NS-5 Patency and Long Term Outcome: Is It Needed?

4.77 (13 votes)

CE Hours: 0

Description: The patency concept was established in clinical endodontics in order to avoid debris buildup and canal blockage during root canal instrumentation and to dislodge bacterial biofilms in the foraminal region. Its application is still debatable, though. The definition of the patency file and the background to its use will be covered during this point-counterpoint session. Future trends as well as its benefits and drawbacks will be discussed.

Questions proposed to each presenter will be the basis of this point-counterpoint discussion.

Learning Objectives:  

  • Define the concept of patency file
  • List the benefits and limitations of current instrumentation techniques in removing vital or necrotic tissue from the apical ramifications and other anatomical irregularities
  • Discuss the impact of apical patency on the wound healing process

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Patency and Long Term Outcome: Is It Needed?
Recorded 05/06/2023  |  60 minutes
Recorded 05/06/2023  |  60 minutes
Evaluation
8 Questions
Domenico Ricucci, M.D., D.D.S.

Domenico Ricucci, M.D., D.D.S.

Dr. Domenico Ricucci received his degree in General Medicine from "La Sapienza" University of Rome in 1982, and his DDS from the same University in 1985. Since then on he has maintained private dental practices limited to endodontics. He achieved the National Scientific qualification as full professor in the Italian higher education system in 2018. Dr. Ricucci's primary research interest relates to pulpal and periapical tissue reactions to caries and treatment procedures, biofilms in endodontic infections, etiology of RTC treatment failure, pulp regeneration/revascularization. Since 1998 he has run his own histology laboratory and has developed considerable skills in hard tissue preparations for light microscopy.Dr Ricucci has published 120 papers and has lectured both nationally and internationally. He has authored the Textbook and Atlas "Patologia e Clinica Endodontica", the textbook and atlas "Endodontology. An integrated biological and clinical view", also translated into Chinese, Russian, Japanese. He has also authored or co-authored 22 book chapters. He is recipient of the Louis I. Grossman International Award by the French Society of Endodontics in 2017, and the Louis I. Grossman Award by the American Association of Endodontists in 2023.

Disclosure(s): No financial relationships to disclose

L. Stephen Buchanan, D.D.S.

L. Stephen Buchanan, D.D.S.

Dr. Buchanan graduated first in his class from The Dugoni School of Dentistry at University of the Pacific in 1978 and completed his post-graduate training at Temple University in Philadelphia, PA in 1980. Since then he has maintained a practice limited to endodontics in Santa Barbara, CA where he founded Dental Education Laboratories-a hands-on training academy-in 1986. Dr. Buchanan has over 25 US and international patents for endodontic tools such as the EndoBender plier, System-B Obturation System for the Continuous Wave method, GT and GTX Files, Traverse and ZenFlex Files, and PulpSucker; a closed-system, negative pressure irrigation device.

Disclosure(s): DEL: Employment (Ongoing), Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Dentsply Sirona Endodontic SBU: lecensed IP (Ongoing); Kerr Endodontics: lecensed IP (Ongoing); PlanB Dental: Ownership Interest (stocks, stock options, patent or other intellectual property or other ownership interest excluding diversified mutual funds) (Ongoing), scientific board (Ongoing)

Bettina R. Basrani D.D.S., M.S.D., Ph.D.

Bettina R. Basrani D.D.S., M.S.D., Ph.D.

Dr. Bettina Basrani is Tenured Associate Professor and Director, MSc Program in Endodontics at the Faculty of Dentistry, University of Toronto, Ontario, Canada since 2015. Dr Basrani received her DDS degree from the University of Buenos Aires and a Specialty Diploma in Endodontics and PhD from Maimonides University in Buenos Aires, Argentina. A long-time educator and researcher, she began her teaching career at the University of Buenos Aires. In 2000, she moved to Canada to serve as Chair of the Endodontic Program at Dalhousie University, Halifax, Nova Scotia. In 2004, she moved to Toronto, where she has continued her academic and clinical work. Internationally recognized as a leading authority in endodontics and as an excellent lecturer, effectively combining clinical and scientific information, Dr Basrani has received many awards throughout her career, such as the Louis Grossman Award by the French Society of Endodontics and has international courses and lectures, over 40 peer-reviewed scientific publications, three textbooks and several textbook chapters, and abstracts to her credit. Recently, in 2021 she was recognized as one of the most influential graduates from the University of Buenos Aires. She serves as reviewer for several endodontic journals. Dr Basrani is a member of many endodontics societies around the world.

Speaker Disclosure 

In accordance with this policy, I declare that I have NO 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.