"To Pull of Not to Pull"

Daniel Pompa, DDS

CE Credit hours:1

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.

Upon completion, participants will be able to:

  • Learn the 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.

DANIEL POMPA, DDS is an Oral and Maxillofacial Surgeon. He is a Fellow in both the American Association of Oral and Maxillofacial Surgeons and the International Congress of Oral Implantologists.

Dr. Pompa practiced for over 30 years in New York before becoming a guest speaker and author.  He has published in journals such as: The Journal of the American Dental Association, Dentistry Today and the New York State Journal of the Academy of General Dentistry and been featured as a Seminar Series Speaker/Consultant for the American Dental Association. Dr. Pompa is now a Colgate Speaker. In the December 2017 issue of Dentistry Today, Dr. Pompa was cited as a “Leader in Continuing Education for 2018”. He has presented over 500 lectures both Nationally and Internationally.

Dr. Pompa is also an inventor, having been issued a U.S. Patent for his contribution in developing a protocol for CT Guided Surgery in Dental Implantology and is cited today by over 250 patents.