To Pull or Not to Pull: Periapical Surgery vs. Implant Surgery:

What alternative treatment options should be considered when a restorative and/or endodontic failure occurs?

Advancements in delivering periapical surgery have resulted in success rates that
can be equivalent to implant replacement when certain guidelines are adhered to.
Periapical surgery as an adjunct to endodontic treatment is a proven approach.
With the introduction of new surgical techniques and a systematic method to the
diagnosis and treatment of compromised teeth, the clinician should be able to
more accurately determine the long term prognosis for these treatment options.

Evaluate treatment options with an evidence-based approach when a tooth is
ailing or failing. This course will describe the indications and contraindications for
performing or referring a patient for apical surgery. With a specific 7 step workup,
including a correct history, radiographic and clinical evaluation, the decision to
perform an apicoectomy will be weighed against further evaluation, a retreatment
option, or extraction and replacement with an implant (immediate or
delayed). As a result, a decision is more accurately made as to whether an
implant or a fixed bridge (fixed partial prosthesis), a removable prosthesis (fixed
or transitional temporary prosthesis), or other options would be the final treatment
plan discussed with the patient.

Learning Objectives:
* Learn the many Pros and Cons for maintaining a tooth vs. removal and replacement with an Implant
* Learn a simple radiographic technique to use when evaluating a tooth for a fracture
* List the 7 step work-up, consisting of procedures and tests that should be used when performing or referring a patient for an apicoectomy
* Understand the principles of guided tissue regeneration, and know the indications and contraindications for its use
* Recognize how the location of a sinus tract can be a key critical diagnostic indicator for the final prognosis
* Identify the signs to differentiate between an Endo/Perio vs. Perio/Endo lesions and understand the difference as it relates to the final prognosis

  • CE Credit: 3
  • Audience:
  • Supported by:Colgate
Daniel G. Pompa

Daniel G. Pompa, DDS

From handling a medical emergency to deciding on an alternative treatment plan when cases take an unexpected turn, attendees will benefit from Daniel G. Pompa, DDS’s courses. With guidelines and principles that broaden your situational awareness and understanding, participants’ confidence and patient outcomes can improve. Sharing new and proven clinical approaches while expanding problem-solving and analytical skills, Dr. Pompa’s highly interactive presentations include multi-media and live demonstrations. Additionally, attendees will gain insight into the decision making process by reviewing multiple case history scenarios. Dr. Pompa uses this approach across a wide spectrum of topics, in an effort to improve patient outcomes. He consistently receives exceptional reviews and repeat engagements. Content is based on 30 years of experience as an Oral and Maxillofacial Surgeon supported by a thorough review of the most recent evidence-based dental and medical literature. Dr. Pompa co-established The Oral Surgery and Implant Center in Forest Hills, New York in 1985. After graduating from New York University College of Dentistry, Dr. Pompa completed a GPR at Long Island Jewish Hospital, followed by specialty training in Oral and Maxillofacial Surgery at Lincoln Hospital, New York Medical College. He has earned Fellowship status in both the American Association of Oral and Maxillofacial Surgeons and International Congress of Oral Implantologists.