SP-12 Clinical Outcome of Non-surgical Root Canal Treatment and Retreatment of Teeth with Apical Periodontitis Using Cold Hydraulic Condensation with Bioceramic Sealer: A Retrospective Analysis
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.
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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.
