Treatment Planning
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Includes Credits
CE Hours: 1.0
Description: Bacterial testing of root canal systems in patients has traditionally presented with many difficulties. The culture technique never gained wide acceptance as the procedure is arduous and time consuming. DNA-based identification such as polymerase chain reaction suffers from high false positive readings by detecting DNA from dead bacterial cells.
A newly introduced ATP assay detection method provides rapid identification of organic residues in root canal systems by detecting ATP, as well as its degradation products ADP and AMP, using a combination of luminescent reactions. The resulting luminescence is measured and displayed as a 0 – 100 Endoscore, with low scores indicating less cellular (bacterial) contamination.
The ability to acquire results within 10 seconds can have significant ramifications in endodontics by allowing dentists to assess and modify cleaning and disinfection protocols in real time. Extrapolating data from research in extracted teeth, with artificially created biofilm, to clinical treatment of patients is complicated with potential inaccurate and erroneous inferences.
This presentation will review the ATP assay detection method and present data illustrating how this method can be used to validate an Er,Cr:YSGG laser-assisted endodontic protocol for the cleaning and disinfection of root canal systems.
Learning Objectives:
- Describe a rapid chair-side test for root canal cleanliness
- Test to evaluate endodontic treatment protocols.
- Describe how this test can be utilized to evaluate the efficacy of a laser-assisted endodontic protocol, utilizing an Er,Cr:YSGG laser, for the cleaning and disinfection of complex root canal systems.
Justin Kolnick, DDS
Dr. Kolnick received his dental degree, cum laude, from the University of the Witwatersrand in South Africa, where he was the first dental school graduate to be awarded the University Scholarship for Overseas Postgraduate Study. He received his postdoctoral endodontic training from Columbia University in the City of New York.
Dr. Kolnick has been committed to endodontic education, first as an Associate Clinical Professor in Endodontics at Columbia University and then as an Attending at Westchester Medical Center and an Associate Clinical Professor in Endodontics at New York Medical College. Although he no longer holds these positions, he continues to lecture extensively on local, national and international levels and has published several articles on endodontics. Dr. Kolnick is dedicated to fostering excellence in endodontics through education and the incorporation of the latest technology. For the past 18 years, his experience and expertise in lasers has made a significant contribution to the development of a comprehensive, laser-assisted treatment concept in endodontics.
Disclosure(s): Biolase, EdgeEndo: Consultant, Honorarium/Gift
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Includes Credits
CE Hours: 1.0
Description:
We'll examine key survival rates and success metrics for both options, delving into the fundamental distinctions between teeth and implants. The presentation identifies crucial factors that influence tooth preservation and evaluates the documented evidence regarding implant performance over time compared to natural dentition. Drawing from current research, we'll analyze which restoration approaches and treatment strategies demonstrate optimal long-term outcomes. This evidence-based discussion aims to provide clarity on the durability and effectiveness of both treatment pathways, helping inform clinical decision-making for lasting dental solutions.
Learning Objectives:
- Explain the similarities and differences between a tooth and an implant in terms of long-term survival
- Recognize the factors for clinically acceptable results and success
- Discuss treatment planning alternatives and sustainability of treatment
Gabriela Lagreca, DDS, DMD, MBA, FACP
Dr. Lagreca is a Board-Certified Prosthodontist and fellow of the American Board of Prosthodontics. She received her first dental degree (DDS) from the Universidad Central de Venezuela in Caracas. She then received her certificate in Prosthodontics, Implant Fellowship training and and currently Doctor of Dental Medicine (DMD) degrees from Tufts University School of Dental Medicine (TUSDM). Dr. Lagreca teaches in classroom, clinical and preclinical prosthodontics to pre and postdoctoral residents and supports the Office of Academic Affairs in faculty development, training, and calibration. Dr. Lagreca is the President of the American College of Prosthodontics Massachusetts section, where she leads the prosthodontics community in the state, organizes continuing education programs and collaborates with dental professionals and educators from Harvard, Tufts and Boston University. Dr. Lagreca’s achievements have been recognized by the Incisal Edge Magazine 40-under-40 2021 Award and The American Dental Association.
In accordance with this policy, I declare I do not 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.
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Includes Credits
CE Hours: 1.5
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 course will present a thorough overview of the principles of the management of medical conditions in dental patients, Furthermore, the participant will be updated upon current understanding and treatment of oral conditions such as oral cancer, xerostomia, lichen planus and candidiasis among others.
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
- Identify the oral manifestations and potential complications of medical problems in dental patients
Educational support provided by Endodontic Practice Partners
Nelson L. Rhodus, D.M.D., M.P.H.
NELSON L RHODUS, DMD, MPH, FICD, FRCSEd, FAAOM, Diplomate American Board of Oral Medicine, is a Morse Distinguished Professor and Director of the Division of Oral Medicine, Oral Diagnosis and Radiology in the Department of Diagnostic and Biological Sciences in the University of Minnesota School of Dentistry. He is also an Adjunct Professor of Otolaryngology in the Medical School and an Adjunct Professor of Epidemiology in the School of Public Health . He is a Diplomate, examiner and past President of the American Board of Oral Medicine, He is also past President of the American Academy 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 a Fellow in the International College of Dentists and of the American College of Dentists and a Fellow in the Royal College of Surgeons of Edinburgh. He is an Attending member of the Minnesota Masonic Cancer Center and the Hospital Staff of the University of Minnesota Hospital and Clinics, a consultant to the US Navy Hospital and Hennepin County Medical Center.
Dr. Rhodus directs several oral medicine courses and has been awarded "Professor of the year " for fourteen years and is a recipient the School of Dentistry Century Club Professor of the Year . He has been active in faculty governance and served in many capacities in the University Senate for over 27 years.
Dr. Rhodus has been active with the American Dental Association and the Minnesota Dental Association having served on several committees and the editorial board and has been selected often( x 10) as Best Dentist by Minnesota Monthly and Top Dentist-USA.
Dr. Rhodus has been active in basic and clinical research for over 38 years and he has published over three hundred- eighty refereed scientific papers and abstracts. His H index is 42 and his research has been cited over 5000 times. He has presented over seven-hundred lectures and courses throughout the United States and abroad. He is on the medical advisory board for the National Oral Cancer Foundation and the National Sjogren’s Syndrome Foundation. He is an editor of the Journal of Oral Surgery, Oral medicine, Oral Pathology and Oral Radiology. He co-authors two textbooks: DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT (10ed.) and OROFACIAL DISORDERS.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 below:
Disclosure(s): NIH, SSF (Grants/Research Support), US Army, Navy, VA (Consultant)
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Includes Credits
CE Hours: 1.25
Description: Pain is fraught in the dental world. It is often the driver of emergency dental visits, yet it also keeps many fearful patients out of the dental chair. Thankfully, we live in a world with effective pharmaceuticals to manage pain of endodontic origin pre-operatively, effective anesthesia to eliminate painful delivery of care, and strategies to minimize postoperative discomfort. In this lecture, we’ll present an organized and evidence-based algorithm for both diagnosing and managing pain of endodontic origin, including before, during and following the delivery of definitive care.
Learning Objectives:
- Explain the origins of orofacial pain
- Discuss appropriate management strategies for pain of endodontic origin
- Review management strategies for postoperative and persistent pain conditions
Brooke Blicher, DMD, Certificate in Endodontics
Dr. Brooke Blicher received her BA in Chemistry from Colgate University, where she graduated Magna Cum Laude and Phi Beta Kappa, her DMD from the Harvard School of Dental Medicine where she graduated with honors in research, and her certificate in Endodontics from Tufts University School of Dental Medicine.
Dr. Blicher is a Diplomate of the American Board of Endodontics, and a Fellow in both the American College of Dentistry and the International College of Dentistry. She continues to be involved with teaching, research and mentorship, holding faculty appointments at both Harvard and Tufts Schools of Dental Medicine. Dr. Blicher has been involved in organized dentistry as a member of several committees for the American Association of Endodontists, and her local and state dental societies.
While providing state of the art specialty care in her private practice in White River Junction, Vermont, Dr. Blicher continues to pursue her academic interests. She authored the chapter “Diagnosis and Treatment Planning” in the 6th edition of Endodontics: Principles and Practice, as well as the textbooks Endodontics: A Review, now in its second edition, and the newly published Clinical Endodontics, available in March. She has published extensively, including in the Journal of Dental Research, General Dentistry, Inside Dentistry, and Compendium. Dr. Blicher has lectured both locally and internationally on endodontic diagnosis, non-odontogenic pain, fractures, trauma, resorption, treatment of immature teeth, and CBCTs in endodontics as well as on ideal restorative care following endodontic treatment.
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: Quintessence Publishing (Individual(s) Involved: Self): other financial or materials support.
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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.
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: 0
Description: Regenerative endodontic treatment of immature teeth is now advocated as first treatment choice for immature teeth with pulp necrosis. Traditionally, calcium hydroxide apexification and more recently MTA apical barrier techniques are alternative approaches. A disadvantage of these approaches is no further root development and a belief that calcium hydroxide may weaken teeth. The veracity of that claim will be examined. Clinical outcomes regarding resolution of signs and symptoms of infection are similar for all approaches. Immature teeth with pulp necrosis treated with REPs generally show further root maturation although the results are variable. Furthermore, patient-based criteria such as tooth discoloration, indications for changing the treatment option, and number of treatment appointments are all important parameters for discussion before electing the appropriate treatment plan for the management of immature teeth with pulp necrosis. Recommendations for which treatment approach are dependent on aesthetic requirements and stage of root development.
- Describe the parameters of success in the treatment of immature teeth
- Evaluate patient and clinician based outcome measures.
- Evaluate the efficacy of three treatment approaches for immature permanent teeth with pulp necrosis
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
Bill Kahler, DClinDent., Ph.D.
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.
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Includes Credits
Cloud Computing: The Future of Interdisciplinary Collaboration and Dental Informatics
Speaker: Richard D. Roblee, D.D.S., M.S.
This session will demonstrate the integration of time proven interdisciplinary methodologies with the concept of one centralized health record for each patient utilizing "cloud computing." This internet-based, HIPAA-compliant technology enables an interdisciplinary team to electronically access and update a patient's health record from anywhere at any time, and seamlessly communicate with the patient, other providers, laboratories and pharmacies. The result is a highly secure and cost effective approach to efficiently making the best treatment decisions and consistently providing the highest level of comprehensive care. Expanding this concept to a community or countrywide platform can also significantly reduce overall healthcare costs while providing a powerful vehicle for developing evidence-based treatment options.
Learning Objectives:
- Describe the efficiency and effectiveness of virtual communication for an interdisciplinary team.
- Discuss HIPAA compliance issues and the EHR mandates associated with interdisciplinary collaboration.
- Discuss the potential for developing evidence-based treatment options by utilizing this technology.
Multidisciplinary Team Relationships
Speaker: Donald S. Clem, D.D.S.
Increasingly, patients require a team approach to health care. This presentation will explore how our current demographic will drive dental care and the complexities of decisions for effective solutions. The role of collaboration in treatment planning will be reviewed as well as how combining the expertise of individual clinicians can be managed efficiently. Finally, what is the role of the specialist of the future? It has been said that "blurring of the specialties" is occurring; or is "de-specialization" threatening the very nature of the dental specialties themselves?
Learning Objectives:
- coming soon
The Role of TEAM in Reconstructive Esthetic Dentistry: A Defined Algorithm for Success
Speaker: James L. Gutmann, D.D.S
With the advent of new technologies, techniques and materials, the ability to replace missing teeth with the form, function and beauty of the natural dentition is now possible. Resin-bonded bridges, porcelain fused to metal and all ceramic restorations as well as implants can be offered as solutions to patients suffering from the loss of teeth in the "Esthetic Zones." This presentation will focus on a defined algorithm for the interdisciplinary team of the restorative dentist, periodontist and orthodontist to successfully reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening and esthetic periodontal plastic soft tissue grafting procedures, as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior or subsequent to the restorative options of implants, bridges or pontic replacement.
Learning Objectives:
- Discuss the risk factors in anterior implant therapy.
- Define the four most important diagnostic components leading to a successful treatment design for an esthetic restoration.
- Manage new digital and CAD/CAM technologies to optimize minimally invasive anterior implant therapy.
Total credit hours: 1.5 CE hour
Richard D. Roblee, D.D.S., M.S.
BIO COMING SOON
Donald S. Clem, D.D.S.
bio coming soon
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
Richard D. Roblee, D.D.S., M.S.
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 below:
Stockholder/Ownership Interest (excluding diversified mutual funds): U.S.HealthRecord/TeamLINKS
Donald S. Clem, D.D.S.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 below:
Grant/Research Support: Sunstar
Consultant: Medtronics, Nobelbiocare, Organogenesis
Stockholder/Ownership Interest (excluding diversified mutual funds): Nobelbiocare
Honorarium: Straumann
James L. Gutmann, D.D.SDisclosure: 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 below:
Consultant: DENTSPLY Tulsa Dental Specialties