Debridement
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Includes Credits
CE Hours: 1.5
Description: Endodontic complications of varying severity can unfortunately occur during most stages of endodontic treatment. This lecture aims to enhance understanding of common endodontic complications and recommends current management and solutions with an evidence-based approach. Preoperative, intraoperative and postoperative issues will be discussed, including possible aetiologies and prevention during root canal therapy. We will address the impact of complications on both patients and practitioners, underscoring the importance of clear communication in preserving the clinician-patient relationship. Attendees will gain current advice and knowledge on how to tackle endodontic complications effectively, fostering excellence in clinical practice and improved patient care.
Learning Objectives:
- Recognize and identify common endodontic complications.
- Implement evidence based management strategies.
- Develop strategies for preventing endodontic complications.
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Includes Credits
CE Hours: 0.75
Description: The demand for high-quality evidence in endodontic clinical practice is escalating, particularly with the emergence of costly technologies in adjunctive irrigation. However, the scarcity of robust laboratory and clinical studies in adjunctive irrigation over the past six decades has compromised the reliability on systematic reviews and meta-analyses. Thus, a shift towards producing better-quality studies over quantity is imperative. Constraints such as cost, ethical considerations, and narrow population designs often render Randomized Clinical Trials unfeasible, limiting their generalizability. To address this, the utilization of real-world data and AI for generating real-world evidence is gaining traction, bridging the gap between trial settings and practical clinical scenarios. This presentation will thoroughly explore the literature on adjunctive irrigation, decode enhanced root canal irrigation techniques, suggest methods to develop quality research and balancing between research and practice.
Learning Objectives:
- Discuss the optimal research methodology for root canal cleaning and disinfection.
- Explain the concept of pragmatic studies and AI incorporation and their integration for collecting real world data in adjunctive irrigation research.
- Align evidence based findings with the clinical need for lasers and multisonics in root canal irrigation for improved outcomes.
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Includes Credits
CE Hours: 1.25
Description: Real-time dynamic navigation and dental lasers are often hailed as groundbreaking innovations in various fields. Real-time dynamic navigation systems, particularly in non-surgical and surgical procedures provide enhanced precision and safety by continuously adapting to changing conditions. Dental lasers offer precise, minimally invasive treatments that can enhance patient outcomes and reduce recovery times.
But are these technologies truly as transformative as they seem, or are they just advanced iterations of existing tools? This evidence based presentation will delve into the real impact of these innovations, assessing their effectiveness, adoption, and the extent to which they are changing the future non-surgical and microsurgical Endodontics. In this lecture, for the first time, the integration of real-time laser guidance with microsurgical techniques will be presented. Real-time laser guidance represents a significant leap in enhancing precision, safety, and outcomes in endodontic microsurgery.
Learning Objectives:
- Demonstrate the workflow, and application of real-time dynamic navigation in minimally invasive endodontic procedures as locating calcified canals and microsurgical procedures in close proximity to vital structures.
- Describe the different laser systems, wave lengths available in laser technologies and its different applications in non-surgical (disinfection of root canal systems) and surgical procedures (surgical incisions, osteotomies, root resection and photo-biomodulation).
- Demonstrate the integration of real-time laser-guided technology in Endodontic microsurgery.
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Includes Credits
CE Hours: 1.0
Description: We are undoubtedly living in a golden era for endodontics. With a plethora of advanced instruments, materials, and equipment designed to enhance clinical workflows and outcomes, the possibilities seem endless. Among these, the emergence of various disinfection devices has sparked significant interest—and controversy.
Clinicians are now faced with a critical question:
Are these high-cost devices truly game-changers in root canal disinfection, or are they overhyped luxuries?
This presentation aims to reexamine our core objectives during root canal disinfection and critically evaluate how modern instrumentation and irrigation devices can elevate the patient experience and clinical outcomes.Learning Objectives:
- Explore practical strategies to improve clinical efficiency
- Understand the role and effectiveness of various irrigation devices in improving disinfection quality
- Analyze the impact of advanced disinfection approaches on clinical patient outcomes
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Includes Credits
CE Hours: 0.75
Description: The goal of root canal treatment is to prevent or reverse apical periodontitis by removal of necrotic/infected or irreversibly inflamed tissues, followed by obturation of the root canal space. Mechanical instrumentation and irrigation play a key role in the removal of pulp tissue, contaminants, debris, and microorganisms from the root canal system. Different adjunctive agitation techniques have been developed to help irrigating solutions penetrate the complexities of the root canal system. Passive ultrasonic irrigation, apical negative pressure irrigation systems, sonic activation, multisonic agitation, and laser activation have been reported to be superior to conventional positive pressure needle irrigation in regards to smear layer removal, antimicrobial effect, and decreased post-operative pain. Minimally invasive canal preparation has been promoted with the activated irrigation approaches. However, what is not known is the effect of minimally invasive instrumentation, in conjunction with an activated irrigation approach on clinical outcomes (retention/longevity, healing of apical periodontitis). Can infected root canals be predictably disinfected following conservative root canal preparation? Based on a review of the current literature and personal clinical experience, appropriate preparation sizes for root canal treatment will be explored.
Learning Objectives:
- Describe how apical preparation size during root canal treatment affects the clinical outcome.
- Evaluate the current best available evidence to support minimal invasive canal preparation with different irrigation protocols.
- Choose the appropriate preparation size for root canal treatment upon irrigation protocol.
Qian Xie, D.D.S., Ph.D.
Dr. Qian Xie received her BDS and PhD degrees from Sichuan University, Chengdu, China. After a few years of practice, Dr. Xie returned to graduate school at the University of Illinois at Chicago College of Dentistry, where she received her Certificate of Specialty in Endodontics. Dr. Xie is a Diplomate of the American Board of Endodontics. Dr. Xie has been a member and an active participant in the American Association of Endodontists, the American Dental Association, the Chicago Dental Society, and the Edgar D. Coolidge Endodontic Study Club. She is a fellow of the International College of Dentists. Dr. Xie has a broad background in oral science and clinical dentistry, with specific training and expertise in oral microbiology research and clinic experience in endodontics. Her research background includes caries research, oral biofilm and endodontic irrigation.
Disclosure(s): No financial relationships to disclose
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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: It appears we are in the middle of an endodontic revolution of sorts. Today's endodontists are trying to preserve as much root dentin as possible while removing as much bacterial biofilm as possible. Enhanced irrigation, whether laser or multisonic, claims to disrupt and debride the smaller shapes we are creating with our files and the hidden spaces that those files never touch. Both technologies are expensive, require ongoing maintenance, and add steps to the clinical workflow. Proponents of both laser and multisonic procedures have strong opinions as to which technology is "better", but the jury is still very much out on the answer to that question. I have chosen to incorporate both technologies into my practice, and find myself preferring one or the other depending on the case type, the tooth, and even how my schedule is running at the time. In my personal experience, there are pros and cons to both technologies, and I will discuss these in detail during my presentation.
Learning Objectives:
- Breakdown the main differences in the mechanisms of action between laser and multisonic technology in the debridement and irrigation of root canal systems.
- Describe the advantages/pitfalls, opportunities/difficulties, and joys/frustrations that are associated with incorporating each technology into the everyday treatment of endodontically compromised teeth.
- Distinguish between which cases can be treated more efficiently with a laser assisted approach vs. a procedure involving multisonic energy and activation.
S. Kirk Huffaker, DMD, MDS
Dr. Huffaker is a full-time, clinical endodontist and the owner of Mountain View Endodontics. He graduated from CWRU School of Dentistry in 2006 and completed a 3-year endodontic residency at the University of Connecticut Health Center in Farmington in 2009. He lives with his wife and 7 children in Queensbury, NY where he spends most of his "non-endodontic" time trying to keep up with all of his children's activities. He is a fellow of the International Academy of Endodontics and has lectured around the country on a variety of endodontic topics.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 0.75
Description: Irrigation is a key part of successful root canal treatment. Recently, many canal system irrigating technology has introduced to the Endodontics market. This created a healthy debate and discussion in the endodontic society. Emerging questions that are raised are; Which technology to implement? Are these devices affecting the outcome compared to the traditional treatment? Where is the evidence? And most importantly what kind of evidence are we looking for? What metanalysis informing us about supplemental irrigation, is the metanalysis still on top of the evidence pyramid? Are there outcome studies? What kind of outcome studies should we rely on?
This presentation will attempt to present a balanced viewpoint answering all these questions based on the most recent research findings following an evidence based approach.
Learning Objectives:
- Describe the current root canal system irrigating devices and their efficacy and limitations
- Identify the best method for evaluating cleaning and disinfection of the complex root canal system
- Identify the optimal study design and type to evaluate endodontic outcome
Mohamed Ibrahim, D.M.D.
Dr. Ibrahim is Associate Professor and Director of Predoctoral Endodontics at Marquette University, school of Dentistry.
Dr. Ibrahim received his dental degree with honors from Mansoura University, Egypt. He earned his MS and endo training from Mansoura University. He also got a PhD via JSP between Mansoura University and Cologne University in Germany in the field of endodontic microbiology and disinfection. He also earned a doctoral degree (Dr Med Dent) from Cologne University, Germany in endodontic hydrodynamic disinfection.
Dr. Ibrahim has published several papers in Journal of Endodontics, International endodontic Journal, Journal of dental education and other international journals. He authored two book chapters about Biocompatibility of dental biomaterials and Injectable Gels for Dental and Craniofacial Applications. He also lectured and presented in endodontics nationally and internationally.
Dr. Ibrahim is a reviewer at Journal of endodontics, Materials, Scientific reports and other peer reviewed journals.
Dr. Ibrahim is a member of the AAE Research and Scientific Affairs Committee.Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.5
Description: Laser-assisted endodontics is emerging as one of the more important technologies in the management of endodontic disease. Much confusion exists as to which lasers are the most efficacious and conflicting ideas have emerged on how to apply the laser energy within root canal systems. This lecture will review the mechanism of action of lasers within confined root canal systems as well as fluid dynamics within open and closed systems and the consequences of imparting a high velocity to irrigating solutions. An evidence based, laser-assisted treatment protocol will be presented that maximizes deep dentinal cleaning and disinfection, while maintaining foraminal patency, facilitating canal shaping and promoting drainage and decompression of periapical tissues. By re-thinking treatment concepts and putting to rest many of the dogmas that have governed endodontics for generations, the introduction of this innovative treatment paradigm will enhance success while significantly reducing stress and improving productivity for the endodontist.
Learning Objectives:
- Describe how lasers work and the role of lasers in Radial Apical Cleansing – a new protocol for the management of root canal systems
- Articulate that laser-assisted endodontics is not just about disinfection but also plays a critical role in the management of other treatment challenges
- Define concepts such as working length, apical gauging, scouting for anatomy, apical foraminal cleansing, working width, patency and recapitulation
Justin R. Kolnick, B.D.S.
Dr. Kolnick received his dental degree, cum laude, from the University of the Witwatersrand in South Africa, where he was the first dental school graduate to ever be awarded the University Scholarship for Overseas Postgraduate Study. He received his postdoctoral endodontic training from Columbia University in the City of New York. Dr. Kolnick has been committed to endodontic education, first as an Associate Clinical Professor in Endodontics at Columbia University and then as an Attending at Westchester Medical Center and an Associate Clinical Professor in Endodontics at New York Medical College. Although he no longer holds these positions, he continues to lecture extensively on local, national and international levels and has published several articles on endodontics. Dr. Kolnick is dedicated to fostering excellence in endodontics through education and the incorporation of the latest technology. For the past 15 years, his experience and expertise in lasers has made a significant contribution to the development of a comprehensive, laser-assisted treatment concept in endodontics. Dr. Kolnick is in full-time private practice limited to endodontics in Westchester County, New York.
Speaker Disclosure
In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: Biolase, Inc (Individual(s) Involved: Self): Clinical Mentor, Consultant, Other Financial or Material Support; Edge Endo (Individual(s) Involved: Self): Clinical Mentor, Consultant, Other Financial or Material Support
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Includes Credits
CE Hours: 1.5
Description: Transformative technology has elevated the standard of clean in endodontics. Unsurpassed cleaning of complex internal spaces utilizing minimal instrumentation is accomplished through a proprietary technology that leverages optimum cleaning via broad-spectrum acoustic energy and a powerful vortex of disinfecting solutions, while providing improved patient outcomes. With the vast majority of treatments efficiently performed in one-visit, and patients universally reporting minimal-to-no discomfort post treatment, this breakthrough technology is here to stay. Factors influencing the skeptic-to-believer evolution process in the adoption of new technology into practice will be shared.
Learning Objectives:
- Discover how one practice incorporated some transformative technology to enable successful cleaning and disinfection of complex anatomies with minimal root canal preparations
- Identify factors that enable a smooth transition into advanced and transformative technology
- Assess the rationale for embracing today's advancements into everyday practice
Michael J. Ribera, D.MD, M.S.
Dr. Ribera is a 1984 graduate of Boston College and a 1989 graduate of Harvard School of Dental Medicine. In 1990, he completed a general practice residency at Harvard’s Brigham and Women’s Hospital, and in 1992 received his Certificate in Endodontics and Master of Science Degree from Northwestern University Dental School in Chicago.
Dr. Ribera is a Diplomate of the American Board of Endodontics, a member of the Endodontic College of Diplomates, a specialist member of the American Association of Endodontists, and a Fellow of the International College of Dentists. He is the 2006 recipient of the District of Columbia Dental Society’s David Mast Memorial Award for excellence in continuing education. Dr. Ribera is in full-time practice and maintains three offices in the Washington, D.C. Metro Area.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.