New Jersey Association of Endodontists Presents:
The 25th Annual Marc Balson NJAE Winter Symposium
Sponsored by NJAE & BeiDE (Madrid, Spain) via an Electronically Mediated Zoom Meeting Platform
Saturday, March 20, 2021, from 10:30am EST – 4:00pm EST; 3:30pm CET – 9:00pm CET
NJAE designates this activity for 5 hours of CERP CE: Website registration njendo.org or BeiDE.com
For any questions about this meeting please contact us at njaeendo@gmail.com or bedentalexpert.com
John Archible, DMD – President of NJAE; Marc Balson, DDS, FIAE – Executive Director
Program:
10:30am EST/3:30pm CET (1 hour 15 minutes)
Dr. Carlos Aznar Portoles
“Efficiency Based Endodontic Microsurgery”
Synopsis:
Endodontic microsurgery has proven to be an effective alternative for the treatment of teeth with apical periodontitis. Outcome studies show high success rates when modern techniques are employed. But, is there room for improvement? During the last years, several microsurgical materials and techniques have been introduced. During this presentation I will discuss how these materials and techniques can help us to work more efficiently. We will also describe methods to improve team efficiency and how to apply those in the daily practice. Ergonomics is a significant consideration when providing endodontic microsurgery for your patients.
Learning objectives:
– Learn strategies to improve the efficiency of the microsurgical team
– Discuss new materials and techniques in endodontic microsurgery
– List the different applications of Dynamic Surgical Navigation in endodontic microsurgery
11:45am EST/4:45pm CET (1 hour 15 minutes)
Dr. Jose Aranguren Cangas
“Modern Endodontics, new endodontic procedures: Let’s save teeth”
Synopsis:
Endodontics is one of the most evolved specialties in dentistry, cases that a few years ago would go for extraction today
we can maintain these teeth thanks to the new knowledge and the latest technology. Modern endodontics has changed the
old idea that endodontics was just doing root canal treatment and that is wrong … today endodontics includes many more
procedures (retreatment, apical surgery, revascularization, reimplantation, auto transplantation, treatment of vital pulp …
etc.) Periapical radiography is a somewhat crude tool to assess the presence or absence of periapical
periodontitis, but until now it has been the only objective way of assessing the outcome of endodontic treatment. There is no
doubt that CBCT is a more reliable and accurate tool for assessing periapical periodontitis. One of the aims of this presentation
is to assess the potential impact CBCT will have on the success rates of endodontic treatment, and provide a glimpse of how
the outcome of endodontic treatment may be evaluated in the future. Considerable advancements have been made in recent
years in endodontic treatment. New endodontic armamentaria have been developed (Microscopes, ultrasonics, MTA.…) Many teeth
that are replaced by implant could be preserved using these techniques. The other aim of the presentation, will be to evaluate the current
literature on the outcome of endodontic pretreatment and apical surgery and will focus on the use of the ultrasonic instruments.
Learning objectives:
– Evaluate the potential and the outcome of endodontic treatment.
– Understand the use of the new treatment instruments.
– Describe the concept of total surgical treatment.
Break 12:45pm/5:45pm CET (15 minutes)
1:00pm EST/6pm CET (1 hour 15 minutes)
Dr. Robert E. Grover
“Treatment of Compromised teeth: What is possible?”
Synopsis:
In their book, “Evidenced-Based Decision Making in Dentistry”, Dr’s Rosen, Nemcovsky, and Tsesis state that “the ultimate goal of conservative dental treatment is to preserve the natural dentition”. They recognize however, that in compromised cases, where a more complex multidisciplinary approach may be necessary, the attempt to retain a tooth for the long-term may be less predictable creating a potentially difficult decision for the clinician and therefore the patient. Should a compromised tooth be retained or extracted in favor of replacement with an implant? In their position paper on implants, the AAE stated that implants have “enhanced oral function for many patients by profoundly affecting treatment planning for teeth with an unfavorable prognosis, and for the rehabilitation of edentulous spaces”. Though implants were initially designated as replacements for missing teeth, many clinicians have migrated to using implants as substitutes for existing teeth.
The AAE’s position is that the “early removal of a compromised tooth and replacement with an implant” paradigm should be reconsidered. In 2014, the AAE released a treatment guide for compromised teeth including root amputations, resorptions, procedural complications, and endodontic retreatment. This guide provided treatment considerations and prognosis for each of the categories of compromised teeth. However, little consideration was given to the long-term outcomes of the treatment described in the guide.
Over the past seven years, Dr. Grover has followed over 4,000 of cases that he has treated since opening a private endodontic practice in 1995. Using the AAE’s decision making guide as a template, Dr. Grover will attempt to illustrate what is possible with regards to treatment of compromised teeth.
Learning objectives:
– Describe and understand what is meant by the term compromised teeth.
– Be able to discuss the benefits of retaining compromised teeth.
– Understand the conditions that may enhance the retention of compromised teeth.
2:15pm EST/ 7:15 CET (1 hour 15 minutes)
Dr. Kehn E. Yapp
A. “Becoming a better diagnostician by understanding decision and probability theory”
B. “Cognitive biases in test interpretation – how to recognize them and avoid being fooled”
Synopsis: A. “Becoming a better diagnostician by understanding decision and probability theory”
A sophisticated understanding of the testing process is imperative for any clinician involved in diagnostic decision making. Whilst these concepts are established and widely prevalent in the medical community, they are yet to achieve widespread acceptance in dentistry. Grasping and implementing concepts of probability and decision theory – such as Bayes’ theorem and receiver operating characteristic analysis – will only lead to improved decision making, a greater understanding of the type of information to be collected and the kinds of errors that can be made. At another level, this leads to an understanding of the types of questions and their usefulness that should be asked in the diagnostic domain.
Learning objectives:
– Understand the principles of diagnostic testing from a probabilistic perspective.
– Describe the performance characteristics and identify the limitations of a diagnostic test.
– Use concepts of probability to be aware of the types of errors in decision making.
Synopsis: B. “Cognitive biases in test interpretation – how to recognize them and avoid being fooled”
The human element of test interpretation can be subject to occult biases which may have significant effects on diagnostic decisions. These can range from simple language descriptors to test findings being associated with unknown disease progression or morbidity. Whilst the spectrum of available test modalities in endodontics may be limited, the components of many aspects of the interpretive process have not yet been thoroughly studied. Immediate recognition of the sources of error can be difficult when there is a lack of awareness and understanding of the biases in perception and interpretation. When a careful and methodical approach to test interpretation is used, along with an awareness of the likely biases that may affect decision making, clinicians can be more likely to overcome common errors in the diagnostic interpretive process.
Learning objectives:
– Be aware of cognitive biases in test interpretation.
– Understand how perception can influence diagnostic decision making.
– Limit diagnostic error by accounting for the effect of cognitive biases in the interpretive process.
Cancellations and refunds are available up until 1 week before the event (March 13, 2021). Requests will be accommodated by contacting njaaendo.org
The New Jersey Association of Endodontists is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.