Post Endodontic Restoration: from root canal preparation to occlusal check

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Детали

6 уроков (3ч 19мин)

2.75 CE Credits

2.75 CE Credits

Английский

Доступ к записи на 180 дней или без ограничений с Premium

Описание

Everything you need to know about the restorative protocols of endodontically treated teeth – An aesthetic-driven Endodontics by Giovanni Cavalli!

 

In 6 lessons, Dr. Giovanni Cavalli will unlock the secrets to aesthetic and long-lasting direct, semi-direct, and indirect restorations of endodontically treated anterior and posterior teeth. 

 

Within the course you will learn in details about:

 

– Post and core build-up

– Direct composite restorations

– Partial indirect restorations

– Full crown restoration

– Post cementation 

– Prosthetic restoration cementation

– Complications and how to avoid them.

Урок 1.The recovery of destroyed tooth in modern dentistry. General Guidelines

– Radiographic analysis of clinical cases

– To save a tooth or not? The foundation of this decision

– Cases of impossibility of Endo/Restorative treatment

– The prognosis of implantation over endodontic treatment

– Evidence-based analysis of saving hopeless teeth

– Endo-Resto-Perio-Prosthetic maintenance

– Clinical cases of saving teeth with poor prognosis

– Is fracture of a tooth avoidable? Do teeth become more brittle post endodontic treatment?

– The roman arch structure of the tooth and the cuspal bending movement

– How to use the inner space that serves as reconstructive support?

– Physical and mechanical properties of the core in relation to the dentin

– The properties of the reconstructive materials

– The engineering architecture concept.


Recommended for: Prosthodontists, Endodontists, Restorers, General dentists.

Урок 2.Direct or indirect restorations: clinical application on endodontically treated teeth

– Direct composite restoration of anterior teeth

– Direct composite restoration of posterior teeth with or without the cusp overlay: indications and contraindications

– The cuspal bending theory

– The importance of the complex anatomy of the restoration

– Core build-up and direct composite restoration of posterior teeth

– Prosthetic restorations of anterior teeth

– Do prosthetic restorations of anterior teeth increase the survival rate?

– Anterior ceramic crowns as an aesthetic solution

– Indirect restoration, partial-crown prep - composite restorations: 


- Indirect composite overlay for an endo-treated first molar

- Teeth preparation: saving of healthy dentin tissue and the over gingival margin

- The overlay preparation design: Butt joint, the ferrule, and preparation thickness

- Rubberdamology and cementation of the restoration

- The advantages and disadvantages of indirect composite restorations.


– Indirect restorations, partial-crown prep - ceramic restorations:


- Disilicate/silicate and hybrid ceramic overlay tooth preparation design: minimal thickness required

- Bonding of indirect restorations: micromechanical bonding

- The advantages and disadvantages of ceramic partial crowns.


– Indirect restorations, partial-crown prep - zirconia restorations:


- Tooth preparation technique

- Bonding interface

- The advantages and disadvantages of zirconia partial crowns.


– General guidelines on preparation protocols of endodontically treated teeth

– Clinical cases. 


Recommended for: Prosthodontists, Endodontists, Restorers, General dentists.

Урок 3.The foundation for full crown restoration of endodontically treated tooth: Post & Core

– The elastic modulus of endodontic posts

– Post shape variations

– Fiberglass, quartz, silica, and carbon fiber posts

– Preparation of the post prior to cementation to improve the bonding strength: sandblasting and silanizing procedures 

– The selection of materials for post cementation:


- self-adhesive resin cement

- chemical cured total etch resin cement.


– The bond strength and durability of fiber posts: evidence-based

– The application of the cement inside the root canal

– The removal of excessive cement, gutta-percha, sodium hypochlorite and EDTA from the canal

– Bonding of post and core to the dentin

– The etch&rinse adhesives vs. the etch&dry adhesives

– Obtaining the high maintenance of the bonding

– The coronal build-up. 


Recommended for: Prosthodontists, Endodontists, Restorers, General dentists.

Урок 4.Operative steps of Post & Core cementation procedure

– The micromechanical curing adhesion: etching, primer, and bonding

– The clinical application of chemical-curing adhesion: self-etching primer and bonding-catalyst 

– The application of the cement into the canal: techniques to avoid bubbles and voids

– Post length in the canal: the crown to post ratio

– Evaluation of adhesion inside the root canal

– Stress distribution in a post-restored tooth

– Placement of post for premolars and molars 

– Step-by-step video demonstration of the operative procedure for post cementation: 


- Wide housing of the post

- Defining the minimal difference between the post and the canal diameter.


Recommended for: Prosthodontists, Endodontists, Restorers, General dentists.

Урок 5.Full crown for post-endo restoration and occlusal considerations

– The defective bond

– The ferrule effect

– Retentive protection of the bonded post & core

– The roman arch structure restoration

– Crown surgical lengthening or orthodontic extrusion

– Fiber post vs. cast gold post

– The three parameters for cervical cerclage and full crown retention

– The finish line margin: chamfer, shoulder, knife edge

– Minimal invasive preparation

– Functional stress redistribution: occlusal load, load on the remaining cervical dentin, and load along the canal wall

-The engineering and architectural concept of the restoration

– Step-by-step video demonstration for full zirconia crown restoration of endodontically treated upper first molar:


- Radiographic evaluation of the tooth post endo treatment

- Application of the retraction cord

- Mechanical preparation protocol

- Taking of silicone impression

- CAD/CAM laboratory procedure and try-in

- Cementation of the restoration

- Occlusal check. 


Recommended for: Prosthodontists, Endodontists, Restorers, General dentists.

Урок 6.The Hollow Post application. The most common clinical complications and how to avoid them

– The hollow post. A new post and core concept

– Clinical application of the hollow post

– The sandwich effect

– Indications, advantages, and disadvantages of the hollow post

– The removal of the post in the case of endodontic failure

– The coronal sealing: when and how?

– Prosthetic finalization. Overcoming the doubt in the case of large periradicular lesion.


Recommended for: Prosthodontists, Endodontists, Restorers, General dentists.

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Adjunct professor at the University of Brescia. Active member of the Italian Society of Endodontics. Active member of the Italian Academy of Conservative Dentistry (AIC). Has written numerous articles, in peer reviewed journals, concerning the restorative and prosthetic aspects of the endodontically treated teeth, and about the new aesthetic materials for prosthetic restorations. Speaker in countless courses, conferences and seminars in Italy and abroad.
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