2017 Insight Track: DIAGNOSIS AND DECISION MAKING

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CE Hours: 6 Hours

Sessions Include: 

  • Enhancing Diagnostic Information Yield from CBCT Imaging - Scott Makins, D.D.S., M.S.
  • Differential Diagnosis of the Different Types of Resorption - Paul Abbott, B.D.Sc., M.D.S., FRACDS(Endo)
  • Diagnosis of Crown and Root Fractures: Facts and Speculations - Aviad Tamse, D.M.D.
  • Decision-Making for the Compromised Tooth: Retain or Replace? - Scott Doyle, D.D.S., M.S.
  • The Great Pretenders: Strategies in Understanding When Pain is NOT of Endodontic Origin. - Donna Mattscheck, D.M.D. 
  • Contemporary Issues in Dental Pharmacology - Arthur Jeske, Ph.D., D.M.D.
  • Contemporary Issues in Dental Pharmacology

    Contains 5 Component(s), Includes Credits

    Arthur Jeske, Ph.D., D.M.D. | Antibiotic therapy in endodontics can be based upon empirical prescribing decisions utilizing guidance promulgated by professional organizations, although emerging trends in antibiotic resistance patterns and systemic complications may compel modifications to these regimens.

    CE Hours: 1.5

    Description:
     Antibiotic therapy in endodontics can be based upon empirical prescribing decisions utilizing guidance promulgated by professional organizations, although emerging trends in antibiotic resistance patterns and systemic complications may compel modifications to these regimens. Similarly, the management of acute pain and anxiety continues to employ traditional NSAIDs, opioids and benzodiazepines, although newer information on the pharmacogenomics and pharmacokinetics of these drugs, as well as recent trends in substance abuse and diversion, may alter their prescribing patterns. Professional guidelines for patients taking antiresorptive therapy are available, although new scientific evidence will inevitably dictate refinement and modification of strategies employed in the dental management of these cases.

    At the conclusion, participants should be able to:

    • Describe the pharmacologic characteristics of antibiotics-of-choice for odontogenic infections and the appropriate and inappropriate uses of antibiotics, including considerations for antibiotic prophylaxis
    • Describe the potential adverse interactions of specific analgesic and sedative medications prescribed in endodontics and the pharmacogenomic and pharmacokinetic factors which affect their safety and efficacy
    • Summarize current professional guidelines for the dental management of patients taking antiresorptive drugs

    Arthur H. Jeske, Ph.D., D.M.D.

    Dr. Jeske is Associate Dean and Professor, Department of General Practice and Dental Public Health, University of Texas School of Dentistry, where he teaches local anesthesia and pharmacology. He earned his Ph.D. and D.M.D. degrees from the Medical College of Georgia. He is a member of the Greater Houston Dental Society, Texas Dental Association, and the American Dental Association (ADA). He is past editor of the Journal of the Greater Houston Dental Society and the Texas Dental Journal and is currently Editor-in-Chief of Mosby's Dental Drug Reference. He is a past member and Chair of the ADA Council on Scientific Affairs, has served on several ADA National Board Test Construction committees and is a contributor to the ADA Center for Evidence-Based Dentistry. Dr. Jeske is a Life Member of Omicron Kappa Upsilon and is Fellow in the American College of Dentists, the International College of Dentists and the Academy of Dentistry International. He practices general dentistry in Houston, Texas.

    Arthur Jeske, Ph.D., D.M.D.

    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 below

    financial relationships: Elsevier Publishing  (Other Financial or Material Support, Textbook Editor)

  • The Great Pretenders: Strategies in Understanding When Pain is NOT of Endodontic Origin

    Contains 5 Component(s), Includes Credits

    Donna Mattscheck, D.M.D | This presentation will provide a review of current concepts of pain mechanisms, pathways, and referral patterns in the head and neck.

    CE Hours: 2.5 

    Description: 
    This presentation will provide a review of current concepts of pain mechanisms, pathways, and referral patterns in the head and neck. Clinical presentations of conditions that commonly create diagnostic confusion will be discussed. Seven different sources of pain that can be felt in the teeth yet not be originating in pulpal and periodontal structures will be presented. Understanding these sources of pain is essential in a dental practice. Keys to differentiating these pains from odontogenic pains will be presented so that the clinician can appropriately diagnosis and manage these conditions.

    At the conclusion, participants should be able to:

    • Discuss the mechanisms responsible for pain referral in the orofacial structures.
    • Recognize and differentiate common orofacial pain disorders that may clinically present as toothache.
    • Describe and conduct a comprehensive pain history, driven by an understanding of common orofacial pain disorders

    Donna J. Mattscheck, D.M.D.

    Dr. Donna Mattscheck received her D.M.D. from the University of Kentucky in 1992. She completed a general practice residency at Northwestern Memorial Hospital in Chicago and a fellowship in orofacial pain at the University of Kentucky. She received her Certificate in Endodontics from the University of Iowa in 1996 and has been a Diplomate of the American Board of Endodontics since 2000. She served as pre-doctoral director of endodontics at the University of Minnesota for eight years and has co-authored a chapter in "Pathways of the Pulp." She is a past recipient of the Edward M. Osetek Educator Award, has served on several committees for the American Association of Endodontists, is past treasurer of the Foundation and is past president of the American Board of Endodontics. She was general chair for AAE17 New Orleans. Currently in private practice in Portland, Ore.

    Donna J. Mattscheck, D.M.D. 

    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 below

    financial relationship: Consultant, Sonendo Inc

  • Decision-Making for the Compromised Tooth: Retain or Replace?

    Contains 5 Component(s), Includes Credits

    Scott Doyle, D.D.S., M.S. | Helping patients maintain their dentition is a fundamental goal of dentistry. A wide range of endodontic procedures result in a high level of tooth retention and patient satisfaction. T

    CE Hours: 2 

    Description: 

    Helping patients maintain their dentition is a fundamental goal of dentistry. A wide range of endodontic procedures result in a high level of tooth retention and patient satisfaction. The results of multiple studies indicate that survival rates for the natural tooth are similar to those reported for the restored single-tooth implant. Therefore, clinicians must consider additional factors when making treatment decisions for the compromised tooth, all of which must be in the best interest of the patient. Patient-centered outcomes including potential complications of each option will be discussed. The information provided in this presentation should be useful for endodontists in their communication with patients and colleagues when discussing retention of the natural dentition and the replacement of missing teeth.

    At the conclusion, participants should be able to:

    • Describe the reported survival rates of initial nonsurgical root canal treatment, retreatment and microsurgery. Compare these rates to those reported for single-tooth implants.
    • List factors that influence the decision-making process when treatment planning for endodontic treatment and single-tooth implants.
    • Review potential complications associated with each treatment modality.

    Scott L. Doyle, D.D.S., M.S.

    AAE20 General Chair

    Dr. Scott L. Doyle received his B.S. from the University of Wisconsin-Madison in 1995 and his D.D.S. from the University of Minnesota in 1999. He served in the United States Air Force for 7 years, including an Advanced Education in General Dentistry residency. Dr. Doyle obtained both his M.S. and Certificate in Endodontics from the University of Minnesota in 2004. He currently practices with Metropolitan Endodontics and serves as an Associate Clinical Professor for the Division of Endodontics at the University of Minnesota. Dr. Doyle is a Diplomate of the American Board of Endodontics. He is a Past President of the Minnesota Association of Endodontists and serves as a reviewer for the Journal of Endodontics. Dr. Doyle has authored multiple articles in scientific journals, as well as a textbook chapter on “The Endodontic Applications of CBCT.”

    Scott L.. Doyle, D.D.S., M.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.

  • Diagnosis of Crown and Root Fractures: Facts and Speculations

    Contains 5 Component(s), Includes Credits

    Aviad Tamse, D.M.D. | In this presentation, a new classification of tooth fractures will be presented based on origination and propagation coupled with identification of the crowns and roots susceptible to fracture. The presentation will stress the importance of achieving timely and accurate diagnosis of root fractures and the factors that are making diagnosing root fractures at times elusive and frustrating.

    CE Hours:

    Description: 

    In this presentation, a new classification of tooth fractures will be presented based on origination and propagation coupled with identification of the crowns and roots susceptible to fracture. The presentation will stress the importance of achieving timely and accurate diagnosis of root fractures and the factors that are making diagnosing root fractures at times elusive and frustrating. It is important for the clinician to adopt evidence-based information regarding the diagnosis and treatment modalities in general and diagnosis of root fractures. Evidence-based information regarding the clinical and radiographic diagnosis of root fractures will be presented. The "pathognomonic combination" for root fractures diagnosis (AAE 2008) will be elaborated and explained in depth. The evidence and speculation regarding the diagnostic ability of CBCT scans to diagnose crowns and root fractures in the endodontically treated tooth will be discussed by challenging the AAE position statement on this topic and by describing relevant cases.

    At the conclusion, participants should be able to:

    • Explain the importance of timely and accurate diagnosis of crown and vertical root fractures of the chronic nature.
    • List the three pathognomonic signs and symptoms for vertical root fracture of the endodontically treated tooth.
    • Describe the best available and updated evidence for the use of CBCT scans in cases of crowns and vertical root fractures.

    Aviad Tamse, D.M.D.

    Dr Aviad Tamse received his DMD degree in 1969, and from 1971 to 1973, he attended Harvard Dental school in Boston, Massachusetts, where he received his endodontic training. Dr. Tamse was President of the Israel Endodontic Society, ,and chair of the Accreditation Committee of Graduate Dental Programs in Israel. Dr Tamse served as chair of the department of Endodontology Tel-Aviv University School of Dental Medicine from 2000-2008 , and in 1982 was a co-founder of the European Society of Endodontology. Dr. Tamse has authored and co-authored over 90 scientific articles in peer-reviewed journals and 5 chapters in books.Recently he served as the senior editor of a book on vertical root fractures in dentistry. He served on the Editorial Board of the International Endodontic Journal . His primary research interest has been vertical root fractures in endodontically treated teeth and is the editor of a new book on root fractures. Currently Dr. Tamse is Professor Emeritus at the Department of Endodontology, School of Dental Medicine, Tel-Aviv University.

    Aviad Tamse, D.M.D.

    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

  • Differential Diagnosis of the Different Types of Resorption

    Contains 5 Component(s), Includes Credits

    Paul Abbott, B.D.Sc., M.D.S., FRACDS(Endo) | At one time, dentists were taught that there were only two types of root resorption – internal and external. As our knowledge and advances in the specialty improved, so too have the number of types of resorption

    CE Hours:

    Description: 

    At one time, dentists were taught that there were only two types of root resorption – internal and external. As our knowledge and advances in the specialty improved, so too have the number of types of resorption. Resorptive processes in the teeth can now be classified into 11 different types. Some types of resorption can be prevented, in other cases it may be unavoidable, or undetectable. Some types are pathologic while others are normal physiological processes. In some instances resorption can be treated, in others it cannot be treated and some simply do not need treatment. In order to be able to diagnose and manage root resorption, it is essential to understand the processes involved and to be able to distinguish between the different types of resorption. Guidelines for the diagnosis and management of the various types of resorption will be provided along with a discussion of the outcomes of the recommended management protocols.

    At the conclusion, participants should be able to:

    • Recognize and describe the different types of internal resorption
    • Recognize and describe the different types of external resorption
    • Employ the appropriate diagnostic tests to diagnose each type of resorption

    Paul V. Abbott, B.D.Sc., M.D.S., FRACDS(Endo)

    Prof. Paul Abbott is the Winthrop Professor of Clinical Dentistry at The University of Western Australia where he co-ordinates and teaches both the undergraduate and postgraduate endodontic programmes. From 1986-2002, Prof. Abbott worked mainly in private specialist Endodontic practice with part-time university appointments. In 2003, he was appointed Dean of the School of Dentistry and Director of the Oral Health Centre of WA, positions he held until 2009. From 2010-2012, he was Director of Postgraduate Studies and Research. Now he concentrates on teaching and research, as well as working part-time in private practice. He has presented over 650 lectures and courses in 40 countries. He has published 115 articles in refereed journals and 18 textbook chapters. He serves on Editorial Boards and Scientific Review Panels of 17 journals. Prof. Abbott is a Past President of the International Federation of Endodontic Associations, the Asian Pacific Endodontic Confederation and the Australian Society of Endodontology. He has been a Director of the Australian Dental Council and is now a member of the Dental Board of Australia. In 2004, he was awarded the University of Western Australia’s Excellence in Teaching Award and in 2008 the Australian Dental Association awarded him their Service Medallion.

    Paul V. Abbott, B.D.Sc., M.D.S., FRACDS(Endo) 

    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 below

    Consultant, Honorairum: OzDent Pty Ltd 

  • Enhancing Diagnostic Information Yield from CBCT Imaging

    Contains 5 Component(s), Includes Credits

    Scott Makins, D.D.S., M.S. This course will guide the attendee in developing a standardized interpretation and reporting methodology to maximize information yield from scan volumes. Information regarding the strengths and short comings of CBCT imaging will be presented to help prevent disillusionment from unrealistic expectations of the capabilities of CBCT

    CE Hours: 1.75 

    Description: 

    Incorporation of cone beam computed tomography imaging in endodontic practice has produced a wealth of diagnostic information. This course will guide the attendee in developing a standardized interpretation and reporting methodology to maximize information yield from scan volumes. Information regarding the strengths and short comings of CBCT imaging will be presented to help prevent disillusionment from unrealistic expectations of the capabilities of CBCT. Fundamentals of image interpretation, appropriate terminology, ethical standards, radiation safety and medicolegal responsibilities will be discussed. Additionally, tips for enhancing the viewing of CBCT scan volumes will be presented.

    At the conclusion, participants should be able to:

    • Develop a systematic review and reporting method for CBCT scan volumes.
    • List patient selection criteria and artifacts that affect image interpretation.
    • Cite current scientific literature concerning the utilization of cone beam imaging in endodontics.

    Scott R. Makins D.D.S. M.S.

    Dr. Makins graduated from the University of Texas Dental Branch in Houston and received his certificate in endodontics from the Baylor College of Dentistry in 1983. He established his endodontic practice in College Station, Texas where he was the only endodontist in a one hundred mile radius. After ten years, he attended the University of Texas Health Science Center in San Antonio to study dental radiology, oral medicine and forensic dentistry in the Dental Diagnostic Science program. He then accepted a position in Houston teaching radiology and endodontics. After fifteen years, he returned to San Antonio and earned the Master of Science degree in Oral and Maxillofacial Radiology in 2015. He now serves as Director of the predoctoral program in endodontics at Houston. Dr. Makins is a fellow of the American College of Dentists and the International College of Dentists, also a reviewer, editorial board member and scientific advisor for the Journal of Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology and the Texas Dental Journal. He is actively involved in the American Dental Education Association, the American Association of Endodontists, the Academy of Oral and Maxillofacial Radiology, and the Texas Dental Association.

    Scott Makins, D.D.S, M.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.