19th ESP Biennial Convention

Overcoming the Pandemic: Challenges in the Practice of Endodontics in the New Normal
8:30 AM to 12:00 NN
via Google Meet

Speakers and Lectures

Takaaki Kishimoto, DDS, MSD, PhD

Takaaki Kishimoto, DDS, MSD, PhD

Dr. Takaaki Kishimoto is a Diplomate of the American Board of Periodontology. He obtained his DDS degree from the Nagasaki University School of Dentistry, his Master of Science in Dentistry degree from the Indiana University School of Dentistry and PhD from the Nagasaki University Graduate School of Biomedical Sciences, Department of Periodontology. He is a Certifying Periodontist, Japanese Society of Periodontology.

He had his GPR residency at the Nagasaki University Hospital. He is a Clinical Associate Professor at the Nagasaki University School of Dentistry and is the Vice-Director and Periodontist at the Kishimoto Dental Office.

He has lectured in the Annual Meetings of the American Association of Periodontology, Japanese Association of Periodotology and among others, Euro-Perio, IADR, in Asia, America and Europe. He has several articles published in the Journal of Periodontal Research, to wit:

  • Peptidoglycan and lipopolysaccharide synergistically enhance bone resorption and osteoclastogenesis. Kishimoto T, Kaneko T, Ukai T, Yokoyama M, Ayon Haro R, Yoshinaga Y, Yoshimura A, Hara Y J Periodontal Res. 2012 Aug;47(4):446-54.
  • Membrane-bound CD40 ligand on T cells from mice injected with lipopolysaccharide accelerateslipopolysaccharide-induced osteoclastogenesis. Yokoyama M, Ukai T, Ayon Haro ER, Kishimoto T, Yoshinaga Y, Hara Y J Periodontal Res. 2011 Aug;46(4):464-74.
  • Locally administered interferon-γ accelerates lipopolysaccharide-induced osteoclastogenesisindependent of immunohistological RANKL upregulation. Ayon Haro ER, Ukai T, Yokoyama M, Kishimoto T, Yoshinaga Y, Hara Y J Periodontal Res. 2011 Jun;46(3):361-73.

Periodontal Considerations for Treating Endo-Perio Lesion

According to the 2017 world workshop new periodontal classification, the Endo-Perio lesions (EPL) are classified as one of the categories of "the other conditions affecting the Periodontium", and known as complex clinical conditions associated with both pulpal and periodontal tissues.

The EPL is one of the most challenging clinical problems because of its complexity of the disease. Furthermore, The interactions between periodontics and endodontics are not only the EPL but also Periapical peri-implantitis, which characterized by periapical radiolucency with or without clinical symptoms and inflammation. The various studies suggested endodontic lesion at adjacent teeth is one of the main etiology of the Periapical peri-implantitis. For these reasons, we as Endodontists and Periodontists require multidisciplinary evaluation, diagnosis, prognosis, and treatment.

For treating the EPL, understanding the anatomical and biological principles of periodontal diseases and conditions is one of the keys. Therefore, this lecture outlines anatomical characteristics, evaluation, diagnosis, and prognosis of periodontal tissues associated with the EPL as well as the Periapical peri-implantitis.

Learning Objectives:

  • To understand the anatomical features of periodontal tissues associated with the EPL
  • To make a more precise periodontal examination and diagnosis related to the EPL
  • To make the prognosis of periodontitis following endodontic therapy of the EPL
  • To understand peri-implant complications related to the endodontic lesions
Irene Grace Achacoso-Porter, DMD, Cert. Endo, Dip. Endo

Irene Grace Achacoso-Porter, DMD, Cert. Endo, Dip. Endo

Dr. Irene Grace Achacoso-Porter is a Diplomate and the Chairman of the Philippine Board of Endodontics (PBE). She is a member of UP Dental Alumni Association (President 2004-2006), Philippine Academy of Public Health Dentistry, Endodontic Society of the Philippines (ESP), American Association of Endodontists (AAE), International Association for Dental Research (IADR), American Dental Education Association (ADEA), International Association for Dental Traumatology (IADT), European Organisation for Caries Research (ORCA) and the Speakers Bureau-Philippine Dental Association (PDA).

She obtained her Doctor of Dental Medicine degree from the College of Dentistry, University of the Philippines, Manila. She underwent a Dental Externship Program at PGH, Health Sciences Center, Department of Dentistry, University of the Philippines and obtained her two-year Postgraduate Certificate in Endodontics from the College of Dental Medicine, Columbia University, New York, New York, USA.

Her teaching experience includes:

  • Adjunct Assistant Prof., Division of Endodontics, College of Dental Medicine, Columbia University, New York, N.Y. USA, 1997-2011
  • Conducted private seminars and workshops in basic and advanced Endodontics, 1994-2011
  • Volunteer Lecturer in Oral Histology, College of Dentistry, University of the Philippines, Manila, Philippines, 1999 to 2003
  • Teaching assistant for Endodontics at the undergraduate level, College of Dental Medicine, Columbia University, New York, New York, USA, 1994-1997
  • Directed the preclinical and clinical undergraduate courses, directed a few Post-graduate continuing education short courses in Endodontics for dental general practitioners. College of Dentistry, University of the Philippines, Manila, Philippines, 1984-1989
  • Handled pre-clinical Endodontics and Oral Radiography undergraduate courses. College of Dentistry, University of Baguio, Baguio City, Philippines, 1989-1993
  • Directed the didactic and laboratory courses in Endodontics and Oral Radiography for undergraduate students. College of Dentistry, University of Baguio, Baguio City, Philippines, 1982-1983

Dr. Porter is a sought-after lecturer here and abroad. She is active in Dental Outreach Programs in Zambales and Bulacan and with the Virlanie Foundation, in partnership with the Research and Manufacturing Divisions of UNILAB Philippines. She sits as a Judge in the IADR-SEA/Dentsply Student Clinicians Program Dentsply. She is Top 10 in the Philippine Dental Board Examination and has been awarded 1994 Dangal ng Iba Award by the Municipality of Iba, Zambales in 2005.

She has a Specialty Practice in Endodontics.

Antibiotics and Analgesics in Endodontic Emergencies

What remains to be a common misconception among patients about getting root canal treatments is that it involves an excruciating amount of pain. This has been the unchanged mindset of patients for decades, and this perception must shift to something that can be helpful and preventive rather than pain-inducing and dreadful.

In general, pain arising from diseases of the pulp and peri-radicular area are easily controlled by analgesics. The task only becomes challenging when a tooth has symptomatic irreversible pulpitis and there is no way the pulpal inflammatory exudates are vented—this is when analgesics will not sometimes work. The only logical step is to perform an emergency procedure to relieve the pain via pulpotomy.

On the other hand, pain and swelling of endodontic origin do not always need antibiotic use. The knowledge and principles in dispensing antimicrobials cannot be overemphasized, as there remains a continuous call from the World Health Organization, FDI, ADA, for its judicious use.

This lecture will discuss the use of analgesics for pain control in inflammatory disease of the pulp and periradicular tissues, as well as when, what kind and the basis in choosing the appropriate antibiotics when treating infected necrotic pulp with acute apical abscess.

Learning Objectives:

  • To know why antibiotics is not necessary in treating pain from symptomatic irreversible pulpitis
  • To understand the factors in the management of pain from pulpo-periapical disease
  • To know when and what antibiotics to dispense in immunocompetent patients diagnosed with necrotic infected pulp with acute apical abscess