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Biologically based endodontics
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Domenico Ricucci
Dettagli del corso
Lezioni del corso
Lezioni del corso
Lettori
Recensioni
ADA CERP
Dettagli
5 lezioni (9o 45m)
9.25 CE Credits
Inglese
Descrizione
The course is suitable for general dentists and endodontists who are ready to supplement their knowledge and improve their skills in root canal treatment.
The lecturer will tell you in detail about:
– histological features of the structure of teeth
– methods of preparation of teeth
– protocols of endodontic treatment to achieve a good therapeutic effect.
The course describes the tactics in case of accidental perforation of the cavity, as well as how to act in a difficult clinical situation.
Lezione 1.Tissue response to caries. The issue of the depth of caries excavation. Facts and beliefs
– Etiology of pulp diseases:
- Superficial caries
- Caries in the spot stage
- Dental caries
- Deep caries.
– Histological events occurring in the pulp tissue below medium-deep caries lesions
– Morphology of tertiary dentin and regressive changes in the odontoblast layer
– The possibility that new odontoblasts can be formed from undifferentiated pulpal stem cells: fact or fantasy?
– Histological and microbiological events characterizing the transition from a “reversible” to an “irreversible” inflammatory state of the pulp
– Clinical diagnosis of reversibility or irreversibility of pulp inflammation. How strict is the correlation between clinical and histologic diagnoses?
– The “selective excavation” concept. Critical analysis based on recent literature
– Caries excavation: complete or incomplete
– Clinical protocols for “complete” or “non-selective” caries excavation
– Treatment of deep cavities: contradictions and misconceptions
– Dense pigmented dentin: remove or leave on
– Do bacteria sealed in a cavity by a hermetic restoration become harmless?
Recommended for: Endodontists, General dentists.
Time: 2 h 3 min
Lezione 2.Deep caries lesions and exposed pulp. Can “vital pulp therapy” measures maintain pulp vitality?
– Reversible and irreversible pulpitis: clinical signs
– The concept of indirect pulp capping
– Direct pulp capping:
- Indications and contraindications
- Failures: early and late
- Methodology.
– Cracks in the dentin: tactics
– Partial pulpotomy: demonstration of the technique
– Bioceramic materials: options and properties
– Choice of treatment method: decision-making algorithm
– Sensitivity after direct pulp capping: tactics
– Materials for direct capping of pulp
– Calcium hydroxide. The first biomaterial in the history of dentistry.
Recommended for: Endodontists, General dentists.
Time: 2 h 2 min
Lezione 3.Apical limit of root canal instrumentation and obturation
– Apical limit of instrumental treatment and obturation of the root canal: nomenclature
– Apical constriction: definition
– Histological and histobacteriological conditions of the root canal
– Apical patency and the concept of working length
– Prevention of sawdust accumulation
– Manipulations in the area of the radiographic apex: consequences
– Microbial biofilm: localization
– Biological healing: histological aspects
– Pulp degeneration: progression of the process
– Mineralized dental deposits of endodontic origin
– Working with the apexlocator: clinical examples
– The role of silers based on calcium silicate
– Root canal treatment and irrigation: clinical recommendations.
Recommended for: Endodontists, General dentists.
Time: 2 h 10 min
Lezione 4.Lateral canals in endodontics. The never-ending story
– Obturation of lateral canals: influence on the result of treatment
– Histopathological status of tissues in the lateral canals
– Infection in the lateral canals: effect on healing
– Elimination of apical infection: method
– The complexity of the treatment of lateral canals: histological justification
– The effectiveness of cleaning the lateral canals with ultrasound
– Reasons for failures in cleaning and obturation of lateral canals
– Does the radiographic evidence of filling materials in ramifications correspond to their factual obturation?
– Lateral lesions: indications for surgical operation
– Vital tissues in the lateral canals: is it worth removing?
Recommended for: Endodontists, General dentists.
Time: 1 h 37 min
Lezione 5.Regenerative endodontic procedures. Are we really regenerating the dentin-pulp complex?
– Morphological aspects of tooth tissue restoration:
- Reactive and reparative dentin
- Primary, secondary and tertiary dentin
- The role of odontoblasts.
– Clinical criteria for pulp regeneration
– Modern materials for endodontic treatment:
- MTA
- Calcium silicate.
– Revascularization: definition and clinical significance
– Variants of tissue response to treatment
– Embryological aspects of the regeneration of the dentin-pulp complex
– Infection control as a stage of tooth tissue regeneration
– Pulp necrosis and apical periodontitis: factors of successful regeneration
– Ideal regeneration for bone tissue and dentin-pulp complex
– Рrotocols for the treatment of teeth with immature roots.
Recommended for: Endodontists, General dentists.
Time: 1 h 54 min
Il corso include le seguenti lezioni:
Endodonzia
Restauri diretti
Treatment methods
Pathologies
Odontoiatria pediatrica
Treatment methods
Lettori 1
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Endodontista e istopatologista specializzato in biologia pulpare, reazioni dei tessuti periapicali e ricerca sulle infezioni endodontiche. Medical Doctor e Doctor of Dental Surgery. Proprietario e direttore di laboratorio privato di istologia per microscopia dei tessuti duri.
Oltre 40 anni di esperienza clinica e di ricerca studiando risposte biologiche di polpa e tessuti periapicali a carie e trattamento endodontico. Dal 1998 gestisce proprio laboratorio di istologia sviluppando competenze avanzate in preparazioni di tessuti duri per microscopia ottica, consentendo ricerca rivoluzionaria correlando reperti clinici con evidenza istologica. Focus di ricerca su reazioni dei tessuti pulpari e periapicali a processo carioso e procedure di trattamento, biofilm nelle infezioni endodontiche, risultati della terapia pulpare vitale, rigenerazione e rivascolarizzazione pulpare, e meccanismi di successo e fallimento endodontico.
Principale esperto mondiale in microscopia dei tessuti duri dentali avendo pubblicato oltre 100 articoli scientifici peer-reviewed stabilendo fondamento istologico per endodonzia basata sull'evidenza. Autore e coautore di otto libri di testo sull'endodonzia inclusi "Endodontology: Clinical and Biological Aspects" (riferimento in lingua italiana) e "Endodontology: An Integrated Biological and Clinical View" (libro di testo completo e atlante pubblicato da Quintessence). Docente internazionale presentando alle più prestigiose conferenze dentali mondiali su terapia pulpare vitale, procedure endodontiche rigenerative, scienza clinica del successo e fallimento endodontico, e istopatologia delle malattie pulpari e periapicali.
MD. DDS. Ampia documentazione di pubblicazioni su Journal of Endodontics, International Endodontic Journal e altre riviste leader. La ricerca ha cambiato fondamentalmente la comprensione della risposta pulpare alla carie (dimostrando reversibilità della pulpite in condizioni appropriate), efficacia delle procedure di pulpotomia parziale, ruolo dei biofilm nelle infezioni persistenti, e importanza dell'eliminazione batterica completa per la guarigione. Gli studi utilizzano campioni di denti umani raccolti da casi clinici, elaborati in laboratorio privato usando tecniche specializzate che consentono visualizzazione di batteri, risposte tissutali e risultati di guarigione. Studio a Cetraro limitato a casi endodontici complessi riferiti da specialisti in tutta Italia.
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