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Friday 15th Silver Hall

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9:00
rightFKG Lecture 2
3D NiTi technology with expandable feature and its application on Endodontics instrumentation.

Abstract

Recently a new NiTi wire (MaxWire™) and instrument system (XP-endo®) have been introduced. Using the principles of shape memory of NiTi alloy the MaxWire was developed to be malleable at room temperature (Martensite phase) and transform to a specific shape at body temperature inside the root canal (Austenite phase). XP-endo instruments are designed for 3 uses: 1-XP-endo Shaper - one file for the 3D shaping of the canal;

2-XP-endo Finisher – used after the Shaper (or traditional round files) in order to reach tissues or debris not reached in the shaping phase and

3-XP-endo Retreatment - to efficiently remove obturation materials from the root canal walls left behind after shaping instruments have been used.

Preliminary studies on XP-endo files have shown remarkable efficiency for maintaining the original shape of the canal while producing less dentinal debris blocking the irregular areas or isthmus areas. In addition, even though minimal number of instruments is used, almost no stress is produced on the canal walls. This presentation will explore the technical, biological and clinical aspects of this new 3D instrument system.

Objectives

At conclusion, participants should be able to:

1. Understand the technological challenges of traditional endodontic instruments to predictably clean the root canal.

2. Present the physical and clinical characteristics of the new XP-endo files

3. Demonstrate the clinical use of XP-endo files

4. Present the latest on-going and published studies on these instruments.

rightDr Gilberto Debelian
Dr Gilberto Debelian

SPONSORED SPEAKER FOR FKG

Dr Gilberto Debelian has received his DMD degree from the University of Sao Paulo, Brazil in 1987. He has completed his specialization in Endodontics from the University of Pennsylvania, School of Dental Medicine, USA in 1991. He has concluded his PhD studies at the University of Oslo, Norway in 1997 on bacteraemia and fungemia on patients undergoing endodontic therapy which gave him a scientific award from the European Society of Endodontology (ESE) and the Norwegian Dental Association both in 1997. He has taught as a clinical instructor and associate professor at the postdoctoral endodontic program at the University of Oslo, Norway from 1991 to 2001 and again from 2007 Dr Debelian has been the director of the post-graduate program in Endodontics at the department of Endodontics, University of Oslo, Norway from 1999-2002. He is a visiting professor at the post-graduate program in Endodontics, University of North Carolina in Chapel Hill, USA, since 2002 and from January 2006 he holds a position of adjunct professor at the same institution.

He has authored 3 chapter books in Endodontics, one manual book in Endodontics and written more than 30 scientific and clinical papers on Endodontics. He is currently member of the scientific advisory panel for the Journal of Endodontics and director of the Oslo Endodontic Study Club (OESC).

Dr Debelian has lectured nationally and internationally on Endodontic Infections, Systemic Diseases Caused by Oral Microorganisms, Dental Traumatology and New Technological Aids in Endodontics.

Dr Debelian maintains a private practice limited to Endodontics in Bekkestua, Norway.

9:45
rightDentsply Sirona lecture 2
Continuous rotation M-wire rotary files: 5 years of experience and clinical research

Abstract

M-wire rotary files have become extremely popular in recent years. This lecture will illustrate the properties and the clinical results obtained using continuous rotation MWire rotary files. This will be achieved presenting a number clinical cases and going through the data provided by the literature on post-operative pain, cyclic fatigue, centering ability, glide-path development, debris extrusion, and use in re-treatment cases. In-press data from clinical trials on the ability of rotary files to remove bacteria from root canals using a novel Chairside Rapid Bacterial Detection device will be also presented.

rightDr Francesco Mannocci
Dr Francesco Mannocci

Prof Francesco Mannocci (MD, DDS, PhD, FHEA) is a Specialist in Endodontics and Restorative Dentistry. He obtained his MD (Pisa, Italy, 1986) and DDS (Pisa, 1990) in Italy, and his PhD in Clinical Dentistry from King's College London in 2001. After having worked in private practice in Pisa for 18 years while collaborating with the University of Siena as a Visiting Professor he became Lecturer in Endodontology at King's College London in 2004, Senior lecturer/Honorary Consultant in 2006, Head of Endodontology in 2008, and Professor of Endodontology at King’s College London in 2011. Prof Mannocci has authored more than 100 papers in international peer reviewed journals. Prof Mannocci is Associate Editor of the International Endodontic Journal. Prof Mannocci has done research work on subjects including restoration of endodontically treated teeth, instrumentation techniques, dental anatomy, histology, endodontic radiology and endodontic microbiology. Prof Mannocci maintains a private practice limited to Endodontics in Central London.

10:30
COFFEE BREAK
11:00
rightDentsply Sirona lecture 3
3D Endo-what, why & when

Abstract

3D Endo™ Software has been designed for novice Endodontists to appreciate root canal anatomy. The results of exciting clinical research will also be highlighted.

Aims

The aim of this presentation is to explain the benefits of 3D Endo™ Software for assessing root canal anatomy.

rightShanon Patel
 Shanon Patel

Dr. Shanon Patel

BDS, MSc, MClinDent, MRD, PhD, FDS, FHEA

Consultant Endodontist / Senior Lecturer

I divide my time between working in a large multi-disciplinary specialist practice in central London (4 days/week), and teaching future Specialist Endodontists inthe Postgraduate Unit at Kings’ College London Dental Institute (KCL) (1 day/week).

My PhD thesis assessed the use of CBCT in the management of Endodontic problems. I am actively involved in research, and have co-supervised over 40 Masters and PhD students.

My primary research interests reflect some of the interesting challenges I face in everyday clinical practice and include survival of teeth, managing dental trauma, and the use of CBCT in Endodontics. These research themes are translated directed into clinical practice which has also resulted in me regularly lecturing on these topics both nationally and internationally.

I have been the lead author of National and European (ESE) guidelines on dental imaging in Endodontics.

I have published over 60 papers in peer reviewed scientific journals and have co-edited 4 textbooks; ‘Principles of Endodontics’ is now in its second edition, and is a very popular undergraduate endodontic textbook, ‘Pitt Ford’s Problem Based Learning in Endodontics’ was one of the first PBL textbook in our specialty. ‘Cone Beam CT in Endodontics’ was published in 2016 and is aimed at users of small field, high resolution CBCT.

11:45
rightSendoline lecture
Reciprocation – the easy practical way

Abstract

Modern instrumentation of the root canal, reciprocation or rotary – introduction of a new system – S1 reciprocation makes it easy. Rotary instrumentation of the root canal with rotary instruments has dominated the market for 20 years. The drawbacks have been many instruments and instrument fractures. The last years, reciprocating instrumentation has been introduced. It has promised fewer instruments, used once and simpler instrumentation sequence and technique. Sendoline is a Swedish company manufacturing endodontic instruments since 1940 and one of their most important product innovations is the Hedström-file (H-file). The company is experienced in producing rotary instruments for preparation of the root canal and has recently introduced a new single-file reciprocating system, S1, that will make the instrumentation of the root canal easier and more straight-forward. Instead of advanced special electric motors with foot-pedals controlling the reciprocation movement, Sendoline has developed a mechanic handpiece with integrated gearbox which creates the reciprocating motion 180° clockwise and 30° anti-clockwise which will make the handling easier. The lecture will address the benefits and drawbacks of rotary and reciprocation instrumentation and how Sendoline has addressed the issues and how the company developed the new S1 reciprocation system.

rightFredrik Erhardt
 Fredrik Erhardt

SENDOLINE PRE-CONGRESS COURSE AND LECTURE SPEAKER

Dr Fredrik Erhardt is a Senior Dental Officer/Supervisor specialized in dental training. He is holding lectures in Endodontics in Sweden, i.a. for the Swedish Dental Association (SDA), as well as internationally, so far in 17 different countries, where courses has been organized by different dental companies. He has also participated in the Swedish National Board of Health and Welfare´s work formulating national guidelines for adult dental care. Since 2001 Dr. Fredrik Erhardt is a scientific supervisor in the development of endodontic instruments in cooperation with Sendoline AB. He is also a published co-author.

1979 Dental Examination

1978-1988 Professor Department of Dental Medicine at Karolinska Institute

1988 Specialist Examination in Endodontics

1988 As an endodontic specialist he starts his own specialist dental practice exclusively for endodontics

2004-2009 President of the Swedish Endodontic Society

12:30
LUNCH BREAK
13:30
Poster Presentations / Trade Exhibition open
13:45
rightMani lecture
The MANI-Silk System - rotation and reciprocation for a safe and effective canal preparation in daily practice.

Abstract

In daily practice the root canal preparation is carried out mainly with mechanical instruments used in a rotary or reciprocating motion. Major risks such as instrument separation or the alteration of the root canal anatomy can occur and increase the likelihood of treatment failure. By choosing an instrument used in a specific motion type practicians try to minimize the risks mentioned above. Wouldn't it be convenient to choose an instrument that can be used either in rotation or reciprocation to combine the advantages of these motion types during root canal preparation? What are the advantages and disadvantages of rotary or reciprocating motion? What impact has the instrument geometry on the fracture risk or the instrument flexibility? Can a special thermic treatment increase the flexibility and reduce the fracture risk of the instrument?

Aims

This presentation will discuss the advantages and disadvantages of rotary and reciprocating NiTi instruments and highlight the concept using the MANI-Silk instruments in both motion types in order to achieve a good preparation result in an efficient and safe manner in daily practice.

rightDr Peter Kiefner
Dr Peter Kiefner

SPONSORED SPEAKER FOR MANI SCHUTZ

M.Sc. in Endodontology, certified member ESE, specialist member of the German Association of Restorative Dentistry

1991-1995 studied dentistry at the Dental School of the Eberhard-Karls-Universität in Tübingen, Germany 1995 - degree in dentistry from the Eberhard-Karls-University in Tübingen/Germany

1996 - Doctor of Dental Sciences (Dr. med. dent), Tübingen, Germany

1998 - private practice, limited to endodontology and traumatology on referral basis, in Stuttgart/Germany 2002-2008 - guest lecturer at the Department of Restorative Dentistry and Endodontology at the University Tübingen (chair: Prof. Dr. C. Löst).

2010-2012 - Düsseldorf Dental Academy /Medical School of the Heinrich Heine University Düsseldorf, Master of Science in Endodontology

2012 - 2015 president of the Association of German Certified Endodontists (VDZE)

2015 - assigned lecturer department of restorative department school of dentistry of the Medical Faculty of the University of Würzburg (chair: Prof. Dr. G. Krastl) since 2000 - more than 100 presentations, courses, demonstrations, hands-on course supervisions both nationally and internationally on selected topics from the specialization field.The main goal as a guest lecturer was the implementation of the dental microscope in both endodontic treatment and teaching activity. The fields of interest are CBCT examination in endodontics, microscope-aided diagnostics and endodontic treatment, root canal instrument research, orthograde retreatment procedures and esthetic post-endodontic restorative treatment strategies. Master of Science in Endodontology (Heinrich Heine University Düssledorf), specialist title in endodontics from the German Association of Conservative Dentistry (DGZ) and certified member of the European Society of Endodontology (ESE), American Association of Endodontists (AAE), International Association of Dental Traumatology (IADT) and other national and international dental associations.

14:30
rightVDW lecture 2
Reciproc Blue: the next generation of reciprocation

Abstract

The concept of canal preparation with only one mechanical instrument used in reciprocation was introduced several years ago. Studies and clinical research have shown the efficiency and the safety of the Reciproc® instrument in the preparation of the majority of canals without creating a glide path, and in the retreatment procedure. Reciproc® blue, a thermally treated instrument is an improved version of the original Reciproc® instrument; it has an increased resistance to cyclic fatigue and a greater flexibility enabling a safer and smoother canal preparation procedure, and a wider range of clinical applications. Reciproc® blue will be introduced in this presentation. The physical properties of this instrument will be discussed with emphasis on their impact on the clinical applications. Preparation of the majority of the canals including 2nd mesio-buccal canals in maxillary molars, and narrow and curved canals with only one Reciproc® blue instrument without an initial canal negotiation and without a glide path will be described. The need to create a glide path in some canals with a reciprocating glide path instrument, R-Pilot®, will also be discussed.

rightGhassan Yared
 Ghassan Yared

SPONSORED SPEAKER FOR VDW

Professor Ghassan Yared is an endodontist practicing in Ontario, Canada.

He completed his endodontic specialty training at University Paris VII, (Paris, France) in 1987 and obtained his M.Sc. from the Lebanese University (Beirut, Lebanon) in 1994.

Professor Yared has been extensively involved in teaching. He joined the Faculty of Dentistry Lebanese University in Beirut, Lebanon in 1988 and became Professor and Head of the Department of Endodontics; he also created and chaired the Department of Research. He joined the Department of Endodontics at the University of Toronto, Canada in 1999 for a full-time position as Assistant Head of the Department of Endodontics and Director of the Endodontic Undergraduate Programme. He remained at that position as Associate Professor until summer 2004. He was Acting Head of the Department of Endodontics for 2003 and 2004. Professor Yared has been elected for 4 consecutive years as the "Best Teacher of the Year", and has received the "Master Bruce Howard Award for Excellence in Teaching" the highest teaching award at the Faculty of Dentistry, University of Toronto.

Professor Yared has supervised the research projects of graduate endodontic students at the University of Toronto and has published extensively in peer-reviewed international endodontic journals. He has also given numerous lectures and continuous education courses worldwide.

Professor Yared is a reviewer for the International Endodontic Journal, the Journal of Endodontics, Endodontic Topics, and for Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics. He is also a member of the Canadian Academy of Endodontology and the American Association of Endodontists

15:15
rightMICRO-MEGA Lecture 3
Shaping root canals Safely and Swiftly with a Simple sequence.

Abstract

Major changes in the field of instrumentation and shaping techniques have set a new course for endodontics in the last decade. Newer instruments are generating predefined canal shapes with respect to canal anatomy and minimal invasive principles. In the first part of the presentation, an overview of Modern advancements in shaping instruments designs as well as thermomecanical treatments and its implementations on mechanical properties of the files will be explained. The concepts behind modern endodontics will be revisited and discussed from a clinical point of view. Does coronal flaring comply with the minimal invasive requirements? Do we still apply the shaping techniques principles? In the second part the new Orifice opener, One flare®, and shaping sequence, 2 Shape ® from Micro-Mega will be described. The innovative file designs with different geometrical characteristics for each instrument will be revealed. The implementation of these designs and their capabilities to meet the requirements for each clinical scenario will be explained and endorsed with an extensive literature review , experimental studies and clinical cases.

Objectives

At the end of this presentation, attendees will be familiar with the new files and their advantages. This will enhance their capabilities to safely and swiftly shape the widest range of canal anatomies; from curved and restricted to straight and large canals with a simple sequence of two rotary file per challenge.

rightDr Walid Nehme
Dr Walid Nehme

SPONSORED SPEAKER FOR MICRO-MEGA

Prof Walid Nehme (DDS, MSc, FICD) is a clinical professor at the Endodontic department of Saint Joseph University of Beirut where he received his DDS (1988) and MSc (1994). His academic activities lie within the field of undergraduate and postgraduate endodontic education and emphasizes on clinical training and conduction and surveillance of research projects. Pr Nehme has published scientific, and clinical articles in peer- reviewed journals nationally and internationally on subjects including Root canal anatomy, instrumentation techniques, NiTi files, Irrigation procedures, obturation and retreatment. He is an international member of the American association of endodontists (AAE). He served as President of the Lebanese Society of Endodontology (LSE). He is a founder member and former president of the Arab Endodontic Society (AES). He is an analyst and opinion leader for clinical trials for endodontic manufacturers and have contributed to the elaboration of new devices in endodontics. He runs postgraduate endodontic courses and hands on in the Middle East, Africa and Europe and Canada. He works in a referral-based practice limited to endodontics in Beirut, Lebanon and Abu Dhabi, United Arab Emirates.

16:00
COFFEE BREAK
16:30
rightFotona lecture
PIPS – hovering laser activated irrigation. The future or already the present?

Abstract

The most important objective of endodontic treatment is the eradication of microorganisms from the root canal system. Numerous species of bacteria in the root canal system and the organisation of biofilm with its strong adhesion to the root canal wall and into dentinal tubules make thorough cleaning of the root canal system very challenging.

Besides the mechanical preparation of the main root canal, irrigation with solutions such as NaOCL and EDTA is crucial in terms of the reduction of microorganisms. The activation of irrigants by sonic or ultrasonic devices leads to a further reduction of bacterial counts, but these techniques have drawbacks: sonic activation is not able to produce cavitation effects and thus is not able to remove biofilm or debris sufficiently. The use of ultrasound leads to better results, but recent studies suggest that the effects have been overestimated. Furthermore, the use of ultrasonic files in curved canals can cause grooves or even ledges in the root canal.

Recently, the activation of endodontic irrigants by laser devices has come into the focus of science. The PIPS technique was introduced in 2010 by DiVito et al. A specially designed laser tip is placed just over the entrance to the root canal. Using an Er:YAG laser and special parameters, the activation of the irrigants leads to profound cleaning effects in the whole root canal system. A number of studies show that the cleaning effect, especially in terms of biofilm, smear layer and debris removal, is by far superior to every other known technique, even in areas as difficult to reach as ramifications, lateral canals and dentinal tubules.

Aims

This lecture aims both to present the scientific background of PIPS and to focus on practical working experience of an endodontist who uses PIPS every-day.

rightRalf Schlichting
 Ralf Schlichting

SPONSORED SPEAKER FOR FOTONA

Practice limited to endodontics

Specialist of Endodontology of the German Society of Endodontology and Traumatology (DGET)

Certified Member ESE

Board Member of the German Society of Endodontology and Traumatology (DGET)

International lecturer on endodontic topics

17:15
rightSeptodont Lecture
Operative dentistry and Endodontology with biocompatible and bioactive materials - just a hype or more?

Abstract

Cements based on calcium silicate include materials such as ProRoot MTA, MTA Angelus and Biodentine are distinguished by biocompatibility as well as bioactivity and have sealing characteristics. Biodentine, in addition, has dentin-like mechanical properties. Because of the better material properties of calcium silicate cements, these materials are an interesting alternative to conventional, calcium hydroxide-based materials or other cements. Biodentine can be used on dentin defects in the area of the crown and root, and have a positive effect on vital cells of the pulp and the periodont because of the biocompatibility and bioactivity. The aim of a root canal obturation is a sealing of the entire root canal system without any voids in order to minimize the risk of bacterial reinfection. Further requirements for the root canal sealers are - beside biocompatibility - antibacterial properties, ability to adhere to the dentin walls, radiopacity, dimensional stability and insolubility in tissue fluid. Especially because of biocompatible and bioactive properties of calcium silicate sealers, these materials are an interesting alternative to conventional, e.g. epoxy resin-based sealers. Hence, sealers based on calcium silicate are an innovative material for root canal obturation which may offer new perspectives in the treatment strategy. For this reason, a number of companies have also recently offered root canal sealer on a calcium silicate basis like BioRoot RCS. This lecture is intended to provide an overview of the calcium silicate cements and sealers available on the market as well as the possibilities and limitations of these new materials.

rightTill Dammaschke
 Till Dammaschke

SPONSORED SPEAKER FOR SEPTODONT

Till Dammaschke started studied sociology, political science and history at the University of Göttingen (Germany) in 1986. From 1987 to 1993, he studied dentistry at the University of Göttingen (Germany). Till Dammaschke is working at the Department of Operative Dentistry at the University of Münster (Germany) since 1994 . In 1996, he completed his doctoral thesis at the University of Göttingen (Germany). In 2012, he was appointed as Professor. Since 2015 Till Dammaschke is head of the section "Cariology and Paediatric Dentistry" in the Department of Periodontology and Operative Dentistry in Münster (Germany). Aside from the maintenance of pulp vitality, he has focused on studying calcium silicate cements (Biodentine, MTA) and sealers (e.g. BioRoot RCS) in dentistry, biocompatibility of dental materials and endodontics. Till Dammaschke has nearly 100 national and international publications in scientific dental journals (more than 30 in “Web of Science”, e.g. Journal of Endodontics, International Endodontic Journal, Journal of Dentistry, Dental Materials, Clinical Oral Investigations, Quintessence International, Journal of Adhesive Dentistry), is co-author in books (e.g. Torabinejad M (ed.) Mineral Trioxide Aggregate: Properties and Clinical Applications.), and peer reviewer of more than 30 national and international dental scientific journals.

18:00
SESSION ENDS
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