Irrigants
Irrigants
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Product not yet rated Includes Credits
CE Hours: 1.5
Description: As endodontics advances into a new era of technological innovation, practitioners have access to an increasingly broad range of adjunctive irrigation devices and disinfection techniques. Technologies such as lasers and multisonic systems offer the potential for enhanced clinical outcomes; however, their efficacy warrants careful evaluation. This presentation will provide an in-depth review of adjunctive irrigation techniques-including sonics, ultrasonics, lasers, multisonic systems, and other emerging technologies-framed within the principles of evidence-based endodontics. Participants will gain comprehensive insights into the existing research landscape, including its current limitations, challenges, and prospects for future advancement. This session aims to present a balanced perspective to support informed decision-making and effective integration of innovations in contemporary endodontic practice.
Learning Objectives:
- Revisit the fundamental goals of root canal disinfection and how modern irrigation devices may enhance or fall short of those goals.
- Discuss the challenges in generating high-quality evidence for adjunctive irrigation and the limitations of current research methodologies.
- Analyze the clinical effectiveness and limitations of advanced irrigation technologies.
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Product not yet rated Includes Credits
CE Hours: 1.0
Description: Laser activated irrigation continues to generate excitement in endodontics, but its clinical value requires careful, unbiased evaluation. This session will present three years of independent studies investigating both the advantages and limitations of laser use in root canal treatment. Topics will include the impact of early application during crown down instrumentation, effectiveness in smear layer removal, ability to enhance irrigant penetration into complex anatomies such as isthmuses and lateral canals, its influence on obturation, the potential for irrigant extrusion, and its role in the removal of residual gutta percha during retreatment. By presenting data from a series of independent projects, this session will move beyond speculation and provide participants with a balanced understanding of what laser irrigation can and cannot deliver. Attendees will come away with practical insights to guide evidence based decision making about integrating lasers into endodontic practice, ensuring their use is grounded in science rather than marketing.
Learning Objectives:
- Identify the advantages of laser activated irrigation in enhancing canal cleaning, including smear layer removal, irrigant penetration into complex anatomies, residual gutta percha removal, and obturation quality.
- Recognize the limitations of laser activated irrigation in achieving these same outcomes and compare its performance with other activation methods.
- Evaluate the risks associated with laser irrigation, including the potential for irrigant extrusion, and integrate this knowledge into evidence based clinical decision making.
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Product not yet rated Includes Credits
CE Hours: 1.0
Description: This study aimed to enhance the efficacy and safety of root canal irrigation in #25/.06 canals by optimizing side-vented needle designs, focusing on bevel angle adjustments and sealing configurations.
At the conclusion of this article, the reader will be able to:
Explain how bevel angle and configuration in side-vented irrigation needles influence irrigant exchange, apical pressure, and overall irrigation effectiveness.
Interpret computational fluid dynamics (CFD) and in vitro validation findings regarding optimized needle designs, including solid vs hollow bevel configurations.
Apply the study’s conclusions to clinical scenarios, evaluating how optimized needle design might improve irrigation outcomes in complex canal morphologies such as C-shaped canals.
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Jiayang Gao, DDS
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Yuhua Dai, DDS, MSD
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Ziteng Long, DDS
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Yi Min, DDS, PhD
$i++ ?>Ya Shen, DDS, MS, PhD
Dr. Ya Shen received her dental degree and her PhD degree, both from the Faculty of Dentistry at Wuhan University, China. From 2008 to 2011, she was a Clinical Assistant Professor in the Department of Oral Biological & Medical Sciences at the University of British Columbia (UBC) in Vancouver, Canada. From 2012 to 2016, Dr. Shen served as an Assistant Professor and was later promoted to an Associate Professor of the Department of Oral Biological & Medical Sciences and is now Professor and Chair, Division of Endodontics. She is also an Associate Member of the Department of Materials Engineering at UBC. Dr. Shen has published more than 110 papers in peer-reviewed journals. She is one of the Editors of Visual Endodontics 2012 multi-media. Dr. Shen is also a reviewer for several international journals. Her main research interests are nickel–titanium instrument fracture mechanics, biofilms, and dental material in endodontics.
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Yuan Gao, DDS, PhD
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Includes Credits
CE Hours: 1.0
Description: To address the shortage of clinical outcome studies on contemporary root canal disinfection methods, this prospective cohort study assessed healing of apical periodontitis (AP) after use of the GentleWave (GW) system or Ultrasonic Activation (UA) combined with negative pressure irrigation (NPI).
At the conclusion of this article, the reader will be able to:
- Identify key procedural differences between the GentleWave and UA + NPI protocols used in molar root canal disinfection.
- Recognize potential limitations in using conventional radiographs versus CBCT for assessing healing outcomes.
- Evaluate the appropriateness of the prospective cohort design and statistical analyses used to compare treatment outcomes.
$i++ ?>Luis Ney Quiterio Montero, D.D.S., F.R.C.D.(C)
Dr. Luis Ney Quiterio Montero isa specialist in Endodontics with over 20 years of combined experience inclinical practice, academia, and research. He is currently a clinicalinstructor at the University of Toronto and a doctoral candidate in Health atthe University of Bath. He previously served as Co-Director of theundergraduate Endodontics program at Dalhousie University, where he contributedto curriculum development and clinical training.
Dr.Quiterio Montero’s academic roles have also included teaching appointments atthe University of the West Indies and several institutions in Latin America andthe Caribbean. His research focuses on root canal disinfection and theapplication of artificial intelligence in Endodontics. He has published in the Journalof Endodontics and co-authored textbook chapters on biomaterials inEndodontics.
He hasreceived several distinctions, including the Richard Komorowski Award forclinical instruction and Fellowship in the Pierre Fauchard Academy. He is alsoa Fellow of the Royal College of Dentists of Canada, an examiner for the RCDC,and a peer reviewer for the Journal of Dental Education. Dr. QuiterioMontero is committed to advancing evidence-based practice and excellence indental education.
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.
$i++ ?>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. Recently, in 2021 she was recognized as one of the most influential graduates from the University of Buenos Aires. She serves as reviewer for several endodontic journals. Dr Basrani is a member of many endodontics societies around the world.
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.
$i++ ?>David A. Ellis
Professor David A. Ellis holds a personal chair in Behavioural Science at the University of Bath and is a globally recognized expert in digital technology's impact on research and daily life.
Working at the intersection of psychology and data science, his primary focus has been on the descriptive or predictive value of new and emerging forms of data for understanding the dynamics of behaviour in the digital age. He has explored the psychological value and impacts of technology as it relates to privacy, security, health, and well-being. This includes spearheading innovative research practices alongside the analysis of digital data, which continues to advance the discipline of psychology and the wider academic community.
David's research has been supported by research councils, government agencies, and industry partners. He has collaborated with civil servants, government analysts, NHS staff, patients, artists, technology entrepreneurs, and members of the public and has provided advice and research reports to large and small companies, as well as to UKRI, the UK, and Scottish governments. This often emphasises where digital transformations can deliver positive social, economic, and industrial impacts.
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.
$i++ ?>Nestor Cohenca, D.D.S., F.I.A.D.T.
Professor
Dr. Cohenca completed the endodontic program at the Hebrew University in Jerusalem cum laude and received the Best Graduate Student Award. He then served 11 years on faculty at the school while maintaining a private practice limited to endodontics. In 2005, Dr. Cohenca joined the University of Washington where he completed his US endodontic certificate in 2008 and served as Tenured Professor of Endodontics and Pediatric Dentistry from 2005-2014, and Director of Endodontics and the Dental Traumatology Unit at Seattle Children’s Hospital from 2014 to 2024. Currently he maintains a private practice limited to Endodontics in Kirkland, WA. He is a Diplomate of the Israel Board of Endodontics and the American Board of Endodontics. Dr. Cohenca is a Fellow and served as President of the International Association of Dental Traumatology. He has published more than 90 peer-reviewed articles, 10 chapters and a book entitle “Disinfection of Root Canal Systems: The Treatment of Apical Periodontitis”. Dr. Cohenca provided more than 350 lectures around the world and am well known as one of the experts in dental traumatology, Endo-Pedo related topics, vital pulp therapy, CBCT and root canal disinfection.
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 - Identify key procedural differences between the GentleWave and UA + NPI protocols used in molar root canal disinfection.
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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.
$i++ ?>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. Recently, in 2021 she was recognized as one of the most influential graduates from the University of Buenos Aires. She serves as reviewer for several endodontic journals. Dr Basrani is a member of many endodontics societies around the world.
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.
$i++ ?>Ove A. Peters, D.M.D., Ph.D., M.Sc.
Dr. Ove A. Peters is a clinician-scientist at the UQ School of Dentistry; his expertise is in endodontics, including root canal treatment and vital pulp therapy, combining lab research with clinical studies and >35 years of experience as a dentist. Dr. Peters joined The University of Queensland in 2020 after faculty positions in Heidelberg, Germany and Zurich, Switzerland, as well as at the University of California, San Francisco. He now serves as the Deputy Head of School and professor of Endodontics at UQ. Earlier Dr. Peters 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; he is board certified by the ABE and currently registered as specialist endodontist in Australia and New Zealand. He has published more 300 manuscripts and 3 books; his works have been cited more than 24,000 times (see here https://scholar.google.com.au/citations?user=BX9jJ_UAAAAJ). He serves as associate editor for the International Endodontic Journal. Dr. Peters has received the Louis I Grossman Award by the AAE, the Hans Genet Award by the ESE and more recently the Distinguished Scientist Award in Pulp Biology by the IADR.Disclosure(s): Dentsply Sirona: Grant/Research Support (Ongoing), Honorarium (Ongoing)
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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.
$i++ ?>Mohamed Ibrahim, D.M.D.
Dr. Ibrahim is Professor and Director of Predoctoral Endodontics at Marquette University School of Dentistry. He earned his dental degree with honors from Mansoura University in Egypt, where he also completed his Master of Science and endodontic training. Dr. Ibrahim obtained a PhD through a joint supervision program between Mansoura University and the University of Cologne, Germany, focusing on endodontic microbiology and disinfection. He further earned a doctoral degree (Dr. Med. Dent.) from the University of Cologne, specializing in endodontic hydrodynamic disinfection.Dr. Ibrahim has published extensively in leading journals, including the Journal of Endodontics, International Endodontic Journal, and the Journal of Dental Education, among others. He is the author of two book chapters on the biocompatibility of dental biomaterials and injectable gels for dental and craniofacial applications. He has lectured nationally and internationally on various topics in endodontics.In addition to his academic contributions, Dr. Ibrahim serves as a reviewer for several peer-reviewed journals, including the Journal of Endodontics, Journal of Dental Education, Materials, and Scientific Reports. He is also an active member of the AAE Research and Scientific Affairs Committee.
Disclosure(s): No financial relationships to disclose
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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.
$i++ ?>Filippo Santarcangelo D.D.S.
Graduated from the University of Bari School of Medicine and Surgery in 1996.
Active member of the Italian Endodontic Society.
Professor at the Postgraduate course in Endodontics at the University of Padua, Italy from 2011 to 2019.
Professor at the Postgraduate program in Endodontics at the Rey Juan Carlos University of Madrid -Spain.
Author of the chapter “ Complications during endodontic irrigation” of the Castellucci’s textbook “Endodontics”.( Edra editor).
Clinical practice limited to endodontics.
Dedicated and passionate Endodontist!Disclosure(s): No financial relationships to disclose
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Product not yet rated 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.
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Clinton D. Stevens, DDS
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Steven Schiffenhaus, DMD, MS
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Product not yet rated 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
$i++ ?>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.
$i++ ?>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.
$i++ ?>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.
$i++ ?>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.
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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.
$i++ ?>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)
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