

November 5-7, 2020 | Virtual
Insight Track: Surgical vs. Non-Surgical Retreatment
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Includes Credits
CE Hours: 2.25
Description: The surgical solution to a conventionally treated tooth that has become refractory to healing was once considered the final step prior to extraction, and that it was a singularly occurring event. In light of contemporary techniques and technologies, are either of these statements true? Or should it be viewed as an extension of a current therapy, either surgical or non-surgical, in a process of revision and remodeling. When is it appropriate to consider a surgical intervention, especially in a tooth that has been previously surgically treated, and what metrics are we using to determine this? Is it a standalone procedure, or are outcomes enhanced with co-treatment options? What is the alternative if the conventional surgical options are exhausted? This presentation will examine the available literature for guidelines to these treatment decisions and, using multimedia, demonstrate various case scenarios and techniques.
- Implement the various imaging technologies in a “Virtual Surgery©” environment to develop an effective and appropriate treatment plan.
- Compare the traditional root end operative procedures with modern Piezo approaches a. Describe the process of PRESS fabrication, from image acquisition to final stent b. Contrast conventional root end surgical access with GPS assisted surgery (Navident™)
- Discuss the various root end preparation / filling materials and their appropriate applications
Stephen P. Niemczyk, DMD
Dr. Niemczyk graduated from the University of Pennsylvania School of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at the IB Bender Postdoctoral Endodontic Program at Albert Einstein Medical Center in Philadelphia, and was recently named the Assistant Program Director in 2018. He is the 2020 recipient of the AAE Calvin D. Torneck Part-Time Educator Award, and also serves as a surgical consultant to the Naval Postgraduate Endodontic Program at the Walter Reed National Medical Center in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA.
Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the Journal of Endodontics and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.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: DENTSPLY Tulsa Dental Specialties (Individual(s) Involved: Self): Honorarium
Stephen P. Niemczyk, D.MD
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: DENTSPLY Sirona Dental Specialties (financial relationship). -
Includes Credits
CE Hours: 2.25
Description: The surgical solution to a conventionally treated tooth that has become refractory to healing was once considered the final step prior to extraction, and that it was a singularly occurring event. In light of contemporary techniques and technologies, are either of these statements true? Or should it be viewed as an extension of a current therapy, either surgical or non-surgical, in a process of revision and remodeling. When is it appropriate to consider a surgical intervention, especially in a tooth that has been previously surgically treated, and what metrics are we using to determine this? Is it a standalone procedure, or are outcomes enhanced with co-treatment options? What is the alternative if the conventional surgical options are exhausted? This presentation will examine the available literature for guidelines to these treatment decisions and, using multimedia, demonstrate various case scenarios and techniques.
- Implement the various imaging technologies in a “Virtual Surgery©” environment to develop an effective and appropriate treatment plan.
- Compare the traditional root end operative procedures with modern Piezo approaches a. Describe the process of PRESS fabrication, from image acquisition to final stent b. Contrast conventional root end surgical access with GPS assisted surgery (Navident™)
- Discuss the various root end preparation / filling materials and their appropriate applications
Stephen P. Niemczyk, DMD
Dr. Niemczyk graduated from the University of Pennsylvania School of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at the IB Bender Postdoctoral Endodontic Program at Albert Einstein Medical Center in Philadelphia, and was recently named the Assistant Program Director in 2018. He is the 2020 recipient of the AAE Calvin D. Torneck Part-Time Educator Award, and also serves as a surgical consultant to the Naval Postgraduate Endodontic Program at the Walter Reed National Medical Center in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA.
Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the Journal of Endodontics and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.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: DENTSPLY Tulsa Dental Specialties (Individual(s) Involved: Self): Honorarium
Stephen P. Niemczyk, D.MD
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: DENTSPLY Sirona Dental Specialties (financial relationship). -
Includes Credits
CE Hours: 1.5
Description:
Many practitioners face the decision of how to treat a tooth with a history of unsuccessful endodontic treatment. This lecture will discuss how and when to approach this situation by either non-surgical or surgical retreatment. The expected outcome for either procedure using modern endodontic techniques will be reviewed, and the guiding principles for the correct indications discussed based on evidence-based dentistry and clinical cases.- Include the expected outcome of endodontic retreatment procedures in clinical treatment planning.
- Discuss the strategies of deciding between a non-surgical and surgical retreatment approach.
- Critically review common myths about non-surgical and surgical retreatment.
Frank C. Setzer, D.M.D., Ph.D., M.S.
Dr. Setzer graduated from the Dental School of the Friedrich- Alexander-University Erlangen-Nuremberg, Germany, in 1995, where he also received his doctoral degree in 1998. He pursued his endodontic specialty training at the University of Pennsylvania after working for nine years in a multi-specialist private practice as associate and partner. Dr. Setzer graduated from the endodontic program of the University of Pennsylvania in 2006, receiving the Louis I Grossman Postdoctoral Student Award in Endodontics. He earned a Master of Science in Oral Biology and a DMD degree in 2008 and 2010, respectively. Dr. Setzer serves as the Clinic Director and Pre-Doctoral Program Director at the Department of Endodontics of the University of Pennsylvania. Dr. Setzer lectures on several topics of endodontics throughout the United States, Europe, South America, and Asia. He has authored articles on endodontics in peer-review journals and serves as Associate Editor for Endodontics for Quintessence International and, amongst other journals, on the scientific advisory board of Journal of Endodontics, International Endodontic Journal and Journal of the American Dental Association.
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.
Frank Setzer, D.MD, PhD, M.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.
Disclosure
All speakers must disclose to the program audience any proprietary, financial or other personal interest of any nature of kind, in any product, service, source and/or company, or in any firm beneficially associated therewith that will be discussed or considered during their presentation. The AAE does not view the existence of these interests or uses as implying bias or decreasing the value to participants. The AAE, along with ADA CERP, feels that this disclosure is important for the participants to form their own judgment about each presentation. Please see each individual speaker's information within a session for disclosure information.
Speakers can select which components of their presentation they would like included on Endo On Demand, and as a result, some courses may only include a handout, audio, audio and handout, or have portions of their presentation omitted. Courses that have only a handout and/or audio do not include the online CE option. Courses with multiple speakers may have some portions omitted from the presentation if not all speakers give permission to have their content posted.
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