This talk provides a foundation in understanding the problem of fractured teeth and basic solid tooth mechanics. It also presents views on fracturing patterns in endodontically treated teeth and endo-restorative aspects from cusp tip to apex.  It will help clinicians Identify and diagnose cracked teeth and help us understand when intervention is required. That is, when to restore, when to do endodontic treatment and when to extract these teeth.

Dr. David Clark is a groundbreaking cosmetic dentist and one of the pioneers in the use of the microscope in restorative dentistry. A 1986 graduate of the University of Washington School of Dentistry, he founded the Academy of Microscope Enhanced Dentistry and is codirector of Bioclear Learning Centers International.

In 2007, Dr. Clark developed the Bioclear Matrix, a set of devices that dramatically improved the outcomes possible in composite restorations, including cracked, chipped, or broken teeth, gaps between teeth, and more.

He went on to develop the Bioclear Method, a system of restorative dental procedures and protocols that, when combined in practice with Bioclear tools and materials, results in predictable, aesthetically pleasing, and long-lasting patient outcomes.

This module gives a comprehensive guide to diagnosis of cases that have developed severe periodontal disease which then involves the pulp and its tissues. The current diagnostic terminology will be elaborated and presented in a simplistic manner to reduce confusion for the practitioner. It will describe how to evaluate all data from the history, clinical, and radiographic examination to form a diagnosis to carry out the appropriate treatment. It will also discuss the role of periodontal treatment with adjunctive endodontic treatment and to understand and discuss the indications for each procedure. It will describe in brief the step-by-step procedures involved while keeping in mind the prognosis of the tooth/teeth requiring treatment. 

This module is an overview of the recent changes that have occurred in the management of dental trauma. They are guidelines in managing subluxation, avulsion, and complicated crown root fracture cases. It will also help in understanding the dental trauma guide and how best to utilize it in the dental practice.

Dr Manning graduated from University of Otago in 1984 and completed specialist training at the University of Melbourne in 1988. After working in specialist practices in Perth and London he returned to New Zealand in 1990 to start the Christchurch Endodontic Practice.

Steve has been president of the Canterbury Branch of the NZDA, president of the NZ Society of Endodontics, has been involved in organising or participating in many conferences and courses throughout New Zealand, as well as speaking in meetings in Australia, Canada and England.

He maintains a strong interest in managing dental trauma or the complications from this. As part of the endodontic practice he offers dental implant treatment for those patients who have lost or need to loose a tooth.

This module will help identify the causes and nature of tooth discoloration and differentiate between dentine and enamel discolorations. It will explain the mechanism of tooth bleaching which will help in selecting the bleaching agent and technique according to its cause. The internal “walking bleach” technique will be described in detail which will include how to select the appropriate method to restore the access cavity after tooth bleaching. Understanding how bleaching agents may alter tooth structures as plays a vital part in how we restore these teeth. Failure to understand this part may mean that the tooth quickly discolours, or it may compromise the overall root canal treatment. It will also describe means of preventing tooth discolorations and evaluate both the short-term and long-term prognoses of bleaching treatments. Lastly it will recognize the potential adverse effects of tooth bleaching and discuss means of prevention.

This module will identify and outline when a procedural error occurs. This may be perforation (during access and instrumentation either in the coronal or radicular aspect of the tooth), ledging, blockage of canals during preparation, post space preparation mishaps. It will help clinicians understand how to firstly prevent these errors from occurring and if it does occur then the steps to take in managing the error appropriately. It will help in identifying which instruments and materials to use and how to manipulate it to achieve the best results.

This module will help recognize field of view (FOV) dimension measurements and how these relate to the coverage needed for most endodontic scan indications. It will help understand how voxel size affects storage space, uploading, downloading and transmission of CBCT volumes. It will differentiate between DICOM file data and proprietary file data and how these interplay with various CBCT viewer software programs. It will recognize how beam hardening and scatter artifacts degrade CBCT image quality as well as Review indications where CBCT imaging provides diagnostic and treatment advantages over the standard endodontic image requirements.

As a board-certified oral and maxillofacial radiologist, Dr. Bruno Azevedo exemplifies excellence. As the son of a pioneer in the Oral and Maxillofacial radiology specialty in Latin America, Bruno grew up working in his family’s dental imaging lab, spending his childhood observing and honing his clinical skills.

As one of the pioneers in the clinical use of 3D imaging in dentistry, he experienced firsthand the positive transformation of CBCT scans in his imaging practice. He invested in his first CBCT scanner in 2003, when he developed his first free CBCT viewer. This revolutionary development afforded him the opportunity to further his studies at the prestigious Oral Radiology Department at the University of Texas Health Science Center, San Antonio, under Dr. Robert Langlais’ mentorship. After his residency, he was invited to be one of the founding faculty members of the Western University of Health Sciences, College of Dental Medicine in Pomona, California.

Forging a brand-new integrated dental curriculum gave him a singular vision on how to apply advanced imaging into the specialties of dentistry. His teaching methodology was then adopted by many other dental schools, including the University of Louisville School of Dentistry, where he was responsible for implementing a robust 3D imaging course to all residency programs. Dr. Azevedo has distilled 17 years of clinical practice and over a decade of developing 3D imaging curriculums into his simple and highly effective teaching methodology to CBCT, “The Cone Beam Imaging Courses.” His systematic approach to imaging encompasses four pillars of imaging: Acquisition, Data Correction, Data Navigation, and Data Interpretation. Dr. Azevedo is a passionate, tireless teacher and has given his courses in over 20 countries to thousands of practitioners. Don’t miss this opportunity to learn from the most dynamic teacher on the dental imaging world who is committed to sharpening your 3D imaging skills to serve your patients better and make your practice more profitable. Become part of the elite CBCT users from around the globe trained by the Cone Beam Guy and learn to see the invisible so you can do the impossible.

This module will describe signs of successful and unsuccessful root canal treatment as well as the most common modalities used to determine success or failure. Based on research state the approximate range of expected outcomes of routine, uncomplicated root canal treatment based on pre-treatment conditions. It will help in identifying predictors of success and failure and identify endodontic and non-endodontic causes of treatment failure. There will be a brief comparison made to other treatments and treatment modalities such as retreatment, endodontic surgery, and intentional replantation, fixed partial denture and single tooth implant treatments. It will also highlight the advantages and disadvantages of different treatment modalities.

His area of research focuses on evidence-based Endodontics, systematic reviews, effectiveness and efficiency of various interventions. Based on the cumulative publication of his research studies, Chankhrit has been awarded The Ernest Joske Research Award for work that constitutes an important contribution to dental science research.

He has been invited to speak at several national and international Endodontic congresses such as ASE, ADA, IFEA, and ESE. He is an editorial board member of the Journal of Endodontics, International Endodontic Journal, Dental Traumatology, New Zealand Dental Journal, Journal of Dentistry, and European Journal of Dentistry. He maintains a private practice limited to Endodontics in Melbourne and Sydney.  

Modern implantology have come a long way since they were introduced in the late 1980’s, however in the same light the quality of modern endodontics has improved as well. This module will help provide tools in evaluating teeth to determine whether it is doomed from the outset and if an implant supported crown is indicated. In this session different aspects of dental implantology will be objectively evaluated and critiqued from a prosthodontic perspective as well as periodontic one.

Andrew is an external examiner (Department of Oral Rehabilitation) for the Otago School of Dentistry and is past President of the Waikato / Bay of Plenty branch of the New Zealand Dental Association.

Andrew has also lectured nationally and internationally and is past President of the New Zealand Association of Prosthodontists and Restorative Dentists.

Andrew is also the facilitator for the graduate professional development programme in the Waikato / Bay of Plenty Region. In his spare time Andrew is a keen surfer.

Biography of Dr Tasha Mackie BDS (Otago), DClinDent (Perio), FRACDS (Perio)

Tasha is an external examiner for the University of Otago (Periodontology Department), has previously taught undergraduate students, gives lectures nationally and internationally and is past President for the Waikato / Bay of Plenty Branch of the NZ Dental Association.

Tasha is the Clinical Editor of the New Zealand Dental Journal and Treasurer / Secretary of the Australian and New Zealand Academy of Periodontists. Tasha and Andrew have two children.

Supplementary Module has been planned for Wellington. The workshop will have a maximum of 30 participants. 

In this modern era of endodontics, there are many rotary files and systems marketed by companies. For clinicians that always poses a challenge as to which rotary filing system they should use in their practice, how it will perform and whether it will fulfil their needs in root canal instrumentation.