Course No: EN10-10 CDE Credits Friday: 6
Retreatment in the Era of Implants?!
Friday, November 26, 2010
Location: University of Toronto Centre for Continuing Dental Education, 1440 Don Mills Road (Kern Road Entrance), Toronto, ON
Dr. Shimon Friedman
D.M.D.
Dr. Peter Birek
DDS., MSc.
Course Outline
Recent surveys have indicated that when faced with management of root-filled teeth with persistent lesions, dentists increasingly favor replacement with implants over retreatment. This trend is a reflection of the dentists' perception that retreatment has a poor prognosis, even though the prognosis of retreatment is at par with that of initial treatment, as shown in clinical studies representing the current best evidence. Considering the very good prognosis of retreatment, the trend favoring extraction is unwarranted and the practice of retreatment should be promoted for the benefit of patients.
During this lecture, three concepts will be discussed that are key to avoiding unwarranted extractions of root-filled teeth with persistent lesions. First, the almost-unlimited technical possibilities to perform retreatment, as well as the favorable prognosis and excellent prospects of tooth retention in function, must be communicated to all dental professionals and patients alike. Second, it must be acknowledged that retreatment is no longer the only viable treatment option as in many cases in the past and, therefore, the current case selection strategies must be modified to fit the new era when tooth replacement with implants is a readily accessible, predictable alternative to retreatment. Third, the retreatment techniques used currently must be as conservative as possible to preserve tooth structure and restorations where possible, in order to extend the longevity of the retreated tooth.
Learning Objectives — at the end of this lecture, participants should be able to:
- Define the key concepts for supporting the practice of retreatment in an environment favoring replacement of teeth with persistent lesions.
- Define the expected long-term outcomes of retreatment in teeth with persistent lesions.
- Describe current strategies for case selection for retreatment or tooth extraction and replacement.
- Outline the least invasive retreatment techniques that can be used to preserve tooth structure and restorations.
The University of Toronto, Faculty of Dentistry appreciates the unrestricted educational grant provided for this course by Dentsply Tulsa Dental Specialties.
Tuition*
(includes continental breakfast, networking lunch, and afternoon refreshments)
|   | Prior to November 12, 2010 | After November 12, 2010 |
|---|---|---|
| Dentists | $395 | $415 |
| Dental Team Members | $125 | $125 |
Course Times:
Registration: 8:30 a.m.
Friday Course: 9:00 a.m. to 4:00 p.m.
*Register at the same time for 2 or more courses and receive a 10% discount on each course.
CANCELLATION POLICY: Two weeks prior to course date – 100% refund. One week prior to course date – 50% refund. There is no refund for cancellations after one week prior to course date.
DISCLAIMER: Dental education institutions have an obligation to disseminate new knowledge related to the dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing dental education course by the University of Toronto Faculty of Dentistry does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution. The University of Toronto Faculty of Dentistry reserves the right to cancel this course due to circumstances beyond its control.
Biographies
Dr. Shimon Friedman is Professor and Head of Endodontics, and Director of the M.Sc. Endodontics Program at the Faculty of Dentistry, University of Toronto. He received the D.M.D. degree (1975) and certificate in endodontics (1983) from the Hebrew University in Jerusalem, where he had taught for 17 years before assuming the position in Toronto. Dr. Friedman is board-certified in endodontics in Israel, and served as Chairman of the Israel Endodontic Society (1985-1988). He has served on the editorial boards of all major endodontic journals, and as Cochief Editor of Visual Endodontic Curriculum. Dr. Friedman has published 125 articles in peer-reviewed scientific journals, 10 textbook chapters and many research abstracts, and has presented over 230 national and international lectures. In recognition of his research contributions, Dr. Friedman in 2008 received the prestigious Louis I. Grossman Award by the AAE. Dr. Friedman also maintains a private practice limited to Endodontics in Toronto.
Dr. Peter Birek is an Associate Professor in the Department of Periodontics at University of Toronto. He maintains a private practice in Periodontics and Implant Surgery. Over the years Dr. Birek has conducted research related to refractory periodontitis and implants.