Trauma
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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.
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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.
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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.
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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.
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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.
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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
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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.
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Includes Credits
CE Hours: 0.75
Description: Pulp Necrosis in young patients may lead to interruption of the normal root development. Regenerative Endodontic Procedures (REP) have been shown to be a promising treatment strategy for the repair or regeneration of the damaged tissues in order to achieve complete development or closure of the apical root third. Most published reports using REPs have focused on patients aged 8-16 years and mainly with open apex teeth. In the recent years, REPs have been also suggested for the treatment of adult patients in different clinical scenarios. During this presentation, different situations where REP have been performed in adult patients will be introduceD treatment of teeth with fully developed roots, apical root resorptions, teeth with previous surgical and non-surgical retreatment or autotransplanted teeth. Some of these cases have been followed for up to 15 years after treatment.
Learning Objectives:
- List the different clinical scenarios where regenerative endodontic procedures can be performed in adult patients.
- Describe the potential benefits and limitations of regenerative endodontic procedures in adult patients, as compared to conventional endodontic procedures.
- Discuss the short and long-term outcomes of regenerative endodontic procedures in adult patients.
José F. Gaviño Orduña, Sr., D.D.S, PhD
Dr. José F. Gaviño Orduña is a dedicated dentist and researcher with a passion for endodontics. Born in Barcelona in 1982, he developed a profound interest in medicine and caring for others from an early age. Dr. José F. Gaviño Orduña pursued his undergraduate studies at the University of Barcelona. His passion for education and sharing knowledge led him to become a Collaborating Professor in the Postgraduate Program in Endodontics and the Master's Program in Adult Dentistry at UB from 2008 to 2016. As an Associate Professor of Conservative Dentistry, he continues to inspire and educate future dental professionals. Driven by his curiosity to contribute to the advancement of endodontics, Dr. José F. Gaviño Orduña embarked on a PhD journey, focusing his research on autologous pulp regeneration using growth factors in collaboration with the Generalitat de Catalunya and IDIBELL- Bellvitge Biomedical Research Institute. His extensive research contributions are evident through numerous articles published in journals with a significant impact on the field of endodontics.
Outside of his professional endeavors, Dr. José F. Gaviño Orduña finds solace in his family. He is grateful for the unwavering support and encouragement from his wife and three children, who motivate him to push boundaries and make a lasting impact in the field. When he is not engaged in dentistry or research, he enjoys playing basketball, a sport that allows him to unwind and maintain a healthy work-life balance. With a deep-rooted passion for his work and a supportive family by his side, Dr. José F. Gaviño Orduña continues to strive for excellence in providing conservative and effective treatment options for his patients.
Disclosure(s): No financial relationships to disclose
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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
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Includes Credits
CE Hours: 1.25
Description: Dental trauma to immature maxillary incisors can result in various complications such as discoloration, critical fractures, resorptions, or ankylosis and might lead to tooth loss. All of the above can influence patients’ physical and social aspects, including self-esteem, confidence, eating and speaking abilities, and proper development and growth of the jaw bones. Treatment of traumatized immature incisors should not only focus on the acute phase but also the long-term consequences. Any time gained with the tooth in the jaw bone, free of infection, is an achievement, as it allows normal growth and development. All these aspects will be discussed, given clinical cases and updated scientific literature. An evidence-based summary will be presented for clinicians to be used as a concise tool when planning treatment for traumatized immature maxillary incisors.
Learning Objectives:
- List the common implications of post-traumatic treatment of immature maxillary incisors.
- Discuss the pros and cons of common post-traumatic treatments of immature maxillary incisors.
- Evaluate dental trauma cases while considering future implications of the treatment provided.
Yuli Berlin-Broner, DMD, MSc, FRCD(C)
Dr. Yuli Berlin-Broner is an Assistant Professor and former acting Head of the Division of Endodontics at the University of Alberta, where she coordinates the pre-doctoral education in endodontics. Dr. Broner received her DMD degree from Tel Aviv University (Magna Cum Lauda) and completed her Post Graduate Program in Endodontics at the Hebrew University. She is a registered endodontist with the College of Dental Surgeons of Alberta (CDSA) and a Fellow of the Royal College of Dentists of Canada (FRCDC). Dr. Broner serves as a Board Director and is active on several committees within the International Association of Dental Traumatology (IADT). She is also an active member of the Canadian Association of Endodontics (CAE) and the American Association of Endodontics (AAE). Dr. Broner has published papers, presented at national and international conferences, and is a reviewer in scientific journals. Her research focus includes endodontic-systemic relationships, endodontic educational research, and dental traumatology. Dr. Berlin-Broner also maintains a clinical practice limited to endodontics.
Disclosure(s): No financial relationships to disclose
Liran Levin, DMD
Prof. Liran Levin is a professor of periodontology at the Faculty of Medicine and Dentistry, University of Alberta, Canada. He is also a visiting professor at the Harvard School of Dental Medicine, Boston, MA.
Prof. Liran Levin was the Head of Research at the School of Dentistry, Rambam Health Care Campus, and Faculty of Medicine - Technion IIT Haifa, Israel.
Prof. Liran Levin received his DMD degree with distinction at Tel Aviv University and completed his Post Graduate Periodontology Program at the Department of Periodontology, Rambam Health Care Campus. Healso received his Periodontology Specialist Certificate from the European Federation of Periodontology as well as a Fellow of the Royal College of Dentists of Canada in Periodontology.
Prof. Liran Levin has published more than 300 articles and book chapters in the international professional literature and is involved in research mainly in periodontology, dental implants and dental trauma. His papers received more than 11,000 scientific citations. He has been lecturing extensively both nationally and internationally in the fields of dental implants and periodontal diseases.
Prof. Levin serves as the Editor-in Chief of Dental Traumatology, an Associate Editor for the International Dental Journal, Scientific Associate Editor for the Quintessence International and as an Editorial BoardMember and a manuscript reviewer for some of the leading international professional Journals in the fields of periodontology, dental implants, dental trauma and general dentistry.
Prof. Levin is the Vice-President of the Periodontal Research Group of the International Association for Dental Research (IADR). He is currently the President of the International Association for DentalTraumatology (IADT) and was chairing the 2020 IADT dental trauma guidelines committee.
Prof. Liran Levin is a professor of periodontology at the Faculty of Medicine and Dentistry, University of Alberta, Canada. He is also a visiting professor at the Harvard School of Dental Medicine, Boston, MA. Prof. Liran Levin was the Head of Research at the School of Dentistry, Rambam Health Care Campus, and Faculty of Medicine - Technion IIT Haifa, Israel. Prof. Liran Levin received his DMD degree with distinction at Tel Aviv University and completed his Post Graduate Periodontology Program at the Department of Periodontology, Rambam Health Care Campus. He also received his Periodontology Specialist Certificate from the European Federation of Periodontology as well as a Fellow of the Royal College of Dentists of Canada in Periodontology. Prof. Liran Levin has published more than 300 articles and book chapters in the international professional literature and is involved in research mainly in periodontology, dental implants, and dental trauma. His papers received more than 10,000 scientific citations. He has been lecturing extensively both nationally and internationally in the fields of dental implants and periodontal diseases. Prof. Levin serves as the Editor-in-Chief of Dental Traumatology, an Associate Editor for the International Dental Journal, Scientific Associate Editor for Quintessence International, and an Editorial Board Member and manuscript reviewer for some of the leading international professional Journals in the fields of periodontology, dental implants, dental trauma, and general dentistry. Prof. Levin is the Vice-President of the Periodontal Research Group of the International Association for Dental Research (IADR). He is currently the President of the International Association for Dental Traumatology (IADT) and was chairing the 2020 IADT dental trauma guidelines committee.
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.