NS-7 Are Regenerative Endodontics Procedures Working?

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CE: 1.5

Course Description: 

Regenerative endodontic procedures aim to form a vital tissue into an empty but infected root canal space that restores the lost functions of the native dental pulp. These procedures have been shown to promote healing of apical periodontitis and further root development by the deposition of hard tissue and continued root development in immature permanent teeth with necrotic pulp and apical periodontitis/abscess. Although these procedures appear to achieve desirable clinical outcomes, there is increasing evidence that the tissues formed following these procedures do not resemble the lost native pulp. In this presentation, new histologic observations will be provided, demonstrating that the mineralized tissue formed following pulp capping or pulpotomy procedures, as well as the tissue formed in the root after regeneration procedures, is not tubular dentin formed by a new generation of odontoblast-like cells, but rather an irregular amorphous mineralized tissue showing cellular inclusions. The clinical and scientific meaning of clinical versus histologic outcomes will be presented and discussed with focus on current technical and scientific challenges and possible future directions.

At the conclusion, participants should be able to:

  • Discuss the nature of the tissues formed after clinically successful regenerative procedures.
  • Recognize the difference between histologic regeneration and guided-repair.
  • Identify the advantages and disadvantages of these procedures and the role of case selection on treatment planning.

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Evaluation
7 Questions
Quiz
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Certificate
1.50 CE credits  |  Certificate available
1.50 CE credits  |  Certificate available

Anibal R. Diogenes, D.D.S., M.S., Ph.D.

Dr. Anibal Diogenes received his D.D.S. from the Federal University o in Brazil, his M.S. in Molecular Biology from the University of Nebraska, and his Ph.D. in Pharmacology and Certificate in Endodontics from the University of Texas Health Science Center at San Antonio. Dr. Diogenes is an associate professor and the director of the endodontic residency program at the University of Texas Health Science Center at San Antonio. His areas of research include pain, neuroscience and regenerative endodontics. He is also an Associate Editor for the Journal of Endodontics and a Diplomate of the American Board of Endodontics.

Avina K. Paranjpe, B.D.S., M.S., M.S.D., Ph.D.

Dr. Avina Paranjpe graduated with her BDS (Bachelor of Dental Surgery) degree from the Mumbai University, India in 2000. She was in private practice in Mumbai, India from 2000-2002 after which she obtained her Master’s degree (MS) and a Doctor of Philosophy (PhD) in Oral Biology, Immunology from the University of California, Los Angeles in 2004 and 2007 respectively. Dr. Paranjpe earned her Master of Science in Dentistry (MSD) and Certificate in Endodontics from the University of Washington Graduate Endodontics Program in August 2009 after which she joined the faculty at the University of Washington, School of Dentistry as Assistant Professor. She is a Diplomate of the American Board of Endodontics. Dr. Paranjpe is involved in several ongoing research projects related to dental materials and regenerative Endodontics. She has numerous publications in the area of pulpal regeneration and revascularization, immunology, compatibility of biomaterials.

Domenico Ricucci, D.D.S., M.D.

Dr. Domenico Ricucci received his degree in General Medicine from “La Sapienza” University of Rome in 1982, and his DDS from the same University in 1985. Since then on he has maintained private dental practices limited to endodontics. In addition to his private practice, Dr. Ricucci was Professor of Cariology at “Magna Graecia” University of Catanzaro, Italy in 2002 -2003. He served in the Research Committee of the European Society of Endodontology from 1999 to 2005. Dr. Ricucci’s primary research interest relates to pulpal and periapical tissue reactions to caries and treatment procedures, biofilms in endodontic infections, etiology of RTC treatment failure, pulp regeneration/revascularization. Since 1998 he has run his own histology laboratory and has developed considerable skills in hard tissue preparations for light microscopy. Dr Ricucci has published 110 papers and has lectured both nationally and internationally. He has authored the Textbook and Atlas “Patologia e Clinica Endodontica”, the textbook and atlas “Endodontology. An integrated biological and clinical view”. He has also authored or co-authored eighteen book chapters.

Anibal Diogenes, D.D.S., M.S., Ph.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.

Avina Paranjpe, B.D.S., M.S.D., M.S., Ph.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.

Domenico Ricucci, D.D.S., MD
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.