SP-10 Endodontic Disease and Systemic Disease: Association versus Causation, SP-11 Meta-Analysis, Endodontics and Current Controversies: Are Meta-Analyses the Most Reliable Evidences in Endodontics?, and SP-12 Apical Extrusion of Debris During Root Canal

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CE Credit: 1.5

SP-10 Endodontic Disease and Systemic Disease: Association versus Causation

A number of epidemiological and mechanistic studies have described statistically significant relationships between endodontic and systemic diseases. This presentation will review the available scientific data in this area, and outline how this information can be used clinically to advise patients and guide treatment planning. Importantly, the distinction of causation and association will be discussed, together with potential future directions in this area.

At the conclusion, participants should be able to:

  •  Discuss the important literature that relates endodontic and systemic diseases.
  •  Differentiate between studies that show an association between different diseases and those that show that one disease causes another.
  •  Describe potential mechanisms by which endodontic and systemic diseases may be related, and how this could be explored in future work.

SP-11 Meta-Analysis, Endodontics and Current Controversies: Are Meta-Analyses the Most Reliable Evidences in Endodontics?

It has been estimated that healthcare professionals would need to read an average of 17-20 original articles every day to attempt to keep abreast of their field. Meta-analyses have been advocated as a way to keep up with current literature, but what is a meta-analysis and is there any criticism about it? What is the quality of meta-analyses in endodontics and how many endodontics meta-analyses are free of bias? This presentation answers these questions.

At the conclusion, participants should be able to:

  •  Define a meta-analysis and describe how it is done.
  •  List common criticisms of meta-analyses.
  •  Evaluate the quality of multiple endodontic meta-analyses and assess how reliable they are.

SP-12 Apical Extrusion of Debris During Root Canal Preparation and Its Relationship with Symptomatic Apical Periodontitis

Symptomatic apical periodontitis is defined as an acute inflammation of the periodontal ligament. This condition may be a consequence of root canal treatment due to operator-dependent factors such as chemical, mechanical or bacterial injury during root canal preparation where debris containing dentin, necrotic pulp tissue and bacteria are introduced into the periodical tissues, constituting a potential cause of periodontal ligament inflammation. In laboratory studies, several methods have been reported to quantify the extrusion of debris demonstrating that all instrumentation techniques (manual, rotary or reciprocating) generate apical extrusion. However, few in vivo studies have quantified the liberation of pro-inflammatory substances into the periodontal ligament to determine the main causes of symptomatic apical periodontitis. This lecture will present and compare scientific evidence both in vitro and in vivo of apical extrusion of debris during root canal preparation in order to determine the relationship of this event with symptomatic apical periodontitis.

At the conclusion, participants should be able to:

  •  Analyze the results and limitations of laboratory studies on apical extrusion of debris during root canal preparation.
  •  Compare the results of in vitro and in vivo studies that quantify pro-inflammatory mediators in periodontal ligaments after root canal preparation with different techniques.
  •  Evaluate the influence of different root canal preparation techniques on the incidence of symptomatic apical periodontitis.

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Endodontic Disease and Systemic Disease: Association versus Causation
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
Meta-Analysis, Endodontics and Current Controversies: Are Meta-Analyses the Most Reliable Evidences in Endodontics?
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
Apical Extrusion of Debris During Root Canal
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

Ashraf F. Fouad, D.D.S., M.S.

Dr. Fouad obtained his DDS and MS in Endodontics from the University of Iowa. He served as a faculty member at the University of Connecticut, University of Maryland and University of North Carolina. He is currently Chair and Advanced Program Director at the University of Alabama at Birmingham. He has published over 100 manuscripts, has served as a Director and Past President on the American Board of Endodontics, and has received the Distinguished Scientist award from the Pulp Biology and Regeneration Group of IADR.

Homayon Berenji, D.D.S., B.D.S.

2016 University of Pennsylvania, Philadelphia, PA Expected to receive Specialty Certificate in Endodontics 2006 University of Pennsylvania, Philadelphia, PA · DMD 2000 Tehran University of Medical Sc Tehran IRAN · Specialty in Prosthodontic 1995 Tehran University of Medical Sc Tehran IRAN · DDS

Hugo R. Munoz, D.D.S., M.S.

Dr Munoz received his DDS from University of San Carlos in Guatemala and his Endodontist certificate from Pontificia Universidad Javeriana in Colombia. He also has a Master in Sciences degree from the University of Almeria in Spain. He is founder and former program director of the Postgraduate Endodontics Department at University of San Carlos in Guatemala and current professor at the Endodontics Departments of the University of San Carlos and Francisco Marroquin University. He has over 20 research articles published in the Journal of Endodontics and the International Endodontic Journal. He is the actual President of the Guatemalan Endodontic Academy.

Ashraf F. Fouad, B.D.S., D.D.S., M.S.   

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.

Homayon Berenji, D.D.S., B.D.S.   

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.

Hugo R. Munoz, D.D.S., M.S.  

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.