Art, Science, Evidence behind contemporary endodontic treatment.
The fundamentals for excellence in endodontic treatment.
Dental pulp response to bacterial irritation and trauma.
Options for the exposed vital pulp.
Diagnosis: anamnestic and subjective datas.
The comprehensive endodontic examination.
Diagnostic Technologies: what is needed to be really self-confident
Digital pulp testing, Thermal test, Transillumination. Other devices: Digital force transducer, Optical coherence tomography, Magnetic resonance imaging, Ultrasound imaging.
Endodontic radiography. Film holding devices. Digital radiography
Intra Oral x-ray systems: Imaging Plate Technology
Digital Intraoral Sensors
Cone-beam computed tomography
Image processing software. 3-d imaging software: a powerful weapon for a first-class endodontic practice.
Preparation of teeth and soft tissues for endodontic treatment.
Periodontal crown lengthening.
Laser gum surgery.
Pre-treatment for anterior and posterior teeth.
Deep margin elevation.
Treatment planning and alternatives.
Diagnosis of non-odontogenic pain.
Restorability of endodontically diseased teeth. Assessment and techniques.
Prognosis of non-surgical endodontic treatment.
Treatment planning: what, when, why. Errors and mistakes.
Hands-on practice: Treatment planning
Anesthesia for the endodontic patient. Hot teeth. The Wand.
Computer assisted anesthesia system.
Ensuring complete anesthesia in endodontics: pharmacologic characteristics and techniques.
Full isolation concept by Styleitaliano Endodontics.
Avoiding dental malpractice lawsuits.
Benefits of working in a perfectly clean and dry operative field.
Operative rationales for clamp selection. The rules of 4.
How to isolate prepared teeth.
Hands-on: anaesthetic techniques, isolation techniques
Endodontic Anatomy: every teeth is a snowflake.
Style Italiano Access Cavity Concept: the difficult task to find canal orifices made easy.
From Schilderian to “ninja” and “truss” access.
Preserving tooth integrity, with straight access: selective cavity.
Canal location: a map for navigating pulp chambers.
Calcified teeth. Pulp stones.
US in access cavity: sources and tips.
Hands-on: cavity access opening on extracted teeth and endodontic models, finding orifices, US devices.
Mechanical properties of endodontic instruments: safety, efficiency, simplicity.
Contemporary canals preparation techniques: limitations of each technique.
Single instrument techniques.
Mechanism of fracture of rotary NiTi files.
The StyleItaliano Endodontics treatment approach: size and taper, step-down technique.
Hands-on: Endodontic motors, pre-flaring, single instrument technique
Importance of a glide path.
Manual vs. mechanical glide path.
Glide path instruments.
Working length determination.
Identification and maintenance of the biological length of the root canal system.
Risks of under instrumentation and over instrumentation.
Multiple instruments shaping technique.
Hands-on: Glide path instruments and techniques, hand and mechanical.
Sequences of multiple files shaping technique
Reciprocating shaping techniques
The recipe for endodontic success: StyleItalianoEndodontics philosophy
Access cavity revisited
Preflaring with and without dedicated instruments
Mechanical glide path
Negotiating curved & dilacerated root canals
Rotary and reciprocating instruments
Single-file and single-use concept.
From balanced forces technique to reciprocating instruments.
Apical finishing: evaluation of the original diameter of the main apical orifice and of diameters and taper of apical third.
Apical Shaping in complex cases.
How to integrate the use of files with different size and taper to obtain the best apical shape, saving root structure.
Irrigants: materials and techniques.
Irrigant activation: old and new devices.
Obturation – when to obturate (1 visit versus 2 visits).
Hands-on: Irrigant activation
Various sealers and their characteristics.
Vertical compaction of warm GP
Hands-on: Sealers handling, vertical compaction of GP.
Pre-coated carrier techniques: advantages and drawbacks.
Hands-on: Continuous wave, carrier obturation.
Single cone & Bioceramic
Other obturation techniques
Hands-on: Handling of various bioceramic materials. Single cone technique.
Restoration of endodontically treated tooth
Adhesion and endodontically treated tooth
One bottle, more bottles, etch & rinse, prime & bond.
Effects of endodontic materials on dentin
Occlusion: conformative or reorganised approach
Hands-on: occlusal analysis and records
Direct vs.indirect restoration
Partial vs. total restoration
Post or no post?
Hands-on: Direct restorations with or without post.
Indirect restorations in the adhesion era
Partial vs. total restoration
New concepts: Outcome-based & morphology driven preparation
Endodontically treated teeth as FPD abutment
Hands-on: Indirect restorations with or without post. Overlay, adhesive partial crowns, full crowns
Biological basis of tooth transplantation & replantation
Intentional replantation: indication, technique, prognosis
Tooth transplantation: indication, technique, prognosis
Endodontics vs. implants: research, bias, clinical reality.
Hands-on: Discussion about real clinical cases proposed by the course attendants
Magnification in endodontics: how to master use of an operating microscope
Magnifying loupes: single-lens, Galileian, prismatic.
Stereoscopic microscope principles
Working distance, depth of field, resolution, diameter of the field of view.
Fixed magnification and zoom magnification.
Necessity of a tiltable main head.
Multiple heads for simultaneous viewing. Auxiliary monocular for dental assistant.
Integrated video camera. The use of video display.
Floor mounted, wall mounted, ceiling mounted microscope.
Motorization of the focusing controls.
Direct and indirect view.
How to adjust the microscope to individual needs.
Hands-on: Microsutures and microanastomosis. Microscope ergonomics.
Endodontic Retreatment: indications and contra-indications
Removal of coronal obstacles: techniques and devices
Removal of root canal obstacles: metal and fiber posts, separated instruments.
Ledges and perforations. How effectively bend instruments for retreatment.
How to negotiate a blocked canal. Dedicated instruments. Reverse balanced force technique.
Irrigants and temporary dressings for retreated teeth. Dealing with selected microflora of failed canals.
Filling techniques for retreated teeth, when canal shaping is far from ideal.
Hands-on: disassembling-removal of broken instruments-perforations.
Indications and contra-indications to the endosurgery
NSRCT vs. surgery: the new role of endosurgery in a predictable treatment plan
Pre-op exam: anatomical, dental, periodontal problems
Hands-on: Discussion about indications – clinical cases.
Surgical armamentarium and surgical devices
Flap design: sulcular-submarginal scalloped-“Papilla base”
Incision and flap elevation
Osteotomy and apical resection
Hands-on: Flap performed on surgical model.
Apical retro-prep: burs vs. piezo
US retro tips: design and efficacy
Root end filling: when is really needed?
Super-EBA vs. Bioceramic materials: biological and physical properties, handling and useful devices
Hands-on: Ultrasonic retro tips: practical use. Piezoelectric retropreparation Retro filling with dedicated instruments
Analysis of flap tension.
The basics: correct placement of the needle in the needle holder and stabilizing tissue, knot tying
Simple interrupted suture
Simple running suture
Running locked suture
Vertical mattress suture
Horizontal mattress suture
Hands-on: Suture techniques. Live surgery. Surgery performed on a surgical model.
Dental traumatology and its endodontic implications
Traumatic injuries primary teeth
Permanent teeth: concussion, subluxation, extrusion, luxation, intrusion, avulsion.
Crown – Root fracture
Post-traumatic splint types and techniques
Internal and external resorption: etiology, classification, diagnosis
Internal and external resorption: treatment and predictable outcomes
Hands-on: Splint techniques. Resorption treatment on surgical model.
Endodontic-Periodontic relationships. Diagnosis of endoperio lesions. Ex-adjuvantibus diagnosis. Phases of treatment. Prognosis and follow-up.
Endodontic-prosthetic relationships. Endodontic evaluation of prosthetic abutments. Endodontic techniques for prosthetic abutments. Root abutments.
Hands-on: Treatment planning: Multidisciplinary, integrated dental care. Models and x-rays of real cases will be discussed by course attendants, divided in homogeneous groups. Treatment plans will be discussed.
Treatment of primary teeth: pulpotomy & pulpectomy
Treatment of immature teeth: vital pulp therapy
Pulpotomy, apexification, pulp revascularization.
Hands-on: Vital pulp therapy & revascularization.
Restoration of the Endodontically Retreated Tooth: how to repair predictably pre-existing restorations
Excellence in endodontically treated teeth restorations.
Pre-visualization of final results.
Analogic smile design
Digital smile design
Hands-on: Criteria for tooth restorability. Clinical application on real clinical cases. Retrofitting existing restorations
Biological basis of tooth autotransplantation
Flexible and safe splinting with sutures Intentional replantation
Hands-on: suture splinting
Hopeless teeth: a chance for a second life?
Ankylosed or resorbed roots & implant placement.
Understanding biological rationale of unconventional implant placement.
Partial extraction therapies: Socket shield, root submergence
Hands-on: Discussion about clinical cases proposed by course attendants.
|NB; the participants will be allowed to be accompanied by their dental technicians at meetings at which laboratory parts will take place.|
The participants will have the possibility to visit clinical units for practicing on patient. To enter for the final examination the participants must have taken active part in at least three clinical, implant-prosthetic cases in cooperation with professors regarding patients of the clinic.