Irrigation
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- Includes Credits
CE Hours: 0.75
Description: Effective irrigants, irrigant delivery and agitation are pre-requisites to promote root canal disinfection and debris removal and improve successful endodontic treatment. Antagonistic interactions between irrigants dictate that multiple endodontic irrigation solutions must be used in a specific, carefully prescribed sequence with intermediate flushes to avoid dangerous chemical reactions and that they cannot be mixed together. A novel root canal irrigation protocol, the continuous chelation, was introduced, whereby gentle, soft chelators combined with NaOCl are administered during the whole course of root canal therapy for simultaneous antimicrobial action, tissue dissolution and smear layer and debris removal. Continuous chelation is simpler than standard irrigation and some authors have also reported an improved antimicrobial effectiveness, enhanced smear layer and dentinal debris removal, effective tissue dissolution and improved bonding of endodontic materials to dentin. This oral presentation aims to present how the continuous chelation protocol may provide advantages compared to standard irrigation protocols to improve cleaning and disinfection of the endodontic space. The integration of new technologies, coupled with enhanced techniques and solutions, may help everyday clinical practice.
Learning Objectives:
- List new technologies and innovations in root canal disinfection
- Describe the most innovative irrigation techniques
- Perform an effective and technologically advanced irrigation protocol
Gianluca Plotino, D.D.S., Ph.D., M.S.
Gianluca Plotino was born in 1978 in Rome, Italy. He graduated in dentistry from the Catholic University of Sacred Heart of Rome in 2002. He received the “Alfred Bean Memorial” prize from the Chicago Dental Society for the best Italian research graduate thesis 2001-2003, the "Hans Genet Award" from the European Society of Endodontology for the best European Researcher in 2013, the Top 100 Doctors award class 2022 and several other research prizes and awards. Dr. Plotino obtained his PhD in 2009 at the Catholic University of Rome, in 2017 he received the certification to be Professor of II level and in 2018 to be Professor of I level in Italy. Gianluca Plotino is a Specialist Member of the European Society of Endodontology (ESE), International Specialist Member of the American Association of Endodontists (AAE), active member and President Elect (2025-26) of the Italian Academy of Endodontics (AIE) and active member of the Italian Society of Endodontics (SIE) and the Italian Society of Conservative Dentistry (SIDOC). Dr. Plotino published more that 130 articles in scientific peer-reviewed journals on different endodontic and restorative topics reaching a h-index of 38, 3 textbooks on Endodontics and contributed with numerous chapters in other textbooks. He is Associate Editor of the European Endodontic Journal and part of the Editorial Board of the Journal of Endodontics and several other international journals. Dr. Plotino owns 4 patents and a start-up and since 2004 has extensively lectured worldwide on endodontic and restorative topics giving courses and workshops. He is currently working in his own private practice in Rome, Italy, focused on endodontics and restorative, esthetic and interdisciplinary dentistry.
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: 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 a professor and Director of Predoctoral Endodontics at Marquette University, school of Dentistry. Dr. Ibrahim earned his BDS, MS and endo training from Mansoura University, Egypt. He got a PhD via Joint supervision program between Mansoura University and Cologne University in Germany in the field of endodontic microbiology and disinfection. He also earned a 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 and other peer reviewed journals
- Includes Credits
CE Hours: 0.5
Description: Being a rather delicate and complicated procedure root canal treatment automatically is associated with a certain risk of intraoperative mishaps, among these wrong diagnosis, perforation, ledging, loss of working length or overextension of preparation and obturation, instrument fracture, loss of working length, overpreparation, apical extrusion of microorganisms or materials, irrigation mishaps, and some more. As some of these mishaps may be associated with pain or finally even treatment failure and frequently will disrupt the patients` confidence into the performance of the endodontist good knowledge of origin, nature, and consequences of such mishaps is of utmost importance for daily practice.
Irrigation mishaps are among the most frequently reported mishaps during root canal treatment and may show a wide range of symptoms and sequelae and sometimes may be difficult to manage timely and sufficiently.
Etiology, prevention, symptomatology, and management of irrigation mishaps, will be discussed in this lecture.
Learning Objectives:
- Recognize the importance of mishaps during root canal treatment for success and failure
- Explain the nature, prevention and management of irrigation mishaps
- Discuss the nature, prevention and management of instrument fractures
Michael Hulsmann, Prof. Dr.
Professor. Dr. Michael Hülsmann, DDS, PHD 1980: Graduation in Dentistry from the University of Göttingen, Germany. 1982-2021 Senior Lecturer, Department of Operative Dentistry, University of Göttingen, Germany 1988: Doctoral degree 1998: PhD degree (Dr. med. dent. habil.). 2004: Promotion to Professor 2009 - 2013 Head of Dept. of Operative Dentistry, University of Göttingen 1993: Hans Genet Award from the European Society of Endodontology and the Netherlands Society of Endodontology. Since 2021: Working in a Private Practice and Guestprofessorship at the University of Zurich (Switzerland) Member of the German Society of Endodontology and Dental Traumatology (DGET), European Society of Endodontology (ESE) and the American Association of Endodontics (AAE). Chief Editor of the German journal Endodontie, and Associate Editor of the International Endodontic Journal., Co-editor of the textbook Problems in Endodontics: Prevention, Identification and Management (2nd ed. in 2019) More than 300 publications and more than 700 lectures and hands-on-courses.
- 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 Associate Professor and Director of the M.Sc. Endodontics Program at the Faculty of Dentistry, University of Toronto, Canada. With over 30 peer-reviewed publications, textbook chapters, textbooks and abstracts to her credit, she has been a constant contributor to endodontic science and clinical knowledge. Dr. Basrani’s research focuses on intracanal medication and root canal irrigation, including agents and delivery methods.
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. Ronald Ordinola Zapata is an Associate Professor at the Endodontic Division University of Minnesota School of Dentistry. Dr. Zapata completed his Endodontic residency program at the IB Bender Endodontic Division, Albert Einstein Medical Center in Philadelphia, (2018), and a Certificate in Clinical Research at the School of Public Health, University of Minnesota. In 2021 Dr. Zapata achieved the Diplomate status of the American Board of Endodontics. Dr. Zapata enjoys teaching, writing scientific papers, and documenting challenging cases. In his academic career, Dr. Zapata has published more than 100 scientific papers in peer-reviewed journals and lectured internationally in more than 10 countries. Dr. Zapata also serves as Associate Editor of the International Endodontic Journal (UK) and is a member of the Scientific Advisory Board of the Journal of Endodontics (USA).
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: This study evaluated the effectiveness of the GentleWave System (GWS; Sonendo, Laguna Hills, CA) and passive ultrasonic irrigation (PUI) in removing Enterococcus faecalis lipoteichoic acid (LTA) from infected root canals with a minimally invasive technique (MIT) and the conventional instrumentation technique (CIT).
- Describe the efficacy of the GentleWave system to disinfect root canals using minimal and conventional instrumentation techniques.
- Examine the effectiveness of instrumentation, passive ultrasonic irrigation, and the GentleWave system in disinfecting root canals.
- Discuss the protocol used in a novel, closed-system, multi-sonic irrigation technique.
Johnathan P. Velardi, DDS
Theeb A. Alquria, DMD
Rayyan A. Alfirdous, DMD
Ina L. Griffin, DMD,*
Patricia A. Tordik, DMD, FICD,*
Frederico C. Martinho, DDS, MSc, PhD*
Dr. Martinho is currently a Clinical Professor in Endodontics at the University of Maryland School of Dentistry. He obtained his M.S. and Ph.D. in Endodontics from the State University of Campinas UNICAMP), São Paulo, Brazil, and the University of Washington. He served as a faculty member at the State University of São Paulo (UNESP), Brazil. He has lectured nationally and internationally and published over 90 scientific articles in peer-reviewed Journals. He has received Journal of Endodontic Publication awards and an honorable mention in 2017, 2018, and 2022. He is a member of the Scientific Advisory Board of the Journal of Endodontics, and a reviewer for numerous Endodontic and Dental Journals. He is the 2022 recipient of the Educator Fellowship Award from the American Association of Endodontists Foundation (AAEF).
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: Laser-assisted endodontics is emerging as one of the more important technologies in the management of endodontic disease. Much confusion exists as to which lasers are the most efficacious and conflicting ideas have emerged on how to apply the laser energy within root canal systems. This lecture will review the mechanism of action of lasers within confined root canal systems as well as fluid dynamics within open and closed systems and the consequences of imparting a high velocity to irrigating solutions. An evidence based, laser-assisted treatment protocol will be presented that maximizes deep dentinal cleaning and disinfection, while maintaining foraminal patency, facilitating canal shaping and promoting drainage and decompression of periapical tissues. By re-thinking treatment concepts and putting to rest many of the dogmas that have governed endodontics for generations, the introduction of this innovative treatment paradigm will enhance success while significantly reducing stress and improving productivity for the endodontist.
Learning Objectives:
- Describe how lasers work and the role of lasers in Radial Apical Cleansing – a new protocol for the management of root canal systems
- Articulate that laser-assisted endodontics is not just about disinfection but also plays a critical role in the management of other treatment challenges
- Define concepts such as working length, apical gauging, scouting for anatomy, apical foraminal cleansing, working width, patency and recapitulation
Justin R. Kolnick, B.D.S.
Dr. Kolnick received his dental degree, cum laude, from the University of the Witwatersrand in South Africa, where he was the first dental school graduate to ever be awarded the University Scholarship for Overseas Postgraduate Study. He received his postdoctoral endodontic training from Columbia University in the City of New York. Dr. Kolnick has been committed to endodontic education, first as an Associate Clinical Professor in Endodontics at Columbia University and then as an Attending at Westchester Medical Center and an Associate Clinical Professor in Endodontics at New York Medical College. Although he no longer holds these positions, he continues to lecture extensively on local, national and international levels and has published several articles on endodontics. Dr. Kolnick is dedicated to fostering excellence in endodontics through education and the incorporation of the latest technology. For the past 15 years, his experience and expertise in lasers has made a significant contribution to the development of a comprehensive, laser-assisted treatment concept in endodontics. Dr. Kolnick is in full-time private practice limited to endodontics in Westchester County, New York.
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: Biolase, Inc (Individual(s) Involved: Self): Clinical Mentor, Consultant, Other Financial or Material Support; Edge Endo (Individual(s) Involved: Self): Clinical Mentor, Consultant, Other Financial or Material Support
- Includes Credits
CE Hours: 1.5
Description: Transformative technology has elevated the standard of clean in endodontics. Unsurpassed cleaning of complex internal spaces utilizing minimal instrumentation is accomplished through a proprietary technology that leverages optimum cleaning via broad-spectrum acoustic energy and a powerful vortex of disinfecting solutions, while providing improved patient outcomes. With the vast majority of treatments efficiently performed in one-visit, and patients universally reporting minimal-to-no discomfort post treatment, this breakthrough technology is here to stay. Factors influencing the skeptic-to-believer evolution process in the adoption of new technology into practice will be shared.
Learning Objectives:
- Discover how one practice incorporated some transformative technology to enable successful cleaning and disinfection of complex anatomies with minimal root canal preparations
- Identify factors that enable a smooth transition into advanced and transformative technology
- Assess the rationale for embracing today's advancements into everyday practice
Michael J. Ribera, D.MD, M.S.
Dr. Ribera is a 1984 graduate of Boston College and a 1989 graduate of Harvard School of Dental Medicine. In 1990 he completed a general practice residency at Harvard’s Brigham and Women’s Hospital, and in 1992 received his Certificate in Endodontics and Master of Science Degree from Northwestern University Dental School in Chicago. Dr. Ribera is a Diplomate of the American Board of Endodontics, a member of the Endodontic College of Diplomates, and a specialist member of the American Association of Endodontists. He is the 2006 recipient of the District of Columbia Dental Society’s David Mast Memorial Award for excellence in continuing education. Dr. Ribera is in full-time practice and maintains three offices in the Washington, D.C. Area.
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: Root canal irrigation plays a key role in the removal the pulp tissue, contaminants, debris and microorganisms from the root canal system. Different adjunctive agitation techniques have been developed to help irrigating solutions penetrate the complexities of a root canal system. Passive ultrasonic irrigation, multisonic agitation (Gentlewave™), sonic activation (EndoActivator™), and apical negative pressure irrigation systems (EndoVac™) have been reported to be superior to conventional positive pressure needle irrigation in regards to smear layer removal, antimicrobial effect, and decreased post-operative pain. However, is there enough evidence to show these adjunctive agitation techniques actually improve the success of root canal treatment? Based on a review of the current literature and personal clinical experience, the potential advantages of the commonly used systems will be explored
- List commonly used adjunctive agitation irrigation techniques.
- Evaluate the current best available evidence to support the use of specific adjunctive agitation irrigation techniques.
- Choose the most appropriate adjunctive agitation techniques for root canal treatment.
Qian Xie, D.D.S., Ph.D.
Dr. Qian Xie received her DDS and PhD in 2005 from Sichuan University, China. She completed her Endodontic training at University of Illinois at Chicago, College of Dentistry. Currently she is the director of undergraduate endodontics clinics, and assistant professor in the Endodontic department at College of Dentistry at UIC. She is a Diplomate of the American Board of Endodontics. Besides teaching and private practice, she focused her research on endodontic microbiology and irrigation. Her research work has been published in several leading professional journals.
Qian Xie, D.D.S., Ph.D.
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: The aim of endodontic therapy is the reduction of bacteria by chemo/mechanical procedures as bacteria persisting within the root canal system as major cause for the failure of endodontic treatment. One of the factors that may affect our mechanical preparations is the complexity of root canal anatomy however new technologies have recently been introduced and appear to improve the efficacy of this very important aspect of root canal disinfection. Laser Assisted Irrigation (LAI) and Multisonic Ultracleaning technologies improve root canal disinfection greatly and allow for “minimally invasive endodontics” leading to the use of fewer instruments, conserving more tooth structure and the reduction of treatment duration. This presentation will illustrate the efficacy of these technologies using histological serial sections, scanning electron and confocal microscopy. Attendees will see the effects of debridement, disinfection and dentin sparing results objectively measured.
- Describe the role of bacteria in endodontic disease
- Describe the characteristics of LAI and multisonication ultra-cleaning technology
- Describe and identify the efficacy of the new technologies of the root canal and dentin disinfection.
David E. Jaramillo, D.D.S.
David E. Jaramillo, DDS, is Tenure Professor in the Department of Endodontics at The University of Texas Health Science Center School of Dentistry at Houston. Former clinical assistant professor of endodontics at the University of Southern California (USC) in Los Angeles (2004-2006). He was an associate professor at Loma Linda University School of Dentistry in California (2004-2014). Actively participated in research at the Center for Biofilms under the direct supervision of Dr. William Costerton at USC School of Dentistry and the Department of Electrical Engineering/Electrophysics at USC Viterbi School of Engineering. Dr. Jaramillo has authored and co-authored more than 30 peer-reviewed, published articles, eight book chapters in the field of endodontics. Dr. Jaramillo has spoken at endodontic meetings for The American Association of Endodontics, The European Society of Endodontics in Rome Italy, Barcelona Spain and Budapest Hungry. International Federation of Endodontic Association (Tokyo, Japan), Mexican Association of Endodontics, Argentinean Association of Endodontics, Costa Rican Dental Association, Ecuatorian (Pichincha) Association of Endodontics, Dominican Republican Association of Endodontics, and the Asociacion Espanola de Endodoncia (Madrid and A Coruña, Spain) and Germany Society of Endodontics. Scientific director for Roots Summit meetings. Former president of Houston Academy of Endodontists, Chair IFEA Grant Research Committee and new member of the International College of Dentists USA Section. Has 2 patents in the US.
David E. Jaramillo, D.D.S.
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: 1.0
Description: Many different irrigation protocols are being proposed with varying degrees of evidence. In this lecture, I will describe the challenges and solutions for the root canal system's mindful disinfection.
At the conclusion of this presentation, participants will be able to:
- Describe the challenges in root canal disinfection
- Describe main characteristics of the different irrigants
- Describe pros and cons of the most common irrigations system
Bettina R. Basrani D.D.S., M.S.D., Ph.D.
Dr. Bettina Basrani is Associate Professor and Director of the M.Sc. Endodontics Program at the Faculty of Dentistry, University of Toronto, Canada. With over 30 peer-reviewed publications, textbook chapters, textbooks and abstracts to her credit, she has been a constant contributor to endodontic science and clinical knowledge. Dr. Basrani’s research focuses on intracanal medication and root canal irrigation, including agents and delivery methods.
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.
Bettina Basrani, D.D.S., DIP. ENDO, PH.D.
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: Research Support (Denstply and Sonendo)
- Describe the challenges in root canal disinfection
