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.

CE Hours: 1.0

Description: The presentation will focus on endodontic surgery and its peculiarities. It will begin with a brief introduction and a simple step-by-step clinical case. Then various clinical cases will be shown in which the endodontic lesion will be in contact with or within the sinus. This will be followed by a brief description of how to manage clinical cases near the alveolar nerve, and finally the periodontal part and its importance in endodontic surgery will be discussed.

Learning Objectives:  

• Manage modern endodontic surgery.
• Manage endodontic survey involving maxillary sinus.
• Manage periodontal approach to modern endodontic surgery.

CE Hours: 1.5

Description: Endodontic Microsurgery is often used as the ultimate solution to remove a persistent apical lesion and address the endodontic disease, especially if a conventional retreatment might compromise the prognosis of the tooth. In the Area of “minimally invasive dentistry” saving the bone while offering a valid exposure of the surgical target and improving bone healing is highly recommended. Thus, the use of piezo and ultrasonic instrumentation should be parts of the responses. It might present considerable advantages such as increasing hemostasis during the surgery and the “quality of life” after. The “Bony Lid” approach can be a minimally invasive solution. On lower molars, traditional access must be very invasive with a thick mandibular bone and on upper molars the sinus apical projection may make the access more complex, thus with a bony lid the visibility and the access of the lesion for the root preparation and filling would be more predictable. Precise and thin osteotomies for outlining the bony window can be obtained with piezo surgery and facilitates the removal of the bony segment and enables its exact fit at the end of the surgery. Adding PRF or collagen preparations (clots and membranes), will favor a stable re-seating of the lid and allow a better and quicker bone healing. On Endodontic Microsurgery, Piezo Surgery and particularly the “Bony Lid” technique may allow the operator an easier surgery and a quicker healing with a high regenerative healing potential, especially on molar operative site.

Learning Objectives:  

• Analyze the indication of the "Bony Lid" technique on Endodontic Microsurgery.
• Describe the Minimally Invasive surgical approach of the Piezo Endodontic Microsurgery.
• Give benefits of the Piezo Endodontic Microsurgery and "Bony Lid" technique added to a PRF or collagen preparation.

CE Hours: 0.75

Description: Irrigation is a key part of successful root canal treatment. Recently, many canal system irrigating technology has introduced to the Endodontics market. This created a healthy debate and discussion in the endodontic society. Emerging questions that are raised are; Which technology to implement? Are these devices affecting the outcome compared to the traditional treatment? Where is the evidence? And most importantly what kind of evidence are we looking for? What metanalysis informing us about supplemental irrigation, is the metanalysis still on top of the evidence pyramid? Are there outcome studies? What kind of outcome studies should we rely on? 

This presentation will attempt to present a balanced viewpoint answering all these questions based on the most recent research findings following an evidence based approach.

Learning Objectives:  

• Describe the current root canal system irrigating devices and their efficacy and limitations
• Identify the best method for evaluating cleaning and disinfection of the complex root canal system
• Identify the optimal study design and type to evaluate endodontic outcome

CE Hours: 1.5

Description: 

Conventional endodontic therapy has proven to be a very predictable treatment modality. However, it may occasionally fail. Treatment inadequacies are the major cause of endodontic failure. Signs and symptoms of endodontic treatment failure include radiographic apical/periapical radiolucency, swelling, sinus tract and pain. This presentation summarizes important evidence-based aspects to help dentists identify endodontic treatment failures, determine potential causes of failure, and determine appropriate steps to address the failure. Retreatment success rates may be attributed to improved instrument properties and advanced technologies. The efficacy of contemporary endodontic approaches and technologies such as magnification and illumination, CBCT, XP instruments, ultrasonic devices and multisonic machines, as well as retreatabilty of bioceramic sealers with regards to endodontic retreatment outcomes will also be discussed.
In conclusion, participants will be able to perform endodontic retreatment using more predictable and safe approaches.

Learning Objectives: 

• Discuss diagnostic methods and treatment plan for endodontic failures
Discuss new instruments, materials and technologies used as supplementary techniques for endodontic retreatments
• Discuss endodontic retreatment outcomes

CE Hours: 1.0

Description: 
Describe Ultrasound  real-time imaging, also called echography, a  non-invasive, safer  imaging technology (which does not use ionizing radiation)  has been a widely used  for diagnostics in many fields of medicine since its introduction  in 1942. In recent years ultrasounds, have been successfully used to supplement traditional radiology in the study of apical periodontitis and other lesions in the jaws.  This presentation will discuss the application of ultrasound imaging to the endodontic field for: a) the  detection and description of apical periodontitis; b) the  differential diagnosis between cystic and solid lesions of endodontic origin as well as  of lesions of different origins in the jaws; c) the evaluation of the  short and  long term outcome of  orthograde and  surgical endodontic treatment,  and d) for the  disclosure of  the sinus tracts, in the light of the recent research.  The material chemistry and properties of various dental materials that have been used as a root-end filling material

• Become acquainted with the echographic technique
• Appreciate the usefulness of ultrasounds to implement the information on apical periodontitis
• Evaluate future openings in using ultrasounds in endodontics

Elisabetta Cotti, D.D.S., M.S. 

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.