SP-39 Surgical Management and Material Selection in External Cervical Resorption: A Protocol-based Approach
CE Hours: 0.75
Description: Surgical repair remains the most predictable and long-term effective treatment for External Cervical Resorption (ECR), with evidence-based supporting it success over follow-up periods up to 10 years. This surgical approach enables the preservation of pulp vitality in early stages, enhancing both structural resistance and overall prognosis. The surgical repair permits cleaning correctly the affected area with different instruments and techniques. Establishing a standardized surgical protocol is critical to achieve consistent clinical outcomes. Careful selection of the restorative material is essential and must be chosen according to the lesion's location, size, and accessibility. This presentation outlines the clinical indications for surgical intervention in ECR and proposes a step-by-step treatment protocol based on a series of clinical cases with a minimum follow-up of one year. Additionally, it provides evidence-based recommendations for selecting the most appropriate filling materials to optimize outcomes.
Learning Objectives:
- Identify which ECR cases require surgical treatment.
- Describe a step-by-step protocol for the surgical management of ECR.
- Compare different restorative materials for ECR considering critical factors such as defect location and extent.
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LockedNicolás Ferraro
Dr. Nicolás Ferraro Saldías is an endodontist and professor. He graduated as the top student in his class from Universidad Mayor, Chile, in 2006, where he received his DDS degree and later completed his specialty training in Endodontics (2009). He also earned a Master's degree in Education from the same institution.Dr. Ferraro is the current President of the Chilean Endodontic Society (2025-2026) and a member of the American Association of Endodontists. He notably served as President of the 13th IFEA World Endodontic Congress, held in Santiago, Chile, in 2022.He is an Assistant Professor in the Postgraduate Endodontics Program at Universidad Finis Terrae and Universidad del Desarrollo, where he also coordinates the undergraduate Endodontics course. In addition, he is a visiting professor in the Endodontics specialization programs at Universidad de la Frontera and Universidad de Talca.Recognized as "Best Professor of Dentistry" at Universidad del Desarrollo in 2020, Dr. Ferraro has an extensive record of publications and research in endodontics. He has lectured nationally and internationally on topics including root resorption, endodontic access, management of separated instruments, and clinical tips in endodontics, presenting in Argentina, Colombia, Mexico, the United States, Spain, France, Italy, and Austria.Since 2007, Dr. Ferraro has maintained a private practice limited to endodontics, incorporating advanced microscopic techniques into clinical care.
Disclosure(s): No financial relationships to disclose