What alternative treatment options should be considered when the "Initial" Endodontic (Surgical and/or Non-surgical)

Failure occurs? With the introduction of new techniques and a systematic approach for the diagnosis and treatment of compromised teeth, the attendee will be able to more accurately determine the long term prognosis with multiple treatment options. Advancements in both surgical and non-surgical procedures have resulted in success rates that can be equivalent to the success rates for an implant replacement. The title of the presentation does not only involve teeth. We will also describe when it is ideal to remove an implant and approaches to reduce the incidence of peri-implantitis. Prosthetic and surgical approaches for interdental papilla enhancement will be described. A description of a technique for previously thought of non-restorable teeth will be shown with long term positive results. Will will also review how data from recent publications about hemi-sected and periodontally compromised teeth have been improved. A discussion about treatment planning with an emphasis on bone physiology and physics will be reviewed.

Learning Objectives:
- Be able to differentiate between an Endo/Perio vs. Perio/Endo lesions and understand the difference as it relates to a long term prognosis
- Know when it is NOT ideal to remove a tooth and replace it with an implant
- Recognize how the location of a sinus tract can be a key critical diagnostic indicator for the long term prognosis
- Appreciate how the use of a surgical guide can significantly reduce complications. ie minimizing Peri-implantitis and Early Crestal Bone loss
- Learn the statistical difference in the long term Prognosis for Root Canal Treatment vs. Apical Surgery vs. Removal and Implant Placement
- Become aware that many long held and generally accepted principles do not always hold up over time ie: Long term prognosis for Hemi-sected teeth and long term prognosis for teeth with 50% bone loss.
- Develop new approaches to Treatment Planning incorporating principles of physics and bone physiology
- See how the development and incorporation of Sinus Augmentation has changed our approach to Treatment Planning.
- Elaborate on how to Prosthetically perform both Crown Lengthening and Papilla Enhancement
- Gain knowledge about the different Biotypes and the effect on Implant Esthetics and Long Term Osseous Changes along with an appreciation of the potential complications associated with each.

Dr. Daniel Pompa, DDS

Dr. Daniel Pompa, 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 Oral and Maxillofacial Surgery for over 30 years in New York City and now lectures full-time. In the October 2022 issue of “Dentistry Today”, Dr. Pompa was cited as a “Leader in Continuing Dental Education” for 2023. He was also listed in 2018, 2019, 2020, 2021 and 2022. He has been a guest speaker multiple times at Columbia University College of Dental Medicine and New York University College of Dentistry. Dan is now a guest speaker at the University of Florida College of Dentistry, New York University College of Dentistry, Boston University Henry M. Goldman School of Dental Medicine, University of Maryland School of Dentistry, University of Pittsburgh School of Dental Medicine, Midwestern University College of Dental Medicine- Arizona, University of Tennessee College of Dental Medicine, University of Minnesota School of Dentistry and the Oregon Health Science University School of Dentistry. Dr. Pompa has published in numerous journals including: The “Journal of the American Dental Association”, “Dentistry Today”, and the “New York State Journal of the Academy of General Dentistry”. Dan has been featured as a Seminar Series Speaker/Consultant for the American Dental Association and is presently a Colgate Speaker. Dr. Pompa has now presented over 500 lectures both Nationally and Internationally. The Medical Emergency full-day course in now being presented throughout the U.S. and Canada and now in Europe and South America. Dan also has lecture topics on Dental Implants, “To Pull or Not to Pull” and “The Single Tooth Implant”. All of these topics are for the entire Dental Team. 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. His patent (U.S. Patent 5,320,529) is cited today by over 350 new patents. Dan is an avid golfer and has organized several Charity Golf Tournaments to raise money for our Veterans at the Northport VA Hospital. He is also the host of the "New York Classic Film Club" which is in its eighth year and meets at the Port Washington Public Library on Long Island, New York. Dan has many hobbies and interests over the years that he has shared with his wife and two sons. These include traveling, skiing, golf, photography, biking, and film studies. If he is not on the road presenting lectures he can often be found on the golf course with his wife or playing with and spoiling his five grandchildren.