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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 However, studies on nonsurgical endodontic initial treatment and retreatment demonstrate variability, partly due to outdated practices that do not reflect current standards of care.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 However, studies on nonsurgical endodontic initial treatment and retreatment demonstrate variability, partly due to outdated practices that do not reflect current standards of care.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: Matthew Davis, D.D.S.|Cracked teeth pose inherent challenges in diagnosis and management and confusion and disagreement abound in our literature. Cracked tooth with radicular extension is a new subclassification of longitudinal tooth fracture, which requires different endodontic and restoration protocols for successful outcomes. An understanding of the nuances of cracked tooth management allows us the ability to help our patients save more teeth.
CE Hours: 1.0
Description: Cracked teeth pose inherent challenges in diagnosis and management and confusion and disagreement abound in our literature. Cracked tooth with radicular extension is a new subclassification of longitudinal tooth fracture, which requires different endodontic and restoration protocols for successful outcomes. An understanding of the nuances of cracked tooth management allows us the ability to help our patients save more teeth.
Learning Objectives:
- Gain an understanding of how cracked teeth and those with radicular extension require specific modifications to endodontic and post-endodontic treatment protocols
- Describe the outcomes data and studies which indicate that endodontically-treated cracked teeth, if managed properly, have a favorable prognosis; and that even deeper cracks may have similar outcomes.
- Appreciate the benefits and pitfalls of CBCT interpretation with longitudinal tooth fractures.
Matthew C. Davis, D.D.S.
Dr. Matthew Davis is a board-certified endodontist in private practice in the Chicago suburbs of Winnetka and Glenview, Illinois. He attended the University of Iowa College of Dentistry where he received his DDS in 1999 and his specialty certificate in endodontics in 2001. He has been a full-time practicing endodontist for over twenty years. He became a diplomate of the American Board of Endodontics in 2010. He has authored several publications and has been a member of the Scientific Advisory Board for the Journal of Endodontics from 2013 to the present.
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
Authors: Larissa Gregorio Candido do Prado, DDS, MSc, PhD; Julia Godoi-Lopes, DDS, PhD; Fabiane Carneiro Lopes-Olhe; DDS, MSc, PhD; Laís Valencise Magri, DDS, MSc, PhD, and Jardel Francisco Mazzi-Chaves, DDS, MSc, PhD|Cemental tear (CT) is a rare condition with poorly understood prevalence, etiology, and clinical presentation, often mimicking vertical root fractures or endodonticperiodontal lesions. This review aimed to synthesize current evidence on CT and propose a diagnostic framework.
CE Hours: 1.0
Description: Cemental tear (CT) is a rare condition with poorly understood prevalence, etiology, and clinical presentation, often mimicking vertical root fractures or endodonticperiodontal lesions. This review aimed to synthesize current evidence on CT and propose a diagnostic framework.
At the conclusion of this article, the reader will be able to:
- Analyze the multifactorial etiology and predisposing factors of cemental tears to identify patients at higher clinical risk.
- Differentiate the unique radiographic patterns of cemental tears from other root-related pathologies using advanced imaging modalities.
- Evaluate clinical signs and symptoms to minimize misdiagnosis and avoid unnecessary interventions.
Jose Evando da Silva-Filho, DDS
DDS; Specialization in Endodontics, UNIFOR, Brazil (in progress); MSD in Dentistry – Endodontics and Dental Imaging, UNIFOR, Brazil (in progress).
Aryanna Celly Rodrigues- Lima, DDS
DDS; Specialization in Orofacial Harmonization, UNIFOR, Brazil (in progress).
Kayo Lucio Silveira- Fernandes
Undergraduate Dentistry student, final year, UNIFOR, Brazil.
Camille de Sousa Veloso, DDS
DDS; Specialization in Restorative Dentistry, ABO-CE, Brazil (in progress).
Joao Paulo Viana Braga, DDS, MSD
DDS; Specialist in Dental Radiology and Imaging (ABO-CE), Implantology (Unicastelo), Orthodontics (ACO-CEC); Postgraduate training in Stomatology and Minor Oral Surgery, Periodontology (Unicastelo), Prosthodontics (ELEVA); MBA in Business Management, UNIFOR, Brazil (in progress); MSD in Dentistry – Pediatric Dentistry, UFC, Brazil.
Sandra Regia Albuquerque Ximenes, DDS, MSD
DDS; Specialist in Restorative Dentistry and Dental Radiology and Imaging, UNICAMP, Brazil; MSD in Dentistry, SLMandic, Brazil.
Elilton Cavalcante Pinheiro- Junior, DDS, MSD, PhD
DDS; Endodontics Specialization, UNESP, Araraquara, Brazil; MSD, UERJ, Brazil; PhD, UNICAMP, Brazil.
Danielle Frota de Albuquerque, DDS, MSc, PhD
DDS; MSc in Oral Biology/Stomatology, USP, Brazil; PhD in Dental Radiology and Imaging, UNICAMP, Brazil.
Eduardo Diogo Gurgel-Filho, DDS, MSD, PhD
DDS; Specialization in Endodontics, UERJ, Brazil; MSD in Dentistry – Endodontics, UERJ, Brazil; PhD, UNICAMP, Brazil.
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Contains 5 Component(s), Includes Credits
Authors: Norachai Wongkornchaowalit, DDS, MSc; Taratorn Soontornkiat, DDS, MSc; Tadkamol Krongbaramee, DDS, PhD; Attawood Lertpimonchai, DDS, MSc, PhD, and Keith V. Krell, DDS, MS, MA|This study evaluated the treatment outcomes and prognostic factors of root canal–treated posterior cracked teeth using the Modified Iowa Index, as published in the Journal of Endodontics. The index enables structured prognostic stratification by integrating crack morphology, periodontal status, radicular crack depth, periapical conditions, occlusal risk, and definitive restoration type. Understanding survival trends and independent risk factors supports evidence-based clinical decision-making and improves long-term tooth preservation in compromised posterior cracked teeth following root canal treatment.
CE Hours: 1.0
Description: This study evaluated the treatment outcomes and prognostic factors of root canal–treated posterior cracked teeth using the Modified Iowa Index, as published in the Journal of Endodontics. The index enables structured prognostic stratification by integrating crack morphology, periodontal status, radicular crack depth, periapical conditions, occlusal risk, and definitive restoration type. Understanding survival trends and independent risk factors supports evidence-based clinical decision-making and improves long-term tooth preservation in compromised posterior cracked teeth following root canal treatment.
At the conclusion of this article, the reader will be able to:
- Explain the value of the Modified Iowa Index for assessing prognosis and predicting tooth survival in posterior cracked teeth after root canal treatment.
- Identify independent risk factors associated with endodontic failure, including Age, Probing depth ≥ 5 mm along the crack, Radicular extension ≥3 mm, Presence of periapical lesion, Multiple crack lines, Absence of occlusal splint in patients with parafunctional habits, Restoration with onlay or resin composite.
- Interpret outcome and survival patterns to guide post-endodontic treatment planning, including selection of definitive restoration and occlusal stress control to optimize long-term success.
Norachai Wongkornchaowalit, DDS, MSc
Dr. Norachai Wongkornchaowalit graduated from the Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand, in 2008. He subsequently completed a Master of Science in Endodontics in 2011 and a Higher Graduate Diploma in Endodontics in 2012, both from Chulalongkorn University. In the same year, he also received the Thai Board Certificate in Endodontics.
From 2011 to 2015, Dr. Wongkornchaowalit served as a full-time lecturer at Chulalongkorn University and has continued as a part-time lecturer since 2015. He currently serves on the board examination committee and is the secretary of both the Thai Endodontic Association and the Thai Board of Endodontics.
He has delivered numerous lectures and hands-on courses on root canal treatment nationwide, co-authored two endodontic textbooks, and contributed to academic publications.
His clinical interests include microscope-assisted root canal therapy, management of cracked teeth, non-surgical and surgical retreatment, and post-endodontic restoration.
Taratorn Soontornkiat, DDS, MSc
Dr. Taratorn Soontornkiat is a diplomate of the Thai board of Endodontics (2000) and the American Board of endodontics (2004). She currently works in private practice and serves as a part-time faculty member in the department of Conservative Dentistry and Prosthodontics, Faculty of dentistry Srinakharinwirot University and Department of Operative Dentistry and Endodontics, faculty of Dentistry, Mahidol University, Thailand.
Dr. Soontornkiat received her Graduate Diploma in Clinical Science (Endodontics) from Mahidol University (1992). She completed her Specialty Certificate in Endodontics (1997) and MSc. (1998) from University of Minnesota School of Dentistry. She was a past president of Thai Endodontic Society of Thailand (2010-2011).
Tadkamol Krongbaramee, DDS, PhD
Dr. Tadkamol Krongbaramee is a Diplomate of the American Board of Endodontics (2024). She currently serves as a full-time faculty member in the Department of Endodontics, Faculty of Dentistry, Chiang Mai University, Thailand, and is also the owner of a private dental practice in Chiang Mai, where she provides specialty care focused on root canal treatment. Dr. Krongbaramee earned her PhD in Oral Science (2021) and Specialty Certificate in Endodontics (2023) from the University of Iowa College of Dentistry, receiving advanced training in evidence-based endodontic therapy and translational oral science research.
Attawood Lertpimonchai, DDS, MSc, PhD
Dr. Attawood Lertpimonchai is an Associate Professor in the Department of Periodontology at the Faculty of Dentistry, Chulalongkorn University in Bangkok, Thailand. He attended Chulalongkorn University where he received his D.D.S. in 2007 and his M.Sc. in Periodontics in 2011. He furthered his education at Mahidol University, earning a Ph.D. in Clinical Epidemiology and Biostatistics in 2017. Dr. Lertpimonchai has authored numerous publications in the field of periodontics and dental research, with recent work appearing in the Journal of Endodontics, Journal of Clinical Periodontology, and BMC Oral Health. His primary research interests include periodontal disease, periodontal medicine, epidemiology, and statistics.
Keith V. Krell, D.D.S., M.S., M.A.
Dr. Krell has been an endodontist for 44 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. In 1993, he retired from the United States Army National Guard as a lieutenant colonel after 22 years of service. He was also an adjunct clinical Professor in the department of Endodontics at the University of Iowa, College of Dentistry until July 1, 2025 completing a 50 year career with the University of Iowa. He received the University of Iowa, Distinguished Service Alumni Award Sept 26, 2025. He is a past president of the American Association of Endodontist, and also a past president of both, the American Board of Endodontics and the Foundation for Endodontics. He is a Diplomate of the American Board of Endodontics and is a both a Fellow in the American College of Dentists and in the International College of Dentists.
Dr. Krell has been married for 54 years to Diane and they have two grown children, 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.
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Contains 5 Component(s), Includes Credits
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
Authors: Larissa Gregorio Candido do Prado, DDS, MSc, PhD; Julia Godoi-Lopes, DDS, PhD; Fabiane Carneiro Lopes-Olhe; DDS, MSc, PhD; Laís Valencise Magri, DDS, MSc, PhD, and Jardel Francisco Mazzi-Chaves, DDS, MSc, PhD|To identify patient-specific phenotypic, anatomical, psychological, and clinical risk factors associated with the development of post-traumatic trigeminal neuropathy (PTTN) following endodontic procedures.
CE Hours: 1.0
Description: To identify patient-specific phenotypic, anatomical, psychological, and clinical risk factors associated with the development of post-traumatic trigeminal neuropathy (PTTN) following endodontic procedures.
At the conclusion of this article, the reader will be able to:
- Explain the etiology of post-traumatic trigeminal neuropathy
- Identify risk-factors associated with post-traumatic trigeminal neuropathy
- Apply information to clinical decision making
Larissa Gregorio Candido do Prado, DDS, MSc, PhD
Julia Godoi-Lopes, DDS, PhD
Fabiane Carneiro Lopes-Olhe, DDS, MSc, PhD
Laís Valencise Magri, DDS, MSc, PhD
Jardel Francisco Mazzi-Chaves, DDS, MSc, PhD
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Contains 5 Component(s), Includes Credits
Speaker: Samuel I. Kratchman, D.MD |Use of the Piezotome for endodontic microsurgery has become quite popular, especially creating a bone "window" or "lid" to gain better access to areas like mandibular molars with thick cortical bone. It can be technique sensitive to replace those windows securely, allowing for the bone to revascularize and maintain the osteotomy space. This lecture will discuss drawing the patient's blood and centrifuging out platelet-rich fibrin plugs and membranes as well as crushing the bone "window" and mixing it with the serum created from forming the PRF membrane to make "sticky bone", which is sandwiched in between the PRF plugs and covered by the PRF membrane. The latter part of the presentation will focus on treatment planning and case selection for Intentional Replantation, explaining the techniques in detail and showing several clinical cases with follow ups.
CE Hours: 2.0
Description: Use of the Piezotome for endodontic microsurgery has become quite popular, especially creating a bone "window" or "lid" to gain better access to areas like mandibular molars with thick cortical bone. It can be technique sensitive to replace those windows securely, allowing for the bone to revascularize and maintain the osteotomy space. This lecture will discuss drawing the patient's blood and centrifuging out platelet-rich fibrin plugs and membranes as well as crushing the bone "window" and mixing it with the serum created from forming the PRF membrane to make "sticky bone", which is sandwiched in between the PRF plugs and covered by the PRF membrane.
The latter part of the presentation will focus on treatment planning and case selection for Intentional Replantation, explaining the techniques in detail and showing several clinical cases with follow ups.Learning Objectives:
- Describe when a piezotome should be incorporated for creating a bone window (boney lid) during endo microsurgery
- Describe alternative treatment utilizing Platelet-Rich Fibrin (PRF) derived from the patient's own blood and creation of autologous sticky bone
- Describe Intentional Replantation and be comfortable performing in their private clinics
Samuel Kratchman, D.MD
CLINICAL ASSOCIATE PROFESSOR OF ENDODONTICS
University of Pennsylvania School of Dental Medicine
Dr. Sam Kratchman was born and raised in New York. He received both a B.S. in Biology and a D.M.D. from Tufts University in Boston. Sam then entered The University of Pennsylvania, where he received a Certificate of Endodontics.
A prominent leader in his field, Dr. Kratchman currently teaches at U. Penn as an Associate Professor of Endodontics, and he is the Assistant Director of Graduate Endodontics, in charge of the microsurgical portion of the program. He frequently lectures on several Endodontic topics throughout the United States, Europe, South America, Canada and Asia.
Dr. Kratchman has authored several articles and chapters on Endodontics, and has co-authored the textbook of Endodontic Microsurgery with Dr. Kim in 2017. He also developed a patented instrument called the S Kondenser for the obturation of root canals. Both Main Line Today and Doctor of Dentistry magazines honored Dr. Kratchman as the cover story for their "Best of" issues.
Disclosure(s): No financial relationships to disclose
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Contains 5 Component(s), Includes Credits
Speaker: Jaime J. Silberman, D.D.S., M.S. |Guided surgery has garnered significant interest in our specialty over the past 5 to 7 years. The introduction of dynamic and static navigation has enabled endodontists to perform surgical and non-surgical procedures with greater precision and minimal invasiveness. Complex surgical cases—such as palatal root periapical surgery of maxillary molars and periapical surgery of posterior mandibular teeth—are particularly well-suited for these techniques. However, several questions arise when planning or performing guided surgical procedures: Should the surgery be partially guided or fully guided? Is the case suitable for a guided flapless approach? Does guided surgery offer a real advantage in the given scenario? The purpose of this clinical presentation is to examine both the benefits and limitations of guided surgery, and to discuss the critical decision-making involved in its application.
CE Hours: 1.75
Description: Guided surgery has garnered significant interest in our specialty over the past 5 to 7 years. The introduction of dynamic and static navigation has enabled endodontists to perform surgical and non-surgical procedures with greater precision and minimal invasiveness. Complex surgical cases—such as palatal root periapical surgery of maxillary molars and periapical surgery of posterior mandibular teeth—are particularly well-suited for these techniques.
However, several questions arise when planning or performing guided surgical procedures: Should the surgery be partially guided or fully guided? Is the case suitable for a guided flapless approach? Does guided surgery offer a real advantage in the given scenario?
The purpose of this clinical presentation is to examine both the benefits and limitations of guided surgery, and to discuss the critical decision-making involved in its application.Learning Objectives:
- Describe and discuss the clinical applications of dynamic and static navigation in anatomically compromised periapical surgical cases.
- Describe and discuss the limitations of using flapless TEMS in periapical surgery
- Evaluate whether guided surgery may become a redundant tool in periapical surgical practice
Jaime J. Silberman, D.D.S., M.S.
Dr. Jaime J. Silberman is a board-certified endodontist with a strong academic and clinical background. He earned his Certificate in Endodontics in 1997 and his Doctor of Dental Surgery (D.D.S.) degree in 2000, both from Columbia University in New York City.
Following his training, Dr. Silberman served as a full-time Assistant Professor in the Endodontic Division at Columbia University from 1997 to 2002. He remains actively involved in dental education and currently teaches at Nova Southeastern University in Florida, where he serves as an Adjunct Assistant Professor and Co-Director of the Microsurgical Endodontics course in the postgraduate program.
In addition to his role at Nova, Dr. Silberman is also a Visiting Professor at Cayetano Heredia Peruvian University and maintains a private practice limited to endodontics in Boynton Beach, Florida.
He is a recognized speaker both nationally and internationally, lecturing on topics including microsurgical endodontics, CBCT in surgical endodontics, and grafting procedures in endodontic surgery.
Dr. Silberman is a member of the American Association of Endodontists and the American Dental Association. He is fluent in both English and Spanish.Disclosure(s): No financial relationships to disclose