Date: 14 October
Venue: G pavilon, 4. room
Presenters: Dr. Benyőcs Gergely, Dr. Roberto Cristescu, Dr. Hugo Sousa Dias, Dr. Mile Churlinov, Dr. Eugenio Pedulla, Dr. Eugen Buga
Dr. Benyőcs Gergely
14 October, Saturday
Dr. Benyőcs Gergely
Minimally invasive endodontics: is it a new fashion or a reliable option?
9:30 - 10:15
Ninja, sumo, keyhole, moushole preparation, non- prep endo, guided endo ,truss access etc. – strange expresisons became popular in recent days in endodontics. What is the rationality behind it? Is it worth to be minimally invasive during endodontic treatments, braking sometimes the traditional rules? In my presentation – focusing on a patient-centric approach – i will give answers to this actual questions.
Dr. Roberto Cristescu
Root Canal Retreatment – from evidence base to a clinical approach.
10:15 - 11:15
This presentation will focus on the indications for nonsurgical retreatment of teeth in cases in which previous endodontic treatment has failed. In order to achieve successful outcomes with these treatments, it is of paramount importance to make good case selection. A brief update on the scientific literature on direct outcome data will be presented in order to assess the possible limits and expectations regarding root canal retreatment procedures. The participants will be guided through a series of clinical cases of nonsurgical root canal retreatment, in which a clinical approach that is minimally invasive but still efficient will be demonstrated. The advantages of this therapeutic method will be balanced with the drawbacks and risks it involves. Only this way can both the practitioner and the patient chose the most suitable option for treatment. Nonsurgical retreatment remains a predictable way of saving patients’ natural dentition in endodontics. Objectives: -establish a correct diagnosis which requires a root canal retreatment -identify the causes of failure of initial treatment -know the real success rates of endodontic retreatment -understand some technical aspects of root canal retreatment
Dr. Hugo Sousa Dias
Calcified canal and it’s management: an endodontic challenge.
11:30 - 12:30
Clinical management of calcified teeth provide an endodontic treatment challenge and makes up a significant portion of current endodontic practice. The people are living longer and want to mantain their natural dentition. There are several factors that might influence the development of varying degrees of moderate and severe calcification of the pulp chamber as well as the root canal system, like, multiple restorations, trauma, vital pulp therapy and chronic irritation from deep restorations or cracks. Pulp canal obliteration, also called calcific metamorphosis, is a sequelae of tooth trauma, and it’s generally asymptomatic and clinically the patients present to the practitioner with yellow discoloration of the affected tooth crown and apparent loss of the pulp space radiographically. The critical management decision is: when to treat these teeth endodontically ? The difficulty degree of the clinical management of this kind of cases, the practicioner should be aware of the possible complications, that may occur. This lecture try to give some tips to help the clinician to deal with this clinical challenge.
Dr. Eugenio Pedulla
Trends in endodontics to improve shaping, cleaning and obturation procedures.
12:30 - 13:30
Mechanical instrumentation represents a crucial step in the control of intracanal microbial infection for successful root canal treatment. The conference will address the latest trends in endodontics proposing a clinical approach based on current scientific evidence. Different phases of the endodontic treatment, from the access cavity preparation up to apical finishing will be discussed in a critical view of the difficulties due to the complex anatomy of root canal. In fact, the anatomy of the root canal is often oval, while the tools and techniques today are designed to work ideally in circular ducts. Consequently some changes in operational techniques and / or endodontic instruments must be carried out during the shaping and disinfection of the endodontic system. Characteristics of new heat-treated controlled memory files as flexibility, fracture resistance and lack of super elasticity allow adequate anatomically driven preparations even for highly curved canals. Moreover, the new electrical discharge machined (EDM) HyFlex™ allow a reduction of the number of files needed to prepare root canals thanks to their controlled memory properties and high cutting efficiency. Hyflex EDM and CM mechanical properties and their comparison with other NiTi instruments suggest a specific clinical use evidenced based of this instruments. Modern endodontic treatment needs to improve: disinfection of root canals mechanically, chemically and physically while maintaining original anatomy and avoiding iatrogenic errors; the correct selection of the final apical diameter and the relative size and material of the filling. Following these principles, supported by the most recent literature, a new approach to endodontic therapy to simplify, but also optimize the procedures will be discussed.
Dr. Mile Churlinov
Pulpotomy in permanent dentition- not what you expected.
14:45 - 15:45
Pulpotomy treatment in selected cases can be considered an option to conventional root canal therapy in permanent dentition. Previous researchers have confirmed the positive clinical and histological outcome of this treatment modality. Saving pulp vitality is fundamental in immature permanent teeth, it is a reliable and inexpensive procedure that can be performed in a single session. According to the literature, it presents almost identical success in comparison to conventional root canal therapy. The pulpotomy should be performed by an Endo- Aesthetic team, because the outcome of this treatment is limited without considering the aesthetics and restorative demands. Clinical objective: Pulpotomy can be considered as a treatment option to conventional root canal therapy in immature permanent teeth, complicated fractures and reversible pulpitis. Keywords: pulpotomy, calcium silicate cements
Dr. Eugen Buga
Instrumentation of severely curved root canals
15:45 - 16:45
Instrumentation of severely curved root canals should not scare dentists. With correct approach and well systemized instrumentation protocol , the management of severely curved root canals will become easier and more predictable. What protocol of instrumentation to use ? Which technique? Which files? What kind of tips and tricks are useful for severely curved canals ? What is the key to avoid errors in instrumentation ? Tens of clinical cases with treatment and retreatment of teeth with severe curved root canals will be discuss and analyze. With answers to these questions, management of severely curved root canals will become much easier and predictable.
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