PROGRAM

SPEAKERS

Presentation title: Access cavity as crucial step in endodontic treatment. History and current guidelines. 

Abstract:
The access cavity is one of the more challenging aspects of endodontic treatment. Inadequate access cavity preparation may result in inadequate cleaning, shaping and filling of the root canal system, leading to treatment failure.
Recently the traditional access cavity, based on geometrically predesigned shapes dictated by the underlying anatomy, have been questioned by the introduction of new concepts such “ninja access” and “truss access”. These new access philosophy is linked to minimal invasive dentistry with dental structure preservation as main objective.
However these cavity access designs can lead to iatrogenic problems (instrument separation, aberrations of canal shape) especially for un-experienced practitioner.
Therefore it is necessary to follow the correct indications for every access cavity design and to make the proper choice in the different clinical situations. 

Presentation title: Anatomically oriented and minimally invasive shaping: new protocols and materials

Abstract:
During the last years, the evolution of market concerning endodontics has been characterized by the appearance of several new rotary instruments, made with thermally modified Ni-Ti alloys: those materials showed an improved resistance to cyclic fatigue and a decreased transportation in severe curvatures.
Practice pointed out that new rotary instruments allow the clinician to perform minimally invasive customized canal preparations, critically
rethinking also the access opening and the coronal preflaring in a conservative manner; thus, the result will be an improved preservation of dentine and respect of the original root canals, even in difficult anatomies.

Presentation title: The role of disinfection in modern endodontics. 

Abstract:
Endodontics is a battle against bacteria and we can summarise its definition as disinfection of a complex anatomic area. The key factors are Shaping. Cleaning and Packing. In the last decades, Market has introduced remarkable improvements in tools, above all instruments and sealers, opening new scenarios: now we can shape a canal with just one disposable instrument, or we can reset shape memory with precurvable instruments. New bioactive sealers promise to guarantee a stable and tridimensional seal.
Despite all this, We know that Large areas of the root canal system cannot be accessed by endodontic files, and the cleaning of such areas relies solely on irrigation. In order to achieve successful treatments, we need an effective irrigant penetration into hard-to-reach areas of the root canals and dissolution and removal of necrotic tissue, dentin debris and biofilms.
For these reasons, disinfection plays a fondamental role in a modern endodontic treatment and any successful endodontic therapy requires the elimination of the endodontic biofilms through meticulous root canal disinfection methods.
Microbiota are found in highly organized and complex entities, known as biofilms, the characteristics of which are fundamentally different from microbes in planktonic suspensions. Root canal infections are biofilm mediated. The complexity and variability of the root canal system, together with the multi-species nature of biofilms, make disinfection of this system extremely challenging and extremely hard to be investigated in vitro.
The disinfection can be improved with a lot of tools, working on temperature, bubbles, surface tension and movements. We can use sonic ultrasonic tools, heat carriers, specific needles and different lasers also.
The aim of this presentation, is to show different clinical approaches to the disinfection protocol in a minimal invasive endodontic treatment.

Presentation title: Regenerative Endodontics Between Promises and reality

Abstract:
Difficulty in cleaning and shaping, Difficulty in obturation and liability to fracture, are problems encountered during treating non-vital open apex teeth. Calcium hydroxide apexification stood a long time as the treatment of choice but concerns about its long-term use had arisen. In the last decade, MTA has emerged as the wonder material and permitted one visit procedure. However, all these solutions aimed only to induce an apical barrier. In recent years, attention has been focused on the regenerative potential of such teeth after through disinfection of the root canal system. Several case reports and series have shown us cases where root thickness increased and apical closure occurred. The application of the regenerative triad “Stem cells, growth factors and scaffolds” have been investigated in several studies with varying degrees of success. CBCT has emerged as a 3D radiographic method which surpassed 2D PA radiographs and can lead to a more accurate diagnosis and evaluation of success in such cases. There is a lack in Randomized Controlled Trials evaluating the success of regenerative endodontic procedures. Where do we stand now and what are the future trends? At conclusion, participants should be able to:

1.  Evaluate the different techniques to manage non-vital open apex teeth
   regarding their advantages and limitations.
2.  Appraise the current published and ongoing research on regeneration of
   pulp dentin complex.
3. Discuss management of different regenerative cases with long follow ups.

Presentation title: Warm Vs Hydraulic Obturation of root canal, is it time for change…???

Abstract:
3D obturation of instrumented and cleaned root canal is the key for long term success of endodontic treatment.
Warm vertical obturation of root canal using heated gutta percha with Eboxy resin sealers has proven a long term clinical success. On the other hand, the shrinkage of the sealer and cooled gutta percha as well as the non-bonded obturation still a concern in root canal obturation. A new concept of root canal obturation using the Bioceramic sealer with single cone obturation, which is called the hydraulic obturation, was introduced in 2007 aiming to replace the warm oburation by a non-shrinking bonded mono-block obturation.
This presentation will highlight the use of Bioceramic sealer in endodontic with its correct indications, advantages and disadvantages, and to discuss the potential of changing the obturation technique through presentation this dilemma in literature as well as many clinical cases with follow up.  

Presentation title: Endodontics 3d 4.0

Abstract:
With the latest technology development, Endodontics has changed dramatically in the recently years .
CBCT today allows the endodontic treatment plan to be correctly set up, allowing the operator to choose the most suitable orthograde or surgical approach in the diagnostic phase to solve complex cases . Tools such as the optical impression and 3d printers also allow the clinician to create static templates to be used as guides in many extreme cases of severe canal calcification and endodontic surgery to facilitate the canal access and in the identification of the root apex in cases of very thick buccal bone, helping to manage complex treatments in a minimally invasive way.
The speakers will describe these techniques showing all the laboratory and clinical steps to achieve success with predicibility and precision.

Presentation title: The craked tooth syndrom

Abstract:
The cracked tooth syndrom is a clinical condition with syntoms which could be misled dentists during diagnosis
The lecturer will explain which are the the best methods for a correct diagnosis and the rational behind them in ordere to avoid mistakes during the decision making process.

Presentation title: Surgical Extrusion – a Great Chance!

Abstract:
In all the cases where we have a violation of the biological width for caries or fracture, it is common to recoup an adequate amount of tooth structure by extensive resective osseous surgery with or without orthodontic treatment. In more serious cases one may have to proceed with the extraction of the tooth and replacement with an implant. Surgical extrusion allows us to save a tooth using a method that is simple, fast and with very little discomfort for the patient compared to other procedures. This is especially true in the cases where patients refuse invasive procedures such as surgical crown lengthening or extraction and implant placement.The only true complication of surgical extrusion is the fracture of the root during the luxation procedure, and therefore the patients must be well informed. It is for this reason that this technique is electively applied where there is severe coronal destruction and/or when the patient refuses the usual surgical/orthodontic technique to recoup tooth structure.This technique, not well know and rarely used, allows us to delay extraction and an eventual insertion of an implant, and therefore is particularly indicated in young patients for recouping teeth with a doubtful prognosis.
This is a simple, easy to perform and highly predictable technique. When paired with modern minimally invasive procedures, adhesive techniques and the latest generation of restorative materials, it results in the present tendency to utilize conservative, simple and rapid execution techniques in an optic of minimally invasive procedures.