S-2 Management of Complex Surgery Cases- Part II
CE Hours: 1.5
Description: Endodontic Microsurgery can be the only treatment option to remove a persistent apical lesion and address the endodontic disease, especially if a nonsurgical retreatment attempt might compromise the prognosis of the tooth. Missed apical anatomy, resorptive areas along the root, complete canal blockage, multiple iatrogenic mishaps on a single tooth and anatomical irregularities are some of the conditions that can be efficiently managed with modern microsurgical protocols. At the same time, cases with persistent infections caused by severe endodontic-periodontal pathology or a failed previous surgery can turn into success if a strict microsurgical protocol is applied. A correct diagnosis based on the CBCT and a careful case selection to implement microsurgery can lead to a predictable healing for lesions of endodontic origin. Execution of surgical retreatment might be very challenging for certain complex cases. This comprehensive lecture aims to highlight the clinical approach for challenging cases with previous failed endodontic intervention and persistent periradicular pathology. A rationale for the management of this kind of cases will be thoroughly discussed.
Learning Objectives:
- Describe the reasons for failure and clinical findings during surgery in complex endodontic cases.
- Provide an answer to clinical dilemmas and develop a strategy for management of surgical endodontic treatment in challenging cases.
- Explain the rationale for proper case selection ιn the surgical treatment of lesions of endodontic origin.
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LockedChafic Safi, D.MD, M.Sc., FRCD
Dr. Chafic Safi completed his postgraduate residency in Endodontics at the University of Pennsylvania in 2015 where he also completed a Master of Science in Oral Biology researching the outcome of endodontic microsurgery and factors affecting prognosis. Dr. Safi is a published researcher and lectures nationally and internationally on various surgical and non-surgical endodontic topics. He is a fellow of the Royal College of Dentists of Canada and is certified by the American Board of Endodontics. Dr. Safi remains on the faculty at the University of Pennsylvania and University of Montreal, Department of Endodontics, as an adjunct assistant professor. He is also a faculty lecturer for Next Level Endodontics. He founded Centre Endodontique Saint-Laurent in Montreal, Canada where he lives and practices since 2016.
Disclosure(s): No financial relationships to disclose
Spyros Floratos, DMD
Dr Floratos received his DMD from the University of Thessaloniki School of Dentistry in Greece in 2001. He received a Certificate in Endodontics at the University of Pennsylvania School of Dental Medicine in 2009. Since 2009, he holds an Adjunct Assistant Professor appointment at the Endodontic Department of University of Pennsylvania. He is a retired Commander of the Greek Navy and former Director of the Endodontic Department of the Athens Naval Hospital in Greece. Dr Floratos is the author of three chapters in Professor Kim & Kratchman’s textbook ‘Microsurgery in Endodontics’ published in 2018 and one chapter in Professor Tsesis’ ‘Endodontic – Periodontal Lesions’ textbook published in 2019. He has presented in endodontic meetings in USA and Europe and has published in national and international endodontic journals.
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.