CBCT
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Includes Credits
CE Hours: 2.25
Description: Patient injury as an outcome of endodontic treatment can have devastating consequences for both the patient and the endodontist. Mishaps that occur during the therapeutic stages of endodontic therapy can result in significant irreversible damage to teeth and the jaws as well as neurologic damage within the head and neck, with an unpredictable course and an uncertain prognosis. This presentation will discuss the evidence and best practices regarding clinician thinking and actions resulting in patient injury and impairment as a result of endodontic care. The presentation will review the data for prognosis and how to determine treatment and intervention strategies in local anesthetic injury; chemical harm from overfill; as well as irrigation accidents and the resulting neural trauma caused by surgical error.
Learning Objectives:
- Recognize the advantages of imaging technologies in identifying key neurovascular structures and their proximity to the root canal systems of teeth.
- Identify safe protocols for avoiding extra-radicular overfill of the root canal space when there is close proximity to neurovascular anatomy.
- Become familiar with prognosis and best practice for injuries and overfill mishaps that result in neurologic damage.
Alan Gluskin, D.D.S.
Professor of Endodontics
University of the Pacific
Alan H. Gluskin DDS is currently Professor, Department of Endodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific in San Francisco, California. He is at present a Fellow of the International College of Dentists and the American College of Dentists. Dr. Gluskin is a member of numerous societies including the American Association of Endodontists, the American Dental Association and the San Francisco Dental Society. Dr. Gluskin has completed his tenure on the Executive Board of Directors of the American Association of Endodontists as a Past President of the AAE. He additionally functions on the editorial boards of the Journal of Endodontics and the International Journal of Endodontics. Dr. Gluskin is the 2017 recipient of the University of the Pacific’s Eberhardt Teacher-Scholar Award and was awarded the Distinguished Faculty Award in 2023 by the dental school faculty. He is co-editor of the textbooks Decision Making in Dental Treatment Planning and Practical Lessons in Endodontic Treatment.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.75
Description: For endodontists, it is easy to assume that any radiolucency associated with pain is of pulpal or inflammatory origin, especially if the tooth has a significant restorative history. However, numerous disease entities of variable clinical significance can be identified in the periapical region, and differentiating the typical endodontic presentation from that of a potentially more life threatening or insidious etiology is of critical importance to ensure ideal management and outcome. This review, based on clinical cases, will highlight a variety of diagnostic roadblocks including the limitations of pulp testing and radiographic interpretation of periapical images and cone beam computerized tomography. Advanced endodontic diagnosis with systematic method for the development of a differential diagnosis of periapical radiolucencies will be the main focus of this discussion.
Learning Objectives:
- Recognize the limits of available technology and issues related to pulp testing and radiographic imaging.
- Incorporate a systematic method to formulate a differential diagnosis of radiographic lesions found in the periradicular areas.
- Discuss the radiographic changes consistent with non-inflammatory etiologies and recognize when referral for biopsy is indicated.
David Landwehr, D.D.S., M.S.
Endodontist
Capital Endodontics
Dr. David Landwehr earned his D.D.S. at the University of Minnesota. He received an M.S. degree and certificate in oral and maxillofacial pathology at The Ohio State University followed by specialty training in endodontics at the University of Michigan. Dr. Landwehr has been a private practice clinician for more than twenty years and for the last ten years has provided exemplary patient care at Capital Endodontics in Madison, WI.
Dr. Landwehr’s ongoing work as an educator and opinion leader has positioned him at the forefront of modern endodontic treatment. Dr. Landwehr authored the chapter titled Lesions That Mimic Endodontic Pathosis for the most recent edition of Cohen’s Pathways of the Pulp and was the Chief of Endodontics for the Meriter Hospital general practice residency for more than ten years. He has lectured extensively on endodontic diagnosis and oral pathology both nationally and internationally. His teaching focuses on techniques used daily in his clinical practice that are efficient, predictable and evidence based.
Disclosure(s): Dentsply Sirona Endodontic SBU: Honorarium (Ongoing); Surround Medical: Advisory Board (Ongoing)
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Includes Credits
CE Hours: 1.5
Description: The lecture will present a logical series of evidence based researches that support the clinical relevance of this technique, highlighted by clinical case evidences. Studies on the fluid dynamics of fluids will explain how to modify the concept of shaping for cleaning in minimal shaping for an effective cleansing and decontamination. High resolution videos will greatly help in understanding how to optimize the cleansing and disinfecting phases while maintaining minimal preparation of the canals.
Learning Objectives:
- Describe the limitations of the use of conventional systems for endodontic irrigation.
- List the difference among sonic, ultrasonic, multisonic and laser activated irrigation.
- Explain the main advantages of laser activated technology for root canal irrigation.
Giovanni Olivi, MD, DDS
Giovanni Olivi graduated cum laude in Medicine and Surgery (MD) at ”La Sapienza” University of Rome, and in Dentistry (DDS) at ”Tor Vergata” University of Rome. In 2002 Giovanni achieved the postgraduated diploma in ”Laser Dentistry” from the University of Florence; in 2004, He achieved the laser certification from ISLD; in 2006 the Advanced Proficiency from the Academy of Laser Dentistry and in 2009, the Master status, always from ALD.
Giovanni in 2007 has been awarded with the “Leon Goldman Award” for clinical exellence. He autored over 80 peer-reviewed papers, and 4 books on Laser Dentistry and Endodontics, in different languages, italian, english and chinese.
Active member of Italian Society of Endodontics (SIE), Giovanni is also member of several italian and international laser academies. Giovanni Olivi is a founder member and currently the 2021-2023 President of the International Academy of Innovative Dentistry (IAID) and the scientific coordinator of the ”Laser Dentistry” Master courses at Catholic University of Sacred Hearth of Rome.Disclosure(s): FOTONA d.o.o.: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)
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Includes Credits
CE Hours: 0.75
Description: Prevention and/or elimination of pulpal pathology and apical periodontitis is the ultimate goal of endodontic treatment. The success rate of primary non-surgical root canal treatment is >90%.Root canal retreatment might also fail or may not be feasible, on those cases root end surgery is the procedure of choice in those cases. The success rate of the micro-surgery was reported to be (94%) as shown in the systematic review and meta-analysis by Setzer et al. Despite its very high success, micro-surgery may be difficult to perform in certain cases. The combination of artificial intelligence (AI) and digital workflow has the potential to revolutionize endodontics. AI can be used to improve diagnosis, treatment planning, and patient care, while digital workflow can improve efficiency and accuracyIn this lecture, the advancement of AI and digital workflow in the field of Endodontic microsurgery, intentional replantation , and autotransplantation will be discussed, including the use of guided and navigation systems technology to perform the highest standard procedure with a predictable outcome.
Learning Objectives:
- Learn how to use artificial intelligence (AI) to improve the diagnosis and treatment planning.
- Perform precise and accurate guided Root-end surgeries.
- Discuss the use of digital workflows in Endodontics to maximize the outcome of Auto transplantation for different clinical presentations.
Mohammed A. Alharbi, B.D.s, D.Sc.D
Dr. Mohammed Alharbi is an assistant Professor at the Endodontic department at King Abdulaziz University, Jeddah, Saudi Arabia. And Adjunct Assistant professor at the University of Pennsylvania school of Dental Medicine. Dr. Alharbi received his BDS Degree from King Abdulaziz University in 2009 with an Honor Degree. Dr. Alharbi completed his Endodontic postgraduate training at the University of Pennsylvania in 2014 , Doctor of Science in Dentistry (DScD) from the University of Pennsylvania in 2017, and Executive MBA from Prince Mohammed Bin Salman College for business administration and entrepreneurship.
He is a Diplomate of the American Board of Endodontics. He received Hatton research award from the IADR in 2017, The Young Investigator award from the AADR mineralized tissue group 2017, and the KAU Dean’s researcher award for the faculty with the highest impact factor in 2019 and 2020. He is currently in the editorial board of the Journal of dental research (JDR) and published many articles in peer reviewed journals. Dr. Alharbi lectures nationally and internationally as a member of Penn Endo Global Symposium team.Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 0.75
Description: CBCT has superior sensitivity in detecting periapical pathosis compared with conventional periapical radiographs. However, CBCT may not always be able to discern vertical root fractures and cracks due to the overlapping structures and fracture’s variability. Nevertheless, there are some pathological CBCT manifestations as secondary changes that aid us detecting these fractures/cracks. Several factors influence the diagnosis of cracks using CBCT such as those related to the device used, patient-related -and operator-related factors. The diagnostic accuracy detecting fractures / cracked teeth can be improved using certain strategies in clinical practice.
Learning Objectives:
- Discuss different types of cracked teeth.
- Discuss the secondary pathological changes using CBCT by correlating the clinical signs and symptoms with their CBCT manifestations.
- Discuss how to improve the diagnostic accuracy of CBCT in finding fractures / cracked teeth.
Homan Zandi, D.D.S, Ph.D
Dr Zandi graduated from University of Oslo with DDS and Endo specialty certificate. He also earned a PhD on Antibacterial and clinical outcome of retreatment of teeth with infection at University of Oslo, Dental school. He is part-time assistant professor at the same faculty and maintains a referral practice in endodontics in Oslo, Norway.
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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Includes Credits
CE Hours: 1.0
Description: Stereolithographic (STL) files created by Cone Beam Computed Tomography (CBCT) can be used to develop patient-specific three-dimensional (3D) printed models. In the preclinical phase, these 3D models can facilitate treatment planning and improve treatment precision and safety by reducing surgical time and operator stress, and increasing patient comfort through minimally invasive approaches. They offer a tremendous advantage in developing the operator's skills and provide him/her with a variety of opportunities to practice complex and challenging procedures prior to the operative phase. For complicated root canal systems, root resorptions, teeth with calcified canals and teeth with apices near critical anatomical structures, 3D models reduce the risk of procedural errors and minimize the risk of negative outcomes. This presentation highlights some interesting applications of 3D-printed models and provides a step-by-step guide to obtaining 3D models from CBCT, giving a comprehensive overview of this technology to achieve safe and durable treatment results.
Learning Objectives:
- Plan customized 3D models for training procedures prior to the operative phase.
- Evaluate different therapeutic approaches through safe and accurate pre-clinical training with 3D models.
- Perform some complex surgical and non-surgical endodontic procedures with a much more predictable outcome.
Riccardo Tonini, DDS
Riccardo Tonini, DDS MSc graduated from dental school of University of Brescia (Italy) at 2004. At 2007 he carried out his Master degree from university of Verona (Italy) in Endodontics. His scientific work includes publications, continuous participation in national and international meetings and teaching experience in Italy (university of Brescia). Since 2010 he is an active member of the Italian Society of Endodontics and the Italian Society of Microscopic dentistry.
He is also a member of Style Italiano study club. He is the inventor of ProTrain® and a new endo hollow post for injection molding technique and has collaborated for several other innovations in dental industry. Dr Tonini maintains Private Practice limited in Endodontics for the last five years in Brescia, Italy.
Disclosure(s): ProTrain (Inventor) (Ongoing)
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Includes Credits
CE Hours: 1.0
Description: Computer Guided Endodontic Solutions for Complex Cases. With the introduction of cone beam computed tomography (CBCT), intra-oral scanning, 3D planning software, 3D printers and computer aided dynamic navigation devices, It is possible to plan ahead, in a very precise, predictable, more conservative way computer aided procedures with lower clinical times for high difficulty cases, such as, severely calcified canals, endodontic microsurgery of cases with intact cortical bone close to important anatomical structures like the maxillary sinus, the mental foramen or the mandibular canal, and tooth autotransplantation of both mature or immature teeth. The necessary digital work flow for static 3D-printed guides or dynamic virtual guides and the available scientific evidence will be discussed in detail as well as the clinical protocols and required armamentarium. Several clinical cases of each type of guided treatment will be shown and described step by step with proper follow up periods displaying a positive outcome.
Learning Objectives:
- List the digital work flow necessary to perform computer aided endodontic treatments.
- Evaluate if a specific case is indicated, or not, to be treated with a computer aided or guided procedure.
- Discuss the possibility of offering these types of treatments to a patient.
Felipe Restrepo, D.D.S. M.Dent
Dr. Felipe Restrepo, was born and raised in Medellín - Colombia. Graduated from the University of Antioquia with a degree in Dentistry 2003, after one year as general practicioner he entered a two year Endodontic program and graduated from University CES in 2007. Associate Professor at the University of Antioquia teaching their postgraduate level students in endodontics and also Director of the Dental Emergencies Diploma. Dr. Restrepo has authored several scientific articles in peer-reviewed journals. Ex-president of the Antioquian Association of Endodontists. Private practice limited to Endodontics, Endodontic Microsurgery and Tooth Autotransplantation in Medellín since 2007, international speaker.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.0
Description: Tooth autotransplantation, intentional replantation and surgical extrusion are different treatment options with a similar principle; the preservation of the periodontal ligament (PDL) in order for the tooth to heal and be newly articulated with the bone. Tooth autotransplantation is defined as the surgical movement of a tooth from one alveolar socket to another, either after extraction or by surgically preparing the recipient site in the same patient, it is a viable option to replace lost teeth or poor prognosis teeth. Thus, both function and preservation of the alveolar bone crest is maintained. Its success is associated with healing of the PDL and pulp tissue, absence of root resorption, soft tissue healing, and radicular formation. Intentional replantation is the atraumatic extraction of a tooth enabling the clinician to do a procedure (mostly endodontic microsurgery, or cervical resorption treatment) in less than 15 minutes (extra-alveolar time) in teeth in which, otherwise, access would not be possible. Surgical extrusion consists of atraumatic luxation and coronal repositioning of a tooth with in its same socket, this with the purpose of exposing root resorption, root fractures or decay and treat it, leaving sound tooth structure subgingival.Over the last 15 years these techniques have had a great evolution due to the introduction of cone beam computed tomography (CBCT), intraoral scanning, 3D planning software, 3D printers and computer aided dynamic navigation devices. All this technology enables a more predictable, faster and safer procedure with lower extra-alveolar times. In this lecture several clinical cases, with a proper follow up period, show the rapid progress of the technique always based in the best scientific evidence available and trying to inspire Endodontists to have this type of treatments as valid options to help their patients.
Learning Objectives:
- Evaluate if a patient is a potential candidate for Tooth Autotransplantation, Surgical Extrusion or Intentional Replantation.
- List the digital work flow necessary to perform computer guided Tooth Autotransplantation.
- Introduce these type of treatments as possible options for clinical cases that otherwise would be hopeless.
Felipe Restrepo, D.D.S. M.Dent
Dr. Felipe Restrepo, was born and raised in Medellín - Colombia. Graduated from the University of Antioquia with a degree in Dentistry 2003, after one year as general practicioner he entered a two year Endodontic program and graduated from University CES in 2007. Associate Professor at the University of Antioquia teaching their postgraduate level students in endodontics and also Director of the Dental Emergencies Diploma. Dr. Restrepo has authored several scientific articles in peer-reviewed journals. Ex-president of the Antioquian Association of Endodontists. Private practice limited to Endodontics, Endodontic Microsurgery and Tooth Autotransplantation in Medellín since 2007, international speaker.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.5
Description: Several technologies have been introduced to the endodontic specialty in the past few years. Among these technologies are CBCT, dental lasers, AI softwares and dynamic navigation. CBCT has become the scaffold for other technologies. Importing CBCT dicom files into e-VOLDx artificial intelligence (AI) software and dynamic navigation systems have added a new dimension to diagnosis and treatment. The incorporation of CBCT technology and a new imaging software e-VOLDX has provided clinicians with 300 times higher resolution and the ability to visualize dental structures clinicians were not able to visualize in the past. Structures as the dental pulp, nerve bundles and maxillary sinus membranes are few of these examples. Dynamic navigation software allows the clinician to visualize dental procedure on a monitor in real time while performing challenging non-surgical and surgical procedures. Another technology are dental lasers which are utilized in non-surgical (acoustic streaming disinfection of root canal systems) and surgical procedures (laser guided surgical incision, soft tissue management in invasive cervical resorption and photo-biomodulation to accelerate wound healing).
This presentation will focus on how the incorporation of these technologies can be utilized in non-surgical and surgical challenging endodontic procedures. Based on the information provided, changes in treatment protocols and armamentarium will be presented.
Learning Objectives:
- Import CBCT dicom images into e-VOLDX AI software in the following cases: Diagnosis of pain, cracked teeth, vertical root fracture and resorptive defects.
- Apply dental lasers in non-surgical (acoustic streaming disinfection of root canal systems) and surgical procedures (laser guided surgical incision, soft tissue management in invasive cervical resorption and photo-biomodulation to accelerate wound healing).
- Apply the dynamic navigation with Scopeye display in minimally invasive endodontic procedures as locating calcified canals and surgical cases in close proximity to vital structures.
Mohamed I. Fayad, DDS, MS, PhD
Dr. Fayad received his DDS from the College of Dentistry, Cairo University in 1985. He received his MS in 1994 and his PhD in 1996 from the University of Buffalo at New York. He had two years of Advanced Education in General Dentistry at Eastman Dental Center, University of Rochester at New York, and received his certificate of Specialty in Endodontics at the University of Illinois.
Currently he is the director of Endodontic research, and a clinical associate Professor in the Endodontic department at College of Dentistry at UIC, dividing his time between teaching, research, intra-and extra-mural continuing education and private practice. He currently serves on the Scientific Advisory and Manuscript Review Panels of the Journal of Endodontics, and Evidence Based Endodontics Journal. He served on the AAE Research and Scientific Affairs Committee and co-chaired AAE/AAOMR committee drafting the joint position statement on CBCT (2015). He has numerous publications and chapters in peer reviewed journals and textbooks (Pathways of the pulp) and (Contemporary surgical Endodontics). He is the co-editor of the CBCT text book (3-D Imaging in Endodontics: A new Era in diagnosis and treatment) by Springer 2016 and 2023. He is a recipient of the Calvin D. Torneck Part-Time Educator Award for 2022 by the American Association of Endodontists. He is a Diplomate of the American Board of Endodontics and gave numerous presentations nationally and internationally.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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Includes Credits
CE Hours: 0.75
Description: Augmented Reality (AR) and Mixed Reality (MR) are cutting-edge technologies that enhance visualization and interaction in dentistry. They offer real-time feedback and guidance for various endodontic procedures. AR Foundation, a smartphone-compatible framework, simplifies the creation of AR experiences by providing tools like real-time tracking, surface detection, and object placement. Our presentation showcases the application of AR and MR in endodontics, demonstrating novel methods using devices such as head-mounted displays, surgical microscopes, and light detection and ranging. We'll explore the advantages and limitations of these techniques, including accuracy, precision, usability, and clinical relevance. Additionally, we'll share preliminary results from in vitro studies evaluating the feasibility and effectiveness of these methods for endodontic treatment. We hope to inspire further research and innovation in the field of AR and MR-assisted endodontics.
Learning Objectives:
- Explain the applications of AR and MR in enhancing visualization and interaction in endodontics.
- Demonstrate the features and benefits of the AR Foundation framework for creating immersive AR experiences.
- Evaluate the advantages and limitations of AR and MR methods in endodontics based on in vitro study results.
Katsushi Okazaki, D.D.S., Ph.D.
Katsushi Okazaki, D.D.S., Ph.D., is a Clinical Assistant Professor of the Department of Endodontics at New York University College of Dentistry, operating a variety of clinical training programs as the course director and served as Director of Endodontics course in Linhart Continuing Dental Education program at NYU College of Dentistry. Furthermore, K. Okazaki is a Clinical Associate Professor of the Department of Endodontics at Tokyo Dental College, JAPAN, engaging in dental education and research. Besides, He is an Adjunct Faculty member, at Tohoku University Graduate School of Dentistry, operating research activities. K. Okazaki is a co-author of the book chapter in the seventh edition of Ingle’s Endodontics and the main author of the book chapter in Diagnosis of Pulpal-Periapical Disease, In Endodontic Prognosis. K. Okazaki received his DDS, then earned a Ph.D. in Anatomy and Physiology and served as a Teaching Fellow in Oral Anatomy at Aichi Medical University in Japan. After Postdoctoral Research as a research fellow in the Department of Development and Surgical Sciences at the University of Minnesota, K. Okazaki completed Postgraduate Programs in Endodontics at New York University College of Dentistry in the USA. K. Okazaki received the Distinguished Educators Award in 2015, the Research Award in 2018, and the Outstanding Professional Distinction in 2019 from NYU. K. Okazaki lectured on various topics on Endodontics to post-graduate students, as well as pre-doctorate students. K. Okazaki gave a speech at the AAE Annual Meeting in 2021 and 2023 on 3D-guided Endodontic Microsurgery and Extended Reality (XR) in Endodontic Education and Treatment Simulation, respectively. K. Okazaki actively supervised and conducted research projects, including international research projects supported by the Japanese Government.
Disclosure(s): No financial relationships to disclose
Fahad Zaman, D.D.S, M.S.
Dr. Fahad Zaman is a first year Endodontics Resident at Boston University. His research interests include guided and 3D endodontics. He has presented multiple times at AAE since starting his DDS program at New York University. His recent presentations at AAE include: Extended Reality (XR) in Endodontic Education and Treatment Simulation: A Novel Approach to Simulate Patient Data (2023), Applications of 3D Printing Technology in Endodontics (2021), The Use of Rhinoceros in a 3D-printed Surgical Training Model for Dental Education (2021), The Evaluation of Pulp Floor Morphology and Root Configuration in Mandibular Molars Using Cone-beam Computed Tomography Scans (2019).
Disclosure(s): No financial relationships to disclose
