Endodontic Surgery
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- Includes Credits
CE Hours: 1.25
Description:
Techniques and Technologies have been developed to satisfy the demands of evolving micro techniques but are not limited to the classical endodontic armamentarium. The most recent example is the implementation of the Piezosurgical technique for root end surgery. Posterior sites, with substantial cortical plate thicknesses and sensitive anatomy, present the dichotomy of visualization versus post-surgical regeneration of bone. The bony lid technique bridges the gap between these two concepts, and the application of Piezosurgery renders a precise and biocompatible osseous incision. This seminar will introduce the participant to the indications/contraindications of the Bony Lid technique, the fabrication of a precision endodontic surgical stent (PRESS) and execution of the technique in a mandibular molar site.
Learning Objectives:
- Explain the development of the bony lid technique and the advantages/disadvantages.
- Sequence the steps involved in the planning and fabrication of a precision endodontic surgical stent (PRESS)©
- Evaluate the use of Piezoelectric surgery and PRESS© versus conventional techniques for posterior root end procedures.
Educational support provided by Endodontic Practice Partners
Stephen P. Niemczyk, DMD
Dr. Niemczyk graduated from the University of Pennsylvania School of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at the IB Bender Postdoctoral Endodontic Program at Albert Einstein Medical Center in Philadelphia, and was recently named the Assistant Program Director in 2018. He is the 2020 recipient of the AAE Calvin D. Torneck Part-Time Educator Award, and also serves as a surgical consultant to the Naval Postgraduate Endodontic Program at the Walter Reed National Medical Center in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA.
Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the Journal of Endodontics and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.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): Honorarium
- Includes Credits
CE Hours: 0.75
Description: Dynamic navigation in Endodontics promises to unlock new synergies and can be an effective treatment tool providing Endodontists with accurate information in real-time for complex clinical scenarios. Computer/CT-assisted “dynamic” navigation has the potential to enable clinicians perform modern minimally invasive procedures with higher accuracy and precision. The purpose of this presentation is to discuss the evidence and applications of the latest generation dynamic navigation system. This presentation also aims to outline the digital workflow involved with this technology and provide a step-by-step guide for successful practical clinical integration.
Learning Objectives:
- Discuss the evolution and rationale for the advent of Static and Dynamic Navigation technologies in Endodontics
- Describe the current evidence for minimally invasive endodontics and benefits of dynamic navigation in non-surgical and surgical endodontics
- Critically evaluate the chair-side feasibility with a step-by-step guide to integrate this technology into your daily clinical practice
Sameer D. Jain, DDS, MS, MSD
Dr. Sameer Jain is a Diplomate of the American Board of Endodontics and currently dedicates full-time to his private practice "Woodland Hills Endodontics" in Los Angeles. He formerly served an Assistant Professor Director of the Urgent Care Clinic with the Department of Endodontics at Virginia Commonwealth University (VCU) School of Dentistry.
Dr. Jain’s research activity focuses on endodontic biomaterials and transnational technology. He has established the country’s first dynamic navigation model for “Minimally Invasive Endodontics” research and development. His research paper published in JOE, titled "Dimensional Accuracy of Dynamic Navigation Technology in Locating Calcified Canal" was one of the first researches exploring the potential of applying dynamic 3D navigation technology in Endodontics. Dr. Jain has authored and co- authored numerous peer-reviewed published articles and two books in the field of endodontics. Dr. Jain is the inventor and holds a patent for “HYBROSONIC”, a novel heat + sonic obturation and irrigation system. His work has earned recognition in the form of the AAE's Resident Award, the Jean-Marie Laurichesse Research Award, the Pierre Fauchard Academy Award, MIT’s Young Innovator TR35 Fellow award and the ADA’s Henry M. Thornton Fellowship award.
Dr. Jain is a scientific reviewer for all the top endodontic journals (Journal of Endodontics, International Endodontic Journal and Clinical Oral Investigations) and served as a nominated member on AAE's Research and Scientific Affairs, and Corporate Relations Committee.
Dr. Sameer Jain earned his Certificate and MSD in Endodontics from the University of Texas Health Science Center School of Dentistry at Houston (2015-2017). Dr. Jain completed his Masters in Dental Biomaterials at University at Buffalo in New York (2013-2015), General Practice Residency (2011-12) and dental school from India (2007-2011).
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: Molar endodontic surgery is often considered a lengthy and complex procedure. Some of the limiting factors are restricted access, the lack of visibility, and the complex anatomy of the molar roots and the surrounding tissues. However, if all the fundamental principles of endodontic surgery are carefully observed, the procedure becomes reliable and can be predictably performed in less than an hour. The presentation will focus on the armamentarium, the ergonomics, and the working positions. The maxillary and mandibular molar surgery protocol will be addressed in detail.
Learning Objectives:
- Explain the specificity of molar endodontic surgery
- Discuss the importance of a careful surgical planning to avoid time consuming unexpected complications
- Implement clinical tips to be able to perform predictably molar endodontic surgery in less than an hour
Bertrand Khayat, DDS MSD
Dr. Bertrand Khayat received his DDS degree at the University of Paris. He completed a Certificate in Endodontics and Master of Science degree at the University of Washington. Dr Khayat’s has published numerous articles in international journals, most notably the Journal of Endodontics. He is the author of the Endodontic Surgery Chapter in the book “Endodontie” CDP Editions and the author of the first book on endodontic surgery in French: "Endodontic surgery". Recently, Dr Khayat has published in English the book entitled "Microsurgical Endodontics" published by Quintessence. He has given more than 300 lectures in more than 40 countries and is currently Adjunct Assistant Professor at the University of Pennsylvania, Department of Endodontics, while maintaining his private practice in Conventional and Surgical Endodontics in Paris.
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: The success rate of endodontic surgery has shown significant improvement over the past two decades. The success is based primarily on bone remodeling and healing of apical periodontitis. Soft tissue management is another important parameter that it is often overseen during treatment planning. As a result, patients may suffer from gingival recession or scaring that can be of esthetic concern. Even more challenging are patients requiring endodontic surgery with compromised soft tissue structure to begin with. In this presentation, we will discuss choosing the right flap design based on the patient’s soft tissue structure. We will also present clinical approaches that can be attempted to further improve the soft tissue structure and position in cases presenting for endodontic surgery.
Learning Objectives:
- Differentiate between the various soft tissue biotypes
- List factors contributing to scaring and recession
- Explain the various clinical approaches that can be performed to improve the soft tissue structure
Adham A. Azim, D.D.S., B.D.S.
Dr. Azim is an Associate Professor, Director of the Post-graduate program and Chair of the Department of Endodontics at the University of the Pacific, Arthur A Dugoni School of Dentistry. He maintains a private practice limited to Endodontics. He is also the Founder and Chief Editor of Endolit.
Dr. Azim earned his BDS from Cairo University, where he also did his endodontic training. He later completed his Endodontic certificate at Columbia University, and since then, he has been a full-time Educator. Dr. Azim is a Diplomate of the American Board of Endodontics. He has lectured all over the world and has been awarded several times for his research work. He has more than 30 publications in peer-reviewed journals and 4 text-book chapters contributions such as “Ingle Endodontics” and “Endodontics: Principles and Practices”. He is a member of the Scientific Advisory Board of the Journal of Endodontics, and a reviewer for multiple other Endodontic journals such as International Endodontic Journal, the Journal of Dental Traumatology and JADA.
Speaker 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: The purpose of this lecture is to answer this question. What effect does the hard tissue have on endodontic microsurgery outcomes? This lecture provides clinicians with a more accurate and realistic predictive measure for the outcome of endodontic microsurgery and hence help them to make an appropriate, evidence-based clinical decision accordingly.
Learning Objectives:
- Display a more accurate and realistic predictive measure for the outcome of endodontic microsurgery
- Describe an appropriate, evidence-based clinical decision
- Make informed decisions regarding treatment planning based on the relationship between the hard tissue in endodontic microsurgery
Mike Sabeti, DDS, MA
Dr. Sabeti received his DDS degree from the University of Texas, Dental Branch at Houston in 1993. He completed a two years program in Periodontics at Tufts School of Dental Medicine in 1995. He served at the Department of Periodontology at the University of Texas, Dental Branch at Houston from 1995-2000. He completed a two years program in Endodontics at Herman Ostrow School of Dentistry of USC in 2002. He currently serves as Director of Postgraduate Endodontics at the University of California at San Francisco. He is a Diplomate of the American Board of 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.
- Includes Credits
CE Hours: 1.0
Description: With the advent of surgical techniques and instruments, the clinical and radiographic outcomes of endodontic surgery have been dramatically improved. However, alteration of soft tissue, including recession, loss of papilla, and scarring, may occur. In other words, surgery may solve the apical lesion but create a new soft tissue problem. With the importance of esthetics in our society, perfect management of hard tissues is insufficient; practitioners need to master the management of soft tissues additionally.
This presentation aims to review all the steps, from incision design and flap management to the choice of suture size, type, and technique in the interest of maximizing the aesthetic outcome of endodontic surgery. Dr. Wohlgemuth, an Endodontist, and Dr. Shi a Periodontist, will discuss and illustrate each aspect with several clinical cases.
Learning Objectives:
- Describe the parameters related to the aesthetic outcome
- Describe different flap designs and suture techniques to achieve optimal aesthetic outcomes
- Explain the role of pre-surgical planning on the outcome of endodontic surgery
Pierre Wohlgemuth, D.D.S.
Dr. Pierre Wohlgemuth is a diplomate of the American Board of Endodontics. He received his DDS degree from Lorraine University, France in 2014. After practicing as a general dentist in Paris and his hometown city Metz, he decided to pursue his education by completing the Endodontics program for International Dentists at NYU College of Dentistry in 2015. He then went to Switzerland to practice Endodontics in a private practice setting. He later decided to resume his education and integrated into the Advanced Education Program in Endodontics at NYU College of Dentistry and graduated in 2018. Before working for New York University, Dr. Wohlgemuth was a Full-Time Assistant Professor at Colorado University School of Dental Medicine, Department of Surgical Dentistry, Division of Endodontics. Dr. Wohlgemuth is currently the Assistant Director of the Advanced Education Program in Endodontics at NYU College of Dentistry and a Full-Time Clinical Assistant Professor in the Department of 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.
Ye Shi, DDS, MS
Dr. Ye Shi is currently the Clinical Assistant Professor in the department of Periodontics and Implantology at NYU College of Dentistry and Program Director for the International Summer Practicum Program.
Dr. Ye Shi received her DDS degree from Nanjing Medical University in China, 2011 and then completed a 3-year post-graduate residency with a master’s degree of Prosthodontics in Pecking Union Medical College, China. Afterward, she came to United States for further training. She first completed a three-year Advanced Program for International Dentists in Implant Dentistry at NYU College of Dentistry. Thereupon, she had her 3-year periodontal training in the Advanced Education Program of Periodontics at NYU College of Dentistry. Dr. Shi is a diplomate of American Board of Periodontology and Implant Dentistry, as well as a diplomate of the International Congress of Oral Implantologists.
She serves as Chair of Membership Committee of Northeastern Society of Periodontists and Vice Chair of Clinical Innovation Committee of Academy of Osseointegration. She has received numerous awards for her clinical research and published articles in peer-reviewed journals and book chapters as well. In addition to lecturing nationally and internationally, Dr. Shi lectures for the Advanced Program for Periodontics and International Implant Program.
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: Apical surgery was once a significant component of Post-Graduate education and clinical practice; the transition to a microsurgical approach was heralded by a decline not only in the breadth of graduate training, but the prevalence of private practice cases as well. A shift in retreatment expertise is a partial explanation, but not the only one. Qualified mentors, sophisticated armamentarium and shifting treatment paradigms are the denominators in either the demise of the practice or, more likely, the evolution of the modern Endodontic Microsurgical training. Advances in technique and technology allow the surgeon to plan in a digital environment, design precision aids for acquisition to the field and utilize elegant resection and refinement armamentarium. This presentation examines the challenges of the past and present, and how these are affecting an evolution and revolution in the microsurgical arena.
Learning Objectives:
- Implement the various imaging technologies in a “Virtual Surgery™” digital environment to develop an effective and appropriate treatment plan
- Compare the traditional root end operative procedures with modern Piezosurgical approaches
- Assess the application and effectiveness of the laser for hard and soft tissue applications
Stephen P. Niemczyk, DMD
Dr. Niemczyk graduated from the University of Pennsylvania School of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at the IB Bender Postdoctoral Endodontic Program at Albert Einstein Medical Center in Philadelphia, and was recently named the Assistant Program Director in 2018. He is the 2020 recipient of the AAE Calvin D. Torneck Part-Time Educator Award, and also serves as a surgical consultant to the Naval Postgraduate Endodontic Program at the Walter Reed National Medical Center in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA.
Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the Journal of Endodontics and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.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): Honorarium
- Includes Credits
CE Hours: 0.75
Description: In the past decade, External Invasive Resorption (EIR) has been explored more than any other time in history. The use of advanced imaging, proper follow-up, and biological investigation has led to increased knowledge and improved therapeutic techniques. But perhaps one of the most striking advancements has been our knowledge on the pathophysiology and outcome of EIR. In this lecture I will attempt to link the two and present biological justification for case selection and treatment outcome.
Learning Objectives:
- Discuss case selection and treatment plan strategies in relation to External Invasive Resorption
- Describe various surgical and non-surgical methods for treating External Invasive Resorption
- Explain the pathobiology of External Invasive Resorption
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.
- Includes Credits
CE Hours: 1.5
Description: Periradicular surgery has evolved into a precise, biologically based adjunct to nonsurgical root canal therapy. This lecture will cover the significant improvements that have been made in the development of new instruments, materials and techniques. Despite all the advancements and like any medical procedures there's always a risk in the hands of the operator. We as endodontists need to know how to approach, analyze and treated the apical complex while minimizing potential harm to the apical dentin. This course will focus on how to predictably treat and seal the apical complex while avoiding cracks in the dentinal walls of the treated root. By doing so, we can maximize our goal in achieving the high success rates shown in Modern microsurgical protocols.
Learning Objectives:
- Describe how to achieve ideal vision to manage to apical complex
- Explain how to see existing dentinal defects and microcracks
- Describe how to minimize the chance of cracking the root during the root end preparation and root end filling
Peter Z.Tawil, DDS, MS
After starting his professional path in Mechanical Engineering at McGill University, Dr Tawil decided to pursue his interest in Dentistry. He obtained his DMD at the Université de Montréal and his AEGD certificate at the University of Rochester. Through his dental journey, Dr Tawil discovered his passion for saving the natural dentition and completed his Masters in Endodontics at UNC in Chapel Hill. Upon completion of his studies, Dr Tawil worked as a specialist in private practice for numerous years in Québec and in North Carolina. Furthermore, he started an academic appointment at the University of North Carolina in 2011 where he progressed to become the Olmsted Family Distinguished Professor and the Director for Graduate Endodontics. He has several publications with an emphasis on Periapical Micro-surgery. In addition, Dr Tawil has a devotion for service, he co-founded the Montreal Homeless Street Youth Dental Clinic and has been committed to his ongoing dental mission work in underdeveloped nations.
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: Endodontic Microsurgery has been shown to be an effective technique for the treatment of teeth with persistent periapical pathology. With the introduction of the dental microscope in the early nineties new techniques and materials were developed. The use of these modern techniques has improved the ergonomics of the treatment. This presentation will focus on the ergonomics of modern Endodontic Microsurgery, with special emphasis on the set-up, the roles of the different members of the dental team and the use modern materials in different clinical scenarios.
Learning Objectives:
- Explain how ergonomics influence efficiency in Endodontic Microsurgery
- Describe the techniques and materials developed after the introduction of the dental microscope in Endodontic Microsurgery and analyze their ergonomic impact
- Describe the roles of the different members of the microsurgical team in an ergonomic set-up
Carlos Aznar Portoles, D.D.S., M.Sc.
Dr. Carlos Aznar Portoles received his BDS from the International University of Catalonia in Spain in 2004. In 2009, he completed an MSc program in endodontics at the same university. In 2014, he completed a postgraduate program in endodontics at the Academic Centre for Dentistry Amsterdam in the Netherlands. (ACTA)
Carlos runs a private practice limited to endodontics and endodontic microsurgery in Haarlem, The Netherlands.
He is the author of several endodontic-related articles and lectures regularly at national and international meetings.
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.
