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Not Your Typical Toothache

Saturday, May 22, 2021 9:00am to 12:00pm

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The common endodontic diagnosis of pulpal and periapical pathology can be quickly complicated by the additional findings of resorption, fractures or combined endodontic-periodontal disease. Though on the surface these atypical cases appear more challenging or less predictable in their treatment and careful diagnosis of these conditions can provide patients with predictable long-term treatment solutions.

A solid diagnostic foundation is crucial in making endodontic treatment decisions. Advances in diagnostic technologies, namely the advent of CBCT imaging, allow clinicians to more predictably detect complicating factors. Whereas pathologic resorption and fractures were historically discovered during exploratory endodontic procedures, CBCT imaging enables clinicians to detect these defects prior to clinical care, permitting more thoughtful, guided treatment decisions. Endodontic-periodontal communications, once considered a rarity, are now detected with great frequency preoperatively. Knowledge is power in endodontics and allows for thoughtful preoperative discussions and diagnosis-driven treatment planning. 

This lecture course will prepare you with the evidence and skills necessary to both diagnose and manage complicated endodontic disease. Clinicians will differentiate the heterogeneous group of entities that make up resorptive pathologies, including those without a pulpal source. You will be able to recognize cracks and fractures, and possess an evidence-based algorithm for their diagnosis and management. Finally, the diagnosis and management of periodontal-endodontic disease will be discussed. Participants will leave comfortable and confident in their skills in diagnosing those findings considered atypical in endodontics.

You Will Learn

  • A review of basic endodontic diagnosis of pulpal and periapical disease
  • How to differentiate resorptive dental diseases and discuss their unique management strategies
  • Means to assess fracture pathology and an evidence-based management algorithm
  • The unique challenges posed by perio-endo infections as well as their management 

Who Should Attend

This informative course is intended  for general practitioners, specialists, hygienists and dental assistants.

Tuition: $ 195 Dentists; $165 Allied Dental Professionals
Program: 9:00 am – 12:00 pm (Pacific time)
Location: Live, interactive webinar
Credits: This activity is designated for 3 units of continuing education credit.


Rebekah Lucier Pryles, DMD, holds faculty appointments at Tufts University School of Dental Medicine and Harvard School of Dental Medicine. She is a diplomate of the American Board of Endodontics and a fellow of both the American and International College of Dentists. She shares a private practice in Vermont with Dr. Blicher and is the president-elect of the Vermont State Dental Society. She was awarded the American Dental Association’s “10 Under 10” Award in 2020.  

Brooke Blicher, DMD, holds faculty appointments at both Harvard School of Dental Medicine, Tufts University School of Dental Medicine and Geisel School of Medicine at Dartmouth College. She is a diplomate of the American Board of Endodontics and a fellow of the American College of Dentists. Dr. Blicher co-wrote the chapter Diagnosis and Treatment Planning in the 6th edition of Endodontics: Principles and Practice. She and Dr. Pryles have published together extensively, including their textbook, Endodontics: A Review. 

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