November 13-15, 2025 | Palm Springs, CA
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Insight Track: Endodontic Microsurgery
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Includes Credits
CE Hours: 1.75
Description: In complex clinical scenarios, some dentists might just go straight to suggesting an extraction and implant. However, many patients still express a strong preference for saving their natural teeth—whether due to personal values, medical conditions, dental anxiety, or financial and philosophical reasons. When non-surgical root canal treatment is not feasible, endodontic microsurgery may offer a useful alternative. This presentation explores a comprehensive approach to case selection and treatment planning in endodontic surgery. Beyond evidence-based principles, a novel stepwise clinical sequence developed by the presenter will be introduced to guide decision-making in challenging cases. Clinical examples will include separated instruments, radicular cysts, root resorption, radicular grooves with periodontal involvement, canal transportation, perforations, and suspected vertical root fractures. Attendees will gain practical strategies for preoperative evaluation such as risk assessment, and surgical planning to achieve predictable, patient-centered outcomes.
Learning Objectives:
- Differentiate between various types of complex cases—such as separated instruments, radicular cysts, root resorption, radicular groove, vertical root crack/fracture, perforation/transportation—and determine surgical suitability
- Apply a stepwise clinical reasoning framework to enhance predictability and success rates in root-end surgery.
- Apply insights from clinical cases and critical literature reviews to best optimize treatment outcomes.
Ji Wook Jeong, D.M.D., M.S.D.
Dr. Ji Wook Jeong graduated from Kyunghee University School of Dentistry in Seoul, South Korea, in 2001, and earned his Doctor of Dental Medicine (DMD) degree from the same institution in 2001.He received his Associate Fellowship from the American Academy of Implant Dentistry (AAID) in 2008. Additionally, he served as an instructor and mentor for the Korea MaxiCourse® of the AAID from 2008 to 2012. In 2017, he graduated from the Advanced Program in Endodontics at the University of Texas Health Science Center (UTHSC) at Houston, School of Dentistry, where he earned a Master of Science in Dentistry (MSD) and a certificate in the specialty of Endodontics. Since graduating, he has been working as a full-time faculty member at department of Endodontics, UTHSC Houston. Currently, he serves as the Course director for Endodontic Surgery and the research director for the endodontic residents. He became a diplomate of the American Board of Endodontics in 2019. He is an active member of the Scientific Advisory Board of the Journal of Endodontics, and the Research Committee of the Asian Pacific Endodontic Confederation.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.75
Description: Guided surgery has garnered significant interest in our specialty over the past 5 to 7 years. The introduction of dynamic and static navigation has enabled endodontists to perform surgical and non-surgical procedures with greater precision and minimal invasiveness. Complex surgical cases—such as palatal root periapical surgery of maxillary molars and periapical surgery of posterior mandibular teeth—are particularly well-suited for these techniques.
However, several questions arise when planning or performing guided surgical procedures: Should the surgery be partially guided or fully guided? Is the case suitable for a guided flapless approach? Does guided surgery offer a real advantage in the given scenario?
The purpose of this clinical presentation is to examine both the benefits and limitations of guided surgery, and to discuss the critical decision-making involved in its application.Learning Objectives:
- Describe and discuss the clinical applications of dynamic and static navigation in anatomically compromised periapical surgical cases.
- Describe and discuss the limitations of using flapless TEMS in periapical surgery
- Evaluate whether guided surgery may become a redundant tool in periapical surgical practice
Jaime J. Silberman, D.D.S., M.S.
Dr. Jaime J. Silberman is a board-certified endodontist with a strong academic and clinical background. He earned his Certificate in Endodontics in 1997 and his Doctor of Dental Surgery (D.D.S.) degree in 2000, both from Columbia University in New York City.
Following his training, Dr. Silberman served as a full-time Assistant Professor in the Endodontic Division at Columbia University from 1997 to 2002. He remains actively involved in dental education and currently teaches at Nova Southeastern University in Florida, where he serves as an Adjunct Assistant Professor and Co-Director of the Microsurgical Endodontics course in the postgraduate program.
In addition to his role at Nova, Dr. Silberman is also a Visiting Professor at Cayetano Heredia Peruvian University and maintains a private practice limited to endodontics in Boynton Beach, Florida.
He is a recognized speaker both nationally and internationally, lecturing on topics including microsurgical endodontics, CBCT in surgical endodontics, and grafting procedures in endodontic surgery.
Dr. Silberman is a member of the American Association of Endodontists and the American Dental Association. He is fluent in both English and Spanish.Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.0
Description: Endodontic surgery has seen remarkable improvements in clinical and radiographic outcomes thanks to the development of advanced microsurgical techniques and instruments. However, while these procedures effectively address apical lesions, they can sometimes lead to unintended soft tissue issues such as recession, papilla loss, and scarring. As aesthetics become increasingly important in patient care, achieving optimal hard tissue results is no longer enough; successful soft tissue management is equally critical to ensure a satisfying outcome.
In this presentation, Dr. Wohlgemuth, will guide you through pre-operative assessment and critical steps of endodontic surgery with a focus on enhancing aesthetic outcomes. The lecture will cover incision design, flap management, and the selection of suture size, type, and technique. Through a series of clinical cases, Dr. Wohlgemuth will illustrate how mastering these techniques can significantly improve the aesthetic results of your endodontic surgeries.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.
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Includes Credits
CE Hours: 2.0
Description: Use of the Piezotome for endodontic microsurgery has become quite popular, especially creating a bone "window" or "lid" to gain better access to areas like mandibular molars with thick cortical bone. It can be technique sensitive to replace those windows securely, allowing for the bone to revascularize and maintain the osteotomy space. This lecture will discuss drawing the patient's blood and centrifuging out platelet-rich fibrin plugs and membranes as well as crushing the bone "window" and mixing it with the serum created from forming the PRF membrane to make "sticky bone", which is sandwiched in between the PRF plugs and covered by the PRF membrane.
The latter part of the presentation will focus on treatment planning and case selection for Intentional Replantation, explaining the techniques in detail and showing several clinical cases with follow ups.Learning Objectives:
- Describe when a piezotome should be incorporated for creating a bone window (boney lid) during endo microsurgery
- Describe alternative treatment utilizing Platelet-Rich Fibrin (PRF) derived from the patient's own blood and creation of autologous sticky bone
- Describe Intentional Replantation and be comfortable performing in their private clinics
Samuel Kratchman, D.MD
CLINICAL ASSOCIATE PROFESSOR OF ENDODONTICS
University of Pennsylvania School of Dental Medicine
Dr. Sam Kratchman was born and raised in New York. He received both a B.S. in Biology and a D.M.D. from Tufts University in Boston. Sam then entered The University of Pennsylvania, where he received a Certificate of Endodontics.
A prominent leader in his field, Dr. Kratchman currently teaches at U. Penn as an Associate Professor of Endodontics, and he is the Assistant Director of Graduate Endodontics, in charge of the microsurgical portion of the program. He frequently lectures on several Endodontic topics throughout the United States, Europe, South America, Canada and Asia.
Dr. Kratchman has authored several articles and chapters on Endodontics, and has co-authored the textbook of Endodontic Microsurgery with Dr. Kim in 2017. He also developed a patented instrument called the S Kondenser for the obturation of root canals. Both Main Line Today and Doctor of Dentistry magazines honored Dr. Kratchman as the cover story for their "Best of" issues.
Disclosure(s): No financial relationships to disclose