SP-4 Conservative Endodontic Treatment for Advanced Resorptive Cases, an Operator Challenge
CE Hours: 0.75
Description: Once considered to be a rare condition, resorption seems to be on a dramatic rise. While small external resorptive defects could often be treated surgically, options for treating more complex internal defects were severely limited, often resulting in extraction. Recently, new technologies and materials have emerged which have greatly expanded our treatment options. With the introduction of cone beam CT as a diagnostic tool, we can now make a much more accurate diagnosis and formulate a more effective treatment plan. In addition, the advent of many other exciting new technologies, materials and techniques, allow us to more predictably treat these conditions.
Traditionally, advanced dental resorption cases have been treated by surgical and non-surgical endodontic therapy and/or extraction. In this presentation, we will share numerous conservative treatment options including surgical seal with and without endodontic treatment. We will also demonstrate the application of a novel, multi-sonic irrigation system, as well as dental lasers, to effectively treat even advanced internal and external resorptive defects. The advantages and disadvantages of these protocols will be discussed throughout this presentation.
Learning Objectives:
- Recognize the importance of CBCT in forming an accurate diagnosis for resorption cases
- Evaluate cases and determine whether surgical, non-surgical or combined treatments are indicated to give the most predictable results and understand when root canal treatment is necessary
- Discuss novel technologies and techniques available to treat resorption and their application
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LockedTatiana M. Botero, D.D.S., M.S.
TATIANA MA. BOTERO D., DDS, MS Diplomate American Association of Endodontics Clinical Professor Cariology, Restorative Sciences and Endodontics Department School of Dentistry, University of Michigan Dr. Botero received her dental degree from CES University in Medellin, Colombia. She then completed specialty training in Endodontics at Pontificia Universidad Javeriana in Bogotá, Colombia, and went on to earn an advanced Specialty Certificate in Endodontics from the University of Michigan. Dr. Botero began her academic career as a Clinical Assistant Professor at CES University, alongside managing her private practice in Colombia. In 2001, she joined the University of Michigan, where she is currently a full-time Clinical Professor, teaching Endodontics to both undergraduate and graduate students. She served as director of the dental postgraduate fellowship program in Endodontics from 2017 to 2022, and continues to practice Endodontics at a private dental clinic in Michigan. In 2012, Dr. Botero became a Diplomate of the American Board of Endodontics. She joined the Regenerative Endodontic Committee of the American Association of Endodontists in 2013, served as chair from 2014 to 2020, and resumed that role for 2024-2025. She was also president of the Pulp Biology and Regeneration Group (2016-2017) of both the American Association for Dental Research and the International Association for Dental Research. Dr. Botero has authored and co-authored numerous peer-reviewed scientific articles and book chapters.
Disclosure(s): No financial relationships to disclose
Michael Shapiro, DMD, MS Diplomate, ABE
Dr. Michael Shapiro was born and raised in Calgary, Canada and completed his undergraduate dental training at the University of Manitoba in 1999. He continued his education, completing and Advanced Education in General Dentistry residency at the University of Michigan in 2000, after which he taught restorative dentistry. Michael practiced full-time comprehensive general dentistry until 2013 when his passion for endodontics led him to pursue specialty endodontics training at the University of Michigan. He completed the program in 2016 and became a Diplomate of the American Board of Endodontics in 2017, and is currently is in full time private practice at Root Canal Specialty Associates. He is also an adjunct Clinical Assistant Professor at the University of Michigan, where he teaches at the undergraduate and graduate level, and is involved in several different dental societies. When not practicing or teaching endodontics, Michael enjoys astrophotography, cooking, golfing, reading and spending time with his beautiful wife Lainie, a local orthodontist, and two beautiful children Jacob and Maddie.
Speaker 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: Sonendo ( Finacial relationship)