Retreatment via Resection: A Cut Above!- Part 1

5 (2 votes)

CE Hours: 2.25

Description: The surgical solution to a conventionally treated tooth that has become refractory to healing was once considered the final step prior to extraction, and that it was a singularly occurring event. In light of contemporary techniques and technologies, are either of these statements true? Or should it be viewed as an extension of a current therapy, either surgical or non-surgical, in a process of revision and remodeling. When is it appropriate to consider a surgical intervention, especially in a tooth that has been previously surgically treated, and what metrics are we using to determine this? Is it a standalone procedure, or are outcomes enhanced with co-treatment options? What is the alternative if the conventional surgical options are exhausted? This presentation will examine the available literature for guidelines to these treatment decisions and, using multimedia, demonstrate various case scenarios and techniques.

  • Implement the various imaging technologies in a “Virtual Surgery©” environment to develop an effective and appropriate treatment plan.
  • Compare the traditional root end operative procedures with modern Piezo approaches a. Describe the process of PRESS fabrication, from image acquisition to final stent b. Contrast conventional root end surgical access with GPS assisted surgery (Navident™)
  • Discuss the various root end preparation / filling materials and their appropriate applications


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7 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
2.25 CE credits  |  Certificate available
2.25 CE credits  |  Certificate available

Stephen P. Niemczyk, D.M.D.

Dr. Niemczyk graduated from the University of Pennsylvania School Of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at Albert Einstein Medical Center in Philadelphia and was recently named the Assistant Post Graduate Director in 2018. He also serves as a surgical consultant to the Naval Postgraduate Endodontic Program in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA. Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the JOE and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.

Stephen P. Niemczyk, D.MD
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: DENTSPLY Sirona Dental Specialties (financial relationship).