Dr. Antonis  Chaniotis DDS, MDScDr. Clifford J Ruddle DDS, FACD, FICDDr. Terry  Pannkuk DDS, MScD

Case Discussion: Dens in Dente

Saturday, March 26, 2022 | Time: 10:00AM - 12:00PM PDT
CDE Credits: 2.00 Teaching Methods: Lecture; Live Online or Self-Instructional Video Length: 2 hours
PDL is an ADA CERP recognized provider. PDL designates this activity for 2.00 hours continuing dental education credit.
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  • Webinar Title: Case Discussion: Dens in Dente
  • Presenters: Dr. Antonis Chaniotis, Dr. Clifford Ruddle and Dr. Terry Pannkuk
  • Date Recorded: March 26th, 2022
  • Duration: 2 hours
  • CDE Credits: 2 CDE credits will be issued by Pure Dental Learning



Dens in Dente or dens invaginatus is a developmental anomaly that introduces anatomical difficulties during the endodontic management. Special and customized strategies might be required to deal with the different forms of the dens in dente anatomical complexity. In this webinar, non-surgical management of different types of dens in dente will be discussed. This webinar aims at highlighting the various non-surgical treatment strategies for the different types of dens in dente cases.

Course Outline

  1. Understand the anatomical complexity of dens in dente

  2. Understand how to customize treatment protocols according to the different type of dens in dente


The participant will learn:

  1. Different forms of dens invagination
  2. Treatment options
  3. Customized best treatment strategies

Course Evaluation

See Below

Resources and References

See Below

Supplementary Material

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Dr. Antonis Chaniotis has no relevant commercial relationships.

Dr. Clifford Ruddle has no relevant commercial relationships.

Dr. Terry Pannkuk has no relevant commercial relationships.

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Dr. Antonis  Chaniotis DDS, MDSc

Dr. Antonis Chaniotis

[javascript protected email address]
140 El. Venizelou Av., Stoa Karantinou, 1st floor, 176 76 Kallithea


Dr. Antonis Chaniotis is a graduate of the University of Athens Dental School, Greece (1998). In 2003 he completed the three-year postgraduate program in Endodontics at the University of Athens Dental School. Since 2003, he has owned a limited to microscopic Endodontics private practice in Athens, Greece.

For the last ten years, he served as a clinical instructor affiliated with the undergraduate and postgraduate programs at the University of Athens, Athens Dental School, Endodontic department, Greece. In 2012 he was awarded the title of Clinical fellow teacher at the University of Warwick, Warwick dentistry UK. He lectures extensively nationally and internationally and he has published articles in local and international Journals. He serves as an expert lecturer for various websites of on line dental education.

Dr. Chaniotis is passionate about video documentation in microscope enhanced Endodontics and believes in the educational power of video presentations. He currently serves as a certified member of the European Society of Endodontology, member of the Hellenic Society of Endodontology, of the Hellenic Association of Endodontists, of the American Association of Endodontists (AAE) and country representative of the Hellenic Association of Endodontists in European Society of Endodontology (ESE). Please visit www.endotreatment.gr for more information about Dr. Chaniotis

Dr. Clifford J Ruddle DDS, FACD, FICD

Dr. Clifford Ruddle

[javascript protected email address]
122 S. Patterson Ave, Ste. 206
Santa Barbara, CA 93111


Internationally recognized as a leading expert in all aspects of clinical endodontics, Dr. Ruddle is acclaimed for providing superb endodontic education through his teachings, clinical articles, training manuals and multimedia products. He is the founder and director of Advanced Endodontics®, an international educational source in Santa Barbara, California. Dr. Ruddle created the world's first private microendodontic simulation training center in 1989 and has trained several thousand dentists microscope-assisted endodontic techniques. He is well-known for his ability to empower colleagues and motivate clinicians towards their full potential. Additionally, Dr. Ruddle maintains a private practice limited to endodontics in Santa Barbara.

Dr. Ruddle received his dental degree from University of the Pacific, School of Dentistry, San Francisco, California, in 1974. In 1976, he completed his postgraduate work in endodontics at Harvard School of Dental Medicine, Boston, Massachusetts.

Dr. Terry  Pannkuk DDS, MScD

Dr. Terry Pannkuk

[javascript protected email address]
9 E Pedregosa Street, Suite B
Santa Barbara, CA 93101
United States


Dr. Terry Pannkuk, a native of California, graduated from University of California at Los Angeles with a degree in Biology, Georgetown Dental School with a D.D.S., and Boston University with an M.Sc.D. in Endodontics. He is a Diplomate of the American Board of Endodontics, former editor and publisher of The Endodontic Report, former president of the Boston University Endodontic Alumni Association, current reviewer for the Journal of Endodontics (official journal of the American Association of Endodontists), Past President of the Academy of Microscope Enhanced Dentistry, President and Founder of the Schilder Institute for the Advancement of Endodontics, Editor and Publisher of PDL (Pure Dental Learning), Volunteer Clinical Professor at the University of California at San Francisco, and international lecturer-author of topics relating to clinical endodontics.

He lives and practices in Santa Barbara, California.

Resources and References

1. Siqueira JF Jr, Rôças IN, Hernández SR, Brisson-Suárez K, Baasch AC, Pérez AR, Alves FRF. Dens Invaginatus: Clinical Implications and Antimicrobial Endodontic Treatment Considerations. J Endod. 2022 Feb;48(2):161-170. doi: 10.1016/j.joen.2021.11.014. Epub 2021 Dec 11. PMID: 34902355.

2. Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J. 1997 Mar;30(2):79-90. doi: 10.1046/j.1365-2591.1997.00065.x. PMID: 10332241.


Original Release Date: March 26, 2022
Review Date: TBD
*Expiration Date: March 26, 2025

*Self-instructional activities are reviewed at least once every three years, or more frequently if indicated by new scientific developments, to ensure that content is current and accurate.

CDE Credits

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