Periapical Diagnoses

Periapical Diagnoses

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  • Product not yet rated Includes Credits

    CE Hours: 1.0

    Description: 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.

    At the conclusion of this article, the reader will be able to: 

    • Describe the possible association between apical periodontitis and autoimmune diseases, based on the evidence presented in the systematic review and meta-analysis.
    • Assess the methodological quality of the studies included in the article, identifying limitations, risks of bias and level of certainty of the evidence.
    • Discuss the clinical implications of the article's findings for dental practice, especially in the management of patients with autoimmune diseases.

    Tatiana A M do Nascimento, DDS

    DDS, Specialist (Endodontics and Periodontics), Private Practice. MSc student at Health Applied Sciences Postgraduate Program, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Brazil.

    Francielle S Verner, DDS, MSc, PhD

    DDS, Specialist (Oral Radiology), MSc (Dental Clinic), PhD (Oral Radiology). Professor at Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Brazil. 

    Cleidiel A A Lemos, DDS, MSc, PhD

    DDS, Specialist (Prosthodontics), MSc (Prosthodontics), PhD (Prosthodontics). Professor at Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Brazil. 

    Rafael B Junqueira, DDS, MSc, PhD

    DDS, Specialist (Endodontics), MSc (Dental Clinic), PhD (Endodontics). Professor at Department of Dentistry, Federal University of Juiz de Fora, Campus GV, Governador Valadares, Brazil. 

  • Product not yet rated 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.

    Lindsey R. Yap, D.MD, M.S.D

    Dr. Lindsey Yap is an Assistant Professor in the Department of Endodontics at the University of Washington School of Dentistry. She completed her bachelor’s degree in Biochemistry from Lehigh University and went on to earn her Doctor of Dental Medicine degree from Oregon Health & Science University in 2017. Upon graduation, Dr. Yap worked in her hometown as a general dentist in Federal Way, WA and worked with Drs. Linda & Bryan Edgar and Mark Walker. Dr. Yap earned her Master of Science in Dentistry (MSD) and Certificate in Endodontics from the University of Washington Graduate Endodontics Program in 2022. Dr. Yap is a board certified endodontist, full-time educator, and part-time associate in a private practice limited to endodontics.

    Disclosure(s): No financial relationships to disclose

  • Product not yet rated 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

  • Product not yet rated 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

    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

    Elisabetta Cotti, D.D.S., M.S.

    Elisabetta Cotti, DDS, MS, received her DDS from the University of Cagliari – Italy and the specialty and MS in Endodontics from the University of Loma Linda- California.

    She is Full Professor of Conservative Dentistry and Endodontics, and the Chairman of the Department of Conservative Dentistry and Endodontics at the School of Dentistry, University of Cagliari- Italy.  She is currently the Director of the Post Graduate programme (Master) in Clinical Endodontics at the University of Cagliari, lecturer in the Department of Endodontics at Loma Linda University, USA. She is the president of IFEA (International federation of Endodontic Associations). She practices limited to Endodontics, and is author of several articles and chapters in the field of Endodontics with has a specific interest in apical periodontitis, imaging and trauma.

    Disclosure(s): Dentsply Sirona Endodontic SBU: Honorarium (Ongoing), serve as consultant in products development and as lectures (Ongoing)

  • 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.

    Michael J. Ribera, D.MD, M.S.

    Dr. Ribera is a 1984 graduate of Boston College and a 1989 graduate of Harvard School of Dental Medicine.  In 1990, he completed a general practice residency at Harvard’s Brigham and Women’s Hospital, and in 1992 received his Certificate in Endodontics and Master of Science Degree from Northwestern University Dental School in Chicago.
    Dr. Ribera is a Diplomate of the American Board of Endodontics, a member of the Endodontic College of Diplomates, a specialist member of the American Association of Endodontists, and a Fellow of the International College of Dentists. He is the 2006 recipient of the District of Columbia Dental Society’s David Mast Memorial Award for excellence in continuing education.  Dr. Ribera is in full-time practice and maintains three offices in the Washington, D.C. Metro Area.

    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.

  • 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. 

    Christopher D. Matesi, DDS

    Christopher Matesi is an oral and maxillofacial radiologist based out of Napa, California. He is originally from Chicago, IL and graduated from University of Illinois Chicago College of Dentistry in 2012. He practiced general dentistry in a private practice setting for 7 years doing many different types of procedures including endodontics, implant placement and prosthodontics. His found his love was really in the diagnostics, treatment planning and technological aspects of dentistry. Radiology fit all those things perfectly and in 2019 and he began his oral and maxillofacial radiology residency at University of Florida. There he was selected as chief resident during his PGY2 year and completed his OMR residency training in December of 2021. Out of residency he started his practice, Dental Imaging Diagnostics, with the goal of providing customized radiology reporting that highlights areas of importance that are clinically useful for the practicioner. He also provides surgical guides for a number of different surgical procedures including implant placement and endodontic guidance. He tries to incorporate the latest technical advances in his practice in order to make the clinician's already difficult job just a little easier and more predictable. Outside of his practice, he likes to spend time with his lovely wife and son, golf and go to wine tastings now that he just moved to wine country.

    Disclosure(s): Dental Imaging Diagnostics: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing)

  • Product not yet rated 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. 

  • 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.

  • 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

  • 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)