients and for those preferring minimal financial burden or intervention.
CE Hours: 0.75
Description: The ultimate goal in endodontics is to save the natural tooth. This can be especially challenging when the restorability is questionable and extraction has been recommended, but the patient insists on saving it. This presentation provides a framework for an Endo-Restorative practice in less-than-ideal situations, where minimal intervention procedures could maximize tooth preservation correlated with improved fracture resistance. This presentation follows the outcome of over 160 teeth from 4yrs to 18 years after endo-restorative rehabilitation. All endodontic and restorative procedures were done in a solo- private practice, between 2006 and 2020. Outcome was evaluated based on both clinical and radiographic findings at recall. Teeth were classified as healed, survived or failed. With diligent planning and patient compliance, this modality could be a promising option for medically compromised/geriatric patients and for those preferring minimal financial burden or intervention.
Learning Objectives:
- Evaluate the optimal steps in the rehabilitation of structurally damaged teeth.
- Perform adhesive restorative techniques on the endodontically treated tooth to enhance patient experience of saving the natural tooth.
- Discuss the factors that contribute to the long term survival of structurally compromised teeth.
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Contains 5 Component(s), Includes Credits
Speaker: Helen Yang Meyer, D.MD, M.S; Vicky Nguyen, D.D.S., M.S.D.; Nabeel M. Atassi, D.D.S., M.S.; Zaid Hadi, D.M.D, M.S.
CE Hours: 1.5
Learning Objectives:
- Describe different types of practice models
- Explain the trends we are seeing within practice models
- Explain the associate's role in each practice model
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Contains 5 Component(s), Includes Credits
Speaker: William Kahler, DClinDent; PhD|Calcium hydroxide has a long history of applications in endodontics and dental traumatology. The material has strong disinfectant and osseo-inductive properties. With regard to dental traumatology, the use of calcium hydroxide has applications in vital pulp therapy of complicated crown fractures, pulp necrosis following trauma, avulsions with extended dry time, apexification, MTA barrier techniques and regenerative endodontics. However, the use of calcium hydroxide in apexification has become controversial. Cvek identified a high incidence of transverse root fractures for immature teeth treated with long-term calcium hydroxide dressings. In vitro studies have reported calcium hydroxide has decreased the fracture strength of root dentine over time. However, this finding is also controversial with inconsistent and conflicting observations reported. Calcium hydroxide has been used for 50 years and now some authors and organizations advocate for the use of MTA barrier techniques rather than calcium hydroxide. The purpose of this presentation is to discuss the science around calcium hydroxide, its use of and concerns with calcium hydroxide in dental traumatology.
CE Hours: 0.75
Description: Calcium hydroxide has a long history of applications in endodontics and dental traumatology. The material has strong disinfectant and osseo-inductive properties. With regard to dental traumatology, the use of calcium hydroxide has applications in vital pulp therapy of complicated crown fractures, pulp necrosis following trauma, avulsions with extended dry time, apexification, MTA barrier techniques and regenerative endodontics. However, the use of calcium hydroxide in apexification has become controversial. Cvek identified a high incidence of transverse root fractures for immature teeth treated with long-term calcium hydroxide dressings. In vitro studies have reported calcium hydroxide has decreased the fracture strength of root dentine over time. However, this finding is also controversial with inconsistent and conflicting observations reported. Calcium hydroxide has been used for 50 years and now some authors and organizations advocate for the use of MTA barrier techniques rather than calcium hydroxide. The purpose of this presentation is to discuss the science around calcium hydroxide, its use of and concerns with calcium hydroxide in dental traumatology.
Learning Objectives:
- Critically appraise the calcium hydroxide literature.
- Follow fracture mechanics principles of root fracture mechanics.
- Appraise the different approaches to treat immature permanent teeth with pulp necrosis and infection.