Resorption

Resorption

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  • Product not yet rated Includes Credits

    CE Hours: 1.0

    Description: The aim of this study was to leverage label-efficient self-supervised learning (SSL) to train a model that can detect ECR and differentiate it from caries.

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

    • Describe the value and importance of self-supervised learning methods in the field of artificial intelligence (AI). 
    • Describe the function of AI models in detecting external cervical resorption (ECR) and differentiating it from root/tooth caries.
    • Describe the value of introducing AI to the field of Endodontics for detecting ECR. 

    Hossein Mohammad-Rahimi, DDS

    Omid Dianat, DDS, MS, MDS

    Reza Abbasi, MSc

    Samira Zahedrozegar, DDS

    Ali Ashkan, DDS

    Saeed Reza Motamedian, DDS, MS

    Mohammad Hossein Rohban, MHR

    Ali Nosrat, DDS, MS, MDS

    Dr. Ali Nosrat is currently a part-time Clinical Assistant Professor at the School of Dentistry, University of Maryland in Baltimore. Dr. Nosrat received his specialty degree in Endodontics and Masters of Oral Biology in June 2015. He became a Diplomate of the American Board of Endodontics in June 2016. Dr. Nosrat maintains a full-time private practice limited to Endodontics in Northern Virginia.
    Dr. Nosrat holds a Doctor of Dental Surgery (DDS, 2002) and Master of Science (MS) and a specialty degree in Endodontics from Tehran Dental School, Iran (2002). He received his Board Certification from Iranian Association of Endodontist in 2007. 
    Dr. Nosrat currently serves on the Research and Scientific Affairs Committee at the AAE. He is a member of the Scientific Advisory Board for the Journal of Endodontics and a scientific reviewer for International Endodontic Journal and Dental Traumatology. He has published more than 50 articles in the fields of pain, vital pulp therapy in immature teeth, regenerative endodontics, root canal anatomy, management of resorptions, and the impacts of COVID-19 pandemic on endodontic patients.

  • Includes Credits

    CE Hours: 1.0

    Description: This presentation will provide a concise overview of root resorption which will then be followed by case histories illustrating treatment rationales and treatment protocols for the various types of root resorption that is seen in the endodontic practice of today.  

    Learning Objectives: 

    • Explain the basic etiologies and mechanisms of root resorption.
    • Identify and differentiate the various types of root resorption.
    • Creatively apply endodontic treatment principles toward the management of the resorptive process in various clinical scenarios.

    Garry L. Myers, D.D.S.

    Dr. Garry L. Myers currently serves as the graduate endodontic program director at Virginia Commonwealth University (VCU) in Richmond, Virginia. He completed his dental school education at the University of Texas Health Science Center/ San Antonio in 1985. Six years later he completed his endodontic residency program at Wilford Hall Medical Center at Lackland AFB in San Antonio. He became a Diplomate of the American Board of Endodontics in 1994. After serving on active duty for 13 years, Dr. Myers left the USAF in 1998 to enter full-time private practice in Olympia, Washington where he practiced for the next 16 years. In the summer of 2014, full time education entered the picture when Dr. Myers accepted a position at VCU where he now works. Dr. Myers has been active in organized dentistry having served as the president of the Washington State Association of Endodontists in 2006-07 and as the President of the American Association of Endodontists in 2017-18. Dr. Myers currently serves as an ABE Director and as the endodontic CODA Commissioner. He has spoken internationally at meetings in Japan, South Korea, San Diego and Guatemala.

    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

    Cervical root resorptions always present with one or several portals of entry. When the size of this or these portals of entry are large and communicate with the alveolar bone, a surgical approach is recommended. It consists in raising a flap, removing the granulation tissue, severing the vascularization in order to stop the progression of the resorptive process, and restoring the dentinal defect. This presentation will address the biological mechanisms of root resorptions and describe step by step the surgical management of cervical root resorptions.

    Learning Objectives:  

    • Explain the mechanisms leading to cervical root resorptions
    • Describe when to choose between the internal approach and the surgical management of cervical root resorptions
    • Describe how to surgically manage cervical root resorptions

    Raymond Dionne, D.D.S., M.S. Ph.D.

    Dr. Dionne received a DDS from Georgetown University and a PhD from the Medical College of Virginia. He conducted clinical and translational pain research at the National Institute of Dental and Craniofacial Research for 34 years, as well as practiced dentistry part-time in the District of Columbia. He is currently a restless retiree living in Missouri.

    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: AIM Targeted Therapeutics: Consultant on preclinical development of an investigational analgesic formulation (Ongoing); Rilento Pharma: consultant for pre-clinical development of investigational analgesic formulation (Ongoing)

  • Includes Credits

    CE Hours: 0.75

    Description: Once considered to be a rare condition, resorption seems to be on a dramatic rise. While small external resorptive defects could often be treated surgically, options for treating more complex internal defects were severely limited, often resulting in extraction. Recently, new technologies and materials have emerged which have greatly expanded our treatment options. With the introduction of cone beam CT as a diagnostic tool, we can now make a much more accurate diagnosis and formulate a more effective treatment plan. In addition, the advent of many other exciting new technologies, materials and techniques, allow us to more predictably treat these conditions.

    Traditionally, advanced dental resorption cases have been treated by surgical and non-surgical endodontic therapy and/or extraction. In this presentation, we will share numerous conservative treatment options including surgical seal with and without endodontic treatment. We will also demonstrate the application of a novel, multi-sonic irrigation system, as well as dental lasers, to effectively treat even advanced internal and external resorptive defects. The advantages and disadvantages of these protocols will be discussed throughout this presentation.

    Learning Objectives:  

    • Recognize the importance of CBCT in forming an accurate diagnosis for resorption cases
    • Evaluate cases and determine whether surgical, non-surgical or combined treatments are indicated to give the most predictable results and understand when root canal treatment is necessary
    • Discuss novel technologies and techniques available to treat resorption and their application

    Tatiana M. Botero, D.D.S., M.S.

    Dr. Botero received her dental degree (DDS, 1987) from CES University in Medellin, Colombia, Specialty training in Endodontics at Pontificia Universidad Javeriana in Bogotá, Colombia (1995) and the advanced Specialty Certificate in Endodontics from University of Michigan in 2005. She was Clinical Assistant Professor at CES University and had her private practice in Colombia (1989-2000). Dr. Botero joined the University of Michigan in 2001 and presently she is full time Clinical Professor and teaches Endodontics to graduate and undergraduate students. She is the director of the dental postgraduate fellowship program in endodontics. She also practices Endodontics at a private Dental clinic in Michigan. In 2012 Dr. Botero became a Diplomate of the American Board of Endodontics and she joined the Regenerative Endodontic committee from the American Association of Endodontics since 2013 and chair 2014-2020. She is Past-president of the Pulp Biology and Regeneration group of the American Association and International Association of Dental Research. Dr. Botero has authored and co-authored numerous scientific peer reviewed articles and book chapters. She serves as reviewer for several endodontic and dental journals. Her research of interest and publications are on caries-induced angiogenesis and Regenerative 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.

    Michael Shapiro, DMD, MS Diplomate, ABE

    Dr. Michael Shapiro was born and raised in Calgary, Canada and completed his undergraduate dental training at the University of Manitoba in 1999. He continued his education, completing and Advanced Education in General Dentistry residency at the University of Michigan in 2000, after which he taught restorative dentistry. Michael practiced full-time comprehensive general dentistry until 2013 when his passion for endodontics led him to pursue specialty endodontics training at the University of Michigan. He completed the program in 2016 and became a Diplomate of the American Board of Endodontics in 2017, and is currently is in full time private practice at Root Canal Specialty Associates. He is also an adjunct Clinical Assistant Professor at the University of Michigan, where he teaches at the undergraduate and graduate level, and is involved in several different dental societies. When not practicing or teaching endodontics, Michael enjoys astrophotography, cooking, golfing, reading and spending time with his beautiful wife Lainie, a local orthodontist, and two beautiful children Jacob and Maddie.

    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 below: Sonendo ( Finacial relationship)

  • Includes Credits

    CE Hours: 0.75

    Description: In the past decade, External Invasive Resorption (EIR) has been explored more than any other time in history. The use of advanced imaging, proper follow-up, and biological investigation has led to increased knowledge and improved therapeutic techniques. But perhaps one of the most striking advancements has been our knowledge on the pathophysiology and outcome of EIR. In this lecture I will attempt to link the two and present biological justification for case selection and treatment outcome.

    Learning Objectives:  

    • Discuss case selection and treatment plan strategies in relation to External Invasive Resorption
    • Describe various surgical and non-surgical methods for treating External Invasive Resorption
    • Explain the pathobiology of External Invasive Resorption

    Matthew Malek, D.D.S.

    Dr. Malek received his certificate in the specialty of endodontics from NYU Dentistry in 2011. He is currently the Director of the Advanced Education Program in Endodontics at NYU and practices endodontics in private practice in Manhattan, New York. 

    He is involved with several research projects which focus on pain, Regenerative Endodontics, and Invasive Cervical Resorption of the root which he has the most interest. He lectures frequently to local, national, and international communities on the topic of resorption. Dr. Malek is the faculty winner of the Foundation of Endodontics Spring 2022 Competitive Research Proposal for his research on Invasive Cervical Resorption. Dr. Malek is the author/co-author of several peer-review articles and chapters in prominent endodontic journals and textbooks.

    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: 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: 1.5

    Description: Root Resorption is defined as the loss of dental tissue due to the action of odontoclastic cells. An early diagnosis and correct management can avoid the loss of the tooth. During this presentation, different types of root resorptions and different treatment strategies will be presented. Special focus will be given to etiologic factors, diagnosis and the use of newer materials

    Learning Objectives:  

    • List the different types of resorptive lesions
    • Explain the use of modern materials and techniques for early detection and treatment of resorptive lesions
    • Describe the management of resorptive lesions in different clinical scenarios

    Carlos Aznar Portoles, D.D.S., M.Sc.

    Dr. Carlos Aznar Portoles received his BDS from the International University of Catalonia in Spain in 2004. In 2009, he completed an MSc program in endodontics at the same university. In 2014, he completed a postgraduate program in endodontics at the Academic Centre for Dentistry Amsterdam in the Netherlands. (ACTA)

    Carlos runs a private practice limited to endodontics and endodontic microsurgery in Haarlem, The Netherlands.

    He is the author of several endodontic-related articles and lectures regularly at national and international meetings.

    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: Dental trauma often leads to long term side effects on the pulp chamber and the periapical tissues. This course will go over the long term side effects caused by trauma such as cervical root resorption, internal resorption and root ankylosis. We will explore the treatment options that are sometimes needed several years after the initial dental trauma.

    Learning Objectives:  

    • Describe what can occur to traumatized teeth over the years
    • Describe how to evaluate and treat teeth with cervical root resorption
    • Explain how to evaluate and treat teeth with root ankylosis

    Peter Z.Tawil, DDS, MS

    After starting his professional path in Mechanical Engineering at McGill University, Dr Tawil decided to pursue his interest in Dentistry. He obtained his DMD at the Université de Montréal and his AEGD certificate at the University of Rochester. Through his dental journey, Dr Tawil discovered his passion for saving the natural dentition and completed his Masters in Endodontics at UNC in Chapel Hill. Upon completion of his studies, Dr Tawil worked as a specialist in private practice for numerous years in Québec and in North Carolina. Furthermore, he started an academic appointment at the University of North Carolina in 2011 where he progressed to become the Olmsted Family Distinguished Professor and the Director for Graduate Endodontics. He has several publications with an emphasis on Periapical Micro-surgery. In addition, Dr Tawil has a devotion for service, he co-founded the Montreal Homeless Street Youth Dental Clinic and has been committed to his ongoing dental mission work in underdeveloped nations.

    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: 0.5

    Description: The incidences of cracked teeth have increased significantly in the United States over the last decade! Even before the pandemic, the AAE 2015 Special Committee on the Methodology of Cracked Tooth Studies conducted a survey and found 49% of 941 endodontists had seen an increase of cracked teeth and vertical root fractures compared with the previous decades. (1) Poor occlusion, bruxism/parafunctional habits, and wedging events combined with repetitive forces are all potential etiologies for tooth cracks. As these early cracks develop, bacteria and biofilms can form, eventually progressing towards the pulp and resulting in pulpal necrosis. (2) Cracks when left untreated, can propagate into fractures resulting in catastrophic failures and tooth loss, such as in the incidence of a split tooth. (3) 

    Early in the COVID-19 pandemic, a Sept. 11, 2020, article in USA Today reported that endodontists were seeing twice as many cracked teeth as they did in the prior year. (4) The March 21, 2021, ADA Huddle reported that an ADA Health policy survey had found a rise in stress-related tooth damage linked to pandemic stress. (5) More recently, the JOE published an article comparing the incidence of cracked teeth in a private endodontic practice over three years (2019, 2020, and 2021), showing a significant increase in the incidence of cracked teeth in the 40-60 age group (2020) and males 40-60 and over-60 age groups in 2021. (6) Regardless of direct or indirect causes, the diagnosis of cracked teeth was already highly prevalent before the pandemic and has subsequently and substantially increased since that time. We are at a point where we must include cracked teeth and vertical root fractures in almost every differential diagnosis of tooth pain.

    Let us look at the new definitions of cracked teeth and vertical root fractures.

    Learning Objectives:

    • Discuss the most recent definitions used for longitudinal fractures of teeth.
    • Describe the clinical diagnostic features of both cracked teeth and vertical root fractures. 
    • Describe the radiographic features of both cracked teeth and vertical root fractures.
    • Discuss current treatment options for both cracked teeth and vertical root fractures.
    • Discuss prognosis for cracked teeth requiring root canal treatment using the Iowa Staging Index.

    Keith V. Krell, D.D.S., M.S., M.A.

    Dr. Krell received his D.D.S. and M.S. degrees from the University of Iowa in 1981 and 1983, respectively. He earned his M.A. degree in sociology-anthropology in 1975, from the United States International University in San Diego, Calif. 

    Dr. Krell has been an endodontist for over 43 years. He was a full-time educator for 8 years at the University of Iowa and was in private practice in West Des Moines, Iowa for 29 years until he retired December 31, 2017. He is still an adjunct clinical Professor in the Department of Endodontics at the University of Iowa College of Dentistry. He has lectured nationally and internationally about his research on cracked teeth based on his data base of over 3,000 private practice cases.  His complete data base is over 50,000 cases.

    Dr. Krell is a Diplomate of the American Board of Endodontics, as well as a past president and past director of the ABE.  He is a past president of AAEF (now the Foundation for Endodontics) and finally is past president of the American Association of Endodontists.

    Dr. Krell has been married for over 52 years to Diane and they have five grandchildren. He still has research interests in cracked teeth and vertical root fractures.

    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: Orthodontically induced external root resorption has been labeled an unavoidable consequence of orthodontic tooth movement (OTM). The objective of this study was to investigate the change in surface area (mm^2) and volume (mm^3) of endodontically treated teeth (ETT) compared with contralateral teeth with a vital pulp (VPT) after OTM.

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

    • List risk factors associated with orthodontically induced external root resorption
    • Explain the safety of orthodontic tooth movement following root canal treatment with patients and dentists
    • Utilize cone-beam computed tomography to recognize orthodontically induced external root resorption

    Austyn C. Grissom, DMD, MSD

    Dr. Austyn Grissom is an endodontist in Daphne, Alabama. He received his Bachelor of Science degree from Auburn University (2014), DMD from the University of Alabama School of Dentistry (2018), and Master of Science in Dentistry & certificate in endodontics from UTHealth School of Dentistry at Houston (2022).

    Benjamin E. Cozad, DDS, MSD

    Dr. Benjamin Cozad serves as an Associate Professor at UTHealth School of Dentistry at Houston and practices orthodontics in Houston, Texas.

    Scott R. Makins, DDS, MS

    Dr. Scott Makins is a dual-trained endodontist and oral and maxillofacial radiologist. He recently retired from his position as an Associate Professor at the UTHealth School of Dentistry in Houston, Texas.

    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.

    Jeryl D. English, DDS, MS

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

    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.