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Submitted Presentation

SP-23 - Is Bone Regeneration Achievable Following Apicomarginal Defects?

Thursday, April 3, 2025
4:30 PM – 5:30 PM EST
Location: Hynes Convention Center, Floor 3, Room 312
Earn 1.0 CE Credits

    Speaker(s)

  • mike sabeti, DDS, MA

    Post graduade endodontics director
    University of California, San Francisco
    San Francisco, California

    Disclosure(s): No financial relationships to disclose

    Handouts

    • Session Host(s)

  • Chloe Beninati, DDS, MPH

    Endodontic Resident
    Stony Brook University School of Dental Medicine
    Roslyn, New York

    Disclosure(s): No financial relationships to disclose

Disclosure(s):
mike sabeti, DDS, MA: No financial relationships to disclose
Chloe Beninati, DDS, MPH: No financial relationships to disclose
Presentation Description/Abstract: Treating significant bone loss around teeth (apico-marginal defects) is a challenge for dentists, particularly endodontists who focus on the root canal and surrounding tissues. Deep pockets often indicate a connection between this bone loss and complete exposure of the tooth's root surface. This significantly impacts treatment planning and management. Studies have investigated methods to stimulate bone regrowth and improve patient well-being. A recent approach utilizing platelet concentrates demonstrated encouraging results in reducing pocket depth and promoting some bone formation. However, it fell short in effectively regenerating the bone on the side facing the cheek (facial or buccal bone). This presentation will explore a novel technique using collagen crosslinking. This method aims to improve healing and quality of life for patients with severe bone loss around their teeth. We'll compare the results of this new approach with traditional methods, analyzing both 2D and 3D healing outcomes to assess its effectiveness in bone regeneration and overall treatment success.

Learning Objectives:

  • Review the mechanisms by which root canal infections impact periodontal tissues and identifying strategies for effective healing.
  • Describe guided tissue regeneration and autologous products used alongside root canal surgery. These techniques aim to prevent the apical migration of junctional epithelium.
  • Assess the effectiveness of regenerative techniques in promoting healing of bone loss around teeth (apicomarginal defects) caused by root canal problems.