SP-1 Endodontic Resurgery: Where Are the Limits?, SP-2 Maxillary Sinus and Endodontic Implications, and SP-3 Persistent Symptoms After Endodontic Treatment, What a Pain!

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CE Credit: 1.5

SP-1 Endodontic Resurgery: Where Are the Limits?

The success rate of endodontic surgical retreatment has shown to be above 90% when modern techniques are used. It is important, however, to understand the possible causes for failure. In many cases, extraction of the tooth and its replacement with an implant or another prosthetic solution is the only alternative. In some cases, however, a second surgical intervention may be a viable treatment option. The use of diagnostic tools, such as cone beam computed tomography, can help the practitioner understand the causes of the failure, as well as evaluate the prognosis of the tooth to be treated. This presentation will focus on the surgical management of teeth that had previously been unsuccessfully surgically retreated. A critical assessment of the literature, current treatment options and prognosis will be addressed and a series of cases will be presented with their follow-ups.

At the conclusion, participants should be able to:

  •  List the possible causes of failure for endodontic surgery.
  •  Discuss the different treatment alternatives after a surgical endodontic retreatment has failed.
  •  Describe modern microsurgical techniques and their applications on the treatment of teeth where previous apical surgery has failed.
  •  Discuss the opportunities and limitations of determining complex endodontic treatment options with their patients and providing realistic expectations.

SP-2 Maxillary Sinus and Endodontic Implications

In posterior maxilla, the sinus and posterior teeth are often intimately located and their mutual health intricately related. Clinicians should be aware of this interdependence when diagnosing and treating diseases in this region. Special considerations will be examined during this presentation through various clinical cases encountered in an endodontic practice using CBCT imaging.

At the conclusion, participants should be able to:

  •  Discuss the interrelationship between the sinus and posterior teeth in maxilla.
  •  Identify the signs and symptoms of odontogenic maxillary sinusitis.
  •  Use special considerations in endodontic treatment of maxillary posterior teeth.

SP-3 Persistent Symptoms After Endodontic Treatment, What a Pain!

Post-operative pain can, in some cases, persist several months after endodontic therapy despite seemingly adequate treatment. When endodontic pathology has been ruled out, we must start thinking outside the box. Sinusitis, myofascial, neuropathic, neurovascular and systemic pain can mimic or contribute to persistent orofacial pain. A thorough review of the patient’s medical history and proper notation of the presenting symptoms can aid to determine the differential diagnosis or concomitant factors contributing to the discomfort. Radiographic findings can also imitate lesions of endodontic origin. A pathology review on differential diagnoses to periapical radiolucencies will also be discussed.

At the conclusion, participants should be able to:

  •  List disorders that can mimic endodontic pain.
  •  Discuss the clinical presentations for each disorder.
  •  List and describe differential diagnoses of periapical lesions.

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Endodontic Resurgery: Where Are the Limits?
MP3 Audio
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Open to listen to or download MP3 audio.
Presentation
Open to view video.
Evaluation
7 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Maxillary Sinus and Endodontic Implications
MP3 Audio
Open to listen to or download MP3 audio.
Open to listen to or download MP3 audio.
Presentation
Open to view video.
Evaluation
7 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Persistent Symptoms After Endodontic Treatment, What a Pain!
MP3 Audio
Open to listen to or download MP3 audio.
Open to listen to or download MP3 audio.
Presentation
Open to view video.
Evaluation
7 Questions
CE Test
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

Carlos Aznar Portoles, D.D.S., M.Sc.

Carlos Aznar Portoles obtained his dental degree in 2004 from Universitat Internacional Internacional de Catalunya, Barcelona, Spain. In 2009 he completed a Master Programme in Endodontics at the same university. After moving to The Netherlands, he obtained a Postgraduate Certificate in Endodontics in 2014 (ACTA, Amsterdam). He is the author of several endodontic-related articles and lectures regularly at national and international meetings. He has a private office in Santpoort-Zuid, The Netherlands, which is limited to Endodontics and Endodontic Microsurgery.

Bruce Y. Cha, DMD

Dr. Bruce Y. Cha graduated from Yonsei University Dental College, Seoul, Korea and earned his D.M.D. at University of Connecticut (UCONN) School of Dental Medicine. He went on to complete general practice residency training at St. Francis Hospital and Medical Center, Hartford, Conn. He had endodontic residency training at UCONN. After having earned the Certificate in Endodontic Education, he has been engaged in an active full-time endodontic specialty practice in the greater New Haven area. Dr. Cha has been a volunteer faculty at UCONN endodontic program and at Yale New Haven Health GPR program since 1989. He is a Diplomate of the American Board of Endodontics, a Fellow of the College of Diplomates and currently serves on the AAE Board representing District II.

Rachele Luciano, D.M.D., F.R.C.D.(C)

Dr Rachele Luciano is a Board Certified Endodontist who obtained her D.M.D from McGill University in Montreal, Canada in 2007. She completed her post-graduate training at Albert Einstein Medical Center in Philadelphia, Pennsylvania, obtaining her Endodontics specialty certification in 2011. Dr Luciano is a member of the AAE and a Fellow of the Royal College of Dentists of Canada. She is an examiner and consultant for the RCD(C) and works full-time in private practice.

Carlos Aznar Portoles, D.D.S., M.Sc. 

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.

Bruce Y. Cha, DMD

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.

Rachele Luciano, DMD

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.