Endodontic Outcomes

Endodontic Outcomes

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  • Includes Credits

    CE Hours: 1.5

    Description: This lecture provides an evidence-based framework for choosing between nonsurgical retreatment and endodontic microsurgery in the management of apical disease. Content includes CBCT-driven diagnosis to distinguish missed anatomy from potential extra-radicular infection; assessment of restorability and retreatment feasibility in the presence of posts, cores, and iatrogenic complications; and the impact of prior treatment quality, lesion size, and patient factors on prognosis. We will discuss the data on survival, success, and complication profiles for retreatment vs microsurgery. Through real-case examples I will highlight stepwise decision making, microsurgical considerations relative to adjacent anatomic structures and how to identify high-risk scenarios, and follow-up intervals that meaningfully access healing. Attendees will leave with a practical way to select the least invasive, predictable pathway to resolution of periapical pathology.

    Learning Objectives:  

    • Differentiate clear indications and contraindications for nonsurgical retreatment versus endodontic microsurgery using CBCT findings, prior treatment quality, lesion size, and patient factors.
    • Assess retreatment feasibility in teeth with posts, cores, or iatrogenic defects, and compare predicted outcomes-survival, success, complications-of nonsurgical retreatment versus microsurgery.
    • Select and justify the least invasive, most predictable treatment pathway; outline key microsurgical considerations relative to adjacent structures when indicated; and define follow-up intervals and healing criteria.
    Martin J. Rogers, D.D.S.

    Martin J. Rogers, D.D.S.

    Martin J. Rogers, DDS, is a full-time endodontist in private practice at Best Endodontics of Glenview and is an Assistant Clinical Professor in the Department of Endodontics at the University of Illinois Chicago (UIC). He earned his DDS from UIC in 1992, completed a General Practice Residency at Illinois Masonic Medical Center-serving as chief resident the following year-and received his Certificate in Endodontics from UIC in 1996.Dr. Rogers has held a part-time faculty appointment at UIC since graduation and currently serves as course director for Endodontic Microsurgery in the postgraduate program. His academic interests include local anesthesia and pain control, microsurgical techniques, and rotary instrumentation. He has authored peer-reviewed publications and lectures frequently to professional audiences.He is a past president of both the Illinois Association of Endodontists and the Edgar D. Coolidge Endodontic Study Club. He has served the American Association of Endodontists on multiple committees, including Dental Benefits, Membership Services, Clinical Practice, and Public and Professional Affairs.

    Disclosure(s): No financial relationships to disclose

  • Includes Credits

    CE Hours: 1.5

    Description: Systemic diseases and the medications used to treat them play an important role in the incidence and prevalence of endodontic disease and in the healing following endodontic treatment. This presentation will examine recent data on chronic systemic medications and outline important considerations for clinicians as they discuss the treatment plan and prognosis with patients and interact with other health providers regarding the optimal care of the patients.

    Learning Objectives:  

    • Describe the level of evidence in the literature on the association of systemic medications and endodontic diseases and their treatment outcomes.
    • Describe systemic medications with potential effects on endodontic case incidence and presentation
    • Describe systemic medications that may influence the outcome of endodontic treatment.
    Ashraf F. Fouad, D.D.S., M.S.

    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 the 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 120 peer-reviewed manuscripts, 62 editorials and invited manuscripts, 25 textbook chapters, and over 150 abstracts. He edited and co-authored several editions of the textbooks: Endodontic Microbiology and Endodontics: Principles and Practice. He served as Associate Editor of the Journal of Endodontics for 15 years and is currently Associate Editor of Dental Traumatology and the Endodontics Section of Frontiers of Dental Medicine. He is a Diplomate and Past President of the American Board of Endodontics. He received the Distinguished Scientist Award from the Pulp Biology and Regeneration Group of the IADR in 2017, the AAE President's Award in 2022, and the International Grossman's Award in 2023.

    Disclosure(s): No financial relationships to disclose

  • Product not yet rated Includes Credits

    CE Hours: 1.0

    Description: Studies have shown that the non-specific elimination or significant reduction of bacterial load below a certain threshold is critical for the healing of apical periodontitis. However, an important question remains: do specific bacterial species or phylotypes that persist following endodontic treatment influence the clinical outcome, and can they be regarded as independent risk factors? Moreover, there is a need to more precisely define the bacterial threshold below which favorable periapical healing is likely to occur.

    Learning Objectives:  

    • Discuss the prognosis of endodontic treatment.
    • Examine the impact of preoperative microbial burden and the efficacy of bacterial reduction on the clinical success of endodontic treatment.
    • Discuss the differences in the microbial composition of primary versus persistent endodontic infections, and how these variations influence periapical healing and treatment outcomes.
    Homan Zandi, D.D.S, Ph.D

    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.

    Disclosure(s): No financial relationships to disclose

  • Product not yet rated Includes Credits

    CE Hours: 0.75

    Description: Apical periodontitis (AP) in a natural tooth may jeopardize the health of adjacent dental implants, potentially leading to retrograde peri-implantitis (RPI). Both conditions arise from bacterial infections, underscoring the importance of effectively managing AP to prevent implant-related complications. This presentation explores treatment strategies for teeth with AP near implants, emphasizing infection control and RPI prevention through clinical case examples. A key approach involves performing endodontic microsurgery on the affected tooth while simultaneously placing the adjacent implant. This combined technique minimizes surgical interventions, reduces overall treatment time, and lessens patient trauma while effectively preventing RPI. In cases where RPI does develop, timely intervention - whether surgical or non-surgical root canal treatment, with or without implant apical surgery - can restore periapical health in both the natural tooth and the implant.

    Learning Objectives:  

    • Discuss the shared etiology and pathogenesis of apical periodontitis (AP) and retrograde peri-implantitis (RPI).
    • Discuss the strategies to minimize the risk of RPI in implants adjacent to teeth affected by AP.
    • Discuss treatment approaches for managing RPI in implants near AP-affected teeth.
    Dingming Huang, D.D.S., PhD

    Dingming Huang, D.D.S., PhD

    Dingming Huang, D.D.S., Ph.D. Professor of West China School of Stomatology, Sichuan University. Associate Editor of Molecular Oral Microbiology, and editorial board member of International Endodontic Journal. He has been engaged in researches on the prevention and clinical treatment of endodontic disease. He has presided over 10 national and provincial-level scientific research projects and has published more than 140 papers as the first author or corresponding author. He was awarded the 2024 AAE "Honorable Mention Award".

    Disclosure(s): No financial relationships to disclose

    Xuelian Tan, D.D.S., PhD

    Xuelian Tan, D.D.S., PhD

    Xuelian Tan, D.D.S., Ph.D. Associate professor of West China School of Stomatology, Sichuan University. She has been engaged in researches on the prevention and clinical treatment of endodontic disease, and has published over 20 papers as the first author or corresponding author. She was awarded the 2024 AAE "Honorable Mention Award".

    Disclosure(s): No financial relationships to disclose

  • Product not yet rated Includes Credits

    CE Hours: 0.75

    Description: The presentation will discuss the challenges in diagnosis and treatment planning of Endo-perio lesions. It will then discuss the importance of communication and collaboration between the endodontist and the periodontist in the attempt to save teeth. The role of guided bone regeneration during apical surgery - techniques and indications - will be reviewed as well as the manipulation of soft tissue in the management of resorptive lesions. This lecture will present the conversation and treatment planning of joined surgical procedures to ensure maximum patient benefit.

    Learning Objectives:  

    • Describe indications for guided bone regeneration during apical surgery.
    • Discuss case selection for periodontal intervention before/during/after endodontic treatment
    • Analyze periodontal prognosis when combined with endodontic treatment
    Elinor Alon, D.M.D.

    Elinor Alon, D.M.D.

    Dr. Elinor Alon received her D.M.D. from the Hebrew University School of Dental Medicine in Jerusalem, Israel in 2008 and continued her training as a general dentist in their Advanced General Practice Program. In 2014, Dr. Alon completed her Certificate in Endodontics at the Hebrew University School of Dental Medicine. After relocating to the United States, Dr. Alon joined the faculty in the Department of Endodontics at the Tufts University School of Dental Medicine in 2015 where she taught undergraduate dental students as well as in the post graduate program. Dr. Alon graduated from the Faculty IS program and proudly holds a D.M.D. diploma from the Tufts University School of Dental medicine. At Tufts, she worked as the director of the Pre-doctoral Endodontic Program, before being promoted to Director of the Postdoctoral Endodontic Program where she trained the next generation of endodontic specialists. She is also a diplomate of the American Board of Endodontics. While teaching at Tufts, Dr. Alon worked in private practice outside of Boston before moving to Connecticut in 2023 to join the Advanced Endodontics of Connecticut team. She has already been recognized as a "Best Endodontist" in Connecticut by a poll of her peers published in Connecticut Magazine. In her spare time, Dr. Alon enjoys pilates, yoga, hiking, spending time with friends and family, and eating good food.

    Disclosure(s): No financial relationships to disclose

    Devon M. Ptak, DMD, MPH,*

    Devon M. Ptak, DMD, MPH,*

    Dr. Devon Ptak is a board-certified endodontist dedicated to providing compassionate, individualized, and evidence-based care. She is currently in private practice in Massachusetts and New Hampshire. Dr. Ptak earned her Bachelor of Science (BS) from Purdue University, a Master of Public Health (MPH) from Dartmouth College, and a Doctor of Dental Medicine (DMD) from Tufts University School of Dental Medicine. She completed her specialty training in Endodontics at Tufts, where she earned a Certificate in Endodontics. An active member of several professional organizations, including the American Association of Endodontists (AAE), the Massachusetts Association of Endodontists (MAE), and the American Dental Association (ADA), Dr. Ptak is committed to advancing the field of endodontics. She also serves as a part-time faculty member at Tufts University School of Dental Medicine, where she teaches and mentors residents and dental students. Additionally, she oversees endodontic residents' research projects, contributing to the academic and clinical development of future specialists. Dr. Ptak's research has been published in several dental journals, including the Journal of Endodontics.

    Disclosure(s): No financial relationships to disclose

  • Includes Credits

    CE Hours: 1.25

    Description: The systemic connection in the daily practice can have a significant impact on the management of root resorption. This presentation will discuss diagnostics, clinical interventions and alternatives for treatment of external resorptive defects based on the best available evidence while focusing on favorable patient centered outcomes.

    Learning Objectives:  

    • Guide the clinician through a plethora of interventions for external root resorption supported by the best available evidence.
    • Recognize the impact of the systemic connection on the management of external resorption.
    • Apply recent technologies in treatment planning to provide favorable patient-centered outcomes.
    Omar E. Abusteit, BDS, MSD

    Omar E. Abusteit, BDS, MSD

    Dr. Abusteit was born and raised in Egypt where he earned his dental degree from Cairo University and practiced general dentistry for a few years before moving to the USA to pursue postgraduate studies in endodontics. He received fellowships in Endodontics from UCLA School of Dentistry and Medical University of South Carolina College of Dental Medicine. Later, he completed his endodontic specialty training and earned a Master of Science in Dentistry from the Medical University of South Carolina where he also served as the chief endodontic resident. Dr. Abusteit is a diplomate of the American Board of Endodontics, and he is currently serving as an Associate Professor in the Division of Endodontics at the University of Minnesota School of Dentistry and he maintains a private practice limited to endodontics in Minneapolis, Minnesota. Dr. Abusteit served on the continuing education committee of the American Association of Endodontists and as a distance learning representative of the AAE. He has published several papers and acts as a reviewer for international endodontic journals. Dr. Abusteit has also lectured on various endodontic topics in conferences, meetings, workshops, and study clubs nationally and internationally.

    Disclosure(s): No financial relationships to disclose

  • Product not yet rated Includes Credits

    CE Hours: 1.5

    Description: Regenerative endodontics has been recognized as a unique protocol in the practitioner's armamentarium to harness the regenerative potential of periapical tissues, facilitating continued root development and regeneration of the dentin-pulp complex, particularly in immature necrotic teeth. Preclinical and clinical research have significantly enhanced our understanding of the key factors contributing to success and failure. In this presentation, we will share the most recent data and protocols for regenerative endodontics, as well as emerging tissue engineering technologies aimed at regenerating lost tissues. Dr. Botero will discuss the clinical rationale and protocols in regenerative endodontics, along with clinical evidence, outcomes, and limitations of these protocols. Dr. Bottino will then explore the current status and clinical potential of tissue engineering in endodontics, including applications in regenerative endodontics and vital pulp therapy, ongoing materials and technologies, preclinical and translational research, as well as barriers and opportunities.

    Learning Objectives:  

    • Describe the fundamental principles and clinical protocols of regenerative endodontic procedures (REP), with emphasis on the latest evidence and outcomes and identify and analyze the clinical factors that influence the success and limitations of REP, including practical considerations for implementation and follow-up.
    • Compare and contrast conventional REP with modern tissue engineering technologies in terms of clinical potential, translational hurdles, and future impact on patient care.
    • Compare and contrast conventional REP with modern tissue engineering technologies in terms of clinical potential, translational hurdles, and future impact on patient care. the audience will be also able to recognize the key challenges and opportunities in advancing from current regenerative protocols toward fully functional tissue engineering solutions for endodontic regeneration.
      Tatiana M. Botero, D.D.S., M.S.

      Tatiana M. Botero, D.D.S., M.S.

      TATIANA MA. BOTERO D., DDS, MS Diplomate American Association of Endodontics Clinical Professor Cariology, Restorative Sciences and Endodontics Department School of Dentistry, University of Michigan Dr. Botero received her dental degree from CES University in Medelli­n, Colombia. She then completed specialty training in Endodontics at Pontificia Universidad Javeriana in Bogotá, Colombia, and went on to earn an advanced Specialty Certificate in Endodontics from the University of Michigan. Dr. Botero began her academic career as a Clinical Assistant Professor at CES University, alongside managing her private practice in Colombia. In 2001, she joined the University of Michigan, where she is currently a full-time Clinical Professor, teaching Endodontics to both undergraduate and graduate students. She served as director of the dental postgraduate fellowship program in Endodontics from 2017 to 2022, and continues to practice Endodontics at a private dental clinic in Michigan. In 2012, Dr. Botero became a Diplomate of the American Board of Endodontics. She joined the Regenerative Endodontic Committee of the American Association of Endodontists in 2013, served as chair from 2014 to 2020, and resumed that role for 2024-2025. She was also president of the Pulp Biology and Regeneration Group (2016-2017) of both the American Association for Dental Research and the International Association for Dental Research. Dr. Botero has authored and co-authored numerous peer-reviewed scientific articles and book chapters.

      Disclosure(s): No financial relationships to disclose


      Marco Bottino, D.D.S., Ph.D., M.Sc.

      Marco Bottino, D.D.S., Ph.D., M.Sc.

      Dr. Bottino is the Robert W. Browne Endowed Professor of Dentistry in the Department of Cariology, Restorative Sciences, and Endodontics (CRSE) at the University of Michigan School of Dentistry (U-M). He is currently the Director of Research in CRSE and the Director of the Postgraduate Program in Regenerative Dentistry at U-M. As a principal investigator, Marco has received research grants related to regenerative medicine from the National Institutes of Health (NIH), foundations, and private industry. He has received the International Association for Dental Research (IADR) Centennial Emerging Leader Award and was the recipient of Young Investigator Awards from the IADR Pulp Biology and Implantology Research Groups and a prestigious Mentored Clinical Scientist Research Career Development Award from the National Institute for Dental and Craniofacial Research at NIH. He also serves as the reviewer for more than 30 journals in regenerative medicine and biomaterials, and, between 2018 and 2023, served as a standing member of the Musculoskeletal and Tissue Engineering (MTE) study section for the NIH. Marco is an elected Fellow of the Academy of Dental Materials (ADM) and a board member. The present study was conducted under Dr. Bottino's surveillance.

      Disclosure(s): No financial relationships to disclose

    • Product not yet rated Includes Credits

      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.
      Felipe Restrepo, D.D.S. M.Dent

      Felipe Restrepo, D.D.S. M.Dent

      Dr. Felipe Restrepo, was born and raised in Medellín - Colombia. Graduated from the Universidad de Antioquia with a degree in Dentistry, after one year as general practicioner he entered a two year Endodontic program and graduated from Universidad CES. Associate Professor at the Universidad de Antioquia teaching their postgraduate level students in endodontics and also Director of the Endodontics Posgraduate Program. Dr. Restrepo has authored several scientific articles in peer-reviewed journals. Former president of the Antioquian Association of Endodontists. Private practice limited to Endodontics and Endodontic Microsurgery in Medellín. He can be reached at felipe.restrepo@udea.edu.co.

      Disclosure(s): No financial relationships to disclose

    • Product not yet rated Includes Credits

      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.
      Qian Xie, D.D.S., Ph.D.

      Qian Xie, D.D.S., Ph.D.

      Dr. Qian Xie is a board-certified endodontist with advanced clinical and academic training in both China and the United States. She earned her BDS, MS, and PhD in Oral Science from Sichuan University's West China College of Stomatology and completed her Endodontics Certificate at the University of Illinois Chicago (UIC). She is a licensed specialist in Illinois and has been a Diplomate of the American Board of Endodontics since 2014. Dr. Xie served as a Board Director (District IV) for the American Association of Endodontists (2022–2025) and current serve on board of the Edgar D. Coolidge Endodontic Study Club. She has chaired sessions at international conferences, including the IADR General Session and the International Conference on Novel Anticaries and Remineralizing Agents. A committed scholar, she has reviewed many manuscripts for leading journals such as the Journal of Endodontics and Journal of Dental Research. She is an active member of multiple professional organizations, including the AAE, ADA, CDS, and the International College of Dentists. Dr. Xie's career reflects a strong commitment to clinical excellence, education, and advancing the field of endodontics. 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

    • Product not yet rated Includes Credits

      CE Hours: 1.25

      Description: In today's climate of skepticism toward traditional expertise, how healthcare professionals communicate is more critical than ever. This course explores the evolving role of the expert in patient care, focusing on how patients perceive and respond to the information we present. With increasing emphasis on "doing your own research," the course addresses strategies to rebuild public trust through clarity, empathy, and collaborative decision-making. Attendees will learn evidence-based techniques to frame clinical recommendations in a way that fosters shared understanding and empowers patients without diminishing the clinician's role. By refining how we present information, clinicians can reestablish credibility and enhance patient outcomes through genuine partnership.

      Learning Objectives:  

      • Identify key factors contributing to the public's declining trust in experts and the healthcare system.
      • Recognize common cognitive biases that affect how both patients and practitioners interpret information.
      • Apply practical strategies for simplifying complex clinical data to enhance patient comprehension and support informed, shared decision-making.
      Kenneth W. Tittle, D.D.S., M.S.

      Kenneth W. Tittle, D.D.S., M.S.

      Dr. Kenneth Tittle grew up in Martinez, California. He earned his B.S. in Biopsychology from the University of California, Santa Barbara, and his Doctor of Dental Surgery (DDS) degree from the University of the Pacific, Arthur A. Dugoni School of Dentistry. He completed his specialty training in Endodontics at Loma Linda University. Dr. Tittle maintains a full-time private practice in Endodontics in Pleasant Hill, California, where he practices alongside his daughter, Dr. Mia Tittle. His daughter Lani and son Mason are also dentists. In addition to private practice, Dr. Tittle serves as an Assistant Professor of Endodontics at the Arthur A. Dugoni School of Dentistry. He has lectured extensively on a range of endodontic topics. His professional interests include traumatic dental injuries, resorption, and the use of advanced technologies to diagnose and treat endodontically involved teeth. Dr. Tittle is a Diplomate of the American Board of Endodontics and a Fellow of both the American College of Dentists and the International College of Dentists. He currently serves as the Incoming President of the Contra Costa Dental Society. His past leadership roles include board service on the Public and Professional Relations Committee and the Board of Directors of the AAE, as well as President of the California State Association of Endodontists. He is a member of the AAE Practice Affairs Committee, a board member of the American Dental Political Action Committee (ADPAC), and currently serves as the Public Policy Advocate for the California State Association of Endodontists. When not engaged in Endodontics, Dr. Tittle can often be found in or near one of California's beautiful bodies of water, enjoying his favorite water-based avocations.

      Disclosure(s): No financial relationships to disclose