Complex endodontics from Domenico Ricucci: 5 cases

Case 1: "Biological and mechanical considerations in the multidisciplinary treatment of a cracked maxillary molar"

The pathology:

– The maxillary molar was restored 16 years ago with an amalgam filling. Endodontic treatment was not performed

– Сrack in the marginal ridge

– Pain symptome is positive

– Periapical pathology.

Questions of the lesson:

– Isolation during endodontic treatment

– Removal of the fracture of the tooth crown

– Endodontic access. Root canals preparation and irrigation

– Root canal obturation

– Build-up. Preparing for an indirect restoration

– Impressions

– Digital design of the indirect restoration

– Cementation of an indirect restoration

– Finishing of the restoration

– Long-term treatment result

– The histologic and microbiologic events occurring in dentin cracks and causing pulp degeneration.

Case 2: "Complex endodontic retreatment of a crowned maxillary second premolar"

The pathology:

– The maxillary second premolar was previously endodontically treated (20 years ago)

– Was restored several times with direct restorations, 5 years ago - with an indirect restoration

– Broken file in the root canal.

Questions of the lesson:

– Removing the crown

– Removal of the fiberglass post from the root canal: ultrasonic method

– Removing broken file

– Root canals preparation and irrigation

– Root canal obturation

– Preparing a tooth for restoration with an indirect restoration

– Installation of fiberglass pins. Build-up

– Impressions

– Temporary prosthetics

– Digital modeling of indirect restoration

– Long-term results.

Case 3: "The pivotal role of endodontics in the multidisciplinary treatment of a maxillary molar"

The pathology:

– The first maxillary molar was restored with an amalgam filling

– Pain symptom is positive

– Periodontal pocket.

Questions of the lesson:

– Endodontic access. Removing pulp stones

– Finding additional root canals

– Root canals preparation and irrigation

– Root canal obturation

– Preparation of a tooth for restoration with an indirect restoration. Build-up

– Tooth restoration with indirect restoration

– Long-term results

– Biological considerations about the role of marginal bacterial leakage in causing pulp degeneration.

Case 4: "Rehabilitation of a quadrant with direct and indirect restorations, maintaining pulp vitality"

The pathology:

– Fracture of the crowns of the first and second maxillary molars

– Extensive restorations of the first and second maxillary molars (performed over 20 years ago).

Questions of the lesson:

– Comprehensive treatment planning

– Carious cavity preparation: indication of caries

– Rules for the formation of a cavity

– Preparation for indirect restoration. Build-up

– Temporary prosthetics

– Histological and microbiological facts of concerning non-cavitated white spot enamel lesions. Treatment recommendations.

Case 5: "Surgical management of a case with exuberant extraradicular infection, refractory to orthograde retreatment"

The pathology:

– Previously endodontically treated lateral and central maxillary incisors

– Functioning fistulas

– Periapical pathology.

Questions of the lesson:

– Temporary filling of root canals

– Removal of filler from the root canal

– Root canals preparation and irrigation

– Indications for endosurgery

– Detailed protocol of endosurgical surgery to remove exuberant extraradicular infection

– Long-term results of endosurgical operation

– Radicular cyst biopsy.