Root Canal Filling Materials
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Includes Credits
CE Hours: 1.0
Description:
Since the launch of calcium silicate-based bioceramic sealers, the popularity of its clinical applications has grown dramatically in the last 16 years. Almost 50% of the AAE members and 27% of the ADA members reported using this type of sealer, which have surpassed resin-based sealers and it has become the most widely-used sealer type among endodontists.
Due to the increase of the interest of these sealers, several companies have developed its own version of a calcium silicate-based bioceramics products (sealer and putty). The majority of these products are pre-mixed which simplify the clinical use. While the verity of these products in the market increase considerably in the last 5 years, the number of clinical and laboratory studies on the latest products have been limited. Although many of them are called bioceramic sealers, there are many variation, among them, their chemical components, sealability, biological activities and more.
In this presentation we will compare the most popular pre-mixed bioceramic products in the market and show their clinical applications and obturation techniques.
Learning Objectives:
- Describe the endodontic hydraulic bioceramic cements and their clinical interactions
- Update and compare the traditional and new bioceramics materials available on the market
- Demonstrate tips and tricks on how to use these materials in different clinical cases
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Includes Credits
CE Hours: 0.75
Description: To prevent and eliminate apical periodontitis, adequate obturation is paramount for successful non-surgical endodontic treatment. Gutta percha and sealer are two needed components, and bioceramic obturation is the newest application to address this. The worldwide use of calcium silicate-based sealers continues to increase along with new obturation techniques. The single cone technique (hydraulic condensation) has become a time-saving, efficient obturation method using bioceramic sealers. But does this technique predictably provide a bacterial tight seal? How does its application affect the performance of these materials? What influence does the single cone technique have on case outcome? This presentation will explore the predictability of the single cone technique, allowing the listener to make an informed decision on whether, and in what situations, to employ it.
Learning Objectives:
- Describe the properties of bioceramic sealer that make the single cone technique possible.
- Discuss how the application of bioceramic sealer affects its performance.
- List the strengths and limitations of bioceramic obturation using the single cone technique.
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Includes Credits
CE Hours: 2.25
Description: Patient injury as an outcome of endodontic treatment can have devastating consequences for both the patient and the endodontist. Mishaps that occur during the therapeutic stages of endodontic therapy can result in significant irreversible damage to teeth and the jaws as well as neurologic damage within the head and neck, with an unpredictable course and an uncertain prognosis. This presentation will discuss the evidence and best practices regarding clinician thinking and actions resulting in patient injury and impairment as a result of endodontic care. The presentation will review the data for prognosis and how to determine treatment and intervention strategies in local anesthetic injury; chemical harm from overfill; as well as irrigation accidents and the resulting neural trauma caused by surgical error.
Learning Objectives:
- Recognize the advantages of imaging technologies in identifying key neurovascular structures and their proximity to the root canal systems of teeth.
- Identify safe protocols for avoiding extra-radicular overfill of the root canal space when there is close proximity to neurovascular anatomy.
- Become familiar with prognosis and best practice for injuries and overfill mishaps that result in neurologic damage.
Alan Gluskin, D.D.S.
Professor of Endodontics
University of the Pacific
Alan H. Gluskin DDS is currently Professor, Department of Endodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific in San Francisco, California. He is at present a Fellow of the International College of Dentists and the American College of Dentists. Dr. Gluskin is a member of numerous societies including the American Association of Endodontists, the American Dental Association and the San Francisco Dental Society. Dr. Gluskin has completed his tenure on the Executive Board of Directors of the American Association of Endodontists as a Past President of the AAE. He additionally functions on the editorial boards of the Journal of Endodontics and the International Journal of Endodontics. Dr. Gluskin is the 2017 recipient of the University of the Pacific’s Eberhardt Teacher-Scholar Award and was awarded the Distinguished Faculty Award in 2023 by the dental school faculty. He is co-editor of the textbooks Decision Making in Dental Treatment Planning and Practical Lessons in Endodontic Treatment.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.5
Description: Protocols and standards in root canal treatment should always allow for the ability of the operator to function in context, always practicing within a legal standard of care. The context for endodontists will change as knowledge and technology create new pathways to improve patient outcomes and become tools for communication between stakeholders, including peer professionals and patients. The utilization of needle delivery of anesthetics and medication in dentistry is universal. Unfortunately, improper utilization of needle delivery in dentistry can have serious and injurious outcomes in patient care. This presentation will discuss and consider the untoward events that can occur in the use of needle delivery of solutions and pastes in the practice and delivery of endodontic care.
Learning Objectives:
- Recognize the advantages of imaging technologies in identifying key neurovascular structures and their proximity to the root canal systems of teeth.
- Appreciate the hydraulic outcomes of common syringe methodologies and their potential for injury and mishaps
- Identify safe protocols for avoiding extra-radicular overfill of the root canal space or confined tissues spaces using needle irrigation or paste delivery
Alan Gluskin, D.D.S.
Professor of Endodontics
University of the Pacific
Alan H. Gluskin DDS is currently Professor, Department of Endodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific in San Francisco, California. He is at present a Fellow of the International College of Dentists and the American College of Dentists. Dr. Gluskin is a member of numerous societies including the American Association of Endodontists, the American Dental Association and the San Francisco Dental Society. Dr. Gluskin has completed his tenure on the Executive Board of Directors of the American Association of Endodontists as a Past President of the AAE. He additionally functions on the editorial boards of the Journal of Endodontics and the International Journal of Endodontics. Dr. Gluskin is the 2017 recipient of the University of the Pacific’s Eberhardt Teacher-Scholar Award and was awarded the Distinguished Faculty Award in 2023 by the dental school faculty. He is co-editor of the textbooks Decision Making in Dental Treatment Planning and Practical Lessons in Endodontic Treatment.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 0.75
Description: The obturation of the root canal system is a critical step of the non surgical root canal treatment in order to achieve a positive outcome of the therapy: as a matter of fact an high percentage of endodontic failures are associated with incomplete root canal obturation and apical periodontitis presence. The possibility to get a fluid-tight seal is crucial to prevent percolation of bacteria and it depends on the properties of the sealer and on the obturation technique. Hydraulic Calcium silicate-based sealers properties are driving a paradigm change in obturation towards a more sealer-centric philosophy. The purpose of this presentation is to evaluate the outcome at 2 years of non surgical canal treatments done in a private practice between 2017 and 2021 in teeth with apical periodontitis. All cases, including initial and retreatment, were obturated with bioceramic sealer and CHCT independently of the endodontic anatomy. Outcome was evaluated based on clinical and radiographic findings at recall, with a minimum 2-years follow-up for 525 teeth. Teeth were classified as healed or healing (success), or not healed (failure). Patient and treatment factors were analyzed to determine their significance as prognostic factors. Among the factors even apical size bigger than 50, sealer extrusion and presence of small perforations. The results obtained support the conclusion that the use of bioceramic sealers with the CHCT is a valide option for obturation in text with apical periodontitis.
Learning Objectives:
- Evaluate and perform the clinical techniques for using bioceramic sealers in root canal obturation according with the endodontic anatomy.
- Evaluate the benefits and limitations of bioceramic sealers.
- Implement obturation strategies to get a positive outcome for non surgical canal treatment and retreatment in teeth with clinical and/or radiographic signs of apical periodontitis.
Filippo Cardinali, D.D.S.
Graduate summa cum laude in Dentistry and Dental Prosthesis at the University of Ancona in 1992. Vice-President and Active Member of the Italian Society of Endodontics. Certified Member of the European Society of Endodontology. Associate Member American Association of Endodontists. Gold Member of Styleitaliano Endodontics. Co-author of the book “Testo Atlante di Anatomia Endodontica" published by Tecniche Nuove in 2011. Co-author of the book “Isolamento del campo operatorio" published by ANDI Servizi in 2013. Co-author of the book "Manuale di Endodonzia" published by Elsevier Masson Italy in 2013. Co-author of the iBook “The Isolation Game” published in Apple iBook Stores Co-author of the book “Ritrattamenti: soluzioni per le patologie apicali di origine endodontica" published by EDRA in 2018 available even in English and Spanish language. Lecturer in theoretical and practical courses on subjects related to the isolation of the operative field and endodontics, has participated as a speaker at courses and conferences in Italy and abroad. Private practice, concentrating mainly in Endodontics and Restorative Dentistry and author of publications on journals of national and international sector.
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: Our specialty of Endodontics has evolved, and continues to evolve, through the application of emerging technologies. Advancements in irrigation protocols have allowed for predictable cleaning of the primary canals with more conservative preparations to include no instrumentation. Subsequently, obturation materials and methods have to be modified to accommodate these smaller shapes. This case-based presentation will review the advantages and techniques used to overcome the challenges of such a paradigm shift.
Minimally prepared canal systems with enhanced irrigation have the potential to provide desirable results and conserve tooth structure. Various cases with continued care healing re-evaluations to include CBCT imaging for both pre-operative and recall examination will be presented.
Learning Objectives:
- Compare and contrast traditional tapered canal preparation versus methods and materials used for minimally prepared canals and modified obturation techniques.
- Critically evaluate the advantages of minimal preparation combined with enhanced irrigation and bioceramic sealer as an alternate option for nonsurgical RCT.
- Explain the role of minimally prepared canals and their correlation to the longevity of endodontically treated teeth based on pre-operative and post-operative CBCT comparison.
Scott K. Hetz, D.MD
Scott K. Hetz DMD, is a 1997 graduate of the University of Pittsburgh School of Dental Medicine. Dr. Hetz served in the United States Air Force for 9 years including an Advanced Education in General Dentistry program. Also while on active duty, he received his specialty Certificate in Endodontics from the University of Southern California in 2004. Dr. Hetz is a Diplomate of the American Board of Endodontics, member of the Endodontic College of Diplomates and Specialist Member of the American Association of Endodontists and District of Columbia Dental Society. He volunteers as Affiliate Faculty in the Department of Endodontics Naval Postgraduate Dental School at Walter Reed National Military Medical Center. Dr. Hetz maintains a full time practice as a partner with Advanced Endodontic Associates in Washington DC. He can be reached at scotthetz@mac.com.
Speaker Disclsoure
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: Root canal sealers are a critical component in obturation to provide a fluid-tight seal of the root canal system. Calcium silicate-based bioceramic sealers have emerged as a promising alternative to traditional resin-based or ZOE-based sealers. The increasing popularity of these materials is driving a paradigm change in obturation towards a more sealer-centric philosophy. The excellent flow characteristics, sealing ability, dimensional stability, and biocompatibility of bioceramic sealers allow them to be used in a simplified obturation technique without compromising the quality of obturation. Since the first bioceramic sealers were introduced in 2008, there has been growing evidence supporting the use of these materials. New products also continue to be developed and introduced. This presentation will provide an update on the recent development in the field of bioceramic sealers, review their relevant properties, discuss the clinical techniques of their application, and present the most current research related to the properties and clinical effectiveness of bioceramic sealers.
Learning Objectives:
- Describe the physical, chemical, and biological properties of bioceramic sealers and understand the benefits and limitations of these materials
- Describe the clinical techniques for using bioceramic sealers in root canal obturation
- Discuss current evidence from in vitro and clinical studies regarding bioceramic sealers
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 the American College of Dentists. She has published over 50 manuscripts in peer-reviewed journals and served on the Research and Scientific Affairs Committee for the AAE. Dr. He is currently an Associate Editor of the Journal of Endodontics.
Dr. He is a Clinical Associate Professor at Texas A&M University College of Dentistry and maintains a full-time private practice limited to Endodontics in Flower Mound and McKinney, TX.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: 1.0
Description: An intact coronal seal is important for maintaining the integrity of a root canal filling and preventing reinfection. Coronal leakage provides a source of viable microorganisms and nutrients that initiate and sustain periradicular inflammation. Despite research supporting the effectiveness of coronal barriers, a universally accepted protocol that incorporates a coronal barrier after root canal treatment is non-existent. Different materials have been advocated for use as canal orifice barriers, including temporary or intermediate filling materials, zinc oxide-eugenol cements, amalgam, glass-ionomer cements, resin composites, flowable resin liners and tricalcium silicate cements. While each of these materials has its own benefits and limitations, the appropriateness of using resin-based materials as long-term canal orifice barriers will be examined in this presentation by correlating their barrier properties with their physicochemical and antibacterial characteristics, as well as the durability of the bonds created in dentin to retain these materials.
- State the rationale for placement of a coronal seal immediately after root canal treatment.
- Identify the merits and limitations of using resin-based materials as canal orifice barriers.
- Perform a reasonably durable coronal seal using an antibacterial self-etch adhesive and a radiopaque resin composite.
Franklin Tay, B.D.S., PhD
I am an academic clinician and researcher in the field of dental medicine who currently holds the titles of Professor and Chairman in the Department of Endodontics at the Dental College of Georgia – Augusta University. I also serve as a professor in the Department of Oral Biology and the College of Graduate Studies at the same institution. My extensive research interests are demonstrated by my substantial grant acquisitions and prolific publications. I've led groundbreaking research projects in dentin bonding and in the biomineralization of collagen matrices. My scholarly work has significantly impacted the field, as evidenced by numerous publications in peer reviewed journals and presentations at prestigious international conferences. I am presently ranked 79th among top scientists in the field of Materials Science in the United States and 182nd in the world. I have 617 publications and 59,385 citations.
Disclosure(s): No financial relationships to disclose
Franklin Tay, B.D.S., 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
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CE Hours: 0 CE hour
Description: The advent of MTA about 2 decades ago brought about a significant change in the practice of clinical endodontics. A material that suited our work-space and the periradicular tissue, perfectly. It has been extensively investigated in in-vitro, animal and clinical studies. With due diligence in the literature, material has our academic and investigative endorsement. However, there are limitations to use of MTA e.g., inability to use for routine obturation, it’s difficult handling properties and tendency to cause discoloration. Material scientists have worked on overcoming the limitations of MTA by introducing newer generation of Bioceramics. The lecture is an overview of the current research and clinical applications of the newer bioceramics available to us. Published research will be critically reviewed and clinical cases presented demonstrating the applications in various treatment modalitiesson
At the conclusion of this course, participants will learn:
- Discuss an evidence-based evaluation of the chemical, physical and biological properties of Bioceramics pertinent to endodontics.
- Explain the clinical use especially as a sealer
- Recognize the strength and weakness of the material
Meetu R. Kohli, B.D.S, D.M.D.
Dr. Meetu Ralli Kohli is Clinical Associate Professor and Director for Continuing Education and International Visiting Scholar Program and the Master’s in Advanced Dentistry Studies Program (MADS) at the University of Pennsylvania, School of Dental Medicine, Endodontic department. She is a member of the Dean’s advisory council. Dr. Kohli earned her B.D.S. degree from Government Dental College, Bangalore, India. She pursued her D.M.D. degree as well as specialty training in Endodontics at the University of Pennsylvania, USA. During her training she received the esteemed Louis I Grossman award, the Samuel R. Rossman scholarship and the Sherrill Ann Siegel award & scholarship for demonstrating excellence in patient care, clinical skills and research. She is on the Scientific Advisory Board as a reviewer for Journal of Endodontics, International Endodontic Journal, Journal of American Dental Association and other endodontic journals. Dr. Kohli has published in national and international peer reviewed journals and has contributed in books on microsurgical retreatment. Her publications have been recognized as the best clinical research paper and honorary mentions by JOE multiple times. She is the recommend speaker by the AAE for Microsurgery and Prognosis. She has served on the AAE’s Constitution and Bylaws committee and the Research and Scientific Affairs Committee. She also serves as Director on Board of Trustees of the American Board of Endodontics and is a diplomate. She is an honorary member and examiner for the Indian Board of Endodontics. Dr. Kohli maintains multiple private practice locations limited to Endodontics in Pennsylvania, USA.Meetu Kohli, B.D.S, D.MD
In accordance with this policy, I declare that I have NO 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.