
SP-20 Endodontics and the Cancer Patient: Considerations, Modifications, and Outcomes
CE Hours: 1.0
Description: Osteonecrosis of the jaw remains a complex sequela that can be challenging for the treating dentist. As cancer rates rise in adults, the prevalence of antiresorptive bone therapy and radiation therapy to the head and neck region are becoming commonplace within the general patient population. Both of these therapies significantly impact the provision of dental care and patient management. The endodontist plays an integral role in preventing osteonecrosis for these high-risk patients. Clinicians are hesitant to treat these patients in private practice and often refer them to hospital-based programs. This presentation will describe the mechanism of action of these cancer therapies, how the endodontist can confidently and effectively manage these patients in their office, and ultimately how the endodontist is an integral part of their medical care.
Learning Objectives:
- Recognize the risks and sequelae of antiresorptive and radiation therapy and its effect on oral tissues.
- Describe how to communicate effectively with the oncology team.
- Apply treatment modifications to provide optimal care, while minimizing risk in endodontic treatment.
Key:






Yaara Y. Berdan, D.D.S.
Yaara Berdan is the Co-Chair of the Department of Endodontics and Periodontics and the Director of Predoctoral Endodontics at the Herman Ostrow School of Dentistry of USC. She graduated from the UCSF School of Dentistry and completed a residentcy in pediatric dentistry at Children's Hospital Boston. After two years of practice she began an endodontics residency at the University of Illinois College of Dentistry. She was in private practice in Los Angeles and started volunteering one day a week at USC which turned into a full time position in 2014. In 2022 she received her MBA from the USC Marshall School of Business. She also recieved a certifciate in Business and Sustainability. She is a member of the Educational Affairs Committee of the American Association of Endodontists (AAE) and is the Councilor for the Endodontics Section of ADEA. She is also a co-founder of the Sustainability in Dentistry ADEA Special Interest Group and is the faculty advisor for the Ostrow Sustainability Group.
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.

Rebecca Dayanim, DDS
Dr. Rebecca Dayanim attended the UCLA School of Dentistry, then subsequently completed General Practice Residency at the West Los Angeles VA. She has worked in both private practice and non-profit community clinic throughout her career until she transitioned to full time academia as the Program Director of the Herman Ostrow USC GPR. Dr. Dayanim works with the GPR and OMFS residents at Los Angeles General Medical Center providing comprehensive care to patients ranging from oral cancer/radiation, intellectual disability, medically complex, and trauma. At LA General, Dr. Dayanim works closely with ENT, Oncology, and Radiation/Oncology teams to provide interdisciplinary care and optimize the dental care and oral health for cancer patients. She is passionate about resident education using classic techniques and modern technologies. Dr. Dayanim serves as the Chief of Dentistry at Los Angeles General Medical Center and Co-Chair in the DHS Dentistry Workgroup in LA County. Aside from her dedication to dentistry, she is also passionate about philanthropy with leadership roles in nonprofit organizations. Dr. Dayanim enjoys maintaining an active and healthy lifestyle and became a certified Pilates Instructor in 2015 which has translated to healthy ergonomics in the dental practice.
Disclosure(s): No financial relationships to disclose

Henry Kwon, DDS
Dr. Kwon began his educational journey in Biomedical Engineering at the University of Southern California. However, his passion for dentistry led him to pursue a DDS degree from USC School of Dentistry. After 15 years of successful private practice, Dr. Kwon returned to academia at USC School of Dentistry's Urgent Care Clinic, where he witnessed the importance of preserving natural dentitions. To deepen his expertise, he completed Advanced Endodontics Studies and became an associate endodontist. He also serves as an attending endodontist at Los Angeles County + University Southern California General Practice Residency Program and is an Adjunct Faculty member at the Herman Ostrow School of Dentistry of USC, contributing to advanced endodontics education.
Disclosure(s): No financial relationships to disclose