SP-9 Confronting Complexities in Root-End Surgery: Evidence-Based Advanced Strategies
CE Hours: 1.5
Description: Can we achieve a 1.5% lower failure rate in root-end surgery akin to Mariano Rivera’s success in baseball? Despite high success rates published in outcome studies, endodontists are facing extraordinary challenges when planning surgical procedures: roots with proximity to critical anatomical structures, diverse root resorptions, and instruments lodged at and beyond the apex. Typically, outcome studies have overlooked these challenges due to case standardization protocols. Despite this, patient demands compel us to persevere. Furthermore, improper surgical planning and execution can result in aesthetically displeasing scar tissue, post-operative numbness, and even vertical root fractures. Success in root-end surgery is multifaceted: the tooth must function, the bone must heal, and the patient must feel good. Therefore, success hinges on knowledgeable decision-making and precise execution before, during and after surgery. This presentation explores handling these complexities, utilizing clinical cases and critical reviews to provide insights for achieving optimal outcomes in root-end surgery.
Learning Objectives:
- Identify challenges in rootend surgery, including nine critical anatomies, before the surgical process.
- Develop strategies for managing clinical complexities through knowledgeable decision making and precise execution throughout the surgical process.
- Apply insights from clinical cases and critical literature reviews to establish recall protocol to best optimize treatment outcomes.
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LockedJi Wook Jeong, D.M.D., M.S.D.
Dr. Ji Wook Jeong graduated from Kyunghee University School of Dentistry in Seoul, South Korea, in 2001, and earned his Doctor of Dental Medicine (DMD) degree from the same institution in 2001.He received his Associate Fellowship from the American Academy of Implant Dentistry (AAID) in 2008. Additionally, he served as an instructor and mentor for the Korea MaxiCourse® of the AAID from 2008 to 2012. In 2017, he graduated from the Advanced Program in Endodontics at the University of Texas Health Science Center (UTHSC) at Houston, School of Dentistry, where he earned a Master of Science in Dentistry (MSD) and a certificate in the specialty of Endodontics. Since graduating, he has been working as a full-time faculty member at department of Endodontics, UTHSC Houston. Currently, he serves as the course director for Endodontic Surgery and the research director for the endodontic residents. He became a diplomate of the American Board of Endodontics in 2019. He is an active member of the Scientific Advisory Board of the Journal of Endodontics, the Continuing Education Committee of the American Association of Endodontists, and the Research Committee of the Asian Pacific Endodontic Confederation.
Disclosure(s): No financial relationships to disclose
Austyn C. Grissom, DMD, MSD
Dr. Austyn Grissom hails from Piedmont, Alabama. He completed his undergraduate degree in Biomedical Sciences at Auburn University, and went on to earn his Doctorate of Dental Medicine from the University of Alabama School of Dentistry in 2018. He practiced as a restorative dentist for two years prior to beginning his residency in endodontics at the renowned University of Texas at Houston School of Dentistry. In the two years since residency, Dr. Grissom has earned the title as a Diplomate of the American Board of Endodontics, published two articles in the Journal of Endodontics, was an invited speaker at AAE24, and opened his own endodontic practice in Daphne, Alabama. He currently serves as the Chair of the AAE Resident and New Practitioner Committee and as the Vice President of the Mobile Area Dental Society.
Disclosure(s): No financial relationships to disclose