Periapical Diagnoses
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Includes Credits
CE Hours: 0.75
Description: Cemental tears can be difficult to diagnose and sometimes even harder to treat. Even the best clinicians can miss diagnose them unless familiar with what to look for. The clinical signs, symptoms, and radiographic appearance of cemental tears are not always obvious even on a CBCT. However, a cemental tear can be the reason why some of those flawless non-surgical root canal therapies or apical surgeries may not heal. Unnecessary endodontic treatment can sometimes be the result of misdiagnosis. Management with a surgical approach is required to save teeth with cemental tears. We will review the etiology, diagnosis, and treatment options of cemental tears.
Learning Objectives:
- Describe the etiology of a cemental tear.
- Diagnose a cemental tear and determine the classification based on radiographic and clinical findings.
- List the treatment options of cemental tears based on their classification.
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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
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Includes Credits
CE Hours: 1.5
Description: Apical periodontitis (AP) is a complex inflammatory disease with different clinical and radiographic presentations. The pathogenesis of AP involves an interplay of the innate and adaptive immune responses, that aim at preventing root canal microflora from causing spreading systemic infection and/or osteomyelitis. This session will discuss the major pathways involved in the progression and healing of AP. It will also address the way a myriad of systemic factors may affect this apical immune response.
Learning Objectives:
- Discuss the major immunological pathways involved in the pathogenesis of AP
- Discuss the major immunological mechanisms of healing and bone regeneration following endodontic treatment
- Discuss the potential role of systemic factors in mediating pathogenesis or healing of AP
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Includes Credits
CE Hours: 0.75
Description: Radiographic imaging requires recognition of typical anatomic structures and distinction from a vast array of pathologic processes. Accurate diagnostic assessment often entails recognizing normal and abnormal radiographic features coincident with synthesizing clinical and available historical information. When clinicians are confronted with interpreting various radiographic curiosities and unusual disease presentations, pulp vitality testing is crucial to determine correct pulp and periapical diagnoses, followed by appropriate treatment. Several examples of diagnostic challenges and radiographic oddities mimicking periradicular lesions of endodontic origin, culled from the records of the presenter’s 35 years of practice, will be exhibited and discussed. Several cases displaying anomalous oral findings and referred for endodontic treatment were diagnosed as malignant conditions and subsequently treated successfully, thanks to accurate and timely endodontic diagnoses.
Learning Objectives:
- Evaluate radiographic oddities with clinical skepticism.
- Perform thorough and accurate pulp vitality tests to treatment plan oral diseases appropriately.
- List and discuss nonodontogenic conditions mimicking radiographic lesions of endodontic origin.
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Includes Credits
CE Hours: 1.0
Description: This lecture will discuss novel rolls CBCT plays in endodontics beyond basic diagnosis. Topics include technological advances, dynamic navigation, augmented reality, and guided procedures.
Learning Objectives:
- Describe the advantages of CBCT use in endodontics.
- Talk about novel uses of CBCT in the endodontic practice.
- Describe where the future is headed for CBCT use in the endodontic practice.
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Includes Credits
CE Hours: 1.0
Description: The aim of this systematic review was to evaluate the pooled estimate and relative risk of periapical lesions in natural teeth adjacent to implants.
At the conclusion of this article, the reader will be able to:
- Evaluate the impact of dental implants on the periapical health of adjacent natural teeth.
- Describe the relative risk of developing periapical radiolucent lesions (PARLs) in natural teeth adjacent to implants compared to those adjacent to non-implants.
- Discuss potential mechanisms that may contribute to the development of PARLs in adjacent natural teeth.
Mike Sabeti, DDS, MA
Dr. Sabeti's impressive dental career began with a DDS degree from the University of Texas Dental Branch at Houston in 1993. He then pursued further specialization, completing programs in Periodontics at Tufts School of Dental Medicine and Endodontics at the Herman Ostrow School of Dentistry of USC .
Following his postgraduate training, Dr. Sabeti served at the University of Texas Dental Branch from 1995 to 2000 in postgraduate periodontology. He has since distinguished himself through leadership roles at the University of California, San Francisco (UCSF). Currently, he directs their postgraduate endodontics program and chairs the PECC. He also holds the prestigious position of president for the Northern California Academy of Endodontics. He is also a site visitor for The Commission on Dental Accreditation and a delegate with the American Dental Education Association.
Dr. Sabeti is a board-certified endodontist renowned for his contributions to the field. He has actively shared his expertise through numerous invited presentations, publications in textbooks and chapters, and his dedication has been recognized with several awards. These include the Certificate in Recognition of Outstanding Services at USC, a Certificate of Appreciation from the University of Texas, and the Excellence in Teaching Award from UCSF's Haile T. Debas Academy of Medical Educators.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.
Heather Kim, DDS
Heather was born in Seoul, South Korea and raised in New Jersey. She received her Bachelor of Science in Biology from the University of Pennsylvania. Afterwards, she attended dental school at Columbia University and completed a General Practice Residency at Woodhull Hospital in Brooklyn, NY. She is excited to continue her dental training at UCSF.
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Includes Credits
CE Hours: 2.25
Description: In this educational webinar, the essential features of both soft and hard tissue (bone) pathology, such as gingival soft tissue lesions and intraosseous periapical lesions will be discussed. Special focus will be on topics of pathology most relevant to the endodontist. The speakers, board certified in Oral Medicine and Oral & Maxillofacial Pathology will describe the clinical, radiographic, and microscopic features of a range of entities and review management.
Learning Objectives:
- Review a variety of oral soft and hard tissue pathology which may be encountered by endodontists.
- Review the different classifications of pathology, namely inflammatory, infectious, immune mediated, developmental, neoplastic, genetic, and oral manifestation of systemic disease.
- Review the suitable management options for the selected soft and hard tissue pathologic entities.
Alexander Ross Kerr, DDS, MSD, FDS RCPS(Glasg)
Dr. Ross Kerr is a board-certified Oral Medicine Specialist who received his DDS from McGill University in Montreal, Canada, and his MSD and certificate in Oral Medicine at the University of Washington. He is a Clinical Professor and the Director of Oral Medicine in the Department of Oral & Maxillofacial Pathology, Radiology & Medicine at New York University College of Dentistry, and the recipient of NYU’s distinguished teaching award. He is a past president of the American Academy of Oral Medicine, secretary of the American Board of Oral Medicine, and steering committee member of the World Workshop on Oral Medicine. His research experience includes the evaluation of current and emerging technologies for the detection and diagnosis of oral cancer and oral potentially malignant disorders. He has contributed more than 100 publications to the dental and medical literature.
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: Stock, Triage Inc.
Arthi Kumar, DDS
Dr. Arthi Kumar is a board-certified Oral and Maxillofacial Pathologist who completed her training at New York Presbyterian Queens. She is currently a Clinical Assistant Professor in the Department of Oral and Maxillofacial Pathology, Radiology and Medicine, New York University College of Dentistry. In addition to making diagnoses at the microscope, Dr. Kumar sees patients in the Oral Medicine clinic and teaches undergraduate dental students in didactic and clinical courses at the college.
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: 1.5
Description: Endodontic patients frequently have a complex medical history and are on a variety of medications. Evidence is emerging to associate the patients’ clinical presentation and the outcomes of endodontic treatment with some of these medications. This presentation will address some of these medications and their relevance to endodontic considerations.
Learning Objectives:
- Describe the level of evidence in existing data on the association of systemic medications and endodontic conditions and their treatment outcomes.
- Describe systemic medications with potential effects on endodontic case presentation.
- Describe systemic medications that may influence the outcomes of endodontic treatment.
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: 1.5
Description: Many dentists find it very challenging to differentiate between the different types of tooth resorption, which leads to uncertainty regarding the treatment required. There are 11 different types of resorption and each type requires different management so it is essential to know which type is present. However, historically, there has been conflicting and confusing terminology used to classify and diagnose tooth resorption. During this lecture, a clinical classification will be presented with justification for the use of specific terminology. Each of the 11 types of resorption will be described to enable easy diagnosis and an outline of the principles of management of each type of resorption will provide clinicians with guidelines to use in their own cases. Examples showing the outcomes of these treatment protocols will also be presented.
Learning Objectives:
- Describe the 11 types of tooth resorption and their clinical and radiographic features.
- Differentially diagnose the different types of tooth resorption.
- Outline the general management options for each type of resorption.
Paul V. Abbott, B.D.Sc., M.D.S., FRACDS(Endo)
Paul Abbott is Emeritus Professor of Dentistry at The University of Western Australia. He is a Specialist Endodontist with over 45 years of clinical practice experience. Prior to taking a full-time University position in 2002, he spent 17 years in private specialist endodontic practice and he also held part-time academic positions at The University of Western Australia and The University of Melbourne. He was Dean and Head of the School of Dentistry at The University of Western Australia and Director of the Oral Health Centre of Western Australia from 2003-2009. He has presented over 1000 lectures and courses in 52 countries. He has over 420 publications with 259 articles in refereed journals, 25 textbook chapters and 51 Newsletter articles. From 2015-2022, he was the Editor-in-Chief of the international journal Dental Traumatology. Prof. Abbott’s main research and clinical interests revolve around dental traumatology, tooth resorption, and the diagnosis and management of pulp, root canal and peri-radicular conditions, with particular emphasis on pain control and disinfection of the root canal system. He has received numerous awards for his teaching and service to the dental profession, including Honorary Life Memberships of several professional societies and associations. In 2015, he was appointed by the Governor-General of Australia as an Officer of the Order of Australia, and in 2024, he received the Jens O. Andreasen Lifetime Achievement Award in Dental Traumatology from the International Association for Dental Traumatology. At this year's Annual Session, he will receive the Louis I. Grossman Award from the AAE in recognition of his cumulative publications of significant research studies that have made an extraordinary contribution to endodontology.
Disclosure(s): OzDent Pty Ltd: Consultant/Scientific Advisor (Ongoing), Honorarium (Ongoing), Other Research Support (includes receipt of drugs, supplies, equipment or other in-kind support) (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)
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Includes Credits
CE Hours: 1.25
Description: Endodontics is about more than saving teeth. It is easy to assume that any radiolucency associated with pain is of pulpal origin, especially if the tooth has a significant restorative history. However, numerous non-inflammatory pathologies of variable clinical significance can be identified in the periapical region. Differentiating the typical endodontic presentation from that of a more insidious etiology is of critical importance to ensure ideal management and outcome. Additionally, intra-oral examination should include a screening of the soft tissues for any abnormalities related to the dental pulp. A thorough evaluation of the soft tissues may result in the identification of pathologies not related to pulp inflammation. These changes can be reactive or neoplastic requiring timely and appropriate management to ensure the best prognosis. This discussion, based exclusively on clinical cases, will cover a variety of soft tissue and bone abnormalities to review the most relevant oral pathologies every endodontist needs to know.
Learning Objectives:
- Incorporate a systematic method to formulate a differential diagnosis of radiographic lesions found in the periradicular areas.
- Describe the growth pattern of soft tissues lesions to help differentiate reactive from neoplastic.
- Discuss the radiographic changes consistent with non-inflammatory etiologies and recognize when referral for biopsy is indicated.
David J. Landwehr, D.D.S., M.S.
Dr. David Landwehr earned his D.D.S. at the University of Minnesota. He received an M.S. degree and certificate in oral and maxillofacial pathology at The Ohio State University followed by specialty training in endodontics at the University of Michigan. Dr. Landwehr has been a private practice clinician for more than twenty years and for the last nine years has provided exemplary patient care at Capital Endodontics in Madison, WI.
Dr. Landwehr’s ongoing work as an educator and opinion leader has positioned him at the forefront of modern endodontic treatment. Dr. Landwehr authored the chapter titled Lesions That Mimic Endodontic Pathosis for the most recent edition of Cohen’s Pathways of the Pulp and was the Chief of Endodontics for the Meriter Hospital general practice residency for more than ten years. He has lectured extensively on endodontic diagnosis and oral pathology both nationally and internationally. His teaching focuses on techniques used daily in his clinical practice that are efficient, predictable and evidence based.
Disclosure(s): Surround Medical: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)