Diagnostic Testing
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- Includes Credits
CE Hours: 1.0
Description: This study assessed the accuracy of a TMD Pain Screener questionnaire in identifying patients with temporomandibular disorder (TMD) pain among those seeking endodontic treatment for tooth pain. It also investigated whether the screener accuracy could be improved by adding questions regarding putative predictors of TMD status.
At the conclusion of this article, the reader will be able to:
- Utilize the brief temporomandibular disorder (TMD) pain screening tool in endodontic patients with history of tooth pain to identify those who may need a more thorough TMD examination.
- List the components of the TMD pain screening questionnaire and describe scoring and interpretation of the screening results using a proposed interpretation grid.
- Discuss the diagnostic accuracy of the TMD Pain Screener alone and in combination with the endodontic patient’s rating of the current pain intensity of the chief complaint.
Iryna H. Daline, D.M.D., M.S.
Dr. Iryna Daline is a board-certified Orofacial Pain specialist and a board-eligible Endodontist. She completed her orofacial pain residency at the University of Minnesota and endodontic residency at the University of North Carolina at Chapel Hill. Her clinical and research interests include differential diagnosis, comorbidity, and treatment of endodontic pain and other orofacial pain conditions. She has received grants from the American Association of Endodontists, American Board of Orofacial Pain, International Association for Dental Research, and Dental Foundation of North Carolina to support her research bridging endodontics and orofacial pain. She has published articles in the Journal of Endodontics, Journal of Oral Rehabilitation, and Cephalalgia. Dr. Daline is a co-author of chapters on non-odontogenic pain in the 3rd edition of Seltzer and Bender's Dental Pulp and the 7th edition of Principles and Practice of Endodontics. She has been repeatedly invited to speak and share her expertise with both dental and endodontic professionals.
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.
Gary D. Slade, BDSc, DDPH, PhD
Dr. Slade undertook dental training at the University of Melbourne, Australia (BDSc, 1982) and completed the Diploma in Dental Public Health at the University of Toronto, Canada (DDPH, 1988). He obtained his PhD in dentistry at the University of Adelaide (1994). Dr. Slade is currently the John W. Stamm Distinguished Professor of Dentistry at the University of North Carolina at Chapel Hill. His principal research interests are in population assessment of oral health related quality of life, epidemiological studies of oral disease and orofacial pain, public health interventions to prevent oral disease, and clinical interventions to treat orofacial pain. Dr. Slade published over 288 articles and 8 book chapters. In 2004, he was awarded the distinguished scientist award for Geriatric Oral Research from the International Association for Dental Research (IADR), and in 2008 he was awarded the IADR’s H. Trendley Dean Award for research in epidemiology and public health.
Ashraf F. Fouad, D.D.S., M.S.
Dr. Fouad obtained his DDS, Certificate of Endodontics and MS at the University of Iowa.
He served on the faculty and in various administrative roles at University of Connecticut, the University of Maryland, and the University of North Carolina at Chapel Hill. He is currently Professor and Chair, Department of Endodontics, Director, Advanced Endodontics Program, and Interim Director, Health Information and Business Systems (HIBS) at the University of Alabama at Birmingham.
Dr. Fouad has published over 110 peer-reviewed manuscripts, 25 textbook chapters, and 145 abstracts. He edited and co-authored the textbooks: Endodontic Microbiology (now in its second edition), as well as the fifth and sixth editions of Endodontics: Principles and Practice. He is a Diplomate and Past President of the American Board of Endodontics, and an Associate Editor of the Journal of Endodontics, Dental Traumatology and Frontiers of Dental Medicine – Endodontics. He received the Distinguished Scientist Award from the Pulp Biology and Regeneration Group of the International Association of Dental Research in 2017, and the AAE President’s Award in 2022.
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
Donald R. Nixdorf, DDS, MS
After graduating from the University of Alberta Faculty of Dentistry, Dr. Nixdorf completed hospital dentistry residency at The Ohio State University, Anesthesia fellowship at Johns Hopkins University, Orofacial Pain fellowship at the University of Alberta, and a Master of Science in Clinical Research at the University of Minnesota. As a Diplomate of the National Dental Board of Anesthesiology (NDBA) and the American Board of Orofacial Pain (ABOP), he maintains a specialty Orofacial Pain practice on the diagnoses and management of chronic TMD pain, headaches, and neuropathic pain within multi-disciplinary settings. Dr. Nixdorf’s research has focused on the topics of non-odontogenic “tooth” pain from a classification, diagnosis, epidemiology, and treatment perspectives, as well as TMD and, most recently, dental MRI, with over 85 published articles. Dr. Nixdorf is Professor, Division Director, and past Graduate Program Director at the University of Minnesota in the Division of TMD & Orofacial Pain.
Inna E. Tchivileva, MD, MS
Dr. Tchivileva is Assistant Professor in the Division of Oral and Craniofacial Health Sciences, Adams School of Dentistry, University of North Carolina at Chapel Hill. She obtained her MD and MS in Biochemistry from the Russian State Medical University, Moscow, Russia. She then completed her post-doctoral training in pain neurobiology, molecular biology, and genetics at the Center for Pain Research and Innovation, Adams School of Dentistry, University of North Carolina at Chapel Hill. Dr. Tchivileva’s research interests comprise such topics as association between TMD and headache, molecular biomarkers for TMD and migraine, the role of genetic variations in nociception, and personalized pain management. She has been a recipient of several NIH awards including the K12 award for the Biomedical Researcher Development in TMD and Orofacial Pain and served as a co-Principal Investigator for a large multisite clinical trial in TMD. Dr. Tchivileva has published 21 peer-reviewed manuscripts, 2 textbook chapters, and 22 refereed abstracts.
- Includes Credits
CE Hours: 1.5
Description: This course will give the participant an overview of TMDs and other orofacial pain conditions (e.g., neurovascular, neuropathic) as they relate to endodontic practice. This includes prevalence and the clinical presentation of TMDs and other orofacial pain conditions either mimicking endodontic pain or being a contributing factor to an endodontic patient’s chief complaint. The brief screening method for TMD pain that is useful in a busy endodontic practice will be presented. Differential diagnostic process that will help endodontists distinguish pain of endodontic origin from pain of TMD or other origin will be discussed.
Learning Objectives:
- Define four major clusters of non-odontogenic pain disorders. Compare prevalences of such disorders.
- Identify signs, symptoms, and examination findings that may indicate TMD or another non-endodontic pain condition as an etiology or a contributing factor of the patient’s tooth pain complaint.
- Utilize the brief TMD screening tool to identify those who may need a more thorough TMD examination. Reference and use the validated Diagnostic Criteria for TMD (DC/TMD) and International Classification of Orofacial Pain (ICOP) in differential diagnosis of non-odontogenic pain.
Iryna H. Daline, D.M.D., M.S.
Dr. Iryna Daline is a board-certified Orofacial Pain specialist and a board-eligible Endodontist. She completed her orofacial pain residency at the University of Minnesota and endodontic residency at the University of North Carolina at Chapel Hill. Her clinical and research interests include differential diagnosis, comorbidity, and treatment of endodontic pain and other orofacial pain conditions. She has received grants from the American Association of Endodontists, American Board of Orofacial Pain, International Association for Dental Research, and Dental Foundation of North Carolina to support her research bridging endodontics and orofacial pain. She has published articles in the Journal of Endodontics, Journal of Oral Rehabilitation, and Cephalalgia. Dr. Daline is a co-author of chapters on non-odontogenic pain in the 3rd edition of Seltzer and Bender's Dental Pulp and the 7th edition of Principles and Practice of Endodontics. She has been repeatedly invited to speak and share her expertise with both dental and endodontic professionals.
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. - Includes Credits
CE Hours: 1.0
Description: A variety of non-odontogenic lesions will be presented including neoplastic, reactive and cystic pathologic entities. Discussion will include clinical and/or radiographic presentation, differential diagnosis, histopathologic features and management.
Learning Objectives:
- Describe the clinical and/or radiographic features that distinguish benign and malignant intraosseous lesions.
- Name the most common location for metastatic disease in the head and neck region.
- Describe the clinical and/or radiographic features of reactive lesions of the jaws.
Peter Giannini, DDS
Dr. Peter Giannini is an Associate Professor at the University of Nebraska Medical Center (UNMC) College of Dentistry, Department of Oral Biology, and Director of Clinical and Translational Research at the Cruzan Center for Dental Research.
Dr. Giannini received his Doctor of Dental Surgery from the University of California, San Francisco School of Dentistry in 1997. He subsequently trained in Oral and Maxillofacial Pathology at The Ohio State University College of Dentistry, earning a Certificate in Oral and Maxillofacial Pathology and a Master of Science in Oral Biology in 2000. During that same year, Dr. Giannini joined the faculty of Temple University School of Dentistry in Philadelphia. He became a member of the UNMC College of Dentistry faculty in 2005.
Dr. Giannini is a Diplomate of the American Board of Oral and Maxillofacial Pathology. In addition to practicing in the Oral Pathology biopsy service, he sees Oral Medicine referral patients at the college's University Dental Associates (UDA) faculty practice clinic. In the UDA Clinic, Dr. Giannini specializes in the diagnosis and management of oral lesions; including but not limited to: lichen planus, mucous membrane pemphigoid, burning mouth syndrome, xerostomia, bone pathology of the jaws, oral manifestations of systemic disease and complications of cancer therapy. In addition, Dr. Giannini also directs the Tobacco Cessation Clinic at the College of Dentistry. His research interests include oral carcinogenesis, the oral manifestations of drug abuse and the management of oral mucosal disease.
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.
- Includes Credits
CE Hours: 1.5
Description: Vertical root fractures in endodontically treated teeth were considered a vexing –frustrating issue both for the operator and the patient alike. In recent years, this complication of root canal treatment had showed both advances in VRF diagnosis and in saving from extraction in some of these teeth.
VRF diagnosis has to be done accurately and n timely due to the destructive results in the supporting bone if not achieved in time. The use of CBCT as an additional diagnostic tool, enhances the possibility to achieve accurate VRF diagnosis, although some drawbacks in this imaging modality still exists. Treatment options vary from root amputation in multirooted teeth to a more complex surgical management.
Learning Objectives:
- Describe the importance of achieving accurate and timely manner VRF diagnosis
- List the recent advances in VRF diagnosis imaging modalities
- Discuss the various considerations to save a vertically fractured tooth
Aviad Tamse, D.M.D.
Dr Aviad Tamse received his DMD degree in 1969, and from 1971 to 1973, he attended Harvard Dental school in Boston, Massachusetts, where he received his endodontic training. Dr. Tamse was President of the Israel Endodontic Society, ,and chair of the Accreditation Committee of Graduate Dental Programs in Israel. Dr Tamse served as chair of the department of Endodontology Tel-Aviv University School of Dental Medicine from 2000-2008 , and in 1982 was a co-founder of the European Society of Endodontology. Dr. Tamse has authored and co-authored over 90 scientific articles in peer-reviewed journals and 5 chapters in books.Recently he served as the senior editor of a book on vertical root fractures in dentistry. He served on the Editorial Board of the International Endodontic Journal . His primary research interest has been vertical root fractures in endodontically treated teeth and is the editor of a new book on root fractures. Currently Dr. Tamse is Professor Emeritus at the Department of Endodontology, School of Dental Medicine, Tel-Aviv University.
- Includes Credits
CE Hours: 1.5
Description: Your heart starts to beat fast, your face tingles, your stomach churns, and you start to sweat! Welcome to the moment you realize that your well-planned treatment has gone off the rails. This may be a misdiagnosis, an iatrogenic error, or a realization that your current approach is moving in the wrong direction. We are Endodontists, but we are also human! We can not realistically expect every case to proceed as we had intended. However, when faced with difficult choices, either caused by our own iatrogenicity or forced upon us with new and dynamic information, we must respond. We welcome you to join us as we each present a case that went off the rails for one reason or another. We welcome you to experience how our cases developed, what happened and how we approached getting the best possible result out of the situation. We present these cases to show how every clinician is human and to enrich us all with the beautiful learning that comes from treatment that does not go as planned
Learning Objectives:
- Discuss in-the-moment decision-making when faced with clinical surprises
- Explain how experienced clinicians managed nonideal clinical scenarios
- Explain the expanding scope of the modern endodontic practice
Kirk A. Coury D.D.S., M.S.
Dr. Kirk A. Coury is a graduate of Baylor College of Dentistry, and attended the University of Texas, Houston where he received his Certificate in Endodontics and Master’s Degree in Dentistry in 1990. Dr. Coury is an active member of the American Association of Endodontists, the Foundation for Endodontics, is a Diplomate of the American Board of Endodontics and is a Fellow of the American and International Colleges of Dentists, and is a founding partner in U.S. Endo Partners. Dr. Coury maintains a full-time practice in Amarillo, Texas since 1990. When not saving teeth and making patients’ lives better with endodontic treatment, he has a passion for chasing wild trout, cooking, and exploring fine wine, bourbon and tequila.
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: DENTSPLY Tulsa Dental Specialties (Individual(s) Involved: Self): Key Opinion Leader; Sonendo Inc. (Individual(s) Involved: Self): Consultant, Honorarium, Key Opinion Leader
Brett Gilbert, D.D.S.
Dr. Brett E. Gilbert graduated from the University of Maryland Dental School in 2001 (DDS) and 2003 (Certificate in Endodontics). He is currently a clinical assistant professor in the Department of Endodontics at the University of Illinois-Chicago, College of Dentistry. He is a past-president of the Illinois Association of Endodontists. Dr. Gilbert is board certified, a Diplomate of the American Board of Endodontics. He was named a top ten young dental educator in America by the Seattle Study Club in 2017. In 2019 he was named to Academic Keys Who’s Who in Dentistry Higher Education (WWDHE). He serves as the director of intellectual wellness for the Dental Mental Network. He is the founder of Access Endo, a global online education platform devoted to Endodontics and direct mentorship of colleagues. Dr. Gilbert lectures on clinical endodontics and wellness. Dr. Gilbert is a partner in U.S. Endo Partners and has a full-time private practice limited to Endodontics in Niles, Illinois.
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: EdgeEndo (Individual(s) Involved: Self): Honorarium; US Endo Partners (Individual(s) Involved: Self): Other Financial or Material Support, Partner
William J. Nudera, DDS, MS
Dr. William Nudera earned a DDS from the University of Illinois at Chicago in 1999. He served for three years in the United States Air Force completing a one year AEGD residency program. While in service, Dr Nudera received a National Defense Service Medal and was awarded the Air Force Dental Officer of the Year in 2002. Dr. Nudera completed his Endodontic training in 2005 earning his Endodontic specialty certificate as well as a Masters Degree in Oral Sciences. Dr. Nudera is a Diplomate of the American Board of Endodontics. He has authored several journal publications as well as a chapter in the endodontic textbook "3D Imaging in Endodontics". Dr. Nudera maintains a full-time private practice limited to Endodontics and holds a faculty position in the Department of Endodontics at the University of Illinois at Chicago, College of Dentistry.
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.
Scott L. Doyle, D.D.S., M.S.
AAE20 General Chair
Dr. Scott Doyle received his B.S. from the University of Wisconsin-Madison in 1995 and his D.D.S. from the University of Minnesota in 1999. He served in the United States Air Force for 7 years, including an Advanced Education in General Dentistry residency. Dr. Doyle obtained both his M.S. and Certificate in Endodontics from the University of Minnesota in 2004. He currently practices with Metropolitan Endodontics and serves as an Associate Clinical Professor for the Division of Endodontics at the University of Minnesota. Dr. Doyle is a Past President of the Minnesota Association of Endodontists and serves as a reviewer for the Journal of Endodontics. Dr. Doyle has been active in the AAE, serving as Chair of the Continuing Education Committee, Chair of the Annual Meeting Planning Committee, and a member of the Public and Professional Relations Committee. He currently serves on the AAE Board of Directors. Dr. Doyle is a Diplomate of the American Board of Endodontics and serves as a Director on the Board of Endodontics. Dr. Doyle has lectured nationally and internationally, and authored multiple articles in scientific journals, as well a textbook chapter on the “Endodontic Applications of CBCT” and an upcoming chapter in the Dental Pulp.
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.
- Includes Credits
CE Hours: 1.0
Description: Thorough pain assessment and thermal and mechanical testing are the primary diagnostic tools used to assess the status of pulp and periapical tissues in teeth with potential endodontic pathology. This study evaluated predictors of acute odontogenic pain to better understand the relationship between endodontic pain, clinical testing, endodontic disease, and diagnoses.
- Investigate which demographic, clinical and radiographic factors predict the intensity of pre-operative odontogenic pain due to pulpal/periapical diseases.
- Evaluate whether different mechanical testing (percussion, palpation) capture different aspects/stages of endodontic pathology.
- Investigate if mechanical hypersensitivity might be due to peripheral and/or central sensitization caused by damaged sensory afferents of the pulp and/or periapical tissues.
Ozge Erdogan, DDS
Matthew Malek, D.D.S.
Dr. Malek received his certificate in the specialty of endodontics from NYU Dentistry in 2011. He is currently the Director of the Advanced Education Program in Endodontics at NYU and practices endodontics in private practice in Manhattan, New York.
He is involved with several research projects which focus on pain, Regenerative Endodontics, and Invasive Cervical Resorption of the root which he has the most interest. He lectures frequently to local, national, and international communities on the topic of resorption. Dr. Malek is the faculty winner of the Foundation of Endodontics Spring 2022 Competitive Research Proposal for his research on Invasive Cervical Resorption. Dr. Malek is the author/co-author of several peer-review articles and chapters in prominent endodontic journals and textbooks.
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.
Jennifer L. Gibbs, MS, DDS, PhD
Jennifer L. Gibbs, M.A.S, D.D.S., Ph.D. is Director of the Endodontics Division and Program Director of Advanced Graduate Education Program in Endodontics and an Associate Professor at Harvard School of Dental Medicine
Dr. Gibbs received her dental degree and her Ph.D. in Pharmacology from the University of Texas Health Science Center San Antonio. She then completed a certificate in Endodontics and an M.A.S. in Clinical Research from the University of California San Francisco, as well as a postdoctoral training period. She is now a full time faculty at Harvard.
Dr. Gibbs heads a translational research group focused on understanding the neurobiological mechanisms of orofacial pain with a focus on dental pain, and patient centered outcomes of endodontic treatments. She teaches clinically in the advanced graduate Endodontic Program and lectures to both post-graduate and pre-doctoral students. Dr. Gibbs cares for patients at the Faculty Practice at Harvard. She is a past Educator Fellow of the American Association of Endodontics.
Disclosure
In accordance with this policy, 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.
- Includes Credits
CE Hours: 0.75
Description: Odontogenic sinusitis (ODS) is a fascinating and unique form of infectious sinus disease, stemming from infectious maxillary dental pathology or following certain dental treatments. ODS is more common than historically thought, but is still frequently missed by each of the provider types critical to diagnosing and managing the condition (radiologists, dentists and dental specialists, and otolaryngologists). ODS has been significantly underrepresented in national and international sinusitis guidelines, but major strides have been made over the last 5 years with improved publication volumes and evidence levels, leading to national and international consensus statements on diagnosing and treating ODS. This presentation will present the highest evidence levels to date on ODS, covering all aspects of the condition from epidemiology to pathophysiology, to optimal diagnostic and therapeutic interventions. The goals are to increase awareness and clinicians’ diagnostic suspicion of ODS, and to promote the importance of multidisciplinary collaboration when managing these patients.
Learning Objectives:
- Define odontogenic sinusitis (ODS)
- Diagnose odontogenic sinusitis (ODS)
- Treat odontogenic sinusitis (ODS)
John Craig, MD
Dr. John Craig is joining us from Henry Ford Health System in Detroit, Michigan where he is the Division Chief of Rhinology and Endoscopic Skull Base Surgery. Dr. Craig completed his Fellowship in Rhinology at the University of Pennsylvania in Philadelphia, Pennsylvania in 2015, and has been in practice at Henry Ford ever since. He has a number of research interests, but for the last 5 years he has had a particular interest in odontogenic sinusitis. He has published 13 articles on the topic in the last few years, and has led the first national and international multidisciplinary consensus statements on diagnosing and treating odontogenic sinusitis.
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.
- Includes Credits
CE Hours: 1.0
Description: After a review of the classic concepts of endodontic-periodontal lesions and their diagnosis, the presentation will introduce a large variety of conditions that may involve these concepts in their treatment by the endodontist. Procedures including guided bone regeneration, intentional replantation, external cervical resorption, and others will be discussed with supporting literature to stress these relationships.
Learning Objectives:
- Discuss the need for careful patient assessment in diagnosing endo-perio lesions
- Explain the classical presentation of Endo-Perio Lesions as described by Simon and Harrington
- Discuss a variety of endodontic therapies that require an understanding of endo-perio concepts
Kenneth J. Frick, D.D.S., M.S.
Dr. Frick began his academic career at UMKC in 2013 after 25 years of private practice. He is currently the Director of the Advanced Education Program in Endodontics at the University of Missouri-Kansas City. He is a Diplomate of the American Board of Endodontics, President of the College of Diplomates of the ABE, Chair of the AAE Membership Services Committee, and holds dental licensure in Arizona, Kansas, and Missouri. He graduated from the University of Missouri, Kansas City, School of Dentistry, in 1986, and then completed three years in the USAF as a Dental Officer, with one year as an AEGD resident. In 1997 he earned a Certificate in Endodontics and Master of Science Degree from Marquette University. From 1997 to 2012 he practiced as an endodontist in Scottsdale, AZ. His research interests are in clinical teaching methodologies and biomaterials.
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.
