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American Association of Endodontists

American Association of Endodontists. General Information Membership Certification Major Research and Technology Changes Trends in Education Changes in Scope of Practice. American Association of Endodontists. Impact of Bisphosphonates Improve Magnification and New Materials

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American Association of Endodontists

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  1. American Association of Endodontists General Information Membership Certification Major Research and Technology Changes Trends in Education Changes in Scope of Practice

  2. American Association of Endodontists • Impact of Bisphosphonates • Improve Magnification and New Materials • Referral Patterns • Principle Health Services • Changes over the past 10 Years • Practice Settings

  3. General Information

  4. General Information The AAE Foundation: Funded $2.6 million in research grants $1.2 million in endodontic educator fellowships 11 new endodontic educators Annual national workshop

  5. General Information • Results of Foundation Support: • New dental material uses • More information on supplemental intraosseous anesthesia • Growing understanding of microflora

  6. General Information • Results of Foundation Support: • Improved clinical trials • Improved systematic reviews • Increased knowledge regarding dental pulp

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

  8. General Information • International Association for Dental Research: • 2009 Symposium on pulp biology and regeneration • 2010 Symposium on Tissue Injury and Pulp Regeneration

  9. Membership

  10. Membership From 2000-2009: Active Membership increased by more than 15% Auxiliary Membership increased by more than 500% Total Membership increased by 35% The AAE currently has over 7000 members

  11. Active Associate Auxiliary Educator Honorary Membership Categories • International • Life • Predoctoral • Student • Retired • Student

  12. New Membership Categories Predoctoral Student Educator International

  13. All Membership Categories

  14. Gender Trends Among Membership

  15. Membership Projections 1-2% growth annually Members transitioning into Life and Retired membership Increase in number of International members

  16. AAE Surveys 2003-2009 results indicated: 80% of people who receive root canal treatment by a specialist would return to one 94% of general dentist have positive perceptions of endodontists 9 out of 10 general dentists partner with endodontists

  17. Membership Surveys 2009 results indicated: 83% of endodontists provided charitable care to underserved populations.  The average specialist performs 10 or more charitable procedures per year.

  18. Certification

  19. Certification

  20. American Board of Endodontics Recent Changes 4-year identity requirement eliminated Resident/graduate students allowed to sit for written exam in last year of program Track II allows clinicians to submit case portfolio before taking written exam Extension of eligibility Multi-site testing centers

  21. Preliminary Application Submitted 2006 or After

  22. Track One for Board Certification Written Examination – Part I Case History Portfolio – Part II Oral Examination – Part III

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

  24. Active Diplomates

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

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

  27. Recertification Candidates who applied for certification after January 1, 1997 must recertify every 10 years Complete 25 Continuing Education Credits Begin 3 years before expiration date

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

  29. Major Research and Technology Changes

  30. Major Research Changes Dental materials Pain management Endodontic microbiology Clinical research Regenerative endodontics & revascularization Dental trauma Endodontic diagnosis

  31. Dental Materials Mineral trioxide aggregate (MTA) uses: Root end fillings Perforation repairs Apical plugs for open apices Vital pulp protection Dental bonding agents

  32. Pain Management • Future Developments: • Liposomal-encapsulated anesthetic agents • Terminal receptor-potential vanilloid agonists and antagonists • Mediators of pupal and periapical pathosis

  33. Endodontic Microbiology • Biomechanical debridement protocols • Bacterial-host interaction • Infected root canal spaces • Diverse organism populations

  34. Clinical Research • Research methods: • Randomized clinical trials • Systematic reviews of • clinical outcomes • Evidence-based protocols

  35. Regenerative Endodontics and Revascularization • Research: • Pulpal regeneration • Reprogramming stem cells • Significance: • Better treatment of children’s teeth

  36. 8 m 3 w Regeneration/Revascularization • Pre-op • Trauma • Cold • Sinus tract • Treatment • Irrigation • 5.25% NaOCl • Medication • Ciprofloxacin • Metronidazole • Minocycline • 3 weeks later • Irrigate with 5.25% NaOCl and then H2O • Initiate bleeding • Seal MTA/Composite Law, in Petrino Northwest Dent 86:33, 2007

  37. Dental Trauma • Affects 30% of population • Research Benefits: • Pulp Preservation • Avulsed teeth • Pulp necrosis treatment • Root fracture management • Intrusive luxations • www.dentaltraumaguide.org

  38. Endodontic Diagnosis • 2008 Consensus Conference on Endodontic Terminology: • Expert attendees • Recognition of research needed • Standardized diagnostic terms

  39. Major Technology Advances Special Instruments New ultrasonic instruments Modalities and disinfecting solutions Operatory microscope Cone-beam volumetric tomography

  40. Impact of changes/advances • Increased predictability • Better outcomes • Better pain management • Improved dental injury understanding • Enhanced treatment options

  41. Trends in Education

  42. Endodontic Programs and Enrollment

  43. Endodontic Program Directors

  44. Increasing Full Time Board Certified Faculty • Initiatives: • AAE Foundation grants and awards • Educator courses • Networking opportunities • Annual Session Educator Track

  45. Changes in Scope of Practice

  46. Changes in Scope of Practice Major conditions routinely treated: Pulpal and Periapical Disease Caries Dental Trauma Periodontal Disease Extensive Restorations Tooth Fractures or Host Factors

  47. 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.

  48. 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.

  49. Impact of Biosphosphonates

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