Dental Trauma and Conservative Endodontics: Contemporary Approaches to Long-Term Tooth Preservation. Seminar by Nestor Tzimpoulas. "VIP" option

Dental trauma demands rapid decisions, precise diagnosis, and a clear understanding of the biological processes that determine whether a tooth can be saved. From the first emergency assessment to the management of complex post-traumatic complications, every clinical decision can influence the long-term prognosis.

This intensive two-day seminar with Dr. Nestor Tzimpoulas provides a practical, evidence-based approach to managing traumatic dental injuries in children and adults, with a particular focus on pulp preservation, endodontic treatment, and the use of bioceramic materials.

During the seminar, you will learn about:

— Emergency assessment and trauma management: Diagnose fractures, luxation injuries, avulsion, and alveolar fractures, and apply evidence-based treatment protocols in accordance with IADT guidelines

— Pulp vitality and endodontic decision-making: Understand pulpal healing, identify the risk of pulp necrosis, and select appropriate treatment strategies for traumatized teeth

— Post-traumatic complications: Diagnose and manage pulp canal obliteration, root resorption, ankylosis, and alveolar bone loss

— Immature permanent teeth: Explore vital pulp therapy, apexification, and regenerative endodontic procedures to support continued root development and preserve natural teeth

— Bioceramic materials in clinical practice: Learn how to select and apply calcium-silicate materials for pulp therapy, apical barrier formation, and the management of open apices

— Long-term and interdisciplinary treatment planning: Explore orthodontic, surgical, and restorative strategies for complex cases, including traumatic tooth loss and the preservation of alveolar bone.

The goal is to move beyond managing the immediate injury and develop a structured approach to preserving traumatized teeth, preventing complications, and improving long-term clinical outcomes.

VIP participants will have the exclusive opportunity to attend the practical portion of the course as observers.

You will witness the instructor perform each step while receiving detailed, step-by-step explanations of all clinical decisions. This unique format lets you experience real techniques in action and fully grasp the clinician’s decision-making process.

Please note! The following course participation options are also available:

Seminar – Standard

Seminar – Comfort

Hands-On Workshop

Advantages of the “Seminar + Demonstration. VIP” participation option:

– Access to the scientific programme

– Coffee breaks

– Course materials

– Certificate of attendance

– ADA credits available upon request

– Lunch

– Priority seats in the venue

– VIP certificate

– VIP badge

– Participation in the practical masterclass demonstration

– Access to online educational content:

Paul V. Abbott — "Online encyclopedia of dental trauma"

Program

Day 1 (March 5)

The Emergency Appointment — From the Accident to Diagnosis

— Epidemiology, etiology, and predisposing factors for traumatic dental injuries

— Contemporary classification of traumatic dental injuries

— First-aid instructions by telephone: what should we tell the patient or parent?

— Preparing the dental office for a trauma emergency

— The dental trauma first-aid kit

— Taking an appropriate trauma history

— Systematic extraoral and intraoral clinical examination

— Sensibility testing and baseline clinical documentation

— Radiographic examination following dental trauma

— Use of the ToothSOS mobile application and Dental Trauma Guide

— Introduction to contemporary IADT guidelines

— Establishing the initial diagnosis, treatment priorities, and follow-up strategy.

Crown Fractures — Diagnosis, Emergency Care and Definitive Management

— Enamel and enamel-dentin fractures

— Uncomplicated versus complicated crown fractures

— Diagnosis and assessment of traumatic pulp exposure

— Fragment storage and reattachment techniques

— Restorative management of fractured anterior teeth

— Vital Pulp Therapy following traumatic pulp exposure

— Treatment decision-making according to pulp status and root development

— Clinical cases covering different crown-fracture scenarios

— Long-term follow-up and prognosis.

Crown-Root Fractures

— Classification and diagnosis of crown-root fractures

— Clinical and radiographic assessment

— Identification of fracture extension and periodontal involvement

— Emergency stabilization and management

— Management of the fractured fragment

— Restorability assessment

— Treatment options according to fracture location and severity

— Periodontal and orthodontic considerations

— Interdisciplinary treatment planning

— Long-term prognosis.

Root Fractures

— Classification and diagnosis of horizontal and oblique root fractures

— Understanding the biological healing response

— Healing patterns following root fracture

— Clinical and radiographic assessment

— The role of CBCT in selected root-fracture cases

— Repositioning and stabilization of the coronal fragment

— Splinting principles and duration

— Pulpal response following root fracture

— When is endodontic treatment actually indicated?

— Management of pulp necrosis following root fracture

— Follow-up protocols and long-term prognosis

— Clinical cases illustrating different healing patterns and complications.

Luxation Injuries — Diagnosis, Repositioning and Stabilization

— Understanding periodontal ligament injuries

— Concussion and subluxation

— Extrusive luxation

— Lateral luxation

— Intrusive luxation

— Clinical and radiographic diagnosis

— Identifying associated alveolar and soft-tissue injuries

— Role and indications of CBCT

— Repositioning strategies according to the type of luxation injury

— Spontaneous, orthodontic, and surgical repositioning of intruded teeth

— Flexible splinting: indications, materials, techniques, and duration

— Pulpal and periodontal healing after luxation injuries

— Endodontic considerations following severe luxation injuries

— Treatment differences between mature and immature permanent teeth

— Follow-up protocols, expected complications, and prognosis.

Soft-Tissue Injuries Associated with Dentoalveolar Trauma

— Systematic examination of lips, gingiva, oral mucosa, and facial soft tissues

— Recognition of lacerations, abrasions, and contusions

— Detection of embedded tooth fragments and foreign bodies

— Radiographic examination of soft tissues

— Principles of wound cleaning, irrigation, and debridement

— Basic principles of wound closure and suturing

— Healing assessment and follow-up

— Common complications and technical errors.

Avulsion — From the Accident Site to Long-Term Management

— Biological consequences of tooth avulsion

— What happens to the periodontal ligament after avulsion?

— First-aid instructions at the site of injury

— Immediate replantation: when and how?

— Extra-alveolar time and its influence on prognosis

— Appropriate storage media for the avulsed tooth

— Management of the root surface

— Management of the alveolar socket

— Replantation technique

— Flexible splinting following replantation

— Endodontic considerations in mature and immature teeth

— Management according to periodontal ligament viability

— Expected complications following replantation

— Inflammatory resorption, ankylosis, and replacement resorption

— Follow-up protocols and long-term prognosis.

Alveolar Fractures

— Clinical and radiographic diagnosis

— Recognition of alveolar segment displacement

— Repositioning of the fractured alveolar segment

— Stabilization and splinting

— Management of associated dental and soft-tissue injuries

— Follow-up and prognosis

— Clinical Case Discussion.

Day 2 (March 6)

Pulp Necrosis Following Dental Trauma

— Pulpal healing following traumatic dental injuries

— Why and when does pulp necrosis develop?

— Risk assessment according to injury type and severity

— Diagnosis of pulp necrosis following dental trauma

— Challenges and limitations of pulp sensibility testing

— Mature versus immature permanent teeth

— Timing of endodontic intervention

— Endodontic treatment following traumatic dental injuries

— Management of the immature necrotic permanent tooth

— Root development and open-apex anatomy

— Apexification and apical barrier techniques

— Regenerative endodontic procedures

— Biological and clinical considerations in treatment selection

— Long-term follow-up and prognosis.

Pulp Canal Obliteration

— Biological mechanisms leading to pulp canal obliteration

— Which injuries are associated with PCO?

— Expected clinical and radiographic presentation

— Pulp canal obliteration versus pulp necrosis

— When should we intervene?

— Management of asymptomatic obliterated teeth

— Endodontic treatment of calcified teeth

— Role of CBCT and guided endodontics

— Management of discoloration

— External versus internal bleaching strategies

— Long-term follow-up and prognosis.

Post-Traumatic Root Resorption

— Biological mechanisms of root resorption

— Classification of internal and external root resorptions

— Differential diagnosis of resorptive defects

— Internal root resorption

— External inflammatory root resorption

— External replacement resorption

— Ankylosis

— External cervical resorption following trauma

— Clinical and radiographic diagnosis

— Role of CBCT in diagnosis and treatment planning

— Risk factors and expected timing following different injuries

— Prevention and early identification

— Contemporary endodontic treatment approaches

— Calcium hydroxide and calcium-silicate materials in resorption management

— Treatment limitations and prognosis

— Clinical cases illustrating different resorption patterns.

Post-Traumatic Alveolar Bone Loss

— Periodontal and alveolar consequences of severe traumatic injuries

— Diagnosis and monitoring of marginal and alveolar bone loss

— Relationship between ankylosis, replacement resorption, and alveolar development

— Management strategies

— Interdisciplinary considerations in the growing patient.

Interdisciplinary Management of the Traumatized Patient

— Treatment planning following traumatic tooth loss

— The growing patient: why timing matters

— Preserving alveolar bone and soft-tissue architecture

— The role of orthodontics following dental trauma

— Orthodontic space opening versus space closure

— Orthodontic management of ankylosed teeth

— Tooth autotransplantation following traumatic tooth loss

— Biological principles and indications for autotransplantation

— Timing and patient selection

— Decoronation of ankylosed permanent teeth

— Indications and timing for decoronation

— Preservation of alveolar development

— Prosthetic considerations during growth

— Timing of implant placement following dental trauma

— Challenges of implant placement in previously traumatized sites

— Potential implant-related complications

— Developing an individualized interdisciplinary treatment plan.

Bioceramic Materials in Dental Traumatology — From Biology to Material Selection

— Calcium-silicate/bioceramic materials: biological and clinical principles

— Material properties relevant to dental traumatology

— Conventional powder/liquid versus premixed materials

— Putty, flowable, and injectable formulations

— Bioceramics for direct pulp capping and pulpotomy

— Bioceramics for vital pulp therapy in traumatized teeth

— Bioceramics for apexification

— Apical barrier materials and techniques

— Management of wide and divergent open apices

— Apical matrices: indications and material selection

— Material placement and condensation techniques

— Common clinical and technical mistakes

— Selecting the appropriate bioceramic according to the biological and clinical situation.

Demonstration Masterclass: VIP Participants Only

Format: Observer

Vital Pulp Therapy & Apexification of Immature Teeth

— Management of a traumatic pulp exposure

— Access and pulp tissue management

— Partial/full pulpotomy technique

— Hemostasis

— Selection of the appropriate calcium-silicate/bioceramic material

— Placement and adaptation of the bioceramic pulp dressing

— Appropriate thickness and positioning of the material

— Principles of immediate coronal sealing and restoration.

Apexification & Bioceramic Apical Plug. Managing the Necrotic Immature Tooth with an Open Apex

— Access and canal preparation

— Irrigation principles for immature teeth

— Working-length considerations

— Apical gauging

— Assessment of open-apex anatomy

— Selection and placement of an apical matrix when indicated

— Selection of the appropriate bioceramic material

— Placement of a bioceramic apical plug

— Controlled condensation and adaptation

— Verification of apical plug thickness

— Management of wide and divergent apices

— Troubleshooting common technical difficulties

— Principles of subsequent canal filling and coronal restoration.