Treatment Planning

Treatment Planning

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  • Includes Credits

    CE Hours: 1.0

    Description: This study aimed to assess the canal transportation with 6 preparation systems.

    At the conclusion of this article, the reader will be able to: 

    • Gain insight into variations in the definition of root canal transportation in both clinical and research perspectives.
    • Examine how different types of NiTi systems contribute to root canal transportation, understanding their distinct impacts on the process.
    • Acknowledge the influence of factors such as instrument design and metallurgy on root canal transportation.

    Felipe Gonçalves Belladonna DDS, MSc, PhD

    Adjunct Professor at Fluminense Federal University - Niterói, Rio de Janeiro, Brazil

    Tiago de Mello Guimarães DDS, MSc

    PhD student at Fluminense Federal University - Niterói, Rio de Janeiro, Brazil

    Emmanuel Jo~ao Nogueira Leal Silva, D.D.S., M.Sc., Ph.D.

    Adjunct Professor at Grande Rio University - Caxias, Rio de Janeiro, Brazil

    Adjunct Professor at Rio de Janeiro State University - Rio de Janeiro, Rio de Janeiro, Brazil

    Adjunct Professor at Fluminense Federal University - Niterói, Rio de Janeiro, Brazil

    Esio de Oliveira Vieira DDS, MSc, PhD

    Associate Professor at Fluminense Federal University - Niterói, Rio de Janeiro, Brazil

    Jong-Ki Lee DDS, MSc, PhD

    Private Practice, Changwon, Republic of Korea

    Evaldo de Almeida Rodrigues DDS, MSc, PhD

    Adjunct Professor at Feira de Santana State University - Feira de Santana, Salvador, Brazil

    Erick Miranda Souza DDS, MSc, PhD

    Associate Professor at Maranhão Federal University - São Luís, Maranhão, Brazil

    Marco Aurelio Versiani, D.D.S., M.Sc., Ph.D.

    Dr. Versiani received his degree in Dentistry in 1992. Since 1994, he has been working part-time as a dentist in the Dental Department of the Brazilian Military Police in which he held the grade of Colonel. He is a certified specialist in Endodontics (1994), Didactics (1998) and Bioethics (2003). Dr. Versiani concluded his Master Degree, PhD, and 3 postdoctoral fellowships at the University of Sao Paulo by the year of 2015. In the endodontic literature, he contributed with 3 books, 36 book chapters, and more than 130 peer-reviewed papers in high impact journals. Currently, he is a member of the scientific advisory panel of the Journal of Endodontics and the Editorial Board of the International Endodontic Journal. Dr. Versiani lectures worldwide focusing on his main research interests that are the influence of root canal anatomy on endodontic procedures using non-invasive 3D X-ray micro-computed tomography and CBCT, towards the improvement of both chemical and mechanical debridement of root canals.

  • Includes Credits

    CE Hours: 1.0

    Description: Endodontic flare ups remain a perplexing occurrence. Most often they are thought of as a clinical problem rather than a complex biological phenomenon. Patients presenting with comparable chief complaints, pulp/periapical diagnoses and medical/dental histories, usually receive the same treatment. However, varied responses to that treatment can be difficult to understand. Pain has been described as the most complex symptom that a human can experience. There is increasing evidence that factors, not often considered during a flare up, may play an important role in the biological processes involved in converting an essentially passive condition to one characterized by acute pain. The patient's genetics, immune system and sex may predispose them to pain. This presentation will review the potential of those factors to play a role during a flare up.

    Learning Objectives: 

    • Identify factors that may predispose a patient to pain.
    • Describe how the immune system may be a factor in patient's pain.
    • Evaluate research concerning male and female experiences with pain.

    Paul Rosenberg, DDS

    Dr. Paul Rosenberg served as Professor and Chair of the Department of Endodontics, Director of the Advanced Education Program and Director of the International Program, at New York University College of Dentistry from 1990-2012. He was Associate Dean for Graduate Programs from 2000-2005.

    He is a past Director of the American Board of Endodontics 2002-2008 and was a member of the Scientific Advisory Board of the Journal of Endodontics. He has published extensively in journals and textbooks and has lectured nationally and internationally on Endodontic pain. His textbook titled, Endodontic Pain: Diagnosis, Causes, Prevention and Treatment, was published in 2014 by Springer.

    In 2000 Dr. Rosenberg won the Distinguished Teaching Award, which is the highest award for teaching at NYU. In December 2007, NYU College of Dentistry unveiled a new facility, the Paul and Maxine Rosenberg Educational Wing in his honor, dedicated to providing post-graduate students with a facility devoted to their specific needs.

    In 2017 Dr. Rosenberg received the I.B. Bender Lifetime Educator Award from the American Association of Endodontics. The award acknowledges contributions in the field of education.

    Dr. Rosenberg continues to serve as a Professor in the Department of Endodontics.

    Disclosure

    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.

  • Includes Credits

    CE Hours: 1.75

    Description: The diagnosis and treatment of dental pain is fundamental to the practice of endodontics. However, there can often be a disconnect between the experience of pain in a patient and the presence of clinical disease. Teeth are uniquely innervated and cause severe pain and sensitization of the nervous system, even when there is minimal or no pathology in the pulp. Sensitization can lead to a confusing presentation of symptoms and complicate determining the diagnosis. Furthermore, persistent pain can occur even after successful endodontic treatment, due to changes in the nervous system that have been triggered by the original injury to the pulp. Endodontic materials, including sealers, can injure nervous tissues. In this presentation, we will review the current science underlying clinically relevant issues relating to pain and provide practical guidelines for minimizing risk for chronic pain after routine endodontic treatments

    Learning Objectives: 

    • Explain how the unique innervation of the dental pulp can lead to peripheral and central sensitization.
    • Explain how sensitization can impact endodontic diagnostic testing.
    • Recognize how treatment planning decisions can reduce risk for chronic pain.

    Jennifer L. Gibbs, MS, DDS, PhD

    Jennifer L. Gibbs, M.A.S, D.D.S., Ph.D. is Director of the Endodontics Division and Program Director of Advanced Graduate Education Program in Endodontics and an Associate Professor at Harvard School of Dental Medicine

    Dr. Gibbs received her dental degree and her Ph.D. in Pharmacology from the University of Texas Health Science Center San Antonio. She then completed a certificate in Endodontics and an M.A.S. in Clinical Research from the University of California San Francisco, as well as a postdoctoral training period. She is now a full time faculty at Harvard.

    Dr. Gibbs heads a translational research group focused on understanding the neurobiological mechanisms of orofacial pain with a focus on dental pain, and patient centered outcomes of endodontic treatments. She teaches clinically in the advanced graduate Endodontic Program and lectures to both post-graduate and pre-doctoral students. Dr. Gibbs cares for patients at the Faculty Practice at Harvard. She is a past Educator Fellow of the American Association of Endodontics.

    Disclosure

    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.

  • Includes Credits

    CE Hours: 1.0

    Description: This presentation will provide a concise overview of root resorption which will then be followed by case histories illustrating treatment rationales and treatment protocols for the various types of root resorption that is seen in the endodontic practice of today.  

    Learning Objectives: 

    • Explain the basic etiologies and mechanisms of root resorption.
    • Identify and differentiate the various types of root resorption.
    • Creatively apply endodontic treatment principles toward the management of the resorptive process in various clinical scenarios.

    Garry L. Myers, D.D.S.

    Dr. Garry L. Myers currently serves as the graduate endodontic program director at Virginia Commonwealth University (VCU) in Richmond, Virginia. He completed his dental school education at the University of Texas Health Science Center/ San Antonio in 1985. Six years later he completed his endodontic residency program at Wilford Hall Medical Center at Lackland AFB in San Antonio. He became a Diplomate of the American Board of Endodontics in 1994. After serving on active duty for 13 years, Dr. Myers left the USAF in 1998 to enter full-time private practice in Olympia, Washington where he practiced for the next 16 years. In the summer of 2014, full time education entered the picture when Dr. Myers accepted a position at VCU where he now works. Dr. Myers has been active in organized dentistry having served as the president of the Washington State Association of Endodontists in 2006-07 and as the President of the American Association of Endodontists in 2017-18. Dr. Myers currently serves as an ABE Director and as the endodontic CODA Commissioner. He has spoken internationally at meetings in Japan, South Korea, San Diego and Guatemala.

    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: With the advent of surgical techniques and instruments, the clinical and radiographic outcomes of endodontic surgery have been dramatically improved. However, alteration of soft tissue, including recession, loss of papilla, and scarring, may occur. In other words, surgery may solve the apical lesion but create a new soft tissue problem. With the importance of esthetics in our society, perfect management of hard tissues is insufficient; practitioners need to master the management of soft tissues additionally.

    This presentation aims to review all the steps, from incision design and flap management to the choice of suture size, type, and technique in the interest of maximizing the aesthetic outcome of endodontic surgery. Dr. Wohlgemuth, an Endodontist, and Dr. Shi a Periodontist, will discuss and illustrate each aspect with several clinical cases.

    Learning Objectives:  

    • Describe the parameters related to the aesthetic outcome
    • Describe different flap designs and suture techniques to achieve optimal aesthetic outcomes
    • Explain the role of pre-surgical planning on the outcome of endodontic surgery

    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 is currently the Clinical Assistant Professor in the department of Periodontics and Implantology at NYU College of Dentistry and Program Director for the International Summer Practicum Program.

    Dr. Ye Shi received her DDS degree from Nanjing Medical University in China, 2011 and then completed a 3-year post-graduate residency with a 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 of Academy of Osseointegration. She has received numerous awards for her clinical research and published articles in peer-reviewed journals and book chapters as well. In addition to lecturing nationally and internationally, Dr. Shi lectures for the Advanced Program for Periodontics and International Implant 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.

  • Product not yet rated Includes Credits

    CE Hours: 1.5

    Description: We describe a novel approach to simulating patient-specific dental operative procedures by combining extended reality (XR) technology and 3D-printed models of clinical cases. XR is an umbrella term that encapsulates virtual reality, augmented reality, mixed reality, and everything in between. XR can create a space where the real world and the virtual world merge and influence each other. This presentation applies XR in clinical practice and dental training. The complementary use of patient-specific XR technology and 3D-printed models contributes to easing the transition from preclinical to clinical operative practice and enables effective learning in dental education. We will describe this innovative XR technique in cases featuring 3D-guided access on calcified root canals, microsurgical cases of guided root resection, and non-surgical access of anatomically challenging teeth.

    Learning Objectives:  

    • Describe the application of XR technology in dental education and training
    • Describe the approach to simulating patient-specific dental operative procedures by combining XR technology with 3D-printed models
    • Describe the future applications in live augmented reality procedures

    Fahad Zaman, M.S.

    Fahad Zaman is currently a first-year endodontic resident at Boston University, where he is pursuing his MSD in Endodontics. He has been doing research in 3D endodontics since before he entered dental school. He has had the pleasure of being mentored by Dr. Okazaki closely over the course of dental school at NYU, where they completed 3 years of clinical research, ultimately presenting their research for AAE Endo On Demand in 2021. Currently, Fahad continues his clinical research as a first-year Endodontics resident.

    Katsushi Okazaki, D.D.S., Ph.D.

    Katsushi Okazaki, D.D.S., Ph.D., is a Clinical Assistant Professor in the Department of Endodontics at New York University College of Dentistry and an Associate Professor at Tokyo Dental school in Japan. K. Okazaki had operated a variety of clinical training programs K. Okazaki is a co-author of the book chapter in the seventh edition of Ingle’s Endodontics and the main author of the book chapter in Diagnosis of pulpal-periapical disease, In Endodontic Prognosis. K. Okazaki has lectured on various topics on Endodontics to post-graduate students. K. Okazaki had been the clinic superintendent and the pre-clinical course organizer for the post-graduate students and conducts clinical research in Endodontics at NYU College of Dentistry for many years. K. Okazaki received his DDS, then earned a Ph.D. in Anatomy and Physiology and served as a Teaching Fellow in Oral Anatomy at Aichi Medical University in Japan. After Postdoctoral Research as a research fellow in the Department of Development and Surgical Sciences at the University of Minnesota, K. Okazaki completed Postgraduate Programs in Endodontics at New York University College of Dentistry in the USA. K. Okazaki received the Distinguished Educators Award in 2015 and the Research Award in 2018 at Dean's Honors Day, a celebration of excellence, in recognition of outstanding professional distinction in 2019 from NYU. K. Okazaki has practiced at the NYU Dental Faculty Practice in the NYU Langone Medical Center until 2021. K. Okazaki was accepted as the Chief Academic Director of Dental Prediction Co., Ltd in 2022. He has implemented a novel platform of clinical education in virtual reality (VR) and believes in the future of dental education in the Metaverse.

  • Includes Credits

    CE Hours: 1.0

    Description: Dental trauma often leads to long term side effects on the pulp chamber and the periapical tissues. This course will go over the long term side effects caused by trauma such as cervical root resorption, internal resorption and root ankylosis. We will explore the treatment options that are sometimes needed several years after the initial dental trauma.

    Learning Objectives:  

    • Describe what can occur to traumatized teeth over the years
    • Describe how to evaluate and treat teeth with cervical root resorption
    • Explain how to evaluate and treat teeth with root ankylosis

    Peter Z.Tawil, DDS, MS

    After starting his professional path in Mechanical Engineering at McGill University, Dr Tawil decided to pursue his interest in Dentistry. He obtained his DMD at the Université de Montréal and his AEGD certificate at the University of Rochester. Through his dental journey, Dr Tawil discovered his passion for saving the natural dentition and completed his Masters in Endodontics at UNC in Chapel Hill. Upon completion of his studies, Dr Tawil worked as a specialist in private practice for numerous years in Québec and in North Carolina. Furthermore, he started an academic appointment at the University of North Carolina in 2011 where he progressed to become the Olmsted Family Distinguished Professor and the Director for Graduate Endodontics. He has several publications with an emphasis on Periapical Micro-surgery. In addition, Dr Tawil has a devotion for service, he co-founded the Montreal Homeless Street Youth Dental Clinic and has been committed to his ongoing dental mission work in underdeveloped nations.

    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: There is increasing evidence that teeth with failed endodontic treatment, unsuitable for retreatment due to restorative or anatomic factors, may be candidates for a replantation procedure. The best available evidence indicates that clinicians should integrate the replantation procedure into their treatment planning in select cases. It has been demonstrated that replantation offers the potential for success when proper case selection and procedures are followed. There is a significant cost differential between replantation and that of an implant and crown or fixed prosthesis. Patients who cannot afford an implant, crown, or fixed prosthesis may have their needs addressed by replantation. The procedure offers a viable alternative for some patients who might otherwise lose a tooth resulting in reduced function and diminished esthetics. This presentation will review pertinent literature, consider indications and contraindications for the procedure, and demonstrate completed cases with follow-up. The presentation will utilize a video demonstrating the procedure to serve as a procedural guide. An ongoing multicenter replantation outcomes study will also be reviewed.

    Learning Objectives:  

    • Recognize indications and contraindications for intentional replantation
    • Describe critical steps in the intentional replantation procedure
    • Organize the armamentarium necessary for a replantation procedure

    Paul Rosenberg, DDS

    Dr. Paul Rosenberg served as Professor and Chair of the Department of Endodontics, Director of the Advanced Education Program and Director of the International Program, at New York University College of Dentistry from 1990-2012. He was Associate Dean for Graduate Programs from 2000-2005.

    He is a past Director of the American Board of Endodontics 2002-2008 and was a member of the Scientific Advisory Board of the Journal of Endodontics. He has published extensively in journals and textbooks and has lectured nationally and internationally on Endodontic pain. His textbook titled, Endodontic Pain: Diagnosis, Causes, Prevention and Treatment, was published in 2014 by Springer.

    In 2000 Dr. Rosenberg won the Distinguished Teaching Award, which is the highest award for teaching at NYU. In December 2007, NYU College of Dentistry unveiled a new facility, the Paul and Maxine Rosenberg Educational Wing in his honor, dedicated to providing post-graduate students with a facility devoted to their specific needs.

    In 2017 Dr. Rosenberg received the I.B. Bender Lifetime Educator Award from the American Association of Endodontics. The award acknowledges contributions in the field of education.

    Dr. Rosenberg continues to serve as a Professor in the Department of Endodontics.

    Disclosure

    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.

    Fabricio B. Teixeira, D.D.S., M.S., Ph.D.

    Dr. Fabricio Teixeira is Professor and Chair of the Department of Endodontics at the University of Iowa. He is also the current holder of the Richard E. Walton Professorship. Before coming to Iowa, he served as Director of the Advanced Education Program in Endodontics at the University of Texas Health at San Antonio. He obtained his certificate in endodontics from the UT San Antonio and was the first recipient of the Endowment Carlos E. del Rio Distinguished Professorship in Endodontics. Before moving to Texas, he served as Associate Professor in the Department of Endodontics at the University of North Carolina at Chapel Hill, where he still maintains an appointment as adjunct faculty. Dr. Teixeira is Diplomate of the American Board of Endodontics and currently serves as Director of the ABE. He holds a position as endodontic consultant of the American Dental Association for the Commission on Dental Accreditation. He is member of the OKU National Dental Honor Society and Fellow of the International College of Dentists. He is former Associate Editor of Endodontic Topics, current editor Evidence-Based Endodontics and Visual Endodontics. He holds a position on the Scientific Advisory Board of the Journal of Endodontics and serves as peer reviewer on many other international journals. He is actively involved in clinical research and has lectured nationally and internationally on several topics. He has published extensively in peer-reviewed journals, abstracts and textbook chapters. He also maintains a private practice limited to endodontics in Iowa City.

  • Includes Credits

    CE Hours: 1.0

    Description: Systemic health is related to oral health and vice versa. Many systemic diseases are manifested in the oral cavity and many oral conditions and therapies have a profound impact upon systemic diseases. In addition, some of the therapies used to these conditions have significant effects on the oral cavity. For those reasons, it is important for dentists (and dental health care professionals) to know about their patients' medical conditions before treating them and to understand which diseases manifest themselves in the oral cavity. This lecture will present a general overview of the principles of the management of medical conditions in dental patients. The participant will be updated upon current understanding of medical conditions such as antibiotic prophylaxis, bleeding and cardiovascular conditions.

    Learning Objectives:  

    • Describe the changing epidemiology of medical problems in dental patients
    • Review the medical manifestations and treatment options for medical problems in dental patients
    • Review the current dental management for patients with medical problems in dental practice

    Nelson L. Rhodus, D.M.D., M.P.H.

    DR. NELSON L RHODUS is a Morse Distinguished Professor and Director of Oral Medicine in the University of Minnesota School of Dentistry . He is an adjunct Professor of Otolaryngology in the School of Medicine . He is a Diplomate ( and Past President) of the American Board of Oral Medicine. He is an inductee in the University of Minnesota Academic Health Center Academy of Excellence and the Academy of Distinguished Teachers and the University of Minnesota Scholar’s Walk of Fame. He is on the Hospital Staff of the University of Minnesota Hospital and the Cancer Center. He has published over four-hundred scientific papers and abstracts and presented over four-hundred fifty lectures and courses throughout the United States and abroad . He co-authors a textbook: DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT and he is an editor of the Journal of Oral Surgery, Oral Medicine., Oral Pathology and Oral Radiology

  • Includes Credits

    CE Hours: 0.75

    Description: Endodontic retreatment is carried out in cases where previous endodontic therapies failed. The main cause of treatment failure is bacterial persistence within the root canal or coronal leakage after treatment. Literature reports a success rate ranging from 80% to 88% for endodontic retreatment; thus, it is a procedure with a predictable prognosis when well performed. Prognosis will be affected by the type of previous treatment and anatomical alterations occurred during primary treatment. Numerous technologies such as operative microscope, CBCT, and ultrasound are available to help execute the different procedures that could demand this therapy. Overall, clinical procedures include: removal of pins or posts and other core materials; removal of guttapercha, silver cones, management of ledges, root perforations and in some cases, even separated instruments. The main objectives of this clinical lecture are to describe some of the most common clinical situations that occur during endodontic retreatment and to highlight the importance of this practice for tooth conservation.

    Learning Objectives: 

    • Recognize the importance of diagnosis and evaluate the causes of primary treatment failure
    • Perform safe and predictable protocols to approach the different difficulties that a retreatment case may present
    • Describe the available technologies such as operative microscope, CBCT and ultrasound for the management of retreatment cases