Practical details of everyday endodontic practice. Module 1

The first seminar of the 3-Year Advanced Learning Program — the most profound, comprehensive, and powerful endodontic learning experience led by Dr. Michael Solomonov himself!

As a participant in the 3-Year Intensive Program, you won't miss a single development in the field of endodontics, because Dr. Solomonov himself constantly keeps track of the latest information, the evolving dental market, and incorporates everything a doctor needs into the program.

The first seminar will be dedicated to the practical nuances of everyday endodontics:

– Radiographic imaging

– Determining working length

– Irrigation

– Root canal sealers

– Intracanal medicaments

– Pharmacology in endodontics

– First aid in hypochlorite accidents, symptomatic pulpitis, and acute abscess.

Dr. Solomonov and OHI-S invite you to join now!

PROGRAM

1. Modern classification of "Endopathologies"

– Clinical and radiologic signs

– Pulp vitality tests and its interpretation. From cold tests to the Doppler effect

– The influence for treatment prognosis.

2. Radiology

– Conventional radiographs periapical X-rays (recommendations for processing and storage)

– An overview of direct and indirect digital radiography

– Factors influencing radiographic interpretation

– The correlation between radiologic signs and histological findings

– Periapical X-rays in everyday practice

– Cone-beam computed tomography (CBCT) in endodontics

– Radiographic imaging throughout every step of endodontic treatment: from diagnosis to post-treatment follow-ups (when, how, and how often).

3. Working length determination

– Apical anatomy: apical constriction, major foramen, CDJ, anatomical apex

– The theories of establishing an apical patency and apical ledge: pros and cons

– Methods for determining working length:

- Periapical X-ray with instrument as a reference point

- The tactile method

- The paper point technique

- Apex locators - principles of work (Root ZX, Root ZX mini, APIT7, Bingo-1020, NovApex, BingoPro, XFR, Propex, Propex 2, Raypex-4, Raypex-5, Raypex-6, I-PEX)

- Endodontic motor with built-in apex locators (TriAutoZX, Dentaport ZX, Gold, X-smart Dual, Rider, E-connect, and others).

4. Irrigation in endodontics

– Application of NaOCl (sodium hypochlorite), CHX (chlorhexidine), Alexidine, EDTA (ethylenediaminetetraacetic acid), citric acid, H2O2 (hydrogen peroxide), MTAD (mixture of Doxycycline, citric acid and a detergent), Qmix, HEDP

– Mechanisms of action, application, recommended concentrations, interactions between different chemical solutions, advantages and disadvantages, potential complications, and case specific indications

– Irrigation techniques and protocols: dynamic, aspirating, sonic, ultrasonic (EndoVac, RinseEndo, EndoActivator, PlasticEndo, QuantecE, EDDY, F-file, PUI (Endosoft, IrriSafe)).

5. Smear layer 

– Composition, origin, removal, and its impact on the outcome of endodontic treatment

– Trademark clinical decision algorithm.

6. Lubricants: application in endodontics - a critical analysis

– The physical, chemical, microbiological, and mechanical properties.

7. Intracanal medication

– Ca(OH)2 (calcium hydroxide): Calxyl, Pulpodent, Tempcanal, Cavital, Reogan, Calasept, Hypocal, Calen, and others

– Iodoform: Metapex, Vitapex, Endoflass

– Ledermix

– CHX (chlorhexidine)

– Mechanisms of action, recommended concentrations, interactions, exposure case specific clinical application (depending on the clinical case).

8. Sealers in endodontics

– Detailed comprehensive classification, properties, advantages and disadvantages, and application methods

– ZnOE (zinc oxide eugenol): Kerr cement, Roth's cement, ProcoSOL, Tubliseal

– Ca(OH)2 (calcium hydroxide): APEXIT, SEALAPEX, CRSC, Acroseal

– Polymers: Endorez, AH 26, AH+, 2Seal, Adseal, MMSeal, Diaket, Roekoseal

– Micro particles and sealers: BJM

– GIC (glass ionomer cement): Ketacendo, ZUT

– Tricalcium silicate cement sealers (MTA FILLAPEX, Endo CMP sealer, BC Sealer, SURESEAL, TOTALLFILL).

9. Gutta-percha. Composition and physical properties. Key advantages and disadvantages.

10. Recommended instruments and their features 

– DG 16 explorer

– Long neck burs

– Front surface burs

– Endo measuring Ring

– Rubber dam (choices for clamp selection and working techniques). 

11. Pharmacology in Endodontics

– Types of medications used in root canal treatment, mechanism of actions, valid indications, and recommended choices and dosage:

- Antibiotics

- Analgesic drugs (NSAIDs (salicylic acid derivatives), COX-2 selective inhibitors, Paracetamol, corticosteroids).

– When to prescribe, dosage, contraindications, allergic reactions.

12. First aid and emergency in endodontics

– Hypochlorite accidents:

- Symptomatic Irreversible Pulpitis

- Acute Apical Abscess.

– Clinical and pharmacological management algorithms.