Replantation

Replantation

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  • Product not yet rated Includes Credits

    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

    Shimon Friedman, D.M.D.

    Dr. Shimon Friedman is Professor Emeritus, former Head of Endodontics and Founding Director of the M.Sc. Endodontics Program at the Faculty of Dentistry, University of Toronto, Canada. He received the D.M.D. degree (1975) and endodontics certificate (1983) from the Hebrew University in Jerusalem, Israel. He is board-certified in endodontics in Israel and had served as Chairman of the Israel Endodontic Society from 1985 to 1988. With over 250 peer-reviewed articles, textbook chapters and research abstracts, and over 330 international lectures, Dr. Friedman has acquired extensive experience in endodontic practice, research and education. He is the recipient of several awards, culminating in the AAE’s 2008 Louis I. Grossman Award, as well as the AAE's 2018 I.B. Bender Lifetime Educator Award, for outstanding contributions to endodontic science and education. Though now retired, Dr. Friedman continues following the research and lecturing extensively on endodontic treatment outcomes, management of post-treatment endodontic infection, and impacts of contracted endodontic cavity designs on nonsurgical treatment efficacy and biomechanical responses of teeth. 

    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: Sonendo Inc.: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing), Scientific Advisory Board member (Ongoing)

  • Product not yet rated Includes Credits

    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

    Isabel Mello, D.D.S., M.Sc., Ph.D.

    Dr. Mello received her DDS degree from the Federal University of Alfenas, Brazil in 1996. In 2000, she completed her residency and Master of Sciences in Endodontics at the University of Sao Paulo, and in 2008, she defended her PhD in Dental Sciences in a joint program between the University of Sao Paulo and the University of British Columbia. She is the Division Head of Endodontics at Dalhousie University in Nova Scotia, Canada. Dr. Mello is an active researcher and has published several papers in peer review journals. She is a board certified Endodontist and a fellow of the Royal College of Dentists of Canada. She serves as a reviewer for the Journal of Endodontics. She serves as consulting staff in the Dentistry Department at the IWK children’s hospital in Nova Scotia and maintains a part-time practice in Dartmouth, Nova Scotia.

  • Includes Credits

    CE Hours: 1.0

    Description: There is increasing evidence that teeth with failed endodontic treatment, unsuitable for retreatment due to restorative or anatomic factors, may be candidates for a replantation procedure. The best available evidence indicates that clinicians should integrate the replantation procedure into their treatment planning in select cases. It has been demonstrated that replantation offers the potential for success when proper case selection and procedures are followed. There is a significant cost differential between replantation and that of an implant and crown or fixed prosthesis. Patients who cannot afford an implant, crown, or fixed prosthesis may have their needs addressed by replantation. The procedure offers a viable alternative for some patients who might otherwise lose a tooth resulting in reduced function and diminished esthetics. This presentation will review pertinent literature, consider indications and contraindications for the procedure, and demonstrate completed cases with follow-up. The presentation will utilize a video demonstrating the procedure to serve as a procedural guide. An ongoing multicenter replantation outcomes study will also be reviewed.

    Learning Objectives:  

    • Recognize indications and contraindications for intentional replantation
    • Describe critical steps in the intentional replantation procedure
    • Organize the armamentarium necessary for a replantation procedure

    Paul Rosenberg, DDS

    Dr. Paul Rosenberg served as Professor and Chair of the Department of Endodontics, Director of the Advanced Education Program and Director of the International Program, at New York University College of Dentistry from 1990-2012. He was Associate Dean for Graduate Programs from 2000-2005.

    He is a past Director of the American Board of Endodontics 2002-2008 and was a member of the Scientific Advisory Board of the Journal of Endodontics. He has published extensively in journals and textbooks and has lectured nationally and internationally on Endodontic pain. His textbook titled, Endodontic Pain: Diagnosis, Causes, Prevention and Treatment, was published in 2014 by Springer.

    In 2000 Dr. Rosenberg won the Distinguished Teaching Award, which is the highest award for teaching at NYU. In December 2007, NYU College of Dentistry unveiled a new facility, the Paul and Maxine Rosenberg Educational Wing in his honor, dedicated to providing post-graduate students with a facility devoted to their specific needs.

    In 2017 Dr. Rosenberg received the I.B. Bender Lifetime Educator Award from the American Association of Endodontics. The award acknowledges contributions in the field of education.

    Dr. Rosenberg continues to serve as a Professor in the Department 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.

    Fabricio B. Teixeira, D.D.S., M.S., Ph.D.

    Dr. Fabricio Teixeira is Professor and Chair of the Department of Endodontics at the University of Iowa. He is also the current holder of the Richard E. Walton Professorship. Before coming to Iowa, he served as Director of the Advanced Education Program in Endodontics at the University of Texas Health at San Antonio. He obtained his certificate in endodontics from the UT San Antonio and was the first recipient of the Endowment Carlos E. del Rio Distinguished Professorship in Endodontics. Before moving to Texas, he served as Associate Professor in the Department of Endodontics at the University of North Carolina at Chapel Hill, where he still maintains an appointment as adjunct faculty. Dr. Teixeira is Diplomate of the American Board of Endodontics and currently serves as Director of the ABE. He holds a position as endodontic consultant of the American Dental Association for the Commission on Dental Accreditation. He is member of the OKU National Dental Honor Society and Fellow of the International College of Dentists. He is former Associate Editor of Endodontic Topics, current editor Evidence-Based Endodontics and Visual Endodontics. He holds a position on the Scientific Advisory Board of the Journal of Endodontics and serves as peer reviewer on many other international journals. He is actively involved in clinical research and has lectured nationally and internationally on several topics. He has published extensively in peer-reviewed journals, abstracts and textbook chapters. He also maintains a private practice limited to endodontics in Iowa City.

  • Product not yet rated

    CE Hours: 0 

    Description: The preservation of natural teeth has regained interest over replacement with dental implants. However, not all situations can be solved by classical initial and secondary endodontic treatment, or surgical retreatment. Endodontists should not only have the expertise in standard endodontic microsurgery, but also include root resection, hemisection or autotransplantation in their repertoire. This lecture will review indications, techniques, and prognosis for these alternative surgical choices the compromised teeth

    Learning Objectives: 

    • Discuss how to include a patient’s lifecycle in the decision making process how to save a tooth
    • Be knowledgable about the outcome of resective and transplantation techniques
    • Make the distinction between crown and root resection


    Frank C. Setzer, D.M.D., Ph.D., M.S.

    Dr. Setzer graduated from the Dental School of the Friedrich- Alexander-University Erlangen-Nuremberg, Germany, in 1995, where he also received his doctoral degree in 1998. He pursued his endodontic specialty training at the University of Pennsylvania after working for nine years in a multi-specialist private practice as associate and partner. Dr. Setzer graduated from the endodontic program of the University of Pennsylvania in 2006, receiving the Louis I Grossman Postdoctoral Student Award in Endodontics. He earned a Master of Science in Oral Biology and a DMD degree in 2008 and 2010, respectively. Dr. Setzer serves as the Clinic Director and Pre-Doctoral Program Director at the Department of Endodontics of the University of Pennsylvania. Dr. Setzer lectures on several topics of endodontics throughout the United States, Europe, South America, and Asia. He has authored articles on endodontics in peer-review journals and serves as Associate Editor for Endodontics for Quintessence International and, amongst other journals, on the scientific advisory board of Journal of Endodontics, International Endodontic Journal and Journal of the American Dental Association.

    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: Although different techniques have been suggested for clinical crown lengthening, all of them have some limitations in terms of aesthetics. In aesthetic zones, crown lengthening maneuvers require a complex diagnostic process, special attention should be taken, or the surgical technique could often result in gingival line asymmetry. The basic goal of the surgical extrusion treatment is to coronally reposition the remnant tooth structure, which will guarantee a reliable sound and healthy supragingival tooth support, to offer a good restorative outcome. This technique can be used successfully to treat severely damaged teeth, especially in the anterior aesthetic zone. During the lecture, a simplified protocol for surgical extrusion will be presented, as well as long-term follow-up clinical cases (more than 9 years follow-up period). The advantages and disadvantages of this procedure will be analyzed. 

    Learning Objectives

    • Based on clinical evidence to discuss risks and benefits of surgical extrusion techniques
    • Describe and perform the simplified surgical extrusion technique presented during the lecture
    • List inclusion and exclusion clinical criteria for choosing cases to apply the surgical extrusion technique

    Jenner O. Argueta, D.D.S., M.Sc.

    Dr. Jenner Argueta earned his dentistry and endodontics master’s degree at San Carlos de Guatemala University. He obtained the International Endodontics Program Certificate at Buffalo, The State University of New York. Jenner Is the former president of the Guatemalan Endodontics Academy, period 2016 – 2020, certified researcher at the Guatemalan National Council for Science and Technology and Endodontics professor in post-graduate endodontics programs from different countries in Latin America. His clinical practice is focused on microendodontics and micro-restorative dentistry. 

    Dr. Argueta has multiple academic awards, international scientific publications and, experience as an international lecturer in four continents, he has been lecturing in the most important endodontics congresses in the world (AAE, IFEA, SELA, FOLA, FOCAP, ROOTS, Harvard University, among others). Dr. Argueta is in charge of the social dental program provided by a non-profit organization in Guatemala called ADIZ. ADIZ provide dental attention to students with scholarships sponsored by international organizations.

    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: 2.0 CE hour 

    Description: 

    Intentional Replantation or Re-implantation has traditionally been thought of as the “treatment of last resort” because of the difficulties in extracting, handling and successfully replanting the tooth. The replanted tooth was often lost to resorption shortly after the procedure, usually from the desiccation of the periodontal ligament. This technique has been modified by the presenter to significantly reduce this root surface event. The resection, preparation and filling of the root end are achieved while the remainder of the tooth is immersed in a tissue culture solution. This satisfies the nutritional requirements of the cells populating the root surface, and considerably extends the extra-oral period. This multi-media presentation outlines in detail the modified technique via case presentation and examines the success rate with recall periods of 3-20 years.

    • Appraise via 2 and 3-D imaging the triage and feasibility of the selected tooth for successful harvest and replantation.
    • Describe the sequences and techniques for the extraction, handling and replantation of the tooth, and the proper care of the alveolus. 
    • Identify potential sources of complications and discuss their remedies.



    Stephen P. Niemczyk, DMD

    Dr. Niemczyk graduated from the University of Pennsylvania School of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at the IB Bender Postdoctoral Endodontic Program at Albert Einstein Medical Center in Philadelphia, and was recently named the Assistant Program Director in 2018. He is the 2020 recipient of the AAE Calvin D. Torneck Part-Time Educator Award, and also serves as a surgical consultant to the Naval Postgraduate Endodontic Program at the Walter Reed National Medical Center in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA. 
    Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the Journal of Endodontics and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.

    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: DENTSPLY Tulsa Dental Specialties (Individual(s) Involved: Self): Honorarium

    Stephen P. Niemczyk, D.M.D. 

    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: Honorarium/gift (Dentsply Sirona). 


  • Includes Credits

    CE: 0.75

    Course Description: 

    Intentional Replantation is an indispensable procedure that can be applied lastly for tooth preservation in situations where non-surgical endodontic treatment and apical surgery are unfeasible. However, there are many practitioners who are afraid of the outcome of the procedure, because it accompanies the extraction process and we have few studies that predict the prognosis. This lecture presents 10 year-outcomes of intentional replantation with contemporary technique. The success rate by strict criteria was 77%. If ankylosis is not regarded as a failure, the success rate will rise to 85%. External root resorption occurred in just 3% of all the cases and mostly due to cervical trauma during extraction process. This low incidence rate is thanks to proper case selection and good retro-filling materials. On the other hand, recurred periapical radiolucency was found in 5% cases, which accompany MTA wash-out. Less traumatic extraction will reduce external root resorption and use of fast-setting MTA will prevent from wash-out. This lecture also shares the method for less-traumatic extraction based on the results of finite element analysis.

    At the conclusion, participants should be able to:

    • Determine the indication and contraindication for intentional replantation.
    • Describe the main reason for failure and the solution.
    • Perform less-traumatic extraction for intentional replantation.

    Sin-Yeon Cho, D.D.S., PhD

    I received a bachelor's and doctor's degree in dentistry from Yonsei University School of Dentistry. I have been trained in endodontics at Yonsei University Dental Hospital and qualified as a endodontic specialist by the government. I am working at National Health Insurance Ilsan Hospital as a clinical professor and researcher.

    Sin-Yeon Cho, D.D.S., PhD

    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.