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Shimon Friedman Endodontic Symposium: Regenerative Endodontics & Pain Management

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Dr. Anibal Diogenes is a speaker at the the inaugural Shimon Friedman Endodontic Symposium & Alumni Weekend to be held on June 7 to 9, 2018. The event is hosted by  the U of T Endodontic Alumni & Friends. Dr. Diogenes joined me to give our viewers more information about his two sessions at the symposium. 

Dr. Anibal Diogenes received his D.D.S. from the Federal University of Pernambuco in Brazil, his M.S. in Molecular Biology from the University of Nebraska, and his Ph.D. in Pharmacology and Certificate in Endodontics from the University of Texas Health Science Center at San Antonio. Dr. Diogenes is an associate professor and the director of the endodontic residency program at the University of Texas Health Science Center at San Antonio. His areas of research include pain, neuroscience and regenerative endodontics. He has published more than 57 peer review articles and 6 textbook chapters. He is also an Associate Editor for the Journal of Endodontics and a Diplomate of the American Board of Endodontics.

I hope you enjoy the conversation and attend the symposium, if you can. As always, we welcome your feedback, questions, and suggestions at oasisdiscussions@cda-adc.ca or you can call our toll-free number is 1-855-716-2747.

Until next time!

Chiraz Guessaier, CDA Oasis Manager

Highlights

Regenerative Endodontics

The endodontic management of permanent immature teeth is fraught with challenges. Although treatment modalities for vital pulp therapy in these teeth provide long-term favorable outcome, expectations for treatment of pulp necrosis and apical periodontitis are significantly less enthusiastic. Classically, immature teeth diagnosed with pulp necrosis have been treated with apexification or apexogenesis approaches. Unfortunately, these treatments provide little, to no benefit in promoting continued dental development. Regenerative endodontic procedures are currently considered an important alternative in treating teeth with otherwise questionable long-term prognosis due to thin, fragile dentinal walls and lack of immune-competency. Translational research has been crucial in providing evidence for treatment modifications that aim to increase favorable outcome. Despite acceptable published clinical outcomes, the predictability and control over the formed tissues is lacking. There are still many clinical challenges to be overcome by translational research that could further the development of novel therapeutic approaches. In this lecture, the current status and the challenges to be overcome in regenerative endodontics will be reviewed and discussed.

Pain Management: Local Anesthetics & Analgesics

The dental pulp is one of the most densely innervated tissues in the body. The pulpal innervation is not only unique in quantity but there are several qualitative patterns that make dental pain particularly challenging to treat. An astute clinician must understand the peripheral and central neuronal changes that often follow inflammation. These plastic changes in the neuronal system pose several challenges for intra- and post-operatory pain management. Local anesthesia is a prerequisite for adequate treatment. However, inflammation modulates both the bioavailability and the efficacy of currently used local anesthetics. Likewise, analgesics must be carefully selected to maximize therapeutic efficacy while minimizing side effects. In this lecture the trigeminal nociceptive system and its modulation will be reviewed. In addition, the pharmacology and therapeutics of local anesthetics and most commonly used analgesics will be discussed.

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