Saturday 14th January 2023

Venue: The View at The Royal College of Surgeons of England

About The Event

​

Time & Location

14  January 2023, 09:30 am (Registration from 09.00 am)

Venue: The View at the Royal College of Surgeons of England,  38-43 Lincoln's Inn Fields, London, WC2A 3PE

​

Speaker Profile

Prof. Thomas Kvist DDS, PhD

Associate Professor, Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden

​

Thomas Kvist has practiced general dentistry in Sweden and in Sorrento, Italy. He completed specialization in endodontics in 1993 and received his PhD in 2001 at the Department of Endodontology, University of Gothenburg, Sweden where he is presently head and holding a position as associate professor. For several years, he was director of the postgraduate program and head of the Specialist Clinic for Endodontics at Public Dental Service in Gothenburg. He has published articles in peer-reviewed journals on decision-making and clinical outcome in endodontics. He also authored several textbook chapters and edited a textbook on apical periodontitis in root- filled teeth in English and co-authored a textbook in Endodontics as well as one on Dental ethics in Swedish. Thomas Kvist participated in the project group for the report Methods of Diagnosis and Treatment in Endodontics published in 2010 by the Swedish Council on Health Technology Assessment (SBU) and Swedish National Board of Health and Welfare's work to provide National guidelines for adult dental care. He is a member of the editorial board of the International Endodontic Journal. Thomas Kvist is also a participant in the Endodontic Research Collaboration in Scandinavia (EndoReco).

​

Aims and Objectives

From epidemiological surveys we know that 25-50% of root filled teeth are associated with radiographic signs of apical periodontitis. It has been established that such a condition is to be regarded as an endodontic failure and thus requires treatment. However, several investigators have highlighted the great variation in clinical decision making of endodontic failures. With new imaging technologies like CBCT it also stands clear that postoperative situations without symptoms and agreeable periradicular conditions, as can be assessed on intraoral radiographs, may still prove to have signs of residual inflammation. At the same time, we face a renewed interest in a possible association between endodontic infections and general health. This state of affairs put your finger on a crucial point. What should be regarded as sick and what needs to be treated and what does not need to be addressed?

High-quality scientific evidence of the benefits of retreatment compared to conservative monitoring or radical extraction and tooth replacement is meagre.

Still, endodontic retreatment is the distinctive feature of many specialist clinics in endodontics and retreatment methods and techniques are frequently presented at conferences, in journal papers and in textbooks. Available modern equipment has made both non-surgical and surgical retreatment methods more precise and the outcome more predictable. However, the choice between a non-surgical or surgical management in particular conditions is still controversial among specialists.  

 

The aims and learning points of these lectures are:

• To get a deeper understanding of the complexity of apical periodontitis in root filled teeth and to point out some particular areas that need to be further investigated.

• To broaden the perspective of the concept of "success and failure in endodontics” with the help of philosophy and ethical reflection.

• To present a clinically useful strategic decision making model for both diagnosis and management of root-filled teeth with apical periodontitis including a guide to select between non-surgical or surgical retreatment in individual cases.

 

​

Outline of the day

​