MODERATORS: Elisabetta Cotti, Denise Pontoriero
Modern clinical practice requires dentists to be familiar with new development in materials, instruments and procedures to guide their patients to the right path to enjoy esthetics and function of dentition through their lives. Two fundamental clinical dilemma facing dentists today is “save the teeth thru endodontics or extract them and replace with implants”. Correct answer is not easy. All depends on which angle you are looking at, from implant or endodontics. Regardless there has to be a common agreement between dentists what is right thing to do. In this context many dentists are not aware of tremendous advancement in Endodontics and but Implants past decades. In this lecture I will try to develop a consensus what to save and what to extract and replace with implants. It is utmost important for dentists to be educated the pros- and cons- of the both fields and such that they can guide their patients to the right path. This is ultimate responsibility of being a dentist.
Clinical techniques are didactically taught in dental schools, with protocols passed from one generation to the next, based on materials and techniques used in dental practice. Recently a series of evidence-based position statements have been published providing guidelines for clinical procedures in both Endodontics and Traumatology. Being evidence-based guidelines, the nature, quality and quantity of the primary research that supports the statements is not always dependable. This session will discuss and analyze the scientific evidence on which recently published position statements for which clinical procedures are based. Also discussed will be the gap between the reported scientific evidence of these procedures and their final official position statements based on that supporting evidence.
Endodontists are experts in treating acute pain. However, despite seemingly ideal endodontic treatment, sometimes the pretreatment pain can persist, or a new type of pain can emerge, creating confusion and suffering for patients and a real dilemma for clinicians. Some insights from investigations into chronic pain after non-oral surgery will be presented, and related to persistent post-endodontic treatment pain. Results from an ongoing study on post-operative pain after root end surgery will also be discussed. Some case-based scenarios will be presented.
The PIPS/SWEEPS technology is used to activate irrigants commonly used in endodontics (NaOCl and EDTA) but cannot substitute standard instrumentation. The insertion of the fiber tip into the access cavity allows for efficient irrigation even when there’s minimal canal preparation ISO 20-25/04.
PIPS/SWEEPS protocol has been validated by abundant research data and not only . Scanning electron microscopy, confocal scanning laser microscopy and the micro ct scan have all been used to evaluate the cleansing of the smear layer, debris and pulpal tissue. Published bacteriological studies have confirmed the elevated in-depth cleansing and disinfection attained using these techniques.
In this lecture a panorama of scientific concepts at the base of the PIPS/SWEEPS clinical applications as well as a series of clinical cases will be presented.
The maintenance of the natural element is becoming increasingly important both from the patient’s and the clinician’s point of view and, consequently, in parallel, the value of correct Endodontics is growing, a discipline that has a pivotal role for this purpose.All the different phases of the endodontic treatment must be carried out carefully and accurately, but certainly, the shaping represents one of the most delicate and important moment of the whole treatment.The phase in which mistakes can be made which then affect the success of the treatment in both the short and long term.
The aim of the course is to analyze step by step each phase of the shaping, from scout-ing to pre-flaring, to the creation of the glide-path up to the apical finishing, sharing tips and tricks of a simple, intuitive, reproducible technique that uses a few simpleinstruments adaptable practically to all anatomies, from the simplest to the most complex, always respecting the fundamental concept of minimally invasive, so important for the maintenance of the natural element.
The obturation of the root canal system is a very important step of the root canal treat-ment in order to achieve a positive outcome of the therapy; as a matter of fact an high percentage of the endodontic failures are associated with incomplete root canal obtura-tion.
The Warm Gutta Percha techniques fixed the problems arising from the cold techniques, allowing the clinician to properly seal the root canal system in a three dimensional way.
Warm gutta percha techniques are certainly the best techniques to achieve the obturation objectives and can be considered the “golden standard” techniques to get an high quality obturation. Lately, the introduction of the Bioceramic sealer changed the obturation sce-nario. Bioceramic sealers represent a real game changer; thanks to their properties brou-ght a specific obturation technique back from the past and make it more modern and predictable: the Single Cone. In both cases, to carry out a proper obturation is really im-portant that the clinician knows the technique and the characteristics and /or properties of the materials he is using, as sealer and obturation devices.
The aim of this workshop is first to analyze characteristics, benefits and limitation of the different techniques in order to create a rationale for the selection of a specific obturation technique according with the clinical situation. The second aim is to share with the atten-dees the clinical experience of the speaker on Warm Gutta Percha techniques, analyzing details and sharing tips, never forgetting that nowadays the Single Cone – thanks to bio-ceramic sealer – has become a very interesting option when it comes to carry out high quality root canal obturation.
The participants will have the opportunity during the workshop to apply the obturation techniques on 3D printed model for better understanding the teachings received during the theoretical part.