Participants’ Registration

The use of nickel-titanium engine driven endodontic instruments has expanded dramatically since the first attempts at manufacturing endodontic files from super elastic alloy.

Over the years, engine driven shaping of the root canal system became synonymous to  modern  root canal instrumentation.  New cross sectional instrument designs, variable tapers and crown down techniques were introduced and adopted very quickly. Recently reciprocation movement was introduced and challenged rotation in terms of efficiency, simplicity and safety.

In this era of  NiTi instrumentation blast, heat treated NiTi martensitic controlled memory files were introduced and became rapidly very popular.  Their flexibility,  fracture resistance and lack of  super elasticity  allowed for  adequate anatomically driven preparations even for the most challenging canal systems.

Now that everybody is moving towards martensitic flexible files with controlled  memory characteristics, a new generation of files has come to revolutionize instrumentation efficiency and safety.  The new electrical discharge machined (EDM) Hyflex  files  arrived to supplement the successful controlled memory series and reduce the number of files needed to prepare challenging root canal systems.

The aim of this workshop is to introduce you to the new EDM era of rotary instrumentation for the highly curved and the double curved canal systems.

              Workshop objectives:

At the end of this workshop the participant will manage to:

• Understand the biological objectives of root canal treatment manipulation in relation to each anatomical challenge;
• Understand and appreciate the controlled memory thermomechanical processing and electrical discharge machining for the manufacturing of rotary files;
• Establish a roadmap for customized instrumentation protocols with the Hyflex CM & EDM rotary files even for the most challenging cases;
• Practice the suggested shaping protocol in highly curved and doubled curved training blocks with 3 rotating instruments;
• Achieve a three dimensional obturation of the prepared root canal system by using greater taper gutta-percha points in combination with Gutta-flow 2.

The workshop will show through some live procedures on extracted teeth and/or 3D models of the ability of reciprocating files to shape an Entire tooth with a single file, when possible, and what are the best strategies to adopt this systematic procedure in your everyday practice.
Workshop Objectives:
During the Hands-On Workshop, attendees will be able to understand when and how to use at its best the reciprocating files and in which clinical situations they are more indicated.
Attendees will be able to try them on extracted teeth under the guidance of the Lecturer that will give protocols of their usage.

During the workshop, the characteristics of the new TruNatomy NI-Ti file system will be explained and the participants will learn:
– how to execute the correct endodontic treatment plan;
– how to select the best shaping sequences in easy and difficult cases;
– how to shape every curved and narrow canal;
– how to achieve the best cleaning for the root canal system;
– how to select the right root canal obturation technique (gutta-percha cone and carrier-based systems)
Workshop objective: to describe a simple and fast technique to reach success in endodontic treatments using Trunatomy shaping files.

Clinical solutions Endodontic treatment became more predictable than ever before. With the aim of new materials and techniques, we are able to save teeth which were not meant to be. Unfortunately, still the biggest enemy for every doctor is anatomy, which can lead to problems. During this lecture, the participants will learn how to avoid problems during Endodontic treatment and if it happens how to solve it during retreatment. They will get tips which You can use just the next day in Your office.
Workshop objectives:
– Problem-solving during everyday endodontic treatment, starting from creating access, up to the negotiation of the canal space;
– Techniques concerning removing of fracture instruments, metal and fiber posts, closing perforations and passing ledges;
– Planning proper restoration for long term results.
Each procedure is presented step by step basing on clinical cases.

Every clinician who has performed endodontics has experienced a variety of emotions ranging from the thrill-of-the-fill to an upset such as the procedural accident of breaking an instrument. During root canal preparation procedures, the potential for instrument breakage is always present.
Many clinicians associate “broken instruments” with separated files, but the term could also apply to a sectioned silverpoint, a segment of a Lentulo, a Gates Glidden drill, a portion of a carrier-based obturator, or any other dental material left inside a canal.
Today, separated instruments can usually be removed due to technological advancements in vision, ultrasonic instrumentation, microtube delivery methods, or a lasso technique. Specifically, the dental operating microscope allows clinicians to visualize most broken instruments, and fulfills the age-old adage, “If you can see it, you can probably do it.”

Theoretical part
How to make shaping safer with respect to the root canal anatomy.
Advantages and drawbacks of rotation, reciprocation and adaptive motion.
Is there a file system for every case?
Fast, predictable and efficient way of filling the root canal space.

Hands-on objectives
1. Using hand files to their full capabilities- creating a glide path with M4 safety handpiece.
2. Improving skills in shaping using unique motion and files – emotion Motor, traverse ad TF adaptive
3. Obturation of root canals without any restrictions with Elements IC.

Objectives:
• understanding the biomechanical features of endodontically treated lateral teeth and how they influence the choice of restoration type;
• presentation of the 3 types of preparations specific to endodontically treated lateral teeth: endo-crown for a molar, endo V prep for molars, endo V prep for premolars;
• the participants will learn the techniques for the preparation of the 3 types of preparations on didactic models.

Clinical management of calcified teeth provides an endodontic treatment challenge and makes up a significant portion of current endodontic practice. Searching for calcified root canals can be challenging and, time-consuming and may create a huge loss of tooth structure that is associated with a high risk of fracture and perforation, compromising the prognosis of the tooth. Nowadays, the use of new technologies has increased the predictability of the treatment of calcified teeth. A new clinical approach for to a tooth with PCO, called “guided endodontics,” has been introduced. This technique consists in the use of a guiding template, which facilitates the localization of severely calcified root canals. With this lecture will be presented, through clinical cases, this form of approach to face this clinical challenge, providing some tips and tricks to achieve the mechanical and biological goals of endodontic treatment.

In this presentation, we will approach from a surgical point of view, from simple to complex, the failures of the endodontic treatments where the endodontic retreatment of the tooth in question is not possible. The endodontic treatment is a medical procedure frequently used in dental practice to save a tooth.
In order to have a successful and correctly applied treatment, there are a lot of factors involved that need to be taken into account starting from an accurate diagnosis to the actual root treatment, as well as the patient’s general health.
It’s quite common to see failures of the endodontic treatments, but the patients come back to the dental office only after they become symptomatic. If the endodontic treatment fails there are 2 possibilities: endodontic retreatment or surgical one.
In general, the apicoectomy is being reserved for the situations where there the endodontic treatment cannot be done or was unsuccessful.
If after the apical resection the tooth is compromised, the only option available is tooth extraction followed by insertion of an immediate or late implant.
The failure of endodontic treatment can have a disabling effect on the patient.

Coffee Break

1. Easy and predictable shaping of root canals using advanced instrumentation with Adaptive Motion Technology and TF Adaptive files.
2. The role of disinfection in root canal therapy, irrigation agents, and techniques.
3. Obturation of root canal system with Elements IC as a reliable way of filling the root canal space.

An increasingly frequent dilemma in restorative dentistry is the question of whether to retain a badly damaged tooth and restore it or to remove and possibly replace it.
Given the ethical difficulties inherent in testing this question, it is unlikely that we will ever see a properly designed clinical trial that will provide an answer. One of the most strongly debated components of this question is whether endodontic treatment and restoration can compete with a dental implant-borne prosthesis in terms of longevity and success.
In deciding whether to extract a tooth or restore it endodontically, the clinician must consider the quality of support the tooth will provide for planned restorations, the predicted longevity, and the role of the tooth in overall rehabilitation plans.
In this conference, I will attempt to provide practitioners with guidelines that might be applied to their daily practices.