Obturation Technique
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Includes Credits
CE Hours: 1.0
Description: This study aimed to assess the effect of cavity designs on instrumentation, obturation and fracture resistance for mandibular first premolars with Vertucci V canal.
At the conclusion of this article, the reader will be able to:
- Discuss which cavity design is appropriate for mandibular first premolars with Vertucci V canal.
- Compare the effectiveness of different cavity designs in instrumentation, obturation and preservation of dentin and fracture resistance.
- Describe the steps of preparing an access cavity for premolars with Vertucci V canal.
Yuxuan Liu, DDS
Yaxu Feng, DDS
Xianhua Gao, DDS
Wei Fan, DDS, PhD
Bing Fan, DDS, MSc, PhD
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Includes Credits
CE Hours: 1.5
Description: Endodontic complications of varying severity can unfortunately occur during most stages of endodontic treatment. This lecture aims to enhance understanding of common endodontic complications and recommends current management and solutions with an evidence-based approach. Preoperative, intraoperative and postoperative issues will be discussed, including possible aetiologies and prevention during root canal therapy. We will address the impact of complications on both patients and practitioners, underscoring the importance of clear communication in preserving the clinician-patient relationship. Attendees will gain current advice and knowledge on how to tackle endodontic complications effectively, fostering excellence in clinical practice and improved patient care.
Learning Objectives:
- Recognize and identify common endodontic complications.
- Implement evidence based management strategies.
- Develop strategies for preventing endodontic complications.
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Includes Credits
CE Hours: 1.0
Description:
Since the launch of calcium silicate-based bioceramic sealers, the popularity of its clinical applications has grown dramatically in the last 16 years. Almost 50% of the AAE members and 27% of the ADA members reported using this type of sealer, which have surpassed resin-based sealers and it has become the most widely-used sealer type among endodontists.
Due to the increase of the interest of these sealers, several companies have developed its own version of a calcium silicate-based bioceramics products (sealer and putty). The majority of these products are pre-mixed which simplify the clinical use. While the verity of these products in the market increase considerably in the last 5 years, the number of clinical and laboratory studies on the latest products have been limited. Although many of them are called bioceramic sealers, there are many variation, among them, their chemical components, sealability, biological activities and more.
In this presentation we will compare the most popular pre-mixed bioceramic products in the market and show their clinical applications and obturation techniques.
Learning Objectives:
- Describe the endodontic hydraulic bioceramic cements and their clinical interactions
- Update and compare the traditional and new bioceramics materials available on the market
- Demonstrate tips and tricks on how to use these materials in different clinical cases
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Includes Credits
CE Hours: 0.75
Description: To prevent and eliminate apical periodontitis, adequate obturation is paramount for successful non-surgical endodontic treatment. Gutta percha and sealer are two needed components, and bioceramic obturation is the newest application to address this. The worldwide use of calcium silicate-based sealers continues to increase along with new obturation techniques. The single cone technique (hydraulic condensation) has become a time-saving, efficient obturation method using bioceramic sealers. But does this technique predictably provide a bacterial tight seal? How does its application affect the performance of these materials? What influence does the single cone technique have on case outcome? This presentation will explore the predictability of the single cone technique, allowing the listener to make an informed decision on whether, and in what situations, to employ it.
Learning Objectives:
- Describe the properties of bioceramic sealer that make the single cone technique possible.
- Discuss how the application of bioceramic sealer affects its performance.
- List the strengths and limitations of bioceramic obturation using the single cone technique.
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Includes Credits
CE Hours: 0.75
Description: The obturation of the root canal system is a critical step of the non surgical root canal treatment in order to achieve a positive outcome of the therapy: as a matter of fact an high percentage of endodontic failures are associated with incomplete root canal obturation and apical periodontitis presence. The possibility to get a fluid-tight seal is crucial to prevent percolation of bacteria and it depends on the properties of the sealer and on the obturation technique. Hydraulic Calcium silicate-based sealers properties are driving a paradigm change in obturation towards a more sealer-centric philosophy. The purpose of this presentation is to evaluate the outcome at 2 years of non surgical canal treatments done in a private practice between 2017 and 2021 in teeth with apical periodontitis. All cases, including initial and retreatment, were obturated with bioceramic sealer and CHCT independently of the endodontic anatomy. Outcome was evaluated based on clinical and radiographic findings at recall, with a minimum 2-years follow-up for 525 teeth. Teeth were classified as healed or healing (success), or not healed (failure). Patient and treatment factors were analyzed to determine their significance as prognostic factors. Among the factors even apical size bigger than 50, sealer extrusion and presence of small perforations. The results obtained support the conclusion that the use of bioceramic sealers with the CHCT is a valide option for obturation in text with apical periodontitis.
Learning Objectives:
- Evaluate and perform the clinical techniques for using bioceramic sealers in root canal obturation according with the endodontic anatomy.
- Evaluate the benefits and limitations of bioceramic sealers.
- Implement obturation strategies to get a positive outcome for non surgical canal treatment and retreatment in teeth with clinical and/or radiographic signs of apical periodontitis.
Filippo Cardinali, D.D.S.
Graduate summa cum laude in Dentistry and Dental Prosthesis at the University of Ancona in 1992. Vice-President and Active Member of the Italian Society of Endodontics. Certified Member of the European Society of Endodontology. Associate Member American Association of Endodontists. Gold Member of Styleitaliano Endodontics. Co-author of the book “Testo Atlante di Anatomia Endodontica" published by Tecniche Nuove in 2011. Co-author of the book “Isolamento del campo operatorio" published by ANDI Servizi in 2013. Co-author of the book "Manuale di Endodonzia" published by Elsevier Masson Italy in 2013. Co-author of the iBook “The Isolation Game” published in Apple iBook Stores Co-author of the book “Ritrattamenti: soluzioni per le patologie apicali di origine endodontica" published by EDRA in 2018 available even in English and Spanish language. Lecturer in theoretical and practical courses on subjects related to the isolation of the operative field and endodontics, has participated as a speaker at courses and conferences in Italy and abroad. Private practice, concentrating mainly in Endodontics and Restorative Dentistry and author of publications on journals of national and international sector.
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
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Includes Credits
CE Hours: 1.5
Description: Root canal obturation is a critical step in non-surgical root canal treatment. In recent years, more emphasis is being placed on preserving more natural tooth structure during endodontic treatment in order to improve the long-term survival of the natural dentition. With the introduction of calcium silicate-based root canal sealers, root canal obturation techniques have evolved to adapt to this more conservative philosophy. This lecture will present an overview of the changing philosophy in root canal obturation, discuss the properties of new obturation materials, review the most current and clinically relevant evidence on various obturation materials and techniques, and describe the clinical procedure of the contemporary sealer-based obturation using calcium silicate-based sealers. The lecture will provide evidence-based clinical guidance for endodontists to meet today’s challenges in root canal obturation and achieve a more predictable treatment outcome.
Learning Objectives:
- Explain the objectives and principles of root canal obturation
- Explain the properties of calcium silicate-based root canal sealers
- Explain the rationale and the clinical techniques of sealer-based root canal obturation
Jianing He, D.M.D., Ph.D.
Dr. Jianing (Jenny) He received her dental degree from West China University of Medical Sciences in 1996, and a certificate in Endodontics, and a PhD in Oral Biology from the University of Connecticut Health Center in 2003.
Dr. He has been actively involved in endodontic education, research, and clinical practice. She is a Diplomate of the American Board of Endodontics and a fellow of the American College of Dentists. She has published over 50 manuscripts in peer-reviewed journals and served on the Research and Scientific Affairs Committee for the AAE. Dr. He is currently an Associate Editor of the Journal of Endodontics.
Dr. He is a Clinical Associate Professor at Texas A&M University College of Dentistry and maintains a full-time private practice limited to Endodontics in Flower Mound and McKinney, TX.Speaker Disclosure
In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: Brasseler USA (Individual(s) Involved: Self): Honorarium (Terminated)
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Includes Credits
CE Hours: 1.5
Description: Our specialty of Endodontics has evolved, and continues to evolve, through the application of emerging technologies. Advancements in irrigation protocols have allowed for predictable cleaning of the primary canals with more conservative preparations to include no instrumentation. Subsequently, obturation materials and methods have to be modified to accommodate these smaller shapes. This case-based presentation will review the advantages and techniques used to overcome the challenges of such a paradigm shift.
Minimally prepared canal systems with enhanced irrigation have the potential to provide desirable results and conserve tooth structure. Various cases with continued care healing re-evaluations to include CBCT imaging for both pre-operative and recall examination will be presented.
Learning Objectives:
- Compare and contrast traditional tapered canal preparation versus methods and materials used for minimally prepared canals and modified obturation techniques.
- Critically evaluate the advantages of minimal preparation combined with enhanced irrigation and bioceramic sealer as an alternate option for nonsurgical RCT.
- Explain the role of minimally prepared canals and their correlation to the longevity of endodontically treated teeth based on pre-operative and post-operative CBCT comparison.
Scott K. Hetz, D.MD
Scott K. Hetz DMD, is a 1997 graduate of the University of Pittsburgh School of Dental Medicine. Dr. Hetz served in the United States Air Force for 9 years including an Advanced Education in General Dentistry program. Also while on active duty, he received his specialty Certificate in Endodontics from the University of Southern California in 2004. Dr. Hetz is a Diplomate of the American Board of Endodontics, member of the Endodontic College of Diplomates and Specialist Member of the American Association of Endodontists and District of Columbia Dental Society. He volunteers as Affiliate Faculty in the Department of Endodontics Naval Postgraduate Dental School at Walter Reed National Military Medical Center. Dr. Hetz maintains a full time practice as a partner with Advanced Endodontic Associates in Washington DC. He can be reached at scotthetz@mac.com.
Speaker Disclsoure
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.
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Includes Credits
CE Hours: 1.5
Description: Root canal sealers are a critical component in obturation to provide a fluid-tight seal of the root canal system. Calcium silicate-based bioceramic sealers have emerged as a promising alternative to traditional resin-based or ZOE-based sealers. The increasing popularity of these materials is driving a paradigm change in obturation towards a more sealer-centric philosophy. The excellent flow characteristics, sealing ability, dimensional stability, and biocompatibility of bioceramic sealers allow them to be used in a simplified obturation technique without compromising the quality of obturation. Since the first bioceramic sealers were introduced in 2008, there has been growing evidence supporting the use of these materials. New products also continue to be developed and introduced. This presentation will provide an update on the recent development in the field of bioceramic sealers, review their relevant properties, discuss the clinical techniques of their application, and present the most current research related to the properties and clinical effectiveness of bioceramic sealers.
Learning Objectives:
- Describe the physical, chemical, and biological properties of bioceramic sealers and understand the benefits and limitations of these materials
- Describe the clinical techniques for using bioceramic sealers in root canal obturation
- Discuss current evidence from in vitro and clinical studies regarding bioceramic sealers
Jianing He, D.M.D., Ph.D.
Dr. Jianing (Jenny) He received her dental degree from West China University of Medical Sciences in 1996, and a certificate in Endodontics, and a PhD in Oral Biology from the University of Connecticut Health Center in 2003.
Dr. He has been actively involved in endodontic education, research, and clinical practice. She is a Diplomate of the American Board of Endodontics and a fellow of the American College of Dentists. She has published over 50 manuscripts in peer-reviewed journals and served on the Research and Scientific Affairs Committee for the AAE. Dr. He is currently an Associate Editor of the Journal of Endodontics.
Dr. He is a Clinical Associate Professor at Texas A&M University College of Dentistry and maintains a full-time private practice limited to Endodontics in Flower Mound and McKinney, TX.Speaker Disclosure
In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: Brasseler USA (Individual(s) Involved: Self): Honorarium (Terminated)
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Includes Credits
CE Hours: 0
Description: The presentation will look at canal system irrigation with the intent of understanding how various modalities work and how effective they are. The recently introduced multisonic, fluid dynamic irrigation technology works in a fundamentally different way than traditional needle irrigation. Its method of action will be looked at in-depth so participants can understand exactly how it works. Once explained, this action will be visualized with macro video in anatomically accurate clear plastic tooth models. During this, a direct comparison will be made with traditional irrigation protocols. Issues of effectiveness, safety and cost will be examined. The presentation will be summarized with a discussion of the ramification of this technology on our broader shaping and obturation concepts.
At the conclusion, participants should be able to:
- Describe the various irrigation protocols used today in endodonitcs
- Describe the advantages and disadvantaages of each irrigation protocol
- Describe the method of action of the new multisonic fluid dynamic driven irrigation devise and how this technology impacts traditional endodontic treatment protocols
Eric J. Herbranson, DDS, MSC
Dr. Herbranson graduated with a BS in Physics in 1964, a DDS degree from Loma Linda University in 1970 and a MS in Endodontics from Loma Linda University in 1973. He has practiced endodontics in the San Francisco East Bay since that time. He has served on most of the Alameda County Dental Society board positions, including President and Trustee. He was inducted as a Fellow of the International College of Dentists in 2003. He has been actively involved in education for years, has lectured nationally and internationally and authored text book chapters and articles. He was declared Alumni of the Year from Loma Linda University School of Dentistry in 2006 Following his interest in photography he developed the X-Mount camera mount system and is a recognized expert in surgical microscope photography. His non-dental photographs have been published in a number of national magazines. He is a founder of eHuman.com who is the developer of the Tooth Atlas, a computerized atlas of the anatomy of human teeth. It has been recognized as a significant tool in learning the complex microanatomy of teeth and has been adapted by many of the dental schools in the United States.
Eric J. Herbranson, D.D.S., M.S., FICD
In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: eHuman (StockHolder/Ownership Interest), Global Surgical Corporation (Financial) support), Sonendo Inc. (Grant, Consultant, Honorarium), SSwhite Bur, Inc (Consultant, Honorarium)
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Includes Credits
CE: 1.0
Course Description:Endodontic success is dependent on many things we do as practitioners. It is important that we effectively debride and disinfect the root canal system, however once this is completed, the system must be sealed both coronally and apically to ensure a greater chance for success. With advances in technology that allow us to debride minimally prepared canals, our techniques to obturate these small spaces have changed. This presentation will revisit the goals of obturation and discuss multiple techniques from single cone to carrier-based systems with a focus on the future of obturation.
At the conclusion, participants should be able to:
- Discuss current research related to endodontic obturation.
- Describe the limitations associated with obturating small canal preparations.
- Evaluate techniques that allow for efficient obturation of small spaces that achieve the goals of obturation.
Michael J. Tulkki, D.D.S., M.S.
Dr.Tulkki is originally from Cold Spring, MN. He received his Doctor of Dental Surgery in 2001 from the University of Minnesota Dental School. He received his Masters of Science and Certificate in Endodontics in 2006 from the University of Minnesota. While completing his residency his research focus was antibacterial properties of irrigating solution on bacterial biofilms. In 2010, Dr. Tulkki received board certification from the American Board of Endodontists. He is a past president of the Minnesota Endodontic Association. In addition to clinical practice, he has been involved with the University of Minnesota Dental School while teaching and lecturing. He is an active member of the American Dental Association, American Association of Endodontists, Minnesota Association of Endodontists and the American Board of Endodontics.
Michael J. Tulkki, D.D.S., M.S.
I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: DENTSPLY Sirona Dental Specialties (Self) : Consultant (Status: Ongoing), Honorarium (Status: Ongoing); Sonendo, Inc. (Self) : Consultant (Status: Ongoing), Honorarium (Status: Ongoing)