Endodontic Congress in Rome

In addition to the clinical examination, the evaluation of diagnostic imaging is the most important component of preoperative diagnostics in dentistry. This lecture describes the influence of cone beam computed tomography on decision making in treatment planning, particularly in endodontic treatment.

The aim should be the one over-riding purpose of the lecture:The aim of this lecture is to provide the audience with a basic understanding of how cone beam computed tomography imaging may influence treatment planning by providing substantial additional informations over two dimensional imaging modalities.

The objectives should describe how the aim is achieved:An overview of the current literature is presented and in selected cases the different diagnostic abilities of two- and three-dimensional modalities are portrayed.

When discussing endodontic outcomes, different opinions emerge on what outcomes are actually relevant for our patients. In general, dentists look towards the research to find answers, however there are many misunderstandings from the presentation of raw numbers and statistics that can easily confuse the reader to infer the wrong conclusions about endodontic outcomes.The aim of this lecture is to provide insight into developing better understanding of endodontic outcomes through careful evaluation of the literature as well as discovering and accepting our own cognitive biases and how they can be changed when presented with new or contradicting information, thus better serving our patients for predictable patient centered outcomes.

The ultimate goal of endodontic treatment is to conserve the integrity of the masticatory system by saving teeth at risk of developing pulp inflammation and those with established pulp and periradicular disease. Filling the root canal system and restoring the tooth prevents re-infection by re-establishing the surface integrity of the body to prevent microbial ingress. Such treatments are not always straightforward and a number of complications can impede thorough shaping, cleaning and fi lling of the root canal system. One of the iatrogenic accidents that results in an unintended communication between the root canal system and periodontium is a perforation. Perforation of the root canal walls or bifurcation region may jeopardise the outcome of the root canal treatment. In this lecture we will discuss the lomg term success and failure of such cases , the correct selection of the case to be treated and when is better for the patient to extract and place an implant.

Then the clinical scenarios to manage a perforation step by step :

- How to prevent Iatrogenic Defects ?

- MTA, Biodentine and Bioceramics uses in Endodontics Non surgical Management of perforations.

- How to locate, clean and shape the perforation.

- How to use and apply the collagen matrix before MTA application precisely. Non surgical Treatment of open apex teeth by MTA.