Management of complex endodontic anatomy using PERFECT NiTi files
Dr. Sergio Rosler
Master MTA: Solve iatrogenic errors like pulp capping, floor perforations and other iatrogenic with MTA
Dr. Riccardo Tonini
You screwed up! What now? Dealing with mishaps during endodontic treatment
Dr. Rafaël Michiels
Small things can help to solve big problems: Tips and tricks that can help you in your clinical daily life
Dr. Hugo Sousa Dias
Clinicians often face challenges during an endodontic treatment or retreatment. These can range from anatomical challenges, calcified root canals, the presence of fiber post, obturation material that is difficult to remove and some iatrogenic events such as ledges, separated instruments or missed anatomy. This hands-on course intends to present some clinical tips and some materials that can help clinicians to face some of these challenges.
How to integrate different files to face the root canal anatomy
Dr. Gianluca Plotino
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.
Three-dimensional endodontics: Clinical management of complex canals
Prof. Gianluca Gambarini
The new Canal Pro “Jeni” and Remover: all you need for fully automated shaping and gutta-percha removal procedures
Prof. Walid Nehme & Prof. Eugenio Pedulla
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.
Management of complex clinical situations with the help of 3D magnification
Dr. Jenner Argueta
Not just white lines
Dr. Bogdan Moldoveanu
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.