SP-42 Advanced Technologies in Root Canal Disinfection and Endodontic Outcome: Are We Doing Enough?
CE Hours: 1.5
Description: Root canal disinfection is a critical aspect of endodontic treatment, aiming to eliminate bacteria, biofilms, and necrotic tissue from the complex anatomy of root canal system. Advanced technologies have been developed to enhance the efficacy of disinfection, including laser-assisted irrigation, ultrasonic and sonic activation, multisonics, activation and novel irrigation techniques, including nanotechnology. However, the variability in protocols and outcome measures across studies limits the ability to draw direct comparisons and establish best practices. This presentation will highlight the step-by-step approach and evidence-based protocol of using these advanced technologies in root canal debridement and discuss various factors which may impact endodontic outcome from biological, clinical, and scientific standpoints. The presentation will feature clinical cases and discuss the potential impact of the available evidence and protocols.
Learning Objectives:
- Critically analyze the role of advanced disinfection technologies in improving endodontic outcomes.
- Define the impact of biofilm on short-term and long-term endodontic treatment outcomes at the molecular level and from clinical standpoint.
- Engage in continuous education to refine knowledge, skills and keep abreast of ongoing research and developments in endodontic biofilm removal technologies.
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LockedAbhishek Parolia, BDS, MDS, FDSRCPS, FDSRCS, PhD
Dr. Abhishek Parolia currently serves as Associate Professor, Research Director, and Director of Predoctoral in the Department of Endodontics at the University of Iowa College of Dentistry and Dental Clinics, Iowa City, USA. A gold medalist in Endodontics from Manipal University, he brings over twenty years of expertise in micro-endodontic practice and the mentorship of emerging dental professionals. He previously held the role of Associate Dean for Postgraduate, Continuing Education, and Research at the International Medical University (IMU) in Kuala Lumpur, Malaysia, where he also earned his PhD. Dr. Parolia is a member of the American Association of Endodontists and the International Association of Dental Research, and is a Fellow of both the Royal College of Physicians and Surgeons of Glasgow and the Royal College of Surgeons of Edinburgh. He also serves as an Examiner for the Diploma of Membership of the Faculty of Dental Surgery at the Royal College of Surgeons of Edinburgh. His accolades include research incentive awards from Manipal University, E-learning Innovation Award, Best Faculty Presentation at the IADR San Francisco, USA, awards for developing a new postgraduate program in Endodontics, long service and Teaching Innovation (AMEE Glasgow,Team Category). His clinical interests encompass micro-endodontics, disinfection, retreatment, regeneration, vital pulp therapies, clinical audit, and governance. Dr. Parolia has authored over 90 peer-reviewed scientific papers and six textbook chapters. He serves as an editor and reviewer for many peer reviewed journals. He has conducted hands-on training workshops and delivered lectures in many countries including in the USA, Japan, Singapore, Brazil, Hong Kong, Dubai, India, Lebanon, Malaysia, Philippines, Thailand, Indonesia, Cambodia, Vietnam, Belgium, Egypt, Dominican Republic, Mexico, Australia, and Canada.
Disclosure(s): No financial relationships to disclose
Luis Ney Quiterio Montero, D.D.S., F.R.C.D.(C)
Dr. Luis Ney Quiterio Montero isa specialist in Endodontics with over 20 years of combined experience in clinical practice, academia, and research. He is currently a clinical instructor at the University of Toronto and a doctoral candidate in Health at the University of Bath. He previously served as Co-Director of the undergraduate Endodontics program at Dalhousie University, where he contributed to curriculum development and clinical training.
Dr. Quiterio Montero’s academic roles have also included teaching appointments at the University of the West Indies and several institutions in Latin America and the Caribbean. His research focuses on root canal disinfection and the application of artificial intelligence in Endodontics. He has published in the Journal of Endodontics and co-authored textbook chapters on biomaterials in Endodontics.
He has received several distinctions, including the Richard Komorowski Award for clinical instruction and Fellowship in the Pierre Fauchard Academy. He is also a Fellow of the Royal College of Dentists of Canada, an examiner for the RCDC and a peer reviewer for the Journal of Dental Education. Dr. Quiterio Montero is committed to advancing evidence-based practice and excellence in dental education.
Disclosure(s): No financial relationships to disclose
Shanon Patel, BDS, MSc, PhD, FDS
Shanon Patel GDC 71062 Registered Specialist in Endodontics Professor of Endodontology Consultant Endodontist BDS MSc, MClinDent, MRD, PhD, FDS, FHEA Shanon divides his time between specialist practice and at teaching at King's College London Dental Institute. His main research interests are CBCT, root resorption and treatment outcomes. He has supervised 70+ Masters and PhD students. Shanon's background as a clinical academic has resulted in him publishing over 120 papers. He is recognized internationally as a leading authority on 3D (CBCT) imaging and root resorption and was lead author of 5 European Society of Endodontology position statements (CBCT 2014, 2019 and External Cervical Resorption 2018, Root resorption 2023, Cracked teeth 2025). Shanon has been a keynote speaker at over 150 international meetings spanning 5 continents and has co-authored 6 textbooks which have been translated into 5 different languages. www.shanonpatel.com
Disclosure(s): Zarc: advice on quality guidelines (Ongoing)