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CAE 2011 AGM Program - September 21 to 24, 2011

The 47th Annual General Meeting of the Canadian Academy of Endodontics will be held at Fairmont Le Château Frontenac Québec City, Québec.

Speakers

We will be hearing member case presentations from:

Dr. Guiseppe Cantatore
A critical approach to mechanical glide path
NiTi instrument separation is a serious concern in endodontic therapy. The analysis of NiTi files after torsional fracture reveals that the majority of torsional separations occur in the last millimetre of the files and in the files with lower taper and/or diameter. Consequently, the tip of the smaller files presents the higher risk of torsional fracture and should be protected using low torque motors, reducing axial pressure and avoiding the tip from engaging root dentin (“taper lock”). In contrast flexural fractures occur after repeated sub-threshold loads have led to metal fatigue. Numerous studies evaluated the causes of stress and separation of rotary NiTi files concluding that a significant reduction of rotary instrument separation could be obtained when the use of a rotary file was anticipated by an initial preflaring and glide-path. Strong evidence supports the importance of preflaring and glide-path to reduce the frequency of rotary file separation. The initial preflaring and glide-path are normally carried out using steel hand files. Unfortunately these files present several drawbacks because of their relative stiffness and aggressive tip that in curved or calcified canals can cause ledges or transportation. In addition SS manual files tend to accumulate and pack debris into the canal apical area, increasing the risk of canal blockages and apical extrusion of contaminated debris. More recently three NiTi rotary instruments – the PathFIles (Dentsply Maillefer) – have been introduced for mechanical glide-path and preflaring. The PathFile is the first instrument projected for and dedicated to mechanical glide-path and preflaring. The low .02 taper, the robust square cross section and the four cutting angles create a good combination of flexibility, strength and efficacy that allow a safe and fast use even in severely curved and/or calcified canals. The first part of this lecture will focus on the more recent investigations on mechanical glide-path, while the second part will be dedicated to the presentation of the clinical cases and to the integration of mechanical glide-path into conventional and new instrumentation sequences. At the end of the presentation the participants will understand advantages and limits of the new files for mechanical glide-path and will learn how to use them in a safer and more productive way.

Dr. Ashraf Fouad
Endodontic infections: relationship to systemic disease and treatment options.
Pulp space infection and the development of a periapical lesion is the single most important variable affecting long-term outcomes of endodontic treatments and retreatment. Diverse microbial pathogens are able to populate the root canal space, evade treatment modalities, and persist or repopulate the canal space following treatment. The effects of these microbial irritants appear to be more evident in patients with certain systemic diseases. This presentation will present recent findings on the effect of microbial irritant on treatment outcomes, the role of systemic disease in modulating the response to treatment and the mist effective clinical methodologies and technologies for root canal disinfection according to recent evidence.

Dr. Shimon Friedman
Retreatment in the era of implants?!
Recent surveys have indicated that when faced with management of root-filled teeth with persistent lesions, dentists increasingly favour replacement with implants over retreatment.  This trend is a reflection of the dentists’ perception that retreatment has a poor prognosis, even though the prognosis of retreatment is on par with that of initial treatment, as shown in clinical studies representing the current best evidence.  Considering the very good prognosis of retreatment, the trend favouring extraction is unwarranted and the practice of retreatment should be promoted for the benefit of patients.

During the lecture, three concepts will be discussed that are key to avoiding unwarranted extractions of root-filled teeth with persistent lesions:

  • The almost-unlimited technical possibilities to perform retreatment, as well as the favourable prognosis and excellent prospects of tooth retention in function, should be communicated to all dental professionals and patients alike
  • Acknowledging that retreatment is no longer the only viable treatment option as in many cases in the past and therefore, the current case selection strategies must be modified to fit the new era when tooth replacement with implants is a readily accessible, predictable  alternative to retreatment
  • Retreatment techniques must be as conservative as possible to preserve tooth structure and restorations where possible in order to extend the longevity of the retreated tooth

Learning Objectives:

At the end of this lecture, participants should be able to:

  • Define the key concepts for supporting the practice of retreatment in an environment favouring replacement of teeth with persistent lesions
  • Define the expected long-term outcomes of retreatment in teeth with persistent lesions
  • Describe current strategies for case selection for retreatment or tooth extraction and replacement
  • Outline the least invasive retreatment techniques that can be used to preserve tooth structure and restorations

Dr. Timothy Head
Guided bone regeneration in implant dentistry
Since the introduction of osseointegration In the early 1980’s, there have been many advances in implant dentistry.  One of the most significant changes has been our ability to predictably regenerate bone.  This has allowed us to move from the placement of implants based on bone availability to restorative driven implant placement.  This change allows us to provide implants for more patients, with more functional and esthetic results.
 
This lecture will cover:

  • Indications for guided bone regeneration
  • Treatment planning
  • Evidence based decisions about material and techniques
  • Expected outcomes and limitations for these techniques
  • Clinical situations ranging from minor bone deficits to severe atrophy will be discussed

Dr. Anil Kishen
Emerging nanotechnology in endodontics: Innovative solutions to Issues in endodontic disinfection and tissue stabilization
Conventionally, predictable disinfection of the root canal system has been an elusive task because of the complexities in the root canal anatomy and the ability of microbes to form surface-adherent biofilm structures.  Furthermore, the disease process and iatrogenic factors can compromise the physical, chemical and mechanical characteristics of the structural dentin.  Fractures of restored endodontically treated teeth are not uncommon occurrences in clinical practice.  Unfortunately, there is currently no endodontic treatment approach that can enhance the efficacy of disinfect and at the same time stabilize the ultra structural integrity of dentin in endodontically treated teeth.  This lecture will address some of the issues pertaining to the post-treatment endodontic environment and will present a nanotechnology-based approach to improve endodontic disinfection and ultrastructural integrity of dentin in root-filled teeth.

Dr. Ernie Lam
Small – field, high resolution cone beam imaging in endodontics
With the emergence of small field, high-resolution cone beam computed tomography in dentistry there is wise spread excitement in the general dental and specialist communities as strategies are developed for incorporating this novel technology into patient care, including endodontics.  Being able to separate the hype from the reality of what cone beam CT imaging can offer will be essential to our understanding the potential of this new modality in endodontics as well as its limitations.

The objectives of this course are to:

  • Develop and understanding of the basic concepts of 3D imaging: imaging physics, image processing and image data management
  • Understand current radiation dose and risk considerations related to cone beam CT imaging
  • Describe the potential uses of cone beam CT imaging in dentistry, and endodontics specifically, in the context of the establishment imaging modalities with consideration given to a risk vs. benefit approach to modality selection
  • Understand the major limitations of cone beam CT technology in the context of the established imaging modalities

Dr. Zvi Metzger
From files to self adjusting files: A new paradigm  in cleaning and shaping of root canals
Diagnosis and biomechanics of vertical root fractures
Chairman of the Department of Endodontology and Director of Research Laboratories at the Tel Aviv University
School of Dental Medicine.  He retains a private endodontic specialist practice in Tel Aviv.

Dr. Yves Yana
Dr. Yana resides in Paris, France where he maintains a private practice limited to endodontics and teaches at the University of Laval, Quebec, Canada.  Dr. Yana obtained his DDS in 1984 from Paris University.  He graduated with a Masters from Boston University in 1989.  
Retreatment has become an unavoidable part of the endodontic practice and is considered as the most complicated side of the root canal therapy.  Although the objectives of the endodontic retreatment are the same than those of the treatment of a vital tooth, the need, the rationale and the cause of such treatment may be very different.  This lecture will help the practitioner to safety identify the numerous causes of failure of previous endodontic treatment.

About Retreatment

Retreatment has become an unavoidable part of the endodontic practice and is considered as the most complicated side of the root canal therapy.  Although the objectives of the endodontic retreatment are the same than those of treatment of a vital tooth, the need, the rationale and the cause of such treatment may be very different.  This lecture will help the practitioner to safely identify the numerous causes of failure of previous endodontic treatment.

Dr. Cliff Ruddle
Founder and Director of Advanced Endodontics, an international educational source.  He is best known for providing superb education through his lectures, instructional DVDs, and "One-On-One" training courses in Santa Barbara, California. As an inventor, he has designed and developed several instruments and devices that are widely used internationally.

EndoActivator Disinfection:Tsunami Irrigation

There is great controversy in opinion to achieve complete treatment, yet predictably successful endodontics is dependent on fulfilling the objectives for shaping canals, cleaning root canal systems and three-dimensional obturation.  This lecture will emphasize the clinical importance of active irrigation and the role fluid dynamics plays in endodontic disinfection.  Evidence-based research will be presented to compare and contrast new methods intended to improve debridement, smear layer removal, and the disruption of biofilms in well-shaped canals.

Mr. Ron Haik
Tax Attacks: Fighting Tax Erosion of Wealth –— with Smart Financial and Investment Planning
As Assistant Vice-President, Investment Services at CDSPI Advisory Services Inc. exclusively serving the dental community, Ron Haik is an expert in providing financial solutions specific to the needs of dental professionals. Ron leads a group of advisors that provide clients with comprehensive financial planning advice, helping them integrate both their personal and corporate assets into custom-tailored investment and estate plans.
Ron has practiced in the financial services industry for almost 20 years. He has extensive experience as a financial planner, stockbroker, and in the areas of both domestic and offshore private banking. He has taught as a professor and has lectured at universities and trade conferences across Canada.  He has an MBA with a double major in finance and financial services, has attained the Certified Financial Planner designation, is a Fellow of the Canadian Securities Institute and holds the prestigious designation of Chartered Strategic Wealth Professional.

Ms. Susan Roberts
Tax Attacks: Fighting Tax Erosion of Wealth –— with Smart Financial and Investment Planning
Susan Roberts is a general insurance broker and life insurance agent at CDSPI Advisory Services and is also the company’s Director and Deputy Principal Broker. After graduating from the University of Western Ontario, Susan joined CDSPI and has over 20 years of experience helping dental professionals with their insurance needs. In Quebec, Susan is licensed as a Damage Insurance Broker and as a Financial Security Advisor and Advisor in Group-Insurance Plans.  

Death and taxes may be inevitable, but there are ways to reduce the sting of the latter.  This presentation will help you understand:

  • How to spot the enemy – where taxes strike
  • Ways to thwart taxes that you may be overlooking
  • Techniques for reducing the severity of taxes – including income-tax splitting
  • Tax-repellent investment products
  • Business structures that can lessen tax payable
  • Reducing taxes for your heirs

 

Mark your calendars now – the Scientific Program is extremely impressive.

Accommodations

Fairmont Le Château Frontenac Québec City, Québec

 

CAE AGM 2011 Itinerary

Tuesday, September 20
12:00 – 12:30 Executive Tour of Meeting Facilities  
13:00 – 17:00 Executive Meeting/ Working Lunch Room: Montcalm
Wednesday, September 21
08:00 - 17:00 Registration Open Main Lobby
09:00 - 10:00 Breakfast - Exhibit Hall Room: Place D’Armes
11:00 - 12:00 Ron Haik & Susan Roberts present "Fighting Tax Erosion of Wealth –— with Smart Financial and Investment Planning"
Moderator: Dr. Michael Gossack
Room: St-Louis
12:00 - 13:00 George Hare Memorial Luncheon (Registrants only) Room: Place D’Armes
13:00 - 14:30 George Hare Memorial Lecture
Dr. Ernie Lam presents "Small - field, high resolution cone beam imaging
in Endodontics"
Moderator: Dr. Michael Gossack
Room: Jacques-Cartier
14:30 - 15:00 Coffee/Tea/Ice Cream (Room: Place D’Armes)  
15:00 - 16:15 Dr. Yves Yana presents "Clinical Orthograde Retreatment"
Moderator: Dr. Michael Gossack
Jacques-Cartier
18:00 - 22:00 Welcoming Reception Room: Governor’s Suite & St. Laurent Lounge
Preliminary Social Program
09:00 - 10:00 Breakfast for all  
12:00 - 13:00 George Hare Memorial Luncheon
(Registrants only)
Room: Place D’Armes
18:00 - 22:00 Welcome Reception "Taste of Quebec" Governor's Suite & St. Laurent Lounge
Thursday, September 22
07:00 - 17:00 Registration Open Main Lobby
07:00 - 08:00 Breakfast - Exhibit Hall Room: Jacques-Cartier
08:00 - 08:10 President’s Welcome Panache Restaurant
08:15 - 08:45 Research Presentations (I&II) Room: Jacques-Cartier
08:45 - 10:15 Dr. Shimon Friedman presents "Retreatment, in the era of implants?!"
Moderator: Dr. Manjinder Lalh
Room: Jacques-Cartier
10:15 - 10:30 Coffee/Tea Room: Place D’Armes
10:30 - 12:00 Dr. Cliff Ruddle presents "Endodontic Disinfection: Tsunami Irrigation"
Moderator: Dr. Manjinder Lalh
Room: Jacques-Cartier
12:00 - 14:00 CAE AGM Business Luncheon Room: Champlain Room
14:00 - 15:15 Dr. Zvi Metzger presents "From files to self adjusting files: A new paradigm
in cleaning and shaping of root canals"
Moderator: Dr. Manjinder Lalh
Room: Jacques-Cartier
15:15 - 15:30 Coffee/Tea/Ice Cream Room: Place D’Armes
15:30 - 16:30 Dr. Zvi Metzger presents "Diagnosis and biomechanics of vertical root
fractures"
Moderator: Dr. Manjinder Lalh
Room: Jacques-Cartier
16:30 - 17:00 Tim Fernihough of Myplanet Digital presents:
"Navigating the CAE website"
Moderator: Dr. Manjinder Lalh
Room: Jacques-Cartier
  FREE EVENING  
21:00 - 24:00 President’s Soirée  
  Wine / Cheese / Dessert Governor’s Suite
Preliminary Social Program
07:00 - 08:00 Breakfast for Registrants Room: Place D’Armes
08:30 - 09:30 Spouses and Companions Breakfast Room: Governor’s Suite
10:00 - 14:00 Les artistes de la table - "Flavours of Quebec" Cooking class  
12:00 -14:00 CAE Business Meeting and Luncheon
(Open only to the members of the CAE)
Room: Champlain Room
12:00 -14:00 Exhibitor’s Luncheon Open only to the exhibitors
13:00 -16:00 Guided Walking Tour- Quebec La belle & Cruise  
21:00 - 24:00 President’s Soirée
Wine/Cheese/Dessert
Room: Governor’s Suite
Friday, September 23
07:00 - 08:00 Breakfast - Exhibit Hall Room: Place D’Armes
07:00 - 08:00 Past President’s Breakfast – Host: Dr. M. Hepworth Room: Governor’s Suite
08:00 - 08:30 Research Presentation III&IV Room: Jacques-Cartier
08:30 - 10:00 Dr. Guiseppe Cantatore presents "A critical approach to mechanical glide path"
Moderator: Dr. Douglas Conn
Room: Jacques-Cartier
10:00 - 10:30 Coffee/Tea Room: Place D’Armes
10:30 - 12:00 Dr. Ashraf Fouad presents "Endodontic infections: relationship to systemic
disease and treatment outcomes"
Moderator: Dr. Douglas Conn
Room: Jacques-Cartier
13:00 - 18:00 Paul Teplitsky Golf Tournament Le Grand Vallon Mont-Sainte-Anne Golf Course
Social Program
07:00 - 08:00 Past President's breakfast/meeting Room: Governor’s Suite
07:00 - 08:00 Breakfast for all Room: Place D’Armes
09:00 - 11:00 Guided Walking Tour - Quebec et ses batailles memorables (Plains of
Abraham)
 
13:00 - 18:00 Paul Teplitsky Golf Tournament Le Grand Vallon Mont-Sainte-Anne Golf Course
13:00 - 17:00 Museum  
  FREE EVENING  
Saturday, September 24
07:00 - 08:00 Breakfast - Exhibit Hall Room: Place D’Armes
08:00 - 08:30 Research Presentation V&VI Room: Jacques-Cartier
08:30 - 10:00 Dr. Timothy Head presents "Immediate Implants"
Moderator: Dr. Joseph Schwann
Room: Jacques-Cartier
10:00 - 10:30 Coffee/Tea (Room: Place D’Armes)  
10:30 - 12:00 Dr. Anil Kishen presents "Emerging nanotechnology in endodontics:
Innovative solutions to issues in endodontic disinfection and tissue stabilization"
Moderator: Dr. Joseph Schwann
Room: Jacques-Cartier
  FREE AFTERNOON  
18:00 - 19:00 President’s Reception Room: Petit Frontenac
19:00 - 22:00 President’s Dinner Room: Frontenac Room
Social Program
07:00 - 08:00 Breakfast for all Room: Place D’Armes
09:00 - 14:00 Ile d'Orleans' Tour
Parc de la chute-montmorency (Wine tasting, Sugar shack and Chocolaterie)
Room: Place D’Armes
18:00 - 22:00 President’s Reception Room: Petit Frontanac
  President's Dinner
Entertainment by The Painchaud Family Quartet
Room: Frontenac