Conventional periodical radiography is an essential part in the diagnosis, treatment plan and follow-up in endodontics. However, this type of intra-oral imaging system have limitations due to its bidimensionality. Cone Beam Computed Tomography (CBCT) was introduced in the past decade in the area of 3D radiological diagnosis. Due to the limitations of conventional 2D periapical radiography, the applications of CBCT in all areas of dentistry has been growing. However, not all CBCT units have the same characteristics, and therefore, not all are suitable for its use in endodontics. Due to the anatomical structures involved, endodontics require the highest level of image quality and resolution to provide a high quality diagnostic image, that allows to make a precise diagnosis and treatment plan. CBCT should not be used routinely, only when the benefits to the patient outweigh the potential risks. The recommendations for the use of CBCT in Endodontics are perfectly determined by the ESE (European Society of Endodontology), AAE (American Association of Endodontics) and the EAMDFR (European Academy of Dentomaxillofacial Radiology). Limited FOV CBCT units are recommended for most endodontic cases, because they provide smaller voxel size, higher spatial resolution, less radiation dose to the patient and shorter volumes to be interpreted.
The lecture will discuss the different applications of CBCT in endodontics with clinical cases, and also the latest advances in CBCT imaging, as the integration of CBCT with Intraoral Scaner, for its use in Endodontics.
- Determine which CBCT units are suitable for endodontics
- ALARA Principles
- Applications of CBCT in endodontics
- Interaction with Intraoral Scanners
Roberto Carlos Aza Garcia
Doctor Dental Surgery. ISCS-SUL, Lisbon. 1990-1996.
Graduate Education Seminars. Endodoncia Clínica y Microscópica con Cirugía Endodóntica. Centro Odontología Microscópica (COMI). Bilbao. 2004-2005.
Máster Endodoncia Avanzada Universidad Europea de Madrid. (UEM) 2010-2012.
Miembro Titular. Asociación Española de Endodoncia. (AEDE)
Associate Member. American Association of Endodontists. (AAE)
Clinical Case Annual Award. Revista Científica Dental (COEM) 2006
Clinical Case Annual Award. Premio Badanelli Marcano (AEDE) 2011
Private Practice. Microscope Dentistry and Endodontics. Madrid
Session chair: Daniel Černý
How to scout unscoutable canals predictably and efficiently
After access to the root canal system and localization of the root canal orifices, the most difficult step during endodontic treatment is the need to scout the root canals and to create a safe and predictable glide path. In clinical practice, 80-85% of the root canals in primary treatments may be defined as standard cases, as they present a natural glide path that may be successfully scouted from the beginning and easily enlarged with a single-file basic preparation technique using a reciprocating heat-treaded instrument. The remaining 15-20% of the canals may be defined as complex, as they present anatomical variations that make the scouting procedures the most delicate and challenging phase of the entire treatment. This phase requires skills and clinical experience for its correct management, but is often time-consuming and frustrating. In fact, complex cases in endodontic primary treatments mainly depend on the initial permeability of the canals to their terminus and on the presence or absence of a natural glide path.
Following these considerations, the present lecture will analyze the different possible clinical scenarios, first considering the cases in which an initial manual scouting is successful to negotiate the canal to its terminus, then describing why in some cases there are difficulties to the negotiation caused by coronal or apical impediments and how to clinically deal with these situations predictably, safely and efficiently, using the ideal instruments for each clinical situation. In fact, the use of a small reciprocating glide path file and the need to hybridize the techniques will also be described to solve these clinical cases with the most complex and particular root canal anatomy.
Clinical procedures on how to manage canals with difficult scouting will be clearly explained, to simplify these procedures and ensure more predictable, gold standard endodontic treatments.
Gianluca Plotino; Nicola Maria Grande
SPONSORED SPEAKER FOR VDW
Gianluca Plotino DDS, PhD. Gianluca Plotino was born in 1978 in Rome, Italy. He graduated in dentistry from the Catholic University of Sacred Heart in 2002, obtained his PhD in 2009 and received the certification to be Professor of II level in 2017. He received several international prizes, published more that 80 articles in scientific peer-reviewed journals on different endodontic and restorative topics and contributed with numerous chapters in textbooks. Gianluca Plotino is Associate Editor of the Italian Journal of Endodontics and part of the Editorial Board of several other journals. He is certified member of the European Society of Endodontology (ESE), International Member of the American Association of Endodontists (AAE), active member of the Italian Academy of Endodontics (AIE) and the Italian Society of Conservative Dentistry (SIDOC). Dr. Plotino gives lectures and courses worldwide and he also works in his own private practice limited to endodontics and restorative dentistry in Rome, Italy.
SPONSORED SPEAKER FOR VDW
Nicola M Grande has been Adjunct Professor of Endodontics in the Catholic University of Sacred Heart (2002-2008), from 2009 to 2012 he worked as Researcher in the Department of Endodontics at the University of Rome “La Sapienza”. Since 2013 he is Assistant Professor of Endodontics at the Catholic University of Sacred Heart. His main scientific interests are the preparation of root canals with Nickel-Titanium rotary instruments, the study of anatomy and preparation of endodontic anatomy by micro-computed tomography techniques and the restoration of the endodontically treated teeth with new conservative approach. He has published extensively in international peer-reviewed journals, he is contributor in several books of endodontic interest, member of the Editorial board of international peer reviewed journals and he is lecturing both nationally and internationally as keynote speaker in the fields of endodontics, microsurgery and restorative dentistry. He works in private practice limited to endodontics and microsurgery in Rome – Italy.
Coltène / Micro Mega Lecture 2
A new approach for the instrumentation of challenging canal systems. A dedicated sequence for a dedicated technique
The internal anatomy of human teeth often consists of a highly complicated network of multi-planar curved and anastomotic canals, as seen in studies of root canal anatomy. Reaching the biological and design objectives of root canal instrumentation in severely curved or complicated canal systems can be extremely challenging for all instrumentation systems and techniques.
The aim of this lecture is to introduce a novel technique called tactile controlled activation technique (TCA) with Controlled memory and EDM files for the instrumentation of challenging root canal systems.
1. Understand the design and biological objectives of canal instrumentation
2. Understand the anatomical complexity of the root canal systems
3. Introduce a novel instrumentation approach for the management of complicated canal systems
Chaniotis Antonis graduated from the University of Athens Dental School, Greece (1998). In 2003 he completed the three-year postgraduate program in Endodontics at the University of Athens Dental School.
Since 2003, he owns a limited to microscopic Endodontics private practice in Athens, Greece.
For the last ten years, he served as a clinical instructor affiliated with the undergraduate and postgraduate programs at the University of Athens, Athens Dental School, Endodontic department, Greece.
In 2012 he was awarded the title of Clinical fellow teacher at the University of Warwick, Warwick dentistry UK.
He lectures extensively nationally and internationally and he has published articles in local and international Journals.
He currently serves as an active member of the Hellenic Society of Endodontology (ESE full member society), a certified member of the European Society of Endodontology (ESE) and international member of American Association of Endodontists (AAE).
Invited speaker and sponsored lecturer for Coltène / Micro Mega
Poster Presentations / Trade Exhibition
Session chair: Roman Blahuta
Eighteeth Medical lecture 2
3-D obturation of root canal systems. Does it really matter?
It is a commonly accepted fact that sterile canals, if perfectly sealed at their coronal extents, do not need to be filled to achieve endodontic treatment success. In all classic research study, thus proving that endodontic disease states do not occur without bacterial etiology. No bugs means no disease; so why do we fill canals?
The biologic rationale for 3-D obturation (root canal systems filled to their full apical and lateral extents) is to buttress our biochemical cleaning procedures because root canal systems can present with levels of anatomic complexity that defy definitive treatment. If I fail to achieve sterility in a given root canal system, I may still achieve successful healing of periradicular pathosis if infectious remnants are entombed by the sealer and gutta-percha.
A contemporary 3-D obturation system down pack will be showed. The latest modern tools provide easy and predictable results in root canal treatment.
Understand the importance of diagnosis and treatment planning.
Provide an understanding of the biology surrounding endodontic diseases.
Showcase contemporary endodontic cases and the scientific evidence behind these techniques.
Understand the importance of contemporary irrigation technique.
Understand the importance of 3D Obturation Technique.
Dr Massimo Giovarruscio
SPONSORED LECTURER FOR Eighteeth Medical
Dr. Massimo Giovarruscio is a highly skilled professional, with extensive experience in Endodontics, Restorative and Aesthetic Dentistry. With over 20 years' experience in dentistry, he has developed his reputation within the profession as an excellent clinician and endodontist. He is accredited Specialist in Endodontics and he is a Clinical Teacher in Endodontics at King’s College London Dental Institute to both Undergradute and Postgraduate students. Visiting Professor at Universidad CEU Cardenal Herrera Valencia, Master Internacional en Odontologia Restauradora y Endodoncia. Professor of Department of Theraupetich Dentistry of Setchenov University of Moscow.
He works in Rome, Bristol and London, specialising in Endodontic Treatment and Restoration of Endoontically Treated Teeth and is regarded as an World Opinion Leader in Endodontics and restorative procedures related to the endodontically treated tooth. He lectures world-wide and has published many articles in International journals, and wrote several endodontic chapter and manuals recognized and used by the University. Active member of the European Society of Endodontology, British Academy of Aesthetic Dentistry, Italian Society of Endodontics, Italian Academy of Microscopy Dentistry. Massimo is also a member of Styleitaliano Endodontics, the largest Dental Study Group in the web, with the mission of setting excellence standards while simplifying protocols in this vast world of Endodontics.
Edge Endo lecture
Clinical management of 3D complex curvatures
The lecture will focus on the need to understand root canal 3D curvatures to improve the performance and safety of NiTi rotary instrumentation.
It will address the best strategies to minimize instrumentation stress in complex canals, based on clinical experimentation.
it will also provide useful hints on why and howNiTi rotary instruments should be used clinically to avoid iatrogenic errors.
At the end a rationale clinical protocol and novel parameters of use of NiTi instruments will be illustrated based on scientific evidence.
Full-time Professor; Head of Endodontic and Restorative, University of Rome, La Sapienza, Dental School; Director of Master of Endodontics in Sapienza.
International lecturer and researcher, He is author of more than 480 scientific articles, He has lectured all over the world (more than 500 presentations) as a main speaker in the most important international congresses and many Universities worldwide.
During his academic career he gained many awards and recognition, and was responsible of many scientific projects with national and international grants.
He has focused his interests on endodontic materials and clinical endodontics. He is also actively cooperating as a consultant to develop new technologies, operative procedures and materials for root canal treatment. He has many patents concerning endodontic technologies.
He is currently the Chairman of Clinical Practice Committee of ESE and memeber of the Executive Board. Honorary member of AIOM ( Italin accademy of operative microscopy)
He still maintains a private practice limited to Endodontics in Rome, Italy.
Session chair: Ivica Anic
Calcium silicate-based sealer - a new “must-have” in endodontics?
Cements based on calcium silicate such as ProRoot MTA, MTA Angelus and Biodentine, are characterized by both biocompatibility and bioactivity and have dentin-sealing properties. Therefore, these calcium silicate cements have been well established for the treatment of perforation, for retrograde root canal obturation, or for closure of other root canal defects. Therefore, recently, several dental companies have also offered root canal sealers based of calcium silicate to combine the positive properties of the calcium silicate cements and conventional sealers for root canal obturation. But what are the benefits of these sealers? Where are the advantages? What are possible disadvantages? Should one change her/his treatment concept accordingly?
This lecture aims to provide an overview of current scientific findings on calcium silicate-based root canal sealers and to highlight the chances and limitations of these new materials.
SPONSORED SPEAKER FOR SEPTODONT
From 1987 to 1993, Till Dammaschke studied dentistry at the University of Göttingen (Germany). He is working at the Department of Operative Dentistry at the University of Münster (Germany) since 1994 and was appointed senior resident in 1998. In 1996, he completed his doctoral thesis at the University of Göttingen.
Till Dammaschke´s habitation thesis on histological research of direct pulp capping with MTA and composite resins in comparison to calcium hydroxide earned him full teaching credentials in 2008. 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.
He is certified member of the ESE, Section Editor of “Head & Face Medicine“, Associate Editor of the “European Endodontic Journal“, member the scientific advisory board of the journals “Endodontie” (Germany) and “Magazyn Stomatologiczny” (Poland), and member of the Editorial Board of the journals “Clinical Oral Investigations” and “Dentistry Journal”.