Resorption
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Includes Credits
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.
Yuhong Lin, DDS
Dr. Yuhong Lin is a second year Endodontics resident at Texas A&M University College of Dentistry. She received her dental degree from UTHealth Houston School Dentistry.
Vivek Thumbigere-Math, BDS, PhD
Vivek Thumbigere Math, BDS, PhD, is a board-certified periodontist and Assistant Professor in the Division of Periodontics at the University of Maryland School of Dentistry. He is nationally an internationally recognized for his leadership in periodontology, combining excellence in clinical care, education, and translational research to improve oral and systemic health outcomes. Dr. Math earned his Bachelor of Dental Surgery (BDS) in India, followed by a PhD and residency training in Periodontology at the University of Minnesota. He subsequently completed a prestigious postdoctoral fellowship at the National Institutes of Health (NIH) under the mentorship of Dr. Martha Somerman (former director of NIDCR). At the University of Maryland, Dr. Math provides advanced periodontal and implant care with a strong emphasis on evidence-based, patient-centered treatment. As a passionate educator, Dr. Math mentors dental students and periodontology residents while actively contributing to curriculum development and innovation. His research focuses on periodontal disease pathogenesis, osteoimmunology, and the intersection between oral and systemic diseases. His research program has been continuously supported by competitive NIH funding. He has authored over 40 peer-reviewed publications in leading scientific journals and is a frequently invited speaker at national and international conferences. Dr. Math serves on multiple NIH study sections and editorial boards, and is currently Associate Editor of Frontiers in Dental Medicine.
Anil Kishen, B.D.S., M.D.S., Ph.D.
Dr. Anil Kishen is the Dean, Zwingenberger Decanal Chair, and Professor ofEndodontics at the Faculty of Dentistry, University of Toronto. He also holds aTier 1 Canada Research Chair in Oral Health Nanomedicine.
Dr. Kishen has received numerous honors, including the 2020Louis I. Grossman Award from the American Association of Endodontists, the 2023National Dental Research Award (CADR/ACFD), the W. W. Wood Award for excellencein dental education, and the Enterprise Challenge Innovator Award in Singapore.
He has published over 300 journal articles, 24 bookchapters, and three books, and holds 12 patents. He has delivered more than 200invited lectures globally and serves as Associate Editor for several leadingjournals, including the Journal of Endodontics.
His research, funded by federal and foundation grants,focuses on wound healing, nanoparticle-guided tissue engineering, andmicrobe–host cell interactions.
Jianing He, D.M.D., Ph.D.
Dr. Jianing (Jenny) He received her dental degree from West China University of Medical Sciences in 1996, and a certificate in Endodontics and a PhD in Oral Biology from the University of Connecticut Health Center in 2003.
Dr. He has been actively involved in endodontic education, research, and clinical practice. She is a Diplomate of the American Board of Endodontics, and a fellow of American College of Dentists. She has published over 50 manuscripts in peer-reviewed journals and co-authored chapters in 4 textbooks including Pathways of the Pulp. Dr. He served on the Regenerative Endodontics committee, Research and Scientific Affairs committee for the AAE, and she is currently an Associate Editor of the Journal of Endodontics.
Dr. He is an Adjunct Professor at Texas A&M University College of Dentistry, and maintains a full-time private practice limited to Endodontics in McKinney and Flower Mound, Texas.
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: Brasseler USA (Individual(s) Involved: Self): Honorarium (Terminated)
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Includes Credits
CE Hours: 0.75
Description: Root perforations represent one of the most challenging complications during endodontic procedures. These are defined as a communication between the root canal space and the periodontal tissues, and can result as a pathological phenomenon (perforating root resorptions) or a iatrogenic event. To date, factors such as time, size, location, radiolucency adjacent to the perforation, gender or the repair material have been reported as significant prognostic factors. Thus, the primary aim of this this presentation is to perform an exhaustive literature review regarding root perforations outcome. The secondary objective is to describe the clinical management of root perforations and to present the results of a recent investigation carried out in a private practice during 2014-2022 with a minimum follow-up 2 years. A sample size of 82 teeth was retrospectively assessed and the outcome (healed, healing in process, failure) was statistically related to all the possible outcome predictors.
Learning Objectives:
- Describe a well-established protocol to manage root perforations according to the different scenarios (time, size, location of the perforation).
- Review the present literature regarding root perforations treatment outcome.
- Evaluate the success of root perforations repair in combination with the preoperative, intraoperative and postoperative prognostic factors of current investigation.
Xavier-Fructuós Ruiz Sanchez, D.D.S, M.Sc
Dr. Xavier-Fructuós Ruiz graduated from dentistry at the Universitat Internacional de Catalunya (UIC) in Barcelona, Spain. He also obtained the European Master in Endodontics 3-year full time program and the Master’s Degree in Dental Research from the same university. In 2018 he was a visiting doctoral researcher at ACTA (Amsterdam, The Netherlands). He is currently developing his studies for the PhD.
In 2017 Xavier-Fructuós Ruiz received the best clinical case presentation award at the Biennial Congress of the European Society of Endodontology (ESE, Brussels, Belgium). In 2018 que won the best scientific article published in 2017 at the XXII National and IX International Congress of the SEOC (Seville, Spain). Furthermore, in 2020 he obtained the Journal of Endodontics Publication Award 2019 for the best published systematic review and the Honorable Mention in 2021 from the American Association of Endodontists (AAE).
Dr. Ruiz is an associate professor at UIC and has contributed as an author of scientific publications related to endodontics in national and international journals with high-impact factor. He is an active member of the Spanish Association of Endodontics (AEDE), a specialist member of the European Society of Endodontology (ESE) and an international member of the AAE. Furthermore, Dr. Ruiz combines his work in a private practice limited to Endodontics in Barcelona (Spain) with lectures in national and international congresses.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.5
Description: In modern dentistry, more natural teeth are retained in service for an increased number of years in which they are subjected to a wide array of chemical, mechanical and microbiological stimuli including the iatrogenic impact. Therefore, the presentation of different resorptive defects is not a rarity in dental offices. This clinically oriented presentation will discuss various aspects of root resorption categories from pathophysiology to diagnosis and treatment planning. The aim is to guide the clinician through non-surgical, surgical, and monitoring management protocols supported by the best available evidence, and enhance the clinical practice to provide favorable patient-centered outcomes.
Learning Objectives:
- Discuss pathophysiology of root resorption and clinical relevance.
- Evaluate modes of intervention in cases of root resorption applying most recent technology.
- Describe patient centered outcomes for management of root resorption.
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Includes Credits
CE Hours: 1.0
Description: Managing root resorption can be challenging as it involves the management of pulpal, periapical, and periodontal tissues. The clinician must consider long-term vs. short-term outcomes, function, and esthetics. Maintaining a balance between conservative and aggressive approaches renders the decision-making process complicated. In this presentation, biological and clinical aspects of different types of resorption will be explored, with a focus on External Invasive Resorption. Various approaches to the treatment of root resorption will also be discussed.
Learning Objectives:
- Identify common types of root resorption.
- List clinical and pathobiological features for each type of resorption.
- Describe various treatment modalities for 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 a Diplomate of the American Board of Endodontics and 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 External Invasive 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 External Invasive Resorption. Dr. Malek is the author/co-author of several peer-review articles and chapters in prominent endodontic journals and text books.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.
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Includes Credits
CE Hours: 1.25
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, prognosis and treatment planning. These lesions should be classified according to signs and symptoms that have direct impact on their treatment, such as presence or absence of fractures, perforations and external root resorption, presence or absence of periodontitis, 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. Exposing a CBCT scan may be an important diagnostic tool to confirm the real extent of both lesions and their possible communication and reveal root anatomic factors that may predispose to the clinical outcome. Understanding the complex pathogenesis of both lesions can determine the therapeutic approach for a successful regenerative treatment outcome.
Learning Objectives:
- Identify and classify endodontic periodontal lesions.
- List and sequence therapeutic approaches to treat endodontic periodontal lesions.
- Define diagnostic tools to clinically assess combined endodontic periodontal lesions.
Sami M.A. Chogle, B.D.S., D.M.D., M.S.D.
Dr. Sami Chogle completed an MSD in Postdoctoral Endodontics from Case Western Reserve University in 2000 in Cleveland OH. While starting his career in private practice he also took on the role of Assistant professor in Endodontics at Case Western Reserve University where he really found his passion, combining Endodontics and teaching. From there Dr. Chogle’s role at Case Western grew to Associate Professor and to Director of Undergraduate Endodontics. In 2009 Dr. Chogle was offered the position of Program Director of Advanced Education in Endodontics at Boston University Institute in Dubai UAE for their Advanced Specialty Education Program in Endodontics. After four years of teaching in Dubai, in 2012 he transitioned to Boston, MA to be the Director of the Henry M. Goldman School of Dental Medicine Advanced Education Program in Endodontics. In 2017, Dr. Chogle was promoted to be Chair as well as Program Director of the program. Dr. Chogle has held over 10 different professional appointments, most recently of which he has been appointed to be on the Board of the AAE as well as President of the Massachusetts Association of Endodontists.
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 also completed a Research and Clinical Education Fellowship in 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. -
Includes Credits
CE Hours: 0.75
Description: Many teeth that Endodontists encounter have challenging “Endo-restorative-perio” issues. These include teeth with deep sub-gingival caries, cracks, resorptions, and coronal micro-leakage. Many clinical "tips and tricks" will be discussed in this presentation in order to successfully and predictably save these teeth long-term. Deep margin elevation for subgingival carious teeth, crack dissection, non-surgical resorption repair and many other techniques will be discussed.
Learning Objectives:
- Describe “deep margin elevation" technique and its role in reducing the need for surgical crown lengthening.
- Discuss techniques to treat resorption defects successfully.
- Perform preendo and postendo buildup with adhesive techniques that reduce the need for post placement.
Robert Salehrabi, D.D.S.
Dr. Salehrabi received his dental degree from the State University of New York at Buffalo in 1992 and practiced as a restorative dentist for 10 years prior to his advanced endodontic residency at the University of Southern California School of Dentistry.
His research articles have been published in the Journal of Endodontics, OOOOE and other peer-reviewed dental journals, and he is the recipient of the International Federation of Endodontic Associations' Research Award.Disclosure(s): Septodont North America: Honorarium (Ongoing)
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Includes Credits
CE Hours: 1.0
Description: Severe traumatic dental injuries in growing patients often lead to a range of complications, including pulp necrosis, ankylosis, infra-occlusion, complex restorability issues, tooth loss and subsequent bone loss. These issues can severely impact the patient’s quality of life, since the most affected teeth are the maxillary central incisors in the aesthetic area. Given that young patients have limited options for tooth replacement, preserving both the architecture and amount of bone in the affected area is crucial. Effective bone preservation ensures that when the time comes for future prosthetic solutions, such as implants, they can be implemented with minimal additional procedures. By employing effective bone preservation techniques, both immediate and long-term results can be improved, making future tooth replacement easier and less costly. This presentation will cover a series of clinical cases that demonstrate how these strategies can significantly impact aesthetic and functional outcomes for young patients.
Learning Objectives:
- Identify the range of complications that can arise from severe traumatic dental injuries in young patients.
- Explain bone preservation techniques and how they can potentially maintain both the architecture and quantity of bone in these patients assisting in future replacement procedures.
- Describe practical skills in applying effective bone preservation strategies in clinical practice to ensure optimal outcomes for future prosthetic interventions.
Isabel Mello, D.D.S., M.Sc., Ph.D.
Dr. Mello received her DDS degree from the Federal University of Alfenas, Brazil. She completed her residency and Master of Sciences in Endodontics at the University of Sao Paulo and later defended her PhD in Dental Sciences through 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, and has received several teaching awards throughout her academic career. Dr. Mello has lectured nationally and internationally, is an active researcher, and has published several papers in peer-reviewed journals. She is a board-certified Endodontist and a fellow of the Royal College of Dentists of Canada. She is also a reviewer for the Journal of Endodontics and other journals.
Dr. Mello serves as consulting staff in the Dentistry Department at the IWK Children’s Hospital in Nova Scotia and maintains a part-time practice in the region.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.25
Description: Managing cervical root resorption is anything but straightforward. It encompasses a wide spectrum of approaches, from minimal intervention to extensive surgical repair or even tooth extraction. The decision-making process is highly multifactorial, requiring careful consideration of, the stage of resorption, the location and extent of the defect, Tooth position and accessibility, as well as the patient’s age, overall oral health, and preferences. This presentation aims to provide a comprehensive review of the biological processes underlying root resorption, diagnostic strategies for accurate staging, and clinical approaches to improve prognosis and outcomes.
Learning Objectives:
- Discuss the biological mechanisms controlling the progression and healing of cervical root resorption.
- Identify the key elements necessary for predictable and successful surgical interventions.
- Review the latest evidence-based insights into prognostic factors and clinical outcomes for informed treatment planning.
Adham A. Azim, D.D.S., B.D.S.
Dr. Azim is an Associate Professor, Chair of the Endodontic Department, and the Director of the Post-Graduate Program at University of the Pacific, Arthur A. Dugoni School of Dentistry. He maintains a private practice limited to Endodontics and he is also the Founder and CEO of Endolit. Dr. Azim earned his BDS from Cairo University, where he also did his Endodontic training. He later completed his Endodontic certificate at Columbia University, and since then, he has been a full-time Educator and a Part-Time Private Practitioner. Before Joining the University of the Pacific, he Served as the Division Head and the Director of the Endodontic Post-Graduate Program at University at Buffalo. Dr. Azim is the recipient of the 2023 AAE Edward M. Osetek Award for outstanding educators. He is Diplomate of the American Board of Endodontics and has lectured all over the world. He has over 40 publications in peer-reviewed journals and several text-book chapters contributions. He is a member of the Scientific Advisory Board of the Journal of Endodontics, and a reviewer for multiple other Endodontic Journals.
Speaker Disclosure
Disclosure(s): Endolit LLc: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing); FKG Dentaire, Switzerland: I am a consultant (Ongoing); Odne: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing); Woodpecker: royalties (Ongoing)
Guillaume Jouanny, D.D.S., M.S.
g.jouanny@gmail.com
Dr. Guillaume Jouanny received his DDS degree from the University of Paris Descartes in 2008. He practiced General Dentistry and Endodontics in Private practice from 2008 to 2012. He was clinical assistant from 2010-2012 in the same University in Restorative Dentistry and Endodontics. He moved to Philadelphia to specialize in Endodontics in 2012 at the University of Philadelphia where he graduated in 2015. Since 2015 he has been practicing Endodontics in Paris in private practice and teaching Endodontics at the University of Paris Descartes. His main topics of research are Root Resorptions and Endodontic Microsurgery.
Dr. Jouanny has written several articles focusing mainly on Surgical Endodontics and he lectures internationally.
He is the coauthor of the book "Microsurgical Endodontics" (Quintessence Pub) with Dr B. Khayat.Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.5
Description: This presentation will provide an overview of the relationship between trauma and root resorption. It will be clinically focused discussing management principles of various types of root resorption through a series of case illustrations to include inflammatory root resorption, replacement root resorption and invasive cervical resorption. Diagnosis, Classification and Etiology of root resorption will also be reviewed.
Learning Objectives:
- Explain the clinical methods used for determining what type of resorption has been encountered.
- Differentiate key factors related to each of the various types of root resorption seen in the endodontic practice.
- Describe general principals of management for each type of root resorption.
Garry L. Myers, D.D.S.
Garry Myers graduated dental school in 1985 from San Antonio. He spent thirteen years in the Air Force during which time he completed his endodontics residency at Wilford Hall Medical Center. He next spent sixteen years in private practice in Olympia, Washington. For the past ten years he has been the Graduate Program Director at Virginia Commonwealth University.
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.
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Includes Credits
CE Hours: 1.5
Description: Until recently there was a paucity of information on the concise relationship between endodontics and orthodontics during treatment planning decisions especially following tooth trauma and its sequelae. This relationship ranges from effects on the pulp from orthodontic treatment and the potential for resorption during tooth movement, to the clinical management of teeth requiring integrated endodontic and orthodontic treatment. This presentation will provide both a literature basis for this relationship along with treatment directives to meet challenges in clinical practice.
Learning Objectives:
- Identify the impact of orthodontic tooth movement (OTM) on the pulp and the supporting periodontium.
- Identify and discuss treatment planning for teeth that have undergone trauma and are planned for OTM.
- Identify issues of tooth resorption as it relates to the dental pulp, trauma and OTM using the literature as a guide for diagnostic and treatment choices.
James L. Gutmann, D.D.S
Dr. James L. Gutmann is a Professor Emeritus in Endodontics/Restorative Sciences, Texas A&M University College of Dentistry, Dallas, Texas. Dr. Gutmann is a Diplomate of the American Board of Endodontics & Honorary Diplomate of the Indian Board of Endodontics, Past President of the American Association of Endodontists and is the Past President of the American Academy of the History of Dentistry. Presently he is Editor of the Journal of the History of Dentistry. He is the recipient of both the IB Bender Award for Lifetime Educator Award and the Edgar D. Coolidge Award, the highest honor bestowed by the AAE. He has presented over 850 lectures, papers, and continuing education courses in the United States and 55 foreign countries. Additionally,he has authored or co-authored over 400 articles in both dental journals that address scientific, research, educational, and clinical topics and 3 textbooks; and has taught full time for over 30 years at four major universities in addition to full and part-time endodontic practice.
Disclosure(s): No financial relationships to disclose