CE Hours: 0.75

Description: Surgical repair remains the most predictable and long-term effective treatment for External Cervical Resorption (ECR), with evidence-based supporting it success over follow-up periods up to 10 years. This surgical approach enables the preservation of pulp vitality in early stages, enhancing both structural resistance and overall prognosis. The surgical repair permits cleaning correctly the affected area with different instruments and techniques. Establishing a standardized surgical protocol is critical to achieve consistent clinical outcomes. Careful selection of the restorative material is essential and must be chosen according to the lesion's location, size, and accessibility. This presentation outlines the clinical indications for surgical intervention in ECR and proposes a step-by-step treatment protocol based on a series of clinical cases with a minimum follow-up of one year. Additionally, it provides evidence-based recommendations for selecting the most appropriate filling materials to optimize outcomes.

Learning Objectives:  

• Identify which ECR cases require surgical treatment.
• Describe a step-by-step protocol for the surgical management of ECR.
• Compare different restorative materials for ECR considering critical factors such as defect location and extent.

CE Hours: 1.5

Description: Multiple root resorption is a rare but clinically significant condition with a multifactorial and often elusive etiology. In this presentation, we explore the unique and complex nature of multiple root resorption through the detailed analysis of three distinct cases. Each case was examined using Cone Beam Computed Tomography (CBCT), and where available, further evaluated with high-resolution micro-CT and histology. Methodology: The extracted teeth underwent detailed structural analysis using a NanoTom high-performance scanner (GE Measurement and Control Solutions, Wunstorf, Germany). The internal and external structures were reconstructed and assessed using CTAn, CTvol, CTvox, and DataViewer software (Bruker micro-CT, Kontich, Belgium). Cellular and tissue analysis were performed by histological staining techniques, including paraffin sectioning, and hematoxylin-eosin staining. Results & Discussion: Although the cases demonstrated similar structural features, such as the presence of a pericanalar layer, the intensity, rate of progression, and underlying etiology varied. Histological sections revealed inflammation in some cases, while others showed fibro-osseous tissue and less aggressive resorptive activity. These findings reinforce the view that multiple root resorption is not a uniform condition, as it depends on various etiological and biological factors. Conclusions: These cases illustrate that not all cases of multiple root resorption are the same. They can be unique in terms of etiology and nature, and thus they should be considered as independent cases and dealt individually.

Learning Objectives:  

• Describe the importance of using a multimodular approach in the evaluation of multiple root resorption cases
• Identify similarities and differences between multiple resorption cases
• Identify etiology behind multiple resorption cases so as to optimize treatment planning and management of these cases.

CE Hours: 1.25

Description: The systemic connection in the daily practice can have a significant impact on the management of root resorption. This presentation will discuss diagnostics, clinical interventions and alternatives for treatment of external resorptive defects based on the best available evidence while focusing on favorable patient centered outcomes.

Learning Objectives:  

• Guide the clinician through a plethora of interventions for external root resorption supported by the best available evidence.
• Recognize the impact of the systemic connection on the management of external resorption.
• Apply recent technologies in treatment planning to provide favorable patient-centered outcomes.

CE Hours: 0.75

Description: The management of dental trauma remains a complex clinical challenge with significant implications for both patients and providers. Traumatic dental injuries can range from uncomplicated crown or root fractures to more severe damage involving the supporting periodontal structures, such as luxation, intrusion, and avulsion injuries. This presentation will review the most recent guidelines published by the International Association of Dental Traumatology (IADT), focusing on the prevention, diagnosis, and evidence-based management of traumatic dental injuries. A series of clinical cases-featuring multiple examples with long-term follow-ups-will be presented to illustrate practical application of these guidelines and to highlight the outcomes of various treatment approaches.

Learning Objectives:  

• Apply the IADT guidelines for the prevention, diagnosis, and management of traumatic dental injuries, and recognize when and how to modify treatment protocols based on individual case factors.
• Identify common endodontic complications associated with dental trauma and implement evidence-based strategies for their long-term management.
• Recognize the value of interdisciplinary collaboration in optimizing outcomes for patients with complex traumatic dental injuries, especially in cases involving long-term follow-up and comprehensive care.

CE Hours: 0.75

Description: Regenerative endodontic procedures (REPs) offer a biologically based treatment option with the potential to restore tooth vitality and support root maturation. Clinical success is typically measured by the resolution of symptoms, apical closure, increased canal wall thickness, root elongation, and positive vitality responses. REPs have demonstrated high predictability and long-term tooth survival, particularly critical in younger patients where the goal is to maintain function for decades. Despite logistical challenges, long-term follow-up provides essential insight into the durability of these outcomes and the factors influencing treatment success. In this presentation, we will analyze a series of REP cases with extended follow-up, highlighting clinical trends, outcomes, and complications observed over time.

Learning Objectives:  

• Identify key predictive factors that influence the success of regenerative endodontic procedures.
• Apply step-by-step clinical protocols tailored to specific case scenarios.
• Discuss emerging trends and future directions in REP techniques and materials.

CE Hours: 1.5

Description: Numerous classification systems have been used in the dental literature over the years to describe the various types of tooth resorption. However, there has been no consensus and the dental profession has not adopted any particular classification for universal use. Compounding this problem has been the use of different, conflicting, confusing, unclear and inconsistent terminology to name the same condition which leads to uncertainty amongst clinicians, researchers and students regarding the diagnosis and management of resorbing teeth. The International Association for Dental Traumatology (IADT) and the Dental Trauma Guide (DTG) have recently collaborated to develop a new, comprehensive classification of tooth resorption and its associated conditions. During this session, this new classification will be presented with justification for the use of specific terminology. Each type of resorption will be defined and described to enable easy diagnosis. The general principles of management of each type of resorption will be outlined to provide clinicians with guidelines to manage their own cases. Examples showing the outcomes of these treatment protocols will also be presented.

Learning Objectives:  

• Describe  the principles used to develop the new IADT/DTG classifications of tooth resorption and associated conditions
• List the various types of tooth resorption and associated conditions as outlined in the new IADT classification
• Apply the new classification to clinical practice when diagnosing teeth with resorption

CE Hours: 1.5

Description: The advent of laser technology has significantly transformed the landscape of medical and dental surgery, offering improved precision, minimal invasiveness, and enhanced healing outcomes. In dentistry, lasers are already well-established in periodontal and oral surgeries. This presentation explores the emerging and increasingly promising role of dental lasers in Endodontic microsurgery, examining their applications in critical procedures such as incision, osteotomy, root-end resection, bone decortication, and photo-biomodulation. Through the presentation of recent data and clinical findings, we evaluate whether lasers can effectively replace traditional instruments in terms of efficacy, precision, and patient outcomes. Key benefits highlighted include minimized postoperative pain, reduced swelling, and faster recovery times. Additionally, for the first time, we introduce the concept and application of laser-guided endodontic surgery, showcasing how this integration enhances surgical navigation and accuracy. The central question-whether lasers will fully replace traditional tools-will be addressed through clinical evidence, technological capabilities, and practical considerations, offering a comprehensive perspective on the future of Endodontic microsurgery.

Learning Objectives:  

• Identify the specific clinical procedures in Endodontic microsurgery where lasers can be utilized, including incision, osteotomy, root-end resection, bone decortication, and photo-biomodulation.
• Compare laser-based techniques with traditional surgical instrumentarium, assessing the advantages and limitations of each approach.
• Evaluate the clinical benefits of laser use in microsurgery, such as reduced invasiveness, minimized postoperative pain, decreased swelling, and improved healing outcomes.

CE Hours: 1.0

Description: Root resorption is a common sequelae after traumatic injuries to the periodontal ligament and/or dental pulp. The course of root resorption involves an elaborate interaction among inflammatory cells and mediators, resorbing 'clastic' cells, and hard tissue structures. Types of tooth resorption include internal and external resorption. Internal resorption has been categorized into internal replacement and internal inflammatory resorption. External resorption has been classified into four categories by its clinical and histologic manifestations: external surface, external inflammatory, replacement and ankylosis. This presentation will address the etiology, diagnosis and clinical management of root resorption.

Learning Objectives:  

• Describe the etiology and pathogenesis of the different types of root resorption.
• Develop a comprehensive treatment approach for teeth with root resorption.
• Identify the challenges involved when a tooth becomes ankylosed in the growing child.

CE Hours: 1.5

Description: It is essential for all endodontists to possess basic knowledge of emergency treatment for dental trauma, as well as the ability to recognize and manage late complications that often arise after traumatic dental injuries. This session will review the latest AAE Trauma Guidelines, highlighting the updates and what remains unchanged. Additionally, it will provide an update on treatment options that endodontists should be able to perform for the most common late complications, with a focus on preserving the alveolus and alveolar bone in young patients with severely compromised teeth after dental trauma. This discussion will include treatment options such as root resorptions, root submergence, decoronation, and autotransplantation.

Learning Objectives:  

• Discuss the latest AAE's Dental Trauma Guidelines.
• Diagnose the most common late complications following dental trauma.
• Describe treatment options for severely compromised teeth caused by dental trauma.

CE Hours: 1.0

Description: Multiple Cervical Root Resorption (MCRR) is a rare condition characterized by the progressive destruction of the cervical region of multiple tooth roots, leading to significant tooth loss. The etiology and pathogenesis of MCRR remain poorly understood. Existing knowledge is largely derived from case reports/series. A comprehensive review of literature is crucial to identify potential systemic and dental factors that contribute to the development and progression of MCRR.

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

• Describe the systemic diseases, genetic mutations, and medications that have been implicated in multiple cervical root resorption.
• Discuss the common pathogenic pathways shared by multiple cervical root resorption and conditions affecting the skeletal system.
• Describe the role of interdisciplinary collaboration in the diagnosis and management of multiple cervical root resorption.