Speaker: Justin Kolnick, DDS|Bacterial testing of root canal systems in patients has traditionally presented with many difficulties. The culture technique never gained wide acceptance as the procedure is arduous and time consuming. DNA-based identification such as polymerase chain reaction suffers from high false positive readings by detecting DNA from dead bacterial cells. A newly introduced ATP assay detection method provides rapid identification of organic residues in root canal systems by detecting ATP, as well as its degradation products ADP and AMP, using a combination of luminescent reactions. The resulting luminescence is measured and displayed as a 0 – 100 Endoscore, with low scores indicating less cellular (bacterial) contamination. The ability to acquire results within 10 seconds can have significant ramifications in endodontics by allowing dentists to assess and modify cleaning and disinfection protocols in real time. Extrapolating data from research in extracted teeth, with artificially created biofilm, to clinical treatment of patients is complicated with potential inaccurate and erroneous inferences. This presentation will review the ATP assay detection method and present data illustrating how this method can be used to validate an Er,Cr:YSGG laser-assisted endodontic protocol for the cleaning and disinfection of root canal systems.

Speaker: Lynn M. Gaumer, J.D., CAP®|Are you a practice owner preparing for transition, selling your practice, or planning for retirement? Or perhaps you’re still in the midst of your career, but want to ensure your personal and charitable wishes are clearly documented. Join us for a one-hour complimentary webinar in celebration of Make a Will Month! This session will cover the essentials of estate planning and how charitable giving can play a pivotal role in your legacy. With new tax laws potentially on the horizon, now is the perfect time to explore tax-saving strategies that benefit you and the causes you care about. Don’t miss the opportunity to ensure your estate and charitable plans are in order and to make a lasting impact. This can be your first step towards leaving a legacy that endures for generations to come.

Authors:Bafrin Fattahi, DDS, MSc, Negin Ghasemi, DDS, MSc, Sahar Shakouei, DDS, MSc, and Mahsa Ladan Moghaddam, DDS, MSc|Achieving anesthesia in mandibular molar teeth with irreversible pulpitis has been challenging. This study aimed to compare the efficacy of precooling articaine and increasing its dosage for inferior alveolar nerve block (IANB) in the mandibular first molars with symptomatic irreversible pulpitis.

Authors: Luis Quiterio Montero, DDS, FRCDC; Bettina Basrani, DDS, PhD, FRCDC; David A. Ellis, MA, MSc, PhD; and Nestor Cohenca, DDS, FIADT|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).

Authors: Yuhong Lin, DDS, Vivek Thumbigere-Math, BDS, PhD, Anil Kishen, BDS, MDS, PhD, and Jianing He, DMD, PhD|Multiple Cervical Root Resorption (MCRR) is a rare condition characterized by the progressive destruction of the cervical region of multiple tooth roots, leading to significant tooth loss. The etiology and pathogenesis of MCRR remain poorly understood. Existing knowledge is largely derived from case reports/series. A comprehensive review of literature is crucial to identify potential systemic and dental factors that contribute to the development and progression of MCRR.

Speaker: Gabriela Lagreca, DMD|We'll examine key survival rates and success metrics for both options, delving into the fundamental distinctions between teeth and implants. The presentation identifies crucial factors that influence tooth preservation and evaluates the documented evidence regarding implant performance over time compared to natural dentition. Drawing from current research, we'll analyze which restoration approaches and treatment strategies demonstrate optimal long-term outcomes. This evidence-based discussion aims to provide clarity on the durability and effectiveness of both treatment pathways, helping inform clinical decision-making for lasting dental solutions.

Authors: Tatiana A. M. do Nascimento, MSc, Francielle S. Verner, PhD, Cleidiel Aparecido Araujo Lemos, PhD, and Rafael B. Junqueira, PhD|The aim of this study was to perform a qualitative and quantitative synthesis of the available studies evaluating the possible relationship between apical periodontitis and autoimmune diseases.

Speaker: Nelson L. Rhodus, DMD, MPH, FICD, FRCSEd|Systemic health is related to oral health and vice versa. Many systemic diseases are manifested in the oral cavity and many oral conditions and therapies have a profound impact upon systemic diseases. In addition, some of the therapies used to these conditions have significant effects on the oral cavity. For those reasons, it is important for dentists ( and dental health care professionals) to know about their patients' medical conditions before treating them and to understand which diseases manifest themselves in the oral cavity. This course will present a thorough overview of the principles of the management of medical conditions in dental patients, Furthermore, the participant will be updated upon current understanding and treatment of oral conditions such as oral cancer, xerostomia, lichen planus and candidiasis among others.

Authors: Yuxuan Liu, DDS, Yi Luo, DDS, Yaxu Feng, DDS, Xianhua Gao, DDS, Wei Fan, DDS, PhD, and Bing Fan, DDS, MSc, PhD|This study aimed to assess the effect of cavity designs on instrumentation, obturation and fracture resistance for mandibular first premolars with Vertucci V canal.

Speaker: Bettina Basrani, D.D.S., Ph.D., M.Sc.; Ove A. Peters, D.MD, M.S., PhD|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.