Selective Root Retreatment: A Conservative Alternative

Credit Details
This electronically delivered self-instructional program is designated for 1.5 hours of CE credit by Farran Media.
AGD Code: 070.

The fee to view this course is $36. This cost includes the fee to take the exam and claim your CE credits.

Synopsis:

Root canal retreatment is traditionally consider an “all or none” treatment approach. Meaning, all restorative and obturation material must be removed from the entire root canal space of all roots regardless of individual periapical health. In contrast, surgical endodontics is not viewed as an “all or none” approach. It is a generally accepted that only the diseased root(s) should be addressed via root end resection and root end filling. Knowledge gained from CBCT imaging has introduced a new reasonable treatment option for endodonticaly treated teeth presenting with post treatment disease. This new concept allows the clinician to make predictable treatment decisions based on the periapical status of an individual root(s) rather than make assumptions about the tooth as a whole. A “selective root retreatment” combines the approach of an orthograde retreatment with the selectivity of a retrograde surgical root resection. It is being suggested that retreatment could be limited to a single root or roots clearly demonstrating periapical pathology while leaving the root(s) with no visible or perceived pathology untouched.

Educational Objectives:
Upon completion of this course, you should be able to:

• Understand the current recommendations for root canal retreatment and associated risks.
• Understand the conflict between the root canal retreatment model and the endodontic surgical model.
• Understand a literature based rationale justifying a more conservative approach to endodontic retreatment.
• Understand the importance of CBCT imaging when determining the presence or absence of periapical pathosis.
• Use the CBCT image to create a guided precision slot access designed to selectively treat one or more roots of a multi-rooted tooth diagnosed with post treatment disease.

Description of Speaker:
Dr. Nudera is a Diplomate of the American Board of Endodontics. He has been published nationally and internationally including multiple scientific contributions to the Journal of Endodontics. Dr. Nudera maintains a full-time private practice limited to Endodontics in Bloomingdale, IL. and currently holds a faculty position at the University of Illinois, College of Dentistry, Department of Endodontics. As an Endodontic Opinion Leader, Dr. Nudera lectures nationally and internationally on a variety of endodontic topics and issues.

Disclosure:
The speaker declares that neither he nor any member of his family have a financial arrangement or affiliation with any corporate organization offering financial support or grant monies for this continuing dental education program.

Legal Disclaimer:
The CE provider (Farran Media) uses reasonable care in selecting and providing content that is accurate. The CE provider, however, does not independently verify the content or materials. The CE provider does not represent that the instructional materials are error-free or that the content or materials are comprehensive. Any opinions expressed in the materials are those of the author of the materials and not the CE provider. Completing one or more continuing education courses does not provide sufficient information to qualify the participant as an expert in the field related to the course topic or in any specific technique or procedure. The instructional materials are intended to supplement, but are not a substitute for, the knowledge, expertise, skill and judgment of a trained health care professional.

Licensure:
Continuing education credits issued for completion of online CE courses may not apply toward license renewal in all licensing jurisdictions. It is the responsibility of each registrant to verify the CE requirements of his/her licensing or regulatory agency.

State CE Requirements:
Click Here for CE requirements by state. Please note that this information is current as of the time of listing. This information is subject to change at any time from the state boards. For the most up-to-date information, please contact your state board directly.

Refund Policy
There are no refunds for Online CE courses. Please contact technical support if you run into technical difficulty.

CE Contact
For any questions, please contact Nareg Apelian, DMD, Director of Continuing Education at nareg@farranmedia.com