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Contains 5 Component(s), Includes Credits Includes a Live Web Event on 12/08/2026 at 6:00 PM (CST)
Speaker: Pierre Wohlgemuth, DDS|Cemental tear is an underrecognized cause of localized periodontal breakdown and persistent periapical findings that can closely mimic vertical root fracture, endo–perio disease, or “failed” endodontic/periodontal therapy. Because the clinical and radiographic picture may appear nonspecific, the condition is often missed until late in the disease course, sometimes becoming evident only after surgical exploration or extraction of a non-healing tooth. This session presents a practical, step-by-step approach to identifying cemental tear in everyday practice, emphasizing pattern recognition, targeted imaging interpretation, and diagnostic decision-making to reduce unnecessary retreatment. Participants will review proposed mechanisms and risk factors, the spectrum of clinical and radiographic manifestations, and an updated framework for categorizing tears to guide treatment selection. Management options, including non-surgical, periodontal, and endodontic-surgical strategies, will be discussed, with attention to case selection, expected healing, and prognostic indicators. Real-world cases will illustrate how early recognition can shift treatment planning and improve outcomes.
CE Hours: 1.0
Description: Cemental tear is an underrecognized cause of localized periodontal breakdown and persistent periapical findings that can closely mimic vertical root fracture, endo–perio disease, or “failed” endodontic/periodontal therapy. Because the clinical and radiographic picture may appear nonspecific, the condition is often missed until late in the disease course, sometimes becoming evident only after surgical exploration or extraction of a non-healing tooth. This session presents a practical, step-by-step approach to identifying cemental tear in everyday practice, emphasizing pattern recognition, targeted imaging interpretation, and diagnostic decision-making to reduce unnecessary retreatment. Participants will review proposed mechanisms and risk factors, the spectrum of clinical and radiographic manifestations, and an updated framework for categorizing tears to guide treatment selection. Management options, including non-surgical, periodontal, and endodontic-surgical strategies, will be discussed, with attention to case selection, expected healing, and prognostic indicators. Real-world cases will illustrate how early recognition can shift treatment planning and improve outcomes.
Learning Objectives:
- Explain etiologic mechanisms / causes of cemental tear.
- Synthesize clinical findings and imaging to confirm suspected cemental tear and differentiate it from resorptive defects, periodontal lesions, and root fractures.
- Select a management pathway using a structured categorization of tear presentation and communicate realistic prognosis and follow-up expectations to patients.
Pierre Wohlgemuth, D.D.S.
Dr. Pierre Wohlgemuth is a diplomate of the American Board of Endodontics. He received his DDS degree from Lorraine University, France in 2014. After practicing as a general dentist in Paris and his hometown city Metz, he decided to pursue his education by completing the Endodontics program for International Dentists at NYU College of Dentistry in 2015. He then went to Switzerland to practice Endodontics in a private practice setting. He later decided to resume his education and integrated into the Advanced Education Program in Endodontics at NYU College of Dentistry and graduated in 2018. Before working for New York University, Dr. Wohlgemuth was a Full-Time Assistant Professor at Colorado University School of Dental Medicine, Department of Surgical Dentistry, Division of Endodontics. Dr. Wohlgemuth is currently the Assistant Director of the Advanced Education Program in Endodontics at NYU College of Dentistry and a Full-Time Clinical Assistant Professor in the Department of Endodontics.
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 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
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: Elliot V. Hersh, D.MD, M.S., PhD|Up until recently the only drugs available to manage acute dental l pain were acetaminophen, aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids. NSAIDs cannot be taken by a variety of patients due to poor renal function, a history of GI ulcers, drug allergy or sensitivity and for the possibility of adverse drug interactions with anticoagulants and lithium. Opioids are wrought with acute side effects including dizziness, drowsiness, nausea, vomiting and constipation. Their potential to cause substance misuse, physical dependence and addiction are also well described. On January 30, 2025 suzetrigine, a novel voltage gated sodium channel 1.8 (Nav 1.8) blocking agent was granted FDA approval for the management of moderate to severe pain. By selectively blocking the Nav 1.8 it is hoped that side effects will be less numerous and severe compared to drugs that indiscriminately block other Nav subtypes such as anticonvulsants and local anesthetics.. Unlike opioids, suzetrigine also appears to be devoid of addiction potential. In two Phase 3 post-surgical pain trials on research patients who underwent bunionectomy or abdominoplasty, suzetrigine was significantly more effective than placebo, but its analgesic effects were only equivalent to acetaminophen 325 mg plus hydrocodone 5 mg (APAP 325 mg/HYDRO 5 mg) respectively. These results are somewhat disappointing with regards to postsurgical dental pain where 440 mg naproxen sodium or APAP 500 mg plus ibuprofen 400 mg (APAP 500 mg/IBU 400 mg) have been demonstrated to provide superior analgesic effects when compared to APAP 650 mg/HYDRO 10 mg or APAP 300 mg/HYDRO 5 mg respectively. This presentation will discuss the genesis of dental postsurgical pain, the nomenclature and anatomical locations of various Nav channel subtypes and suzetrigine's possible utility and limitations in treating orofacial pain. Suzetrigine represents only the first step to optimize the selective blockade of Nav channels to treat various patient maladies.
CE Hours: 1.0
Description: Up until recently the only drugs available to manage acute dental l pain were acetaminophen, aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids. NSAIDs cannot be taken by a variety of patients due to poor renal function, a history of GI ulcers, drug allergy or sensitivity and for the possibility of adverse drug interactions with anticoagulants and lithium. Opioids are wrought with acute side effects including dizziness, drowsiness, nausea, vomiting and constipation. Their potential to cause substance misuse, physical dependence and addiction are also well described. On January 30, 2025 suzetrigine, a novel voltage gated sodium channel 1.8 (Nav 1.8) blocking agent was granted FDA approval for the management of moderate to severe pain. By selectively blocking the Nav 1.8 it is hoped that side effects will be less numerous and severe compared to drugs that indiscriminately block other Nav subtypes such as anticonvulsants and local anesthetics.. Unlike opioids, suzetrigine also appears to be devoid of addiction potential. In two Phase 3 post-surgical pain trials on research patients who underwent bunionectomy or abdominoplasty, suzetrigine was significantly more effective than placebo, but its analgesic effects were only equivalent to acetaminophen 325 mg plus hydrocodone 5 mg (APAP 325 mg/HYDRO 5 mg) respectively. These results are somewhat disappointing with regards to postsurgical dental pain where 440 mg naproxen sodium or APAP 500 mg plus ibuprofen 400 mg (APAP 500 mg/IBU 400 mg) have been demonstrated to provide superior analgesic effects when compared to APAP 650 mg/HYDRO 10 mg or APAP 300 mg/HYDRO 5 mg respectively. This presentation will discuss the genesis of dental postsurgical pain, the nomenclature and anatomical locations of various Nav channel subtypes and suzetrigine's possible utility and limitations in treating orofacial pain. Suzetrigine represents only the first step to optimize the selective blockade of Nav channels to treat various patient maladies.
Learning Objectives:
- Discuss the mechanism of action of suzetrigine
- Discuss the advantages and limitations of employing suzetrigine in the treatment of acute dental pain
- Identify which patients should not receive analgesic regimens that contain ibuprofen or naproxen sodium
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Contains 5 Component(s), Includes Credits
Speaker: |Nicolás G. Ferraro, D.D.S., M.S. | Surgical repair remains the most predictable and long-term effective treatment for External Cervical Resorption (ECR), with evidence-based supporting it success over follow-up periods up to 10 years. This surgical approach enables the preservation of pulp vitality in early stages, enhancing both structural resistance and overall prognosis. The surgical repair permits cleaning correctly the affected area with different instruments and techniques. Establishing a standardized surgical protocol is critical to achieve consistent clinical outcomes. Careful selection of the restorative material is essential and must be chosen according to the lesion's location, size, and accessibility. This presentation outlines the clinical indications for surgical intervention in ECR and proposes a step-by-step treatment protocol based on a series of clinical cases with a minimum follow-up of one year. Additionally, it provides evidence-based recommendations for selecting the most appropriate filling materials to optimize outcomes.
CE Hours: 0.75
Description: Surgical repair remains the most predictable and long-term effective treatment for External Cervical Resorption (ECR), with evidence-based supporting it success over follow-up periods up to 10 years. This surgical approach enables the preservation of pulp vitality in early stages, enhancing both structural resistance and overall prognosis. The surgical repair permits cleaning correctly the affected area with different instruments and techniques. Establishing a standardized surgical protocol is critical to achieve consistent clinical outcomes. Careful selection of the restorative material is essential and must be chosen according to the lesion's location, size, and accessibility. This presentation outlines the clinical indications for surgical intervention in ECR and proposes a step-by-step treatment protocol based on a series of clinical cases with a minimum follow-up of one year. Additionally, it provides evidence-based recommendations for selecting the most appropriate filling materials to optimize outcomes.
Learning Objectives:
- Identify which ECR cases require surgical treatment.
- Describe a step-by-step protocol for the surgical management of ECR.
- Compare different restorative materials for ECR considering critical factors such as defect location and extent.
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Contains 5 Component(s), Includes Credits
Speaker: |Hossein Moosavi, DDS,MDS | The management of dental trauma remains a complex clinical challenge with significant implications for both patients and providers. Traumatic dental injuries can range from uncomplicated crown or root fractures to more severe damage involving the supporting periodontal structures, such as luxation, intrusion, and avulsion injuries. This presentation will review the most recent guidelines published by the International Association of Dental Traumatology (IADT), focusing on the prevention, diagnosis, and evidence-based management of traumatic dental injuries. A series of clinical cases-featuring multiple examples with long-term follow-ups-will be presented to illustrate practical application of these guidelines and to highlight the outcomes of various treatment approaches.
CE Hours: 0.75
Description: The management of dental trauma remains a complex clinical challenge with significant implications for both patients and providers. Traumatic dental injuries can range from uncomplicated crown or root fractures to more severe damage involving the supporting periodontal structures, such as luxation, intrusion, and avulsion injuries. This presentation will review the most recent guidelines published by the International Association of Dental Traumatology (IADT), focusing on the prevention, diagnosis, and evidence-based management of traumatic dental injuries. A series of clinical cases-featuring multiple examples with long-term follow-ups-will be presented to illustrate practical application of these guidelines and to highlight the outcomes of various treatment approaches.
Learning Objectives:
- Apply the IADT guidelines for the prevention, diagnosis, and management of traumatic dental injuries, and recognize when and how to modify treatment protocols based on individual case factors.
- Identify common endodontic complications associated with dental trauma and implement evidence-based strategies for their long-term management.
- Recognize the value of interdisciplinary collaboration in optimizing outcomes for patients with complex traumatic dental injuries, especially in cases involving long-term follow-up and comprehensive care.
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Contains 5 Component(s), Includes Credits
Speaker: |Steven Larsen, D.D.S., M.S. | File separation remains a persistent and frustrating challenge in root canal preparation. Despite the abundance of literature offering tips and techniques to minimize this risk-and even more articles and devices focused on retrieval of separated files-the problem continues to be prevalent. Studies report a 2-6% incidence of file separation in overall endodontic cases, with 80-83% occurring in molar teeth, where canals are tighter and more curved-the daily battleground of the endodontist. This presentation explores solutions: What truly can reduce file separation? Is it RPMs settings? Torque settings? File design or cross-section? File control and directional movement? File metallurgy? Operator technique error? Or perhaps the steep learning curve for mastering rotary instrumentation? We'll explore these questions through a review of current literature, clinical experience, and a candid discussion of what may be the "Elephant in the Room" of endodontics.
CE Hours: 0.75
Description: File separation remains a persistent and frustrating challenge in root canal preparation. Despite the abundance of literature offering tips and techniques to minimize this risk-and even more articles and devices focused on retrieval of separated files-the problem continues to be prevalent. Studies report a 2-6% incidence of file separation in overall endodontic cases, with 80-83% occurring in molar teeth, where canals are tighter and more curved-the daily battleground of the endodontist. This presentation explores solutions: What truly can reduce file separation? Is it RPMs settings? Torque settings? File design or cross-section? File control and directional movement? File metallurgy? Operator technique error? Or perhaps the steep learning curve for mastering rotary instrumentation? We'll explore these questions through a review of current literature, clinical experience, and a candid discussion of what may be the "Elephant in the Room" of endodontics.
Learning Objectives:
- Identify pre-operative and initial canal management steps to evaluate and assess the risk of file separation.
- Evaluate the techniques and devices that can be utilized to reduce or prevent file separation.
- Describe how the application of "Slow-Down Rotary Instrumentation" in difficult and challenging cases can reduce the rate of motor file separation without compromising root canal preparation ideals.
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Contains 5 Component(s), Includes Credits
Speaker: |Felipe Restrepo, D.D.S. M.Dent | Minimally Invasive Endodontic Microsurgery. What is this? Are we really doing it? There is a consensus about what minimally invasive endodontics is. We know it refers to contracted access, small taper preparations (shaping), preservation of the peri-cervical dentin and activation of irrigants in order to properly disinfect the root canal system. But when discussing endodontic microsurgery (EMS), there is no consensus about what is being minimally invasive. Being minimally invasive could be to save a poor prognosis tooth, preserving dentin as much as possible, preserving bone as much as possible, planning a guided EMS or doing everything with a ¨Micro¨ approach (Including the soft tissue). Several clinical cases for each previously mentioned topic will be shown and described step by step with proper follow up periods displaying a positive outcome. For the ¨Micro¨ approach, a comparison between conventional and laparoscopic minimally invasive medical surgery is made in order to show how the same goal can be achieved through two very different surgical accesses, one with a big, long incision and the other with a couple of very small incisions. As endodontists we can also perform EMS trough conventional large flaps or with very small incisions achieving excellent results in less time, less risk of complications and less postoperative pain for our patients. All of these thanks to all the technology we have available at the moment like the operative microscope, micro-surgical instruments, cone beam computed tomography (CBCT), intra-oral scanning, 3D planning software, and computer aided dynamic navigation devices among others.
CE Hours: 0.75
Description: Minimally Invasive Endodontic Microsurgery. What is this? Are we really doing it? There is a consensus about what minimally invasive endodontics is. We know it refers to contracted access, small taper preparations (shaping), preservation of the peri-cervical dentin and activation of irrigants in order to properly disinfect the root canal system. But when discussing endodontic microsurgery (EMS), there is no consensus about what is being minimally invasive. Being minimally invasive could be to save a poor prognosis tooth, preserving dentin as much as possible, preserving bone as much as possible, planning a guided EMS or doing everything with a ¨Micro¨ approach (Including the soft tissue). Several clinical cases for each previously mentioned topic will be shown and described step by step with proper follow up periods displaying a positive outcome. For the ¨Micro¨ approach, a comparison between conventional and laparoscopic minimally invasive medical surgery is made in order to show how the same goal can be achieved through two very different surgical accesses, one with a big, long incision and the other with a couple of very small incisions. As endodontists we can also perform EMS trough conventional large flaps or with very small incisions achieving excellent results in less time, less risk of complications and less postoperative pain for our patients. All of these thanks to all the technology we have available at the moment like the operative microscope, micro-surgical instruments, cone beam computed tomography (CBCT), intra-oral scanning, 3D planning software, and computer aided dynamic navigation devices among others.
Learning Objectives:
- Determine that the combination of several aspects can lead to a minimally invasive endodontic microsurgery.
- Differentiate different types of minimally invasive surgical accesses to properly perform an endodontic microsurgery.
- Conclude what a minimally invasive endodontic microsurgery really is.
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Contains 5 Component(s), Includes Credits
Speaker: |Qian Xie, BDS, PhD | The primary goal of root canal treatment is to prevent or reverse apical periodontitis by removing necrotic, infected, or irreversibly inflamed tissue, followed by obturation of the root canal system. Mechanical instrumentation and irrigation play a critical role in eliminating pulp tissue, contaminants, debris, and microorganisms from the root canal space. To enhance the effectiveness of irrigation, various adjunctive agitation techniques have been developed to facilitate deeper penetration of irrigating solutions into the complex anatomy of the root canal system. Techniques such as passive ultrasonic irrigation, apical negative pressure systems, sonic activation, multisonic agitation, and laser activation have demonstrated superior outcomes compared to conventional positive-pressure needle irrigation, particularly in terms of smear layer removal, antimicrobial efficacy, and reduction in postoperative pain. However, limited research exists on how these advanced irrigation methods impact long-term clinical outcomes, such as tooth retention, treatment longevity, and healing of apical periodontitis. Additionally, there has been no direct comparison of the clinical benefits among the various advanced irrigation techniques. This presentation will share the results of a retrospective clinical study that directly compares the outcomes of three advanced irrigation systems.
CE Hours: 0.75
Description: The primary goal of root canal treatment is to prevent or reverse apical periodontitis by removing necrotic, infected, or irreversibly inflamed tissue, followed by obturation of the root canal system. Mechanical instrumentation and irrigation play a critical role in eliminating pulp tissue, contaminants, debris, and microorganisms from the root canal space. To enhance the effectiveness of irrigation, various adjunctive agitation techniques have been developed to facilitate deeper penetration of irrigating solutions into the complex anatomy of the root canal system. Techniques such as passive ultrasonic irrigation, apical negative pressure systems, sonic activation, multisonic agitation, and laser activation have demonstrated superior outcomes compared to conventional positive-pressure needle irrigation, particularly in terms of smear layer removal, antimicrobial efficacy, and reduction in postoperative pain. However, limited research exists on how these advanced irrigation methods impact long-term clinical outcomes, such as tooth retention, treatment longevity, and healing of apical periodontitis. Additionally, there has been no direct comparison of the clinical benefits among the various advanced irrigation techniques. This presentation will share the results of a retrospective clinical study that directly compares the outcomes of three advanced irrigation systems.
Learning Objectives:
- Compare the effectiveness of advanced irrigation techniques in improving root canal treatment outcomes.
- Identify the clinical advantages of advanced irrigation methods over conventional needle irrigation in terms of smear layer removal, antimicrobial efficacy, and postoperative outcomes.
- Analyze the current evidence regarding the impact of advanced irrigation techniques on the healing of apical periodontitis and long-term treatment success.