Treatment Planning
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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: 1.5
Description: In modern dentistry, more natural teeth are retained in service for an increased number of years in which they are subjected to a wide array of chemical, mechanical and microbiological stimuli including the iatrogenic impact. Therefore, the presentation of different resorptive defects is not a rarity in dental offices. This clinically oriented presentation will discuss various aspects of root resorption categories from pathophysiology to diagnosis and treatment planning. The aim is to guide the clinician through non-surgical, surgical, and monitoring management protocols supported by the best available evidence, and enhance the clinical practice to provide favorable patient-centered outcomes.
Learning Objectives:
- Discuss pathophysiology of root resorption and clinical relevance.
- Evaluate modes of intervention in cases of root resorption applying most recent technology.
- Describe patient centered outcomes for management of root resorption.
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Includes Credits
CE Hours: 0.75
Description: Cemental tears can be difficult to diagnose and sometimes even harder to treat. Even the best clinicians can miss diagnose them unless familiar with what to look for. The clinical signs, symptoms, and radiographic appearance of cemental tears are not always obvious even on a CBCT. However, a cemental tear can be the reason why some of those flawless non-surgical root canal therapies or apical surgeries may not heal. Unnecessary endodontic treatment can sometimes be the result of misdiagnosis. Management with a surgical approach is required to save teeth with cemental tears. We will review the etiology, diagnosis, and treatment options of cemental tears.
Learning Objectives:
- Describe the etiology of a cemental tear.
- Diagnose a cemental tear and determine the classification based on radiographic and clinical findings.
- List the treatment options of cemental tears based on their classification.
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Includes Credits
CE Hours: 0.75
Description: The MB2 canal, an anatomical feature present in maxillary molars, has garnered significant attention in endodontics due to its clinical significance and challenges in identification and treatment. This lecture aims to explore strategies for predictably locating and treating the MB2 canal, enhancing clinicians’ ability to achieve successful endodontic outcomes. The first part of the lecture delves into the anatomy of maxillary molars, emphasizing the variability and prevalence of the MB2 canal. Understanding the internal morphology of these teeth is crucial for predicting the presence and location of additional canals, such as the elusive MB2. Next, the lecture will review diagnostic techniques and technologies that aid in MB2 canal detection. From advanced imaging modalities like CBCT to clinical indicators such as the presence of additional orifices, attendees will learn practical methods for identifying the MB2 canal during treatment planning. The main focus will then shift to treatment protocols optimized for managing the MB2 canal. Techniques like modified access openings, careful exploration using ultrasonic tips and microscopes, and negotiation with specific instruments will be discussed in detail. Case studies illustrating successful MB2 canal treatment will be presented, highlighting key learning points and common pitfalls to avoid. Emphasis will be placed on predictable and efficient workflows that can be incorporated into everyday practice. In conclusion, this lecture will empower attendees with the knowledge and skills necessary to confidently navigate the complexities of the MB2 canal, ultimately improving clinical outcomes and patient satisfaction in endodontic procedures involving maxillary molars.
Learning Objectives:
- Discuss practical methods for identifying the MB2 canal during treatment planning.
- Describe treatment protocols optimized for managing the MB2 canal.
- Perform predictable and efficient workflows that can be incorporated into everyday practice.
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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: 1.25
Description: The pulp and periodontium have embryonic, anatomic and functional inter-relationships. The simultaneous existence of combined endodontic-periodontal lesions either with or without root damage is a clinical dilemma that can complicate diagnosis, prognosis and treatment planning. These lesions should be classified according to signs and symptoms that have direct impact on their treatment, such as presence or absence of fractures, perforations and external root resorption, presence or absence of periodontitis, and the extent of periodontal destruction around the affected teeth. Management of combined endodontic-periodontal lesions can be challenging especially when severe destruction of the surrounding periodontal tissues is noted. Exposing a CBCT scan may be an important diagnostic tool to confirm the real extent of both lesions and their possible communication and reveal root anatomic factors that may predispose to the clinical outcome. Understanding the complex pathogenesis of both lesions can determine the therapeutic approach for a successful regenerative treatment outcome.
Learning Objectives:
- Identify and classify endodontic periodontal lesions.
- List and sequence therapeutic approaches to treat endodontic periodontal lesions.
- Define diagnostic tools to clinically assess combined endodontic periodontal lesions.
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Includes Credits
CE Hours: 1.5
Description: “Do we hold it or fold it?” This is the decision that clinicians make almost on a daily basis and is usually influenced from one’s background, beliefs, and opinion. Some erroneously believe that all teeth can and should be saved. Whereas others conversely think that questionable teeth should always be removed and replaced with an implant. In this lecture, we will explore criteria that help us understand the long term prognosis of teeth and implants, why one would want to choose to save or extract a tooth, and the complications of each modality.
Learning Objectives:
- Describe the rationale behind when to save a tooth or replace it with an implant.
- List the complications in compromised implants and compromised teeth.
- Be able to formulate a working clinical philosophy on the restoration of teeth or their removal with replacements with dental implants.
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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: 0.75
Description: Combined endodontic-periodontal lesions can arise through different mechanisms. Anatomically, these lesions may occur when pulpal tissue communicates with periodontal tissues via accessory canals or dentinal tubules. Other causes of communication include iatrogenic incidents, root perforations, vertical root fractures, or root resorptions. Treatment of primary endodontic lesions can influence the condition of periodontal tissues. However, the extent to which periodontal lesions and their treatment impact endodontic lesions remains a topic of debate. Managing these combined lesions presents challenges, underscoring the importance of accurate diagnosis and selecting appropriate therapy.
Learning Objectives:
- Classify endoperiodontal lesions.
- Describe the impact of endodontic lesions and treatment on periodontal tissues and healing process.
- Describe the impact of periodontal lesions and treatment on endodontic tissues and healing process.