Embracing and Questioning Guided Endodontic Surgery

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CE Hours: 1.75

Description: Guided surgery has garnered significant interest in our specialty over the past 5 to 7 years. The introduction of dynamic and static navigation has enabled endodontists to perform surgical and non-surgical procedures with greater precision and minimal invasiveness. Complex surgical cases—such as palatal root periapical surgery of maxillary molars and periapical surgery of posterior mandibular teeth—are particularly well-suited for these techniques.
However, several questions arise when planning or performing guided surgical procedures: Should the surgery be partially guided or fully guided? Is the case suitable for a guided flapless approach? Does guided surgery offer a real advantage in the given scenario?
The purpose of this clinical presentation is to examine both the benefits and limitations of guided surgery, and to discuss the critical decision-making involved in its application.

Learning Objectives: 

  • Describe and discuss the clinical applications of dynamic and static navigation in anatomically compromised periapical surgical cases.
  • Describe and discuss the limitations of using flapless TEMS in periapical surgery
  • Evaluate whether guided surgery may become a redundant tool in periapical surgical practice
This content will not be available until 01/15/2026 at 12:00 AM (CST)

Jaime J. Silberman, D.D.S., M.S.

Dr. Jaime J. Silberman is a board-certified endodontist with a strong academic and clinical background. He earned his Certificate in Endodontics in 1997 and his Doctor of Dental Surgery (D.D.S.) degree in 2000, both from Columbia University in New York City.
Following his training, Dr. Silberman served as a full-time Assistant Professor in the Endodontic Division at Columbia University from 1997 to 2002. He remains actively involved in dental education and currently teaches at Nova Southeastern University in Florida, where he serves as an Adjunct Assistant Professor and Co-Director of the Microsurgical Endodontics course in the postgraduate program.
In addition to his role at Nova, Dr. Silberman is also a Visiting Professor at Cayetano Heredia Peruvian University and maintains a private practice limited to endodontics in Boynton Beach, Florida.
He is a recognized speaker both nationally and internationally, lecturing on topics including microsurgical endodontics, CBCT in surgical endodontics, and grafting procedures in endodontic surgery.
Dr. Silberman is a member of the American Association of Endodontists and the American Dental Association. He is fluent in both English and Spanish.

Disclosure(s): No financial relationships to disclose