SP-29 Simplify Your Clinical Irrigation Protocol by Using the Continuous Chelation
CE Hours: 0.75
Description: Effective irrigants, irrigant delivery and agitation are pre-requisites to promote root canal disinfection and debris removal and improve successful endodontic treatment. Antagonistic interactions between irrigants dictate that multiple endodontic irrigation solutions must be used in a specific, carefully prescribed sequence with intermediate flushes to avoid dangerous chemical reactions and that they cannot be mixed together. A novel root canal irrigation protocol, the continuous chelation, was introduced, whereby gentle, soft chelators combined with NaOCl are administered during the whole course of root canal therapy for simultaneous antimicrobial action, tissue dissolution and smear layer and debris removal. Continuous chelation is simpler than standard irrigation and some authors have also reported an improved antimicrobial effectiveness, enhanced smear layer and dentinal debris removal, effective tissue dissolution and improved bonding of endodontic materials to dentin. This oral presentation aims to present how the continuous chelation protocol may provide advantages compared to standard irrigation protocols to improve cleaning and disinfection of the endodontic space. The integration of new technologies, coupled with enhanced techniques and solutions, may help everyday clinical practice.
Learning Objectives:
- List new technologies and innovations in root canal disinfection
- Describe the most innovative irrigation techniques
- Perform an effective and technologically advanced irrigation protocol
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Gianluca Plotino, D.D.S., Ph.D., M.S.
Gianluca Plotino was born in 1978 in Rome, Italy. He graduated in dentistry from the Catholic University of Sacred Heart of Rome in 2002. He received the “Alfred Bean Memorial” prize from the Chicago Dental Society for the best Italian research graduate thesis 2001-2003, the "Hans Genet Award" from the European Society of Endodontology for the best European Researcher in 2013, the Top 100 Doctors award class 2022 and several other research prizes and awards. Dr. Plotino obtained his PhD in 2009 at the Catholic University of Rome, in 2017 he received the certification to be Professor of II level and in 2018 to be Professor of I level in Italy. Gianluca Plotino is a Specialist Member of the European Society of Endodontology (ESE), International Specialist Member of the American Association of Endodontists (AAE), active member and President Elect (2025-26) of the Italian Academy of Endodontics (AIE) and active member of the Italian Society of Endodontics (SIE) and the Italian Society of Conservative Dentistry (SIDOC). Dr. Plotino published more that 130 articles in scientific peer-reviewed journals on different endodontic and restorative topics reaching a h-index of 38, 3 textbooks on Endodontics and contributed with numerous chapters in other textbooks. He is Associate Editor of the European Endodontic Journal and part of the Editorial Board of the Journal of Endodontics and several other international journals. Dr. Plotino owns 4 patents and a start-up and since 2004 has extensively lectured worldwide on endodontic and restorative topics giving courses and workshops. He is currently working in his own private practice in Rome, Italy, focused on endodontics and restorative, esthetic and interdisciplinary dentistry.
Speaker Disclosure
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.
