Dr. Nestor Tzimpoulas – Greece

Dr. Nestor Tzimpoulas received his DDS degree in 2009 from the University of Athens, Greece. He worked as clinical instructor in the department of Endodontics at Athens School of Dentistry until 2013. He received his 3-year post-graduate diploma in Endodontics in 2016 from ACTA, University of Amsterdam, The Netherlands. Since 2016 he has worked in private practices limited to Endodontics in the Hague, The Netherlands and in Athens where he owns a private practice specialized in Endodontics and Dental Traumatology.

In 2021 Dr. Tzimpoulas received the Fellowship award from the International Association of Dental Traumatology (IADT) after he successfully passed the written examination. He has translated to the Greek language the official IADT guidelines for the management of traumatic dental injuries and the ToothSOS mobile application. Dr. Tzimpoulas is the founder of the Greek platform for the management of traumatic dental injuries  www.dentaltrauma.gr. He has been author and co-author of several peer review international publications and has lectured nationally and internationally on vital pulp therapies, dental trauma, management of immature teeth and endodontics.

Dr. Tzimpoulas is member of several associations such as: IADT, AAE, NVvE, he is Board committee member of the Hellenic Association of Endodontology and Hellenic Association for Sports Dentistry.

Vital pulp therapies in trauma cases

Complicated crown fractures in permanent dentition account for up to a third of all traumatic dental injuries and the maxillary central incisors are most commonly affected. Treatment of traumatic pulp exposures is challenging for many clinicians as the primary objective is to select a treatment strategy aimed at maintaining pulp vitality particularly in immature teeth where pulp necrosis and bacterial infection can impose considerable treatment difficulties.  In the last decade due to advances in knowledge of pulp biology and the advent of bioactive materials, vital pulp therapy (VPT) has been investigated as a more definitive treatment option also for mature traumatized permanent teeth. This presentation will overview and analyze the indications, management and long-term prognosis of vital pulp therapy as a viable and definitive treatment option in permanent teeth with complicated crown  or crown to root fractures.  At the end of this presentation participants should be able to:

• Understand the biological consequences and sequalae of the pulp in teeth suffering complicated crown fractures
• Understand the indications and contraindications of VPT
• Apply current bioactive materials and perform predictably VPT in traumatized permanent teeth
• Understand the success rates and long term prognosis of VPT