kv_dental AAE 2010
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Lecture Highlights
Lecture Highlights

Master Clinician Series (MC) - Alan H. Gluskin, D.D.S., San Francisco, Calif. - Track Organizer (Featuring live patient procedures in a theater-in-the-round setting.)

Nonsurgical Retreatment – MC-1: Wyatt D. Simons, D.D.S., San Clemente, Calif. with Moderator: Alan H. Gluskin, D.D.S., San Francisco, Calif.

Microsurgery and Grafting – MC-2: Garrett M. Guess, D.D.S., San Diego, Calif. with Moderator: Alan H. Gluskin, D.D.S., San Francisco, Calif.

CT-Guided Apical Surgery – MC-3: L. Stephen Buchanan, D.D.S., Santa Barbara, Calif. with Moderator: David E. Witherspoon, B.D.S., M.S., Plano, Texas

Periradicular Palatal Surgery – MC-4: Mahmoud Torabinejad, D.M.D., M.S.D., Ph.D., Loma Linda, Calif. with Moderator: Kenneth W. Tittle, D.D.S., M.S., Pleasant Hill, Calif.

Endodontic Microsurgery Workshop – S-100: Richard A. Rubinstein, D.D.S., Farmington Hills, Mich.

Elevating the Bar in Microsurgery: From Success to Service - SP-104 Room 3: Garrett M. Guess, D.D.S., San Diego, Calif. with Moderator: Michael M. Hoen, D.D.S., West Bloomfield, Mich.

Educating General Dentists: A Panel of Perspectives - HTC-105 Room 1: George Bogen, D.D.S., Los Angeles, Calif., Robert A. Goldberg, D.D.S., Buffalo Grove, Ill., Gary R. Hartwell, D.D.S., M.S., Newark, N.J., Ronald R. Lemon, D.M.D., Las Vegas, Nev., Kim C. Livesay, Tulsa, Okla., and Clifford J. Ruddle, D.D.S., Santa Barbara, Calif. with Moderator: Donna J. Mattscheck, D.M.D., Billings, Mont.

Soft Tissue Management in Endodontic Microsurgery - S-300 Room 1: Peter Velvart, D.M.D., Zurich, Switzerland with Moderator: Scott B. McClanahan, D.D.S., M.S., Plymouth, Minn.

Microsurgery–Theory and Practice - S-301 Room 5: Garrett M. Guess, D.D.S., San Diego, Calif., Raed S. Kasem, D.D.S., M.S., Clearwater, Fla., Syngcuk Kim, D.D.S., Ph.D., Philadelphia, Pa., and Samuel I. Kratchman, D.M.D., Exton, Pa. with Moderator: Bradford R. Johnson, D.D.S., Chicago, Ill.

Definitive Diagnosis and Treatment of Crackeds Teeth With Microscopic Magnification - SP-303 Room 7A: Robert Salehrabi, D.D.S., Denver, Colo. with Moderator: William D. Powell, D.D.S., M.S., Knoxville, Tenn.

New Methods for Negotiating and Shaping Canals - NS-308 Room 1: Clifford J. Ruddle, D.D.S., Santa Barbara, Calif. with Moderator: Thomas A. Levy, D.D.S., M.S., Aliso Viejo, Calif.

Aesthetic Principles of Soft Tissue Management in Microsurgical Endodontics - S-304 Room 2: Ali Fakhry, D.M.D., M.S., Iowa City, Iowa with Moderator: Anne E. Williamson, D.D.S., M.S., Iowa City, Iowa

Decision Making: Root Canals or Implants–Let’s Stop the Debate and Understand the Rationale - SP-401 Room 7A: Mohamed I. Fayad, D.D.S., M.S., Ph.D., Chicago, Ill. with Moderator: Adam Lloyd, B.D.S., M.S., Memphis, Tenn.

Maximizing the Use of Dental Assistants While Performing Microsurgical Endodontics - SP-402 Room 3: Timothy J. Temple, D.M.D., Orlando, Fla. with Moderator: Lynne A. Baldassari-Cruz, D.D.S., Palo Alto, Calif.

New Camera Technology and Photographic Skills - SP-407 Room 3: Eric J. Herbranson, D.D.S., M.S., San Leandro, Calif. with Moderator: John D. Regan, B.D.Sc., M.Sc., M.S., Plano, Texas.

Surgical Versus Nonsurgical Retreatment: Treatment Decisions - SP-409 Room 7B: Spyros Floratos, D.M.D., Athens, Greece with Moderator: Claudio H. Varella, D.D.S., Gainesville, Fla.

Complete 2010 AAE Annual Session Program
(Source: www.aae.org)
   
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Wednesday - April 14, 2010
Endodontic Microsurgery Workshop
Richard A. Rubinstein, D.D.S.
Farmington Hills, Mich.
This all-day course is designed to provide participants with the opportunity to learn about contemporary microsurgical armamentaria and techniques. After a review of microsurgical armamentaria and a clinical demonstration of a simulated maxillary molar apical microsurgery, participants will assist each other using state-of-the-art typodont models.

At conclusion, participants should be able to:
• Identify and utilize microsurgical armamentaria.
• Use a surgical operating microscope.
• Advance skills in performing apical microsurgery.

S-100:
Room 16 (8 a.m. – 5 p.m.)
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Nonsurgical Retreatment
Wyatt D. Simons, D.D.S.
San Clemente, Calif.
Moderator: Alan H. Gluskin, D.D.S.
San Francisco, Calif.
This nonsurgical live demonstration will cover endodontic retreatment. A wide spectrum of clinical techniques and applications will be reviewed and illustrated in an attempt to help clinicians ensure and streamline necessary treatment objectives for success. Complete disassembly, anatomic exploration, thorough disinfection and 3-D warm vertical obturation will be reviewed and demonstrated.

At conclusion, participants should be able to:
  • Describe various methods to accomplish and ensure complete disassembly and thorough canal exploration upon nonsurgical retreatment.
  • List and compare several methods to enhance the disinfection of the root canal system and the potential for these additional steps to increase success.
  • Describe and assess the importance of treatment objectives in nonsurgical endodontic retreatment in relation to their impact on successful outcomes, overall patient care and personal fulfillment.
MC-1: Hall A (1:45 – 5 p.m.)
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Elevating the Bar in Microsurgery: From Success to Service
Garrett M. Guess, D.D.S.
San Diego, Calif.
Moderator: Michael M. Hoen, D.D.S.
West Bloomfield, Mich.
Endodontic microsurgery provides a definitive means to save a patient’s tooth with predictable methods that are a valuable service to our patients. In light of the treatment planning challenge that involves deciding to save a tooth versus placing an implant, as endodontists it is our mission to educate our referrals and patients on the success, service and advantages of this procedure. This presentation will discuss evidence-based factors affecting the success of endodontic microsurgery with a focus on the methods that maximize the success of endodontic surgery from tooth survivability, soft tissue esthetics and patient comfort.

At conclusion, participants should be able to:
  • Assemble a knowledgebase of the current and past research on endodontic microsurgery.
  • Implement a strategic method to communicate to referrals and patients about the benefits and capabilities of contemporary endodontic microsurgery.
  • Assist patients and referrals to make evidence-based treatment planning decisions.
SP-104: Room 3 (3:30 – 5 p.m.)
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Educating General Dentists: A Panel of Perspectives
George Bogen, D.D.S.
Los Angeles, Calif.
Robert A. Goldberg, D.D.S.
Buffalo Grove, Ill.
Gary R. Hartwell, D.D.S., M.S.
Newark, N.J.
Ronald R. Lemon, D.M.D.
Las Vegas, Nev.
Kim C. Livesay
Tulsa, Okla.
Clifford J. Ruddle, D.D.S.
Santa Barbara, Calif.
Moderator: Donna J. Mattscheck, D.M.D.
Billings, Mont.
A framework for the basic controversy and challenges surrounding endodontic education of the general dentist will be brought forth by the moderator. An introduction comprised of information produced by an AAE background paper will serve as a starting point for discussion on this topic. A panel of endodontic educators, private practice endodontists, as well as a representative from industry and an instructor of hands-on CE courses will share their perspectives based on questions from the audience.
HTC-105 Room 1: 3:30 – 5 p.m.
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Thursday – April 15, 2010
Microsurgery and Grafting
Garrett M. Guess, D.D.S.
San Diego, Calif.
Moderator: Alan H. Gluskin, D.D.S.
San Francisco, Calif.
The clinical success of endodontic microsurgery depends heavily on the use of the operating microscope, specially designed microsurgical instruments and contemporary materials. When used together, these tools provide a successful treatment option for nonhealing endodontic cases. This presentation, performed with a live patient, will provide a comprehensive step-by step demonstration of the techniques available to optimize the outcome of endodontic microsurgery to treat nonhealing endodontic pathology.

At conclusion, participants should be able to:
  • Visualize the entire procedure involved with treating a nonhealing endodontic case by a microscope-assisted surgical approach.
  • Recognize and utilize materials to optimize the success of endodontic surgery cases through grafting of periodontal and endodontic defects.
  • Incorporate the demonstrated grafting materials and microsurgical techniques into their practice to provide successful endodontic microsurgery to patients.
MC-2: Hall A (1:30 p.m. – 5 p.m.)
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Friday – April 16, 2010
Soft Tissue Management in Endodontic Microsurgery
Peter Velvart, D.M.D.
Zurich, Switzerland
Moderator: Scott B. McClanahan, D.D.S., M.S.
Plymouth, Minn.
In modern endodontic surgery the management of soft tissues becomes increasingly important for an esthetically successful treatment. This is true considering maintenance of attachment levels and regarding the amount of possible recession after surgical procedures. The presentation gives an overview and guidance for integrating current and new successful flap designs and wound closure methods.

At conclusion, participants should be able to:
  • Describe the reaction pattern of the tissues involved and the healing principles after the wound closure.
  • Apply this knowledge correctly in choosing the appropriate type of incision and flap design.
  • Identify the correlation between the healing pattern and minimal invasive tissue handling.
S-300: Room 1 (8:30 – 10 a.m.)
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Microsurgery–Theory and Practice
Garrett M. Guess, D.D.S.
San Diego, Calif.
Raed S. Kasem, D.D.S., M.S.
Clearwater, Fla.
Syngcuk Kim, D.D.S., Ph.D.
Philadelphia, Pa.
Samuel I. Kratchman, D.M.D.
Exton, Pa.
Moderator: Bradford R. Johnson, D.D.S.
Chicago, Ill.
At conclusion, participants should be able to:
  • List factors that lead to endodontic failure and indications for nonsurgical and/or surgical retreatment clearly.
  • Describe the basic and biological steps in microsurgery.
  • Discuss how referring dentists and patients benefit from working with an endodontist who practices microsurgery as a part of endodontic treatment.
S-301: Room 5 (8:30 – 11:45 a.m.)
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CT-Guided Apical Surgery
L. Stephen Buchanan, D.D.S.
Santa Barbara, Calif.
Moderator: David E. Witherspoon, B.D.S., M.S.
Plano, Texas
Recently, endodontic specialists have been pursuing training to place implants as a part of their practices for those teeth determined to have guarded to poor prognoses. This new direction in the specialty has changed it in dramatic and providential ways, among them the cross fertilization of concepts, instruments and procedures. One of the most exceptional advancements in implantology has been the use of CT imaging, computer software for surgical treatment planning and stereo lithography to generate drill guides for implant placement. This live demonstration will show the use of this technology in order to guide surgical drills to the root apices of a tooth needing surgical retreatment in less time through a smaller tissue flap, and with more precision than is possible when using traditional surgical methods.

At conclusion, participants should be able to:
  • Describe the advantages of CT-guided endodontic surgery.
  • Describe how to develop an endodontic surgery treatment plan using a computer.
  • Identify the techniques and instruments needed to do CT guided surgery.
MC-3: Hall A (8:30 – 11:45 a.m.)
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Definitive Diagnosis and Treatment of Cracked Teeth With Microscopic Magnification
Robert Salehrabi, D.D.S.
Denver, Colo.
Moderator: William D. Powell, D.D.S., M.S.
Knoxville, Tenn.
As the population lives longer and retains more teeth, the frequency of cracked teeth is increasing. Cracked teeth present a variety of test results, signs and symptoms that depend on many factors. This unpredictability makes the cracked tooth a perplexing diagnostic and treatment entity. Microscopic magnification techniques will be discussed that will provide definitive information related to the extent of the cracks externally, internally and below the attachment level, and their predictable treatment.

At conclusion, participants should be able to:
  • Increase confidence regarding definitive diagnosis of cracked teeth.
  • Describe various types of cracks.
  • Deliver predictable and definitive treatments for each type of crack using microscopic magnification.
SP-303: Room 7A (10:15 a.m. – 11:15 a.m.)
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New Methods for Negotiating and Shaping Canals
Clifford J. Ruddle, D.D.S.
Santa Barbara, Calif.
Moderator: Thomas A. Levy, D.D.S., M.S.
Aliso Viejo, Calif.
This presentation will identify a new concept for securing and shaping canals. The essential elements for success including a new instrument and method for managing the glide path, and preparing and finishing canals will be emphasized. This presentation will focus on the most recent advancement in NiTi files, including metals, geometries and a unique method of use. Special attention will be directed to minimally invasive endodontics and creating shapes that promote 3-D disinfection and obturation.

At conclusion, participants should be able to:
  • Identify a new method for glide path management.
  • Compare traditional NiTi shaping methods with a new single-file technique.
  • Describe how the final shape influences 3-D disinfection and obturation.
NS-308: Room 1 (1:45 – 3:15 p.m.)
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Periradicular Palatal Surgery
Mahmoud Torabinejad, D.M.D., M.S.D., Ph.D.
Loma Linda, Calif.
Moderator: Kenneth W. Tittle, D.D.S., M.S.
Pleasant Hill, Calif.
When nonsurgical root canal treatment in a molar fails, endodontic surgery is an alternative to extraction and placement of a bridge or an implant. In this live demonstration, the audience will observe how a molar surgery is performed with new materials and techniques.

At conclusion, participants should be able to:
  • Discuss the indications and contraindications for molar surgeries.
  • Describe the proper flap design for molar surgeries.
  • State how to perform root-end resection, root-end cavity preparation and placement of root end filling material in a molar surgery.
MC-4: Hall A (1:45 – 5 p.m.)
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Aesthetic Principles of Soft Tissue Management in Microsurgical Endodontics
Ali Fakhry, D.M.D., M.S.
Iowa City, Iowa
Moderator: Anne E. Williamson, D.D.S., M.S.
Iowa City, Iowa
This presentation reviews the fundamentals of soft tissue management in microsurgical endodontics. Emphasis will be placed on achieving optimal soft tissue healing using microsurgical principles. Topics covered will include a discussion of wound closure and tissue healing patterns, a review of flap and incision designs aimed at reducing scars as well as a demonstration of various microsuturing techniques and microsurgical armamentaria aimed at reducing scar formation.

At conclusion, participants should be able to:
  • Define the various wound closure and tissue-healing patterns.
  • Describe scar-reducing approaches to soft tissue handling.
  • List the benefits of microsurgical techniques and armamentaria used in endodontic surgery.
S-304: Room 2 (1:45 – 3:15 p.m. & 3:30 – 5 p.m.)
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Saturday – April 17, 2010
Decision Making: Root Canals or Implants–Let’s Stop the Debate and Understand the Rationale
Mohamed I. Fayad, D.D.S., M.S., Ph.D.
Chicago, Ill.
Moderator: Adam Lloyd, B.D.S., M.S.
Memphis, Tenn.
Dentists often face the challenge to choose between nonsurgical or surgical retreatment, or extraction and implant placement. This video-animated presentation will demonstrate how advancements in 3-D imaging, instruments, and bone-grafting materials have changed our approach in philosophy and treatment of endodontic post-treatment disease.

At conclusion, participants should be able to:
  • Utilize the new technology available (3-D imaging, dental operating microscope, ultrasonics and different bone-grafting material) to improve the diagnosis and prognosis of cases with post-treatment disease.
  • Discuss procedures and materials utilized in single-tooth extraction and socket preservation.
  • Establish the correct strategy to achieve a good prognosis well before the beginning of the treatment (nonsurgical, surgical or single-tooth implant).
SP-401: Room 7A (9:15 – 10:15 a.m.)
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Maximizing the Use of Dental Assistants While Performing Microsurgical Endodontics
Mohamed I. Fayad, D.D.S., M.S., Ph.D.
Chicago, Ill.
Moderator: Adam Lloyd, B.D.S., M.S.
Memphis, Tenn.
The use of the surgical microscope in endodontics is now the standard of care. Utilizing our dental auxiliaries/assistants effectively while working with the microscope can increase the efficiency and quality of care we provide. Video will be shown and a question and answer session will occur with course participants.

At conclusion, participants should be able to:
  • Identify proper positioning of doctor and assistants during treatment.
  • Identify proper placement of armamentarium.
  • Arrange for optimal use of dental assistants while performing microsurgical endodontics.
SP-402: Room 3 (11 a.m. – noon a.m. – noon)
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New Camera Technology and Photographic Skills
Eric J. Herbranson, D.D.S., M.S.
San Leandro, Calif.
Moderator: John D. Regan, B.D.Sc., M.Sc., M.S.
Plano, Texas.
Digital still and video camera technology is rapidly changing and their capabilities are merging. This lecture will review and compare the technologies and how they affect the endodontist’s equipment decisions for microscope imaging. It will also review the storage and processing software necessary for the two types of cameras. The second part will review the basic fundamental skills necessary for good clinical imaging and briefly review photo editing.

At conclusion, participants should be able to:
  • Describe the functional and performance difference between digital video and digital still cameras when applied to microscope photography, as well as how they compare to wand-type intraoral cameras.
  • Make an informed purchase decision based on their particular clinical imaging needs.
  • Describe the basic skills necessary to produce good clinical images.
SP-407: Room 3 (1:45 – 3:15 p.m.)

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Surgical Versus Nonsurgical Retreatment: Treatment Decisions
Spyros Floratos, D.M.D.
Athens, Greece
Moderator: Claudio H. Varella, D.D.S.
Gainesville, Fla.
The use of modern endodontic techniques and treatment protocols result in high success rates for primary endodontic treatment. Nevertheless, due to certain anatomical or biological constraints and/or after iatrogenic interference, treatment might not result in a positive outcome. This may necessitate either conventional or surgical retreatment. This presentation describes a modern retreatment decision-making concept, which encompasses pre-, intra- and postoperative factors that involve the tooth under treatment, the patient and clinician.

At conclusion, participants should be able to:
  • Describe factors that are important to consider before making a decision for surgical and/or nonsurgical retreatment.
  • Evaluate the risks and prognosis of each retreatment option.
  • Compare the conventional retreatment techniques with modern microsurgical techniques that utilize the surgical operating microscope, ultrasonic instruments and biocompatible materials.
SP-409: Room 7B (3:30 – 4:30 p.m.)
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