8:30 am - 10:00 am
Management of complex endodontic anatomy using PERFECT NiTi files
Endodontic prognosis mainly depends on the clinician’s ability to access the root canal system’s anatomy effectively and conservatively to reduce the bacterial load inside the canals, to promote or conserve the health of the periapical tissue. Endodontic anatomy will be revised using cleared teeth as an educational tool. Instrumentation protocols using T-PRO and MG3 nickel–titanium systems from Shenzhen PERFECT Medical Instruments will be explained and practiced to teach participants how to achieve safe, predictable and cost-effective shaping of the root canal system. After this workshop, participants should be able to appreciate the importance of the anatomy of the root canal system in modern endodontics, should understand how anatomical variations can influence the clinician’s instrumentation and disinfection protocols, and should be familiar with the properties and specifications of the T-PRO and MG3 NiTi file systems.
8:30 am - 10:00 am
10:30 am - 12:00 pm
Master MTA: Solve iatrogenic errors like pulp capping, floor perforations and other iatrogenic with MTA
Regardless of how good a clinician’s skills are in performing an endodontic treatment, sooner or later he or she will face an iatrogenic error. It could be a mistake the dentist or someone else made, but the dentist will need to find a way to solve the problem. Typical iatrogenic damage is perforations. A perforation may occur at various stages of treatment, including during access cavity preparation, negotiation of calcified and curved canals, and post space preparation. Also, an open apex, internal–external resorption and pulp capping are complicated situations and their correct and repeatable management is important. Lastly, endodontic micro-apical surgery is a valid treatment option that an endodontist must know how to execute properly. MTA has been identified as the gold standard bioactive material used for sealing and filling permanently in the case of all the mentioned endodontic complications. MTA, owing to its wet-sand consistency, is difficult to handle and position, and for to this reason, the MAP System (Produits Dentaires) has been proved to be the best system for simplifying all the procedures that require the application of MTA. This in-depth hands-on course is suitable for both general dentists and specialists.
10:30 am - 12:00 pm
You screwed up! What now? Dealing with mishaps during endodontic treatment
Modern root canal therapy is quite predictable, but sometimes the procedure does not go as planned. Instruments can fracture, perforations can occur, the canal can be ledged and so on. This hands-on course will focus on solutions for common iatrogenic errors, show and discuss technical solutions, and discuss alternative approaches to problems like those. During the hands-on course, participants will learn everything about these different approaches and will have the opportunity to practice a few of them under instruction by Michiels.
10:30 am - 12:00 pm
Small things can help to solve big problems: Tips and tricks that can help you in your clinical daily life
Hugo Sousa DiasPortugal
1:00 pm - 2:30 pm
How to integrate different files to face the root canal anatomy
The hands-on course will analyze the different possible clinical scenarios. Firstly, it will look at the 80–85% of root canals in primary treatments that may be defined as standard cases and may easily be instrumented with a single-file basic preparation technique using only one reciprocating heat-treated instrument. Secondly, it will describe how to deal clinically predictably, safely and efficiently with the remaining 15–20% of canals, which may be defined as complex, using different instruments for each specific clinical situation. The use of a small reciprocating glide path file and the possibility of hybridizing the techniques with rotary files will also be described in order to solve those clinical cases with the most complex and specific root canal anatomy.
During the workshop, the clinical procedures for managing root canals with various difficulties will be explained and demonstrated on resin teeth to show the standard clinical techniques and how to use the different instruments to simplify these procedures and ensure more predictable gold standard endodontic treatments. Participants will then try the different files and execute the proper clinical technique on resin blocks and resin teeth. Participants are encouraged to bring well-preserved, disinfected extracted teeth with opened access cavities and canals negotiated to a size 10 stainless-steel hand file and to bring a pair of loupes (if possible) to obtain a more realistic overview of the use of the different instruments.
1:00 pm - 2:30 pm
Three-dimensional endodontics: Clinical management of complex canals
This hands-on course will address the problem of how to shape, clean and obturate canals in 3D. The anatomy of root canals is often poorly understood by clinicians, thus leading to many iatrogenic errors. The course will describe those factors that make a root canal complex and explain how they can adversely affect proper instrumentation. It will underline the need for proper 3D visualization and/or understanding of canal anatomy from the access cavity design, by showing CBCT scans and demonstrating their utility also for diagnosis and treatment planning. CBCT scans clearly show that canals are mainly oval, while current instruments and techniques are designed to work ideally in round canals. Therefore some changes and improvements in the operative techniques and/or in the endodontic instruments must be incorporated in the practice, that is, the need for increasing the amount of canal wall touched by the instruments, the need for enhanced cleaning and disinfection procedures, the importance of maintaining the original path and avoiding iatrogenic errors, and the correct selection of tapers and tip sizes. Following these principles, a novel approach to root canal instrumentation using TF Adaptive (Kerr) instruments and innovative TF Adaptive motion will be presented, aimed at optimizing performance and simplifying procedures. The advantages of TFA instruments will be presented, and how to incorporate their use in daily practice to achieve 3D shaping followed by proper 3D cleaning with new techniques and 3D filling with warm gutta-percha obturation techniques will be discussed. At the end, an innovative technique for post-endodontic direct restorations (or buildup) will be presented, to optimize workflow and achieve an immediate coronal seal.
1:00 pm - 2:30 pm
The new Canal Pro “Jeni” and Remover: all you need for fully automated shaping and gutta-percha removal procedures
Endodontics have proven to be one of the most successful procedures in Dentistry. Several instruments and some kinematics were proposed for safe and efficient endodontic preparation.
However, each kinematic (like continuous rotation or reciprocation) has some advantages and disadvantages as well as sometimes after the first root canal treatment, an endodontic retreatment with the removal of the old filling material (usually gutta-percha and sealer) by different manual or rotary instruments could be required to achieve the final success of the treatment.
During this workshop we will go through the pros and cons of the different kinematics related to endodontic procedures as well as the strength and weakness of different rotary files used to remove the filling material in the different anatomical conditions. Moreover, we will introduce the new fully automated, electric controlled, Canal Pro “Jenì” motor and its “self-driving mode” and “shaping guided irrigation” algorithm for shaping instruments and the new file Remover to accomplish Gutta percha removal. A detailed description of the “Jeni” motor and the Remover, their advantages and the proper way to use them will be shared through extensive literature review and multiple clinical cases.
- To Understand pros and cons of different shaping movements and ways to remove Gutta percha;
- To Discuss the benefits of Canal Pro “Jenì” self-driving mode and its “shaping guided irrigation”;
- To Suggest how to use “Jenì” automatic motor and the Remover to shape root canals and remove GP safely and swiftly.
3:00 pm - 4:30 pm
Management of complex clinical situations with the help of 3D magnification
Clinicians face complex clinical scenarios in everyday practice. Such challenging situations include areas in the oral cavity that are difficult to reach or laborious treatments that have to be executed within the root canal system. With the help of state-of-the-art obturation devices, instruments and materials, participants will be able to work on open apexes, radicular perforations and ledged canals in vitro in this hands-on course. The goal is to learn and apply techniques to achieve successful treatment. Throughout this hands-on course, every participant will experience the comfort and the advantages of 3D magnification, such as outstanding depth of field, crystal-clear imaging and ergonomics.
3:00 pm - 4:30 pm
Not just white lines
When one thinks of endodontics, one more often than not thinks of the shaping procedure. The mechanical treatment of root canals has always been a key part when it comes to innovation in endodontics, especially in the last few years with the advent of heat-treated NiTi instruments. Apart from being an intensely studied aspect of endodontics, the shaping procedure is one of the most challenging steps of any endodontic treatment. Hence, it is only normal that the dentist should desire a feasible and easy-to-use instrument that can get the job done safely and predictably. That being said, now more than ever, the number of new files appearing on the market is overwhelming. Many rotary systems appear every year. So, how do the various systems differ? How does one decide which to use? How do practitioners know whether their decision was the correct one? This is exactly what this hands-on course will discuss, including looking at the benefits of the Plex V system (Orodeka). The analysis will focus on every step of the shaping procedure, from pre-flaring to creation of the glide path and all the way to the apical finishing. I will explore the limits of these instruments in order to understand how we can adapt our protocols to any given anatomy so that there will not be a scenario in which we are not able to successfully finish the treatment. Participants will not learn how to obtain white lines on periapical radiographs during this course; instead, they will learn about the relevant scientific and medical principles, equipping them such that they leave the room already looking forward to starting their next endodontic treatment.
During the practical part, the hands-on course will focus on the discussed protocols, and each participant will be given an Orodeka workshop kit and the opportunity to experience the magic of the Plex V files, working on plastic teeth under my guidance. The main objective is to completely understand the benefits of these new files by discussing freely and objectively the advantages and disadvantages that one might encounter while working with them.