Trauma
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Includes Credits
CE Hours: 1.0
Description: Cemental tear (CT) is a rare condition with poorly understood prevalence, etiology, and clinical presentation, often mimicking vertical root fractures or endodonticperiodontal lesions. This review aimed to synthesize current evidence on CT and propose a diagnostic framework.
At the conclusion of this article, the reader will be able to:
- Analyze the multifactorial etiology and predisposing factors of cemental tears to identify patients at higher clinical risk.
- Differentiate the unique radiographic patterns of cemental tears from other root-related pathologies using advanced imaging modalities.
- Evaluate clinical signs and symptoms to minimize misdiagnosis and avoid unnecessary interventions.
José Evando da Silva-Filho, DDS (MSD candidate)
José Evando da Silva-Filho is a dentist (DDS) specializing in Endodontics at the University of Fortaleza (UNIFOR), Brazil. He is pursuing a Master of Science in Dentistry with a focus on Endodontics and Dental Imaging at UNIFOR.
Aryanna Celly Rodrigues-Lima, DDS
Aryanna Celly Rodrigues-Lima is a dentist (DDS) specializing in Orofacial Harmonization at the University of Fortaleza (UNIFOR), Brazil.
Kayo Lúcio Silveira-Fernandes
Kayo Lúcio Silveira-Fernandes is a final-year undergraduate dentistry student at the University of Fortaleza (UNIFOR), Brazil.
Camille de Sousa Veloso, DDS
Camille de Sousa Veloso is a dentist (DDS) specializing in Restorative Dentistry at the Brazilian Association of Dentistry – Ceará (ABO-CE), Brazil.
João Paulo Viana Braga, DDS, MSD
João Paulo Viana Braga is a dentist (DDS) with specialties in Dental Radiology and Imaging (ABO-CE), Implantology (Camilo Castelo Branco University – UNICASTELO), and Orthodontics (Ceará Association of Dentistry – ACO-CEC). He completed postgraduate training in Stomatology and Minor Oral Surgery, Periodontology (UNICASTELO), and Prosthodontics (ELEVA Dentistry). He holds a Master of Science in Dentistry with a focus on Pediatric Dentistry from the Federal University of Ceará (UFC), Brazil, and is pursuing an MBA in Business Management at the University of Fortaleza (UNIFOR), Brazil.
Sandra Régia Albuquerque Ximenes, DDS, MSD
Sandra Régia Albuquerque Ximenes is a dentist (DDS) with specialties in Restorative Dentistry and Dental Radiology and Imaging at the State University of Campinas (UNICAMP), Brazil. She holds a Master of Science in Dentistry with a focus on Restorative Dentistry from São Leopoldo Mandic, Brazil.
Elilton Cavalcante Pinheiro-Júnior, DDS, MSD, PhD
Elilton Cavalcante Pinheiro-Júnior is a dentist (DDS) with a specialty in Endodontics at the São Paulo State University (UNESP), Araraquara, Brazil. He holds a Master of Science in Dentistry with a focus on Endodontics from the State University of Rio de Janeiro (UERJ), Brazil, and a PhD in Endodontics from the State University of Campinas (UNICAMP), Brazil.
Danielle Frota de Albuquerque, DDS, MSc, PhD
Danielle Frota de Albuquerque is a dentist (DDS) who holds a Master of Science in Dentistry with a focus on Oral Biology/Stomatology from the University of São Paulo (USP), Brazil, and a PhD in Dental Radiology and Imaging from the State University of Campinas (UNICAMP), Brazil.
Eduardo Diogo Gurgel-Filho, DDS, MSD, PhD
Eduardo Diogo Gurgel-Filho is a dentist (DDS) with a specialty in Endodontics at the State University of Rio de Janeiro (UERJ), Brazil. He holds a Master of Science in Dentistry with a focus on Endodontics from UERJ and a PhD in Endodontics from the State University of Campinas (UNICAMP), Brazil.
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Includes Credits
CE Hours: 1.0
Description: To identify patient-specific phenotypic, anatomical, psychological, and clinical risk factors associated with the development of post-traumatic trigeminal neuropathy (PTTN) following endodontic procedures.
At the conclusion of this article, the reader will be able to:
- Explain the etiology of post-traumatic trigeminal neuropathy
- Identify risk-factors associated with post-traumatic trigeminal neuropathy
- Apply information to clinical decision making
Larissa Gregorio Candido do Prado, DDS, MSc, PhD
Julia Godoi-Lopes, DDS, PhD
Fabiane Carneiro Lopes-Olhe, DDS, MSc, PhD
Laís Valencise Magri, DDS, MSc, PhD
Jardel Francisco Mazzi-Chaves, DDS, MSc, PhD
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Includes Credits
CE Hours: 1.0
Description: Management of immature necrotic permanent teeth is complicated for many reasons. The treatment options vary depending on the etiology of pulpal and periradicular disease. In addition, the behavior of the patient may hinder the endodontist’s ability to provide ideal treatment. Finally, reimbursement rates and lack of coverage for certain services may not allow for treatment of the immature permanent tooth to become part of a financially sustainable endodontic practice. The purpose of this webinar is to highlight some of these challenges and offer practical solutions to allow for treatment of the pediatric patient to become a more viable option for your practice.
Learning Objectives:
- Explain how the etiology of pulpal and periradicular disease influences the outcomes of treatment in the young patient.
- Apply non-pharmacologic behavior guidance techniques during the treatment of pediatric patients to improve the experience for all.
- Identify strategies to improve the financially feasibility of treating pediatric patients.
Zameera Fida, D.M.D
Zameera Fida is a dual trained, dual board-certified endodontist and pediatric dentist. Her clinical interest focuses on the endodontic treatment needs of the young patient. Dr. Fida built an endodontic clinic for pediatric patients within the Department of Dentistry at Boston Children’s Hospital. Through these services, she was providing comprehensive endodontic care for the young patient. She recently transitioned to the Tufts University School of Dental Medicine where she is Chair of the Department of Endodontics and Program Director for the Advanced Graduate Program in Endodontics. In this new role, Dr. Fida aims to train endodontists and general dentists to feel more comfortable in management of the endodontic needs of the immature permanent tooth.
Disclosure(s): No financial relationships to disclose
- Explain how the etiology of pulpal and periradicular disease influences the outcomes of treatment in the young patient.
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Includes Credits
CE Hours: 1.5
Description: Cemental tear is an important condition of relevance to Endodontics and Periodontics but is often overlooked. The diagnosis of cemental tear is often challenging, even for the experienced clinician. In practice, it is common for a cemental tear to be misdiagnosed as a vertical root fracture, an endodontic–periodontal lesion, or a failed periodontal or endodontic treatment. Dentists may treat these clinical cases as pure periodontal and periapical lesions due to misdiagnosis of cemental tears. In some cases, the presence of cemental tears was realized after the extraction of non-healing teeth. Some failed cases, for unknown reasons, are due to the presence of cemental tear. The limited attention received is most likely due to the unawareness amongst dental professionals and challenges in accurately diagnosing them, resulting in misdiagnosis and erroneous treatment. In this lecture, we will review 1) the etiology, 2) clinical, radiographic, and histological features, (3) classification, 4) recommended treatment strategies linked to the classification 5) treatment outcomes of cemental tear.
Learning Objectives:
- Explain the different etiology of cemental tear.
- Elaborate clinical and radiographic presentation of cemental tear.
- Demonstrate different treatment strategies for cemental tears depending on the classification.
Pierre Wohlgemuth, D.D.S.
Dr. Pierre Wohlgemuth is a diplomate of the American Board of Endodontics. He received his DDS degree from Lorraine University, France in 2014. After practicing as a general dentist in Paris and his hometown city Metz, he decided to pursue his education by completing the Endodontics program for International Dentists at NYU College of Dentistry in 2015. He then went to Switzerland to practice Endodontics in a private practice setting. He later decided to resume his education and integrated into the Advanced Education Program in Endodontics at NYU College of Dentistry and graduated in 2018. Before working for New York University, Dr. Wohlgemuth was a Full-Time Assistant Professor at Colorado University School of Dental Medicine, Department of Surgical Dentistry, Division of Endodontics. Dr. Wohlgemuth is currently the Assistant Director of the Advanced Education Program in Endodontics at NYU College of Dentistry and a Full-Time Clinical Assistant Professor in the Department of 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.
Ye Shi, DDS, MS
Dr. Ye Shi received her DDS degree from Nanjing Medical University in China, 2011 and then completed a 3-year post-graduate residency and accomplished her master’s degree of Prosthodontics in Pecking Union Medical College, China. Afterward, she came to United States for further training. She first completed a three-year Advanced Program for International Dentists in Implant Dentistry at NYU College of Dentistry. Thereupon, she had her 3-year periodontal training in the Advanced Education Program of Periodontics at NYU College of Dentistry. Dr. Shi is a diplomate of American Board of Periodontology and Implant Dentistry, as well as a diplomate of the International Congress of Oral Implantologists. She serves as Chair of Membership Committee of Northeastern Society of Periodontists and Vice Chair of Clinical Innovation Committee and member of Global University Task Force Committee and of Academy of Osseointegration . She maintains membership of multiple organization such as the American Association of Periodontology, Northeastern Society of Periodontists, International Team for Implantology , Academy of Osseointegration. She has received numerous awards for her clinical research and published articles in peer-reviewed journals. In addition to lecturing nationally and internationally, Dr. Shi lectures for the Advanced Program for Periodontics and International Implant Program. Dr. Shi is currently a Clinical Assistant Professor in the department of Periodontics and Implantology at NYU College of Dentistry and the Program Director for the International Summer Practicum Program.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: 0.75
Description: Calcium hydroxide has a long history of applications in endodontics and dental traumatology. The material has strong disinfectant and osseo-inductive properties. With regard to dental traumatology, the use of calcium hydroxide has applications in vital pulp therapy of complicated crown fractures, pulp necrosis following trauma, avulsions with extended dry time, apexification, MTA barrier techniques and regenerative endodontics. However, the use of calcium hydroxide in apexification has become controversial. Cvek identified a high incidence of transverse root fractures for immature teeth treated with long-term calcium hydroxide dressings. In vitro studies have reported calcium hydroxide has decreased the fracture strength of root dentine over time. However, this finding is also controversial with inconsistent and conflicting observations reported. Calcium hydroxide has been used for 50 years and now some authors and organizations advocate for the use of MTA barrier techniques rather than calcium hydroxide. The purpose of this presentation is to discuss the science around calcium hydroxide, its use of and concerns with calcium hydroxide in dental traumatology.
Learning Objectives:
- Critically appraise the calcium hydroxide literature.
- Follow fracture mechanics principles of root fracture mechanics.
- Appraise the different approaches to treat immature permanent teeth with pulp necrosis and infection.
Bill Kahler, DClinDent., Ph.D.
Bill is a full-time Endodontist and an honorary Clinical Professor at the University of Sydney. He has a DClinDent in Endodontics from the University of Adelaide and a PhD from the University of Sydney. He is a Board member and Treasurer of the International Association of Dental Traumatology. Bill has published 80 papers in international dental, material science and engineering journals. Bill is a contributing author for 6 book chapters on renarrative endodontics, endodontic outcomes, vital pulp therapy, and dental trauma, including the iconic North American and European texts, “Pathways of the Pulp” and the “Textbook and Color Atlas of Traumatic Injuries to the Teeth”.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 0.75
Description: This session aims to provide a comprehensive overview of intentional replantation and surgical repositioning in endodontics, blending historical perspectives, evidence-based guidelines, and clinical expertise to empower attendees in making informed decisions. Beginning with an exploration of their origins and early usage as a last-resort option to a recognized treatment alternative. By synthesizing current literature and guidelines, the session will delve into the latest recommendations and evidence-based data pertaining to intentional replantation and surgical repositioning. Participants will develop a nuanced understanding of the efficacy, indications, and limitations of these techniques within modern endodontic practice. The presentation will feature a selection of clinical cases showcasing intentional replantation and surgical repositioning in practical scenarios. Through detailed case analyses and interactive discussions, attendees will have the opportunity to examine the decision-making process, treatment outcomes, and complexities encountered in these intricate procedures.
Learning Objectives:
- Evaluate the historical evolution of intentional replantation and surgical repositioning techniques in endodontics, tracing their development from early practices to contemporary standards.
- Critically examine clinical cases, illustrating the decision making process, treatment outcomes, and challenges associated with intentional replantation and surgical repositioning, understanding of their practical application.
- Be familiar with current literature, guidelines, and evidence based data to assess the efficacy, indications, and limitations of intentional replantation and surgical repositioning in modern endodontic practice.
Shlomo Elbahary, DMD, PhD
Dr. Shlomo Elbahary is a Clinical Associate Professor at the University of Illinois Chicago College of Dentistry, serving in the Endodontic Department. Dr. Elbahary earned his D.M.D. from Tel Aviv University, where he also completed a postgraduate program in endodontics. He later obtained his Ph.D. in radicular microbiology from the University of Amsterdam. With extensive experience in both clinical practice and academia, Dr. Elbahary specializes in endodontic treatments, with a particular focus on young patients, special needs patients, and severe trauma cases. He is passionate about teaching and mentoring students, fostering an environment of excellence and continuous learning in dental education. Dr. Elbahary has numerous publications and chapters in peer-reviewed journals and books and gave numerous presentations internationally.
Dr. Elbahary's scholarly interests include the study of radicular microbiology, bacterial biofilm invasion in dentinal tubules, and the evaluation of endodontic materials and techniques. His research bridges the gap between basic science and clinical practice, aiming to improve treatment outcomes and advance the field of endodontics.
Disclosure(s): No financial relationships to disclose
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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: 1.5
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: 1.25
Description: This is the second session in a two-part series on the management of traumatic dental injuries (TDI). The focus here will be on evidenced based management of injuries to mature teeth. The multi-disciplinary approach required to manage these cases will be discussed and several case examples will be reviewed. The differences in managing patients of varying ages will be highlighted. Concepts related to esthetic considerations, timing of restorative treatment, orthodontic treatment, ridge preservation and implants will be discussed.
Learning Objectives:
- Describe the difference in epidemiology of TDI in older patients
- Explain how to manage root fractures and monitor for outcomes
- Describe the prosthodontic and orthodontic considerations required for multi-disciplinary management of these cases
Elinor Alon, D.M.D.
Dr. Elinor Alon received her D.M.D. from the Hebrew University School of Dental Medicine in Jerusalem, Israel in 2008 and then continued her training as a general dentist in their Advanced General Practice Program. In 2014, Dr. Alon completed her Certificate in Endodontics at the Hebrew University School of Dental Medicine. She has been a full time educator at Tufts University School of Dental Medicine since 2016. In June 2019 Dr. Alon became a diplomate of the American Board of Endodontics. Dr. Alon was the Post Graduate Program Director and Interim Chair in the Department of Endodontics at Tufts University School of Dental Medicine between the years 2019-2023. In August 2023, Dr. Alon moved to Connecticut due to her husband's new position at Yale University and she is currently practicing Endodontics in the area. She is a member of the American Association of Endodontics, American Dental Association, and the Connecticut Dental Association.
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.
Zameera Fida, D.M.D
Zameera Fida is a dual trained, dual board-certified endodontist and pediatric dentist. Her clinical interest focuses on the endodontic treatment needs of the young patient. Dr. Fida built an endodontic clinic for pediatric patients within the Department of Dentistry at Boston Children’s Hospital. Through these services, she was providing comprehensive endodontic care for the young patient. She recently transitioned to the Tufts University School of Dental Medicine where she is Chair of the Department of Endodontics and Program Director for the Advanced Graduate Program in Endodontics. In this new role, Dr. Fida aims to train endodontists and general dentists to feel more comfortable in management of the endodontic needs of the immature permanent tooth.
Disclosure(s): No financial relationships to disclose
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Includes Credits
CE Hours: 1.0
Description: The aim of this systematic review was to evaluate the pooled estimate and relative risk of periapical lesions in natural teeth adjacent to implants.
At the conclusion of this article, the reader will be able to:
- Evaluate the impact of dental implants on the periapical health of adjacent natural teeth.
- Describe the relative risk of developing periapical radiolucent lesions (PARLs) in natural teeth adjacent to implants compared to those adjacent to non-implants.
- Discuss potential mechanisms that may contribute to the development of PARLs in adjacent natural teeth.
Mike Sabeti, DDS, MA
Dr. Sabeti's impressive dental career began with a DDS degree from the University of Texas Dental Branch at Houston in 1993. He then pursued further specialization, completing programs in Periodontics at Tufts School of Dental Medicine and Endodontics at the Herman Ostrow School of Dentistry of USC .
Following his postgraduate training, Dr. Sabeti served at the University of Texas Dental Branch from 1995 to 2000 in postgraduate periodontology. He has since distinguished himself through leadership roles at the University of California, San Francisco (UCSF). Currently, he directs their postgraduate endodontics program and chairs the PECC. He also holds the prestigious position of president for the Northern California Academy of Endodontics. He is also a site visitor for The Commission on Dental Accreditation and a delegate with the American Dental Education Association.
Dr. Sabeti is a board-certified endodontist renowned for his contributions to the field. He has actively shared his expertise through numerous invited presentations, publications in textbooks and chapters, and his dedication has been recognized with several awards. These include the Certificate in Recognition of Outstanding Services at USC, a Certificate of Appreciation from the University of Texas, and the Excellence in Teaching Award from UCSF's Haile T. Debas Academy of Medical Educators.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.
Heather Kim, DDS
Heather was born in Seoul, South Korea and raised in New Jersey. She received her Bachelor of Science in Biology from the University of Pennsylvania. Afterwards, she attended dental school at Columbia University and completed a General Practice Residency at Woodhull Hospital in Brooklyn, NY. She is excited to continue her dental training at UCSF.