CE Hours: 1.0

Description: Despite significant advancements in non-surgical and surgical endodontic techniques, certain teeth remain untreatable due to complex root morphology, anatomical constraints, failed interventions and procedural complications. Intentional Replantation, once considered an unpopular last-resort option, is regaining attention as a minimally invasive and predictable treatment alternative when conventional approaches fall short - offering a chance to retain teeth that might otherwise be extracted. However, the absence of a standardized clinical protocol has left many clinicians uncertain about the most effective and reliable techniques for performing this procedure. This presentation bridges that gap by integrating current literature with modern, evidence-based techniques to support clinical decision-making and establish a predictable treatment protocol. Case discussions will highlight the use of advanced imaging, magnification, and biomaterials to enhance efficiency and outcomes. Attendees will gain a practical framework for incorporating intentional replantation into their practice, deepen their understanding of the biologic principles involved, identify clear indications and contraindications, and follow a step-by-step protocol that emphasizes precision, efficiency, and long-term success.

Learning Objectives:  

• List key clinical, anatomical, and patient-related factors for case selection as well as clearly state the indications and contraindications of Intentional Replantation.
• Discuss predictable, evidence-based guidelines and modern techniques that integrate advanced imaging, magnification and proper clinical management to maximize successful outcomes.
• Discuss potential complications of Intentional Replantation and strategies for their prevention and management.

CE Hours: 0.75

Description: This presentation examines the renewed role of dental autotransplantation as a predictable and biologically sound treatment option in modern endodontic and restorative practice. Through clinical case examples and a review of current evidence, we will discuss optimal indications, including developmental anomalies, traumatic tooth loss, and strategic tooth replacement in growing patients, and outline the key factors that determine successful outcomes. Advances in CBCT-guided planning, minimally invasive extraction and socket preparation, and the use of surgical replicas have significantly improved both accuracy and long-term prognosis. Step-by-step clinical protocols will be presented, along with potential risks and contraindications. By reframing autotransplantation as a realistic, evidence-based alternative to implants and prosthetics, this session aims to expand the treatment armamentarium and decision-making skillset of the contemporary endodontist.

Learning Objectives:  

• Identify clinical conditions where autotransplantation is a viable alternative treatment option.
• Describe essential steps for donor tooth selection, surgical planning, and socket preparation.
• Summarize evidence supporting autotransplantation as a predictable treatment option in contemporary practice.

CE Hours: 1.0

Description: This presentation highlights the ongoing transformation of Intentional Replantation from a "last-resort, heroic" procedure into a predictable treatment option that should be actively included in the clinical armamentarium of modern endodontists. Through clinical cases, we will demonstrate how appropriate case selection and advances in diagnosis, atraumatic extraction techniques, and extra-oral handling now allow IR to be offered as a viable alternative in scenarios where traditional retreatment or apical surgery are impractical or carry a limited prognosis. We will review current indications and contraindications, discuss risks and expected outcomes, and walk through step-by-step management based on real-life cases. The presentation will also review the latest literature supporting this shift in mindset and clinical practice. The goal is to normalize IR as a standard, evidence-based treatment option, rather than a last-chance intervention, and to empower clinicians to confidently consider and offer IR when appropriate.

Learning Objectives:  

• List updated indications and contraindications for Intentional Replantation.
• Describe a step-by-step protocol, including extraction, extra-oral handling, and reinsertion.
• Summarize contemporary evidence and clinical outcomes that support earlier use of IR in treatment planning.

CE Hours: 2.0

Description: Use of the Piezotome for endodontic microsurgery has become quite popular, especially creating a bone "window" or "lid" to gain better access to areas like mandibular molars with thick cortical bone. It can be technique sensitive to replace those windows securely, allowing for the bone to revascularize and maintain the osteotomy space. This lecture will discuss drawing the patient's blood and centrifuging out platelet-rich fibrin plugs and membranes as well as crushing the bone "window" and mixing it with the serum created from forming the PRF membrane to make "sticky bone", which is sandwiched in between the PRF plugs and covered by the PRF membrane.
The latter part of the presentation will focus on treatment planning and case selection for Intentional Replantation, explaining the techniques in detail and showing several clinical cases with follow ups.

Learning Objectives: 

• Describe when a piezotome should be incorporated for creating a bone window (boney lid) during endo microsurgery
• Describe alternative treatment utilizing Platelet-Rich Fibrin (PRF) derived from the patient's own blood and creation of autologous sticky bone
• Describe Intentional Replantation and be comfortable performing in their private clinics

CE Hours: 0.75

Description: This session aims to provide a comprehensive overview of intentional replantation and surgical repositioning in endodontics, blending historical perspectives, evidence-based guidelines, and clinical expertise to empower attendees in making informed decisions. Beginning with an exploration of their origins and early usage as a last-resort option to a recognized treatment alternative. By synthesizing current literature and guidelines, the session will delve into the latest recommendations and evidence-based data pertaining to intentional replantation and surgical repositioning. Participants will develop a nuanced understanding of the efficacy, indications, and limitations of these techniques within modern endodontic practice. The presentation will feature a selection of clinical cases showcasing intentional replantation and surgical repositioning in practical scenarios. Through detailed case analyses and interactive discussions, attendees will have the opportunity to examine the decision-making process, treatment outcomes, and complexities encountered in these intricate procedures.

Learning Objectives:  

• Evaluate the historical evolution of intentional replantation and surgical repositioning techniques in endodontics, tracing their development from early practices to contemporary standards.
• Critically examine clinical cases, illustrating the decision making process, treatment outcomes, and challenges associated with intentional replantation and surgical repositioning, understanding of their practical application.
• Be familiar with current literature, guidelines, and evidence based data to assess the efficacy, indications, and limitations of intentional replantation and surgical repositioning in modern endodontic practice.

CE Hours: 2.0

Description: Endodontic surgery has become a predictable and highly successful way of solving recurrent endodontic infections. Even with the technologies such as operating microscope, CBCT, piezotome, ultrasonics, etc, still there are many situations that arise that require special approaches. This presentation will focus on achieving access to difficult areas, such as palatal roots, or areas covered by thick cortical bone. We will also discuss safe management of the sinuses and mental nerve, as well as a newer concept called selective curettage. When all else fails, then intentional replantation must be considered, and we will discuss techniques to perform replantation with success rates approaching 90%. The presentation is clinically oriented, showing many cases with clinical tips to successful microsurgery.

Learning Objectives: 

• Demonstrate proper positioning of microscope/patient/doctor
• Troubleshoot potential complications involving the mental nerve and sinuses and palatal roots
• Become comfortable performing Intentional Replantation

CE Hours: 0.75

Description: Prevention and/or elimination of pulpal pathology and apical periodontitis is the ultimate goal of endodontic treatment. The success rate of primary non-surgical root canal treatment is >90%.Root canal retreatment might also fail or may not be feasible, on those cases root end surgery is the procedure of choice in those cases. The success rate of the micro-surgery was reported to be (94%) as shown in the systematic review and meta-analysis by Setzer et al. Despite its very high success, micro-surgery may be difficult to perform in certain cases. The combination of artificial intelligence (AI) and digital workflow has the potential to revolutionize endodontics. AI can be used to improve diagnosis, treatment planning, and patient care, while digital workflow can improve efficiency and accuracyIn this lecture, the advancement of AI and digital workflow in the field of Endodontic microsurgery, intentional replantation , and autotransplantation  will be discussed, including the use of guided and navigation systems technology to perform the highest standard procedure with a predictable outcome.

Learning Objectives:  

• Learn how to use artificial intelligence (AI) to improve the diagnosis and treatment planning.
• Perform precise and accurate guided Root-end surgeries.
• Discuss the use of digital workflows in Endodontics to maximize the outcome of Auto transplantation for different clinical presentations.

CE Hours: 1.0

Description: Tooth autotransplantation, intentional replantation and surgical extrusion are different treatment options with a similar principle; the preservation of the periodontal ligament (PDL) in order for the tooth to heal and be newly articulated with the bone. Tooth autotransplantation is defined as the surgical movement of a tooth from one alveolar socket to another, either after extraction or by surgically preparing the recipient site in the same patient, it is a viable option to replace lost teeth or poor prognosis teeth. Thus, both function and preservation of the alveolar bone crest is maintained. Its success is associated with healing of the PDL and pulp tissue, absence of root resorption, soft tissue healing, and radicular formation. Intentional replantation is the atraumatic extraction of a tooth enabling the clinician to do a procedure (mostly endodontic microsurgery, or cervical resorption treatment) in less than 15 minutes (extra-alveolar time) in teeth in which, otherwise, access would not be possible. Surgical extrusion consists of atraumatic luxation and coronal repositioning of a tooth with in its same socket, this with the purpose of exposing root resorption, root fractures or decay and treat it, leaving sound tooth structure subgingival.Over the last 15 years these techniques have had a great evolution due to the introduction of cone beam computed tomography (CBCT), intraoral scanning, 3D planning software, 3D printers and computer aided dynamic navigation devices. All this technology enables a more predictable, faster and safer procedure with lower extra-alveolar times. In this lecture several clinical cases, with a proper follow up period, show the rapid progress of the technique always based in the best scientific evidence available and trying to inspire Endodontists to have this type of treatments as valid options to help their patients.

Learning Objectives:  

• Evaluate if a patient is a potential candidate for Tooth Autotransplantation, Surgical Extrusion or Intentional Replantation.
• List the digital work flow necessary to perform computer guided Tooth Autotransplantation.
• Introduce these type of treatments as possible options for clinical cases that otherwise would be hopeless.

CE Hours: 1.5

Description: When orthograde retreatment and apical microsurgery are considered unfeasible, when they fail to resolve persistent endodontic infection, or when the remaining tooth structure is deemed non-restorable, the tooth is usually extracted and replaced with an implant or another prosthetic device. Alternatively, when clinical conditions permit, the tooth can be extracted, manipulated extra-orally and replanted (Intentional Replantation, Surgical Extrusion), or a non-strategic tooth can be transplanted into the socket of the extracted tooth (Autogenous Transplantation). These seemingly radical but rather simple procedures offer predictably good outcomes when the biologic principles of tooth replantation are respected. 

This lecture will discuss the procedures of Intentional Replantation/Transplantation in a contemporary context, as predictable means for retaining otherwise “untreatable” teeth to greatly benefit patients. Strict guidelines for case selection, a step-by-step protocol and a variety of clinical applications will be outlined and illustrated with typical cases. Reported outcomes will also be highlighted for various clinical applications of both procedures.

Learning Objectives:  

• Describe the procedural guidelines and steps for Intentional Replantation, Surgical Extrusion and Autogenous Transplantation aimed to prevent external root resorption and persistent infection
• Outline the indications for Intentional Replantation and Autogenous Transplantation
• Summarize the long-term outcomes of Intentional Replantation, Surgical Extrusion and Autogenous Transplantation

CE Hours: 0.75

Description: The management of traumatic dental injuries (TDI) often poses a clinical challenge that affects dentist, patients and their families. Treatment of TDI sequalae can be complex, time consuming, expensive and often requires multidisciplinary collaboration. Through a series of clinical case presentations, this session will show the role of the endodontist in the diagnosis and management of complications of TDI through incorporation of the dental trauma guidelines, contemporary literature and clinical experience.

Learning Objectives:  

• Articulate how to utilize the dental trauma guidelines and how to make modifications on a case by case basis
• Outline endodontic complications following dental trauma and their management
• Explain the importance of interdisciplinary collaboration in the treatment of complications following TDI