Abstract

Rationalization in Manual Rotary Endodontic

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The classification of periodontitis has been renewed in 2017 by the European Federation of Periodontology (EFP) and American Academy of Periodontology (AAP), followed with other periodontology societies all over the world. This update may implicate to the changing of diagnosis system in the clinical setting and its management as well. Our workshop will discuss and elaborate this issue and give a simple approach to the clinicians in a way to improve periodontal therapy. Participants of this workshop will be able to determine periodontal cases through prepared algorithm and plan a proper treatment strategy based on the S3 of the latest periodontal therapy approach.

Keywords: Periodontal, periodontitis, classification, periodontal therapy.

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Endodontic treatment is a predictable procedure with high success rates: shaping plays a very important role in the outcome of the therapy.During the shaping, the original anatomy respect allows preparing the canal saving radicular dentine, creating an ideal shape for a deep cleaning and a three-dimensional obturation. The execution of shapes that fit and meet the original anatomy decreases the risk of creating alterations of the root canal itself, such as ledges or transport, regarded by the international scientific literature as factors leading to the failure of the therapy. The respectful shaping of the root canal system is achievable using a proper shaping technique and getting the benefits of the evolution of the rotary file systems: thanks to the heat treatment of the rotary files, a totally mechanical shaping can be safely performed by the clinician, getting high quality and original anatomy respectful shaping, even in complex anatomies and even using a reduced number of instruments. The creation of a ledge during the shaping is the most common iatrogenic damage to the endodontic anatomy and it can be created by manual and rotary files. Once created, its management is crucial to complete the shaping the cleaning and the obturation at the proper working length to not decrease the outcome of the treatment. Aim of the lecture is to focus first the attention on the proper use of the rotary files in order to get a shaping respectful of the original endodontic anatomy, sharing protocols and tips to manage complex anatomies in the daily practice; the second part of the lecture focus on the ledge management, showing tips to ease the re-negotiation of the canal up to the working length.Aim of the lecture is to highlight how the knowledge of the shaping techniques are more important than the rotary files, sharing protocols and tips to manage even iatrogenic mishapes once created.

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Hands on will be focus on:

• Detemining and Planing Case for immediate implant placement 
• Surgery and Prosthetic Temporary Preparation 
• Soft Tissue Management on Immediate Implant Placement

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During the process of tooth eruption, the soft tissue covering the crown area sometimes becomes infected. The term pericoronitis refers to inflammation of the gingiva in relation to the crown of an incompletely erupted tooth. The space between the crown of the tooth and the overlying gingival (i.e., operculum) is an ideal area for the accumulation of food debris and bacterial growth. The clinical picture is a red, swollen, suppurating lesion that is tender, pains to the ear, throat, oral malodor and trismus. The decision to retain a tooth with this condition is determined by the tooth position, quality of the soft tissues and the amount of space and vestibular depth. Treatment of pericoronitis is non-surgical therapy and combine with surgical therapy when the gingival tissue has not improved although the infection has decreased. Gingivectomy and gingivoplasty are options in cases where there are pseudo-pockets or gingival tissue covering the crown

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The Outcome of the Endodontic treatment depends not only in the proper shaping, cleaning and packing of the canal, but even on the maintenance of an high level of infection control during the whole treatment. Infection Control in Endodontics, is often associated to the Cleaning during the treatment; cleaning is an important stage of the Endodontic treatment ad it means the removal of bacteria from the root canal system, but it’s just one out two components of the Infection Control. The second one is the Asepsis and it’s at least as important as the Cleaning. Asepsis means to prevent bacteria contaminate the root canal system and the operator do take care of the Asepsis for the whole treatment. A good Asepsis increases the efficiency of the Cleaning in Endodontics and prevents an early failure due to microleakage in Restorative Dentistry, never forgetting even that prevents transmission of virus as the coronavirus through aerosols formed during medical procedures. The Rubber Dam plays a crucial role on the Infection Control and its proper use increases, according with the international scientific literature, the success rate of the endodontic treatments. The application of the rubber dam is an easy, essential and accessible step for all practitioners and it represents a simple and affordable solution for the practitioners who want to perform their job according to correct biological and ethical guidelines.Aim of this lecture is to go deep in protocols useful to easily apply the rubber dam during Endodontic treatment even in complex cases.

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Management of curve canal is always challenging. Many dentists facing with some complications such as ledge and separate instrument. Curve canals can be classified in many types and some are not as difficult to manage as it appears.  Modern rotary instrument can reduce chance of those complications The course will present modern technology to manage root canal procedures in complex anatomy case such as curve canal, and to make clinicians understanding its complexities, and possibilities and limitations of current available techniques. The clinician will practice root canal instrumentation and demonstration of obturation with warm vertical technique. After the course, the participants will learn how to instrument curve root canal effectively and safely

Hybrid Session

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At the completion of the hands-on, the Dentist should be able to understand when to use direct free-handed bonding of composite resin versus the use of Componeers.

• The know-hows of Componeer
• A step by step guide to the application of Componeer from start to finish
• Techniques involved for success of Componeer
• How to handle different and practical cases using Componeer

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Learning about

• What adhesive material to use
• What flowable composite to use
  
• How to make the index
• How to inject the flowable
• How to finish and polish

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