S-16 - Targeted EMS: Clinical Applications and Digital Workflow Options

Wednesday, April 27, 2022

10:00 AM – 11:15 AM PST

Location: 124

CE: 1.25

Speaker(s)

Jarom J. Ray, D.D.S.

Chief of Endodontics
US Air Force Academy
Colorado Springs, Colorado

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Session Host(s)

Moein Sadrkhani, D.D.S, MSc

Chair of resident and new practitioner committee
Endodontist at highland park and Dallas endodontics in Dallas
Dallas, Texas

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Targeted Endodontic Microsurgery (TEMS) utilizes trephine burs and 3D-printed surgical guides to achieve precise osteotomy, root resection in anatomically challenging scenarios. This presentation will outline the clinical technique and present three lessons learned after five years of TEMS. The second half of the presentation will outline the digital workflow for guide production which is marked by conversion of a patient’s physical anatomy into digital data that forms a virtual model upon which a TEMS guide is designed and then 3D-printed. The presentation will show several methods for digitally rendering bone, teeth, neuro-vascular structures, and soft tissue, and will then describe how this data is utilized to create of a virtual model within design software. The presentation is aimed to help clinicians communicate meaningfully with a 3D printing lab. Finally, TEMS cases with treatment planning considerations will be presented.

Learning Objectives:

Describe different ways of digitizing hard and soft tissues for creation of a digital model
Describe surgical guide design principles for communication with a 3D printing lab
Describe all clinical phases of guided surgical endodontics to include presurgical evaluation, radiographic evaluation, treatment planning and intraoperative application