Our Courses

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 the individual periapical status. 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 androot end filling. Knowledge gained from CBCT imaging has introduced a new reasonable treatment option for endodontically 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 non-surgical retreatment with the selectivity of a surgical root resection.

Upon completion of this course, each participants should have a better understanding of the following:

– The current recommendations for root canal retreatment and associated risks.
– The conflict between the root canal retreatment model and the endodontic
surgical model.
– A literature based rationale justifying a more conservative approach to endodontic retreatment.
– The importance of CBCT imaging when determining the presence or absence of periapical pathosis.
– How to 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.

We may be “over retreating” perviously root canal treated teeth that present with recurrent or persistent apical pathology. This presentation is designed to make a reasonable argument using our current “accepted evidence” and logical reasoning to defend the clinician’s choice to approach root canal retreatment in a different way. 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.

This course will demonstrate how intraoral scanning does so much more than simply replace impression material.  Today’s scanning devices are the starting point in our treatment workflow.  They help educate patients, communicate with our laboratory partners, and ultimately allow predictable and efficient dentistry.  This seminar will provide clinical examples demonstrating the power of intraoral scanning.

Root resorption can be a real enigma when diagnosing and treatment planning. Depending on the location and
severity of the resorption, it can dramatically affect the prognosis of the case. There are several different types
of root resorption, but probably the most complicated resorption to manage is the invasive cervical root
resorption. These cases need to be properly assessed. The lines of communication between the different dental
specialties need to be maintained, since the management often necessitates an inter-disciplinary approach. This
course is designed to take the mystery out of diagnosing and treatment planning teeth with root resorption.

Root resorption can be a real enigma when diagnosing and treatment planning. Depending on the location and
severity of the resorption, it can dramatically affect the prognosis of the case. There are several different types
of root resorption, but probably the most complicated resorption to manage is the invasive cervical root
resorption. These cases need to be properly assessed. The lines of communication between the different dental
specialties need to be maintained, since the management often necessitates an inter-disciplinary approach. This
course is designed to take the mystery out of diagnosing and treatment planning teeth with root resorption.

Part 3: CDT Coding for Implants, Oral Surgery and Miscellaneous Services

Correct coding of implant services is critical to prevent revenue loss. When to code for surgical extractions, root removal and the proper record keeping and supporting documentation. Reporting habit appliances and the letters you never use.

Part 2: CDT Coding for Crowns, Build-ups, Endodontics and Periodontics

The correct supporting documentation for crowns, build-ups, root canal therapy and scaling and root planning submitted with claims speeds up reimbursement. How to deal with Delta Dental and Met Life for crown build-ups. Scaling and root planning and the new code, D4346, get paid!

Part 1: CDT Coding for Preventive, Diagnostic and Restorative (Direct Restorations)

Participating or non-participating practices with PPOs, gain a better understanding of insurance company frequency limitations for preventive and diagnostic services. Stay off of the insurance company radar screen for direct restorations. Code accurately to maximize practice and patient reimbursement.

Proficient cleaning and shaping of root canals needs to be backed up with state of the art obturation.  As time has evolved, so has our methods of obturation. This webinar will review these techniques and concentrate on the latest technologies available in cutting edge dentistry.

Learning objectives:
-Be able to determine different techniques of obturation
-Define the role of sealers in obturation
-Define when different situations require a specific type of obturation