SP-29 Regenerative Endodontics: What Does the Evidence Show? & SP-30 Revitalization of Open Apex Teeth with Apical Periodontitis Using a Collagen-Hydroxyapatite Scaffold

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CE Credits: 1.5

SP-29 Regenerative Endodontics: What Does the Evidence Show?

Regenerative endodontic treatment constitutes a paradigm change in our specialty. In spite of the promising potential of this treatment option, there are many uncertainties about case selection, treatment protocols and clinical outcomes. This session will cover the present evidence on how this treatment option is perceived and practiced, on the different treatment protocols and on the current evidence from retrospective and prospective studies. Specifically, we will present results from a large multi-centered cohort study comparing clinical success and radiographic outcomes of regenerative endodontic treatment to calcium hydroxide and MTA apexification.

At the conclusion, participants should be able to:

  •  Understand the benefits and limits of regenerative endodontic treatment.
  •  Identify the cases most likely to benefit from regenerative endodontic treatment.
  •  Evaluate the outcomes of this treatment option.

SP-30 Revitalization of Open Apex Teeth with Apical Periodontitis Using a Collagen-Hydroxyapatite Scaffold

An enhanced revision of the endodontic revitalization technique to treat immature teeth with apical periodontitis will be presented. This includes the addition of a collagen-hydroxyapatite scaffold to the currently established revitalization technique, for previously untreated and retreatment cases. Two-dimensional digital radiographs and cone beam computed tomography were used pre-operatively and at follow-up visits to analyze healing. Routine findings include healing of periapical radiolucencies and a diffuse radio-opacity developing within the coronal portions of canal spaces. Root development with root lengthening occurred in one immature maxillary premolar that had no prior treatment. The technique of adding a collagen-hydroxyapatite scaffold to the existing revitalization protocol results in substantial hard tissue repair. This may leave teeth more fully developed and less likely to fracture. Case reports will be presented and the technique of incorporating a collagen hydroxyapatite scaffold will be reviewed.

At the conclusion, participants should be able to:

  •  Describe a brief history of revitalization procedures.
  •  Practice placing a collagen-hydroxyapatite scaffold within the current revascularization technique.
  •  Describe 2-D radiographic and CBCT interpretation of results related to histology of early animal studies.

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SP-29 Regenerative Endodontics: What Does the Evidence Show?
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
SP-30 Revitalization of Open Apex Teeth with Apical Periodontitis Using a Collagen-Hydroxyapatite Scaffold
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

Asma A. Khan, B.D.S., Ph.D.

Dr Asma Khan is a tenured Associate Professor at the University of North Carolina- Chapel Hill. After dental school, Dr Khan completed her PhD in Neuroscience from the University of Maryland and a fellowship in clinical pain research at the NIH. She then moved to University of Texas at San Antonio where she earned a certificate in Endodontics and completed a post-Doctoral fellowship. Her areas of research include Orofacial Pain and Regenerative Endodontics.

Jennifer L. Gibbs, M.S., D.D.S., Ph.D.

Dr. Gibbs received her dental degree and her Ph.D. in Pharmacology from the University of Texas Health Science Center San Antonio. She then completed a certificate in Endodontics and an M.A.S. in Clinical Research from the University of California San Francisco, as well as a postdoctoral training period. She was director of research at New York University from 2011-2018. In September of 2018 she became the Director of Endodontics at the Harvard School of Dental Medicine. . Dr. Gibbs heads a translational research group focused on understanding the neurobiological mechanisms of orofacial pain with a focus on the nociceptors of the dental pulp, and pain resolution after endodontic treatment. She teaches clinically in the postgraduate Endodontic Program and lectures to both post-graduate and pre-doctoral students. Dr. Gibbs is active in the Faculty Practice at Harvard. She is a past Educator Fellow of the American Association of Endodontics and past president of the Pharmacology, Toxicology, and Therapeutics Group of the IADR.

Jerome J. Cymerman, D.M.D.

Dr. Jerome J. Cymerman has been in private endodontic practice in Stony Brook, N.Y., since 1983. He received his D.M.D. degree from the University of Pennsylvania School of Dental Medicine. He is the program director of the advanced specialty education program in endodontics and the director of the division of endodontics at the Stony Brook School of Dental Medicine. He has lectured nationally and internationally and has had numerous publications in the "Journal of Endodontics." Dr. Cymerman is a Diplomate of the American Board of Endodontics.

Alan J. Nevins, D.D.S.

Dr. Alan J Nevins received his D.D.S. degree from the New York University College of Dentistry and is a Diplomate of the American Board of Endodontics. He maintains a private practice limited to Endodontics in Southampton, NY and is a clinical associate professor, Dean’s Faculty, Department of Endodontics, Prosthodontics and Operative Dentistry at the University of Maryland School of Dentistry. Dr. Nevins has published numerous articles in the Journal of Endodontics and has lectured internationally, including AAE, IADR and Gorden Conferences, on the topic of revitalization of undeveloped teeth. He has been awarded grants to conduct this research by the National Institute of Dental Research and the American Association of Endodontists Research Endowment Fund.

Asma A. Khan, B.D.S., Ph.D

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.

Jennifer L. Gibbs, M.S., D.D.S., Ph.D.

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.

Jerome J. Cymerman, D.M.D.

Disclosure: In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated below:
Brasseler USA (Self) : Honorarium (Status: Ongoing); Real World Endo (Self) : Honorarium

Alan J. Nevins, D.D.S.

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.