Irrigation

Irrigation

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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.

    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.

    Ove A. Peters, D.M.D., Ph.D., M.Sc.

    Dr. Ove A. Peters joined the University of Queensland, Brisbane, Australia, in 2020 after faculty positions in Heidelberg, Germany and Zurich, Switzerland, as well as at the University of California, San Francisco. He currently serves as the Professor of Endodontics and Head of Clinical Dentistry at UQ. Before moving to Australia, 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.
    Dr. Peters has wide-ranging clinical and research expertise and has published more than 230 manuscripts related to endodontic technology and biology. He has authored two books and contributed to several leading textbooks in dentistry; he also is an associate editor for the International Endodontic Journal as well as the Australian Endodontic Journal, an academic editor for PLOS One and serves on the review panel of multiple other journals. Among others awards, Dr Peters has received the Hans Genet Award of the European Society of Endodontology and more recently the Louis I. Grossman Award of the American Association of Endodontists. He is a Diplomate of the ABE, a member of OKU and a Fellow of the International and American Colleges of Dentistry.

    Disclosure(s): Dentsply Sirona: Grant/Research Support (Ongoing), Honorarium (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)

  • Product not yet rated 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.

    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

  • Product not yet rated Includes Credits

    CE Hours: 1.25

    Description: Real-time dynamic navigation and dental lasers are often hailed as groundbreaking innovations in various fields. Real-time dynamic navigation systems, particularly in non-surgical and surgical procedures provide enhanced precision and safety by continuously adapting to changing conditions. Dental lasers offer precise, minimally invasive treatments that can enhance patient outcomes and reduce recovery times. 

    But are these technologies truly as transformative as they seem, or are they just advanced iterations of existing tools? This evidence based presentation will delve into the real impact of these innovations, assessing their effectiveness, adoption, and the extent to which they are changing the future non-surgical and microsurgical Endodontics. In this lecture, for the first time, the integration of real-time laser guidance with microsurgical techniques will be presented. Real-time laser guidance represents a significant leap in enhancing precision, safety, and outcomes in endodontic microsurgery.

    Learning Objectives:  

    • Demonstrate the workflow, and application of real-time dynamic navigation in minimally invasive endodontic procedures as locating calcified canals and microsurgical procedures in close proximity to vital structures.
    • Describe the different laser systems, wave lengths available in laser technologies and its different applications in non-surgical (disinfection of root canal systems) and surgical procedures (surgical incisions, osteotomies, root resection and photo-biomodulation).
    • Demonstrate the integration of real-time laser-guided technology in Endodontic microsurgery. 

    Mohamed I. Fayad, DDS, MS, PhD

    Dr. Fayad received his Doctor of Dental Surgery from the College of Dentistry, Cairo University in 1985. He received his Masters in Oral Sciences in 1994 and his PhD in 1996 from the University of Buffalo at New York. He had two years of Advanced Education in General Dentistry at Eastman Dental Center, University of Rochester at New York, and received his certificate of Specialty in Endodontics at the University of Illinois.

    Currently he is the director of Endodontic research, and a clinical associate Professor in the Endodontic department at College of Dentistry at UIC, dividing his time between teaching, research, intra-and extra-mural continuing education and private practice. He currently serves on the Scientific Advisory and Manuscript Review Panels of the Journal of Endodontics, and Evidence Based Endodontics Journal. He served on the AAE Research and Scientific Affairs Committee and co-chaired AAE/AAOMR committee drafting the joint position statement on CBCT (2015).  He has numerous publications and chapters in peer reviewed journals and textbooks (Pathways of the pulp) and (Contemporary surgical Endodontics). He is the co-editor of the CBCT text book (3-D Imaging in Endodontics: A new Era in diagnosis and treatment) by Springer (2016).

    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.

  • Product not yet rated Includes Credits

    CE Hours: 1.0

    Description: We are undoubtedly living in a golden era for endodontics. With a plethora of advanced instruments, materials, and equipment designed to enhance clinical workflows and outcomes, the possibilities seem endless. Among these, the emergence of various disinfection devices has sparked significant interest—and controversy.

    Clinicians are now faced with a critical question:

    Are these high-cost devices truly game-changers in root canal disinfection, or are they overhyped luxuries?
    This presentation aims to reexamine our core objectives during root canal disinfection and critically evaluate how modern instrumentation and irrigation devices can elevate the patient experience and clinical outcomes.

    Learning Objectives:  

    • Explore practical strategies to improve clinical efficiency 
    • Understand the role and effectiveness of various irrigation devices in improving disinfection quality
    • Analyze the impact of advanced disinfection approaches on clinical patient outcomes

    Adham A. Azim, D.D.S., B.D.S.

    Dr. Azim is an Associate Professor, Chair of the Endodontic Department, and the Director of the Post-Graduate Program at University of the Pacific, Arthur A. Dugoni  School of Dentistry. He maintains a private practice limited to Endodontics and he is also the Founder and CEO 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 and a Part-Time Private Practitioner. Before Joining the University of the Pacific, he Served as the Division Head and the  Director of the Endodontic Post-Graduate Program at University at Buffalo.  Dr. Azim is the recipient of the 2023 AAE Edward M. Osetek Award for outstanding educators. He is Diplomate of the American Board of Endodontics and has lectured  all over the world. He has over 40 publications in peer-reviewed journals and several text-book chapters contributions. He is a member of the Scientific Advisory  Board of the Journal of Endodontics, and a reviewer for multiple other Endodontic Journals.


    Speaker Disclosure 

    Disclosure(s): Endolit LLc: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing); FKG Dentaire, Switzerland: I am a consultant (Ongoing); Odne: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing); Woodpecker: royalties (Ongoing)

  • Product not yet rated 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.

    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

  • Product not yet rated Includes Credits

    CE Hours: 1.5

    Description: Dr. John Olmsted and Katie Panikian, JD, CPCU, ARM will present case studies of several real endodontic malpractice cases to the audience. They will highlight endodontic procedures that became issues for dentists, and also endodontic procedures that developed problems for endodontists. A discussion will follow each case, giving the audience a chance to discuss the risk management issues involved in each case. The audience will then be asked to act as a jury, reaching a verdict on the case, and a dollar amount on a judgment. The audience will then be given the real-life verdicts and awards.

    Learning Objectives:  

    • Describe how errors in record keeping, diagnosis, treatment planning, and endodontic treatment will affect the claims handling and legal process.
    • List the cost in terms of judgments rendered against dentists/endodontists through the discussion of real life malpractice case examples.
    • Outline the steps of risk management.

    John S. Olmsted, D.D.S., M.S.

    Dr. John Olmsted, 35 years clinical endo in a large group practice, is a past AAE President, past General Chairperson ADA 2004 Orlando Meeting. John earned his DDS, OKU from Iowa in 1975, his MS from the UNC-Chapel Hill in 1977, and he is currently a Clinical Professor in Endodontics at the UNC and Iowa. He is ABE certified and FAGD, FICD, FPFA, & FACD.  John has presented 680 days of lectures, workshops, and seminars, at dental schools, state, regional, national, international meetings. He has served 25 years on the Board of Directors for Medical Mutual Insurance Company and 12 years on the Board of Directors for EDIC.

    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.

    Katherine A. Panikian, JD, CPCU, ARM. Ms

    Katherine A. Panikian, JD, CPCU, ARM. Ms. Panikian is the Risk Manager and Chief Risk Officer at Eastern Dentists Insurance Company (EDIC). She has been in the risk management and insurance field for over a decade. Prior to joining EDIC, Ms. Panikian was the Risk Manager for the Municipality of Anchorage and the Editor of The John Liner Letter, a prominent risk management publication. Ms. Panikian is a licensed attorney in Massachusetts and Maryland and has achieved the Associate in Risk Management (ARM) certification and Chartered Property Casualty Underwriter (CPCU) designation from The Institutes. She graduated from William and Mary School of Law in 2006.

    Disclosure(s): No financial relationships to disclose

  • Includes Credits

    CE Hours: 1.5

    Description: Protocols and standards in root canal treatment should always allow for the ability of the operator to function in context, always practicing within a legal standard of care. The context for endodontists will change as knowledge and technology create new pathways to improve patient outcomes and become tools for communication between stakeholders, including peer professionals and patients. The utilization of needle delivery of anesthetics and medication in dentistry is universal. Unfortunately, improper utilization of needle delivery in dentistry can have serious and injurious outcomes in patient care. This presentation will discuss and consider the untoward events that can occur in the use of needle delivery of solutions and pastes in the practice and delivery of endodontic care.

    Learning Objectives: 

    • Recognize the advantages of imaging technologies in identifying key neurovascular structures and their proximity to the root canal systems of teeth.
    • Appreciate the hydraulic outcomes of common syringe methodologies and their potential for injury and mishaps
    • Identify safe protocols for avoiding extra-radicular overfill of the root canal space or confined tissues spaces using needle irrigation or paste delivery


    Alan Gluskin, D.D.S.

    Professor of Endodontics

    University of the Pacific

    Alan H. Gluskin DDS is currently Professor, Department of Endodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific in San Francisco, California. He is at present a Fellow of the International College of Dentists and the American College of Dentists. Dr. Gluskin is a member of numerous societies including the American Association of Endodontists, the American Dental Association and the San Francisco Dental Society. Dr. Gluskin has completed his tenure on the Executive Board of Directors of the American Association of Endodontists as a Past President of the AAE. He additionally functions on the editorial boards of the Journal of Endodontics and the International Journal of Endodontics. Dr. Gluskin is the 2017 recipient of the University of the Pacific’s Eberhardt Teacher-Scholar Award and was awarded the Distinguished Faculty Award in 2023 by the dental school faculty. He is co-editor of the textbooks Decision Making in Dental Treatment Planning and Practical Lessons in Endodontic Treatment.    

    Disclosure(s): No financial relationships to disclose

  • 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.

    Clinton D. Stevens, DDS

    Steven Schiffenhaus, DMD, MS

  • Includes Credits

    CE Hours: 0.75

    Description: The goal of root canal treatment is to prevent or reverse apical periodontitis by removal of necrotic/infected or irreversibly inflamed tissues, followed by obturation of the root canal space. Mechanical instrumentation and irrigation play a key role in the removal of 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 the root canal system. Passive ultrasonic irrigation, apical negative pressure irrigation systems, sonic activation, multisonic agitation, and laser activation 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. Minimally invasive canal preparation has been promoted with the activated irrigation approaches. However, what is not known is the effect of minimally invasive instrumentation, in conjunction with an activated irrigation approach on clinical outcomes (retention/longevity, healing of apical periodontitis). Can infected root canals be predictably disinfected following conservative root canal preparation? Based on a review of the current literature and personal clinical experience, appropriate preparation sizes for root canal treatment will be explored.

    Learning Objectives:  

    • Describe how apical preparation size during root canal treatment affects the clinical outcome.
    • Evaluate the current best available evidence to support minimal invasive canal preparation with different irrigation protocols.
    • Choose the appropriate preparation size for root canal treatment upon irrigation protocol.

    Qian Xie, D.D.S., Ph.D.

    Dr. Qian Xie received her BDS and PhD degrees from Sichuan University, Chengdu, China. After a few years of practice, Dr. Xie returned to graduate school at the University of Illinois at Chicago College of Dentistry, where she received her Certificate of Specialty in Endodontics. Dr. Xie is a Diplomate of the American Board of Endodontics. Dr. Xie has been a member and an active participant in the American Association of Endodontists, the American Dental Association, the Chicago Dental Society, and the Edgar D. Coolidge Endodontic Study Club. She is a fellow of the International College of Dentists. Dr. Xie has a broad background in oral science and clinical dentistry, with specific training and expertise in oral microbiology research and clinic experience in endodontics. Her research background includes caries research, oral biofilm and endodontic irrigation.

    Disclosure(s): No financial relationships to disclose

  • 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

    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.