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FRIDAY — OCTOBER 12, 2012

DENNIS P. TARNOW, DDS
JOHN WEST, DDS, MSD

To Restore Or Replace A Diseased Tooth—The Controversy Continues

In today's world of high success rates for both endodontic treatment and implant dentistry, the clinician is often faced with the difficult task of arriving at the most efficacious treatment plan for the patient.  These choices will be looked at through the eyes of two specialists having different backgrounds and orientation.

Dr. Dennis Tarnow, who received a certificate in Periodontics and Prosthodontics, and Dr. John West, who received an MSD in Endodontics, will share the key principles that guide and inform their case-planning decisions based on diagnostic facts and findings of their own cases and treatment plans, documented by pretreatment and posttreatment images, photographs, and radiographs.  Where do these two specialists agree and disagree about when to restore an endodontically diseased tooth or to extract that tooth and place an implant?  Endodontic, prosthodontic, periodontic, orthodontic, and surgical factors will be considered in the presentation. 

Both short- and long-term results as documented in the literature will be highlighted, with an emphasis on success versus survival of endodontically treated teeth and implants.  In addition, the manner in which a tooth in the esthetic zone is treatment-planned differently from a tooth located in the posterior part of the mouth will be highlighted.

Learning Objectives:

  • Key principles that guide and inform comprehensive treatment planning;
  • The importance of making the proper periodontal and endodontic diagnoses;
  • Esthetic and structural factors that impact the decision to restore or remove an endodontically diseased tooth;
  • Endodontic determinants of nonsurgical versus endodontic retreatment of a previously endodontically treated tooth.

DENNIS TARNOW BIOGRAPHIC SKETCH:  Dennis Tarnow received a certificate in Periodontics and Prosthodontics and is a diplomate of the American Board of Periodontology.  He is currently a clinical professor of Periodontology and director of Implant Education at Columbia School of Dental Medicine.  Formerly, he was professor and chairman of the Department of Perio-dontology and Implant Dentistry at New York University College of Dentistry.  Dr. Tarnow maintains a private practice in New York City.

Dr. Tarnow is a recipient of the Master Clinician Award from the American Academy of Periodontology and the Teacher-of-the-Year Award from New York University College of Dentistry, for which he was honored with a wing named after him.  He has published over one hundred articles on perio-prosthodontics and implant dentistry and has coauthored three textbooks, including one titled Aesthetic Restorative Dentistry.   He has lectured extensively in the United States and internationally in over thirty countries.

JOHN WEST BIOGRAPHIC SKETCH:  John West is affiliate associate professor at the University of Washington, from which he received his DDS degree in 1971. He is an affiliate associate professor and recipient of the Distinguished Alumni Award at Boston University’s Henry M. Goldman School of Dental Medicine, where he received, in 1975, his MSD in Endodontic.  Dr. West is founder and director of the Center for Endodontics and maintains a private practice in Tacoma, Washington.

Dr. West coauthored Obturation of the Radicular Space with Dr. John Ingle in the 1994 and 2002 editions of Endodontics and was senior author of Cleaning and Shaping the Root Canal System in Cohen and Burns’ 1994 and 1998 Pathways of the Pulp. He authored Endodontic Predictability in Dr. Michael Cohen’s 2008 text, Interdisciplinary Treatment Planning: Principles, Design, Implementation, and Dr. Cohen’s soon-to-be published Quintessence text Interdisciplinary Treatment Planning Volume II: Comprehensive Case Studies.
 

Dr. West is a fellow and 2009 president of the American Academy of Esthetic Dentistry, 2010 president of the Academy of Microscope Enhanced Dentistry, fellow of the International College of Dentists, and consultant to the ADA Council on Dental Practice.