Pulpal Diagnoses

Pulpal Diagnoses

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  • Includes Credits

    CE Hours: 1.75

    Description: The diagnosis and treatment of dental pain is fundamental to the practice of endodontics. However, there can often be a disconnect between the experience of pain in a patient and the presence of clinical disease. Teeth are uniquely innervated and cause severe pain and sensitization of the nervous system, even when there is minimal or no pathology in the pulp. Sensitization can lead to a confusing presentation of symptoms and complicate determining the diagnosis. Furthermore, persistent pain can occur even after successful endodontic treatment, due to changes in the nervous system that have been triggered by the original injury to the pulp. Endodontic materials, including sealers, can injure nervous tissues. In this presentation, we will review the current science underlying clinically relevant issues relating to pain and provide practical guidelines for minimizing risk for chronic pain after routine endodontic treatments

    Learning Objectives: 

    • Explain how the unique innervation of the dental pulp can lead to peripheral and central sensitization.
    • Explain how sensitization can impact endodontic diagnostic testing.
    • Recognize how treatment planning decisions can reduce risk for chronic pain.

    Jennifer L. Gibbs, MS, DDS, PhD

    Jennifer L. Gibbs, M.A.S, D.D.S., Ph.D. is Director of the Endodontics Division and Program Director of Advanced Graduate Education Program in Endodontics and an Associate Professor at Harvard School of Dental Medicine

    Dr. Gibbs received her dental degree and her Ph.D. in Pharmacology from the University of Texas Health Science Center San Antonio. She then completed a certificate in Endodontics and an M.A.S. in Clinical Research from the University of California San Francisco, as well as a postdoctoral training period. She is now a full time faculty at Harvard.

    Dr. Gibbs heads a translational research group focused on understanding the neurobiological mechanisms of orofacial pain with a focus on dental pain, and patient centered outcomes of endodontic treatments. She teaches clinically in the advanced graduate Endodontic Program and lectures to both post-graduate and pre-doctoral students. Dr. Gibbs cares for patients at the Faculty Practice at Harvard. She is a past Educator Fellow of the American Association of Endodontics.

    Disclosure

    In accordance with this policy, I declare that I have NO 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.

  • Product not yet rated Includes Credits

    CE Hours: 1.0

    Description: Increased levels of proinflammatory markers have been reported in tissues of individuals with Coronavirus Disease 2019 (COVID-19). We hypothesize that inflamed dental pulp tissues of individuals with previous history of COVID-19 may present a differential inflammatory gene expression profile in comparison with individuals who never had COVID-19.

    At the conclusion of this article, the reader will be able to: 

    • Explain molecular markers of inflamed dental pulp tissue in patients with and without history of COVID-19
    • Identify novel biological pathways involved in dental pulp inflammation
    • Describe how past COVID-19 disease status may impact dental pulp inflammation

    Han Na Cho, DMD, MSD

    Dr. Han Na Cho graduated from Mount Holyoke College in Massachusetts with a Bachelor of Arts in Biology and a minor in Chemistry. She then earned her Doctor of Dental Medicine degree at the University of Pennsylvania School of Dental Medicine in Philadelphia. After graduating from dental school, she completed a General Practice Residency (GPR) at Flushing Hospital Medical Center in New York and continued her education at the University of Texas Health Science Center at Houston, where she earned her specialty certificate in Endodontics and a Master of Science in Dentistry degree. Dr. Cho is an American Board of Endodontics eligible endodontist and is currently an active member of the American Association of Endodontists, American Dental Association, Texas Dental Association and Greater Houston Dental Society. She is currently working as an associate in a private practice in Houston. 

    Leticia Chaves de Souza, DDS, MS, PhD

    Cleverick Johnson, DDS, MS

    John R. Klein, PhD

    Timothy C. Kirkpatrick, DDS

    Dr. Timothy Kirkpatrick is a professor in the Department of Endodontics at UTHealth School of Dentistry at Houston, where he also serves as the Department Chair and Program Director of the Advanced Education in Endodontics Program.

    Renato M. Silva, D.D.S., M.S., P.h.D.

    Dr. Silva received his DDS from the University Gama Filho, Rio de Janeiro, Brazil, in 1994. He received his endodontic certificate from both Brazil (University Gama Filho) and US (University of Texas Health Science Center at Houston). Dr. Silva received his MS (2002) in Endodontics and PhD (2006) degree in Oral Sciences from University of Sao Paulo, Brazil. He also completed a postdoctoral fellowship in Human Molecular Genetics at the University of Pittsburgh. Dr. Silva worked as an Assistant Professor at University of Pittsburgh from 2007 to 2011, and Associate/Professor/Department Chair at University of Texas at Houston from 2011 to 2021. Dr. Silva is currently a Professor and Chair of the Department of Endodontics at The University of Pittsburgh, School of Dental Medicine. Dr. Silva has edited a textbook about Endodontic retreatment and published several peer-reviewed articles in the field of Endodontics and Human Genetics. He is a board-certified endodontist and maintains a faculty practice limited to Endodontics.

    Speaker Disclosure 

    I declare that I have no 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.

    Ariadne Letra, D.D.S., M.S., P.h.D.

    Dr. Ariadne Letra is a tenured professor of Oral and Craniofacial Sciences and Endodontics, and a member of the Center for Craniofacial and Dental Genetics at the University of Pittsburgh School of Dental Medicine.  

    Dr. Letra’s research focuses on gene discovery and functional genomic characterization approaches to understand the etiology of complex craniofacial and oral traits and conditions such as cleft lip/palate, tooth agenesis, and apical periodontitis. Another aspect of Dr. Letra’s work focuses on identifying host factors contributing to the interconnectedness between oral and systemic health and disease. 

    Dr. Letra has been the principal investigator for several NIH and AAE foundation grants and has served in various NIH study sections. Her residents have also been recipients of numerous AAE Resident Research grant awards and placed among the top ten winners of the AAE/Dentsply Resident Research Presentation Awards for the last ten years.

    Dr. Letra’s work has been recognized through prestigious awards including the 2020 Journal of Endodontics Best Paper in Clinical Research Award. Her work was also featured on the cover of the Journal of Endodontics, Journal of Dental Research, and Orthodontics and Craniofacial Research Journal.  Dr. Letra is a recipient of the distinguished 2018 AADR/SCADA Burton C. Borgelt Faculty 160 peer-reviewed articles, 5 book chapters, and numerous abstracts and publications in the media. She is an associate editor of the Journal of Endodontics, and a member of the editorial board of numerous medical and dental journals including the Journal of Dental Research, Journal of Dental Research Clinical and Translational Research, American Journal of Human Genetics, among others.

    Dr. Letra is currently Chair of the AAE Research and Scientific Affairs Committee.

    Disclosure

    I declare that I have no 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.

  • Includes Credits

    CE Hours: 1.0

    Description: Vital pulp therapy is increasingly practiced as an alternative treatment to root canal therapy (RCT) in teeth with carious pulp exposure. The aim of this study was to compare the outcome, quality of life (QOL), and patients’ satisfaction after full pulpotomy and RCT in mature teeth with irreversible pulpitis.

    At the conclusion of this article, the reader will be able to: 

    • Discuss the biological bases for performing full pulpotomy in teeth with symptoms of irreversible pulpitis.
    • Describe the procedure of full pulpotomy in teeth with irreversible pulpitis
    • List the outcome measures and the reported success rates for full pulpotomy compared to RCT.

    Nessrin Taha, BDS, DClinDent, PhD

    Dr Taha attained her Graduate Diploma, Clinical Doctorate in Endodontics and PhD from the University of Melbourne, Melbourne, Australia. She is a Member of the Royal College of Ireland and a fellow of the Royal Australian College of Dental Surgeons in both general dentistry and the special field of Endodontics, and a registered endodontist in Jordan and Australia.

    She is former vice dean, director of the dental teaching clinics, director of the postgraduate clinics, and head of department of conservative dentistry at Jordan University of Science and Technology, Irbid, Jordan. She is also member and former chair of the scientific committee of the Jordanian Board of Endodontics. 

    Currently she is a professor in endodontics and coordinator of the postgraduate endodontic program at Jordan university of science and technology. Research interests include; calcium silicate-based materials, regenerative endodontics and vital pulp therapy. She lectured internationally on the topic with several published laboratory based and clinical research papers. She serves in the editorial board and reviewers’ panel of more than 10 international indexed journals. 

    Speaker Disclosure 

    I declare that I have no 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.

    Alaa M. Abuzaid, MClinDent

    Yousef S. Khader, PhD

  • Includes Credits

    CE Hours: 1.5

    Description: Vital pulp therapy (VPT) has been an accepted means of saving immature teeth with exposed pulps. Recent studies utilizing various calcium silicate cements on mature teeth with exposed pulps are demonstrating favorable outcomes that compare with those of nonsurgical root canal therapy. Position statements have been created by the European Society of Endodontology and the American Association of Endodontists which approach this topic from different perspectives. These perspectives will be discussed by individuals from both groups who will give the attendees a comprehensive view of where they agree, where they differ, and on the path forward.

    Learning Objectives:  

    • Explain the significance of VPT as it relates to the preservation of teeth and tooth structure, access to care, and patient-centered outcomes
    • Describe the issues of diagnostic testing and diagnostic terminology as they relate to VPT
    • Describe the role that caries management plays in how endodontists would approach VPT as compared to general dentists

    Craig S. Hirschberg, D.D.S.

    AAE President elect Chair, Department of Endodontics at Rutgers School of Dental Medicine Endodontic Program Rutgers School of Dental Medicine Graduated: 1983 Dental Program New York University Graduated: 1980

    I declare that I have no 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.

    Lars Bjørndal, Ph.D., Dr, Odont

    Lars Bjørndal (LB) Lars Bjørndal (born 1963). Civil status married 3 children. Graduated in 1988 as a dentist from the University of Copenhagen, Denmark. In 1992: Ph.D. thesis on the topic: Caries progression in enamel and the pulp-dentin organ using thin undemineralized tooth sections. In 2011: Dr. Odont. Thesis entitled: Endodontic treatment: reason, prevention and quality - shaping factors. From 1993-1998: Assistant professor at the Department of Cariology and Endodontics, University of Copenhagen. 1999-2001: Received specific postgraduate endodontic specialist course in collaboration with the universities in Copenhagen, Denmark, Malmö and Gothenburg, Sweden. Certified member of European Society of Endodontology from 2001. From 1998: Associate professor at the University of Copenhagen, Denmark, and Head of Endodontic since 2016. In 2012 he was visiting Scholar at Loma Linda University, US. From 2012-2015: Head of the Special Clinical Unit receiving referrals at University of Copenhagen, Denmark. He has been Secretary in the Scandinavian Endodontic Society (SES) from 1999-2001. Twice hosted the SES biennial congress in Denmark. Past President of the Danish National Endodontic Society and past country representative for the European Society of Endodontology (ESE). He has been giving lectures worldwide in Europe, Asia, North and South America, covering the field of deep caries lesion pathology, treatments and quality-shaping factors concerning endodontic treatments. LB has authored and co-authored numerous international and national articles, including book chapters and reviews. Editor of Textbook of Endodontology, WiIey ,Blackwell 3. edition. One day weekly he is in in private practice devoted endodontic referrals. ORCID: 0000-0002-2183-6400.

    I declare that I have no 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.

    Ashraf F. Fouad, D.D.S., M.S.

    Dr. Fouad obtained his DDS, Certificate of Endodontics and MS at the University of Iowa. 

    He served on the faculty and in various administrative roles at University of Connecticut, the University of Maryland, and the University of North Carolina at Chapel Hill. He is currently Professor and Chair, Department of Endodontics, Director, Advanced Endodontics Program, and Interim Director, Health Information and Business Systems (HIBS) at the University of Alabama at Birmingham.

    Dr. Fouad has published over 110 peer-reviewed manuscripts, 25 textbook chapters, and 145 abstracts. He edited and co-authored the textbooks: Endodontic Microbiology (now in its second edition), as well as the fifth and sixth editions of Endodontics: Principles and Practice. He is a Diplomate and Past President of the American Board of Endodontics, and an Associate Editor of the Journal of Endodontics, Dental Traumatology and Frontiers of Dental Medicine – Endodontics. He received the Distinguished Scientist Award from the Pulp Biology and Regeneration Group of the International Association of Dental Research in 2017, and the AAE President’s Award in 2022.

    Speaker Disclosure

    I declare that I have no 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

    Hal F. Duncan, B.D.S., M.C.D, PhD

    Received his dental degree from the University of Glasgow and his 4-year endodontic specialty training KCL, UK. For ten years, he worked part-time in specialist referral endodontic practice. He completed his PhD in the University of Birmingham on the subject of ‘Epigenetic approaches to the role of Histone Deacetylase Inhibitors (HDACi) in promoting dentine-pulp reparative mechanisms’. As an Academic Professor and Consultant in Endodontics, he has led endodontic teaching, service delivery and research in Dublin-Dental-University-Hospital for the last 15 years. He has published over 100 international peer-reviewed scientific articles, 40 abstracts, 18 book chapters and edited 2 textbooks. He was the primary author of the recent ESE position statement on ‘Management of deep caries and the exposed pulp’ and is the lead of the ongoing ‘ESE S3-level Guidelines for the Treatment of Endodontic Disease’. He is the current Editor-in-Chief of the International Endodontic Journal. Hal has completed three sponsored research fellowships in New York University/Rutgers University investigating the role of epigenetic-modifying agents on tooth development and regeneration as well as receiving multiple research grants as principal investigator. In DDUH, he currently maintains a research lab and is the principal supervisor of clinical and scientifically trained PhD students and postdoctoral researchers in basic/translational pulp biology and endodontics. Currently, he is the Director of Research in the DDUH, a Member of the Executive Board of the ESE, the President Elect of the ESE, the President of the Irish Division of the IADR, the Vice-President of the Pulp Biology and Regeneration Group of the IADR and a Board Member of the Pan European Region of the IADR. He is a past president of the Irish Endodontic Society.

    I declare that I have no 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.

  • Includes Credits

    CE Hours: 0.75

    Description: Apical periodontitis (AP) manifests with variable clinical and radiographic presentations that may be attributed to differences in microbial and host factors. While the microbial segment of AP has been extensively studied, the host factors involved in AP predisposition have only recently begun to be elucidated. Understanding host and microbial biomarker/molecular signatures in AP is critical for advancing knowledge and for the development of improved preventive and/or precision-based therapies. In this seminar, the clinical presentations of AP as well as host and microbial factors will be reviewed. New perspectives on future diagnostic and treatment approaches for AP will also be discussed.

    Learning Objectives:  

    • Explain how individual host response affects predisposition to pulpal and periapical pathosis
    • Explain the results of contemporary microbial analysis of endodontic infections, and how this may guide antimicrobial approaches
    • Describe how information gleaned from microbial and genetic analysis can inform future precision based treatment approaches

    Ariadne Letra, D.D.S., M.S., P.h.D.

    Dr. Ariadne Letra is a tenured professor of Oral and Craniofacial Sciences and Endodontics, and a member of the Center for Craniofacial and Dental Genetics at the University of Pittsburgh School of Dental Medicine.  

    Dr. Letra’s research focuses on gene discovery and functional genomic characterization approaches to understand the etiology of complex craniofacial and oral traits and conditions such as cleft lip/palate, tooth agenesis, and apical periodontitis. Another aspect of Dr. Letra’s work focuses on identifying host factors contributing to the interconnectedness between oral and systemic health and disease. 

    Dr. Letra has been the principal investigator for several NIH and AAE foundation grants and has served in various NIH study sections. Her residents have also been recipients of numerous AAE Resident Research grant awards and placed among the top ten winners of the AAE/Dentsply Resident Research Presentation Awards for the last ten years.

    Dr. Letra’s work has been recognized through prestigious awards including the 2020 Journal of Endodontics Best Paper in Clinical Research Award. Her work was also featured on the cover of the Journal of Endodontics, Journal of Dental Research, and Orthodontics and Craniofacial Research Journal.  Dr. Letra is a recipient of the distinguished 2018 AADR/SCADA Burton C. Borgelt Faculty 160 peer-reviewed articles, 5 book chapters, and numerous abstracts and publications in the media. She is an associate editor of the Journal of Endodontics, and a member of the editorial board of numerous medical and dental journals including the Journal of Dental Research, Journal of Dental Research Clinical and Translational Research, American Journal of Human Genetics, among others.

    Dr. Letra is currently Chair of the AAE Research and Scientific Affairs Committee.

    Disclosure

    I declare that I have no 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.

    Ashraf F. Fouad, D.D.S., M.S.

    Dr. Fouad obtained his DDS, Certificate of Endodontics and MS at the University of Iowa. 

    He served on the faculty and in various administrative roles at University of Connecticut, the University of Maryland, and the University of North Carolina at Chapel Hill. He is currently Professor and Chair, Department of Endodontics, Director, Advanced Endodontics Program, and Interim Director, Health Information and Business Systems (HIBS) at the University of Alabama at Birmingham.

    Dr. Fouad has published over 110 peer-reviewed manuscripts, 25 textbook chapters, and 145 abstracts. He edited and co-authored the textbooks: Endodontic Microbiology (now in its second edition), as well as the fifth and sixth editions of Endodontics: Principles and Practice. He is a Diplomate and Past President of the American Board of Endodontics, and an Associate Editor of the Journal of Endodontics, Dental Traumatology and Frontiers of Dental Medicine – Endodontics. He received the Distinguished Scientist Award from the Pulp Biology and Regeneration Group of the International Association of Dental Research in 2017, and the AAE President’s Award in 2022.

    Speaker Disclosure

    I declare that I have no 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

  • Includes Credits

    CE Hours: 0.75

    Description: The pulp and periodontium have embryonic, anatomic, and functional inter-relationships. The simultaneous existence of combined endodontic-periodontal lesions either with or without root damage is a clinical dilemma that can complicate diagnosis, treatment planning as well as affect prognosis . These lesions could be better classified according to root alterations that have a direct impact on their treatment, such as the presence of fractures, perforations and external root resorption, furcation involvement, anatomical variations and the extent of periodontal destruction around the affected teeth. Management of combined endodontic-periodontal lesions can be challenging especially when severe destruction of the surrounding periodontal tissues is noted. A CBCT scan would be crucial to confirm the extent of both lesions and their possible communication and reveal root anatomic factors that may predispose to a compromised clinical outcome. Understanding the complex pathogenesis of both lesions can determine the therapeutic approach for a successful regenerative treatment outcome.

    Learning Objectives:  

    • Contrast classifications of endodontic-periodontal lesions based on root alterations and their effect on prognosis
    • Discuss the appropriate sequence of therapeutic approaches to treat endodontic-periodontal lesions
    • Review proper diagnostic tools to clinically assess combined endodontic-periodontal lesions

    Sami M.A. Chogle, B.D.S., D.M.D., M.S.D.

    Dr. Chogle received a Bachelor of Dental Surgery from Dharwad University in India in 1989; Specialty Certificate in Endodontics and Master of Science in Dentistry from Case Western Reserve University (CWRU) School of Dental Medicine in Cleveland, Ohio, in 2000; and a DMD Degree from CWRU School of Dental Medicine in 2003. Dr. Chogle is a diplomate of the American Board of Endodontics. Dr. Chogle has served as Associate Professor and Director of the Advanced Specialty Education Program in Endodontics at the Boston University Institute for Dental Research and Education (BUIDRE) Dubai (2009-2012). He previously served as Assistant Professor and Director of Undergraduate Endodontics at CWRU School of Dental Medicine (2000-2009). Dr. Chogle formerly served as the Director of the Advanced Specialty Education Program in Endodontics at the Henry M Goldman School of Dental Medicine, Boston University from 2012-17 and is the Chair and Program director since 2017.

    Speaker Disclosure 

    I declare that I have no 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.

    Pinelopi Pani, D.D.S., CAGS, M.S.

    Pinelopi Pani, DDS, CAGS, MS is a Periodontist and a Clinical Associate Professor in the Department of General Dentistry Division of Periodontics at Boston University Henry M. Goldman School of Dentistry. She is also practicing as a Periodontist in the Boston University Dental Health Center. She received her Dental degree from the National and Kapodistrian University of Athens, School of Dentistry in Greece. She completed her post-doctoral training in Periodontology, receiving both a Certificate for Advanced Graduate Studies and a Master of Science from Tufts University School of Dental Medicine. She is a Diplomate of the American Academy of Periodontology, an ITL scholar of the Academy for Academic Leadership and a fellow of both the International College of Dentists and the American College of Dentists. She has received several distinctions, such as the F. Mitsis Award of Excellence by the Hellenic Society of Periodontology, the Faculty Appreciation Award by Boston University Henry M. Goldman School of Dentistry, the Massachusetts Dental Society 10 Under 10 Award, and the American Academy of Periodontolog Excellence in teaching and mentoring award.

    Speaker Disclosure 

    I declare that I have no 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.

  • Product not yet rated Includes Credits

    CE Hours: 1.5

    Description: Vital pulp therapy including pulpotomy is increasingly adopted in the management of various pulp exposures in children and adults, by virtue of the improved understanding of pulp histopathology and its response to the carious insult. The advent of MTA and other hydraulic calcium silicate based-materials has considerably improved the success rates over medium and long-term follow-up and therefore renewed the interest in vital pulp therapy. This presentation will review the available data on the clinical and histological diagnosis of various pulp exposures with a broad spectrum of symptomatology and will discuss the recent evidence in support of vital pulp therapy in mature permanent teeth and clinical symptoms indicative of irreversible pulpitis.  Patients’, clinicians ‘, and scientists' centered outcomes including clinical and radiographic success, survival, pain management, patient satisfaction, quality of life improvement, and cost-effectiveness will be reviewed.

    Learning Objectives:  

    • Describe management strategies for carious pulp exposures in children and adults based on currently available guidelines
    • Define treatment consideration and case selection criteria for vital pulp therapy procedures based on possible prognostic factors
    • Review the available evidence on clinicians' and patients' centred outcomes of vital pulp therapy procedures in teeth with carious pulp exposure

    Nessrin Taha, BDS, DClinDent, PhD

    Dr Taha attained her Graduate Diploma, Clinical Doctorate in Endodontics and PhD from the University of Melbourne, Melbourne, Australia. She is a Member of the Royal College of Ireland and a fellow of the Royal Australian College of Dental Surgeons in both general dentistry and the special field of Endodontics, and a registered endodontist in Jordan and Australia.

    She is former vice dean, director of the dental teaching clinics, director of the postgraduate clinics, and head of department of conservative dentistry at Jordan University of Science and Technology, Irbid, Jordan. She is also member and former chair of the scientific committee of the Jordanian Board of Endodontics. 

    Currently she is a professor in endodontics and coordinator of the postgraduate endodontic program at Jordan university of science and technology. Research interests include; calcium silicate-based materials, regenerative endodontics and vital pulp therapy. She lectured internationally on the topic with several published laboratory based and clinical research papers. She serves in the editorial board and reviewers’ panel of more than 10 international indexed journals. 

    Speaker Disclosure 

    I declare that I have no 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.

  • Includes Credits

    CE Hours: 1.0

    Description: MicroRNAs have been shown to play a role in the pathogenesis of apical periodontitis. Upregulation of miR-10a-5p and downregulation of miR-891a-5p were previously reported in apical periodontitis samples. This study aims to perform a functional characterization of miR-10a-5p, investigating its capacity to regulate the expression of inflammatory cytokines and growth factors, as well as a possible co-regulation mechanism with miR-891a-5p in the development of apical periodontitis.

    At the conclusion of this article, the reader will be able to: 

    • List a few microRNAs that are associated with apical periodontitis.
    • Identify key cytokines and growth factors in apical periodontitis that are regulated by microRNAs.
    • Describe how microRNAs regulate apical periodontitis in a synergistic fashion.

    Zhen Shen, D.M.D., M.s.D., P.h.D.

    Dr. Zhen Shen received his PhD degree in Cell and Developmental Biology from the University of Illinois, Urbana-Champaign (2012), and the DMD degree (Magna Cum Laude) from Harvard School of Dental Medicine (2019). He received his certificate and MSD degree in Endodontics from the University of Texas Health Science Center at Houston School of Dentistry (2021) and became a diplomate of the American Board of Endodontics in 2022. Dr. Shen is currently a clinical assistant professor at the University of Texas Health Science Center at Houston School of Dentistry and also works in private practice. Dr. Shen has published several peer-reviewed articles in the field of Endodontics and Cell Biology.

    Ariadne Letra, D.D.S., M.S., P.h.D.

    Dr. Ariadne Letra is a tenured professor of Oral and Craniofacial Sciences and Endodontics, and a member of the Center for Craniofacial and Dental Genetics at the University of Pittsburgh School of Dental Medicine.  

    Dr. Letra’s research focuses on gene discovery and functional genomic characterization approaches to understand the etiology of complex craniofacial and oral traits and conditions such as cleft lip/palate, tooth agenesis, and apical periodontitis. Another aspect of Dr. Letra’s work focuses on identifying host factors contributing to the interconnectedness between oral and systemic health and disease. 

    Dr. Letra has been the principal investigator for several NIH and AAE foundation grants and has served in various NIH study sections. Her residents have also been recipients of numerous AAE Resident Research grant awards and placed among the top ten winners of the AAE/Dentsply Resident Research Presentation Awards for the last ten years.

    Dr. Letra’s work has been recognized through prestigious awards including the 2020 Journal of Endodontics Best Paper in Clinical Research Award. Her work was also featured on the cover of the Journal of Endodontics, Journal of Dental Research, and Orthodontics and Craniofacial Research Journal.  Dr. Letra is a recipient of the distinguished 2018 AADR/SCADA Burton C. Borgelt Faculty 160 peer-reviewed articles, 5 book chapters, and numerous abstracts and publications in the media. She is an associate editor of the Journal of Endodontics, and a member of the editorial board of numerous medical and dental journals including the Journal of Dental Research, Journal of Dental Research Clinical and Translational Research, American Journal of Human Genetics, among others.

    Dr. Letra is currently Chair of the AAE Research and Scientific Affairs Committee.

    Disclosure

    I declare that I have no 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.

    Renato M. Silva, D.D.S., M.S., P.h.D.

    Dr. Silva received his DDS from the University Gama Filho, Rio de Janeiro, Brazil, in 1994. He received his endodontic certificate from both Brazil (University Gama Filho) and US (University of Texas Health Science Center at Houston). Dr. Silva received his MS (2002) in Endodontics and PhD (2006) degree in Oral Sciences from University of Sao Paulo, Brazil. He also completed a postdoctoral fellowship in Human Molecular Genetics at the University of Pittsburgh. Dr. Silva worked as an Assistant Professor at University of Pittsburgh from 2007 to 2011, and Associate/Professor/Department Chair at University of Texas at Houston from 2011 to 2021. Dr. Silva is currently a Professor and Chair of the Department of Endodontics at The University of Pittsburgh, School of Dental Medicine. Dr. Silva has edited a textbook about Endodontic retreatment and published several peer-reviewed articles in the field of Endodontics and Human Genetics. He is a board-certified endodontist and maintains a faculty practice limited to Endodontics.

    Speaker Disclosure 

    I declare that I have no 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.

  • Product not yet rated Includes Credits

    CE Hours: 1.0

    Description: Cracked teeth with reversible pulpitis can be managed with orthodontic bands in the interim before definitive restorations. The aim of this study was to determine short-term outcomes of these teeth following orthodontic band placement. The time taken for definitive pulp diagnoses after orthodontic band placement and associated prognostic factors was also analyzed.

    At the conclusion of this article, the reader will be able to: 

    • Describe aspects to consider when managing cracked teeth with reversible pulpitis.
    • Discuss the rationale for orthodontic banding prior to coronal coverage restorations in cracked teeth with reversible pulpitis.
    • Discuss the methods for managing cracked teeth with reversible pulpitis and evaluate the pros and cons of each method.

    Rachel Seet Fangying, BDS, MDS

    Dr Rachel Seet obtained her Bachelor of Dental Surgery (BDS) at the National University of Singapore (NUS) in 2016. She was awarded the Southeast Asia Association for Dental Education (SEADDE) Medal for being the Best Student with Distinction in Endodontics, the University Medal for performing second best in the Final Professional Bachelor of Dental Surgery Examination, as well as placed on the Dean's List. 

    She further obtained her Master in Dental Surgery (MDS) (Endodontics) at NUS in 2022. She has a special interest in cracked teeth and has had her work published in the Journal of Endodontics. She is currently practicing full-time as an Endodontic Registrar at National Dental Centre Singapore (NDCS).

    Chan Pei Yuan, BDS, MDS, MRD RCSEdin

    Dr Chan Pei Yuan is a full-time clinician with National Dental Centre Singapore (NDCS) since 2010 and is a Consultant with the Endodontics Unit of the Department of Restorative Dentistry. She graduated from the Faculty of Dentistry, National University of Singapore (NUS) in 2009 with a Bachelor of Dental Surgery, and was awarded the postgraduate scholarship from NDCS to pursue a Masters of Dental Surgery in Endodontics at NUS from 2011- 2014. 

    She is a member of the Royal College of Surgeons of Edinburgh and is also registered with the Singapore Dental Specialist Accreditation Board. She currently serves as the chairperson of the Chapter of Endodontists, College of Dental Surgeons, Singapore (CDSS). She is a clinical teacher with the Faculty of Dentistry, NUS, and a clinical instructor with Duke-NUS Medical School. 

    She is the Head of Primary and Community Partnership for NDCS and strongly champions for partnership with Primary Care, and the improvement of oral health of the population through community screening programs. Her research interests are in cracked teeth, endodontic treatment outcomes, and access to dental care.

    Khoo Shi-Tien, BDS, MDS

    Dr Khoo Shi-tien was trained in the National University of Singapore where she completed her master’s degree in dental surgery in 2020 and was awarded the prize for Best Student in the Final MDS (Endodontics) Examination. She has authored 2 papers published in 2020 and 2022 that compared patient-reported outcome measures regarding treatments in management of persistent endodontic disease. 

    Victoria Yu Soo-Hoon, BDS, MSc, PhD

    Victoria Yu is a tenured Associate Professor of Endodontics in the National University of Singapore (NUS) and Senior Consultant in Endodontics at the National University Healthcare System (NUHS). She received her Bachelor of Dental Surgery (BDS) and PhD in NUS and the Master of Science (MSc) with Distinction from the University of London, UK. Victoria is the program director of the Endodontics Residency Program in NUS, and is also the Vice Dean for Graduate Studies. Victoria is given the NUS and NUHS Long Service Awards, Public Healthcare Clinician Special Recognition Awards, NUHS Academic Medicine Development Award, Faculty of Dentistry Faculty Excellence Teaching Awards and the NUS Annual Teaching Excellence Award. 

    As the inaugural Chair of the Endodontics Dental Specialty Accreditation Committee, she implemented the specialist registration criteria and set the standards for endodontic specialty practice. Based on her experience and research in pulpotomy, she chairs the Singapore Ministry of Health Workgroup for Provision of Pulpotomies in Primary Care Setting. Victoria is a member of the Journal of Endodontics Scientific Advisory Board and the International Endodontic Journal Editorial Board, and collaborates widely on translational research, cohort studies and clinical trials in endodontics.

    Lui Jeen-Nee, BDS, MDS, MRD RCSEdin

    Dr Lui Jeen Nee obtained her Bachelor of Dental Surgery at the National University of Singapore in 1996. She further obtained her Master in Dental Surgery (Endodontics) at the National University of Singapore and Membership in Endodontics from the Royal College of Surgeons of Edinburgh in 2003. She was conferred a Fellow of the Academy of Medicine Singapore in 2005 and has been accredited as a Specialist in Endodontics by the Singapore Dental Council since 2008. 

    She is Senior Consultant and currently Head, Endodontic Unit and Department of Restorative Dentistry at National Dental Centre Singapore. She is actively involved in post graduate education and has been the Associate Director of the Endodontic Postgraduate Residency Program at the Faculty of Dentistry, National University of Singapore since 2015. She received the Oral Health Academic Program Excellence in Teaching Award from National Dental Centre Singapore in 2015 and 2019 and the Faculty of Dentistry Excellence in Teaching Award from National University of Singapore in 2017 and 2019. 

    Her research interests include endodontic microsurgery, cracked teeth, vital pulp therapy, treatment outcomes and quality of life.

  • CE: 0

    Course Description: 

    The pulp and periodontium are intimately related and their inter-relationship has been subject to controversy for many years. Research has shown that periodontal diseases may lead to changes in the pulp, however, when both apparatus are affected, periodontal and endodontic therapy is indicated because the disease of one may influence and alter the physiological condition of the other. Some publications have suggested that periodontal disease is more deleterious to the pulp than both caries and restorations combined. Others publications have shown negligible effect. This presentation is directed to discuss these difference and analyze these changes.

    At the conclusion, participants should be able to:

    • Describe different pulp changes associated with periodontal disease.
    • List pulp changes related with periodontal disease treatment.
    • Discuss the clinical implications of these pulpal changes during the endodontic therapy.

    Lourdes M. Amador, D.D.S., M.S.

    DDS degree from Universidad Autónoma de Santo Domingo, República Dominicana. Specialty Diploma in Endodontics from Colegio Odontologico Colombiano and Master in Education from Pontificia Universidad Javeriana in Colombia. She works in private practice and has been professor of the division of Endodontics since 2002. She has been an invited Professor at numerous universities and Endodontics Association in diferent countries.

    Lourdes M. Amador, DDS

    I declare that I have no 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.