roots international No. 1, 2024
Editorial by Steve Jones, co-chairman ROOTS SUMMIT
/ Content
/ News: Piezoceramic stack actuator speeds up root canal treatment
/ News: Review offers evidence of link between oral microbiome and cancer
/ ROOTS SUMMIT special including interview with Drs Antonis Chaniotis and Dr Rajiv Patel, lecture programme, information about speakers and lecture abstracts
/ Practical tips for reliable endodontic treatment: A case report by Dr Friederike Listander
/ Utilising R-SWEEPS laser-assisted irrigation for the treatment of chronic periapical periodontitis: A case report by Dr Hui Jing Phang
/ Single-session endodontic and surgical approach to internal root resorption: A long-term case report by Dr Bartłomiej Karaś
/ A second chance: A case report by Dr Philippe Sleiman
/ Increasing success in autotransplanted third molars through digital planning: A two-year follow-up case report by Dr Johnny Onori
/ “Retreatments are a unique way to save not only teeth but also the surrounding bone”: An interview with Dr Ahmed Shawky el-Sheshtawy
/ News: Doubled-edged sword: AI must foster, not worsen, sustainability in dental care
/ Industry news
/ Manufacturer news
/ Meetings
/ Submission guidelines
/ Imprint
Array
(
[post_data] => WP_Post Object
(
[ID] => 89617
[post_author] => 0
[post_date] => 2024-04-29 07:00:13
[post_date_gmt] => 2024-04-29 08:58:58
[post_content] =>
[post_title] => roots international No. 1, 2024
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => roots-international-no-1-2024
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:39
[post_modified_gmt] => 2024-12-18 14:34:39
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/epaper/roots20124/
[menu_order] => 0
[post_type] => epaper
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89617
[id_hash] => a08b546b849beda44f65989f43b249576a74cbf043dca18b9e657f1f77366345
[post_type] => epaper
[post_date] => 2024-04-29 07:00:13
[fields] => Array
(
[pdf] => Array
(
[ID] => 89618
[id] => 89618
[title] => roots20124.pdf
[filename] => roots20124.pdf
[filesize] => 0
[url] => https://e.dental-tribune.com/wp-content/uploads/roots20124.pdf
[link] => https://e.dental-tribune.com/epaper/roots-international-no-1-2024/roots20124-pdf/
[alt] =>
[author] => 0
[description] =>
[caption] =>
[name] => roots20124-pdf
[status] => inherit
[uploaded_to] => 89617
[date] => 2024-12-18 14:34:33
[modified] => 2024-12-18 14:34:33
[menu_order] => 0
[mime_type] => application/pdf
[type] => application
[subtype] => pdf
[icon] => https://e.dental-tribune.com/wp-includes/images/media/document.png
)
[cf_issue_name] => roots international No. 1, 2024
[cf_edition_number] => 0124
[publish_date] => 2024-04-29 07:00:13
[contents] => Array
(
[0] => Array
(
[from] => 3
[to] => 3
[title] => Editorial by Steve Jones, co-chairman ROOTS SUMMIT
[description] => Editorial by Steve Jones, co-chairman ROOTS SUMMIT
)
[1] => Array
(
[from] => 4
[to] => 4
[title] => Content
[description] => Content
)
[2] => Array
(
[from] => 6
[to] => 7
[title] => News: Piezoceramic stack actuator speeds up root canal treatment
[description] => News: Piezoceramic stack actuator speeds up root canal treatment
)
[3] => Array
(
[from] => 8
[to] => 8
[title] => News: Review offers evidence of link between oral microbiome and cancer
[description] => News: Review offers evidence of link between oral microbiome and cancer
)
[4] => Array
(
[from] => 10
[to] => 22
[title] => ROOTS SUMMIT special including interview with Drs Antonis Chaniotis and Dr Rajiv Patel, lecture programme, information about speakers and lecture abstracts
[description] => ROOTS SUMMIT special including interview with Drs Antonis Chaniotis and Dr Rajiv Patel, lecture programme, information about speakers and lecture abstracts
)
[5] => Array
(
[from] => 24
[to] => 27
[title] => Practical tips for reliable endodontic treatment: A case report by Dr Friederike Listander
[description] => Practical tips for reliable endodontic treatment: A case report by Dr Friederike Listander
)
[6] => Array
(
[from] => 28
[to] => 29
[title] => Utilising R-SWEEPS laser-assisted irrigation for the treatment of chronic periapical periodontitis: A case report by Dr Hui Jing Phang
[description] => Utilising R-SWEEPS laser-assisted irrigation for the treatment of chronic periapical periodontitis: A case report by Dr Hui Jing Phang
)
[7] => Array
(
[from] => 30
[to] => 33
[title] => Single-session endodontic and surgical approach to internal root resorption: A long-term case report by Dr Bartłomiej Karaś
[description] => Single-session endodontic and surgical approach to internal root resorption: A long-term case report by Dr Bartłomiej Karaś
)
[8] => Array
(
[from] => 34
[to] => 37
[title] => A second chance: A case report by Dr Philippe Sleiman
[description] => A second chance: A case report by Dr Philippe Sleiman
)
[9] => Array
(
[from] => 38
[to] => 41
[title] => Increasing success in autotransplanted third molars through digital planning: A two-year follow-up case report by Dr Johnny Onori
[description] => Increasing success in autotransplanted third molars through digital planning: A two-year follow-up case report by Dr Johnny Onori
)
[10] => Array
(
[from] => 42
[to] => 43
[title] => “Retreatments are a unique way to save not only teeth but also the surrounding bone”: An interview with Dr Ahmed Shawky el-Sheshtawy
[description] => “Retreatments are a unique way to save not only teeth but also the surrounding bone”: An interview with Dr Ahmed Shawky el-Sheshtawy
)
[11] => Array
(
[from] => 44
[to] => 45
[title] => News: Doubled-edged sword: AI must foster, not worsen, sustainability in dental care
[description] => News: Doubled-edged sword: AI must foster, not worsen, sustainability in dental care
)
[12] => Array
(
[from] => 46
[to] => 51
[title] => Industry news
[description] => Industry news
)
[13] => Array
(
[from] => 52
[to] => 52
[title] => Manufacturer news
[description] => Manufacturer news
)
[14] => Array
(
[from] => 54
[to] => 56
[title] => Meetings
[description] => Meetings
)
[15] => Array
(
[from] => 57
[to] => 57
[title] => Submission guidelines
[description] => Submission guidelines
)
[16] => Array
(
[from] => 58
[to] => 58
[title] => Imprint
[description] => Imprint
)
)
[seo_title] =>
[seo_description] =>
[seo_keywords] =>
[fb_title] =>
[fb_description] =>
)
[permalink] => https://e.dental-tribune.com/epaper/roots-international-no-1-2024/
[post_title] => roots international No. 1, 2024
[client] =>
[client_slug] =>
[pages_generated] =>
[pages] => Array
(
[1] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-0.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-0.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-0.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-0.jpg
[1000] => 89617-afe7d146/1000/page-0.jpg
[200] => 89617-afe7d146/200/page-0.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[2] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-1.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-1.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-1.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-1.jpg
[1000] => 89617-afe7d146/1000/page-1.jpg
[200] => 89617-afe7d146/200/page-1.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 89619
[post_author] => 0
[post_date] => 2024-12-18 14:34:33
[post_date_gmt] => 2024-12-18 14:34:33
[post_content] =>
[post_title] => epaper-89617-page-2-ad-89619
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-89617-page-2-ad-89619
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:33
[post_modified_gmt] => 2024-12-18 14:34:33
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-89617-page-2-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89619
[id_hash] => a5c75240e83a74116df9c65a6633f1ed81b1eaaa83f2ae55d5fde51df8c92059
[post_type] => ad
[post_date] => 2024-12-18 14:34:33
[fields] => Array
(
[url] => https://www.fotona.com/en/
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-89617-page-2-ad-89619/
[post_title] => epaper-89617-page-2-ad-89619
[post_status] => publish
[position] => 0.26737967914438,0.1890359168242,98.930481283422,99.243856332703
[belongs_to_epaper] => 89617
[page] => 2
[cached] => false
)
)
[html_content] =>
)
[3] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-2.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-2.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-2.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-2.jpg
[1000] => 89617-afe7d146/1000/page-2.jpg
[200] => 89617-afe7d146/200/page-2.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[4] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-3.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-3.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-3.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-3.jpg
[1000] => 89617-afe7d146/1000/page-3.jpg
[200] => 89617-afe7d146/200/page-3.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[5] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-4.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-4.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-4.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-4.jpg
[1000] => 89617-afe7d146/1000/page-4.jpg
[200] => 89617-afe7d146/200/page-4.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 89620
[post_author] => 0
[post_date] => 2024-12-18 14:34:33
[post_date_gmt] => 2024-12-18 14:34:33
[post_content] =>
[post_title] => epaper-89617-page-5-ad-89620
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-89617-page-5-ad-89620
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:33
[post_modified_gmt] => 2024-12-18 14:34:33
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-89617-page-5-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89620
[id_hash] => 05c7145b2567ae18363ab41e7ff40d383f243932da0316a3a877a2b99e858503
[post_type] => ad
[post_date] => 2024-12-18 14:34:33
[fields] => Array
(
[url] => https://www.dental-tribune.com/
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-89617-page-5-ad-89620/
[post_title] => epaper-89617-page-5-ad-89620
[post_status] => publish
[position] => 0.26737967914438,0.37807183364839,99.465240641711,99.243856332703
[belongs_to_epaper] => 89617
[page] => 5
[cached] => false
)
)
[html_content] =>
)
[6] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-5.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-5.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-5.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-5.jpg
[1000] => 89617-afe7d146/1000/page-5.jpg
[200] => 89617-afe7d146/200/page-5.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[7] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-6.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-6.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-6.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-6.jpg
[1000] => 89617-afe7d146/1000/page-6.jpg
[200] => 89617-afe7d146/200/page-6.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[8] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-7.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-7.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-7.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-7.jpg
[1000] => 89617-afe7d146/1000/page-7.jpg
[200] => 89617-afe7d146/200/page-7.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[9] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-8.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-8.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-8.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-8.jpg
[1000] => 89617-afe7d146/1000/page-8.jpg
[200] => 89617-afe7d146/200/page-8.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 89621
[post_author] => 0
[post_date] => 2024-12-18 14:34:33
[post_date_gmt] => 2024-12-18 14:34:33
[post_content] =>
[post_title] => epaper-89617-page-9-ad-89621
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-89617-page-9-ad-89621
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:33
[post_modified_gmt] => 2024-12-18 14:34:33
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-89617-page-9-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89621
[id_hash] => 9ae0d721b8327aefbd6940d4f2560c412885748680c638b0309a991f131fa174
[post_type] => ad
[post_date] => 2024-12-18 14:34:33
[fields] => Array
(
[url] => https://www.fkg.ch/products/endodontics/canal-shaping-and-cleaning/xp-endo-rise
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-89617-page-9-ad-89621/
[post_title] => epaper-89617-page-9-ad-89621
[post_status] => publish
[position] => 0.53475935828877,0.1890359168242,98.930481283422,99.621928166352
[belongs_to_epaper] => 89617
[page] => 9
[cached] => false
)
)
[html_content] =>
)
[10] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-9.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-9.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-9.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-9.jpg
[1000] => 89617-afe7d146/1000/page-9.jpg
[200] => 89617-afe7d146/200/page-9.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[11] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-10.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-10.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-10.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-10.jpg
[1000] => 89617-afe7d146/1000/page-10.jpg
[200] => 89617-afe7d146/200/page-10.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[12] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-11.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-11.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-11.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-11.jpg
[1000] => 89617-afe7d146/1000/page-11.jpg
[200] => 89617-afe7d146/200/page-11.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[13] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-12.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-12.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-12.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-12.jpg
[1000] => 89617-afe7d146/1000/page-12.jpg
[200] => 89617-afe7d146/200/page-12.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[14] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-13.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-13.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-13.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-13.jpg
[1000] => 89617-afe7d146/1000/page-13.jpg
[200] => 89617-afe7d146/200/page-13.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[15] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-14.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-14.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-14.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-14.jpg
[1000] => 89617-afe7d146/1000/page-14.jpg
[200] => 89617-afe7d146/200/page-14.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 89622
[post_author] => 0
[post_date] => 2024-12-18 14:34:33
[post_date_gmt] => 2024-12-18 14:34:33
[post_content] =>
[post_title] => epaper-89617-page-15-ad-89622
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-89617-page-15-ad-89622
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:33
[post_modified_gmt] => 2024-12-18 14:34:33
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-89617-page-15-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89622
[id_hash] => 4e4cbb741ebdb202e7cf04aac814124799ac0c072b2c05222daa76d021d4bce1
[post_type] => ad
[post_date] => 2024-12-18 14:34:33
[fields] => Array
(
[url] => https://coltene.group/hyflex-edm-ogsf/?utm_source=print&utm_medium=qrcode&utm_content=hyflex-ogsf-qr&utm_campaign=roots2024
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-89617-page-15-ad-89622/
[post_title] => epaper-89617-page-15-ad-89622
[post_status] => publish
[position] => 1.0695187165775,0.56710775047259,98.128342245989,99.243856332703
[belongs_to_epaper] => 89617
[page] => 15
[cached] => false
)
)
[html_content] =>
)
[16] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-15.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-15.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-15.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-15.jpg
[1000] => 89617-afe7d146/1000/page-15.jpg
[200] => 89617-afe7d146/200/page-15.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[17] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-16.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-16.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-16.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-16.jpg
[1000] => 89617-afe7d146/1000/page-16.jpg
[200] => 89617-afe7d146/200/page-16.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[18] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-17.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-17.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-17.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-17.jpg
[1000] => 89617-afe7d146/1000/page-17.jpg
[200] => 89617-afe7d146/200/page-17.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[19] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-18.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-18.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-18.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-18.jpg
[1000] => 89617-afe7d146/1000/page-18.jpg
[200] => 89617-afe7d146/200/page-18.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[20] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-19.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-19.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-19.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-19.jpg
[1000] => 89617-afe7d146/1000/page-19.jpg
[200] => 89617-afe7d146/200/page-19.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[21] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-20.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-20.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-20.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-20.jpg
[1000] => 89617-afe7d146/1000/page-20.jpg
[200] => 89617-afe7d146/200/page-20.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[22] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-21.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-21.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-21.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-21.jpg
[1000] => 89617-afe7d146/1000/page-21.jpg
[200] => 89617-afe7d146/200/page-21.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[23] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-22.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-22.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-22.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-22.jpg
[1000] => 89617-afe7d146/1000/page-22.jpg
[200] => 89617-afe7d146/200/page-22.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 89623
[post_author] => 0
[post_date] => 2024-12-18 14:34:33
[post_date_gmt] => 2024-12-18 14:34:33
[post_content] =>
[post_title] => epaper-89617-page-23-ad-89623
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-89617-page-23-ad-89623
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:33
[post_modified_gmt] => 2024-12-18 14:34:33
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-89617-page-23-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89623
[id_hash] => b767137a00c658d103ece43162a7171b89e2100cabb6d985be14466f63ce246f
[post_type] => ad
[post_date] => 2024-12-18 14:34:33
[fields] => Array
(
[url] => https://www.zumaxmedical.com/product/8.html
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-89617-page-23-ad-89623/
[post_title] => epaper-89617-page-23-ad-89623
[post_status] => publish
[position] => 0.53475935828877,0.37807183364839,99.197860962567,99.054820415879
[belongs_to_epaper] => 89617
[page] => 23
[cached] => false
)
)
[html_content] =>
)
[24] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-23.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-23.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-23.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-23.jpg
[1000] => 89617-afe7d146/1000/page-23.jpg
[200] => 89617-afe7d146/200/page-23.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[25] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-24.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-24.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-24.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-24.jpg
[1000] => 89617-afe7d146/1000/page-24.jpg
[200] => 89617-afe7d146/200/page-24.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[26] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-25.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-25.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-25.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-25.jpg
[1000] => 89617-afe7d146/1000/page-25.jpg
[200] => 89617-afe7d146/200/page-25.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[27] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-26.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-26.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-26.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-26.jpg
[1000] => 89617-afe7d146/1000/page-26.jpg
[200] => 89617-afe7d146/200/page-26.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[28] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-27.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-27.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-27.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-27.jpg
[1000] => 89617-afe7d146/1000/page-27.jpg
[200] => 89617-afe7d146/200/page-27.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[29] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-28.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-28.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-28.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-28.jpg
[1000] => 89617-afe7d146/1000/page-28.jpg
[200] => 89617-afe7d146/200/page-28.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[30] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-29.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-29.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-29.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-29.jpg
[1000] => 89617-afe7d146/1000/page-29.jpg
[200] => 89617-afe7d146/200/page-29.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[31] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-30.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-30.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-30.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-30.jpg
[1000] => 89617-afe7d146/1000/page-30.jpg
[200] => 89617-afe7d146/200/page-30.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[32] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-31.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-31.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-31.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-31.jpg
[1000] => 89617-afe7d146/1000/page-31.jpg
[200] => 89617-afe7d146/200/page-31.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[33] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-32.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-32.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-32.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-32.jpg
[1000] => 89617-afe7d146/1000/page-32.jpg
[200] => 89617-afe7d146/200/page-32.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[34] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-33.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-33.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-33.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-33.jpg
[1000] => 89617-afe7d146/1000/page-33.jpg
[200] => 89617-afe7d146/200/page-33.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[35] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-34.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-34.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-34.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-34.jpg
[1000] => 89617-afe7d146/1000/page-34.jpg
[200] => 89617-afe7d146/200/page-34.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[36] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-35.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-35.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-35.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-35.jpg
[1000] => 89617-afe7d146/1000/page-35.jpg
[200] => 89617-afe7d146/200/page-35.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[37] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-36.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-36.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-36.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-36.jpg
[1000] => 89617-afe7d146/1000/page-36.jpg
[200] => 89617-afe7d146/200/page-36.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[38] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-37.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-37.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-37.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-37.jpg
[1000] => 89617-afe7d146/1000/page-37.jpg
[200] => 89617-afe7d146/200/page-37.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[39] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-38.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-38.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-38.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-38.jpg
[1000] => 89617-afe7d146/1000/page-38.jpg
[200] => 89617-afe7d146/200/page-38.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[40] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-39.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-39.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-39.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-39.jpg
[1000] => 89617-afe7d146/1000/page-39.jpg
[200] => 89617-afe7d146/200/page-39.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[41] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-40.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-40.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-40.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-40.jpg
[1000] => 89617-afe7d146/1000/page-40.jpg
[200] => 89617-afe7d146/200/page-40.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[42] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-41.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-41.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-41.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-41.jpg
[1000] => 89617-afe7d146/1000/page-41.jpg
[200] => 89617-afe7d146/200/page-41.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[43] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-42.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-42.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-42.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-42.jpg
[1000] => 89617-afe7d146/1000/page-42.jpg
[200] => 89617-afe7d146/200/page-42.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[44] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-43.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-43.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-43.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-43.jpg
[1000] => 89617-afe7d146/1000/page-43.jpg
[200] => 89617-afe7d146/200/page-43.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[45] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-44.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-44.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-44.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-44.jpg
[1000] => 89617-afe7d146/1000/page-44.jpg
[200] => 89617-afe7d146/200/page-44.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[46] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-45.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-45.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-45.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-45.jpg
[1000] => 89617-afe7d146/1000/page-45.jpg
[200] => 89617-afe7d146/200/page-45.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[47] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-46.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-46.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-46.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-46.jpg
[1000] => 89617-afe7d146/1000/page-46.jpg
[200] => 89617-afe7d146/200/page-46.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[48] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-47.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-47.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-47.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-47.jpg
[1000] => 89617-afe7d146/1000/page-47.jpg
[200] => 89617-afe7d146/200/page-47.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[49] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-48.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-48.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-48.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-48.jpg
[1000] => 89617-afe7d146/1000/page-48.jpg
[200] => 89617-afe7d146/200/page-48.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[50] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-49.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-49.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-49.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-49.jpg
[1000] => 89617-afe7d146/1000/page-49.jpg
[200] => 89617-afe7d146/200/page-49.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[51] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-50.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-50.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-50.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-50.jpg
[1000] => 89617-afe7d146/1000/page-50.jpg
[200] => 89617-afe7d146/200/page-50.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[52] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-51.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-51.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-51.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-51.jpg
[1000] => 89617-afe7d146/1000/page-51.jpg
[200] => 89617-afe7d146/200/page-51.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[53] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-52.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-52.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-52.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-52.jpg
[1000] => 89617-afe7d146/1000/page-52.jpg
[200] => 89617-afe7d146/200/page-52.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 89624
[post_author] => 0
[post_date] => 2024-12-18 14:34:33
[post_date_gmt] => 2024-12-18 14:34:33
[post_content] =>
[post_title] => epaper-89617-page-53-ad-89624
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-89617-page-53-ad-89624
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:33
[post_modified_gmt] => 2024-12-18 14:34:33
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-89617-page-53-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89624
[id_hash] => 87051c8df317b85185d8b6c36b589498505951318b402a741519870364804602
[post_type] => ad
[post_date] => 2024-12-18 14:34:33
[fields] => Array
(
[url] => https://www.dds.berlin/en/
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-89617-page-53-ad-89624/
[post_title] => epaper-89617-page-53-ad-89624
[post_status] => publish
[position] => 0.26737967914438,0.1890359168242,99.465240641711,99.243856332703
[belongs_to_epaper] => 89617
[page] => 53
[cached] => false
)
)
[html_content] =>
)
[54] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-53.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-53.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-53.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-53.jpg
[1000] => 89617-afe7d146/1000/page-53.jpg
[200] => 89617-afe7d146/200/page-53.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[55] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-54.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-54.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-54.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-54.jpg
[1000] => 89617-afe7d146/1000/page-54.jpg
[200] => 89617-afe7d146/200/page-54.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[56] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-55.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-55.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-55.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-55.jpg
[1000] => 89617-afe7d146/1000/page-55.jpg
[200] => 89617-afe7d146/200/page-55.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[57] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-56.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-56.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-56.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-56.jpg
[1000] => 89617-afe7d146/1000/page-56.jpg
[200] => 89617-afe7d146/200/page-56.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[58] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-57.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-57.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-57.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-57.jpg
[1000] => 89617-afe7d146/1000/page-57.jpg
[200] => 89617-afe7d146/200/page-57.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[59] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-58.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-58.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-58.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-58.jpg
[1000] => 89617-afe7d146/1000/page-58.jpg
[200] => 89617-afe7d146/200/page-58.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 89625
[post_author] => 0
[post_date] => 2024-12-18 14:34:33
[post_date_gmt] => 2024-12-18 14:34:33
[post_content] =>
[post_title] => epaper-89617-page-59-ad-89625
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-89617-page-59-ad-89625
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:33
[post_modified_gmt] => 2024-12-18 14:34:33
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-89617-page-59-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89625
[id_hash] => 3c6461ca02b265e3788aadd037f1b47c991c9382fcbfbd4d5b36853b194ad313
[post_type] => ad
[post_date] => 2024-12-18 14:34:33
[fields] => Array
(
[url] => https://www.directendo.com/
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-89617-page-59-ad-89625/
[post_title] => epaper-89617-page-59-ad-89625
[post_status] => publish
[position] => 0.80213903743316,0.56710775047259,98.930481283422,99.054826184797
[belongs_to_epaper] => 89617
[page] => 59
[cached] => false
)
)
[html_content] =>
)
[60] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/2000/page-59.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/1000/page-59.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/200/page-59.jpg
)
[key] => Array
(
[2000] => 89617-afe7d146/2000/page-59.jpg
[1000] => 89617-afe7d146/1000/page-59.jpg
[200] => 89617-afe7d146/200/page-59.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 89626
[post_author] => 0
[post_date] => 2024-12-18 14:34:33
[post_date_gmt] => 2024-12-18 14:34:33
[post_content] =>
[post_title] => epaper-89617-page-60-ad-89626
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-89617-page-60-ad-89626
[to_ping] =>
[pinged] =>
[post_modified] => 2024-12-18 14:34:33
[post_modified_gmt] => 2024-12-18 14:34:33
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-89617-page-60-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 89626
[id_hash] => 64530af1632120bfa5cef8fa484c7da918be0c0c4a381041e11503432cd5bdf0
[post_type] => ad
[post_date] => 2024-12-18 14:34:33
[fields] => Array
(
[url] => https://www.fkg.ch/products/endodontics/canal-shaping-and-cleaning/race-evo
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-89617-page-60-ad-89626/
[post_title] => epaper-89617-page-60-ad-89626
[post_status] => publish
[position] => 1.0695187165775,0.1890359168242,98.395721925134,99.432898018446
[belongs_to_epaper] => 89617
[page] => 60
[cached] => false
)
)
[html_content] =>
)
)
[pdf_filetime] => 1734532473
[s3_key] => 89617-afe7d146
[pdf] => roots20124.pdf
[pdf_location_url] => https://e.dental-tribune.com/tmp/dental-tribune-com/89617/roots20124.pdf
[pdf_location_local] => /var/www/vhosts/e.dental-tribune.com/httpdocs/tmp/dental-tribune-com/89617/roots20124.pdf
[should_regen_pages] => 1
[pdf_url] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/89617-afe7d146/epaper.pdf
[pages_text] => Array
(
[1] =>
1/24
issn 2193-4673 • Vol. 20 • Issue 1/2024
IB
RS
O
F
N TA L T R
U
news
Piezoceramic stack actuator speeds up
root canal treatment
case report
Practical tips for reliable endodontic treatment
High-quality instruments for forward-thinking dentists
R
special
IA
S
OF
E
D
EA
including
& 2
. • 30 Y
0 YEA
INT
international magazine of endodontics
industry news
DE
N
E
roots
OEMUS
M
[2] =>
The Power of
SWEEPS Photoacoustic Endodontics
®
Looking for a more effective endodontic treatment?
• Shock Wave Enhanced Emission Photoacoustic Streaming
• Improved debridement and disinfection
• Minimally invasive
• Faster, safer and more effective
• More patient friendly
Available with
and
SkyPulse
For related patents see: www.fotona.com/patents
®
www.fotona.com
99647 CE ENG/2
Visit www.fotona.com to find out more!
[3] =>
editorial
|
Steve Jones
Co-chairman
ROOTS SUMMIT
ROOTS SUMMIT 2024
Welcome to the first 2024 issue of roots magazine.
Under the direction of Dr David E. Jaramillo, ROOTS
SUMMIT has long prided itself on being able to provide
the highest ethical level of practical science which can
immediately be applied to clinical practice. This year is
no different.
In addition to this, ROOTS events for the past 25 years
have been a proving ground of sorts for many clinicians
who began their endodontic careers by speaking
during the case presentation portion of our programme
or by presenting a poster. The list of names is too lengthy
to include everyone, and I would feel terrible if I missed
any on the list, so I will focus only on those featured in
this issue.
Let’s begin with our headline speaker and native of
Athens in Greece, Dr Antonis Chaniotis, whom I had the
pleasure of first meeting in 2012 at ROOTS SUMMIT in
Foz do Iguaçu in Brazil. Known for his expertise in canal
blockage negotiation, he shares insights in the interview
titled “The concept of the root canal blockage course
was born out of the desire to teach and practise different
techniques”. In this interview, he also shares his journey
with ROOTS SUMMIT. Additionally, Dr Rajiv Patel, a longtime ROOTS member and speaker, shares the benefits
of being part of ROOTS and its impact on his practice
in another interview.
Dr Bartłomiej Karaś from Poland, one of our case
presentation winners during ROOTS SUMMIT 2022,
held in Prague in the Czech Republic, writes about
a single-session endodontic and surgical treatment of
internal root resorption. My friend Dr Johnny Onori from
Spain, a consistent contributor to both ROOTS and
our Spanish language Facebook group EndoLatinos,
writes about how digital planning can increase the
success of autotransplantation of third molars and
the use of a 3D-printed bio-replica of the tooth to be
transplanted.
Completing this issue are contributions such as
“Practical tips for reliable endodontic treatment” by
Dr Friederike Listander and “A second chance”—
well-described retreatment case reports by Dr Philippe
Sleiman.
I hope you enjoy the above-mentioned articles and interviews featured in this issue. In Athens, ROOTS SUMMIT,
like always, will be a very special event, and for those
able to attend, we are thrilled to have you with us.
Steve Jones
Co-chairman of ROOTS SUMMIT
roots
1 2024
03
[4] =>
| content
editorial
ROOTS SUMMIT 2024
03
Steve Jones
news
Piezoceramic stack actuator speeds up root canal treatment
Review offers evidence of link between oral microbiome and cancer
06
08
ROOTS SUMMIT special
page 10
“The concept of the root canal blockage course was born
out of the desire to teach and practise different techniques”
10
An interview with Dr Antonis Chaniotis
“Dental trauma management is not a one-size-fits-all process”
12
An interview with Dr Rajiv Patel
Lecture programme, abstracts and speaker information
14
case report
Practical tips for reliable endodontic treatment
24
Dr Friederike Listander
page 34
Utilising R-SWEEPS laser-assisted irrigation for the treatment
of chronic periapical periodontitis
28
Dr Hui Jing Phang
Single-session endodontic and surgical approach to internal root resorption 30
Dr Bartłomiej Karaś
A second chance
34
Dr Philippe Sleiman
Increasing success in autotransplanted third molars through digital planning 38
Dr Johnny Onori
page 38
interview
“Retreatments are a unique way to save not only teeth
but also the surrounding bone”
42
An interview with Dr Ahmed Shawky el-Sheshtawy
features
Cover image courtesy of
COLTENE (www.coltene.com).
Splash template courtesy of
© gfx_nazim – stock.adobe.com
1/24
issn 2193-4673 • Vol. 20 • Issue 1/2024
DE
F
N TA L T R
IB
U
E
RS
N
O
roots
R
OF
E
D
EA
IA
& 2
. • 30 Y
0 YEA
INT
S
OEMUS
M
Doubled-edged sword: AI must foster, not worsen, sustainability in dental care 44
industry news
X-Smart Pro+: “Ensuring safety while going much faster”
High-quality instruments for forward-thinking dentists
Zumax Medical: From endodontics to general dentistry
46
48
50
manufacturer news
52
international magazine of endodontics
meetings
Long-awaited Digital Dentistry Show to premiere in Berlin in June 2024
International events
including
special
about the publisher
news
Piezoceramic stack actuator speeds up
root canal treatment
case report
Practical tips for reliable endodontic treatment
industry news
High-quality instruments for forward-thinking dentists
04
54
56
roots
1 2024
submission guidelines
international imprint
57
58
[5] =>
dental-tribune.com
dtstudyclub.com
E-newsletter
For 20 years,, Dental Tribune
International has been at the
forefront of dental media, education,
and events, shaping the global
landscape of dental knowledge
dissemination. With a presence
in over 90 countries,
countries Dental
Tribune International stands as
the world’s largest dental
network, connecting profesThe global voice in essential dental media
sionals and industry representatives across the globe. Our
commitment to providing
essential information to the dental
community is unwavering. Since our
inception in Leipzig, Germany, in
2003, Dental Tribune International
has flourished into
a powerhouse.
Our integrated approach merges print,
digital, and educational media,
offering a myriad of marketing
channels to engage with the vast
dental community
worldwide. As we celebrate this
milestone, we proudly
merge our anniversary with our esteemed German forerunner
company, OEMUS MEDIA. With roots dating back to 1994, OEMUS
MEDIA has evolved into a pivotal player and trusted partner in the dental
landscape, setting trends and standards in the German-speaking markets.
Together, Dental Tribune International and OEMUS MEDIA bring forth over
50 years of collective industry expertise, reflecting our commitment to
14
15
innovation, quality, and service excellence.
Celebrating 20 years of
16
Interview
Prof. Phoebus
Madianos discloses
tendees can look
what atforward to at
this year’s
EuroPerio.
News
The European
Federation of
Periodontology
has made sustainab
ility a central
EuroPerio10.
focus of
» page 4
EFP welcomes
attendees
to EuroPerio1
0 in Copenhage
More
© Marina Datsenko/Shutter
than 130
to present on advancespeakers from over 30 countrie
s
s in periodontics
and implant dentistr
y
© d.ee_angelo/Shut
» page 6
terstock.com
Products
EuroPerio offers
the opportunity
to see and
try out the most
current innovation
s in periodontics and implant
dentistry.
» pages 17–20
“We aim to insp
ire excellence
during this yea
r’s EuroPerio”
Holger Essig, chief
marketing
n
An interview with
stock.com
officer of BioHoriz
THE GLOBAL DENTAL CE COMMUNITY
Organised by
the European
Periodontology
Federation of
As dental profession
(EFP), EuroPeri
dontics and implant
als around the
held from 15
o10 is being
up for EuroPerio
dentistry and
to 18
nection with
10, Dental Tribune world gear
their conhagen in Denmark June at Bella Center Copenother dental
reached out to
International
and medical
plines.
Holger Essig,
discigress in periodon . EuroPerio, the leading conchief marketin
ficer of BioHorizo
g oftics and implant
With its wide
ns Camlog and
is usually held
dentistry,
Henry Schein’s
a member of
triennially, but
EuroPerio10 has range of scientific formats,
Global Oral Reconstru
had to be postponed last year
educational opportun
to discuss the
because of the
general dentists,
company’s participaction Group,
What sorts of
ities for
EuroPerio10
pandemi c.
periodontists,
event and its latest
products and
tion at the
has an impressi
orthodontists,
oral surgeons
activities can
initiatives.
tendees of EuroPerio
ve speaker lineup of more than
,
prosthodontists,
at130 experts from
ists,
dental
dental
BioHorizons Camlog 10 look forward to at the
hygiennurses, other
tries who will
Mr Essig, in 2018,
booth?
dental and medical
cover the latest over 30 counCAMLOG’s theme
We are offering
trends in periowas “Perio-fri
for EuroPerio
an Expert
endly and effi
gramme, and
cient restoratio
with CAMLOG”
throughout ThursdayLounge pro` page 2
ns
. Does BioHorizo
renowned experts
and Friday,
ns Camlog have
congress theme
are holding live
a
for this year’s
presentashow? Which
are
` page 2
Whether chron
ic
periimplantitis. or acute gingivitis, stom
atitis or cheil
Whether for
itis, prophylaxis
home use or
dental studios
or
or clinics.
sional
fes
AD
Dental
ials
inspired mater
by nature
u se
PeriO3 Oil
me us
ho
e
With patente
d triple formula
of
olive oil, castor
oil and triple
oxygen (ozone
).
A cooling gel
to be applied
in
the pockets and
after
cleaning to promot deep
e healing.
Pure natural
product.
pro
Digital
igital
Dentistry
entistry
Show
how
ons Camlog
the main topics
that your company
during the event?
is covering
It was after EuroPeri
o9, while
2019 Internati
onal Dental Show, attending the
that we formed
BioHorizons Camlog
as a combined
spiring excellenc
brand, “ine
continue to aim in oral reconstruction”. We
to inspire excellenc
ing this year’s
e also durEuroPeri
Long-lasting and o.
highly aesthetic
implant dentistry
results in
depend on many
ity in execution
factors: qualand product, ease
products and
workflows, includingof use of the
workflow in
the digital
implantology.
Additionally,
tific evidence
scienfor the implant
solution and biologics chosen
is of great importan
as surgical techniqu
ce. However,
es and possibilit
gress, dissemin
ies proating knowledg
e and facilitatin
surgical skills
g
in applying our
innovative portfolio of biologics
are the centre
of our participa
tion in EuroPeri
o10.
TASTER 1 x PeriO
3 Oil for professio
OFFER 1 x Gingiva
nal users in
Fit for patients
studios and clinics
to use at home
30 €
Neither discolo
ration nor tongue
neither antibio
numbness, neither
tics nor cortiso
skin irritation
ne additives:
nor taste
by leading periodont
PeriO3 Oil –
ists. Approved
the gentle alterna distortion,
for all patient
tive to chlorhe
groups including
small children,
xidine.
pregnant
Recommended
women and
nursing mothers.
incl.
VAT
Hoffmann Dental
Manufaktur
GmbH
T +49 30 820
www.hoffmann-d 09 90
ental.com
Find us at Booth
C3.08
© gfx_nazim – stock.adobe.com
Dental Tribune International
[6] =>
| news
Piezoceramic stack actuator
speeds up root canal treatment
Franziska Beier, Dental Tribune International
In Germany, approximately seven million root canal treatments are performed annually.
A common challenge faced during root canal treatment
is the frequent jamming of the rotating file, necessitating
regular cleaning. Addressing this issue, researchers
from the Fraunhofer Institute for Ceramic Technologies
and Systems (IKTS) in Dresden and the Department of
Dentistry at the Rostock University Medical Center have
developed a piezoceramic stack actuator that allows for
quicker and more efficient patient procedures.
In Germany, approximately seven million root canal treatments are performed annually. Despite dental files being
made from a superelastic nickel-titanium alloy, there is a
high risk of these files breaking under stress, necessitating
their frequent removal and thorough cleaning.
06
roots
1 2024
The newly developed device overlays the file’s rotation
with axial vibration in the ultrasonic frequency range.
The aim is to reduce the risk of file breakage and improve
the efficiency of root canal treatments.
Advantages of the piezoceramic
stack a
ctuator
Dr Holger Neubert, head of the Department of Smart
Materials and Systems at Fraunhofer IKTS, said in
a press release: “By overlaying the rotation with axial
vibration, the file gets clogged less quickly, meaning
that it doesn’t need to be cleaned so often. Dentists are
then able to concentrate much more on their complex
[7] =>
© TimeLineArtist/Shutterstock.com
news
|
heat loss. These actuators are composed of multiple
layered segments that collectively enhance displacement,
allowing for a design that is sufficiently small to navigate
the tightest spaces in a patient’s mouth. Additionally,
the research team constructed the stack actuator from
lead-free materials, adhering to the future requirements
of the European directive on the restriction of hazardous
substances in electrical and electronic equipment.
Dentists at Rostock University Medical Center conducted
trials of the new technology on artificial teeth and obtained
positive results.
Additional medical engineering applications
The newly developed technology holds promise for a
range of medical applications beyond dentistry, including
applications in diagnostic imaging and cancer treatment.
Researchers are exploring its use in low-frequency
ultrasonic transducers, which offer high penetration depth
for tomography. Advances in piezoceramic transducers
have led to their miniaturisation, allowing as many
as 2,000 units to be incorporated into a standard-sized
tomography system. This facilitates the high-resolution
3D imaging crucial for medical diagnostics.
“The newly developed
technology holds promise
for a range of medical
applications beyond dentistry,
including applications in
diagnostic imaging and
cancer treatment.”
In addition, high-frequency ultrasound transducers are
becoming increasingly valuable in fields like dermatology
for their ability to provide precise images at shallow
depths. Further potential lies in high-performance ultrasonic
transducers designed to target and destroy specific
tissue areas with focused sonic waves, a technique
particularly relevant in cancer therapy.
“Piezoceramic components can be used in a wide array
of applications and, thanks to their compactness and
performance, are ideal for medical engineering. We are
able to develop custom solutions to suit the needs of
individual clients,” emphasised Dr Neubert.
work in the root canal. The risk of the file breaking is also
reduced.”
He added: “The core idea of combining the two motions
of the dental file came from the specialists at the
Department of Dentistry at the Rostock University M
edical
Center. We used piezoceramic stack actuators as the
drive element because they are most able to meet
the special requirements for vibration amplitude and
frequency, size as well as supply voltage.”
Piezoceramic-based actuators bring numerous benefits.
Their compact size and rapid, precise operation make
them highly efficient and offer ease of control and minimal
Dental file with integrated piezoceramic stack actuator. (Image: © Fraunhofer IKTS)
roots
1 2024
07
[8] =>
Review offers evidence of link
between oral microbiome and cancer
Iveta Ramonaite, Dental Tribune International
© Georgios Belibasakis
Discussing the most interesting findings, he commented:
“There are documented associations between oral
dysplastic conditions, including oral cancer, and the oral
microbiome. The associations do not necessarily imply
a cause–effect relationship, but there can be a vicious
circle between the establishment of a dysbiotic microbiome
and the progression of oral pathologies. An important
aspect is that the two major components of the oral
microbiome, the bacteriome and the mycobiome, tend to
act synergistically in the deterioration of oral pathologies.
Moreover, the tumour microenvironment, depending also
on the specific type, can favour the colonisation and
invasion of certain microbial species that are clinically
proven to be associated with a given neoplastic con
dition.”
The study has diagnostic and prognostic implications
for oral medicine, and the researchers believe that the
findings could help explain the complex interplay be
tween bacteria and fungi in the oral cavity, thus leading
to improved prevention and management of oral cancer.
Additionally, Prof. Belibasakis noted that screening for
alterations in the bacterial and/or fungal make-up of
suspected sites could provide early indications or reveal
the progression patterns of oral mucosal conditions such
as oral cancer.
Prof. Georgios Belibasakis.
The oral cavity represents a complex microenvironment
where a diverse microbial community flourishes. A recent re
view study, carried out by researchers at Karolinska Institutet in
collaboration with researchers in South Korea, Sri Lanka and
Australia, has recently taken a deeper look at oral microbes
and their potential impact on oral pathologies, including oral
cancer. The data gathered in the review may help improve the
diagnosis and management of oral disease.
“The topic of the association between cancer and the
microbiome, including in the oral cavity, is a very timely one,”
lead author Prof. Georgios Belibasakis, professor of clinical
oral infection biology and head of the Division of Oral Health
and Periodontology in the Department of Dental Medicine
at Karolinska Institutet, told Dental Tribune International.
08
roots
1 2024
“Variations in the core microbiome of an individual may
serve as predictive markers for any oral condition, in
cluding carcinogenesis. The available data enhances our
understanding of the ecology of oral niches and their
dysbiotic changes during oral mucosal dysplasia and oral
cancer,” he commented. “This knowledge could support
early diagnostic and prognostic tools as well as innovative
treatments, making a quantum leap in oral medicine,”
he concluded.
Editorial note: The study, titled “Bacteriome and
mycobiome dysbiosis in oral mucosal dysplasia and
oral cancer”, was published online on 19 March 2024 in
Periodontology 2000.
© Anusorn – stock.adobe.com
| news
[9] =>
Adaptive
Just ONE shaping file for
multiple canal morphologies.
www.fkg.ch/xp-endo-rise
[10] =>
| ROOTS SUMMIT special
“The concept of the root canal blockage
course was born out of the desire to
teach and practise different techniques”
An interview with Dr Antonis Chaniotis
Franziska Beier, Dental Tribune International
to a small number of participants, and based on prior
experience, it is expected that the workshop will sell out
quickly.
Dr Chaniotis, to what extent do calcified canals,
ledge formation and file fractures pose a unique
challenge in root canal system disinfection?
Although the existence of pathological, age-related or
iatrogenic root canal blockages (calcifications, ledges
and broken files) is not the direct cause of root canal
treatment failure, it does adversely affect prognosis in
the treatment of periapical periodontitis. These blockages
make it difficult for the clinician to eliminate intra-canal
infections.
Dr Antonis Chaniotis.
To make the wait for ROOTS SUMMIT 2024 a little
sweeter, the organisers would like to spotlight some of
the speakers for this year’s edition, which will take
place from 9 to 12 May in Athens in Greece. Among the
highlights will be the lecture and workshop presented
by Dr Antonis Chaniotis, a prominent endodontist who
has run a dedicated microscopic endodontics practice
in Athens for 20 years. Attendees can look forward to
his lecture on root canal blockage management and his
workshop on the same topic. His workshops are limited
10
roots
1 2024
How can endodontists measure calcified canals in
the first place, and how can they manage these
complex situations?
The diagnosis of root canal blockages is done most of
the time with a 2D periapical radiograph. Current high-
resolution CBCT imaging provides an additional 3D tool
for the evaluation of the geometry and topography of the
blockage. The ultimate evaluation of the dimensions,
content and negotiability of the blockage is always done
clinically. Our ability to negotiate beyond the root canal
blockage depends upon various factors. All the factors
affecting the negotiability and elimination of root canal
blockages will be highlighted in my lecture. Moreover,
suggestions on how to overcome these difficulties will
be presented.
The day before ROOTS SUMMIT begins, you will be
holding a hands-on course on root canal blockage.
What makes this course of special interest to endodontists?
The challenging nature of the management of root canal
blockages during non-surgical retreatment was a great inspiration. The concept of the root canal blockage course
was born out of the desire to teach and practise different
techniques for managing current and future blockages.
Special models of simulated conditions are used to practise
[11] =>
|
© Saga Photo and Video/Shutterstock.com
ROOTS SUMMIT special
and tackle challenging cases. All participants work under
magnification and light provided by dental operating
microscopes, and they use top-notch equipment. All this
equipment is constantly updated. Attendees will be able
to practise the bypassing of ledges, the removal of cast
and fibre posts, the negotiation of calcified canals and the
management of broken files. These characteristics make it
of unique interest to every lover of endodontics!
What instruments will be used during the course,
and what techniques will be taught?
Microscopes, ultrasonic instrumentation, engine-driven
files, digital sensors and phosphor plates will be available
for use in simulated conditions. Each participant will
have his or her own equipment to use in working on
custom-made phantom heads and special teeth. Instruments and materials from the best manufacturers in endodontics will be provided. Traditional and out-of-the-box
techniques will be demonstrated and practised. Some
new techniques were inspired by this course and specially developed for it. So, attendees should be prepared
for a unique experience.
In a recent study, you spoke about future developments in managing root canal blockage. Could you
tell us something about these developments and
how you handle them in your courses?
Machine-assisted 3D irrigation devices, lasers, digital
workflows, advanced planning software programs,
guided endodontic techniques and artificial intelligence
will shape the future of endodontics. We always try to
highlight and reflect on these future developments in our
canal blockage courses.
“The ultimate evaluation
of the dimensions,
content and negotiability
of the blockage is always
done clinically.”
Why did you decide to present at next year’s
ROOTS SUMMIT, and what are you personally looking forward to?
Accepting the invitation to present at ROOTS SUMMIT
2024 was an instant decision. No one can resist the
temptation of being a part of it. Having the event take
place in Greece for 2024 will be an amazing experience.
ROOTS SUMMIT is all about gathering endodontic enthusiasts from around the globe. It’s not only a scientific
event but also a cultural blending of endodontists of
different origins, cultures and perspectives. I would like
to invite you all to visit my home country and to keep the
spirit of ROOTS SUMMIT alive.
Editorial note: Dr Antonis Chaniotis will be giving a workshop
covering root canal blockage on 8 May 2024. More information
on the workshop can be found online. He will also be
giving a lecture titled “Ledges, bricks and broken tips—
root canal blockage management” on 12 May 2024 from
13:30 to 15:30. More information on the programme and
registration can be found at www.roots-summit.com.
roots
1 2024
11
[12] =>
| ROOTS SUMMIT special
“Dental trauma management
is not a one-size-fits-all process”
An interview with Dr Rajiv Patel
Franziska Beier, Dental Tribune International
saving teeth. My involvement began when I collaborated
on a variety of cases with specialists and restorative
dentists with whom I share a common philosophy. I find
the unique challenges of dental trauma management,
the opportunity to make a difference in patients’ lives, the
need for interdisciplinary collaboration, and the potential
for continual learning and innovation both interesting and
fulfilling.
In your ROOTS SUMMIT lecture, you will focus on
dental trauma in the growing patient. How does the
treatment of dental trauma differ in children and
adolescents, and what special considerations have
to be taken into account?
The treatment of dental trauma in children and ado
lescents requires a specialised and multidisciplinary
approach, considering the unique aspects of growth
and development in this age group. Careful monitoring,
long-term planning and a focus on both functional and
aesthetic outcomes are essential in these cases. Growing
patients involved in contact sports need to be educated
on the importance of preventive measures such as mouth
guards in order to avoid future dental trauma.
Dr Rajiv Patel.
Dr Rajiv Patel from the US will be a speaker at the
upcoming ROOTS SUMMIT, which will take place from
9 to 12 May in Athens in Greece. His lecture will focus on
dental trauma management and will cover a variety of
scenarios, such as lateral luxation, crown-root fractures,
intrusion and avulsion in growing individuals. In this interview, the passionate endodontist discusses how dental
trauma management differs in children and adolescents,
emphasises the role of endodontics in dental trauma
patients and explains what all dental professionals should
have on their dental trauma management checklist.
Dr Patel, how did you first become involved in dental
trauma management, and what do you find appealing
about it?
As a practising endodontist, I saw the connection between dental trauma management and the philosophy of
12
roots
1 2024
My lecture will be titled “Dental trauma—stretching the
limits”, meaning that I will focus on pushing the boundaries
and exploring innovative, advanced or unconventional
approaches for challenging cases.
Your lecture abstract mentions that attendees will
be able to develop a dental trauma management
checklist. What are some of the most crucial points
on that list?
Checklists can save lives, and in our field, we can save
teeth with a systematic approach. The most crucial points
on that list relate to pre- and intra-operative clinical
assessment of the degree of trauma, the patient’s neurological status, radiographic assessment and an informed
discussion of treatment options.
Endodontics plays an important role in providing
timely and correct treatment following trauma. Can
you explain the importance of an interdisciplinary
approach in treating complex dental trauma cases?
[13] =>
|
© Viacheslav Lopatin/Shutterstock.com
ROOTS SUMMIT special
Dental trauma management is not a one-size-fits-all
process, and complex cases often demand the collabo
ration of various specialists to provide the best possible
care. An interdisciplinary approach ensures that all
aspects of the injury are addressed comprehensively,
leading to improved outcomes and a higher quality of
care for the patient. Endodontists, with their expertise in
diagnosing and treating issues related to the dental pulp
and adjacent structures, play a critical role in determining
whether endodontic treatment, such as root canal therapy
or more conservative vital pulp therapy, is necessary.
Could you describe a particularly challenging case
of dental trauma you have managed and the lessons
learned from it?
In the careers of most practitioners, some cases stand
out owing to their complexity and the emotions asso
ciated with them. For me, one such case involved an
8-year-old girl with an avulsed central incisor secondary
to a bicycle accident. This provided a variety of challenges and lessons to be learned. Key takeaways included the critical importance of timely and coordinated
care, the necessity of urging patients to seek immediate
treatment, and the advantages of interdisciplinary communication and collaboration. Utilising advanced technology for precise diagnostics was crucial for guiding
my treatment decisions. I learned the importance of
strategically planning treatment sequences for optimal
outcomes, considering long-term care and focusing
on patient education about prevention. Additionally,
providing psychological support and counselling was
instrumental in ensuring the best possible results and
patient satisfaction.
Are there any emerging techniques or materials in
endodontics that you find promising for the treatment of dental trauma?
A few existing and emerging technologies which continue
to be developed are regenerative endodontics, minimally
invasive techniques, biocompatible and bioceramic
materials, and CBCT. The potential for the utilisation of
artificial intelligence in diagnosis, radiographic assessment
and treatment planning in dental trauma management
appears to be exciting.
What do you enjoy about ROOTS SUMMIT, and what
are you looking forward to at the upcoming event?
I have attended other editions of ROOTS SUMMIT in
the past. They are very well-organised meetings offering
many practical take-home messages. For me, the journey
in endodontics started with ROOTS, and I am excited
to share the podium with many of my personal heroes in
the field of endodontics. I am looking forward to learning
and networking with my friends and meeting new colleagues from all over the world. I am hoping to see you at
the next ROOTS SUMMIT in Greece.
Editorial note: The lecture by Dr Rajiv Patel, titled
“Dental trauma—stretching the limits” will be held on
10 May 2024 from 13:30 to 15:00. More information on
the programme and registration can be found at
www.roots-summit.com.
roots
1 2024
13
[14] =>
| ROOTS SUMMIT special
Lecture programme
ROOTS SUMMIT 2024
Day 1: Thursday, 9 May 2024
9:00–15:30 The first day is designated
for hands-on coursework
Day 2: Friday, 10 May 2024
9:00–10:30 Irrigation and disinfection
of the root canal
Prof. Matthias Zehnder
11:00–12:30 Complex diagnosis in endodontics
Dr Ruth Pérez-Alfayate
13:30–15:00 Dental trauma—stretching the limits
Dr Rajiv Patel
15:30–17:00 Vertical root fractures
in endodontically treated teeth
Prof. Aviad Tamse
11:00–12:30 Effect of radiotherapy
on dental structures: Current clinic and
future treatment perspectives
Dr Josiane Almeida
13:30–15:00 Aesthetic outcome
of single tooth replacement in the aesthetic zone:
Preservation vs. reconstruction
Dr Juan Mesquida
15:30–17:00 Autotransplantation of teeth
Dr Mitsuhiro Tsukiboshi
Day 4: Sunday, 12 May 2024
9:30–10:30 Rationale for the management
of complex, borderline cases in endodontics
Dr Spyros Floratos
9:00–10:30 Restoration of endodontically treated
teeth: Increasing predictability and reducing limits
Prof. Laura Ceballos
13:30–15:30 Root canal blockage management:
Ledges, bricks and broken tips
Dr Antonis Chaniotis
© neirfy – stock.adobe.com
Day 3: Saturday, 11 May 2024
11:10–12:30 Management of challenges and
mishaps associated with radiographic examination
and interpretation in endodontics
Dr Ali Vahdati
14
roots
1 2024
Please visit www.roots-summit.com for the ROOTS SUMMIT 2024 programme.
[15] =>
EDM NiTi FILE SYSTEM
HyFlex EDM – OGSF Sequence
Take control in your hands
p Predictable outcomes with OGSF
standard protocol
p Efficient daily case preparation via
008480 04.24
optimized tip and taper match
p Enhanced patient safety through fracture
resistance and OGSF protocol
p Strong cutting performance and centered
preparation thanks HyFlex EDM technology
[16] =>
| ROOTS SUMMIT special
Speakers
ROOTS SUMMIT 2024
Dr Josiane Almeida
(Brazil)
Dr Josiane Almeida
graduated in dentistry
from the Federal Uni
versity of Pelotas in
Brazil in 2006. She
then went on to com
plete her specialisation
in endodontics in 2009, fol
lowed by a master’s degree in 2012 and a PhD in
endodontics in 2016, both at the Federal University
of Santa Catarina in Brazil.
16
Since 2016, Dr Almeida has been working at the
endodontics department of the University of Southern
Santa Catarina in Brazil. She founded a research
group focused on biomaterials and biofilm in dentistry
and teaches postgraduate courses in endodontics.
Prof. Laura Ceballos
(Spain)
In 2014, Dr Almeida relocated to the Netherlands to
conduct her PhD research at the Academic Center
for Dentistry in Amsterdam (ACTA). Her doctoral thesis
earned her a national honourable mention in 2017
from Coordenação de Aperfeiçoamento de Pessoal
de Nível Superior, a government agency responsible
for promoting high standards for postgraduate
education in Brazil.
Prof. Laura Ceballos
earned her DDS in
1997 and her PhD in
2001 from the Uni
versity of Granada in
Spain. During her doc
toral studies, she pursued
research opportunities in the US
and Brazil at the University of Texas Health Science
Center at San Antonio, the Dental College of Georgia
at Augusta University and the Bauru dental school at
the University of São Paulo. As a postdoctoral fellow,
she further honed her skills at the Instituto Superior
Técnico at the University of Lisbon in Portugal.
Throughout her career, Dr Almeida has focused
her research primarily on endodontic microbiology
and dental materials. In 2019, she completed
a postdoctoral degree in chemical engineering,
for which she worked on regenerative endodontic
procedures.
In 2003, she moved to Madrid in Spain to lecture
on dental materials in the newly established dentistry
degree programme at Rey Juan Carlos University.
Over subsequent years, she expanded her teaching
portfolio to encompass dental pathology and conser
vative dentistry and ascended the academic ranks,
roots
1 2024
Please visit www.roots-summit.com for the ROOTS SUMMIT 2024 programme.
[17] =>
ROOTS SUMMIT special
achieving the positions of associate professor in 2007
and full professor in 2019. In 2007, she initiated a post
graduate course in aesthetic dentistry, alongside the
inception of a master’s programme in aesthetic restor
ative dentistry and endodontics in 2009. Recently,
she established the IDIBO research group focused
on development and research in dental biomaterials,
officially recognised by Rey Juan Carlos University.
He currently holds active membership in the Hellenic
Association of Endodontists, serves as a country rep
resentative for the European Society of Endodontology
and is a member of the Hellenic Society of Endodontics,
a certified member of the European Society of
Endodontology, an international member of the Ameri
can Association of Endodontists and a member of the
European Academy of Digital Dentistry.
Her research endeavours have centred on adhesive
dentistry, encompassing both laboratory and clinical
investigations. Details of her publications can be
accessed at orcid.org/0000-0002-6024-9559. Many
of these publications are linked to doctoral theses
she supervised and have been prominently presented
at the International Association for Dental, Oral, and
Craniofacial Research (IADR) and ConsEuro meetings,
as well as those organised by the Spanish Society of
Conservative and Aesthetic Dentistry (SEOC).
Dr Spyros Floratos
Finally, Prof. Ceballos strives to balance her professional
commitments with her role as a proud mother of four.
Dr Antonis Chaniotis
(Greece)
Dr Antonis Chaniotis
graduated from the
National and Kapodistrian
University of Athens in
Greece in 1998 and
completed a three-year
postgraduate programme
there in 2003. Since 2003, he
has operated a private practice specialising in micro
scopic endodontics in Athens. For a decade, he served
as a clinical instructor in both undergraduate and post
graduate programmes in the endodontics department at
the same university. In 2012, he was appointed clinical
teaching fellow at the University of Warwick in the UK.
Dr Chaniotis delivers lectures nationally and internationally
and has authored more than 20 articles in peer-reviewed
international journals. His cases have been featured in
peer-reviewed journals and endodontic textbooks.
(Greece)
Dr Spyros Floratos
obtained his DMD
from the Aristotle
University of Thessa
loniki in Greece and
a certificate in end
odontics and microsur
gery from the University of
Pennsylvania in Philadelphia in the US. Early in his
career, he completed an internship at the Athens
naval and veterans hospital in Greece. He then pursued
a two-year residency in the endodontics department
at the University of Pennsylvania School of Dentistry,
followed by a six-month continuing education pro
gramme at the National and Kapodistrian University
of Athens.
Dr Floratos is an active member of multiple profes
sional and scientific societies and currently serves as
co-editor-in-chief of the Journal of Endodontic Microsurgery. He has conducted numerous workshops and
practical courses internationally and has authored
multiple articles published in peer-reviewed journals.
Dr Juan Mesquida
(Spain)
Dr Juan Mesquida
has been immersed
in
implant dentistry
since graduating with
a DDS in 2005. He
earned a master’s de
gree in implant dentistry
from ESIRO Barcelona in
Spain in 2007 and graduated from the graduate pro
gramme in implant dentistry at Loma Linda Univer
sity in California in the US in 2011. During his implant
specialty residency there, he received first prize for
best research presentation at the 2010 annual meet
ing of the American Academy of Implant Dentistry.
Additionally, he was honoured with first prize in the
table clinics category in 2011, a feat unprecedented
in the academy’s 30-year history. Upon completing
Please visit www.roots-summit.com for the ROOTS SUMMIT 2024 programme.
© neirfy – stock.adobe.com
Prof. Ceballos has held various leadership roles within
SEOC, including vice president and president. Additionally,
she represents SEOC on the executive committee of
the European Federation of Conservative Dentistry.
She has been involved in organising congresses, most
recently the joint meeting of the Continental European
and Scandinavian divisions of the IADR held in Madrid
in 2019, and has been a member of the IADR’s conti
nental European division since 2001.
|
roots
1 2024
17
[18] =>
| ROOTS SUMMIT special
his specialty degree in implant dentistry, he was ap
pointed assistant professor at the implant dentistry
department at Loma Linda University School of Den
tistry and served in this capacity until 2021, when his
tenure was interrupted by the global pandemic.
Dr Mesquida is a sought-after international lecturer on
implant dentistry-related topics. He has contributed sci
entific articles to reputable peer-reviewed journals and has
co-authored well-regarded dental implantology books.
Dr Ruth Pérez-Alfayate
(Spain)
After graduating from
the Uni ve r sit y of
Granada in Spain,
Dr Ruth Pérez-Alfayate
pursued further educa
tion, obtaining a diploma
in advanced research
from the same university and
completing master’s degrees in advanced endodontics
and in periodontics and micro-gingival surgery at the
European University of Madrid in Spain. Dr Pérez-Alfayate
is recognised as a national and international speaker
in endodontics and has contributed to multiple journals,
showcasing her expertise in the field.
Additionally, Dr Pérez-Alfayate is actively involved in
professional organisations and academic institutions,
where she shares her knowledge and expertise
through teaching and mentoring. Her dedication to
advancing the field of dentistry is evident through her
ongoing commitment to education and research.
Dr Rajiv Patel
(US)
Dr Rajiv Patel is an
endodontist based in
Dallas in the US and
has over 26 years of
clinical dentistry ex
perience. He earned his
DDS and certificate in end
odontics from the University
of Southern California in Los Angeles in the US. He is
a diplomate of the American Board of Endodontics.
Throughout his career, Dr Patel has contributed to
the field of endodontics through published clinical
papers and textbook chapters. He is also a founding
member of several study clubs and a fellow of the
International Academy of Endodontics.
18
roots
1 2024
Dr Patel operates his private practice, Endodontic
Excellence, in Flower Mound and Argyle in Texas in
the US. He is passionate about education and leads
a hands-on endodontic course titled “Endodontic
Success for the General Dentist”. His mission is
to elevate global standards in endodontic care by
sharing his expertise and knowledge.
Outside of his professional commitments, Dr Patel
enjoys spending quality time with his wife and two
daughters, as well as socialising with friends.
Prof. Aviad Tamse
(Israel)
Prof. Aviad Tamse
obtained his DMD from
the Hebrew University—
Hadassah Faculty of
Dental Medicine in
J erusalem in 1969
and pursued endodontic
training at Harvard School of
Dental Medicine in Boston in the US from 1971 to
1973. He is professor emeritus at the Maurice and
Gabriela Goldschleger School of Dental Medicine
at Tel Aviv University in Israel, a fellow of the
International College of Dentists and a co-founder of
the European Society of Endodontology.
Throughout his illustrious career, Prof. Tamse has
held numerous leadership roles within the dental
community. He served as president of the Israeli
Endodontic Society on two occasions and chaired
the endodontic board examiners committee and
the accreditation committee of graduate dental
programmes of the Israel Dental Association.
From 2000 to 2008, he held the position of
chair of the Department of Endodontology at
the Maurice and Gabriela Goldschleger School of
Dental Medicine.
Prof. Tamse’s contributions to the field of endodon
tics extend beyond his administrative roles. He has
authored and co-authored over 100 scientific
articles in peer-reviewed journals and contributed
to seven chapters in well-known dental textbooks,
including Cohen’s Pathways of the Pulp and Ingle’s
Endodontics. His primary research focus has been
vertical root fractures in endodontically treated teeth.
Furthermore, Prof. Tamse has been actively involved
on the editorial boards of scholarly publications,
and recently, he served as the senior editor of a new
book dedicated to root fractures.
Please visit www.roots-summit.com for the ROOTS SUMMIT 2024 programme.
[19] =>
ROOTS SUMMIT special
(Japan)
Dr Mitsuhiro Tsukiboshi
has dedicated his
career to the fields of
dental traumatology
and autotransplantation,
demonstrating ex tensive
clinical involvement, delivering course presentations
and contributing to publications. He is recognised as
a leading authority in these areas.
Dr Tsukiboshi is well known for his lectures on dental
trauma and autotransplantation, sharing his exper
tise through educational events worldwide. He has
authored numerous articles and two textbooks,
one focusing on dental trauma and the other on
autotransplantation. These publications have been
translated into multiple languages, including English,
reaching a global audience.
In addition to his academic contributions, Dr Tsukiboshi
has held prestigious leadership positions within the
dental community, including serving as the president
of the International Association of Dental Traumatology
in 2009 and 2010 in demonstration of his commitment
to advancing the field. In recognition of his significant
contributions, Dr Tsukiboshi was honoured by the asso
ciation with the Jens Ove Andreasen Lifetime Achievement
Award in Dental Traumatology in 2018, further solidifying
his reputation as a pioneer in the field.
Dr Ali Vahdati
(US)
Dr Ali Vahdati earned
his first DDS from the
Islamic Azad Univer
sity in Tehran in Iran.
He furthered his edu
cation by obtaining a
second DDS from the Uni
versity of California, Los Angeles
in the US, followed by an MSD in endodontics from
Loma Linda University in California in the US.
Dr Vahdati’s commitment to excellence is reflected
in his pursuit of advanced studies and residencies
across multiple specialties, including periodontics,
oral and maxillofacial surgery, and implantology.
He shares his expertise as a guest lecturer in end
odontics at Loma Linda University while managing a
private practice in Newport Beach in California.
Beyond his professional endeavours, Dr Vahdati
maintains a diverse range of interests, including music,
photography, filmmaking, hiking, cycling and partic
ipating in triathlons. Dr Vahdati’s dedication to both
his professional and personal pursuits exemplifies
his multifaceted approach to life and learning.
Prof. Matthias
Zehnder
(Switzerland)
Prof. Matthias Zehnder
is a distinguished figure
in the field of den
tistry. He graduated
with a doctoral degree
in dentistry (Dr med. dent.)
from the University of Bern
in Switzerland in 1996.
After his graduation, Prof. Zehnder embarked on
a multifaceted career path, initially working in private
practice while serving as a postdoctoral research
fellow at the university’s department of oral cell biology.
From 1998 to 1999, he furthered his expertise at the
Department of Oral Biology and Periodontology of
the Boston University Henry M. Goldman School of
Dental Medicine in the US. Prof. Zehnder’s dedication
to advancing his knowledge led him to pursue spe
cialist training in endodontics at Columbia University
in New York in the US, from which he graduated
in 2001. He subsequently completed a PhD at the
University of Turku in Finland in 2005 and was awarded
the “Dozent” title from the University of Zurich in
Switzerland in 2007, indicating a high level of academic
qualification, allowing him to teach and supervise
students independently at the university.
Currently, Prof. Zehnder holds the position of tenured
head of the Division of Endodontology at the Clinic
of Conservative and Preventive Dentistry of the
University of Zurich. His primary research interests
encompass the development of dental biomaterials,
the diagnosis of pulpal disease using molecular
markers and the enhancement of approaches to
disinfection of dental hard tissue.
Prof. Zehnder’s contributions to the field extend
beyond his research endeavours. He has served as
an associate editor of the International Endodontic
Journal and currently holds the position of editor-
in-chief of the Swiss Dental Journal. Additionally,
he sits on the editorial board of several other
scientific journals.
Please visit www.roots-summit.com for the ROOTS SUMMIT 2024 programme.
© neirfy – stock.adobe.com
Dr Mitsuhiro
Tsukiboshi
|
roots
1 2024
19
[20] =>
| ROOTS SUMMIT special
Lecture abstracts
ROOTS SUMMIT 2024
Day 1: Friday, 10 May 2024
9:00–10:30
Irrigation and disinfection of the root canal
Prof. Matthias Zehnder
This lecture will discuss what we need to do to obtain
adequate disinfection of the root canal system and
subsequent healing of periapical lesions. The most
important aspect in this context is neither new tools
nor special disinfectants but a thorough understanding of the actual case we are treating. It will
be shown that not all endodontic cases are equal
and how we can address the more difficult cases
by choosing our approach wisely. One core issue
is timing. How much time are we prepared to
spend on a case, and what is best for our patient?
In this context, the effectiveness and compatibility of
the means we use to debride and disinfect are key.
The other core issue is anatomy. While many clinicians are aware of the macroanatomy of root canal
systems, fewer consider microanatomy.
11:00–12:30
Complex diagnosis in endodontics
Dr Ruth Pérez-Alfayate
An accurate diagnosis is fundamental for the
determination of an appropriate treatment plan.
Most cases can be resolved in a simplified way;
however, the characteristics of some cases may
obscure the diagnosis, necessitating further, more
20
roots
1 2024
invasive tests to determine the aetiology. However,
diagnostic tests can actually yield ambiguous
results. Therefore, in cases of complex diagnosis,
it is important to integrate scientific knowledge
and common sense with the ability to interpret the
outcomes of these tests. This integration aids in
deciding on the prognosis and in making appropriate
case selection in the initial phase of treatment,
supporting a successful treatment.
13:30–15:00
Dental trauma—stretching the limits
Dr Rajiv Patel
Management of dental trauma is a team sport,
involving a coordinated multidisciplinary approach
to benefit our patients. Optimal and timely management is especially critical when the trauma involves
growing individuals. This case-based presentation
will cover a variety of scenarios, such as lateral
luxation, crown root fracture, intrusion and avulsion,
in growing individuals. Preparation and a systematic
checklist can reduce the incidence of complications
resulting from inappropriate management.
15:30–17:00
Vertical root fractures in endodontically
treated teeth
Prof. Aviad Tamse
Vertical root fractures in endodontically treated teeth
were for a long time considered a vexing and
Please visit www.roots-summit.com for the ROOTS SUMMIT 2024 programme.
[21] =>
ROOTS SUMMIT special
frustrating issue for both the clinician and the patient
alike. In recent years, this complication of root canal
treatment has seen advances in diagnosis and in
preservation of these teeth.
The diagnosis of a vertical root fracture has to be
done accurately and in a timely manner owing to
destruction to the supporting bone if not achieved
in time. The use of CBCT as an additional diagnostic
tool enhances the possibility of achieving accurate
diagnosis of a vertical root fracture, although some
drawbacks in this imaging modality still exist.
When considering saving a tooth with a vertical
root fracture, it is important to take into account
endodontic, periodontal and prosthetic considerations.
Treatment options for a tooth with a vertical root
fracture vary from simple root amputation in a multirooted tooth to more complex surgical management
in order to retain the fractured tooth.
Day 2: Saturday, 11 May 2024
9:00–10:30
Restoration of endodontically treated teeth:
Increasing predictability and reducing limits
Prof. Laura Ceballos
This presentation will explore the objectives of restorative treatment for endodontically treated teeth,
focusing on the essential goals such treatments
should achieve. Criteria used to select the most suitable restorative treatment based on various clinical
scenarios will be discussed. Additionally, the lecture
will provide a detailed overview of different restorative alternatives for compromised endodontically
treated teeth, along with their respective advantages
and limitations.
11:00–12:30
Effect of radiotherapy on dental structures:
Current clinical and future treatment perspectives
Dr Josiane Almeida
tives for endodontic therapy in irradiated patients.
Additionally, the ideal time frame in which to perform
endodontic treatment in order to obtain a more
effective treatment with a greater chance of success
will be discussed.
13:30–15:00
Aesthetic outcome of single-tooth replacement in
the aesthetic zone: Preservation vs reconstruction
Dr Juan Mesquida
The replacement of a failing anterior tooth by means
of a dental implant is one of the most challenging
treatments clinicians face nowadays, particularly
because the aesthetic expectations of patients are
increasing. Fortunately, the timing of extraction of
a failing anterior tooth in relation to the placement of
a dental implant and its impact on aesthetic outcomes
have been extensively evaluated. The aim of this
lecture is to present an evidence-based analysis,
illustrated with clinical cases, of the aesthetic outcomes that can be expected depending on the alveolar architecture present at the time of extraction,
the need for regenerative therapy and the timing of
implant placement.
15:30–17:00
Autotransplantation of teeth
Dr Mitsuhiro Tsukiboshi
In complex implant treatment plans, the option of
autotransplantation of teeth is often overlooked.
When recipient sites present challenges for implant
placement, necessitating additional time, costs and
specialised techniques, autotransplantation can
emerge as a more suitable alternative if there is a
viable donor tooth available within the same mouth.
For instances requiring sinus lift or ridge augmen
tation, autotransplantation can be a preferable and
advantageous choice. Particularly for patients under
20 years of age, implants may not be indicated.
This presentation will explore the indications for
and benefits of autotransplantation of teeth as
well as the techniques essential for success and
will be enriched with numerous clinical case
studies, including those involving intentional
replantation.
© neirfy – stock.adobe.com
This presentation will show the effects of radiation
therapy on dental structures and its implications for
endodontic treatment and will provide new perspec-
|
Please visit www.roots-summit.com for the ROOTS SUMMIT 2024 programme.
roots
1 2024
21
[22] =>
Day 3: Sunday, 12 May 2024
9:30–10:30
Rationale for the management
of complex, borderline cases
in endodontics
Dr Spyros Floratos
The triad of success in modern clinical endodontics
is magnification, 3D radiographic visualisation and
microsurgery. These, along with the most recent
technological advancements in instrumentation
and antimicrobial disinfection, as well as modern
bioceramic sealing materials, can achieve success
in cases with a guarded prognosis.
A correct diagnosis based on CBCT and careful
case selection can lead to predictable healing of
lesions of endodontic origin. However, under certain
anatomical or biological circumstances and/or after
iatrogenic interference, conventional endodontic
treatment or retreatment might not result in a positive
outcome. This may necessitate the execution of
surgical retreatment.
This comprehensive lecture aims to highlight a
clinical approach to treating challenging cases with
previous failed endodontic intervention, iatrogenic
mishaps and persistent periradicular pathology.
A rationale for the management of this kind of case
will be thoroughly discussed.
22
roots
1 2024
© neirfy – stock.adobe.com
| ROOTS SUMMIT special
11:10–12:30
Management of challenges and mishaps
associated with radiographic examination
and interpretation in endodontics
Dr Ali Vahdati
This presentation will explain the difference between
the radiographic appearance of normal structures versus
the appearance of abnormal or pathologic structures.
The significance of various radiographic modalities, along
with the potential for mishaps and misdiagnoses inherent
to each modality, will be examined and the methods for
preventing radiographic mishaps will be discussed.
13:30–15:30
Root canal blockage management:
Ledges, bricks and broken tips
Dr Antonis Chaniotis
Occasionally, instruments cannot be advanced to full
working length during root canal instrumentation. This
may be due to calcifications, ledge formation or canal
blockage by foreign objects such as separated instruments. All these clinical scenarios and accidents might
affect treatment outcomes if the canals below the
blockages are infected. Bypassing calcifications, ledges
and broken files will re-establish the previously blocked
canal pathway, enabling disinfection procedures to
take place along the full working length. This lecture is
intended to highlight the instruments, techniques and
skills required for a successful bypass procedure.
Please visit www.roots-summit.com for the ROOTS SUMMIT 2024 programme.
[23] =>
9 TO 12 MAY 2024
OMS3200 R2
AUTO-FOCUS
WIRELESS FOOT CONTROL
ZUMAX MEDICAL
[24] =>
| case report
Practical tips for reliable
endodontic treatment
Dr Friederike Listander, Germany
1
2
Fig. 1: Pre-op radiograph of tooth #27. Fig. 2: Measurement radiograph for working length control.
Introduction
Orifice opener, glide path file, shaping file and finishing
file—for classic endodontic treatment, a compact system
of nickel–titanium (NiTi) files is often sufficient to achieve
reproducible results in the preparation of the respective
root canal anatomy.
The following case report illustrates how the skilful use of
a fixed sequence of prebent files enables even dental
practices with only occasional endodontic cases to develop a treatment routine in which they can have a high
level of confidence. In addition, in this article, practical tips
for drying and obturating root canals are provided.
The principle of maximum tooth preservation constitutes
a key component of our practice philosophy. Owing to
our broad range of services, we utilise state-of-the-art
technology in the various indication areas in our daily routines to offer our patients the best possible treatment
in each case. In endodontics, this means, among other
things, automated preparation using a state-of-the-art
motor as a navigation aid, as well as the use of an
easy-to-remember NiTi file sequence. This structures
workflows and ensures that the sequence of work steps
becomes intuitive and quick to perform after a brief learning period. A standardised treatment protocol minimises
potential sources of error on the one hand and facilitates
an effective procedure on the other hand, as reflected in
the following endodontic case.
24
roots
1 2024
Case presentation:
Irreversible pulpitis of tooth #27
In February 2024, a 46-year-old female patient presented
to our practice with severe pain in her left upper jaw. After a
positive vitality test and strong response to the percussion test,
a diagnosis of irreversible pulpitis of tooth #27 was confirmed
radiographically (Fig. 1). The patient agreed to a two-session root
canal treatment, which was started at the first appointment.
After surface anaesthesia and numbing of the affected
tooth, a dental dam was placed, which is standardly done
ahead of tooth preparation. Additional sealing of the dental
dam with liquid dental dam effectively prevented irrigation
solution from running into the patient’s throat. This was of
particular advantage because treatment was made even
more difficult by limited opening of the mouth.
After creating the access cavity, the individual root canals
were probed and expanded under the operating microscope using a diamond-coated ultrasonic tip. The respective working lengths were determined with the aid of
an apex locator. A measurement radiograph was taken as
a confirmation and showed that the lengths matched the
electronic measurements (Fig. 2).
The affected canals were first prepared manually using a
hand file to the required size 20. This was followed by the
electrochemical irrigation protocol using an ultrasonic tip
(Fig. 3). The classic sequence of sodium hypochlorite,
[25] =>
case report
|
3
Fig. 3: Ultrasonically activated irrigation. Fig. 4: Easy-to-remember HyFlex EDM file sequence: Opener, Glider, Shaper and Finisher.
EDTA, sodium chloride and chlorhexidine in 0.2% concentration to disinfect the canals supported the effective
removal of tissue residue and debris. Medical calcium
hydroxide was placed into the cleaned canals for temporary sealing and ultimately fixed with PTFE tape before
sealing the tooth provisionally with DuoTEMP (COLTENE).
Before polishing the temporary filling, the occlusion was
checked, and the patient was then discharged symptom-
free until the subsequent treatment session.
Efficient instrumentation with an
easy-to-remember NiTi sequence
The actual preparation and final obturation of the root
canals were performed during the second appointment.
The patient was pain-free when she presented to our
practice again. The dental dam placed for this treatment
was again sealed with liquid dental dam after local anaesthesia to provide better protection for the patient.
roots
1 2024
4
25
[26] =>
| case report
5
Fig. 5: Preparation with the cordless CanalPro X-Move endodontic motor.
The user-friendly endodontic motor CanalPro X-Move
(COLTENE) and the HyFlex EDM instruments in the
OGSF sequence (COLTENE; Fig. 4) were chosen for
straightforward preparation. The abbreviation “OGSF”
stands for the first letters of the four NiTi files, which can
be used to treat the majority of typical endodontic cases
quickly and conveniently: the Opener (orifice opener)
opens the tooth to be treated, the Glider (glide path file)
helps to create a glide path which follows the natural
contour of the canal, the Shaper (shaping file) efficiently
removes bacteria and infected tissue and creates the
prerequisites for the canal obturation, and the Finisher
(finishing file) ensures that the apical area is sufficiently
cleaned and that there is sufficient space for irrigating
solutions to reach the apex.
The mesiobuccal cusp tip served as a reference point for
determining the working length of the mesiobuccal canal:
preparation was performed over 19 mm up to size 30/.04
with the finishing file. Likewise, the distobuccal canal
was instrumented to the same working length (reference
point: distobuccal cusp tip). In comparison, the palatal
canal had a working length of 21 mm; and here, too,
the natural canal contour could be replicated with the
6a
6b
6c
Figs. 6a–c: Master point fitting with 30/.04 HyFlex EDM gutta-percha points. Intra-oral view (a). Radiograph (b). Individual gutta-percha points (c).
26
roots
1 2024
[27] =>
case report
|
ompact OGSF sequence up to size 30/.04 with the
c
finishing file.
The motion patterns programmed in the motor make
handling the files extremely easy and enable the working
length to be reached in just a single pass. Clamped in
the cordless handpiece, the files also give one a good feel
for the anatomical contour of the canal (Fig. 5).
The well-organised set of four coordinated special files
with matching gutta-percha points offered the great advantage that no individual files had to be preselected
ahead of treatment. The prebent files moved safely in the
centre of the canal, making handling extremely smooth.
Furthermore, the files are highly resistant to breakage,
and this ultimately benefits both the patient and the
practitioner.
Sustainable drying with fewer paper points
The sequence of electrochemical irrigation followed the
same protocol as in the first treatment session. After the
last irrigation sequence, the canals could be dried well
with a particularly narrow endodontic suction cannula,
therefore requiring fewer paper points. In addition, the
paper points can be tested easily on a firm surface after
they have been in the canal to see whether there is any
remaining liquid in the canal. A master point fitting with
30/.04 HyFlex EDM gutta-percha points was selected to
match the file system (Figs. 6a-c). Here, the palatal canal
length was shortened by 0.5 mm.
HyFlex EDM master points of the same length were
used for thermoplastic filling of the three root canals, and
the canals were filled three-dimensionally with liquid gutta-
percha. The AH Plus bioceramic sealer (Dentsply Sirona)
provided the required sealing. Here, it is perfectly sufficient
to coat only the lower part of the gutta-percha points with
sealer. Furthermore, the canal entrances were covered
with a flowable composite in Shade A1 in combination
with a matching acid etching gel, primer and bonding
agent. BRILLIANT EverGlow Flow high-performance
composite (COLTENE) in the opaque version in Shade A3
was used for the final restoration. The final radiograph
confirmed the reliable sealing of the three canals in tooth #27
(Fig. 7).
Conclusion
Using a standardised NiTi file sequence such as
HyFlex EDM OGSF, the majority of classic root canal
treatments can be prepared quickly and reliably. Owing
to the structured sequence of Opener, Glider, Shaper and
Finisher files, practice teams and patients benefit from
efficient and safe root canal treatment. With a few simple
steps, one can save both time and material in order to
achieve all-round sustainable treatment.
7
Fig. 7: Post-op radiograph of tooth #27.
“A standardised treatment
protocol minimises potential
sources of error on the one
hand and facilitates
an effective procedure
on the other hand […].”
about
Dr Friederike Listander studied
dentistry at Ulm University in Germany
from 2004 to 2009. She then worked
from 2009 to 2012 as a dentist and
research assistant at Ulm University’s
dental clinic. In 2013, she specialised
in endodontics and established
her own practice in 2014.
Since then, she has attended
numerous training courses to continue to expand her
expertise in endodontics, aesthetic dentistry, periodontics,
implant dentistry and microsurgery. Dr Listander is also
active as a speaker in Germany and abroad.
contact
Dr Friederike Listander
Kirchgasse 5
89179 Beimerstetten
Germany
f.listander@zahnartzpraxis-listander.de
roots
1 2024
27
[28] =>
| case report
Utilising R-SWEEPS laser-assisted
irrigation for the treatment of
chronic periapical periodontitis
Dr Hui Jing Phang, Singapore
showed a large mesio-occlusal amalgam restoration with
recurrent caries, reaching close to the mesial pulp horn
of the tooth (Fig. 1). Two roots could be observed and
no visible root resorption. Slight periodontal ligament
widening was evident and a periapical lesion. She was
diagnosed with irreversible pulpitis of tooth #46 and
chronic periapical periodontitis.
A 48-year-old female patient was referred to our clinic
owing to a defective amalgam restoration on tooth #46.
She had spontaneous acute pain in the area of tooth #46
when eating, and the pain had increasingly become unbearable at night, causing her to lose sleep. The patient
was healthy, had no known allergies and good oral
health.
We decided to use laser-assisted irrigation with a
2,940 nm Er:YAG laser and Fotona R-SWEEPS (resonant
shock wave-enhanced emission photoacoustic streaming)
mode at settings suitable for treating a mandibular molar.
In the first session, 4% articaine hydrochloride with
1:100,000 adrenaline (citocartin, Molteni Dental) was
administered to anaesthetise the area. The patient was
properly draped with a waterproof gown to protect
her clothing. The tooth was isolated with a dental dam.
The old amalgam and carious tissue were removed,
an access cavity was prepared and the root canal was
negotiated to the apex with a #8 hand K-file. There was
no spontaneous bleeding upon opening of the pulp
chamber, and there was necrotic tissue present. Hence,
the decision was made to complete the root canal
treatment in two sessions.
Tooth #46 was tender to percussion, non-tender to palpation and had no response to the electric pulp test and
cold test. Analysis of the dental panoramic tomogram
A total of four canals were identified (Fig. 2). The treatment
started with continuous delivery of sodium hypochlorite
(NaClO) solution (3 ml) by syringe and simultaneous
2
3
1
Fig. 1: Initial dental panoramic tomograph.
Case report
Fig. 2: Access to the pulp chamber showing four canals. Fig. 3: Pulp chamber after irrigation with R-SWEEPS.
28
roots
1 2024
[29] =>
case report
ctivation by Er:YAG laser. Laser-assisted irrigation was
a
performed with a LightWalker AT S (Fotona) and an Er:YAG
H14 handpiece with a flat SWEEPS 400/9 fibre tip positioned safely at the entrance to the pulp orifice (Table 1).
For the shaping of the root canal system, the ProTaper
Gold rotary file system (Dentsply Sirona) was used.
Minimally invasive root canal preparation began with the
19/0.04 SX file to relocate the coronal aspect of the canals.
Cleaning and shaping of the canals were subsequently
performed with the 18/.02 S1 file and 20/.07 F1 file to the
working length. The R-SWEEPS final irrigation protocol
was performed at the end of instrumentation and consisted of two cycles of 17% EDTA activated by R-SWEEPS
for 30 seconds for each activation period with 30 seconds
of resting time in between, rinsing with distilled water activated by R-SWEEPS for 30 seconds, and then three
cycles of 5% NaClO activated by R-SWEEPS for 30 seconds for each activation period and a resting time of at
least 30 seconds in between. After drying the canals (Fig. 3),
4
|
Table 1: Laser parameters used for root
canal irrigation with R-SWEEPS activation.
Parameter
Value
Energy (mJ)
10
Power (W)
0.3
Frequency (Hz)
15
Water
0
Air
0
Conclusion
R-SWEEPS laser-assisted irrigation supports minimally
invasive endodontics and superior decontamination,
enabling a paradigm shift in the practice of endodontics.
R-SWEEPS may be utilised to increase the efficacy of
laser-assisted root canal therapy.
5
6
Fig. 4: Post-op radiograph showing the temporary filling. Fig. 5: Three-month follow-up radiograph showing no inflammation in the area of tooth #46.
Fig. 6: Final restoration in situ.
Odontopaste (Australian Dental Manufacturing), a zinc
oxide-based root canal paste with 5% clindamycin
hydrochloride and 1% triamcinolone acetonide, was placed,
followed by a temporary filling (Fig. 4).
There was no pain or discomfort during or after the clinical
treatment, and thus the patient did not need to take any
medication to relieve the pain. Two weeks later at the
second appointment, the Odontopaste was washed out
with one 30-second EDTA cycle, followed by rinsing the
canal with distilled water and three cycles of 30-second
R-SWEEPS irrigation with 5% NaClO. The final obturation
was done with iRoot SP bioceramic sealant (Innovative
BioCeramix) and thermoplastic gutta-percha Thermafil
(Dentsply Sirona).
The three-month follow-up showed healthy periapical
bone structure and no clinical symptoms (Fig. 5).
The tooth had been restored using a complete monolithic
zirconia crown (Fig. 6). The gingiva was completely
healthy and had a normal pocket probing depth.
about
Dr Hui Jing Phang graduated as
valedictorian from the National
University of Singapore, won the
University Silver Medal, Terrell Medal,
Tratman Medal and Singapore Dental
Association Book Prize and was
placed on the dean’s list. She started
her career as a dental surgeon in
a public hospital, treating patients
requiring complex, multidisciplinary medical and dental care.
After hospital p ractice, Dr Phang joined a leading family
dental care practice with a strong emphasis on advanced
dental technology and aesthetic dentistry. She is the founder
and clinical director of the Toothbar Dental in Singapore.
Dr Phang has a keen interest in cosmetic and restorative
dentistry involving dental lasers, tooth whitening, CAD/CAM
ceramic dental restorations, clear a ligners, dental implants,
root canal treatment and dental splints for managing
temporomandibular joint pain from bruxism.
roots
1 2024
29
[30] =>
| case report
Single-session endodontic
and surgical approach
to internal root resorption
A long-term case report
Dr Bartłomiej Karaś, Poland
1a
1b
1c
Case 1—Figs. 1a–c: CBCT scan taken before the treatment. Axial plane showing the root wall perforation (a). Coronal plane showing the lesion (b).
Sagittal plane showing the perforation of the cortical bone (c). Fig. 2: Clinical situation before the treatment. Fig. 3: Root canal obturation.
Gutta-percha cone and sealer are visible.
Introduction
Internal root resorption (IRR) is the loss of dental hard
tissue due to odontoclastic activity. In most cases, it is
asymptomatic, and the aetiology is unclear. IRR is often
an incidental finding on radiographs of adjacent teeth
or during regular check-up appointments. A CBCT scan
is highly recommended for the diagnosis and treatment
planning.
2
There are two types of IRR: inflammatory and replacement. The first usually has a round and regular shape,
and the second type may be misdiagnosed as external
cervical resorption owing to the similar shape.
The most important part of treatment is the elimination of
the vital apical pulp tissue sustaining the IRR. If the IRR
has not perforated the root wall, only root canal treatment
should be performed; however, the presence of root wall
perforations in some cases may also require a surgical
approach.
3
30
roots
1 2024
[31] =>
case report
|
Case 1
A 40-year-old female patient was referred to the endodontic office because of an incidental finding of IRR in
the maxillary left lateral incisor on a panoramic radiograph. A CBCT scan was taken to assess the extent of
the resorption, devise a treatment plan and determine the
prognosis (Figs. 1a–c). The resorption cavity was located
in the middle of the root and had perforated the mesial
wall of the root. The rather round and regular shape of the
resorption indicated the inflammatory type. The osteolytic focus suggested a lesion was present next to the
perforation area (Fig. 2). Owing to the size of the wall
perforation and the presence of the lesion, the treatment
plan involved a single-session root canal treatment as
well as a surgical approach.
After performing local anaesthesia, the access cavity
was created. The pulp chamber was reshaped with an
ultrasonic diamond-coated tip. The pulp chamber was
cleaned with sodium hypochlorite, and the pulp tissue
was partially removed from the root canal. An incision
was made from the frenulum, through the gingival sulcus
from the maxillary first incisor to the maxillary canine.
After raising a flap, the granulation tissue was removed
from the resorption cavity with a small excavator.
The root canal shaping protocol was performed with
conventional chemomechanical preparation. The shaping sequence was guided by initial negotiation using
passive hand files, followed by preparation with rotary
files and irrigation using sodium hypochlorite, activated
with manual needle agitation. After the root canal shaping
procedure, the following irrigation protocol was performed: three minutes of alternating irrigation and ultrasonic
agitation of 5.25% sodium hypochlorite, smear layer
removal with double alternating irrigation with EDTA 17%
and sodium hypochlorite, and five minutes of alternating
irrigation and ultrasonic agitation of sodium hypo
chlorite. During all the instrumentation and irrigation
procedures, the suction was placed next to the resorption
cavity to avoid irritation of the bone and surrounding
tissue.
4a
4b
5
Figs. 4a & b: Biodentine filling the resorption cavity. Clinical (a) and radiographic
view (b). Fig. 5: Clinical situation after five months. No visible signs of inflammation.
“The most important part of
treatment is the elimination
of the vital apical pulp tissue
sustaining the IRR.”
6b
6a
6c
The obturation of choice was warm vertical compaction
of gutta-percha and sealing with the bioceramic sealer
CeraSeal (Meta Biomed; Fig. 3). The resorption cavity
was filled with Biodentine (Septodont; Figs. 4a & b), and
the coronal part of the root canal was filled with warm
gutta-percha. The flap was repositioned and sutured,
and the tooth was restored with composite resin.
Recall appointments were performed after five and
six months (Fig. 5). The bone healing was complete after
five months (Figs. 6a–c), and after 30 months, there
were no signs of the bone defect, fracture or any other
abnormalities (Figs. 7a & b).
7a
7b
Figs. 6a–c: CBCT scan taken five months after the treatment, showing the
healed lesion. Figs. 7a & b: CBCT scan taken 30 months after the treatment,
showing the healed lesion.
roots
1 2024
31
[32] =>
| case report
Case 2
A 28-year-old patient was referred to the endodontic office after
diagnosis of inflammatory IRR in the maxillary right central incisor
on a periapical radiograph. A CBCT scan was taken to determine
the prognosis and to plan the treatment (Figs. 8a–e). The 3D image
revealed perforation of the labial wall of the root and destruction
of the bundle bone surrounding the resorption cavity.
8a
8c
8b
Case 2—Figs. 8a–e: Radiograph (a) and CBCT scan (b–e) taken before
the treatment, showing the root perforation and perforation of the cortical
bone. Figs. 9a & b: Clinical situation before the procedure (a) and after
raising of the flap and perforation of the cortical bone (b). Figs. 10a–d:
Removal of the granulation tissue step by step. Figs. 11a & b: Irrigation of
8d
8e
the root canal. Figs. 12a & b: Obturation of the root canal. Figs. 13a–c:
Application of the biomaterial in the resorption cavity and placement of collagen sponge on top. Figs. 14a & b: Radiograph taken after obturation (a).
Clinical situation after suturing (b). Fig. 15: Clinical situation after 14 days.
9a
9b
10a
11a
11b
12a
13a
15
32
An incision was made from the maxillary left central incisor
through the gingival sulcus to the right maxillary canine. After raising a flap, the granulation tissue was removed from the resorption
roots
1 2024
13b
13c
14a
10b
10c
10d
12b
14b
[33] =>
case report
|
Table 1: Treatment planning approach.
No perforation
Perforation
Perforation + lesion
Treatment
Endodontic
Endodontic
Endodontic + surgical
Obturation
Gutta-percha
Gutta-percha + bioceramic
(resorption cavity)
Gutta-percha + bioceramic
(resorption cavity)
cavity with a small excavator (Figs. 9–11). The root canal shaping
protocol was performed with conventional chemomechanical
preparation. The shaping sequence began with negotiation with
passive hand files, followed by preparation with rotary files and
irrigation using sodium hypochlorite with manual needle agitation.
The irrigation protocol was performed as described in Case 1.
The obturation of choice was warm vertical compaction of
gutta-percha and sealing with the AH Plus sealer (Dentsply Sirona).
The resorption cavity was filled with a fast-setting mineral
trioxide aggregate (Harvard Dental), the coronal part of the root
canal was filled with warm gutta-percha and collagen sponge
was placed (Figs. 12a & b; Figs. 13a & b). The flap was repositioned and sutured, and the tooth was restored with the
GRADIA composite resin (GC; Figs. 14a & b, Fig. 15).
Recall appointments were performed after two (Figs. 16a & b)
and four years (Figs. 17a & b). The radiographic examination
showed the presence of bundle bone. The periodontal status
was stable, and the tooth remained asymptomatic.
Discussion
Although the aetiology of IRR remains unclear, studies agree
that removing the vital pulp from the apical area is crucial to halting the resorption. Studies also concur that once the internal
resorption has been stopped, there is little likelihood that the
process will revive. Thus, one of the most important prognostic
factors is the restorability of the tooth. In the cases presented,
the biomechanic integrity of the teeth was compromised, but
the patients’ age and determination were the most important
factors for treatment planning.
The two types of IRR, inflammatory and replacement, have
slightly different mechanisms of progression, but both involve
the activity of osteoclasts. However, from the clinical point of
view, the distinction between the two types is not critical.
In order to diagnose IRR, it is recommended to take a CBCT scan.
3D diagnostics is crucial for creating the treatment plan.
The shape of the area of resorption and perforation of the root
wall are the most important factors for determining the treatment planning approach (Table 1). The cases presented have
demonstrated that a combined endodontic and surgical
approach is the most suitable option for cases of IRR that has
perforated the root wall and is associated with a lesion or
destruction of the surrounding bone.
16a
16b
17a
17b
Figs. 16a & b: CBCT scan taken two years after the treatment. Figs. 17a & b:
CBCT scan taken four years after the treatment.
about
Dr Bartłomiej Karaś graduated
in dentistry from Wrocław Medical
University in Poland in 2009.
He is an educator and the author
of numerous publications focusing
on minimally invasive endodontics.
He is a vice president of the
endodontics section of the
Polish Dental Association and
a fellow of the European Society of Endodontology and of the
World Federation for Laser Dentistry. Dr Karaś runs a private
dental practice limited to endodontics in Wrocław.
contact
Dr Bartłomiej Karaś
MAXDENT
Ul. Hallera 53/2
53-325 Wrocław, Poland
karasdentysta@gmail.com
www.bkaras.com
roots
1 2024
33
[34] =>
| case report
A second chance
Dr Philippe Sleiman, Lebanon
1a
1b
1c
1d
Figs. 1a–d: Retreatment sequence. 25/.08 Traverse file (a). 35/.06 ZenFlex file (b). 30/.06 ZenFlex file (c). 25/.06 ZenFlex file (d).
Introduction
As dentists, we frequently encounter the need to re-
evaluate previous root canal treatments. This necessity
may arise due to issues such as coronal leakage or
inadequate prior procedures. Fortunately, our immune
system plays a crucial role in maintaining a delicate balance
against bacterial aggression. Sometimes, this balance
2
remains undisturbed, bacterial activity being confined to
the apical area and there being no visible symptoms.
However, a decline in our immune response or changes
in dental restorations, such as fillings or crowns, can disrupt
this equilibrium, leading to clinical manifestations.
True endodontic retreatment presents various challenges,
depending on factors such as the quality of the initial
3
Case 1—Fig. 2: Initial periapical radiograph. Fig. 3: One-year follow-up periapical radiograph.
34
roots
1 2024
[35] =>
case report
4
5
|
6
Case 2—Fig. 4: Initial periapical radiograph. Fig. 5: Immediate post-op periapical radiograph. Fig. 6: One-year follow-up periapical radiograph.
treatment, the materials used for obturation, the presence of ledges or separated instruments, intricate root
canal anatomy, and the use of fibre-reinforced or metal
posts. When approaching retreatment, it is helpful to
divide the process into stages, addressing each challenge
systematically from the coronal portion towards the apex.
By tackling obstacles individually, we can effectively
manage the procedure, ensuring all aspects are addressed and our ultimate goal is achieved. If a metal or
fibre-reinforced post is present, careful consideration
must be given to the remaining thickness of the dentinal
walls. Ultrasonic instruments are invaluable for removing
hard materials, and in high-risk scenarios, microsurgery
may be warranted.
In this article, I will focus on a simplified technique for
removing gutta-percha, utilising nickel–titanium rotary
files and demonstrate by way of clinical cases. Additionally, I will discuss the limitations of this approach and
when it is necessary to employ alternative techniques
based on specific obstacles encountered during retreatment.
“When approaching
retreatment, it is helpful to
divide the process into stages,
addressing each challenge
systematically [...].”
The 35/.06 file is succeeded by the 30/.06 file and,
if necessary, the 25/.06 file to ensure complete removal
of gutta-percha from the canal. Should an obstacle be
encountered, p
articularly in mesial canals with severe
curvatures, switching to the 4% taper ZenFlex files is
advised. The same crown-down technique and file sizes
are maintained throughout the procedure. I employ a
comprehensive sequence of irrigation, which has been
previously published.1
For retreatment, I utilise the Traverse and ZenFlex files
(Kerr Dental). Specifically, I employ the 25/.08 Traverse
orifice opener of 17 mm in length, alongside the 35/.06,
30/.06 and 25/.06 ZenFlex files (Fig. 1). These files boast
a unique variable heat treatment, sharp cutting edges
and a design of the flutes, making them ideal for both
initial endodontic procedures and retreatment.
In a step-by-step approach, this sequence is designed
for the removal of previous gutta-percha from within the
root canal. Firstly, using the 25/.08 Traverse file at a speed
of 800 rpm, a small pecking motion is applied. Typically,
two or three motions are sufficient to establish an entry
point and remove the coronal portion of the gutta-percha.
The file is allowed to reach its maximum depth without
additional pressure. Subsequently, the 35/.06 ZenFlex file
is employed, following the same gentle picking motion.
Each movement extends 2–3 mm, lasts only a couple
of seconds and is repeated around three times.
7
Case 3—Fig. 7: Initial periapical radiograph.
roots
1 2024
35
[36] =>
| case report
8
Fig. 8: Pre-op CBCT scan.
Case 1
The patient was referred owing to discomfort of his
mandibular teeth that had started to become painful and
develop throbbing pain. Upon clinical and radiographic
examination, the patient was advised that the problem
concerned a mandibular first molar and premolar. The
previous root canal therapy had not been up to standard and
appeared to have involved single cone obturation (Fig. 2).
9
The patient was presented with a treatment plan that
included retreatment of both the premolar and molar and
eventually the replacement of both crowns.
I proceeded through the crowns for both teeth in the
same session. As described earlier, I used the 25/.08
Traverse file (17 mm in length) and followed with the
35/.06, 30/.06 and 25/.06 ZenFlex files up to the working
length. In this case, I added the 35/.04 ZenFlex file as
10
Fig. 9: Immediate post-op periapical radiograph. Fig. 10: One-year follow-up periapical radiograph.
36
roots
1 2024
[37] =>
case report
|
an apical enlargement file. 3D obturation was done using
the elements IC (Kerr Dental) for both teeth.
A year later, I recalled the patient for follow-up (Fig. 3).
I observed that the healing of both teeth was almost
complete, showing beautiful root canal system obturation
and multiple exits. The crown on the molar had been
replaced, but unfortunately the crown on the premolar
had not and exhibited some kind of internal build-up.
I advised the patient that this might risk the success of
the treatment for the premolar.
Case 2
The patient was referred for retreatment of a first man
dibular molar. The initial radiograph showed a cast metal
post in the distal canal, a separated instrument in one of
the mesial canals and a radiolucency at the apex (Fig. 4).
The patient was informed that in order to retreat his
molar, I would need to remove his old crown and the
metal post to give me access to the root canals to retreat
them and that the alternative would be microsurgery
on the mesial root, but this would require that I cut a long
section of the root in order to achieve a hermetic seal inside
the canal because of the separated file and the part of
the canal that had not been treated. The patient opted for
the first choice.
The first steps were cutting the crown and removing it and
then proceeding with a delicate cutting of the metal post
piece by piece and vibration with ultrasonics for safe
removal. This gave me access to the gutta-percha under it.
I used the same sequence of Traverse and ZenFlex files,
and in the distal root and mesiobuccal root, I managed to
go all the way to the working length, but in the mesiolingual
canal, I stopped where the separated file was located.
Here I used #6, 8, 10 and 15 K-files in order to bypass the
file and was fortunate to be able to retrieve it from inside
the curvature. Full cleaning and shaping were performed,
followed by 3D obturation with the elements IC (Fig. 5).
The one-year follow-up showed great healing (Fig. 6).
Case 3
The last case I would like to discuss in this article
has been one of my most challenging retreatments.
The patient was referred from abroad for retreatment of
a maxillary molar, as she insisted on saving her tooth.
From the radiograph, I could clearly see a separated
instrument in the mesial root, but the anatomy was very
suspicious (Fig. 7). Looking at the CBCT scan given to me
by the patient—for which I would have preferred a higher
resolution—I observed three different exits for the mesial
root and a very unusual anatomy (Fig. 8). Studying the
whole case, I also saw a ramification on the palatal root
in the apical area. I explained to the patient that I would
do my best to save her tooth.
11
Fig. 11: Eighteen-month follow-up periapical radiograph.
I used the same sequence of Traverse and ZenFlex files
in the distal and palatal canals up to the full working
length, and for the mesial root, I reached the separated
file and began the very delicate task of bypassing the
separated file and negotiating the very complex root
canal system. The immediate postoperative radiograph
showing the 3D obturation of the mesial complex and
the palatal ramification was most satisfying (Fig. 9).
Radiographs taken at the one-year (Fig. 10) and
18-month follow-ups (Fig. 11) showed good healing.
Radiographs taken at different angulations showed the
complexity of the mesial root.
Conclusion
In conclusion, opting for a second chance in treatment
is always preferable. Understanding the potential and
limitations of our tools and abilities is crucial for
achieving success.
References
1. W
ang HH, Sanabria-Liviac D, Sleiman P, Dorn SO, Jaramillo DE. Smear layer and debris removal from dentinal tubules using different irrigation protocols: scanning electron
microscopic evaluation, an in vitro study. Evidence-Based Endodontics 2017; 2:5.
about
Dr Philippe Sleiman is an
assistant professor at the Faculty
of Dental Medicine of the Lebanese
University in Beirut in Lebanon and
an adjunct professor at the University
of North Carolina at Chapel Hill Adams
School of Dentistry in the US.
He can be contacted at
profsleiman@gmail.com.
roots
1 2024
37
[38] =>
| case report
Increasing success in
autotransplanted third molars
through digital planning
A two-year follow-up case report
Dr Johnny Onori, Spain
mouth. This procedure has garnered significant clinical
interest, emerging as a viable therapeutic alternative to
dental implants for tooth replacement. Traditionally, autotransplantation studies have focused on immature teeth,
limiting its applicability to younger patients. However,
recent research indicates its potential as a treatment
for mature teeth as well.1
1
Fig. 1: Panoramic radiograph taken before the treatment.
Introduction
Autotransplantation involves relocating a patient’s own
tooth, whether fully erupted, partially erupted or not yet
erupted, from one location to another in the patient’s
2a
2b
Advancements in cell biology and technique have
propelled its popularity, allowing for greater precision in
treatment. One of the key advantages of autotransplantation today is the integration of technologies that enhance
precision in tooth relocation. This advancement positions
it as a compelling option, even considered by some as
the treatment of choice in the case of irreparable teeth.
With the assistance of technology such as CBCT and
intra-oral scanning, dentists can perform autotransplantation with higher predictability than ever before. This underscores its efficacy as a solution for tooth replacement,
as endorsed by the European Society of Endodontology
in its latest statement on this topic in 2022.2
2c
Figs. 2a–c: 3D reconstruction of the STL file (a). Coronal section of the CBCT scan showing the extent of the carious lesion (b). Coronal section of the
CBCT scan showing the extent of the carious lesion with measurements (c).
38
roots
1 2024
[39] =>
case report
3a
3b
|
4
Figs. 3a & b: Intra-oral scans. Teeth in occlusion (a). Mandibular arch (b). Fig. 4: 3D-printed bio-replica of the tooth.
When considering autotransplantation, several conditions
must be met to ensure its success. With digital planning,
we can create a bio-replica of the tooth intended for
transplantation. This allows us to prepare the recipient
socket by slightly enlarging it, reducing pressure and
minimising mechanical damage to the future donor tooth.
It is crucial to avoid injuring the periodontal ligament
during this process, as it plays a vital role in the integration
of the transplanted tooth into the socket.3
Extra-oral time should not exceed 15 minutes, in order to prevent hypoxia-induced cell damage, which can lead to inflammatory root resorption. Additionally, the transplanted tooth
should be kept out of occlusal contact to prevent interference with periodontal healing. The success of donor tooth
reattachment relies on preventing bacterial invasion of the
clot between the root and socket. In some cases, flap refinement and suturing may be necessary before tooth insertion.
Using a semi-flexible splint can stabilise the donor tooth and
allow for physiological movement under occlusal loading.4–6
5a
5d
Equally important is root canal treatment. Utilising
advanced technology and biologically compatible mate
rials, such as the new generation of bioceramics like
CeraSeal sealer and CeraPutty (both Meta Biomed),
ensures optimal outcomes. These materials not only seal
the apex of the tooth, but also prevent infection spreading
from the periapical area, reducing the risk of inflammatory root resorption and treatment failure.7 Root canal
treatment is a critical factor in achieving long-term success, underscoring the importance of prudent material
selection.
The success of dental autotransplantation hinges on
meticulous case and patient selection. This case report
aims to elucidate how digital planning, employing CBCT
and intra-oral scanning, can enhance the success of
autotransplantation and how utilising a 3D-printed bioreplica aids in recipient bed preparation, reducing the risk
of periodontal ligament injury, thereby boosting success
and minimising extra-oral time.
5b
5c
5e
Figs. 5a–e: Surgical procedure step-by-step.
roots
1 2024
39
[40] =>
| case report
After discussion with the patient, it was determined that
tooth #47 could not be retained and required extraction.
However, there was a possibility of preserving an appropriate donor tooth—the mandibular right third molar—
to replace the second molar. To enhance the success of
this procedure, digital planning was deemed necessary
(Figs. 2a–3b). Upon explanation of the treatment plan,
the patient consented to the proposed treatment.
6a
6b
7a
7b
Figs. 6a & b: Periapical radiography after surgery (a). Periapical radiography
20 days after surgery and after root canal treatment (b). Figs. 7a & b: Overlay
before (a) and after placement in the patient’s mouth (b).
Case report
The treatment involved the extraction of the non-restorable
tooth within five minutes, during which the fit of the 3D-printed
bio-replica was meticulously assessed and adjusted as
needed. After extraction, autotransplantation was performed, carefully ensuring that the transplanted tooth
was out of occlusion (Figs. 5a–6b). A semi-flexible splint
(INTERLIG, Angelus) was then placed for two to five weeks
to provide the necessary support and stabilisation.
After splint removal, the focus shifted to the final phase
of treatment. Endodontic procedures were conducted
meticulously on the transplanted tooth to ensure its
long-term viability and functionality within the oral cavity.
An overlay, planned digitally, was placed to further
support its structural integrity (Figs. 7a & b).
A 39-year-old male patient with no contributing medical
history presented to the dental practice with complaints
of pain and tenderness in tooth #47. Clinical and radiographic examination revealed a significant subgingival
distal carious lesion near the nerve, attributed to the
adjacent third molar (Fig. 1).
This comprehensive approach underscores the inte
gration of advanced digital technologies in dental pro
cedures. It highlights the importance of precise planning
and execution for successful outcomes in complex
dental interventions (Figs. 8a–13).
8a
8b
Figs. 8a & b: Intra-oral scans. Before (a) and after treatment (b).
40
This case report outlines a methodology for digital
planning, utilising advanced technologies, including the
Helios 600 intra-oral scanner (Eighteeth) and Hyperion
CBCT unit (MyRay). These tools enabled the creation
of a 3D-printed bio-replica (Fig. 4), facilitating precise
visualisation and planning of subsequent procedures.
roots
1 2024
[41] =>
case report
9
|
10
11
12
Fig. 9: Sagittal section of the CBCT scan seven months after treatment.
Fig. 10: Periapical radiograph at seven months showing almost complete
healing and no signs of inflammation. Fig. 11: Panoramic radiograph taken
two years after treatment. Fig. 12: Periapical radiograph taken two years after
treatment. Fig. 13: 3D reconstruction of the STL file two years after treatment.
Conclusion
Autotransplantation of third molars offers a reliable treatment option for replacing lost teeth. It stimulates bone
formation at the transplanted site, maintaining masticatory function and reducing financial costs for patients by
avoiding the need for implants. It is crucial to recognise
that the integrity of the periodontal ligament stem cells
is a significant prognostic factor in this treatment. Gentle
and atraumatic extraction of the donor tooth enhances
success.
After preparing the recipient socket to approximate size,
the fit of the donor tooth replica is confirmed using radiographic imaging. Success is also influenced by factors
such as root canal treatment, semi-flexible splint placement and occlusal restoration. The synergy of these
components is vital for the success of the autotransplanted tooth.
Editorial note: Please scan this QR code for
the list of references.
13
about
Dr Johnny Onori graduated from
the Universidad Central de Venezuela
in Caracas in Venezuela. He undertook
studies in endodontics at the
International University of Catalonia in
Barcelona in Spain and, more recently,
completed the international e ndodontic
programme at the University at
Buffalo in New York in the US.
He is an endodontist with the Red Cross of Venezuela.
Dr Onori is a member of the American Association of Endodontists,
European Society of Endodontology and Asociación Española
de Endodoncia (Spanish endodontic society).
roots
1 2024
41
[42] =>
| interview
“Retreatments are a unique way
to save not only teeth
but also the surrounding bone”
An interview with Dr Ahmed Shawky el-Sheshtawy
Franziska Beier, Dental Tribune International
an alternative to replacing them with implants or prosthetic
appliances. Attendees were taught about the whole
retreatment process, starting with the rationale behind
retreatments, continuing to ensuring rational fulfilment
and finally the decision-making process, which is the
most critical process in our treatments. My lecture also
covered different procedures and techniques used to
manage complex retreatment cases.
Dr Ahmed Shawky el-Sheshtawy.
During a lecture in February this year, at AEEDC Dubai
2024, Dr Ahmed Shawky el-Sheshtawy presented the
possibilities and risks of endodontic retreatments in the
pursuit of saving natural teeth. He owns a private practice
specialising in micro-endodontics and is a senior lecturer
at the Department of Endodontics of Cairo University in
Egypt. Dental Tribune International spoke with him about
his lecture, the complexity of retreatments, advances in
the field of endodontics and how to best manage patient
expectations.
Your lecture title referred to retreatment as a unique
way of saving teeth. What was the main focus of
your lecture at AEEDC?
My lecture was meant to shed light on the role of
endodontic retreatments in preserving natural teeth as
42
roots
1 2024
Could you explain how the objectives of retreatments, like the healing of periapical periodontitis
and its prevention, are more complex compared with
primary treatments?
The treatment and prevention of recurrent periapical periodontitis in failed treatments are notably more complex
than in primary treatments. In primary treatments, the root
canal system, despite its intricacies, can be effectively
managed with current shaping and cleaning protocols,
achieving success rates as high as 95% in most instances.
However, in cases where treatment failures necessitate
retreatments, additional factors or challenges may com
plicate the situation. These include the removal of pre
vious root filling materials, altered anatomy, the presence
of perforations, canal blockage (iatrogenic or biological),
inflammatory resorption and the inability to achieve patency across the foramen, which is crucial. Furthermore,
the presence of an apical lesion adds to these complications. These complications, combined with the inherently
complex nature of the root canal system, make retreatments
significantly more challenging than primary treatments,
often resulting in lower success rates.
What are the key challenges clinicians face in gaining
access to the root canal system during retreatments,
especially considering factors like existing intra-
canal fillings and altered canal anatomy?
Regaining access to the root canal system can be challenging, especially when fibre posts have been used as
intra-canal retention elements. Clinicians need the requisite experience and appropriate tools to avoid iatrogenic
errors. Regarding intra-canal filling materials, a different
[43] =>
interview
1a
1b
|
1c
Figs. 1a–c: Mandibular left second molar presented with unsuccessful primary treatment and symptomatic periapical periodontitis (a). Non-surgical treatment
involved an apical plug in the distal root (b). One-year follow-up showed complete healing of the periradicular lesion (c).
yet dynamic approach is required. This is because there
are various types of root filling materials, including the
older silver points, the widely used gutta-percha and
calcium silicate materials, each requiring a distinct method
of removal to regain full access to the root canal system.
Inadequate removal of these materials during retreatments
can compromise the treatment outcome. Remnants may
limit the accessibility of disinfectants and instruments to
micro-anatomies or may result in an inadequate seal.
Given the additional challenges, what are the key
factors to consider when developing a strategy for
a successful retreatment outcome?
Key factors for developing an effective retreatment strategy
include a thorough pretreatment evaluation by the clinician.
This evaluation is crucial for determining the case prog
nosis and formulating the treatment plan. The next step
involves decision-making, where the clinician decides on
the retreatment approach—whether non-surgical, surgical
or a combination of both. In this context, the clinician also
has to decide whether the tooth presented can be saved.
The third factor encompasses the technicalities and procedural steps involved in the retreatment process.
What advancements in endodontic technology or
techniques have improved the outcomes of retreatment
procedures in recent years?
Endodontics is a very dynamic and rapidly evolving
specialty. It has benefited from advancements in imaging
modalities, such as CBCT, which enables a precise visualisation of dental issues. Recent advances in nickel–
titanium instruments and their kinematics, along with
the introduction of new irrigant delivery and activation
instruments and devices, have contributed to improved
treatment outcomes.
The integration of magnification and ultrasound in
endodontic practice is a critical aspect that has sig
nificantly transformed the specialty—I consider these
to be game changers. These technologies have been
instrumental in various procedures, ranging from dis
assembly to cleaning, and even in correcting previous
mishaps.
In addition, I would like to highlight the rapidly evolving
advancements in endodontic biomaterials, particularly
calcium silicate materials. These have proved helpful in
complex retreatments, especially in cases involving root
defects or challenging anatomies. Additionally, there
have been significant advancements in concepts and
materials for the post-endodontic restorative phase, and
these play a crucial role in extending the survival time of
retreated teeth.
How do you manage patient expectations and
communicate the potential risks and benefits of
undergoing a retreatment procedure?
That’s a very good question, especially for young clinicians. The key factor in managing patient expectations
lies in proper pretreatment evaluation. This involves examining the current status of the tooth, assessing potential
complications and, most importantly, evaluating the survival potential of the tooth after treatment. Equipped with
this information, clinicians can clearly and easily communicate the benefits and risks involved to patients.
Is there anything else you would like our readers to know?
I would like to emphasise that retreatments are a unique
way to save not only teeth but also the surrounding bone.
By achieving the goal of healing, even if the tooth structurally fails at some point, a healthy foundation for a future
implant has been established.
Editorial note: This interview originally appeared in
today AEEDC 2024, and an edited version is provided here
with permission from the author.
roots
1 2024
43
[44] =>
| feature
Artificial intelligence (AI) has the power to increase equity of access to oral care; however, it could also reinforce inequalities and discrimination, according
to researchers who reviewed the relationship between AI and oral health.
© Maxime Ducret
Doubled-edged sword:
AI must foster, not worsen,
s ustainability in dental care
Jeremy Booth, Dental Tribune International
Given that dentistry is already struggling to increase equity
of care and reduce its adverse impact on the environment,
the ethical duality of artificial intelligence (AI) regarding
sustainability poses pertinent questions for the industry.
A 2022 review of the relationship between AI and oral health
generated interest when it called on the oral health community to actively employ the technology to foster more equitable
and sustainable oral care. Dental Tribune International (DTI)
spoke with one of the study authors, Dr Maxime Ducret,
about putting the findings into practice.
AI holds promise for advancing oral health services, yet
its alignment with United Nations (UN) and World Health
Organization (WHO) sustainability standards is not clearly
established. The review emphasised that oral healthcare
is embedded in the UN 2030 Sustainable Development
Goals (SDGs)—specifically, in SDG 3, which emphasises
Researcher Dr Maxime Ducret.
44
roots
1 2024
[45] =>
|
© WananWanan/Shutterstock.com
feature
the promotion and support of well-being at all ages—and
that WHO advocates for eco-friendly, minimally invasive
dental care, highlighting the role of oral health in planetary
health. While not legally binding, the SDGs and the
WHO’s strategy for oral health aim to foster collaborative
and measurable action among all stakeholders.
The researchers found that AI supported certain efforts
aimed at achieving SDGs in oral health, for example, by reducing transportation, optimising the delivery of oral care and
increasing equity of access to dental services. However, they
noted that AI could also be detrimental to achieving some
of the SDGs, as its deployment, implementation and main
tenance requires resources that may aggravate inequalities.
“Also, AI may be biased, reinforcing inequalities and dis
crimination and may violate principles of security, privacy and
confidentiality of personal information,” the authors wrote.
They concluded that it was necessary for the oral health community to systematically apply evidence-based assessments
to the positive and adverse effects of AI tools on sustainable
oral health, and to actively use AI to foster greater equity and
sustainability in the delivery of oral healthcare.
A call to action for sustainability
in AI models for oral health
Dr Ducret, who teaches at Claude Bernard Lyon 1 University,
told DTI that it was crucial to avoid the risk of selection bias
when gathering data for training AI models. “A random sampling technique and adjustment of the data set to reflect
evolving societal dynamics should be considered in the
future,” Dr Ducret said, adding that transparency in data
collection processes for the training of AI-powered medical
devices was of great importance, as it permits external scrutiny.
Avoiding selection bias requires an expansion of data
collection in developing countries; however, Dr Ducret
said that it was difficult to identify one or two priority measures in this area. He commented: “The aspect that seems
most important to us is creating a framework of trust and
sustainability around the sharing of data in all countries
and to securely keep this data as a valuable resource and
recognise a debt towards those who shared it.”
The review was a call to action, and Dr Ducret said that
the oral health research community is currently highly
active concerning AI-related topics. He explained that
several of the study authors are members of an international WHO research group that is set to play a major role
in the development of sustainable AI tools for dental care.
He explained that this work was ongoing and that some of
its focal points included collaborative databases, innovative
tools, comparative studies, improvement of the student
curriculum and practitioner training.
The review noted that it remains unclear whether AI can
truly advance the 2030 SDGs in the field of oral health,
and Dr Ducret said that it was important to create awareness regarding these uncertainties. “Our review helped
illustrate the true duality that AI represents for our society.
Currently, many of us have the feeling that we are in
a strategic period from a technological point of view,
but few are informed about and aware of the paradoxes
and issues that are associated with this. Even though our
article raised all these uncertainties, we remain deeply
excited for the coming years,” Dr Ducret said.
Editorial note: The study, titled “Artificial intelligence
for sustainable oral healthcare”, was published in the
December 2022 issue of the Journal of Dentistry.
roots
1 2024
45
[46] =>
| industry news
X-Smart Pro+: “Ensuring safety
while going much faster”
Dental Tribune International
Prof. Simone Grandini reported on his experiences with the new X-Smart Pro+
endodontic motor at this year’s Dentsply Sirona World Dubai.
In February in the UAE, Dentsply Sirona held the
second Dentsply Sirona World Dubai, attracting almost
1,200 participants from 50 countries. At the event, the
company’s X-Smart Pro+ made its market premiere in
the Middle East. The device is a portable tabletop endodontic motor with an apex locator and was developed
to optimise the performance of Dentsply Sirona’s and
VDW’s endodontic file systems.
In this interview, endodontic expert and key opinion
leader Prof. Simone Grandini from Italy talks about the
features and benefits of the unit.
X-Smart Pro+ is the first endodontic motor to be offered by both Dentsply
Sirona and VDW.
46
[47] =>
industry news
|
Prof. Simone Grandini at Dentsply Sirona World in Madrid last year. (All images: © Dentsply Sirona)
Prof. Grandini, the X-Smart Pro+ endodontic motor
boasts an integrated apex locator and a high torque
range of up to 7.5 Ncm, alongside a touch screen
interface. How do these features enhance the user
experience and accuracy in endodontic procedures
compared with conventional endodontic motors?
This engine is not so different from others at first glance;
however, there are numerous small details that make
X-Smart Pro+ a special motor. For example, various file
systems can be used with it. Even though many of my
peers tend to work with file systems with which they are
familiar and achieve good clinical results with these,
they appreciate the opportunity to try out new files. The
endodontic motor can be programmed for each system,
allowing the torque and rotation speed to be set manually.
This is not possible with all motors.
The features you mentioned have proved themselves in
everyday clinical practice. We want simplicity and good
functionality in one device. X-Smart Pro+ meets this
need.
X-Smart Pro+ offers both rotation and reciprocation
modes, optimising the performance of Dentsply
Sirona’s endodontic file systems. Could you explain
how these file motions differ in practice and what
advantages each provides to endodontists in terms of
efficiency and safety during root canal treatments?
In endodontics, we have been working with different
modes of canal preparation for a long time. Incidentally,
the reciprocating preparation method was described in
1985 already. The instrument rotates alternately clockwise
and anticlockwise, allowing the instrument to continuously
advance apically. This movement pattern ensures that the
file is centred in the canal. For us as dentists, this makes
it possible to prepare the canal with just one instrument.
However, when we have cases that necessitate working in
a way that is particularly gentle on the dentine, this is better
achieved with continuously rotating files. It is therefore very
important to have both rotation and reciprocation available
in order to decide on a patient-specific basis which motion
will achieve the best results.
X-Smart Pro+ claims to maintain apex locator pre
cision during active shaping by employing Dentsply
Sirona’s proprietary Dynamic Accuracy technology.
Can you discuss how this technology influences the
safety and precision of reaching the apex, especially
in comparison with manual files and other endodontic motors in the market?
This technology allows for reliable and direct length
determination while shaping using an apex locator as
precise as the conventional manual method of measurement. Another important capability is that this integrated
apex locator constantly updates the working length,
addressing the concern of measuring a working length
that is changing throughout the procedure. This makes it
easy to keep the file on target while shaping, ensuring
safety while going much faster.
To accommodate future treatment options and a
wide range of file systems, X-Smart Pro+ is designed
with upgradeable firmware. In your opinion, how
important is this feature for dental professionals in
terms of long-term investment and adapting to evolving
endodontic techniques and technologies?
This is very important. The development of files never
stands still, as the industry continues to pursue improvements in preparation. The aim is to further increase the
success rate of endodontic treatment, which is currently
around 90%, depending on the pulpal and periapical
conditions of the tooth at the time of treatment.
roots
1 2024
47
[48] =>
| industry news
The company’s instruments are designed to be an alternative to leading reciprocating and gold taper and rotary instruments, offering designs that improve
cutting efficiency and increase safety in order to provide the ideal flexibility required for perfect root canal therapy. (Images: © DirectEndodontics)
High-quality instruments
for forward-thinking dentists
Dental Tribune International
48
When it comes to choosing endodontic systems,
quality, cost and access are major considerations.
DirectEndodontics was founded to directly supply
dental professionals based in Europe with locally
made high-quality reciprocating and rotary instruments. The company told Dental Tribune International
(DTI) that its products are competitively priced and
that dentists can easily swap to its instruments
without having to change the techniques they currently use.
ships with the technology-based clinicians of today, the
company focuses on quality, accessibility and keeping
prices low. Caroline Dort, head of operations at the
company, told DTI: “Today, dentists who do endodontic
procedures want to use high-quality products at a fair
price. They are looking for an easy, flexible and fast service. DirectEndodontics provides them with a fast and
very simple way to order directly through the website.
Our files are made in Europe under strict quality controls,
ensuring our products are safe and easy to use.”
DirectEndodontics prides itself on being at the forefront
of dentists’ evolving needs. Founded to form partner-
What makes DirectEndodontics stand out from other
manufacturers is that the company supplies endodon-
roots
1 2024
[49] =>
industry news
|
tic files and products directly to clinicians without distributors. “Our sales model yields many advantages for
customers,” Dort explained. “The main advantage of
ordering directly is the competitive prices, as there is
one fewer channel that keeps a margin of the sales
price. Another advantage is the speed with which we
react to the needs of our customers. We can directly
connect with them. And that is not all—we also offer
free shipping on all orders!”
Made in France and conforming to strict EU controls
and standards for medical devices, the company’s
instruments aim to ensure the highest quality, consistency and safety. They are designed to be an alternative to leading reciprocating and gold taper and rotary
instruments, offering designs that improve cutting
efficiency and increase safety in order to provide the
ideal flexibility required for perfect root canal therapy.
Dort explained: “At DirectEndodontics, we focus on
our customers. Our systems do not require a change
of clinical techniques or a change of motors. We want
our customers to continue to use the techniques that
they feel comfortable using.”
Dort explained that one product that is popular with
clinicians is Direct-R Gold. “This is a reciprocating file
that we sell at a very competitive price for a very
high-quality product. Another favourite among our
customers, which is also a trendy product, is our
DirectBioceramic Sealer, which is a sealer of a very
high quality that we sell at an affordable price.”
The feedback from clinicians has been positive.
“Our customers are very satisfied with our products,
and we have received great feedback and very positive reviews. We put our customers at the centre because we believe that having access to high-quality
products at competitive prices leads to better endodontic treatments and better care for the patients,”
Dort said.
DirectEndodontics was founded by endodontist
Dr Charles J. Goodis, whose background in mechanical
engineering helped him to found EdgeEndo in the US in
2013. After just ten years of company history, EdgeEndo
has become one of the largest endodontic suppliers
in the US, serving endodontists and general dentists
across the country. Dr Goodis explained in company information that his goal in founding DirectEndodontics
was to bring high-quality European-made endodontic
instruments directly to clinicians at a lower cost. “I want
DirectEndodontics to be a modern, fresh, digital, mil
lennial company working with you, the modern dentist,”
he said.
www.directendo.com
“The main advantage of
ordering directly is the
competitive prices, as there
is one fewer channel that
keeps a margin of the sales
price. Another advantage
is the speed with which we
react to the needs of our
customers.” – Caroline Dort,
DirectEndodontics
roots
1 2024
49
[50] =>
| industry news
Zumax Medical is headquartered in Suzhou in China.
Zumax Medical: From endodontics
to general dentistry
Dental Tribune International
Founded in 2005 and based in Suzhou in China, Zumax Medical
is a manufacturer specialising in dental surgical magni
fication devices. The company offers a wide range of these
devices to meet diverse clinical and academic research
needs. Additionally, Zumax has developed dental surgical
magnification products specifically designed for training
purposes at educational institutions.
Zumax offers a range of specialised loupes tailored for
dental professionals. The SLH binocular loupes provide a clear,
crisp image through multi-coated, high-grade glass lenses.
The TTL loupes feature a wide field of view and adjustable
angles for reduced fatigue during extended use, enhancing
depth of focus and stereoscopic vision. The DFK PRO loupes,
designed for microsurgery, include a prism deflection design
for precise adjustment, high resolution and custom-fit
options for optimal comfort.
The company’s commitment to quality and advancement
has positioned it as a world-class brand, contributing sig
nificantly to global oral medicine. “Since 2005, we have
introduced several groundbreaking innovations in China’s
oral healthcare field, including the first Chinese dental
microscope, LED dental microscope and high-magnification
dental microscope, the world’s first integrated 3D dental
microscope and the unique Easy360 smartphone high-
definition imaging system,” said Xiangdong Li, chairman
of the board.
From left: Xiangdong Li, chairman of the board; Xing Wang, former president of the Chinese Stomatological Association, and Karl Wang, general manager at Zumax.
50
[51] =>
Zumax primarily focuses on oral healthcare and generates
85% of its revenue from the dental industry. The company has
a significant global presence, particularly in Europe, the Americas,
Asia Pacific, Oceania and South Africa, and recently in the
Gulf region and North Africa. Zumax’s products are widely used
in prominent dental schools worldwide, solidifying its reputation
as a symbol of Chinese excellence in dental equipment.
Zumax’s products also cover fields such as ophthalmology,
otorhinolaryngology and head and neck surgery and are used
in both community and general medical practice. Zumax has
extensive experience in the industry and expertise in the research,
development and manufacturing of medical optical devices.
Quality inspection of the Zumax optical system.
New product development as a driving force
New product development is pivotal at Zumax, and Li highlighted
its critical role in driving the company’s growth. Each year,
Zumax dedicates around 20% or more of its sales revenue to
research and development expenditure. Over the next three
years, the company plans to introduce new oral microscopes,
aiming to provide cost-effective solutions for the expansive
private dental market while also preparing to launch advanced
surgical microscopes for the high-end product segment.
Zumax is known for its original and innovative technological
contributions, including the development of integrated
microscopic 3D technology and a portable high-definition
microscopic imaging system. The company maintains a
focus on continuous product improvement, optimisation
and innovation, striving to craft high-quality domestic products
with meticulous attention to detail.
“After more than a decade of continued effort, Zumax
has risen to the ranks of world-class brands, becoming
a prominent symbol of China in the global dental–medical
equipment domain,” commented Li.
“Looking ahead, we will continue to persist in technology-
driven innovation and focus on providing high-quality
products and satisfactory services to our users. Our aim is
to make significant contributions to
oral medicine in China and globally,”
he added.
www.zumaxmedical.com
From endodontics to general practice
In the future, Zumax will focus on promoting oral microscopy
technology, ensuring that dentists recognise its broad appli
cability beyond the treatment of caries and pulp disease.
Oral microscopes are also invaluable in periodontics, im
plantology, restorative dentistry, orthodontics and preven
tive dentistry, among others. This broadens the scope of
what can be seen and diagnosed, providing a common
technological foundation for various dental specialties.
In addition, Zumax will gradually shift its market focus
towards private dental practices, introducing a plan to
enhance training goals and improve personalised service
capabilities for private clinics. This initiative aims to ensure
that users are proficient in microscopic techniques.
Zumax intends to collaborate with training centres rec
ognised by the Chinese Stomatological Association and
engage in educational programmes with various dental
societies. This strategy highlights Zumax’s broadening scope
from endodontics to general dental practice.
Zumax dental microscope OMS3200. (All images: © Zumax Medical)
roots
1 2024
51
[52] =>
| manufacturer news
The perfect combination
Which basic utensils are part of any well-laid table? Soup spoons,
knives, forks and dessert spoons are the widely accepted standard,
whereas the question of the right instruments for endodontics is
often a matter of debate. International dental specialist COLTENE
has resolved this situation with its new basic set of four nickel–
titanium (NiTi) files used in a specific sequence. First presented
at the International Dental Show in Cologne in Germany last year,
the file set is now available from dental retailers.
OGSF sequence provides for optimal preparation
The set of four HyFlex EDM files supports dentists in providing safe,
reliable and efficient root canal preparation following an easily remembered file sequence which takes the four essential stages of treatment
into account. COLTENE recommends this precisely coordinated file
sequence suitable for all cases: Opener— Glider— Shaper— Finisher.
The HyFlex EDM files can be ordered in a set of four in this OGSF sequence.
“In endodontics, the preference for reciprocating or rotary preparation is
primarily a matter of taste. However, experts do agree that the introduction
of standard procedures and checklists increases the safety and reproducibility of results,” said Dr Barbara Müller, senior head of endodontics at
COLTENE. For example, practice procedures can be easily optimised if the
chairside assistant does not have to be constantly retrained as to the appropriate instruments on the tray, but knows what sequence is being used.
A perfectly laid table
The orifice opener is like the soup spoon: it starts the sequence by creating
the access cavity. The main task of the knife and fork is performed by the
glide path file and the shaping file. While the glide path file helps to create
the appropriate glide path following the natural course of the canal, the
shaping file then quickly and efficiently removes bacteria as well as infected
tissue and gives the canal the necessary shape for good obturation. The
finishing file serves as the dessert spoon for a successful finish: it ensures
that the apical area is sufficiently cleaned and that there is adequate space
for irrigating solutions to penetrate to the apex. The use of well-coordinated
files makes it particularly convenient to change from one file to the next.
You can find more information about the HyFlex EDM OGSF sequence
on COLTENE’s website.
www.coltene.com
52
roots
1 2024
* The articles in this category are provided by the manufacturers or distributors and do not reflect the opinion of the editorial team.
COLTENE provides custom-made NiTi files as a basic set for
fast and reliable root canal preparation
[53] =>
Register at
www.dds.berlin
Digital
Dentistry
Show
In collaboration with
Digital
Dentistry
Society
OF DENTISTRY
OF DENTISTRY
D I G I TA L D E N T I S T R Y S H O W • U N V E I L I N G T H E F U T U R E
DIGITAL
DENTISTRY
SHOW
D I G I TA L D E N T I S T R Y S H O W • U N V E I L I N G T H E F U T U R E
28 & 29 JUNE 2024
[54] =>
| meetings
Long-awaited Digital Dentistry Show
to premiere in Berlin in June 2024
Dental Tribune International
Now is an exciting time for dentistry. Technological
innovations lie at the heart of the profession and are
significantly advancing personalised dental care. To provide
a platform to celebrate digital innovations in the field and
educate the dental team, DDS.Berlin is bringing a highly
immersive experience to the capital of Germany—the
Digital Dentistry Show.
Scheduled for 28 and 29 June 2024 at the Arena
Berlin, the event promises to deliver engaging edu
cational and social opportunities with a special
focus on digital products and the digital workflow in
dentistry.
Through live product presentations, workshops, discus
sion sessions and an exhibition, the 2024 Digital Dentistry
Show seeks to provide attendees with first-hand knowl
edge of digital dental products and services and to offer
space for personalised advice and face-to-face inter
actions with industry leaders. With the focus on robust
The 2024 Digital Dentistry Show will offer cutting-edge knowledge and
skills that will help dental professionals better navigate technological advancements in the field. Located in Berlin’s Alt-Treptow inner-city district,
the 6,500 m2 Arena Halle offers high-quality professional infrastructure.
(All images: © Markus Nass)
The Badeschiff is a picturesque floating public swimming pool area overlooking the Spree river.
54
[55] =>
meetings
|
The Escobar is an extension of the Badeschiff that includes a covered bar area.
research evidence, the scientific programme will feature
presentations by prominent opinion leaders, including
Drs Henriette Lerner, Alessandro Cucchi, Mirela Feraru,
Howard Gluckman, Fabrizia Luongo and Setareh Lavasani,
and cover a wide range of topics, such as artificial intel
ligence, the digital workflow in maxillofacial surgery and
full-arch rehabilitation, and digital bone surgery. Attendees
will have the opportunity to earn valuable continuing
education credits.
Besides a strong educational aspect, the 2024 Digital
Dentistry Show will serve as a social hub for dental
experts, professional organisations, manufacturers
and publishers who are looking to form or expand
their network of like-minded, future-oriented individuals.
To be hosted at one of Berlin’s industrial pearls, the
unique event location offers a rich history and a distinctive
modern feel.
The adjacent Escobar and the Badeschiff spaces will
enhance the relaxed and jovial atmosphere, underlining
the informal and engaging nature of the show.
The 2024 Digital Dentistry Show is expected to attract over
2,000 eminent dental professionals from around the world.
You are invited to be one of them!
More information on registration and the scientific
programme can be found online at the event’s official
website at dds.berlin.
Attendees will also have access to the Sonnendeck of the Escobar, where they will be able to enjoy delicious food and drinks.
55
[56] =>
| meetings
International events
ITI World Symposium 2024
FDI World Dental Congress
9–11 May 2024
Singapore
www.worldsymposium.iti.org
12–15 September 2024
Istanbul, Turkey
www.2024.world-dental-congress.org
ROOTS SUMMIT
MIS Global Conference
9–12 May 2024
Athens, Greece
www.roots-summit.com/en
12–15 September 2024
Palma de Mallorca, Spain
www.mis-implants.com
Expodental Meeting 2024
17th International
Sofia Dental Meeting
16–18 May 2024
Rimini, Italy
www.expodental.it/en
26–28 September 2024
Sofia, Bulgaria
www.sofiadentalmeeting.com
13–15 June 2024
Miami, US
www.dentsplysirona.com/
worldsummit
56
roots
1 2024
CEDE 2024
07–09 November 2024
Łódź, Poland
www.cede.pl/en
DDS.Berlin
CAD/CAM Digital
& Oral Facial Aesthetics
37th Int’l Dental
ConfEx
28–29 June 2024
Berlin, Germany
www.dds.berlin
15–16 November 2024
Dubai, UAE
www.cappmea.com/confex2024
© 06photo/Shutterstock.com
Implant Solutions
World Summit 2024
[57] =>
|
© 32 pixels/Shutterstock.com
submission guidelines
How to send us your work
Please note that all the textual components of your submission must be combined into one MS Word document.
Please do not submit multiple files for
each of these items:
· the complete article;
· all the image (tables, charts, photographs, etc.) captions;
· the complete list of sources consulted
and
· the author or contact information (biographical sketch, mailing address,
e-mail address, etc.).
In addition, images must not be embedded into the MS Word document. All images must be submitted separately, and
details about such submission follow below under image requirements.
Text length
Article lengths can vary greatly—from
1,500 to 5,500 words—depending on
the subject matter. Our approach is that
if you need more or fewer words to do the
topic justice, then please make the article
as long or as short as necessary.
We can run an unusually long article in
multiple parts, but this usually entails
a topic for which each part can stand
alone because it contains so much in
formation.
In short, we do not want to limit you in
terms of article length, so please use the
word count above as a general guideline
and if you have specific questions, please
do not hesitate to contact us.
Text formatting
Please use single spacing and make sure
that the text is left justified. Please do not
centre text on the page. Do not indent
paragraphs, rather place a blank line between paragraphs. Please do not add tab
stops.
Should you require a special layout,
please let the word processing programme you are using help you do this
formatting automatically. Similarly, should
you need to make a list, or add footnotes
or endnotes, please let the word processing programme do it for you automatically.
There are menus in every programme that
will enable you to do so. The fact is that
no matter how carefully done, errors can
creep in when you try to number footnotes
yourself.
Larger image files are always better,
and those approximately the size of 1 MB
are best. Thus, do not size large image
files down to meet our requirements
but send us the largest files available.
(The larger the starting image is in terms
of bytes, the more leeway the designer
has for resizing the image in order to fill
up more space should there be room
available.)
Also, please remember that images
must not be embedded into the body of
the article submitted. Images must be
submitted separately to the textual submission.
You may submit images via e-mail
or share the files in our cloud storage
(please contact us for the link).
Any formatting contrary to stated above
will require us to remove such formatting
before layout, which is very time-consuming. Please consider this when formatting
your document.
Please also send us a head shot of yourself that is in accordance with the requirements stated above so that it can
be printed with your article.
Image requirements
Abstracts
Please number images consecutively
throughout the article by using a new
number for each image. If it is imperative
that certain images are grouped together,
then use lowercase letters to designate
these in a group (for example, 2a, 2b, 2c).
An abstract of your article is not required.
Please place image references in your
article wherever they are appropriate,
whether in the middle or at the end of a
sentence. If you do not directly refer to the
image, place the reference at the end of
the sentence to which it relates enclosed
within brackets and before the period.
Author or contact information
The author’s contact information and a
head shot of the author are included at
the end of every article. Please note the
exact information you would like to appear in this section and format it according to the requirements stated above.
A short biographical sketch may precede
the contact information if you provide us
with the necessary information (60 words
or less).
In addition, please note:
We also ask that you forego any special
formatting beyond the use of italics and
boldface. If you would like to emphasise
certain words within the text, please only
use italics (do not use underlining or a
larger font size). Boldface is reserved for
article headers. Please do not use un
derlining.
· We require images in TIF or JPEG format.
· These images must be no smaller than
6 x 6 cm in size at 300 DPI.
· These image files must be no smaller
than 80 KB in size (or they will print the
size of a postage stamp!).
Questions?
Magda Wojtkiewicz
(Managing Editor)
m.wojtkiewicz@dental-tribune.com
roots
1 2024
57
[58] =>
| about the publisher
Imprint
Publisher and
Chief Executive Officer
Torsten R. Oemus
t.oemus@dental-tribune.com
International Administration
International Headquarters
Chief Financial Officer
Dan Wunderlich
Managing Editor
Magda Wojtkiewicz
m.wojtkiewicz@dental-tribune.com
Chief Content Officer
Claudia Duschek
Dental Tribune International GmbH
Holbeinstr. 29, 04229 Leipzig, Germany
Tel.: +49 341 48474-302
Fax: +49 341 48474-173
General requests: info@dental-tribune.com
Sales requests: mediasales@dental-tribune.com
www.dental-tribune.com
Designer
Franziska Schmid
Copy Editors
Sabrina Raaff
Ann-Katrin Paulick
Editorial Board
Fernando Goldberg, Argentina
Markus Haapasalo, Canada
Clemens Bargholz, Germany
Michael Baumann, Germany
Benjamin Briseno, Germany
Heike Steffen, Germany
Gary Cheung, Hong Kong
Asgeir Sigurdsson, Iceland
Adam Stabholz, Israel
Philippe Sleiman, Lebanon
Jorge Vera, Mexico
Unni Endal, Norway
Esteban Brau, Spain
José Pumarola, Spain
Kishor Gulabivala, United Kingdom
William P. Saunders, United Kingdom
Fred Barnett, USA
L. Stephan Buchanan, USA
James Gutmann, USA
Ben Johnson, USA
Kenneth Koch, USA
Sergio Kuttler, USA
John Nusstein, USA
Ove Peters, USA
Clinical Editors
Nathalie Schüller
Magda Wojtkiewicz
Editors
Franziska Beier
Jeremy Booth
Anisha Hall Hoppe
Iveta Ramonaite
Printed by
Silber Druck GmbH & Co. KG
Otto-Hahn-Straße 25
34253 Lohfelden, Germany
Executive Producer
Gernot Meyer
Advertising Disposition
Marius Mezger
Art Director
Alexander Jahn
AD
Magazine
Subscription
roots
— international magazine of
endodontics
For free digital editions, use QR code
and online registration
For print subscriptions, contact
info@dental-tribune.com
*Fees apply
Copyright Regulations
All rights reserved. © 2024 Dental Tribune International GmbH. Reproduction in any manner in any language, in whole or in part, without the prior written permission of Dental Tribune International
GmbH is expressly prohibited. Dental Tribune International GmbH makes every effort to report clinical information and manufacturers’ product news accurately but cannot assume responsibility for the
validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names, claims or statements made by advertisers. Opinions expressed by authors
are their own and may not reflect those of Dental Tribune International GmbH.
58
roots
1 2024
[59] =>
DEAR DENTIST,
AREN‘T YOU TIRED OF BEING THE
TARGET OF OLD ENDODONTIC
COMPANIES?
ALTERNATIVE TO BLUE AND
RECIPROCANTING INSTRUMENTS
UP TO 3X HIGHER TORSIONAL RESISTANCE THAN MAJOR
COMPETITORS FEEL THE DIFFERENCE OF OUR GOLD HEAT
TREATMENT.
REF. CASE REPORT 10.59987/ADS/2023.4.9-13
BY MAYA FEGHALI* ALAA AL DAEEN AL ATTA** MASSIMO GALLI***
A COMPARATIVE ANALYSIS OF MECHANICAL PROPERTIES OF DIFFERENT RECIPROCATING NITI ENDODONTIC INSTRUMENTS
35,88 €
+ VAT FOR A
PRE-STERILIZED PACK OF 6 FILES
BUY NOW DIRECTLY
FR E E S H I PPI NG
[60] =>
Rotary
The Race
Legacy.
Safe. Efficient.
Soft Control.
www.fkg.ch/race-evo
)
[page_count] => 60
[pdf_ping_data] => Array
(
[page_count] => 60
[format] => PDF
[width] => 648
[height] => 895
[colorspace] => COLORSPACE_UNDEFINED
)
[linked_companies] => Array
(
[ids] => Array
(
)
)
[cover_url] =>
[cover_three] =>
[cover] => ![roots international No. 1, 2024]()
[toc] => Array
(
[0] => Array
(
[title] => Editorial by Steve Jones, co-chairman ROOTS SUMMIT
[page] => 3
)
[1] => Array
(
[title] => Content
[page] => 4
)
[2] => Array
(
[title] => News: Piezoceramic stack actuator speeds up root canal treatment
[page] => 6
)
[3] => Array
(
[title] => News: Review offers evidence of link between oral microbiome and cancer
[page] => 8
)
[4] => Array
(
[title] => ROOTS SUMMIT special including interview with Drs Antonis Chaniotis and Dr Rajiv Patel, lecture programme, information about speakers and lecture abstracts
[page] => 10
)
[5] => Array
(
[title] => Practical tips for reliable endodontic treatment: A case report by Dr Friederike Listander
[page] => 24
)
[6] => Array
(
[title] => Utilising R-SWEEPS laser-assisted irrigation for the treatment of chronic periapical periodontitis: A case report by Dr Hui Jing Phang
[page] => 28
)
[7] => Array
(
[title] => Single-session endodontic and surgical approach to internal root resorption: A long-term case report by Dr Bartłomiej Karaś
[page] => 30
)
[8] => Array
(
[title] => A second chance: A case report by Dr Philippe Sleiman
[page] => 34
)
[9] => Array
(
[title] => Increasing success in autotransplanted third molars through digital planning: A two-year follow-up case report by Dr Johnny Onori
[page] => 38
)
[10] => Array
(
[title] => “Retreatments are a unique way to save not only teeth but also the surrounding bone”: An interview with Dr Ahmed Shawky el-Sheshtawy
[page] => 42
)
[11] => Array
(
[title] => News: Doubled-edged sword: AI must foster, not worsen, sustainability in dental care
[page] => 44
)
[12] => Array
(
[title] => Industry news
[page] => 46
)
[13] => Array
(
[title] => Manufacturer news
[page] => 52
)
[14] => Array
(
[title] => Meetings
[page] => 54
)
[15] => Array
(
[title] => Submission guidelines
[page] => 57
)
[16] => Array
(
[title] => Imprint
[page] => 58
)
)
[toc_html] =>
[toc_titles] => Editorial by Steve Jones, co-chairman ROOTS SUMMIT
/ Content
/ News: Piezoceramic stack actuator speeds up root canal treatment
/ News: Review offers evidence of link between oral microbiome and cancer
/ ROOTS SUMMIT special including interview with Drs Antonis Chaniotis and Dr Rajiv Patel, lecture programme, information about speakers and lecture abstracts
/ Practical tips for reliable endodontic treatment: A case report by Dr Friederike Listander
/ Utilising R-SWEEPS laser-assisted irrigation for the treatment of chronic periapical periodontitis: A case report by Dr Hui Jing Phang
/ Single-session endodontic and surgical approach to internal root resorption: A long-term case report by Dr Bartłomiej Karaś
/ A second chance: A case report by Dr Philippe Sleiman
/ Increasing success in autotransplanted third molars through digital planning: A two-year follow-up case report by Dr Johnny Onori
/ “Retreatments are a unique way to save not only teeth but also the surrounding bone”: An interview with Dr Ahmed Shawky el-Sheshtawy
/ News: Doubled-edged sword: AI must foster, not worsen, sustainability in dental care
/ Industry news
/ Manufacturer news
/ Meetings
/ Submission guidelines
/ Imprint
[cached] => true
)
