Non-surgical Root Canal Treatment
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Includes Credits
CE Hours: 1.25
Description: Recent technological advances and clinical demands have led to an overwhelming fabrication and production of various types of rotary instruments. Most rotary file designs follow general principles that determine their characteristics, such as flexibility, strength, efficiency, and fracture resistance. This presentation will explore these general principles from a historical angle and introduce a practical and easy-to-follow classification for rotary files based on their characteristics. This lecture will also provide a few physical features of rotary files that clinicians can swiftly identify to determine these characteristics, especially the one involving fracture resistance.
Learning Objectives:
- List different types of rotary files in terms of design and metallurgy.
- Provide a few examples of how file design can affect clinical performance.
- Demonstrate how file selection can assist in the prevention of separation during treatment.
Matthew Malek, D.D.S.
Dr. Malek received his certificate in the specialty of endodontics from NYU Dentistry in 2011. He is a Diplomate of the American Board of Endodontics and currently the Director of the Advanced Education Program in Endodontics at NYU and practices endodontics in private practice in Manhattan, New York.
He is involved with several research projects which focus on pain, Regenerative Endodontics, and External Invasive Resorption of the root which he has the most interest. He lectures frequently to local, national, and international communities on the topic of resorption. Dr. Malek is the faculty winner of the Foundation of Endodontics Spring 2022 Competitive Research Proposal for his research on External Invasive Resorption. Dr. Malek is the author/co-author of several peer-review articles and chapters in prominent endodontic journals and text books.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.
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Includes Credits
CE Hours: 0.75
Description: As Endodontists our mission is to save teeth and our specialized training equips us to do so. Biologic and clinical factors that impact endodontic treatment outcomes are widely studied, discussed, and considered in treatment planning. However, other, external factors also impact our ability to maintain the natural dentition. This session will explore factors that have been shown to impact access to endodontic care and outcomes of endodontic treatment, with an emphasis on oral health policy, economic forces, and clinician decision-making. Further, this session will consider how endodontists can promote oral health equity through clinical practice and advocacy.
Learning Objectives:
- List clinical factors shown to have significant influence on the outcomes of nonsurgical endodontic treatment.
- Discuss nonclinical factors that may impact access to endodontic care.
- Describe national (U.S.) trends in dental care use, insurance coverage, and barriers.
Lorel E. Burns, D.D.S.
Dr. Lorel Burns is a clinician-investigator and assistant professor at New York University (NYU) College of Dentistry. She is a Diplomate of the American Board of Endodontics. Dr. Burns earned her DDS degree at NYU College of Dentistry, completed her specialty training in Endodontics at the University of Pennsylvania School of Dental Medicine and was awarded her master’s degree in Clinical Investigation by NYU School of Medicine. In 2019, she was selected as the American Association of Endodontists (AAE) Foundation’s Endodontic Educator Fellow. In 2022, she recognized with the American Dental Education Association (ADEA) Junior Faculty Award. Dr. Burns’ research interests include endodontic treatment outcomes, access to dental care, clinician decision-making, and dental education. Her research has been funded by the National
Institutes of Health (NIH)/ National Institute of Dental and Craniofacial Research (NIDCR), the Robert Wood Johnson Foundation (RWJF), and the American Dental Education Association, ADEAGies Foundation. Her work has been published in peer- reviewed journals including the Journal of Endodontics (JOE), the International Endodontic Journal (IEJ), the Journal of the American Dental Association (JADA), and the Journal of Dental Education (JDE). Dr. Burns maintains part-time private practice limited to Endodontics in New York, 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.
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Includes Credits
CE Hours: 1.0
Description:
Since the launch of calcium silicate-based bioceramic sealers, the popularity of its clinical applications has grown dramatically in the last 16 years. Almost 50% of the AAE members and 27% of the ADA members reported using this type of sealer, which have surpassed resin-based sealers and it has become the most widely-used sealer type among endodontists.
Due to the increase of the interest of these sealers, several companies have developed its own version of a calcium silicate-based bioceramics products (sealer and putty). The majority of these products are pre-mixed which simplify the clinical use. While the verity of these products in the market increase considerably in the last 5 years, the number of clinical and laboratory studies on the latest products have been limited. Although many of them are called bioceramic sealers, there are many variation, among them, their chemical components, sealability, biological activities and more.
In this presentation we will compare the most popular pre-mixed bioceramic products in the market and show their clinical applications and obturation techniques.
Learning Objectives:
- Describe the endodontic hydraulic bioceramic cements and their clinical interactions
- Update and compare the traditional and new bioceramics materials available on the market
- Demonstrate tips and tricks on how to use these materials in different clinical cases
Gilberto J. Debelian, D.M.D., Ph.D.
Dr. Gilberto Debelian has received his DMD degree from the University of São Paulo, Brasil in 1987. He has completed his specialization in Endodontics from the University of Pennsylvania, USA in 1991 and received the Louis I. Grossman student award in Endodontics. He has concluded his PhD studies at the University of Oslo (UIO) in 1997, which gave him two scientific awards from the European Society of Endodontology (ESE) and from the Norwegian Dental Association. He has taught as a clinical instructor and associate professor at the endodontic program at UIO. He has served as an adjunct visiting professor at the post-graduate program in endodontics, University of North Carolina in Chapel Hill from 2006 to 2015. His is an adjunct visiting professor at the post-graduate program in endodontics at the University of Pennsylvania. Dr. Debelian is a keynote speaker to many international and national meetings in endodontics. He maintains a private practice limited to endodontics in Oslo and is the director of the advanced endodontic microscopy center – ENDO INN (www.endoinn.com) in Oslo, Norway. Dr. Debelian has authored 8 chapters book in Endodontics, one book in Endodontics and written more than 80 scientific and clinical papers.
Disclosure(s): FKG Dentaire, Switzerland: Development and consulting on NiTi files (Ongoing)
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Includes Credits
CE Hours: 1.0
Description: Understanding of the relationship between Endodontics and systemic disease has evolved considerably over the past century, from the initial pseudo-science related to the focal infection theory to modern day understanding of the pathogenesis inflammatory diseases and their interrelationship. This session will discuss recent information on the association of endodontic disease pathogenesis as well as treatment outcomes with major chronic systemic diseases and their treatment.
Learning Objectives:
- Identify the relationship between systemic diseases and the pathogenesis of endodontic diseases
- Discuss the relationship between systemic diseases and the treatment outcomes of endodontic diseases
- Present clinically relevant and evidence-based discussion points about this subject
Ashraf F. Fouad, D.D.S., M.S.
Dr. Fouad obtained his DDS, Certificate of Endodontics and MS at the University of Iowa.
He served on the faculty and in various administrative roles at University of Connecticut Health Center, the University of Maryland, and the University of North Carolina at Chapel Hill. He is currently Professor and Chair, Department of Endodontics, and Director, Advanced Endodontics Program, at the University of Alabama at Birmingham.
Dr. Fouad has published over 100 peer-reviewed manuscripts, 24 textbook chapters, and 140 abstracts. He edited and co-authored the textbooks: Endodontic Microbiology, as well as the fifth and sixth editions of Endodontics: Principles and Practice. He is a Diplomate and Past President of the American Board of Endodontics, and an Associate Editor of the Journal of Endodontics and Dental Traumatology. He received the Distinguished Scientist Award from the Pulp Biology and Regeneration Group of the International Association of Dental Research.
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
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Includes Credits
CE Hours: 0.75
Description: Endodontists necessarily focus on the procedural aspects of root canal treatment, from diagnosis to technique and recall. However, we must also understand the patient’s perspective, and we must know ourselves. Endodontic outcomes, from the presenter’s published systematic reviews, amongst other studies, will be discussed from patients’ and doctors’ points of view. This presentation will explore data on patient’s perceptions. What do patients know about root canal treatment, and why does this matter? What level of anxiety can be expected, and how can it be reduced? Pain, what should be expected, the intensity, the duration, and management? How does root canal treatment impact quality of life? How much does tooth retention and a smile matter? Differences between institutional outcome studies and real-world community endodontics will be explained. The positive economic impact of root canal treatment on the patient will be enumerated. Data on the critical impact of root canal treatment to the elderly and the vulnerable will be summarized. Ways to identify and understand vulnerable young adults will be explained. We dentists may assume that we are completely objective dispassionate scientific professionals implementing evidence-based practice, but the reality is that we also carry all the complex attributes of humanity. Just like patients, our cognitions, knowledge, attitudes, and behaviors are shaped by all of our interactions with the wider world. These will be elucidated, and key differences between endodontists and generalists will be documented. This presentation is both a looking glass, and a celebration, of the conduct and impact root canal treatment.
Learning Objectives:
- Describe endodontic outcomes as measured by data from clinical success and survival instruments, patient-centered instruments, and dentists’ perceptions.
- List the outcome metrics that have the highest impact on patients, and comprehensively evaluate a variety of outcome metrics.
- Discuss the impact of dentists’ cognitions, attitudes and behaviors on treatment outcomes.
Shane N. White, B.Dent.Sc., M.S., M.A., Ph.D.
Shane White is a Professor at the UCLA School of Dentistry. He received his dental training from Trinity College Dublin, spent several years in general practice and part-time teaching in Dublin, received a master's degree in Oral Biology and Certificates in Prosthodontics and Endodontics from UCLA, and a PhD in Craniofacial Biology from USC.
He enjoys teaching in D.D.S. and endodontic residency programs and mentoring student researchers. His research interests include dental biological materials, as well as in patient-centered endodontics and dental outcomes – focusing on the human side. He has won several major research awards, held a handful of National Institutes of Health grants and authored over 130 research papers He has been serially listed in the Stanford University Study as being among the top 2% of scientists worldwide. He has given approximately 400 invited scholarly lectures around the world.
He served as Chair, University of California Academic Senate, and as Faculty Representative to the University of California Board of Regents, being one of the 3 principal leaders of the University of California in 2016-18. He has a notable record of Senate and departmental service at UCLA, where he served as Chair of the UCLA Division of the Academic Senate in 2020-21, being in office throughout the COVID-19 Pandemic from 2019-23. Within the School of Dentistry, he has chaired the Section of Endodontics, the school’s Curriculum Committee and both of its faculty advancement committees. As a professor, and in all of his servant-leadership positions, he has striven to promote access, diversity, equity, inclusion, transparency, and accountability.
He surfs whenever he can.
Disclosure(s): No financial relationships to disclose
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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.
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Includes Credits
CE Hours: 0.75
Description: To prevent and eliminate apical periodontitis, adequate obturation is paramount for successful non-surgical endodontic treatment. Gutta percha and sealer are two needed components, and bioceramic obturation is the newest application to address this. The worldwide use of calcium silicate-based sealers continues to increase along with new obturation techniques. The single cone technique (hydraulic condensation) has become a time-saving, efficient obturation method using bioceramic sealers. But does this technique predictably provide a bacterial tight seal? How does its application affect the performance of these materials? What influence does the single cone technique have on case outcome? This presentation will explore the predictability of the single cone technique, allowing the listener to make an informed decision on whether, and in what situations, to employ it.
Learning Objectives:
- Describe the properties of bioceramic sealer that make the single cone technique possible.
- Discuss how the application of bioceramic sealer affects its performance.
- List the strengths and limitations of bioceramic obturation using the single cone technique.
Michael Marmo, D.MD
Dr Michael Marmo received his DMD degree and advanced endodontic training at Penn Dental Medicine. He has been a Clinical Associate Professor of Endodontics at Penn, teaching endodontic residents and predoctoral students since 1998. Dr Marmo lectures nationally and internationally with research interest in NiTi instrumentation, irrigation, and bioceramic materials. Dr. Marmo is a member of the Scientific Advisory Committee for the Journal of Endodontics, has served on past AAE committees, and is a Diplomate of the American Board of Endodontics. He founded Newtown Endodontics in Newtown, Pennsylvania, where he has lived and practiced since 2003.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.0
Description: Pulp canal obliteration is a significant risk factor for endodontic insufficiency, and the clinical treatment approach is challenging even for specialists. Accessing root canals that may be calcified can present complications in locating, penetrating, and negotiating pulp spaces. Efforts to reduce the risk of technical errors and treatment time using new technologies, such as intraoral scanners and their software and 3D printers, have resulted in the development of a therapeutic approach to locate calcified root canals: endodontic guides or guided endodontics. During the present lecture, it will be described the therapeutic approach used in a series of cases of endodontic pathology requiring endodontic treatment of root canals, with different degrees of pulp canal obliteration. In all cases, virtually planned guided endodontics allowed access to obliterated pulp spaces. Once the canals were negotiated, endodontic treatment could be performed adequately. The present results showed static guided endodontics to be a safe accurate treatment approach in these clinical cases and a valuable tool to negotiate calcified root canals, reducing working time, risk of excessive removal of tooth structure, and iatrogenic damage to the root.
Learning Objectives:
- Evaluate different treatment options for clinical management of calcified canals.
- Describe the steps to carry out the guided endodontics procedure, in cases of obliterated canals.
- Perform static guided endodontics as a safe and predictable procedure to manage calcified canals.
Jorge C. Alberdi, DDS
* Dentist, graduated from the Faculty of Dentistry, National University of Rosario (UNR), Rosario, Argentina. Year 2003.
• PhD in Health Sciences, Catholic University of Córdoba (UCC), Argentina. Year 2023.
• Specialist in Endodontics
• Professor of the Specialty Career Endodontics, Faculty of Health Sciences, Catholic University of Córdoba (UCC), Argentina.
• Director of Postgraduate Clinical Endodontics Course at the Odontological Circle of Rosario
• Director of the Course "Microscopy and new technologies in Endodontics" at the Troiano Dentistry Institute, Rosario, Argentina.
• Private Practice in Endodontics in Las Rosas, province of Santa Fe, Argentina, and Member of the Troiano Dentistry Institute, Rosario, Argentina.
• Lecturer on Endodontics and Post-endodontic Restoration.
• Speaker at the AAE Meeting 2019 in Montreal, Canada; 2022 in Phoenix, USA, and in 2023 in Chicago, USA.
• Speaker on Endodontics at national and international events in countries such as Ecuador, Brazil, Paraguay, Uruguay, Peru, Colombia, Bolivia, Mexico, El Salvador, Dominican Republic, among others.
• Author and co-author of research articles and case reports in national and international journals.
• Honorable Mention in the Journal of Endodontics Awards 2022 for the article: "Effects of Endodontic Infections on the Maxillary Sinus: A Case
Series of Treatment Outcome", published in the JOE with Dr. José Siqueira and colleagues.
• Reviewer for the Journal of the American Dental Association (JADA).
• Member of the Argentine Society of Endodontics (SAE), the Odontological Circle of Rosario (COR), and the American Association of Endodontists (AAE).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.
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Includes Credits
CE Hours: 0.75
Description: Maxillary sinusitis of endodontic origin refers specifically to sinusitis secondary to periradicular disease of endodontic origin. This pathology requires an accurate diagnosis followed by appropriate endodontic treatment to remove the source of endodontic pathogens associated with the periapical disease and secondary sinus infection. The use of CBCT imaging significantly improve the ability to detect mucosal soft tissue changes, sinus membrane thickening and odontogenic sources for sinusitis, such as untreated canals. In this presentation, several cases of maxillary sinusitis of endodontic and dental origin, with different manifestations, diagnostic challenges, treatment and outcomes will be described. All of them with inflammatory sinus changes represented by mucositis, osteoperiostitis or partial obstruction; that showed sinus signs and symptoms which disappeared after dental management. In most of them, the sinus condition had an endodontic origin, however, in one case, sinusitis was caused by trauma to the face. All cases had a satisfactory response of the periradicular tissues and maxillary sinus to treatment that consisted of root canal therapy or trauma management.
Learning Objectives:
- Describe classification of maxillary sinusitis of endodontic origin.
- Diagnose through CBCT maxillary sinusitis associated with endodontic infection.
- Evaluate different treatment alternatives for teeth causing maxillary sinusitis.
Gabriela Martin, DDS, PhD
• Dentist, graduated from the Faculty of Dentistry, National University of Cordoba (UNC), Córdoba, Argentina. December 1991.
• University Professor, graduated from the Faculty of Dentistry, National University of Cordoba (UNC), Córdoba, Argentina. December 2001.
• PhD in Dentistry, Faculty of Dentistry, National University of Córdoba (UNC), Argentina. April 23 2014.
• Specialist in Endodontics, certified by the Argentine Society of Endodontics (SAE) in 2002 and by the Ministry of Health of the Nation (MSN) in 2007.
• Director of the Posgraduate Program in Endodontics, Faculty of Health Sciences, Catholic University of Córdoba (UCC), Argentina. Since 2016 to present.
• Assistant Professor of the Endodontic Department at the Faculty of Dentistry, National University of Cordoba, Argentina. Since 2003 to present.
• Director of Posgraduate Program in Endodontics, Faculty of Dentistry, National University of the Northeast (UNNE), Corrientes, Argentina (2019-2021).
• Member of EndoChat Group
• Private Practice in Endodontics in Cordoba, Argentina.
• Speaker at the IFEA Meeting 2010 in Greece, 2013 in Tokio, J2016 in Cape Town.
• Speaker on Endodontic Topics, specially in Regenerative Endodontics at National and International Congress and meetings.
• Author and co-author of research articles and case reports in national and international journals.
• Honorable Mention in the Journal of Endodontics Awards 2022 for the article: "Effects of Endodontic Infections on the Maxillary Sinus: A Case Series of Treatment Outcome", published in the JOE with Dr. José Siqueira and colleagues.
• Reviewer of the IFEA Awards and scientific articles of Acta Odontologica Latinoamericana.
• Member of the Argentine Society of Endodontics (SAE), Argentine Society of Dental Research (SAIO),International Association for Dental Research (IADR) and American Association of Endodontists (AAE).Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.0
Description: Nonsurgical root canal retreatment (NS-RCRT) becomes necessary when primary endodontic procedures fail. This study evaluates the efficacy of NS-RCRT using 2% chlorhexidine gel and foraminal enlargement techniques, aiming to assess whether these approaches enhance periapical healing outcomes and success rates compared to traditional NS-RCRT techniques reported in the literature.
At the conclusion of this article, the reader will be able to:
- Evaluate the impact of foraminal enlargement on periapical healing outcomes in nonsurgical root canal retreatment (NS-RCRT).
- Discuss the clinical implications of using 2% chlorhexidine gel as the primary irrigant in NS-RCRT.
- Identify factors influencing the success rates of NS-RCRT based on the findings from the retrospective cohort study.
Patrick Wilson Quelis Baltieri, DDS, MSc, PhD
Lucas Peixoto de Araujo, DDS, MSc, PhD
Brenda P.F.A. Gomes, DDS, MSc, PhD
Jose Flavio Affonso de Almeida, DDS, MSc, PhD
Caio Cezar Randi Ferraz, DDS, MSc, PhD
Adriana de- Jesus-Soares, DDS, MSc, PhD