S-1 - Targeted Endodontic Microsurgery: This Changes Everything

Speaker(s)

• 

  Jarom Ray, D.D.S.

  Program Director

  Nothing to disclose
• 

  James Wealleans, D.M.D

  Endodontist
  North Shore Endodontics,

  Disclosures: EdgeEndo: Consultant

Session Host(s)

• 

  Meetu Kohli, D.MD

  Clinical Associate Professor of Endodontics, Director Continuing Education and International Program
  University of Pennsylvania

  Nothing to disclose

Targeted Endodontic Microsurgery (TEMS) was pioneered at the Air Force Postgraduate Dental School and appeared on the cover of the April 2018 Journal of Endodontics. It combines the use of trephine burs (traditionally used to remove implants) with 3D printed surgical guides to perform osteotomy, root-end resection and biopsy in a single 60-second step. TEMS represents a substantial leap forward because it allows access to previously prohibitive anatomic sites. The presentation contains substantial video footage and details the use of TEMS in several anatomically challenging scenarios, such as a mandibular second molar, and the palatal root of the maxillary 2nd molar. General concepts of digital workflow and stent design will be introduced and speculations about the future of 3D printing in endodontics will be discussed.

Learning Objectives:

• At the conclusion, participants shoud be able to describe capabilities of Targeted Endodontic Microsurgery and to appreciate preprations necessary to allow for its safe use.
• At the conclusion, participants should be able to outline the digital workflow for production of a TEMS 3D printed stents, list general armamentarium requirements, and describe various ways to access 3D printing capability.
• At the conclusion, participants should be able to describe TEMS stent design princples for proper irrigation and a safe and accessible trephine paths.