Restorative Endodontics
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- Includes Credits
CE Hours: 1.5
Description: Root canal treated teeth (RCTT) represent a challenge for the dentists. Besides the difficulty concerning complex root canal anatomy and endo treatment by itself, dentist need to consider many other aspects for tooth good long term outcome.
The first of the most important aspects is a structural risk which can be especially important in case of tooth subgingival deficiencies. The second one is functional risk that needs to be estimated in each individual case. Depending on: the structural deficiency, the type of the tooth (anterior, premolar or molar) and the functional risk, it is important to choose the suitable restoration. For many years the prosthetic crown represented the most chosen option. At the beginning of XXI century, more conservative methods, like onlays or veneers, became more and more popular. Today, however, dentists received the new generation materials and through continuous training they can shape their skills adequately, in order to perform direct composite restorations even in case of RCTT. During the lecture the practical aspects of RCCT restorations will be discussed.
Learning Objectives:
- List the esthetic problems connected to Endodontically Treated Teeth (ETT) and when the internal bleaching should be performed before the final restoration
- Explain the structural and functional problems connected to ETT
- List the indications for direct vs indirect restorations in case of ETT
Maciej Zarow, D.D.S, Ph.D.
He received his dental degree from the Faculty of Dentistry at Semmelweis University, Budapest (Hungary). Upon his graduation, Maciej pursued a Doctor of Medical Sciences title. Maciej has been a long-time researcher and lecturer, working with dental students at the Department of Propedeutics of Conservative Dentistry of CMUJ, Krakow. During the IADR scholarship, he conducted research work on adhesive bridges as well as the restoration of endodontically treated teeth at the universities of Leeds and Manchester. He was a visiting professor at the University of Chieti (Italy) and the UIC University (Barcelona). He is a graduate and mentor of the prestigious Kois Center in Seattle. In 1999 Maciej established his private practice in Krakow. Clinical practice: Maciej is an experienced clinician working with an extensive spectrum of practical approaches to dental treatment. He is keen on promoting and implementing new restorative techniques in his everyday practice. He furthermore favors initiating modern interdisciplinary procedures that harmonize aesthetics with function and minimize interference with the natural mechanisms of functioning of the whole stomatognathic system. Maciej successfully carries out this philosophy in his private dental practice in Krakow, as well as in his well-known and Postgraduate Courses Center. Professional activities: Maciej takes pride as Editor-in-chief of the "Quintessence" (in polish). His book "EndoProsthodontics" has been a success and is now published in English, Chinese, Croatian, French, and Russian. He has authored more than 80 scientific papers in both national and international journals. Maciej is also an active member of “Style Italiano”, as well as the Polish Academy of Esthetic Dentistry. In 2019 he joined the board of the European Society of Cosmetic Dentistry.
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: For over a century, internal bleaching has been a constantly evolving chemical experiment to conservatively whiten teeth discolored by trauma, dental infection, or prior treatment. As endodontists, “microbleaching” procedures can be invaluable to referring dentists and patients as a safer and more conservative option to improve esthetics and overall patient care. The term “microbleaching” is proposed as a more accurate representation of microscope-enhanced internal bleaching that clearly differentiates this procedure from traditional internal bleaching done by restorative dentists. From scores of clinical cases, this presentation will provide comprehensive details of the good, bad, and ugly outcomes of this procedure. At the end of this presentation, attendees should be familiar with evidenced-based and current internal microbleaching protocols, documentation, and potential limitations. Incorporating microbleaching into endodontic practice will undoubtedly be productive, rewarding, and help build our reputations within the community of esthetically-driven restorative dentists.
Learning Objectives:
- Explain internal bleaching materials and methods from the endodontic literature
- Describe the limitations of internal bleaching, including complications and unfavorable outcomes
- Explain current microbleaching protocols
Roy Nesari, D.D.S.
Dr. Nesari earned his DDS degree from the University of California, San Francisco, in 2006. He went on to receive his certificate of Endodontics from the University of Pennsylvania in 2008. He opened his first practice in 2009 in the Mission District of San Francisco, and his second in 2023 in Castro Valley, CA. As a Diplomate of the American Board of Endodontics since 2014, Roy continues to enjoy this amazing profession by learning and growing with each case.
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
Description: Regenerative endodontics represents a paradigm shift in endodontics that has the primary goal of preservation or reestablishment of homeostatic physiological pulp functions. An inflamed dental pulp has been thought to be incapable of healing. This dogma is even reflected in the diagnostic term: “irreversible pulpitis”. Also, pulp necrosis has been a condition that required root canal spaces to be filled with inert materials to prevent growth of microorganisms. Unfortunately, obturation also prevents the growth of patients own living tissues that could bring back important physiological functions lost due to partial or total pulp necrosis. Advancements in biological understanding, techniques and materials have made regenerative endodontic procedures (vital pulp therapies and revitalization) alternatives to teeth requiring non-surgical endodontic treatment. In this lecture, the application of regenerative endodontic approaches will be discussed in light of real clinical scenarios, presenting the advantages and disadvantages of these procedures and their possible pitfalls while contrasting with what is well-known in more “traditional” non-surgical endodontic therapies.
Learning Objectives:
- Identify the prognostic factors for pulp revitalization and pulpotomies
- Understand the expected outcomes of pulp revitalization and vital pulp therapies
- List the most common pitfalls with revitalization and pulpotomies and how to avoid them
Anibal R. Diogenes, D.D.S., M.S., Ph.D.
Dr. Anibal Diogenes received his D.D.S. from UFPE in Brazil, his M.S. in Molecular Biology from the University of Nebraska, and his Ph.D. in Pharmacology and Certificate in Endodontics from the University of Texas Health Science Center at San Antonio. Dr. Diogenes is the Vice-Chair of the department of Endodontics at the University of Texas Health at San Antonio, and a director of the American Board of Endodontics. His areas of research include, inflammation, pain 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
- Includes Credits
CE: 1.25
Description:
This webinar will discuss the common reasons for endodontic failure and how to use research information to help adapt new changes into a private practice model. The webinar will also discuss how to effectively communicate with referrals, basic restorative armamentarium and clinical examples of a variety of cases where the post-endodontic restoration placed by the endodontist effectively incorporates into patients’ treatment plans
At the conclusion of this presentation, participants will be able to:
- Explain the dynamics of endodontic failure with reference to findings from the literature
- Explore on how to develop a restorative based mindset whilst growing and maintaining referral relationships
- Recognize the various clinical scenarios where placement of the restoration by the endodontist is beneficial to both the patient and the referring dentist
Viraj R. Vora DDS, MS, Cert. Endodontics, FRCDC
Dr. Viraj Vora graduated from the University of Western Ontario with a DDS and a Master of Science with a Certificate of Specialty in Endodontics from the University of Michigan. Dr. Vora is in full time private practice in Vaughan, Ontario, Canada limited to microscopic conservative endodontics and restorative dentistry.
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: Preparing and isolating a tooth for root canal treatment can be both time-consuming and difficult. Course attendees will learn buildup and isolation techniques that can immediately be implemented into their clinical routine to make root canal treatment more efficient.
Learning Objectives:
- Develop insight for developing efficient and effective isolation techniques
- Explain the importance of a well isolated tooth
- Describe buildup and isolation techniques that can be immediately implemented into their clinical routine
Brent M. Hiebert, DDS, MSD
Dr. Brent Hiebert was awarded his DDS degree from Loma Linda University. He then served as a Dental Officer in the United States Navy for five years where Lieutenant Hiebert completed an Advanced Education in General Dentistry residency. He served in various military leadership positions, received two Navy and Marine Corps Achievement Medals and was promoted to Lieutenant Commander. Subsequently, Dr. Hiebert completed Loma Linda University’s Advanced Specialty Education Program in Endodontics where he received a Certificate in Endodontics and a Master’s of Science in Endodontics. Dr. Hiebert lectures to both local and international audiences. He has published research in the Journal of Endodontics, the California Dental Association Journal and is a frequent contributor on the AAE discussion forum and Instagram. He is a Diplomate of the American Board of Endodontics and maintains a full time Endodontic practice in Oregon.
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: 1.0
Course Description:Based on current evidence, the outcomes of root canal therapy are as much influenced by the work of the endodontist as it is by the ensuing restoration process. In order to preserve the effort of the endodontist, it is highly advisable to achieve permanent hermetic closure of the root canal space before the patient leaves the endodontist’s surgery. While there exist both endodontic and restoration protocols, the importance of flawless post-endodontic build-up remains undervalued. The author presents an advanced clinical protocol of immediate adhesive post-endodontic treatment based on 12 years of clinical cooperation between endodontist and prosthodontist completing together over 6,000 cases. The rationale of the procedure based on personal research, all clinical phases from the treatment planning to final restoration and treatment outcomes are presented.
At the conclusion, participants should be able to:
- Identify clinically relevant factors of adhesive post-endodontic treatment.
- Indicate the need to use a fiber-post or other form of resin composite during adhesive post-endodontic treatment.
- Describe in detail the single-session procedure steps of adhesive build-up.
Daniel Cerny, MUDr., PhD
Daniel Cerny, private endodontist in the Czech Republic, has received his dental degree at the Charles University, Medical School in Hradec Kralove in 1998. In 2018 he received Ph.D. degree at Palacky University Olomouc for work on post-endodontic treatment. Between 1998 and 2007 an assistant professor at the Charles University, Medical School in Hradec Kralove at the Dpt of Conservative Dentistry and Endodontics. Since 2001 maintains a private practice in Hradec Kralove limited to adhesive dentistry and endodontics. Chairman of the Czech Endodontic Association (CES) since 2015. Co-founder and first president of the Czech Academy of Dental Esthetics (CADE) (2007-2009). Dr. Cerny is currently the chief editor of Roots journal in Czech Republic. 2009 to 2013 on the editorial board of LKS journal (Czech Dental Chamber Journal) During 1999-2005 dr. Cerny was a member of the European thematic network project Dent-Ed and DentEd Evolves. Dr. Cerny is co-owner and CEO of the continuing education institute HDVI since 2010. Co-founder of the Dental Summit Congress in Prague (Since 2011). Author/co-author of 30 articles in dental journals. Co-author of 4 chapters in dental books. Lectures widely both nationally and internationally.
Daniel Cerny, MUDr., 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.
