SP-13 Down but Not Out: Long Term Follow up of Compromised Endodontically Treated Teeth
CE Hours: 0.0
Description: The ultimate goal in endodontics is to save the natural tooth. This can be especially challenging when the restorability is questionable and extraction has been recommended, but the patient insists on saving it. This presentation provides a framework for an Endo-Restorative practice in less-than-ideal situations, where minimal intervention procedures could maximize tooth preservation correlated with improved fracture resistance. This presentation follows the outcome of over 160 teeth from 4yrs to 18 years after endo-restorative rehabilitation. All endodontic and restorative procedures were done in a solo- private practice, between 2006 and 2020. Outcome was evaluated based on both clinical and radiographic findings at recall. Teeth were classified as healed, survived or failed. With diligent planning and patient compliance, this modality could be a promising option for medically compromised/geriatric patients and for those preferring minimal financial burden or intervention.
Learning Objectives:
- Evaluate the optimal steps in the rehabilitation of structurally damaged teeth.
- Perform adhesive restorative techniques on the endodontically treated tooth to enhance patient experience of saving the natural tooth.
- Discuss the factors that contribute to the long term survival of structurally compromised teeth.
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Nandana R. Patil, MDS
Dr Nandana Patil received her Bachelor's and Master’s degree in Conservative Dentistry and Endodontics from the prestigious Nair Hospital Dental College, Mumbai in 1983/1985. She initiated her career as a Full-time educator at Nair Hospital Dental College in 1985, and commenced her own dental practice in 1992. She then actively served as part time teacher at various dental schools all over India.
Dr. Patil owns a practice that offers high quality dental care and has been dealing with referrals of difficult, complex root canal cases. Being in a profession that deals primarily with pain and anxiety, her unique style of rendering service and amicable nature, effortlessly puts her patients at ease. That comfort and confidence has kept them coming back to her for decades.
She is an MUHS approved Professor with 22 years of academic affiliations and 32 years of experience in exclusive private practice.. She passionately involves herself with conducting hands-on courses in India, to promote evidence-based Endodontics and inculcate values in leading a meaningful professional life.
Dr Patil has been attending the AAE annual meetings for the past several years. She has also lectured Endodontic residents at the School of Dentistry Tel Aviv, Israel (2013), CWRU Dental school Cleveland, Ohio (2012,2014), and the Goldman School of Dental Medicine Boston, MA (2014,2018).
In July 2016, the Program Director Endodontics at Boston University and she gave a joint webinar from the United States on Disinfection in Endodontics to more than 1200 dentists in India. Jan 2018 – July 2018, they set up a 3 Module joint venture with Boston University and Indian Dental Association to impart endodontic skills to dentists.
Disclosure(s): No financial relationships to disclose
Sami M.A. Chogle, B.D.S., D.M.D., M.S.D.
Dr. Sami Chogle completed an MSD in Postdoctoral Endodontics from Case Western Reserve University in 2000 in Cleveland OH. While starting his career in private practice he also took on the role of Assistant professor in Endodontics at Case Western Reserve University where he really found his passion, combining Endodontics and teaching. From there Dr. Chogle’s role at Case Western grew to Associate Professor and to Director of Undergraduate Endodontics. In 2009 Dr. Chogle was offered the position of Program Director of Advanced Education in Endodontics at Boston University Institute in Dubai UAE for their Advanced Specialty Education Program in Endodontics. After four years of teaching in Dubai, in 2012 he transitioned to Boston, MA to be the Director of the Henry M. Goldman School of Dental Medicine Advanced Education Program in Endodontics. In 2017, Dr. Chogle was promoted to be Chair as well as Program Director of the program. Dr. Chogle has held over 10 different professional appointments, most recently of which he has been appointed to be on the Board of the AAE as well as President of the Massachusetts Association of Endodontists.
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.