SP-42 Navigating from What's Now to What's Next in Endodontics: Irrigation Technology - Is the Evidence Strong Enough?
CE: 0.75
Endodontic irrigation has historically been a simple procedure based upon positive pressure needle irrigation. Our knowledge and understanding of the complex root canal systems we treat require that we continue to strive for more complete and thorough chemical debridement and disinfection of these spaces. Innovations in irrigation technology are the latest trend in today’s endodontic marketplace. As clinicians, how do we decipher what we are told works the best versus what the literature based evidence proves? Can we depend on the literature to tell the whole story? This presentation is designed to introduce three highly innovative irrigation technologies: apical negative pressure, laser activated and multisonic activated. Each modality will be presented to describe and demonstrate the clinical technique and rationale along with the most up to date evidence based information. The question to be posed is how do today’s innovations and literature lead us to tomorrow’s proven protocols.
At the conclusion, participants should be able to:
- Describe the complex and intricate root canal system anatomy that must be debrided by chemical irrigation technologies due to the limitations in reach of our mechanical debridement procedures.
- Evaluate the current evidence-based literature support and clinical techniques for apical negative pressure irrigation, laser activated irrigation and multisonic activated irrigation technologies.
- Discuss how our evaluation of the literature, clinical techniques and rationale will help us to develop true proven protocols for tomorrow.
Manish Garala, B.D.S., M.S.
Dr. Manish Garala received his dental degree in 1996 from Turner Dental School, University of Manchester, England. Between 1996 and 1999, he successfully completed his Vocational and General Dental Practitioner Degrees at Hope Dental Practice, Manchester, England. During this time, he developed a strong passion for endodontics, which led him to pursue a career as an endodontic specialist. He completed his postgraduate degree in endodontics at Nova Southeastern University, Fla., in 2002, with a Master of Science in Education. Dr. Garala has been in private practice in Houston, Texas, since 2002. He is a committee member for the Greater Houston Dental Society, and has previously served on the Advisory Council on Endodontics for Kerr Endo and SonEndo. Dr. Garala has lectured globally, most notably at the American Association of Periodontology in 2017, AAE Annual Meetings (2002-2004, 2008, 2011) IFEA (2001), and the Academy of General Dentistry (2007, 2012). He has written scientific papers for the "International Endodontic Journal" and the "Journal of Endodontics," examining root canal preparation using nickel titanium systems. He has authored a chapter discussing canal preparation objectives for Dr. John McSpadden’s comprehensive textbook, “Mastering Root Canal Preparation.” He has achieved the status of Diplomate in Endodontics. Dr. Garala also maintains specialist list credentials for the specialty of endodontics in Europe as well as memberships with the AAE, ADA, TDA, GHDS and the International Federation of Endodontic Associations.
Brett Gilbert, D.D.S.
Dr. Brett E. Gilbert graduated from the University of Maryland Dental School in 2001 (DDS) and 2003 (Certificate in Endodontics). He is currently a clinical assistant professor in the Department of Endodontics at the University of Illinois-Chicago, College of Dentistry. He is a past-president of the Illinois Association of Endodontists. Dr. Gilbert is board certified, a Diplomate of the American Board of Endodontics. He was named a top ten young dental educator in America by the Seattle Study Club in 2017. In 2019 he was named to Academic Keys Who’s Who in Dentistry Higher Education (WWDHE). He serves as the director of intellectual wellness for the Dental Mental Network. He is the founder of Access Endo, a global online education platform devoted to Endodontics and direct mentorship of colleagues. Dr. Gilbert lectures on clinical endodontics and wellness. Dr. Gilbert is a partner in U.S. Endo Partners and has a full-time private practice limited to Endodontics in Niles, Illinois.
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: EdgeEndo (Individual(s) Involved: Self): Honorarium; US Endo Partners (Individual(s) Involved: Self): Other Financial or Material Support, Partner
Manish Garala, B.D.S., M.S.
I declare that I have 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.Fotona (Self) : Honorarium (Status: Ongoing), No honorarium for this presentation (Status: Ongoing)
Brett Gilbert, D.D.S.
I declare that I have 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. Kerr Endodontics: Consultant, Honorarium
