CE Hours: 0.75

Description: Although different techniques have been suggested for clinical crown lengthening, all of them have some limitations in terms of esthetics. In esthetic zones, crown lengthening maneuvers require a complex diagnostic process; special attention should be taken, or the surgical technique could often result in gingival 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 esthetic zone. During the lecture, a simplified protocol for surgical extrusion will be presented, as well as long-term follow-up clinical cases (more than 10 years follow-up period). Advantages, disadvantages, and outcome predictors related to the procedure will be analyzed.

Learning Objectives:  

• List the inclusion and exclusion clinical criteria for choosing cases to apply the surgical extrusion technique.
• Describe the Advantages, disadvantages, and outcome predictors related to the procedure.
• Describe and perform the simplified surgical extrusion technique presented during the lecture.

CE Hours: 1.0

Description: Endodontically treated teeth present unique restorative challenges, from compromised adhesion and structural weakness to long-term coronal seal integrity. This session will highlight how innovative restorative materials, including bioactive resins, fiber-reinforced composites, and nanostructured technologies, are being utilized to enhance clinical strategies and improve patient outcomes. Attendees will gain an evidence-based perspective on how these advances can move restorations from vulnerable to predictable and durable.

Learning Objectives:  

• Recognize the adhesive and biomechanical challenges in restoring endodontically treated teeth and their impact on long-term success.
• Evaluate the current evidence on bioactive, fiber-reinforced, and nanostructured restorative materials in terms of adhesion, fracture resistance, and durability.
• Apply evidence-based strategies to select and integrate restorative materials into clinical treatment planning for predictable outcomes.

CE Hours: 0.75

Description: Once the root canal is finished, what is next?  Dr. Ferris-Wong will discuss the positive impact that restoring endodontically treated teeth (with cores or post and cores) can have on the modern day endodontic practice.  If you are thinking about starting to do post-endo restorations, or have been doing them for years, this presentation will touch on many different restorative situations and techniques.

Learning Objectives:  

• Assess the need for a core or post and core in an endodontically treated tooth.
• Create a clean surface for a post and core or core, use matrix (as needed) and prep the tooth for bonding.
• Place a post and core or core well, without voids, and with an esthetic surface (for esthetic areas, or when filling the access cavity of teeth with permanent restorations already in place.

CE Hours: 1.0

Description: Immediate adhesive restoration of endodontically treated tooth provides both structural rehabilitation and microbiological isolation to the root canal treated tooth. In the hands of the treating endodontist, it provides both functions on the spot. No insecure period, no risk of reinfection, no need to put rubber dam again. Key elements of such restorations will be provided together with plethora of clinical cases. 

Learning Objectives: 

• Describe the core principles of root canal treated tooth restoration
• Indicate the limits of adhesive endo-restorations
  
• Describe appropriate clinical steps and their technical details

CE Hours: 0.75

Description: Endodontists aim for excellence in root canal treatment, including filling and sealing the root canal system. However, a well-fitted definitive restoration is equally critical for long-term success, ideally without leakage occurring for years. Often endodontists may only place a shallow composite layer into the canal orifices and the pulp floor, with the remainder of the restoration carried out by a general dentist. Would the long-term success increase if endodontists placed the entire adhesive build-up immediately after completion of the endodontic treatment? Studies have shown that posts are only needed if a build-up lacks enough retention. Also, many novel build-up materials, including light-curing, self-curing, or dual-curing composites, are continuously becoming available. The lecture will give a detailed protocol on how to build-up of a tooth with light-curing glass-fiber-flow after endodontic treatment supported by clinical cases. The workflow and the composite selection will critically discussed referring to the literature.

Learning Objectives:  

• Discuss the advantages and disadvantages of strictly adhesive buildups versus incorporating a post.
• Review the postendo buildup material and the limitations of light curing composite after endodontic treatment.
• Execute a step by step workflow of postendodontic adhesive buildup with light curing composite.

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.

CE Hours: 1.5

Description: “Do we hold it or fold it?”  This is the decision that clinicians make almost on a daily basis and is usually influenced from one’s background, beliefs, and opinion.  Some erroneously believe that all teeth can and should be saved.  Whereas others conversely think that questionable teeth should always be removed and replaced with an implant.  In this lecture, we will explore criteria that help us understand the long term prognosis of teeth and implants, why one would want to choose to save or extract a tooth, and the complications of each modality.  

Learning Objectives:  

• Describe the rationale behind when to save a tooth or replace it with an implant.
• List the complications in compromised implants and compromised teeth.
• Be able to formulate a working clinical philosophy on the restoration of teeth or their removal with replacements with dental implants.  

CE Hours: 1.0

Description: Vital pulp therapy offers a promising approach to significantly prolong the lifespan of a tooth. Over the past decade, the evidence and outcomes associated with vital pulp treatment have evolved substantially. In 2021, the American Association of Endodontists (AAE) released a new position paper on this topic, providing a foundation for updated practices. This presentation will build on that foundation to highlight key aspects of vital pulp therapy, with a primary focus on managing teeth with carious exposures and symptoms of irreversible pulpitis. Through case-based analysis, it will explore treatment options grounded in evidence-based protocols. Additionally, the presentation will address common challenges to implementation, such as coding, scheduling, and material selection.

Learning Objectives:  

• Identify appropriate teeth for various treatment options and understand the expected outcomes for each approach.
• Gain a comprehensive understanding of the essential steps involved in performing vital pulp therapy.
• Evaluate the key prognostic factors that influence the success of vital pulp treatment.

CE Hours: 1.5

Description: The restoration of endodontic access cavity and subsequent build-up is a task which would historically be granted to referring general dentist or restorative dentist. Endodontists would have traditionally more surgical background with limited restorative skills. Nevertheless with the onset of adhesive protocols and techniques it is far more advantageous for the endodontist to be able to seal and rebuild the tooth core immediately after any procedure inside or near pulpal cavity - may it be RCT, NS-RCRT or vital pulp therapy. The presentation will guide through current possibilities to securely close and restore any core defect. Due to specific nature of the endodontic access cavity, great care must be paid to dentin adhesion and resin composite shrinkage issue. Outcome of such action will result in immediate seal of the root canal system and steady stress distribution within the remaining hard dental tissues.

Learning Objectives:  

• Identify clinically relevant factors of adhesive postendodontic treatment
• Indicate the need to use a fiberpost or other form of resin composite during adhesive postendodontic treatment
• Describe in detail the single session procedure steps of adhesive buildup.

CE Hours: 1.0

Description: Crown fractures, and cusp fractures in particular, are relatively common findings in clinical practice. Treatment depends on the nature of the fracture location, severity, depth and whether the pulp is exposed. The majority of crown fractures do not require extraction, but do require clinical management. One particular challenge is a deep subgingival fracture involving maxillary teeth. Cuspidization is a technique that provides a conservative and non-invasive approach to manage deep cuspal fractures in the maxillary arch. This technique also presents an important biologic phenomenon (periodontal reattachment) that makes this approach possible. The result is a non-invasive, predictable treatment that meets our patient’s esthetic demands and can be implemented in everyday clinical practice.

Learning Objectives:  

• Diagnose different types of crown fractures.
• Describe how to conservatively manage cusp fractures.
• Recognize periodontal soft tissue re-attachment.