January 24-26, 2019 | Lake Tahoe
Insight Track: Cone Beam Computed Tomography
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- Includes Credits
CE Hours: 2.5 CE hour
Description: Diagnostic information directly influences clinical decisions. Accurate data lead to better treatment-planning decisions and potentially more predictable outcomes. CBCT is an emerging technology that can offer the clinician clinically relevant information that cannot be gathered from conventional radiography. The ability to assess an area of interest in 3 dimensions eliminates the superimposition that is inherent in conventional radiographic imaging. Cone-beam technology currently has numerous applications in the dental field. CBCT is having great impact and is changing dramatically case diagnosis, treatment planning and treatment outcomes in the daily practice. Conventional 2-dimensional radiography uses defined criteria for non-surgical and surgical outcome assessment. However, these radiographic healing criteria are not applicable for 3-dimensional radiography. This presentation will focus on how CBCT technology has provided clinicians with a different understanding of the dynamics of endodontic disease as well as healing. Based on the information received from the recall CBCT cases not responding to treatment (non-surgical and surgical) changes in treatment protocols and armamentarium will be presented.
At the conclusion, participants should be able to:
- Apply CBCT imaging in the following cases: Diagnosis of pain, cracked teeth and vertical root fracture.
- Utilize the appropriate Guided Bone Regeneration (GBR) products as bone grafts and membranes in endo/perio and marginal defect cases when indicated.
- Utilize 3-D information to establish the correct strategy to achieve a good prognosis well before the beginning of the treatment (non-surgical, surgical or single tooth implant).
Mohamed I. Fayad, DDS, MS, PhD
Dr. Fayad received his DDS from the College of Dentistry, Cairo University in 1985. He received his MS 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). He is a Diplomate of the American Board of Endodontics.
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.
Mohamed I. Fayad, D.D.S., M.S., PhD
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: 2.25 CE hour
Description: This session will provide guidance for the acquisition and evaluation of CBCT scans for diagnostic quality along with a sequential method to review scan content. Additionally, examples of incidental and significant findings will be presented. A template for recording findings and suggestions for concise report writing will be given.
At the conclusion, participants should be able to:
- Explain the effects of patient positioning, exposure parameters and image artifacts on CBCT scan quality.
- Review a scan volume and compose a concise report of the findings.
- Recognize significant findings and indications for referral to an Oral and Maxillofacial Radiologist.
Scott R. Makins, DDS, MS
Dr. Scott Makins is a dual-trained endodontist and oral and maxillofacial radiologist. He recently retired from his position as an Associate Professor at the UTHealth School of Dentistry in Houston, Texas.
Scott R. Makins, D.D.S., 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.
- Includes Credits
CE Hours: 2.0 CE hour
Description: This session will discuss the use of CBCT in endodontics from the perspective of the position paper jointly published by the AAE and the AAOMR. The implications for the use of this technology, its relevance in specific diagnostic tasks, and limitations will be discussed from a risk to benefit ratio perspective that is justifiable. Further, the need for proper documentation of history, indications, and protocol implemented will be discussed. Potential legal implications arising out of appropriate use of CBCT technology such as choice of limited fields of view, exposure parameters with a high signal-to-noise-ratio yield, and conformance with ALARA principles will be reviewed in the context of the Image Gently campaign supported by numerous specialty organizations in dentistry and medicine.
At the conclusion, participants should be able to:
- Explain difference between two-dimensional and three-dimensional imaging
- Elaborate legal issues surrounding diagnoses made from CBCT images
- Summarize pertinent legal issues as it relates to the use of CBCT in endodontics
Ashok Balasundaram, BDS,DDS,MDS, MS
Dr. Ashok Balasundaram is a clinician scientist. He graduated with his dental degree (BDS) and Master’s degree (MDS in Oral & Maxillofacial Pathology) in India during the year 1995 and 1999 respectively. He then pursued his Master’s degree (MS) in Oral & Maxillofacial Radiology here in the US, graduating in 2005. He also obtained his DDS degree in 2006. He was a full-time faculty in Oral & Maxillofacial Radiology at Detroit Mercy Dental and West Virginia University School of Dentistry, where he has taught pre-doctoral and clinical radiology courses. Dr. Balasundaram has participated in the CBCT radiology intra-mural private practice at Detroit Mercy Dental and West Virginia University School of Dentistry. He also solicits CBCT scans from imaging centers, specialty dental centers and dentists across Michigan to provide CBCT scan over-reads. Dr. Balasundaram was tenured at the Detroit Mercy Dental in 2014 and his area of active research relates to several applications of CBCT in dentistry. He has lectured at several forums on several aspects of CBCT. With his vast knowledge in oral pathology and oral radiology, he is also the consummate oral diagnostician.
Umadevi P. Nair, BDS, DMD, MDS
Dr. Uma P. Nair received her D.M.D. degree at the University of Pittsburgh. She completed her Postgraduate training in Endodontics from India as well as the US from University of Pittsburgh. She is currently in private practice in Dallas, Texas. She served as a faculty at the University of Florida where she was the Director of Predoctoral Endodontics and the Director for surgical endodontics for the residency program for 12 years after which she served as an Associate Professor and the Director of Graduate Endodontics at the Medical University of South Carolina at Charleston.Her research interests include 3D imaging of vertical root fractures and the applications of CBCT in Endodontics. Dr. Nair has several publications and has authored chapters in endodontic textbooks. She has also been invited for lectures at the national and international level. She also served on national committees for the American Association of Endodontics. Dr. Nair is a Diplomate of the American Board of Endodontics.
Ashok Balasundaram, BDS,DDS,MDS, MS
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.
Uma Nair, DMD, MDS
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
Description: A workflow will be provided to let practices know where to start the process of medical billing in their specialty practice. Our 75 minute journey will address the benefits of medical billing for the specialty dental practice. We will explore the various procedures codes that are billable for endodontists as well as the various diagnoses that justify them. Learn how to get benefit checks for your patients and use that information appropriately to move forward with a preauthorization to complete successful claims. Various examples of documentation to medical insurance will be presented for the audiences understanding of medical insurance expectations for claim adjudication.
At the conclusion, participants should be able to:
- Read a benefit check from a medical carrier and how to move on to a preauthorization
- Research and use the appropriate diagnosis codes to justify a CBCT claim to medical insurance
- Implement system a specialists office immediately to start billing medical insurance.
Hootan Shahidi, MPH
Hootan Shahidi is the founder and managing partner of Cross Over Dental Enterprises LLC (C.O.D.E.), a medical billing outsource solution for dentists and dental specialists wishing to maximize benefits for their patients via medical insurance. Cross Over Dental Enterprises provides expertise in benefit checks, pre-authorizations, coding and claims submission along with the claims follow up and appeals to providers in nearly every state. In 2004, Mr. Shahidi graduated from Emory University with a Master’s Degree in Public Health, focusing on Health Policy and Management. His first position in the dental industry was as an office manager. During this time Mr. Shahidi developed an expertise in dental and medical coding. Mr. Shahidi was able to improve this skill early in his dental career due to exposure to medical claims for oral surgery, sleep apnea oral devices, and trauma related cases. In 2013, Cross Over Dental Enterprises (CODE) was founded out of a one-bedroom apartment in Woodland Hills, CA, serving just a few local clients. Since 2013, CODE has grown to operating out of both Los Angeles and Atlanta, and serving over 2000 providers in almost all 50 states. CODE is proud to have helped over 100,000 patients in this period, in receiving medical benefits towards their procedures. Mr. Shahidi now speaks nationally for several large dental manufacturers, dealers, and study clubs who educate practices on the benefits of having medical billing in their practices. In 2015, CODE and Mr. Shahidi joined Dr. Agarwal and the 3D Dentists group in a shared vision of making dental practices more profitable, fun, and patient centric by providing one and two day courses in Raleigh, NC and throughout the US.
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: Cross Over Dental Enterprises LLC (Individual(s) Involved: Self): I am the Managing Partner, Other Financial or Material Support
Hootan Shahidi, MPH
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 (Self: 1 financial relationship declared - Stockholder/Ownership Interest (excluding diversified mutual funds))
- Includes Credits
CE Hours: 1.0 CE hour
Description: Knowledge of treatment outcomes empowers clinicians to (1) inform patients on prognosis for alternative treatment options, (2) assess effectiveness of specific treatment interventions, and (3) define for patients the specific post-treatment outcome of a treated tooth. The current emphasis on evidence-based endodontics and the favorable outcomes of implants have led to an increased interest in endodontic outcome studies; however, because measuring and reporting outcomes may be biased, reported outcomes vary and may misrepresent actual reality.The growing interest in endodontic treatment outcomes has generated two contemporary dilemmas: (1) Should outcomes be assessed with CBCT considering the limitations of periapical radiographs in detecting periradicular disease? (2) Should outcome assessment focus on health/disease, primarily assessed by radiographic imaging, or on absence/presence of clinical signs/symptoms? This session will address these dilemmas in three parts. It will characterize the detection ability of periradicular findings by 2D and 3D imaging. It will then define appropriate endodontic treatment outcomes and debate the possible role of 3D imaging in assessing periradicular health/disease. Finally, it will summarize the current best evidence for nonsurgical endodontic treatment outcomes with regards to periradicular health/disease and clinical signs/symptoms based on 2D imaging, and relate those outcomes to assessment with 3D imaging.
At the conclusion, participants should be able to:
- Recognize the differences in detecting periradicular findings by 2D and 3D imaging
- Discuss the specific goals of endodontic treatment and the associated treatment outcomes
- Inform patients on the pre-treatment prognosis and define the post-treatment outcome based on the current best evidence
Robert E. Grover, D.D.S.
Dr. Grover was born and raised in Staunton, Virginia. In addition to his endodontics practice, he is Associate Professor of Endodontics at the University of Virginia Department of Dentistry and Assistant Professor of Endodonitcs at the Virginia Commonwealth School of Dentistry. Dr. Grover served as a dentist in the United States Navy with the rank of Lieutenant. He is a graduate of Hampden-Sydney College, the Medical College of Virginia School of Dentistry, and received a certificate of Advanced Graduate Studies in Endodontics from Boston University School of Graduate Dentistry. Dr. Grover has been a member of the American Dental Association since 1984, the Virginia Dental Association since 1987, and the American Association of Endodontics since 1993. Dr. Grover, his wife Brenda and their children Andrew and Sarah, have been residents of Charlottesville, Virginia since 1992.
Robert E. Grover, D.D.S.
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.
- Includes Credits
CE Hours: 2.0 CE hour
Description: CBCT scanners have become commonplace in the modern endodontic practice, yet controversy remains regarding when to capture a scan. Current guidelines can leave room for individual interpretation. Information available on the cone beam scan can significantly impact decision making and aid in the treatment approach. It is being suggested here that a cone bean scan should be captured 100% of the time on all treatment cases. This presentation is designed to demonstrate the advantages and applications of cone beam scanning for the purposes of leveraging this information during clinical treatment.
At the conclusion, participants should be able to:
- Explain the use of CBCT imaging in 100% on treatment cases
- Identify common barriers that prevent clinicains from capturing scans on 100% of thier patients
- Explain specific techniques to improve clinical efficiency based on information available on the CBCT scan
William J. Nudera, DDS, MS
Dr. William Nudera earned a DDS from the University of Illinois at Chicago in 1999. He served for three years in the United States Air Force completing a one year AEGD residency program. While in service, Dr Nudera received a National Defense Service Medal and was awarded the Air Force Dental Officer of the Year in 2002. Dr. Nudera completed his Endodontic training in 2005 earning his Endodontic specialty certificate as well as a Masters Degree in Oral Sciences. Dr. Nudera is a Diplomate of the American Board of Endodontics. He has authored several journal publications as well as a chapter in the endodontic textbook "3D Imaging in Endodontics". Dr. Nudera maintains a full-time private practice limited to Endodontics and holds a faculty position in the Department of Endodontics at the University of Illinois at Chicago, College of 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.
William J. Nudera, D.D.S., M.S.
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 Endodontics (financial relationship declared - Honorarium)
