Irrigants
Refine your search results by using the drop-down menus below, or choose “Advanced Search This List.”
-
Includes Credits
CE Hours: 1.5
Description: Endodontic complications of varying severity can unfortunately occur during most stages of endodontic treatment. This lecture aims to enhance understanding of common endodontic complications and recommends current management and solutions with an evidence-based approach. Preoperative, intraoperative and postoperative issues will be discussed, including possible aetiologies and prevention during root canal therapy. We will address the impact of complications on both patients and practitioners, underscoring the importance of clear communication in preserving the clinician-patient relationship. Attendees will gain current advice and knowledge on how to tackle endodontic complications effectively, fostering excellence in clinical practice and improved patient care.
Learning Objectives:
- Recognize and identify common endodontic complications.
- Implement evidence based management strategies.
- Develop strategies for preventing endodontic complications.
-
Includes Credits
CE Hours: 0.75
Description: The demand for high-quality evidence in endodontic clinical practice is escalating, particularly with the emergence of costly technologies in adjunctive irrigation. However, the scarcity of robust laboratory and clinical studies in adjunctive irrigation over the past six decades has compromised the reliability on systematic reviews and meta-analyses. Thus, a shift towards producing better-quality studies over quantity is imperative. Constraints such as cost, ethical considerations, and narrow population designs often render Randomized Clinical Trials unfeasible, limiting their generalizability. To address this, the utilization of real-world data and AI for generating real-world evidence is gaining traction, bridging the gap between trial settings and practical clinical scenarios. This presentation will thoroughly explore the literature on adjunctive irrigation, decode enhanced root canal irrigation techniques, suggest methods to develop quality research and balancing between research and practice.
Learning Objectives:
- Discuss the optimal research methodology for root canal cleaning and disinfection.
- Explain the concept of pragmatic studies and AI incorporation and their integration for collecting real world data in adjunctive irrigation research.
- Align evidence based findings with the clinical need for lasers and multisonics in root canal irrigation for improved outcomes.
-
Includes Credits
CE Hours: 0.75
Description: Evidence-based research consistently demonstrates the correlation between microbial contamination of the root canal system and apical periodontitis. Cleaning and disinfection of the apical third remains one of the most critical factors leading to healing and favorable endodontic outcome. Besides the microbiological challenges, from a clinical perspective, the root canal system imposes physical and anatomical complex challenges that are difficult to overcome. The development of new technologies and new evidence from the literature has only widened the already existing debate. The purpose of this presentation will be to provide a clinical perspective on how to overcome these challenges in order to obtain a predictable and efficient disinfection of the apical third.
Learning Objectives:
- Review the clinical challenges for disinfection of the apical third.
- Describe the advantages and disadvantages of contemporary techniques.
- Discuss new clinical protocols to enhance disinfection and increase predictability.
-
Includes Credits
CE Hours: 1.0
Description: The objective of this in vitro study was to evaluate the shear bond strength (SBS) of several universal adhesives to dentin treated with sodium hypochlorite (NaOCl), and NaOCl followed by ethylenediaminetetraacetic acid (EDTA).
At the conclusion of this article, the reader will be able to:
- Examine the effect of endodontic irrigants (NaOCl and NaOCl + EDTA) on the shear bond strength of mild universal adhesives in self-etch and total-etch modes.
- Identify the mechanisms by which NaOCl and EDTA influence the dentin matrix and the bonding process of adhesives.
- Evaluate strategies to optimize bond strength when using universal adhesives after root canal irrigation with NaOCl and EDTA.
Clinton D. Stevens, DDS
Steven Schiffenhaus, DMD, MS
-
Includes Credits
CE Hours: 1.0
Description: This study aimed to evaluate the removal of a biofilm-mimicking hydrogel from isthmus structures in a simulated complex root canal system consisting of 2 curved root canals by Laser-activated irrigation (LAI, AdvErl Evo, Morita) and mechanical activation techniques.
At the conclusion of this article, the reader will be able to:
- Describe various techniques for root canal irrigation and activation and their main characteristics
- Evaluate the efficiency of laser-activated irrigation, ultrasonic and sonic irrigation in complex root canal morphologies
- Discuss the influence of rod flexibility and oscillation frequency of mechanical activation devices on root canal irrigation
David Donnermeyer, PD Dr.med.dent.
Dr. Donnermeyer is board-certified specialist for Endodontology of the German Association of Endodontology and Dental Traumatology (DGET) and certified member of the European Society of Endodontology (ESE). He currently serves as assistant professor in the Department of Periodontology and Operative Dentistry, University Hospital Münster, Germany, with the perspective of relocating to the Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Switzerland. Dr. Donnermeyer graduated and obtained his PhD at University of Münster, Germany, before focussing his research on various fields of endodontology including root canal obturation and irrigation. Dr. Donnemeyer published 35 peer-reviewed manuscripts.
Patricia Claire Dust, Cand.med.dent
Patricia Dust is a student and PhD candidate in the medical faculty at the University of Münster in Germany. Her research focuses on different irrigation techniques in simulated roots canals.
Edgar Schäfer, Prof.Dr.med.dent.
Dr. Schäfer obtained his PhD at the University of Münster Germany. He is head of the Central Interdisciplinary Ambulance in the School of Dentistry, University of Münster, Germany.
Dr. Schäfer has published more than 250 peer-reviewed manuscripts, more than 50 textbook chapters and edited 5 textbooks. He is a certified specialist for Endodontology of the German Association of Endodontology and dental Traumatology (DGET), an active and certified member of the European Society of Endodontology (ESE) and an associate member of the American Association of Endodontists (AAE). From 2014 – 2016 Dr. Schäfer was President of the German Association of Operative Dentistry (DGZ) and since 2023 he is President of the German Association of Endodontology and dental Traumatology (DGET). He received more than 30 national and international academic awards.
Sebastian Bürklein, Prof.Dr.med.dent.
He graduated in 2003. From 2003–2006 he worked as a dentist in the Department of Operative Dentistry, University of Münster, Germany. In 2005, he completed his doctorate in dentistry. From 2006–2010 he made his graduation as a specialist in oral surgery in the Dental Clinic of Bochum, Germany (Head: Prof. Dr. H.-P. Jöhren). In 2009, he became a certified specialist in endodontology (German Society of Endodontology and Dental Traumatology) and in 2010, he appointed Specialist in Oral Surgery. Since 2011 he is deputy head of the Central Interdisciplinary Outpatient Clinic in the School of Dentistry (Head: Prof. Dr. E. Schäfer), University of Münster, Germany. In 2015, he became an adjunct professor. He also held various positions in different national scientific societies. From 2014-2020 he was member of the Board of the German Society of Restorative Dentistry (DGZ). Since 2021, he is member of the Board of the German Society of Endodontology and Dental Traumatology (DGET). He had over 20 years of academic and research experience and published numerous scientific papers in world-leading peer-reviewed endodontic journals. Additionally, he had book contributions in national and international reference books and lectures at national and international congresses in the field of endodontics. Since 2022, he is associate editor of the International Endodontic Journal.
-
Includes Credits
CE Hours: 1.5
Description: The lecture will present a logical series of evidence based researches that support the clinical relevance of this technique, highlighted by clinical case evidences. Studies on the fluid dynamics of fluids will explain how to modify the concept of shaping for cleaning in minimal shaping for an effective cleansing and decontamination. High resolution videos will greatly help in understanding how to optimize the cleansing and disinfecting phases while maintaining minimal preparation of the canals.
Learning Objectives:
- Describe the limitations of the use of conventional systems for endodontic irrigation.
- List the difference among sonic, ultrasonic, multisonic and laser activated irrigation.
- Explain the main advantages of laser activated technology for root canal irrigation.
Giovanni Olivi, MD, DDS
Giovanni Olivi graduated cum laude in Medicine and Surgery (MD) at ”La Sapienza” University of Rome, and in Dentistry (DDS) at ”Tor Vergata” University of Rome. In 2002 Giovanni achieved the postgraduated diploma in ”Laser Dentistry” from the University of Florence; in 2004, He achieved the laser certification from ISLD; in 2006 the Advanced Proficiency from the Academy of Laser Dentistry and in 2009, the Master status, always from ALD.
Giovanni in 2007 has been awarded with the “Leon Goldman Award” for clinical exellence. He autored over 80 peer-reviewed papers, and 4 books on Laser Dentistry and Endodontics, in different languages, italian, english and chinese.
Active member of Italian Society of Endodontics (SIE), Giovanni is also member of several italian and international laser academies. Giovanni Olivi is a founder member and currently the 2021-2023 President of the International Academy of Innovative Dentistry (IAID) and the scientific coordinator of the ”Laser Dentistry” Master courses at Catholic University of Sacred Hearth of Rome.Disclosure(s): FOTONA d.o.o.: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)
-
Includes Credits
CE Hours: 1.0
Description: Considerable advances have been made to optimize root canal disinfection but there have been few direct comparisons of different modalities such as Gentlewave, Waterlase or passive ultrasonic irrigation. This presentation will review the perceived advantages and disadvantages of each modality based upon utility, cost and effectiveness. Data from an ongoing randomized controlled clinical trial will be presented based on surveys of user preferences and patient outcomes.
Learning Objectives:
- Describe the limitations of syringe irrigation to debride and disinfect the root canal space.
- Describe the scientific principles governing the reputed effectiveness of Gentlewave, Waterlase and ultrasonic devices to clean and disinfect the root canal space.
- Compare Gentlewave, Waterlase and passive ultrasonic irrigation based upon cost, utility, operator and patient preferences.
Glen A. Karunanayake, BDS MSc
Glen Karunanayake currently serves as an Associate Professor in Endodontics at the University of North Carolina (UNC). He trained in dentistry at Guys Hospital Dental School, London and completed a Master's programme in Endodontology, at the Eastman Dental Institute, University College London, in 2004. He maintained a private practice limited to Endodontics for 14 years, in London, before joining UNC in 2018. He is a registered specialist in Endodontics within the UK and contributed to the training of more than 80 endodontic residents spanning a period of 14 years.
Disclosure(s): No financial relationships to disclose
Francesco DeMayo, DMD, MPH
Dr. Francesco DeMayo is in his final year of residency in endodontics at the University of North Carolina at Chapel Hill Adams School of Dentistry. Throughout his academic training, he has had a passion for research that advances clinical endodontics. The topic for his master's thesis is a single-blinded, randomized control trial comparing Biolase, GentleWave and passive ultrasonic instrumentation as adjuncts for root canal disinfection. The outcomes of this study include patient, assistant, and operator preferences through survey and interview data, cost analysis, and radiographic healing at 1-year follow-up.
Disclosure(s): No financial relationships to disclose
-
Includes Credits
CE Hours: 0.75
Description: Our knowledge on the need for root canal disinfection has improved tremendously over the past decades and yet, much about how endodontic microbiota are organized into sessile communities i.e. biofilms, remains largely unexplored. While we know that these biofilms and their by-products are the principal causes of apical periodontitis, knowledge is still nascent on their cellular and extracellular composition, epigenetic influences that drive compositional changes and most importantly, their functional profiles. We provided the first reports on the role of biological cues relevant to root canal environment and microbial genetics on biofilm matrix development. Driven by this evidence and our findings on inhibiting bacterial communication, the aim of this presentation is to provide an overview and in-depth analysis of the lifestyle, composition and functional characteristics of the root canal microbiome. This presentation will be instrumental in guiding the development of novel approaches against endodontic biofilms and prevention of their recovery.
Learning Objectives:
- Characterize the key properties of biofilms that contribute to their tolerance to antimicrobial agents and disinfection strategies.
- Discuss the current state of knowledge on microbial and functional profiles of the root canal microbiome.
- Describe innovative approaches to suppress and/or eliminate endodontic biofilms.
Islam Ali, MDS, PhD
Islam Ali is a postdoctoral research fellow at School of Dentistry, Oregon Health & Science University (OHSU), USA. He obtained a master’s degree in Conservative Dentistry & Endodontics and Ph. D. in Microbiology related to Endodontology. He is also a fellow of OHSU diversity in research program to increase the representation of minoritized races/ethnicities in STEM. He also served as a clinical instructor and lecturer of Endodontics at Faculty of Dentistry, Mansoura University, Egypt. His research focuses on endodontic biofilms, polymicrobial interactions, quorum sensing and antibiofilm strategies
Disclosure(s): No financial relationships to disclose
Prasanna Neelakantan, MDS, PhD
Dr. Prasanna Neelakantan is an Associate Professor and Director of Research at the Department of Endodontics at the University of the Pacific, San Francisco, USA. With more than 100 scientific publications in high-impact peer-reviewed journals, Dr. Prasanna’s h-index now stands at 40. He has received many awards and honors including the IADR Innovation in Oral Care Award in 2018 and 2021, and Joseph Lister Award from the IADR in 2018. He has won several awards for teaching at the faculty and university level. He is the Section Editor for Restorative Dentistry and Endodontics, Associate Editor for Frontiers in Cellular and Infection Microbiology, and Frontiers in Oral Health. He also serves on the editorial board of the International Endodontic Journal and is a reviewer for the Journal of Endodontics. His research group focuses on biofilm biology, the development of novel antimicrobials, and its delivery strategies.
Disclosure(s): No financial relationships to disclose
-
Includes Credits
CE Hours: 0.75
Description: Irrigation is a key part of successful root canal treatment. Recently, many canal system irrigating technology has introduced to the Endodontics market. This created a healthy debate and discussion in the endodontic society. Emerging questions that are raised are; Which technology to implement? Are these devices affecting the outcome compared to the traditional treatment? Where is the evidence? And most importantly what kind of evidence are we looking for? What metanalysis informing us about supplemental irrigation, is the metanalysis still on top of the evidence pyramid? Are there outcome studies? What kind of outcome studies should we rely on?
This presentation will attempt to present a balanced viewpoint answering all these questions based on the most recent research findings following an evidence based approach.
Learning Objectives:
- Describe the current root canal system irrigating devices and their efficacy and limitations
- Identify the best method for evaluating cleaning and disinfection of the complex root canal system
- Identify the optimal study design and type to evaluate endodontic outcome
Mohamed Ibrahim, D.M.D.
Dr. Ibrahim is Associate Professor and Director of Predoctoral Endodontics at Marquette University, school of Dentistry.
Dr. Ibrahim received his dental degree with honors from Mansoura University, Egypt. He earned his MS and endo training from Mansoura University. He also got a PhD via JSP between Mansoura University and Cologne University in Germany in the field of endodontic microbiology and disinfection. He also earned a doctoral degree (Dr Med Dent) from Cologne University, Germany in endodontic hydrodynamic disinfection.
Dr. Ibrahim has published several papers in Journal of Endodontics, International endodontic Journal, Journal of dental education and other international journals. He authored two book chapters about Biocompatibility of dental biomaterials and Injectable Gels for Dental and Craniofacial Applications. He also lectured and presented in endodontics nationally and internationally.
Dr. Ibrahim is a reviewer at Journal of endodontics, Materials, Scientific reports and other peer reviewed journals.
Dr. Ibrahim is a member of the AAE Research and Scientific Affairs Committee.Disclosure(s): No financial relationships to disclose
-
Includes Credits
CE Hours: 1.5
Description: Root canal disinfection is still a challenge among clinicians. Many different disinfection protocols are being proposed with uncertain evidence behind them. Technological advances during the last decade have brought new irrigation solutions and delivery systems for disinfection of the root canal system. This lecture will address the main questions clinicians have and bring evidence-based answers to the most common controversies in endodontic disinfection.
Learning Objectives:
- Evaluate the characteristics and mode of action of the main irrigating solutions
- Discuss clinical advantages and disadvantages of these innovations
- Discuss the safety of endodontic devices and procedures
Bettina R. Basrani D.D.S., M.S.D., Ph.D.
Dr. Bettina Basrani is Tenured Associate Professor and Director, MSc Program in Endodontics at the Faculty of Dentistry, University of Toronto, Ontario, Canada since 2015. Dr Basrani received her DDS degree from the University of Buenos Aires and a Specialty Diploma in Endodontics and PhD from Maimonides University in Buenos Aires, Argentina. A long-time educator and researcher, she began her teaching career at the University of Buenos Aires. In 2000, she moved to Canada to serve as Chair of the Endodontic Program at Dalhousie University, Halifax, Nova Scotia. In 2004, she moved to Toronto, where she has continued her academic and clinical work. Internationally recognized as a leading authority in endodontics and as an excellent lecturer, effectively combining clinical and scientific information, Dr Basrani has received many awards throughout her career, such as the Louis Grossman Award by the French Society of Endodontics and has international courses and lectures, over 40 peer-reviewed scientific publications, three textbooks and several textbook chapters, and abstracts to her credit.
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.
Brett Gilbert, D.D.S.
Dr. Brett E. Gilbert graduated from the University of Maryland Dental School in 2001 (DDS) and 2003 (Certificate in Endodontics). He is currently a clinical assistant professor in the Department of Endodontics at the University of Illinois-Chicago, College of Dentistry. He is a past-president of the Illinois Association of Endodontists. Dr. Gilbert is board certified, a Diplomate of the American Board of Endodontics. He was named a top ten young dental educator in America by the Seattle Study Club in 2017. In 2019 he was named to Academic Keys Who’s Who in Dentistry Higher Education (WWDHE). He serves as the director of intellectual wellness for the Dental Mental Network. He is the founder of Access Endo, a global online education platform devoted to Endodontics and direct mentorship of colleagues. Dr. Gilbert lectures on clinical endodontics and wellness. Dr. Gilbert is a partner in U.S. Endo Partners and has a full-time private practice limited to Endodontics in Niles, Illinois.
Speaker Disclosure
In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: EdgeEndo (Individual(s) Involved: Self): Honorarium; US Endo Partners (Individual(s) Involved: Self): Other Financial or Material Support, Partner
Ronald Ordinola-Zapata, DDS, MS, PhD
Dr. Ordinola Zapata obtained his D.D.S. degree in 2001 from Inca Garcilaso de la Vega University in Lima-Peru. After practicing for six years as a general dentist, Dr. Ordinola Zapata continued his career at the Endodontic Department of the University of Sao Paulo in Brazil, where he obtained a Master and a Doctoral degree in Endodontics. In 2014, he moved to USA to continue his training. Dr. Ordinola Zapata completed a two-year Advance Education in General Dentistry residency program at Larkin Community Hospital in Miami and his Endodontic residency program at the IB Bender Endodontic Division, Albert Einstein Medical Center in Philadelphia.
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.