Endodontic Outcomes

Endodontic Outcomes

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  • Product not yet rated Includes Credits

    CE Hours: 1.25

    Description: Caries prevalence remains high throughout the world, with the burden of disease shifting to older and socially disadvantaged groups. If left untreated, caries will advance through dentine stimulating a progressive pulpitis and eventually pulp infection and necrosis; however, if conservatively managed pulpal recovery occurs even in deep carious lesions. As a profession and speciality, we should be striving to develop new biologically-based minimally-invasive solutions; however, to do so, an applied understanding of pulpitis and repair processes is critical. During this presentation we will discuss both the ESE position statement of ‘Deep Caries and the Exposed Pulp’ and also the ESE S3-level clinical guideline recommendations. During this talk we will consider amongst other things:  How does the pulp respond to bacterial challenge? How localised is the inflammatory response? Could we consider utilising biomarkers expressed in pulp inflammation for diagnosis or repair?

    Learning Objectives:  

    • Evaluate the scientific rationale, biological principles and clinical arguments for pulp preservation.
    • Analyze the manner in which the pulp responds to microbial challenge and how we may assess the level of inflammation in the pulp.
    • Describe the most appropriate way to manage pulpitis in clinical practice.

    Hal F. Duncan, B.D.S., M.C.D, PhD

    Received his dental degree from the University of Glasgow and his 4-year endodontic speciality training in Guy’s Hospital, King’s College London. For ten years, he worked part-time in specialist referral endodontic practice. He completed his PhD in the University of Birmingham in pulp biology. As an Academic Professor and Consultant in Endodontics, he has led endodontic teaching, service delivery and research in Dublin Dental University Hospital (DDUH) for the last 15 years. He has published over 120 international peer-reviewed scientific articles, 40 research abstracts, 18 book chapters as well as editing 3 textbooks. He was the primary author of the recent European Society of Endodontology (ESE) position statement on ‘Management of deep caries and the exposed pulp’ and is the lead of the ongoing ‘ESE S3-level Guidelines for the Treatment of Endodontic Disease’. He is the current Editor-in-Chief of the International Endodontic Journal after being an Associate Editor for the International Endodontic Journal since 2014. Hal has completed three sponsored research fellowships in New York University/Rutgers University investigating the role of epigenetic-modifying agents on tooth regeneration. In DDUH, he currently maintains a research lab and is the principal supervisor of clinical and scientifically trained PhD students and postdoctoral researchers in basic and translational pulp biology and endodontics. Currently, he is the Director of Research in the DDUH, the Chair of Membership Committee of the ESE, a Member of the Executive Board of the ESE, the President Elect of the ESE, the President of the Irish Division of the IADR, the Vice-President of the Pulp Biology and Regeneration Group of the IADR and a Board Member of the Pan European Region of the IADR.

    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: 0.75

    Description: In recent years, dynamic navigation (DN) technology has been increasingly applied in the field of endodontics. This presentation presents the research and application of a novel approach of DN used in Endodontic Microsurgery (EMS), which can be divided into two parts. In the first part of in vitro study, we explore the accuracy and efficiency of DN-assisted EMS in a surgical simulation model, with the comparison of different guided methods[1], registration methods, and field of view and voxel size of CBCT. In the second part of in vivo study[2], we investigated the accuracy[3] and prognosis outcomes of DN-assisted EMS, with an analysis of potential prognostic factors. Based on our results, DN technology could improve the accuracy and efficiency for guided osteotomy and root-end resection and achieve a favorable prognosis in EMS. In conclusion, DN-aided-EMS could be considered an effective and reliable treatment strategy.References:[1]Chen C, Wang FS, Zhang R, Bian Z, Meng L. An in vitro model study of computer‑guided endodontic microsurgery. Chin J Stomatol 2022, 57:44-51[2]Fu W, Chen C, Bian Z, Meng L. Endodontic microsurgery of posterior teeth with the assistance of dynamic navigation technology: A report of three cases. J Endod 2022;48:943-50[3]Chen C, Zhang R, Zhang W, Wang F, Wang Z, Qin L, Bian Z, Meng L. Analysis of the accuracy of a dynamic navigation system in endodontic microsurgery: A prospective case series study. J Dent 2023;134:104534.

    Learning Objectives:  

    • Discuss the accuracy and efficiency of static and dynamic navigation technologies with different levels of experience in endodontics in vitro.
    • Describe accuracy and efficiency of DN-assisted endodontic microsurgery based on different registration methods (U-shaped tube and tooth cusp registration method) and different field of view and voxel size in vitro.
    • Evaluate the accuracy and prognosis outcomes of DN-assisted endodontic microsurgery in vivo, with an analysis of potential prognostic factors.

    Liuyan Meng, DDS, PhD

    1996.09-2001.07, School & Hospital of Stomatology, Wuhan University, Bachelor's Degree;

    2001.09-2006.07, School & Hospital of Stomatology, Wuhan University, Doctor of Dental Science D.D.S;
    2006.7-2008.11,School & Hospital of Stomatology, Wuhan University, attending physician;
    2006.7-2009.11,School &Hospital of Stomatology, Wuhan University, lecturer;
    2008.12-2013.11, School &Hospital of Stomatology, Wuhan University, associate chief physician;
    2009.12-2020.11,School Hospital of Stomatology, Wuhan University, associate professor;
    2013.12-now, School Hospital of Stomatology, Wuhan University, chief physician;
    2020.12- now, School Hospital of Stomatology, Wuhan University, professor

    Disclosure(s): No financial relationships to disclose

  • Product not yet rated Includes Credits

    CE Hours: 0.75

    Description: In case you haven’t noticed, we are in the middle of a transformational moment in human history.  We are at the knee of the curve of exponential change.  Endodontics is not immune to this change.  The marquis endodontic skills of today’s generation and tomorrow’s endodontist could face extinction or certainly change due to AI, robotics, regeneration, and genetic engineering.  Are you ready?  John West will teach three guidelines of the successful 21st century endodontist regardless of the coming changes.  Guideline #1: How to foster a culture of team dynamics that represents them, their vision, and their core values.  Guideline #2: Design Quality Control through measuring revelatory and evolving mastery level skills, and Guideline #3: Engage in Interdisciplinary collaboration. The prepared endodontist will learn and adapt in these changing times and has the opportunity be a leader in the increasing patient “demand curve."

    Learning Objectives:  

    • Describe the relationship between team alignment and your value-based vision statement for your preferred future.
    • Evaluate Quality Control by measuring the performance of their Cleaning, Shaping, and 3-D obturation. Participants will discover how the best education in the world is their own.
    • Explain the role of Interdisciplinary Dentistry as a key ingredient of what sets you apart in the endodontic community and reciprocates by growing your practice busyness and reputation.

    John West, D.D.S., M.S.D.

    John West is a clinical visionary, educator, author, inventor, and mastery skills performance teacher. He is considered one of the leading clinical teachers in the world. His teaching technique is renowned for changing complex concepts to one word: Simple. He is associate professor of graduate endodontics Seattle, Washington. He is past president of the American Academy of Esthetic Dentistry and the Academy of Microscope Enhanced Dentistry.

    Disclosure(s): Dentsply Sirona: Co-Inventor: Pro Taper, WaveOne (Ongoing)

  • Product not yet rated Includes Credits

    CE Hours: 0.75

    Description: The obturation of the root canal system is a critical step of the non surgical root canal treatment in order to achieve a positive outcome of the therapy: as a matter of fact an high percentage of endodontic failures are associated with incomplete root canal obturation and apical periodontitis presence. The possibility to get a fluid-tight seal is crucial to prevent percolation of bacteria and it depends on the properties of the sealer and on the obturation technique. Hydraulic Calcium silicate-based sealers properties are driving a paradigm change in obturation towards a more sealer-centric philosophy. The purpose of this presentation is to evaluate the outcome at 2 years of non surgical canal treatments done in a private practice between 2017 and 2021 in teeth with apical periodontitis. All cases, including initial and retreatment, were obturated with bioceramic sealer and CHCT independently of the endodontic anatomy. Outcome was evaluated based on clinical and radiographic findings at recall, with a minimum 2-years follow-up for 525 teeth. Teeth were classified as healed or healing (success), or not healed (failure). Patient and treatment factors were analyzed to determine their significance as prognostic factors. Among the factors even apical size bigger than 50, sealer extrusion and presence of small perforations. The results obtained support the conclusion that the use of bioceramic sealers with the CHCT is a valide option for obturation in text with apical periodontitis.

    Learning Objectives:  

    • Evaluate and perform the clinical techniques for using bioceramic sealers in root canal obturation according with the endodontic anatomy.
    • Evaluate the benefits and limitations of bioceramic sealers.
    • Implement obturation strategies to get a positive outcome for non surgical canal treatment and retreatment in teeth with clinical and/or radiographic signs of apical periodontitis.

    Filippo Cardinali, D.D.S.

    Graduate summa cum laude in Dentistry and Dental Prosthesis at the University of Ancona in 1992. Vice-President and Active Member of the Italian Society of Endodontics. Certified Member of the European Society of Endodontology. Associate Member American Association of Endodontists. Gold Member of Styleitaliano Endodontics. Co-author of the book “Testo Atlante di Anatomia Endodontica" published by Tecniche Nuove in 2011. Co-author of the book “Isolamento del campo operatorio" published by ANDI Servizi in 2013. Co-author of the book "Manuale di Endodonzia" published by Elsevier Masson Italy in 2013. Co-author of the iBook “The Isolation Game” published in Apple iBook Stores Co-author of the book “Ritrattamenti: soluzioni per le patologie apicali di origine endodontica" published by EDRA in 2018 available even in English and Spanish language. Lecturer in theoretical and practical courses on subjects related to the isolation of the operative field and endodontics, has participated as a speaker at courses and conferences in Italy and abroad. Private practice, concentrating mainly in Endodontics and Restorative Dentistry and author of publications on journals of national and international sector.

    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.

  • Product not yet rated Includes Credits

    CE Hours: 1.0

    Description: Regenerative Endodontics and Vital Pulp Treatments has emerged as attractive biologically based procedures aiming at preservation of pulp vitality and ultimately tooth survival. The assessment of whether such treatments achieve their goals is often described as a clinical endpoint outcome of success or failure. However, consensus on what is considered success or failure of these emerging treatments is lacking. This talk will provide an overview of an international consensus process for establishing a standardized, agreed set of outcomes for VPT and revitalization procedures, highlighting what outcomes are considered critically important for patients and clinicians, how these outcomes are measured and the optimal time for their measurement. The importance of this core outcome set for evidence based clinical decision making and optimal patient care will be emphasized.

    Learning Objectives:  

    • Describe the concept of core outcomes and how a core outcome set  is developed.
    • Incorporate patients focused outcomes in the process of informed consent and treatment decision making.
    • Apply an evidence based approach on how and when outcomes are measured.

    Ikhlas El Karim, BDS, FDSRCS (Rest Dent), PhD

    Professor Ikhlas El karim
    Clinical Professor and Consultant in Restorative Dentistry at the School of Medicine Dentistry and Biomedical Sciences Queens University Belfast.
    Graduated from Faculty of Dentistry Khartoum University and completed PhD and speciality training in the School of Dentistry Queen’s University Belfast.
    Dr El karim currently leads a clinical and translational research programme in endodontics with a focus on developing novel pulpal diagnostics and therapeutics for vital pulp treatment at the Wellcome-Wolfson Institute for Experimental Medicine, Queens University Belfast. She has published over 70 peer reviewed papers, edited the Vital Pulp Treatment book and contributed to many books chapters in the field. She has presented her work nationally and internationally as invited and keynote speaker. Dr El karim is past president of the Irish Division of the International Association of Dental Research, Vice President of the Pulp Biology and Regeneration group and Associate Editor for Clinical Research for the International Endodontic Journal. She is member of the European Society of Endodontology Steering Group for development of quality guidelines in endodontics and a co-lead for the treatment of pulpitis working group. She led the COSET project for development of core outcome set for endodontic treatments.

    Disclosure(s): No financial relationships to disclose

  • Includes Credits

    CE Hours: 1.5

    Description: The objective of ECR treatment is to remove the lesion, firmly seal the cavity, while maintaining a strong functional tooth. Up to date, treatment of ECR was based solely on the extent of resorption (class). However, new research has indicated that ECR is far more complex as multiple factors can affect its progression. Thus, our treatment approach should be updated. In this presentation we propose a step-wise treatment approach strategy on how to treat ECR cases. The criteria for choosing the most appropriate treatment were based not only on the ECR class but on additional factors such as: the existence of bone-ingrowth, patient symptoms, size, number and position of the portal(s) of entry, oral hygiene level, occlusion, existence of parafunctional habits and the probing feasibility. Based on these criteria, different treatment options were selected such as: 1) monitoring 2) extraction or 3) treatment by internal, external or a combination approach. To asses this proposed approach we evaluated the 10 year outcome of the overall and individual treatment options.

    Learning Objectives:  

    • Describe the complexity of ECR and how it affects the treatment decision.
    • Design ECR treatment strategy.
    • Define how each treatment affects the outcome.

    Athina Mavridou, D.D.S, M.S.,Ph.D

    Athina-Maria Mavridou graduated in 2004 from the Dental School of the National & Kapodistrian University of Athens. In 2008 she obtained a master's degree in endodontics at the University of Ghent (Belgium). From 2010 to 2021 she was a Ph.D and postdoctoral researcher at the Catholic University of Leuven (Belgium), conducting research on the subject of external cervical root resorption. In parallel, she was also working as an endodontist at the specialized clinic Proclin Rotterdam in the Netherlands. From 2021 until 2023 she was a visiting professor at Ghent University (Belgium). Athina has received the following awards for her publications in the field of External Cervical Root Resorption from JOE: Best Clinical Research Award (2017) and Horonable Mention Award (2018). Finally, since 2022 she is assistant professor of endodontics at the National & Kapodistrian University of Athens and works at her private clinic EndoToday in Rhodes Island (Greece).

    Disclosure(s): No financial relationships to disclose

  • Includes Credits

    CE Hours: 1.5

    Description: Endodontic patients frequently have a complex medical history and are on a variety of medications. Evidence is emerging to associate the patients’ clinical presentation and the outcomes of endodontic treatment with some of these medications. This presentation will address some of these medications and their relevance to endodontic considerations.

    Learning Objectives:  

    • Describe the level of evidence in existing data on the association of systemic medications and endodontic conditions and their treatment outcomes.
    • Describe systemic medications with potential effects on endodontic case presentation.
    • Describe systemic medications that may influence the outcomes of endodontic treatment. 

    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 Health Center, the University of Maryland, and the University of North Carolina at Chapel Hill. He is currently Professor and Chair, Department of Endodontics, and Director, Advanced Endodontics Program, at the University of Alabama at Birmingham.

    Dr. Fouad has published over 100 peer-reviewed manuscripts, 24 textbook chapters, and 140 abstracts. He edited and co-authored the textbooks: Endodontic Microbiology, 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 and Dental Traumatology. He received the Distinguished Scientist Award from the Pulp Biology and Regeneration Group of the International Association of Dental Research.

    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: Immerse yourself in the Data and Clinical Blitz sessions, where attendees are presented with a streamlined dive into the latest research findings or captivating and intricate Endodontic cases. It is an innovative learning experience not to be missed. The key elements for successful outcomes for VPT will be presented within the context of a "process".  Products used for VPT are important but are only part of the formula for success. The audience will have the opportunity to obtain meaningful information from brief presentations and short discussion on Pulp Biology research and the new trends for clinical protocols aiming to preserve the vitality and/or regeneration of the dental pulp to increase longevity of the tooth.

    Learning Objectives:  

    • Describe the importance of Vital pulp therapy as a process not as a product and the visual appearance of the exposed pulp tissues.
    • Determine the perspective on pulpotomy of mature teeth with irreversible pulpitis and the factors predicting outcomes.
    • Explain the ideal recall time on Regenerative Endodontics, possibility of immediate induction and the applicability of cell-based regeneration therapy.

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

    Dr. Botero received her dental degree (DDS, 1987) from CES University in Medellin, Colombia, Specialty training in Endodontics at Pontificia Universidad Javeriana in Bogotá, Colombia (1995) and the advanced Specialty Certificate in Endodontics from University of Michigan in 2005. She was Clinical Assistant Professor at CES University and had her private practice in Colombia (1989-2000). Dr. Botero joined the University of Michigan in 2001 and presently she is full time Clinical Professor and teaches Endodontics to graduate and undergraduate students. She is the director of the dental postgraduate fellowship program in endodontics. She also practices Endodontics at a private Dental clinic in Michigan.

    In 2012 Dr. Botero became a Diplomate of the American Board of Endodontics and she joined the Regenerative Endodontic committee from the American Association of Endodontics since 2013 and chair 2014-2020. She is Past-president of the Pulp Biology and Regeneration group of the American Association and International Association of Dental Research. Dr. Botero has authored and co-authored numerous scientific peer reviewed articles and book chapters. She serves as reviewer for several endodontic and dental journals. Her research of interest and publications are on caries-induced angiogenesis and Regenerative Endodontics.

    Speaker Disclosure

    I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.

    Ron Lemon, D.M.D

    Dr. Ron Lemon serves as Associate Dean for Advanced Education and Predoctoral Program Director in Endodontics at UNLV, School of Dental Medicine. He is a member of the Postgraduate Faculty in the Advanced Education Program in Pediatric Dentistry, the General Practice Residency program, and a member of the Graduate College.
    He is a Diplomate of the American Board of Endodontics. He earned both Predoctoral (1971) and Postdoctoral degrees (1977) from the University of Kentucky.
    Prior to his appointment at UNLV, he served for 28 years at the LSU, School of Dental Medicine in New Orleans (15 years as Chair).
    His current research activities include Vital Pulp Therapy and materials science. These methods offer a paradigm shift in endodontic treatment philosophy. Teaching interests include continual changes in teaching methodologies to match changing student populations.

    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

    Domenico Ricucci, M.D., D.D.S.

    Dr. Domenico Ricucci received his degree in General Medicine from “La Sapienza” University of Rome in 1982, and his DDS from the same University in 1985. Since then on he has maintained private dental practices limited to endodontics. He achieved the National Scientific qualification as full professor in the Italian higher education system in 2018. Dr. Ricucci’s primary research interest relates to pulpal and periapical tissue reactions to caries and treatment procedures, biofilms in endodontic infections, etiology of RTC treatment failure, pulp regeneration/revascularization. Since 1998 he has run his own histology laboratory and has developed considerable skills in hard tissue preparations for light microscopy.

    Dr Ricucci has published 113 papers and has lectured both nationally and internationally. He has authored the Textbook and Atlas “Patologia e Clinica Endodontica”, the textbook and atlas “Endodontology. An integrated biological and clinical view”, also translated into Chinese, Russian, Japanese. He has also authored or co-authored 22 book chapters. He is recipient of the Louis I. Grossman International Award by the French Society of Endodontics in 2017, and the Louis I. Grossman Award by the American Association of Endodontists in 2023.

    Disclosure(s): No financial relationships to disclose

    Stephane Simon, DDS, MSc, PhD, HDR

    Stéphane SIMON has been qualified as Doctor in Dental Surgery in 1994 at the University of Reims. He got a certificate in Biomaterials in 1998 (University of Paris 7) and in Endodontology in 2000 (Paris 7). He taught Endodontics from 2001 to 2005 at the University of Paris 7 as Assistant Professor, and from 2006 to 2008 at the University of Birmingham (United Kingdom) as a Clinical lecturer. He has got a Master Degree (MPhil) in Molecular and cell Biology in 2005 (Paris 7), and completed in 2009 his PhD in Pulp Biology in the frame of a co-supervised Thesis between the University of Paris 7 and the University of Birmingham. He was the President of the Pulp Biology and Regeneration Group of the IADR and is still a member of the education committee of the European Society of Endodontology.
    From 2012 up to august 2019, he was a full time academic teacher/researcher, awarded as Professor in Endodontics at the Paris Diderot University and was the director of the Postgraduate Endodontic Program at Paris Diderot University (3 years full time program).
    He is the author of 8 Endodontic books, authored 8 chapters in clinical books, and three chapters in Tissue engineering books. He has also published 47 papers in per-reviewed scientific journals (Endodontics and Science) and more than 95 papers in clinical per-reviewed journals ; he is also one of the editor of Visualendodontics software.
    In 2011, he received the Hans Genett Award from the European Society of Endodontology.
    He has a private practice limited to endodontics for 20 years, and is the founder and scientific director of a postgraduate course company named Endo Académie.

    Disclosure(s): No financial relationships to disclose

    Claudia Brizuela, D.D.S., D.MD, M.S., Ph.D

    My life weaves a tapestry of love, growth, and gratitude, anchored by my roles as a devoted wife and mother of three. These cherished roles have shaped my journey in dentistry, where my unwavering commitment to excellence resonates deeply with those I serve.

    I specialized in Endodontics at the University of Concepcion in Chile, refining my skills in delivering compassionate dental care. A master's degree in education from Pontificia Universidad Católica de Chile enriched my commitment to nurturing young minds.

    Earning a Doctorate Cum Laude in Health Sciences from the Universitat Internacional de Catalunya in Spain reflected both my academic worth and personal growth. Embracing the title of Full Professor, I proudly review esteemed journals such as JOE and IEJ, standing as a guardian of academic excellence.

    Beyond the classroom, sharing knowledge at international conferences and publishing in respected journals brings me immense joy. Prestigious research awards, including FONIS and FONDECYT, fuel my fervor for pioneering innovation.

    For over two decades, I've extended compassionate endodontic care, offering comfort and healing. At the Universidad de los Andes, I lead research in artificial intelligence, dental regeneration, and biomarkers. As Director of Research and Doctoral studies, I'm profoundly grateful for a life illuminated by education, family, and purpose, enriching my journey with profound fulfillment.

    In the words of Chilean singer-songwriter Violeta Parra, "Thanks to life that has given me so much."

    Disclosure(s): No financial relationships to disclose

    Ove A. Peters, D.M.D., Ph.D., M.Sc.

    Dr. Ove A. Peters joined the University of Queensland, Brisbane, Australia, in 2020 after faculty positions in Heidelberg, Germany and Zurich, Switzerland, as well as at the University of California, San Francisco. Most recently, he was the founding director of the postgraduate endodontic program at the Arthur A. Dugoni School of Dentistry in San Francisco, a professor with tenure and the Chair of the Department of Endodontics at that school.

    Dr. Peters has wide-ranging clinical and research expertise and has published more than 200 manuscripts related to endodontic technology and biology. He has authored two books and contributed to several leading textbooks in dentistry; he also is an associate editor for the International Endodontic Journal as well as the Australian Endodontic Journal, an academic editor for PLOS One and serves on the review panel of multiple other journals. Among others awards, Dr Peters has received the Hans Genet Award of the European Society of Endodontology and more recently the Louis I. Grossman Award of the American Association of Endodontists. He is a Diplomate of the ABE, a member of OKU and a Fellow of the International and American Colleges of Dentistry.

    Disclosure(s): Dentsply Sirona: Grant/Research Support (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)

  • Includes Credits

    CE Hours: 0.75

    Description: The dental pulp is a singular connective tissue confined by rigid walls of mineralized tissue in an environment that has a low tolerance to inflammation, where the tissue is supplied by the blood vessels passing through the apical foramen. An arborized vascular system and a delicate artery that penetrates the apical foramen represent its only blood source. Orthodontic movement may cause a great number of tissue alterations in the dental pulp, however, these changes may not be entirely recognized owing to the difficulty in simulating clinical situations. Depending on the duration, type and magnitude of the force, and the physiological tissue tolerance, the pulp tissue may be affected in a reversible or irreversible manner. This presentation will discuss with clinical cases and scientific evidence these alterations and how to deal with the diagnostic procedure.

    Learning Objectives:  

    • Discuss using scientific evidence and clinical cases, the pulpal alterations that can occur during orthodontic treatment.
    • Describe common orthodontic-endodontic treatment planning challenges.
    • Describe an appropriate management of teeth requiring integrated endodontic and orthodontic treatment (i.e sub-epithelial cervical root resorption).

    Rodrigo S. Cunha, D.D.S., M.Sc., Ph.D.

    Dr. Rodrigo Sanches Cunha completed his Undergraduate Dental Degree in 1994, which he obtained from the Catholic University of Campinas in Sao Paulo - Brazil.  His post-graduate studies include a Specialty degree in Endodontics obtained in 1997 from the State University of Campinas (UNICAMP); in 2002, a M.Sc. degree in Clinical Dentistry (Endodontics), and in 2006, a Ph.D. degree in Dental Sciences both of which he received from Sao Leopoldo Mandic Centre for Dental Research. Dr. Cunha was an Associate Professor at the Catholic University of Campinas from 2001 until 2011. On September 9, 2011, Dr. Cunha moved with his wife (Andressa) and three daughters (Leticia, Larissa and Helena) to Winnipeg to work as a Full-time Professor at the College of Dentistry, Faculty of Health Sciences at the University of Manitoba. Dr. Cunha became Fellow of the Royal College of Dentists of Canada (Endodontics) in 2013 and, in 2016, decided to work in Private Practice full-time. Dr. Cunha is the Co-founder of Prairie Endodontics in 2018. Dr. Cunha has been a guest speaker at more than 200 events worldwide. He has published more than 50 papers and abstracts in several peer reviewed journals. In addition, Dr. Cunha has published six book chapters and has extensive clinical experience obtained working in Private Practice limited to Endodontics since 1995. Dr. Rodrigo Cunha is the President of the Canadian Academy of Endodontics (CAE).

    Disclosure(s): No financial relationships to disclose

  • Product not yet rated Includes Credits

    CE Hours: 0.75

    Description: Not all superheroes wear capes! As endodontists our goal is to improve dental outcomes and ultimately save the tooth.  Sometimes, the challenge is real, especially when the tooth has been recommended for extraction, but the patient insist on keeping it. This presentation will explore methods for addressing complex cases with large lesions of endodontic origin in teeth that other providers believe "it will never heal".  These teeth can be successfully treated with standard endodontic techniques. We will review steps to not only avoid extraction, but also treat the tooth in a single visit and create full bone healing at the 1–2-year recall.

    Learning Objectives:  

    • Review steps to treat complex cases with large lesions of endodontic origin and guarded prognosis.
    • Discuss the RCT process that creates "super healers" (complex cases recommended for extraction that have full bone healing in a short period of time).
    • Assess the impact of technology on the outcomes of complex cases.

    Angela P. Noguera, DDS, MS

    Dr. Noguera is a board-certified endodontist, who has been in private practice for more than 30 years. She received her undergraduate dental education from the Universidad Metropolitana in Barranquilla, Colombia. She then proceeded to further her education in the U.S.A. at the University of Maryland where she received an M.S. in Oral Biology from the Graduate School, as well as a Certificate in Endodontics through Baltimore College of Dental Surgery in 1988. Dr. Noguera achieved the highest level of excellence recognized by the dental profession in 1994 when she became a Diplomate of the American Board of Endodontics.

    Dr. Noguera is an active member of numerous dental associations including the American Association of Endodontists, American Dental Association, the International and the American College of Dentists, and the College of Diplomates of the American Association of Endodontists. She is a proud past president of the District of Columbia Dental Society, the Edward C Penick Endodontic Study Club, and the Maimonides Dental Society. Most recently, Dr. Noguera was elected Delegate of the District of Columbia to the ADA.

    Dr. Noguera is happily married to Dr. Ali Fassihi and is the proud mother of three daughters: Eliana, Maryam, and Roxana. In her spare time, she enjoys and supports the Music and Arts, reading and sitting by the water.

    Disclosure(s): Sonendo Inc.: Honorarium (Ongoing), I am a paid consultant for Sonendo (Ongoing)