roots C.E. No. 1, 2020
Cover
/ Contents
/ AAE provides considerations for dental and endodontic care during COVID-19 crisis
/ AAE sends message to governors and state health officials
/ What passage of CARES Act means for endodontists
/ The use of Bio-C Sealer and Bio-C Repair in periapical surgery
/ Designed by an endodontist specifically for endodontic procedures
/ Endodontists from all three Boston dental schools donate root canals to local patients in need
/ Imprint
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roots
International Edition • Vol. 10 • Issue 1/2020
issn 2161-6558
the international magazine of
1
endodontics
2020
_special report
_update
_case report
AAE provides
considerations for
COVID-19 crisis
What the passage of
the CARES Act means
for endodontists
Bio-C Sealer and
Bio-C Repair in
periapical surgery
[2] =>
[3] =>
contents_ roots
page 04
page 06
page 07
I special report
I donated care
04
12 Endodontists from all three Boston dental
schools donate root canals to local patients
in need
AE provides considerations for dental and
A
endodontic care during COVID-19 crisis
_AAE Staff
I
I advocacy
I about the publisher
06 AAE sends message to governors and
state health officials
14
_imprint
_Dr. Keith V. Krell
roots
I update
07
International Edition • Vol. 9 • Issue 1/2020
issn 2161-6558
What passage of CARES ACT means
for endodontists
the international magazine of
1
I case report
endodontics
2020
08 The use of Bio-C Sealer and Bio-C Repair
in periapical surgery
_Renato Interliche, Douglas Giordani Negreiros Cortez
and Clauber Romagnoli
I industry
_update
AAE provides
considerations for
COVID-19 crisis
What the passage of Bio-C Sealer and
the CARES Act means Bio-C Repair in
for endodontists
periapical surgery
_case report
I on the cover
11 Designed by an endodontist specifically
for endodontic procedures
This illustration, created at the Centers for Disease Control
and Prevention (CDC), reveals ultrastructural morphology
exhibited by coronaviruses.
_CJM Engineering Staff
page 08
_special report
page 11
page 12
roots
1
I 03
_ 2020
[4] =>
I special report_ Coronavirus
AAE provides considerations
for dental and endodontic care
during COVID-19 crisis
_The American Association of Endodontists (AAE)
has announced several recommended considerations to its 8,000-plus endodontist and dentist members amid the COVID-19 outbreak. The announcement came at a time when other dental organizations
revealed similar recommendations regarding dental
care and emergency vs. non-emergency treatment.
“Given the rapid and global spread of the COVID-19
pandemic, it is the responsibility of everyone — health
care providers and fellow citizens — to do everything
possible to reduce the spread of this infection,” said
AAE President Dr. Keith V. Krell. “While there is no
simple solution to balancing delivery of oral health
care and minimizing the spread of the coronavirus,
there is much we as endodontists and dentists can
do to help reduce its spread.”
Along with these recommendations, the AAE
also published on its website, ahead of publication
in the May issue of the Journal of Endodontics,
a review, available at www.aae.org/specialty/
clinical-resources/coronavirus-disease-19-covid19-implications-for-clinical-dental-care/, co-authored by Dr. Ken M. Hargreaves, providing an
This is a picture of CDC’s
laboratory test kit for severe
acute respiratory syndrome
Coronavirus 2 (SARS-CoV-2).
CDC tests are provided to
state and local public health
laboratories, Department of
Defense (DOD) laboratories
and select international
laboratories. (Photo: cdc.gov)
04 I roots
1_ 2020
overview of the epidemiology, symptoms and routes
of transmission of COVID-19. In addition, specific
recommendations for dental practice are suggested.
“Advance publishing of this very important guidance has been critical in getting our members up to
speed on the situation we’re facing,” Krell said. “In the
coming days, we’ll continue to respond accordingly
as the situation changes.”
The AAE’s recommendations are as follows:
• We agree with the CDC as well as professional
organizations such as the ADA in recommending
postponement of non-urgent oral health care for up
to three weeks.
• Examples of urgent conditions requiring oral
health care may include severe dental pain, abscess
with lymphadenopathy or a dental infection-related
fever.
• Some urgent conditions may be treated with
appropriate analgesics or antibiotics. A recent report
from the British Medical Journal recommends acetaminophen over ibuprofen. While providing pharmacological treatment, practitioners can continue
to monitor patient responses by telephone contact.
[5] =>
special report_ Coronavirus
‘Examples of urgent
conditions requiring oral
health care may include
severe dental pain, abscess
with lymphadenopathy
or a dental infectionrelated fever.’
• If pharmacotherapy is insufficient, the recent
review co-authored by Hargreaves summarizes considerations for appropriate dental care.
• As of now, the impact of the epidemic varies
across the country. Accordingly, the recommendations of our members’ local and state dental societies
should be reviewed.
As this pandemic evolves, new recommendations
will likely emerge. In addition to updates being made
to aae.org/covid, below we provide a list of websites
with useful information:
• COVID-19 Situation Webpage: https://www.
cdc.gov/coronavirus/2019-ncov/cases-updates/
summary.html.
• ADA Coronavirus Resource Center for Dentists:
https://success.ada.org/en/practice-management/
patients/infectious-diseases-2019-novel-coronavirus.
• ISDS Issues Recommendations for Dental Offices
Regarding COVID-19: https://www.isds.org/newsdetails/2020/03/16/isds-issues-recommendationsfor-dental-offices-regarding-covid-19.
• New York State Dental Association: Novel Coronavirus (COVID-19): https://www.nysdental.org/
news-publications/novel-coronavirus-(covid-19).
• California Dental Association: Urgent COVID-19
Updates: https://www.cda.org/Home/News-andEvents/COVID-19-coronavirus-Updates.
_About the AAE
The American Association of Endodontists, headquartered in Chicago, represents more than 8,000
members worldwide. The AAE, founded in 1943, is
dedicated to excellence in the art and science of endodontics and to the highest standard of patient care.
The association inspires its members to pursue
professional advancement and personal fulfillment
through education, research, advocacy, leadership,
communication and service.
More information about the AAE is available at
aae.org._
I
This illustration, created at the
Centers for Disease Control
and Prevention (CDC), reveals
ultrastructural morphology exhibited
by coronaviruses. Note the spikes
that adorn the outer surface of the
virus, which impart the look of a
corona surrounding the virion, when
viewed electron microscopically. A
novel coronavirus, named Severe
Acute Respiratory Syndrome
coronavirus 2 (SARS-CoV-2),
was identified as the cause of an
outbreak of respiratory illness first
detected in Wuhan, China, in 2019.
The illness caused by this virus has
been named coronavirus disease
2019 (COVID-19). (Photo/CDC, Alissa
Eckert, MS; Dan Higgins, MAMS)
(Source: AAE)
roots
1
I 05
_ 2020
[6] =>
I advocacy_ health crisis
AAE sends message to governors
and state health officials
_The following message was sent to
governors and state health officials on
behalf of AAE’s 8,000-plus members:
To Governors and State Health Departments,
The American Association of Endodontists (AAE) urges your Department
of Health to recognize endodontists as
essential emergency health care providers
for distribution of necessary N95 masks
and other personal protective equipment
(PPE), for the following reasons:
1. Endodontists treat dental emergencies
that become life-threatening if untreated;
2. Endodontists engage in emergency
care in high aerosol environments; and
3. Endodontists mitigate the burden on
Keith V. Krell, DDS, MA, MS
President, AAE medical and hospital emergency departments.
_Endodontists treat dental emergencies
that become life threatening if untreated
In 2007, a 12-year-old boy from Baltimore named
Diamonte Driver made national news when he died
because an untreated infected molar resulted in an
abscess that spread to his brain. In 2011, a 24-year-old
Cincinnati resident died of an untreated tooth infection. In 2017, a 26-year-old truck driver died of a tooth
infection that had only been treated with pain medication. Unfortunately, these are not the only such cases.
The conditions that led to Diamonte’s and the others’ deaths are the very same emergency conditions
that are treated effectively by endodontists in the
dental practice. It is critical to understand that dental
emergencies become life-threatening if they are not
treated properly.
_Endodontists provide emergency care in
high-aerosol environments
Endodontics is the branch of dentistry concerned
with “the morphology, physiology and pathology of
the human dental pulp and periradicular tissues,”
specifically, the “treatment of diseases and injuries
of the pulp and associated periradicular regions.”1
Put simply, endodontists treat pulpal conditions
often produced as a result of untreated decay, often
06 I roots
1_ 2020
exhibiting with abscessed pulp and often experienced as severe pain. Endodontic treatment includes
surgical and non-surgical therapies, both of which
require the use of a high-speed drill. The drill creates
aerosols that have been affirmed by the CDC as capable of transmitting the Coronavirus. These aerosols
are necessary in emergency dental care but require
N95 masks for protection of the dentist and staff.
_Endodontic care reduces the burden on
emergency departments
In 2016, there were 2.2 million emergency department visits for dental issues in the United States;
that’s one every 14 seconds.2 In 2009, the top two
dental conditions that resulted in emergency department visits were dental decay (41.8 percent) and
abscesses (37.4 percent); these are the conditions
most effectively treated by endodontists.
Today, with the need for emergency departments
to focus their limited resources on the COVID-19
pandemic, avoidable dental-related emergency department visits are especially problematic. Dentists,
especially endodontists, must serve as the first point
of contact for dental emergencies if we are collectively
going to minimize the burden on the limited capacity
of emergency departments. Moreover, by helping
patients with dental emergencies through telehealth
or emergency office visits that respect social distance,
these patients avoid becoming agents and recipients
of transmission of the Coronavirus in emergency departments where social distance is a challenge.
For the reasons explained here, it is critical for ensuring the safety of patients and for protecting valuable emergency department resources and staff that
endodontists be included as essential emergency
health care providers for distribution of necessary
N95 masks and other PPE.
Sincerely,
Keith V. Krell, DDS, MA, MS,
President, AAE
1.
2.
https://www.ada.org/en/ncrdscb/dental-specialties/
specialty-definitions.
https://www.ada.org/~/media/ADA/Science%20and%20
Research/HPI/Files/HPIgraphic_0819_1.pdf?la=en.
(Source: AAE)
[7] =>
update_ federal legislation
I
What passage of CARES Act
means for endodontists
_On March 27, 2020, a $2 trillion COVID-19 economic relief bill called the Coronavirus Aid, Relief and
Economic Security (CARES) Act was signed into law.
The measure builds upon earlier versions of the CARES
Act and is meant to be the third round of support from
the government during the Coronavirus pandemic.
The American Dental Association (ADA) and
the U.S. Small Business Administration (SBA) have
provided the following information. Here’s what endodontists, their staffs and residents need to know:
The Coronavirus Aid, Relief and
Economic Security (CARES) Act,
signed into law on March 27,
builds upon earlier versions of the
CARES Act and is meant to be the
third round of support from the
government during the Coronavirus
pandemic. (Photo: Tommy Schultz,
dreamstimefree.com)
_Economic Injury Disaster Loans (EIDL)
If your small business has suffered substantial
economic injury and is located in a declared disaster area (https://disasterloan.sba.gov/ela/Declarations/
Index), you may be eligible for the U.S. Small Business
Administration (SBA) EIDL. Substantial economic injury
means the business is unable to meet its obligations and
to pay its ordinary and necessary operating expenses.
The loan offers as much as $2 million per applicant.
The SBA will also offer EIDL applicants an emergency grant of up to $10,000 remitted within three
days to immediately cover expenses for COVID-19
related sick leave, mortgage, rent and necessary
overhead. The SBA will provide a total of $10 billion in emergency grants, awarded on a first-come,
first-served basis. EIDL applicants would not have to
repay the SBA emergency grant if they are ultimately
denied the EIDL loan. For more information or to apply, visit the SBA site, https://disasterloan.sba.gov/
ela/Information/EIDLLoans.
_Loan forgiveness
A part of your federal small business loans may be
forgiven tax-free in amounts spent for some payroll,
sick leave, family leave and overhead expenses between Feb. 15 and June 6, and some debt obligations
incurred prior to Feb. 15.
_Retirement account withdrawals
If you as an endodontist, your spouse or your dependent is diagnosed with COVID-19, or face adverse
financial consequences from being quarantined,
furloughed, laid off or having work hours reduced
due to the virus, then you may withdraw money from
retirement funds (i.e., 401K, etc.) of up to $100,000 in
2020 without paying a tax penalty.
_Student loan interest deferral
The act provides interest-free suspension of federal student loan through Sept. 30. This suspension
will not be applicable to private loans. Contact your
lender to verify eligibility. Additional benefits include
income tax breaks for employees receiving student
loan assistance payments, deferred social security
tax, federal tax rebates, and higher unemployment benefits. Visit the ADA (https://www.ada.org/
en/publications/ada-news/2020-archive/march/
senate-passes-cares-act) to read more about these
additional benefits.
_For more information
Visit aae.org/covid for the latest AAE information
on the Coronavirus pandemic._
(Source: AAE)
roots
1
I 07
_ 2020
[8] =>
I case report_ Bio-C Sealer and Bio-C Repair
The use of Bio-C Sealer and
Bio-C Repair in periapical surgery
Authors_Renato Interliche, Douglas Giordani Negreiros Cortez and Clauber Romagnoli
Fig. 1_A cone beam computed
tomography was performed for
diagnosis and to establish
a treatment plan.
(Photos/Provided by Renato
Interliche, Douglas Giordani
Negreiros Cortez and
Clauber Romagnoli)
Fig. 1
08 I roots
1_ 2020
_This case report aims to present a clinical case
in which periapical surgery with root-end filling was
performed with the use of new bioceramic-based
sealers. The ease handle of these materials was verified as well as a fast bone repair in a short period. It
was concluded that, if the results are maintained in
the long term, these sealers may be the first choice
for these clinical procedures.
Failures in endodontic treatments are not uncommon, and most of them result from an imperfect root
canal decontamination during the first treatment.1
Some endodontic failures cannot be saved by retreatment. As an example, we have cases of true cysts,
extra radicular bacterial biofilm and fractures not
detected during the initial treatment. In these clinical situations, complementation by root-end surgery
may be the treatment of choice.
Another situation where we can use the root-end
surgery to re-establish periapical health is when the
tooth in question was recently rehabilitated but still
has inadequate esthetics or there are financial concerns. In these cases, surgery is more useful and quick
in resolving the situation.
Currently, the surgical modality indicated for such
cases is the removal of the periapical lesion, a root-end
resection followed by a root-end treatment and filling.
For the last step (root-end filling), several materials
have already been used during the past few decades,
including silver amalgam, zinc oxide eugenol-based
sealer and the current bioceramic-based sealers.
Such bioceramic-based sealers are derived from MTA
and have improved properties when compared to it.
In addition to the excellent biological properties,
these new sealers are more user friendly. They are
ready-for-use and can be used
in a humid environment.
The aim of this case report
is to present a clinical case
of a root-end surgery in the
maxillary cuspid using the association of Bio-C Sealer and
Bio-C Repair.
The patient G. L., female,
56 years old, without any systemic health problems, was
referred to the private office for clinical evaluation and
management of left maxillary cuspid (tooth 23). It
was observed on the periapical X-ray the presence of
a radiolucent lesion and a possible perforation in the
buccal face resulting from an attempt to access and
remove the root canal post.
After clinical and radiographic examination, a
cone beam computed tomography was performed
for better diagnosis and to establish the treatment
plan for the involved tooth (Fig 1).
By observing the perforation and root canal deviation by the previously installed root canal post, it was
suggested to perform a root-end surgery to remove
the periapical lesion, followed by a root-end resection, treatment and filling. Concomitantly, the root
canal perforation would be restored on the buccal
surface with photoactivated composite.
After local anesthesia (Articaine, DFL, Rio de Janeiro, Brazil), an intrasulcular gingival incision was
made between teeth 24, 23 and 22 on the buccal
aspect, followed by a perpendicular relaxing incision
in the distal region of tooth 24. The triangular flap
was raised, and the lesion was located.
The lesion was removed with curetes, and the root
apex was sectioned using an ultrasonic tip (Blade Sonic
– Helse Ultrasonic, Santa Rosa do Viterbo, Brazil). The
root-end treatment also was made using an ultrasonic
tip (E1 – Helse Ultrasonic, Santa Rosa do Viterbo, Brazil)
with a depth equal to the active part of the tip.
After the root-end treatment, a sufficient amount
of Bio-C Sealer was inserted into the cavity in order
to completely fill the cavity preparation. This was
achieved with a previously curved irrigation needle
following the angles of the ultrasonic tip (Fig. 2).
With the cavity filled with more flowable root
canal sealer (Bio-C Sealer), a denser cement plug of
Bio-C Repair was accommodated, using a surgical
plugger (Fig. 3).
After the complete filling of the cavity is observed,
the material excess is removed by washing the cavity
with saline solution (Fig. 4).
After the clot formation, interrupted sutures
were performed, and the patient was medicated
with antibiotics and anti-inflammatories for five
days. Chlorhexidine mouthwashes were also recommended. The sutures were removed after 10 days. The
radiographic follow-up was performed after 30 and
90 days (Figs. 5, 6).
[9] =>
[10] =>
I case report_ Bio-C Sealer and Bio-C Repair
Fig. 2
Fig. 3
Fig. 2_Irrigation needle previously
prepared for surgery.
Fig. 3_Ultrasonic tip for root-end
treatment and Bio-C Repair cement
at the tip of the surgical plugger.
Fig. 4_Periapical radiograph during
the root-end surgery verifying the
complete root-end filling.
Figs. 5, 6_Periapical radiographic
follow-up after 30 and 90 days,
showing a fast regression of the
periapical lesion and a bone repair.
10 I roots
1_ 2020
Fig. 4
Fig. 5
Fig. 6
_Discussion
_References
The current non-surgical endodontic therapy
has a high success rate due to the great advances
that have occurred in all treatment steps, as well
as the new materials, techniques and equipment
available. Even so, there are still unsuccessful cases
where re-intervention procedures are required.2
The first choice for unsuccessful cases is nonsurgical retreatment, but there are situations
where we cannot rule out the use of surgery to
complement the initial treatment and/or retreatment.
In this case report, we were able to observe the
fast healing of the periapical lesion resulting from
its surgical elimination associated with a material
that has an osteogenic potential (bioceramicbased sealers).3 However, future periodic followups will still be performed for long-term confirmation of the surgical success.
As for the physicochemical characteristics of
these materials, we can expect excellent properties,
since they are derived from MTA, which has already
been extensively researched and its effectiveness is
proven for cases like the one presented.4,5
The ease of use of these cements should be
emphasized. Ready-to-use materials facilitate and
speed up care, making the operator spend less
time with his patient in the chair. This noticeably
improves service.
Another advantage of ready-to-use materials
is to not allow operator errors to occur during
preparation. Powder/liquid ratios, mixing time or
preparation do not exist in these kinds of dental
materials, so it eliminates the possibility of errors
or misuse of the material.
In the described clinical case, we cannot evaluate the postoperative pain produced only by these
materials, because we routinely prescribe medications for pain control and this obviously masks an
extrapolation of the material’s effect on this issue.
Finally, the results show that bioceramics promote excellent results. Through the reported case,
we can notice the fast healing process that can be
obtained with the use of these materials.
1.
2.
3.
4.
5.
Nair, P. N. R. Pathogenesis of periapical periodontities and
the cause of endodontic failures. Critical reviews in oral
biology and medicine. V. 15, N. 6, 2004.
Ruddle, C. Nonsurgical retreatment. JOE, V. 30, N. 12, 2004.
Giacomino, C. M., Wealleans, J. A., Kubn, N., Diogenes, A.
Comparative biocompatibility and osteogenic potential of
two bioceramic sealers. JOE, V. 45, N. 1, p. 51-56, 2019.
Parirokh, M.; Torabinejad, M. Mineral trioxide agregate:
a comprehensive literature review – part III: clinical
applications, drawbacks, and mechanism of action. JOE. V.
36, N. 3, 2010.
Nagas E, Uyanik Mo, Eymirli A, Cebreli Zc, Vallittu Pk,
Lassila Lvj, Durmaz V. Dentin Moisture Conditions Affect
the Adhesion of Root Canal Sealers, JOE, V. 38, N. 2,
fevereiro 2012.
(Additional references are available from the
publisher.)
_about the authors
Renato Interliche
DDS, MSc,
Endodontic Specialist
Douglas Giordani
Negreiros Cortez
DDS, MSc, PHD,
Specialist in Endodontics
and Implantology
Clauber Romagnoli
DDS, MSc,
Specialist in Endodontics
and Implantology
roots
[11] =>
industry_ CJM Engineering
I
Designed by an endodontist
specifically for endodontic
procedures
Author_CJM Engineering staff
_Although they may seem to be simple
products at first glance, in reality, truly complex instruments such as the Munce Discovery
Bur® and the newly introduced companion
Tru-Grit® Trough Refiner® don’t just roll off
of a bur company’s production line.
Ongoing, open-to-improvement, experiential clinical knowledge is required in order
to develop high-quality instruments that will
stand the test of time in the hands of some
of the world’s most talented — and critical
— clinicians. These clinicians are constantly
examining these instruments under high
magnification as they use them daily while
treating their own patients.
CJM Engineering is not a bur company;
it’s a “help-clinicians-save-patients’-naturaldentition” company … and now you know the
drill even better than before._
The Munce Discovery Bur and
the Tru-Grit Trough Refiner.
(Photo/Provided by CJM Engineering)
roots
1
I 11
_ 2020
[12] =>
I donated care_ #WorthSaving campaign
Endodontists from all three Boston
dental schools donate root canals
to local patients in need
On AAE’s #TeethWorthSavingDay,
volunteers from Boston University
Henry M. Goldman School of Dental
Medicine, Tufts University School of
Dental Medicine and Harvard School
of Dental Medicine performed more
than 50 free endodontic treatments,
valued at more than $59,000, on
patients in need. (Photos/AAE)
12 I roots
1_ 2020
_On Nov. 18, 2019, the American Association of
Endodontists provided more than 50 endodontic
treatments to patients in need in the Boston area.
The services were given in collaboration with the
endodontics departments at all three Boston dental
schools: Boston University Henry M. Goldman School
of Dental Medicine, Department of Endodontics;
Harvard School of Dental Medicine, Division of
Endodontics; and Tufts University School of Dental
Medicine, Department of Endodontics.
As part of its Worth Saving campaign, which emphasizes the importance of saving natural treasures
like your teeth, the AAE held a contest spotlighting
four beautiful natural landmarks from around the
country and asked Americans to vote on which one
they felt was most “worth saving.”
Boston’s Charles River Esplanade, preserved by
the Esplanade Association, won the contest and with
it a $20,000 donation from AAE, as well as $30,000 in
donated endodontic care for Boston residents.
Boston is home to more dental schools than any
other U.S. city, and all three of its dental schools
volunteered to provide the endodontic treatments,
forming a trifecta of donated care just in time for
the holidays. The treatments performed totaled
The AAE’s Worth Saving
campaign emphasizes the
importance of saving natural
treasures like your teeth.
more than $59,000 in value — well over the amount
promised.
“We’re thrilled to give back to the city of Boston
and to collaborate with the endodontics departments of renowned dental schools in the area,” said
Keith V. Krell, DDS, MS, MA, president of the AAE.
“We are grateful for the schools’ generosity. And
congratulations to the Charles River Esplanade for
winning our contest and reminding us that there is
so much worth saving – from natural landmarks to
our natural teeth.”
Patients were pre-screened and pre-qualified
based on need. From the Department of Endodontics at Tufts University School of Dental
Medicine, a staff of 14 residents and three faculty
[13] =>
donated care_ #WorthSaving campaign
participated in the initiative, treating 15 patients.
Additionally, a team of three dental assistants and
five administration staff led coordination efforts.
At Harvard University School of Dental Medicine, Division of Endodontics, a staff of six
residents performed treatments, along with two
faculty and more than 10 dental student and
first-year resident volunteers, on a total of 17
patients. Procedures included root canal treatment, retreatment, vital pulp therapy and some
restorative work. They also had great assistance
from their colleagues at the Charles River Community Health Center to find the patients in need.
At Boston University Department of Endo-
dontics, three administrative staff and two dental assistants provided support and coordination
for 19 residents and six faculty members to help
save teeth through endodontic procedures in
an exceptional event. Patients from local health
centers (including Harbor Health and Dimock)
and internal patients with specific financial
needs were treated within the postgraduate
clinic at the Goldman School of Dental Medicine.
A total of 20 endodontic procedures were successfully performed on 19 patients at Boston
University._
I
American Association of
Endodontists members from Boston,
Harvard and Tufts dental schools
form a trifecta of free care on ‘Teeth
Worth Saving Day.’
(Source: AAE)
roots
1
I 13
_ 2020
[14] =>
about the publisher _ imprint
roots
the international C.E. magazine of endodontics
U.S. Headquarters
Tribune America
118-35 Queens Blvd, Ste 400
Forest Hills, NY 11375
Tel.: (212) 244-7181
Fax: (212) 244-7185
feedback@dental-tribune.com
www.dental-tribune.com
Group Editor
Kristine Colker
k.colker@dental-tribune.com
Product/Account Manager
Humberto Estrada
h.estrada@dental-tribune.com
Roots Managing Editor
Fred Michmershuizen
f.michmershuizen
@dental-tribune.com
Product/Account Manager
Maria Kaiser
m.kaiser@dental-tribune.com
Publisher
Torsten R. Oemus
t.oemus@dental-tribune.com
Client Relations Coordinator
Leerol Colquhoun
l.colquhoun@dental-tribune.com
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Chief Executive Officer
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e.seid@dental-tribune.com
Accounting Coordinator
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n.singh@dtstudyclub.com
Feedback & General Inquiries
feedback@dental-tribune.com
Editorial Board
Marcia Martins Marques, Leonardo
Silberman, Emina Ibrahimi, Igor Cernavin,
Daniel Heysselaer, Roeland de Moor, Julia
Kamenova, T. Dostalova, Christliebe Pasini,
Peter Steen Hansen, Aisha Sultan, Ahmed
A Hassan, Marita Luomanen, Patrick Maher,
Marie France Bertrand, Frederic Gaultier,
Antonis Kallis, Dimitris Strakas, Kenneth Luk,
Mukul Jain, Reza Fekrazad, Sharonit
Sahar-Helft, Lajos Gaspar, Paolo Vescovi,
Marina Vitale, Carlo Fornaini, Kenji Yoshida,
Hideaki Suda, Ki-Suk Kim, Liang Ling Seow,
Shaymant Singh Makhan, Enrique Trevino,
Ahmed Kabir, Blanca de Grande, José Correia
de Campos, Carmen Todea, Saleh Ghabban
Stephen Hsu, Antoni Espana Tost, Josep
Arnabat, Ahmed Abdullah, Boris Gaspirc,
Peter Fahlstedt, Claes Larsson, Michel Vock,
Hsin-Cheng Liu, Sajee Sattayut, Ferda Tasar,
Sevil Gurgan, Cem Sener, Christopher Mercer,
Valentin Preve, Ali Obeidi, Anna-Maria
Yannikou, Suchetan Pradhan, Ryan Seto, Joyce
Fong, Ingmar Ingenegeren, Peter Kleemann,
Iris Brader, Masoud Mojahedi, Gerd Volland,
Gabriele Schindler, Ralf Borchers, Stefan
Grümer, Joachim Schiffer, Detlef Klotz,
Herbert Deppe, Friedrich Lampert, Jörg
Meister, Rene Franzen, Andreas Braun, Sabine
Sennhenn-Kirchner, Siegfried Jänicke, Olaf
Oberhofer and Thorsten Kleinert
Tribune America is the official media partner of:
roots_Copyright Regulations
_the international C.E. magazine of roots published by Tribune America is printed quarterly. The magazine’s articles and illustrations are
protected by copyright. Reprints of any kind, including digital mediums, without the prior consent of the publisher are inadmissible and liable
to prosecution. This also applies to duplicate copies, translations, microfilms and storage and processing in electronic systems. Reproductions,
including excerpts, may only be made with the permission of the publisher.
All submissions to the editorial department are understood to be the original work of the author, meaning that he or she is the sole copyright
holder and no other individual(s) or publisher(s) holds the copyright to the material. The editorial department reserves the right to review all
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Tribune America does not accept the submission of unsolicited books and manuscripts in printed or electronic form and such items will
be disposed of unread should they be received.
Tribune America strives to maintain the utmost accuracy in its clinical articles. If you find a factual error or content that requires clarification, please contact Group Editor Kristine Colker at k.colker@dental-tribune.com. Opinions expressed by authors are their own and may
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Tribune America cannot assume responsibility for the validity of product claims or for typographical errors. The publisher also does not
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14 I roots
1_ 2020
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[page] => 04
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[page] => 06
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[page] => 11
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[title] => Endodontists from all three Boston dental schools donate root canals to local patients in need
[page] => 12
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[title] => Imprint
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[toc_html] =>
[toc_titles] => Cover
/ Contents
/ AAE provides considerations for dental and endodontic care during COVID-19 crisis
/ AAE sends message to governors and state health officials
/ What passage of CARES Act means for endodontists
/ The use of Bio-C Sealer and Bio-C Repair in periapical surgery
/ Designed by an endodontist specifically for endodontic procedures
/ Endodontists from all three Boston dental schools donate root canals to local patients in need
/ Imprint
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