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American Association of Endodontists oGeneral Information oMembership oCertification oMajor Research and Technology Changes oTrends in Education oChanges.

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Presentation on theme: "American Association of Endodontists oGeneral Information oMembership oCertification oMajor Research and Technology Changes oTrends in Education oChanges."— Presentation transcript:


2 American Association of Endodontists oGeneral Information oMembership oCertification oMajor Research and Technology Changes oTrends in Education oChanges in Scope of Practice

3 American Association of Endodontists oImpact of Bisphosphonates oImprove Magnification and New Materials oReferral Patterns oPrinciple Health Services oChanges over the past 10 Years oPractice Settings

4 General Information

5 The AAE Foundation: o Funded $2.6 million in research grants o $1.2 million in endodontic educator fellowships o 11 new endodontic educators o Annual national workshop

6 General Information Results of Foundation Support: oNew dental material uses oMore information on supplemental intraosseous anesthesia oGrowing understanding of microflora

7 General Information Results of Foundation Support: oImproved clinical trials oImproved systematic reviews oIncreased knowledge regarding dental pulp

8 General Information The Live Learning Center o Access online endodontic education materials o Obtain CE credits o View previous and upcoming AAE meetings

9 General Information International Association for Dental Research: o 2009 Symposium on pulp biology and regeneration o2010 Symposium on Tissue Injury and Pulp Regeneration

10 Membership

11 From 2000-2009: oActive Membership increased by more than 15% oAuxiliary Membership increased by more than 500% oTotal Membership increased by 35% oThe AAE currently has over 7000 members

12 Membership Categories o Active o Associate o Auxiliary o Educator o Honorary o International o Life o Predoctoral Student o Retired o Student

13 New Membership Categories o Predoctoral Student o Educator o International

14 All Membership Categories

15 Gender Trends Among Membership

16 Membership Projections o1-2% growth annually oMembers transitioning into Life and Retired membership oIncrease in number of International members

17 AAE Surveys 2003-2009 results indicated: o80% of people who receive root canal treatment by a specialist would return to one o94% of general dentist have positive perceptions of endodontists o9 out of 10 general dentists partner with endodontists

18 Membership Surveys 2009 results indicated: o83% of endodontists provided charitable care to underserved populations. oThe average specialist performs 10 or more charitable procedures per year.

19 Certification


21 American Board of Endodontics Recent Changes o4-year identity requirement eliminated oResident/graduate students allowed to sit for written exam in last year of program oTrack II allows clinicians to submit case portfolio before taking written exam oExtension of eligibility oMulti-site testing centers

22 Preliminary Application Submitted 2006 or After StepMaximum Time Part I3 years Part II6 years Final Application1 year Part III2 years

23 Track One for Board Certification oWritten Examination – Part I oCase History Portfolio – Part II oOral Examination – Part III

24 Track Two for Board Certification o Case History Portfolio – Part I o Written Examination – Part II o Oral Examination – Part III

25 Active Diplomates

26 Endodontic Board Certification Data CDEL’s Annual Reports of ADA-Recognized Dental Specialty Certifying Boards, 2000-2008

27 Future Changes in Board Certification o Online Submission of case portfolios o Distance technology to conduct oral exams

28 Recertification oCandidates who applied for certification after January 1, 1997 must recertify every 10 years oComplete 25 Continuing Education Credits oBegin 3 years before expiration date

29 Significance of Board Certification Board Certified Endodontists demonstrate a high level of accomplishment and commitment to art and science of current clinical practice.

30 Major Research and Technology Changes

31 Major Research Changes oDental materials oPain management oEndodontic microbiology oClinical research oRegenerative endodontics & revascularization oDental trauma oEndodontic diagnosis

32 Dental Materials oMineral trioxide aggregate (MTA) uses: oRoot end fillings oPerforation repairs oApical plugs for open apices oVital pulp protection oDental bonding agents

33 Pain Management Future Developments: oLiposomal-encapsulated anesthetic agents oTerminal receptor-potential vanilloid agonists and antagonists oMediators of pupal and periapical pathosis

34 Endodontic Microbiology oBiomechanical debridement protocols oBacterial-host interaction oInfected root canal spaces oDiverse organism populations

35 Clinical Research Research methods: o Randomized clinical trials o Systematic reviews of clinical outcomes o Evidence-based protocols

36 Regenerative Endodontics and Revascularization Research: oPulpal regeneration oReprogramming stem cells Significance: oBetter treatment of children’s teeth

37 Regeneration/Revascularization 3w3w 8 m Law, in Petrino Northwest Dent 86:33, 2007 oPre-op oTrauma oCold oSinus tract oTreatment oIrrigation o5.25% NaOCl oMedication oCiprofloxacin oMetronidazole oMinocycline o3 weeks later oIrrigate with 5.25% NaOCl and then H2O oInitiate bleeding oSeal MTA/Composite

38 Dental Trauma Affects 30% of population Research Benefits: oPulp Preservation oAvulsed teeth oPulp necrosis treatment oRoot fracture management oIntrusive luxations

39 Endodontic Diagnosis 2008 Consensus Conference on Endodontic Terminology: oExpert attendees oRecognition of research needed oStandardized diagnostic terms

40 Major Technology Advances oSpecial Instruments oNew ultrasonic instruments oModalities and disinfecting solutions oOperatory microscope oCone-beam volumetric tomography

41 Impact of changes/advances oIncreased predictability oBetter outcomes oBetter pain management oImproved dental injury understanding oEnhanced treatment options

42 Trends in Education

43 Endodontic Programs and Enrollment

44 Endodontic Program Directors

45 Increasing Full Time Board Certified Faculty Initiatives: oAAE Foundation grants and awards oEducator courses oNetworking opportunities oAnnual Session Educator Track

46 Changes in Scope of Practice

47 Major conditions routinely treated: oPulpal and Periapical Disease oCaries oDental Trauma oPeriodontal Disease oExtensive Restorations oTooth Fractures or Host Factors

48 Changes in Scope of Practice ‘Patients with multiple systemic diseases including diabetes experienced decreased retention of endodontically treated teeth and increased need for retreatment by endodontists.’ Mindiola MJ, Mickel AK, Sami C, Jones JJ, Lalumandier JA, Nelson SS. Endodontic treatment in an American Indian population: a 10-year retrospective study. J Endod 2006; 32: 828-32.

49 Changes in Scope of Practice ‘97% of endodontically treated teeth (nearly 1.5 million teeth) were retained in the oral cavity eight years after initial treatment.’ Salehrabi R, Rotstein I. Endodontic treatment outcomes in a large patient population in the USA: an epidemiological study. J Endod 2004; 30: 846-50.

50 Impact of Biosphosphonates

51 Impact of Bisphosphonates ‘Bisphosphonates, associated with osteonecrosis of the jaws (ONJ), has significant medical and dental implications.’ Carter G, Goss AN, Doecke C. Bisphosphonates and avascular necrosis of the jaw: A possible association. Med J Aust 2005; 182: 413-15.

52 Impact of Bisphosphonates ‘Pathogenesis of ONJ is related to the profound inhibition of oseoclast function brought on by the Bisphosphonates’ Ruggiebo SL, Drew SJ. Osteonecrosis of the jaws and bisphosphonate therapy. J Dent Res 2007; 86: 1013-1021

53 Improved Magnification and New Materials

54 Increased use of Magnification oEndodontists use of the Microscope oIn 1999 – Increased 52% oIn 2007 – Increased 90% oRequired by CODA in Endodontic Residency Standards

55 Implant Dentistry & Endodontics ‘6.6% of Endodontists are placing implants’ Creasy J, Mines P, Sweet M. Surgical Trends among Endodontists: The Results of a Web-based Survey, DDS; 35: 30-34.

56 Referral Patterns

57 o60% of patients have treatment performed by general dentist o19-24% of patients have treatment performed by endodontists o38% of patients receive knowledge of endodontics from their dentist

58 Referral Patterns 2005-2007 surveys of general dentist: o42% report doing all 8% of the root canal procedures in their office o22% refer most 20% or all 8% of the cases to specialist o94% consulted with an endodontist over the past 12 months o68% believe referral to endodontists makes good business sense

59 Referral Patterns

60 Principle Health Services

61 oVital pulp therapy oIndirect pulp cap oDirect pulp cap & Pulpotomy oNonsurgical endodontic treatment oExpertise in pulp system anatomy oRecognition of anomalies

62 Principle Health Services oTeam work in dealing with complex restorations oManagement of patients with complicated medical histories oEndodontic retreatment oSurgical endodontic treatment: root- end resection

63 Principle Health Services oBiopsy oRoot resection/amputations oPerforation repair oIntentional replantation oImplant dentistry

64 Principle Health Services oPost removal oApexification/Apexogenesis oDental trauma management oIntracoronal bleaching oRestoration of endodontically treated teeth

65 Principle Health Services oCracked tooth management oPulp regeneration oBiocompatible regenerative materials oMineral trioxide aggregate oBioceramics

66 Changes over the past 10 Years

67 Changes over the past 10 years oPulpal regeneration oBioceramics oCone-beam computed tomography oOperating microscope

68 Practice Settings

69 Trends and Changes: oPrivate Practice increased 2% oSolo Private Practice increased 12% oPrivate practitioners in a group practice decreased 10%

70 Practice Settings Trends and Changes: oMultidisciplinary practices increased 1% oOther practice settings increased 2%

71 Practice Settings o Vacancies in dental school endodontic positions decreased 5% o 248 full-time endodontic educators o 415 part-time educators compensated o 347 part-time volunteers o 4,600 active practicing endodontists in U.S. o 200 in federal dental health services o 250 full-time educators o 4,150 in private practices o 800 part-time private practitioners

72 The AAE Works for YOU!

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