3-Year Advanced Learning Program in Endodontics by Dr. Michael Solomonov

Dr. Michael Solomonov and OHI-S present a unique educational program! The most comprehensive course in Endodontics in private education — 3 years residency program covering all aspects of Endodontology!

Evidence-based publications, state-of-the-art technology, latest materials and instruments, thorough diagnostic and treatment rationale, step-by-step procedures, detailed analysis of vast amount of clinical cases, manual skills, follow-up results, management of complications and interdisciplinary treatment and many others topics would be covered during this 9 module program. 

Everything you need to know in order to become Master of Endodontics is in one place. 

Professional guidance and mentorship from Doctor Solomonov — one of the most famous and successful endodontist in the world with 30 years experience in academic dental education.  

EACH MODULE IS PAID SEPARATELY AND IN ADVANCE. 

FOR PARTICIPANTS OF ALL 8 MODULES, PARTICIPATION IN THE 9TH MODULE IS FREE.

Links to each module:

– Module 1

– Module 2

– Module 3

– Module 4

– Module 5

– Module 6

– Module 7

– Module 8

– Module 9

Program of module 1 "Practical details of everyday endodontic practice"

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.

Program of module 2 "Review of modern methods of instrumentation and root canal obturation"

1. Stainless steel endodontic instruments and instrumentation techniques

- Standard instrumentation

- Step-back preparation (step-by-step canal shaping technique)

- Crown-Down preparation (Crown-down pressureless technique, Step-down technique, Double-flared technique)

- Balanced-force technique.

2. Iatrogenic errors during root canal instrumentation

- Zipping, Ledges, Transportation

- Prevention and management.

3. Nickel-titanium hand instruments with conventional and increased taper

- Characteristics of nickel-titanium alloys

- Comparison with stainless steel endodontic instruments

- Recommendations on working techniques and case selection.

4. Rotary nickel-titanium instruments: Profile, Race, Bio-Race, K3XF, Lightspeed, S-apex, M-file, Protaper, Protaper Next, Mtwo, GT series X, PathFile, ProGlider, One G, OneShape, OneCurve, 2Shape, Hyflex, ProTaper Gold, DCTaper 2H, TruNatomy

- Сharacteristics: Rake angle, Taper, Helix Flute angle, Radial Land

- Вesign, manipulation procedures, advantages and disadvantages, case specific indications for instrument selection, potential combinations

- Doctor Solomonov’s classification of current rotary systems

- The hybrid working technique

- The mechanical glide path. Reality or advertisement

- Clinical classification of canal complexity types according to Dr. Solomonov, recommendations for instruments combinations.

5. Reciprocation in Endodontics

- Engineering rationale

- Reciprocation with stainless steel and nickel-titanium instruments

- Reciprocation with a single instrument technique

- WaveOne™ and WAVEONE® GOLD instruments

- Reciproc and Reciproc Blue

- TF Adaptive

- Standard instruments in reciprocating mode

- One Shape, One Curve: Why?

- Recommendations and research findings. Myths, advertising, and harsh reality

- Single File System like a dream sale.

6. Endo motors

- High-torque motors

- Low-torque motors

- 1st generation endo motors: ATR, Technika, Vision, Endo IT, Endostepper

- 2nd generation endo motors: X-Smart, Endo-Mate DT, Silver

- Endo motors with built-in apex locators. Morita (TriAuto ZX, Dentaport ZX), VDW (Gold), Dentsplay (X-smart Dual)

- Characteristics, features, and recommendations for choosing an endo motor

-Wireless endomotors: Endomate TC, EndoTouch, Inget Control, Entran, X Smart-Easy,X-smart IQ, Dual movie, E connect Pro and others. 

7. Non-round canals in endodontics

- Long oval and flattened canals

- Dentin debris

- Treated canal surface

- Disinfection of root canals

- Broken instruments

- Dentin cracks.

8. New direction in instrumentation (scraping instrument)

- XP ENDO Finisher and Shaper

- TrueShape

- GentleFile and Gentle brush

- SAF.

9. Obturation techniques (cold and thermal)

- Is the single cone technique back? (X-ray trap)

- Practical aspects of lateral compaction

- Why the term ""condensation"" is an incorrect term

- Deep spreader technique

- Nickel-titanium finger and hand spreaders

- (Radiographic assessment during the midpoint of endodontic treatment) intra operative x-ray control

- Methods of thermal compaction

- Description of cold endodontic pluggers (Shilder, Mashtou, Buchanan pluggers, S Kondensor, Dovgan pluggers, BL pluggers, SSG)

- Heat endodontic pluggers: Touch and Heat, System B, Beefill pack, DownPak, E&Q, Endo@pex, B&L, GuthaEst, Fast pack Pro and others

- Vertical compaction according to Shilder and Mashtou

- Hydraulic vertical condensation according to Dr. De-Deus

- Carrier-based gutta-percha techniques (Thermafil, Softcore, Real seal Obturator, Gutha-Core)

- Thermoplastic injection (Obtura 2, Element Obturation Unit, BeeFill, Calamus, HotShot, B&L)

- Thermo compaction (McSpadden, Microseal, QuickSeal, MM Compactor)

- Hybrid technique according to Dr. Tagger, Dr. Nahamias, and Dr. Koenka

- Combined method. Variations according to Dr. Solomonov.

Program of module 3 "Retreatment (orthograde revision). Clinical decisions and techniques"

1. The concept of success and failure in endodontic treatment

– Comparison of the concepts of “success” in endodontics and implantology

– Modern classification of post-treatment outcomes (Healed, Healing, Disease)

– Analysis of clinical cases.

2. Factors leading to endodontic post-treatment disease

– Mechanical and biological approaches

– Intraradicular infection

– Errors during the treatment process

– Coronal sealing in modern dentistry and its impact on treatment prognosis

– Recommendations for retreatment: timing, and temporary restorations

– Extraradicular infection

– A trend or a clinical reality?

– Inadequate case selection

– Case report of misdiagnosis: periapical cemental dysplasia and cemento-ossifying fibroma

– The lack of (prosthodontic)restorative-periodontal evaluation

– Failure to utilize the tracing procedure

– Foreign body granuloma (talk, cellulose, cholesterol)

– True and pocket cysts

– Scar tissue

– Etiology, pathogenesis, and prognosis of foreign body granuloma, true and pocket cysts, and scar tissue. Detailed analysis of each group.

3. Predicting retreatments based on Fabio Gorni's study, and his author's decision-making scheme

4. Apical surgery and/or retreatment

– Modern microsurgical procedure aspects

– Advantages and disadvantages, risks, and prognosis of apical microsurgery

– Biological rationale for decision-making

– CBCT as a tool for treatment planning

– Healing peaks as traps for clinicians.

5. Clinical decision-making algorithm

– Based on the Stabholtz and Friedmann scheme updated by Dr. Solomonov, based on latest data and publications

– Treatment strategy of the two main problematic groups in everyday practice:

- Retreatment in the presence of endodontic pathology

- Retreatment as a preventive measure from endodontic pathology.

6. Technical aspects of retreatment

– Retreatment through the crown restoration

– Removal of crown/bridge 

– Removal of post and cores: metal and fiber posts

– Removal of cast restoration (Ultrasonic, Gonon extractor, Ruddle extractor, Masseran kit)

– Clinical techniques of retreatment:

- Gutta-percha

- Carrier-based gutta-percha (Termafil, Softcore)

- Zinc phosphate cement

- Resorcinol-formaldehyde

- Silver posts

- Paste fillings

- Instruments, chemical agents, clinical nuances, and cases.

7. Broken instruments

– Dr. Solmonov proposes a clinical decision tree based on the following factors:

- The vitality of the tooth (whether it is vital or infected)

- The stage of canal cleaning and shaping, whether it is in the initial or final stage

- The location of the broken fragment, whether it is broken before or after the canal curvature.

– Based on this scheme, the clinician can decide to either attempt to remove the instrument, choose leave it inside the canal, or try to bypass using anatomical rationale and technical procedures

– A detailed description of techniques for retrieving broken instruments.

8. Review of ultrasonic devices and tips used in Endodontics

– Spartan (MTS): CPR tips

– EMS / Sybronendo (mini piezon): RT1, RT2, RT3

– Satellec (P5, Newtron): ET20, ET(D)40, ET 25, K10/21/25, S04

– Osada (Enac): ST 17, ST 21

– NSK (Varios): E7, E6

– The Proultra tip

– The B&L tip

– Principle of action and applications: direct and indirect ultrasonic methods of work, clinical guidelines, compatibility with various diameters.

9. Perforations

Modern classification, factors influencing prognosis, treatment methods, and a review of materials used for perforation treatment: IRM, SuperEBA, MTA (ProRoot, MTA-Angelus, MM-MTA), BC Putty.

Program of module 4 "Everything about crown and root cracks, fractures, and open apex management"

1. Cracked Tooth Syndrome (cracks and fractures of the crown and root part of the tooth)

– Definition, etiology, and pathogenesis

– Classification (Craze Lines, Fractured cusp, Cracked tooth, Split tooth)

– Clinical findings

– Diagnostic procedures

– Approaches to treatment and prognosis

– Preventive guidelines.

2. Vertical Root Fracture 

– Etiology and pathogenesis

– The role of pathology in the treatment prognosis

– Clinical and radiologic findings

– Cone-beam computed tomography (CBCT) and VRF

– VRF and failure of endodontic treatment

– Clinical recommendations for endodontists to reduce the risks of vertical fractures

– Biomechanics of canal instrumentation

– Chemical effects on physical structures

– Mechanical aspects of lateral compaction and vertical condensation

– Clinical recommendations for prosthodontists to reduce the risks of vertical fractures

– Challenges with "endodontic armamentarium"

– Choice of canals for anchor post/core

– Restoration oriented canal preparation

– Step-by-step diagnostic process including exploration surgery and diagnostic treatment

– Modern approach to problem-solving.

3. Apexification and Apexogenesis

– Tooth embryology and root formation (The Hertwig's epithelial root sheath (HERS))

– Procedure selection: apexogenesis or apexification

– Procedure nuances in apexogenesis. Apexogenesis and direct pulp capping

– Apexification in pediatric dentistry and endodontic practice

– Treatment options and management of the open apex

– Management of incompletely developed teeth

– Apical resorptions

– Materials: Ca(OH)2, MTA, IRM, SuperEBA,BC Putty

– From multi-stage procedures to single-visit technique

– Biological rationale

– Manipulation technique

– Dr. Solomonov's indications (it's not as straightforward as one would like)

– Treatment method selection and comparative characteristics in young and adult patients

– Complications: management and prevention

– Restorative options.

4. Revascularization, revitalization, or regeneration?

– Embryology advancements as the foundation for biotechnological breakthroughs. Stem cells of the apical papilla

– Revascularization - a reality in clinical practice or wishful thinking?

– Procedure and clinical cases analysis

– TriMix paste:

- Composition

- Mechanism of action

- Clinical application

- Complications in clinical practice

- Possibilities in the near future.

Program of module 5 "Everything about resorptions and endo-perio lesions"

1. Endodontic-Periodontal Lesions

- Embryology, histology, and clinical communication between ""pulp/periodontium""

- Definition, etiology, and pathogenesis of endo-perio lesions

- Classification

- Clinical and radiographic findings

- Diagnosis and differential diagnosis

- Sequential treatment approaches for various categories of lesions

- Treatment prognosis

- Complex clinical cases analysis

- Interdisciplinary teamwork between periodontists and endodontists. 

2. Resorptions: Internal, External Inflammatory, Apical Inflammatory, Surface, External Cervical, Replacement, Transitional Apical Breakdown

- Understanding the biological mechanisms of bone and tooth resorption

- Defense mechanisms and their alteration

- Definition, etiology, and pathogenesis

- Comparison between different classifications of resorption phenomena

- Clinical and radiographic findings

- Diagnosis and differential diagnosis

- Treatment methods, variations, combinations, latest approaches, and current developments

- Treatment prognosis and follow-up periods

- Clinical cases analysis

- Resorptions in the practice of general dentists, endodontists, and orthodontists

- Dr. Solomonov's classification of resorptions.

3. Non-vital tooth bleaching

- Products and materials, techniques, indications, contraindications, risks, prognosis, and predictability.

Program of module 6 "Algorithms utilized in clinical practice"

1. Characteristics of endodontic infection: primary, secondary, and persistent infections

2. Infection of the main canal and dentinal tubules

3. (Mechanical and medicament-based) Instrumentation and medication of the root canal (treatment) system and its impact on infection

4. The survival of “entombed” microorganisms

5. Types of endodontic infections and clinical management

6. Biofilm and its role in the development of endodontic infections

7. Latest trends in root canal disinfection

- Combined irrigations protocols

- New irrigant agents

- Irrigation activation techniques (PUI, PIPS, Sonic)

- Ozone therapy application for root canal disinfection

- Electrochemical activation

- Direct laser disinfection

- Photoactivated disinfection: (PAD, PDT)

- Macromolecules and nanoparticles application (Chitosan, Ag, Quaternary Ammonium Polyethylenimine, BioSafe).

8. Single appointment or multi-visit endodontic treatment

- Economic pressure, microbiological and anatomical rationale, and the clinical reality

- Management of pain and treatment prognosis. 

9. Dr. Michael Solomonov's treatment algorithm for 18 subgroups, based on diagnosis, microbiological assessment of the clinical situation, anatomy, and patient's age

- Canal instrumentation

- Choice of root canal irrigation solutions

- Intracanal medications

- Biological, practical and legal aspects, literature review, clinical classifications, and factors influencing on clinical decisions. 

Program of module 7 "Clinical protocols for tooth fractures and luxations: Identifying common treatment errors and preventing them"

1. Fractures

- Crown fracture: complicated and uncomplicated

- Crown-root fracture: complicated and uncomplicated

- Horizontal root fracture

- Alveolar bone fracture.

2. Tooth luxation 

- Concussion

- Subluxation

- Extrusion

- Lateral luxation

- Intrusion

- Avulsion

- Etiological and predisposing factors

- Clinical and radiographic examinations

- Diagnosis

- Treatment: recommendations for different treatment modalities, timing, and degree of urgency

- Management of traumatic injuries with different splinting methods: rigid and non-rigid splints. Selection, techniques, duration of use

- Follow-up: types of clinical and radiologic examinations, timing, and clinical decision-making process.

3. Endodontic treatment in trauma cases

- Clinical and radiologic signs and symptoms

- Follow-up and control

- Treatment strategy and intervals between inter canal medications.

4. Daily clinical practice and long-term dental trauma complications (weeks, months, and years)

- Canal obliteration

- Pulp necrosis

- External inflammatory and replacement resorption

- Infraocclusion and decoronation.

5. Detailed analysis of complex cases

- Interdisciplinary teamwork involving a general dentist, endodontist, orthodontist, and periodontist

- Recommendations for effective documentation.

Program of module 8 "Endodontic aspects in prosthodontics: what prosthodontists must know and what endodontists should be able to do"

1. Objectives of endodontic preparation for prosthodontic treatment .

2. Endodontic treatment planning based on the prosthetic design (clinical and radiologic evaluations).

3. Preventive endodontics: indications and contraindications (rate of caries progression, risks of pulp necrosis, and the pulp stress syndrome).

4. Factors influencing structural integrity of teeth throughout the treatment process.

5. The biomechanics involved in root canal preparation and vertical root fractures.

6. The impact of coronal seal on the prognosis of endodontic and prosthodontic treatment.

7. Decision-making algorithm for retreatment.

8. Decision-making algorithm for timing and tooth restoration following endodontic treatment.

9. Post and core

- The mythology of root reinforcement of endodontically treated teeth

- The function of post and core

- The true anatomy of root canals

- Preparing the canal for prosthetic restoration: Which, When, and How?!

- Analysis of the available post and core systems: stainless steel, zirconia, titanium, fiber posts. 

10. Composite materials and adhesive bonding for tooth restoration after endodontic treatment

- Challenges related to composite materials and bonding

- The concept of C-factor

- Variations in dentin structure based on location and age

- The effect of cyclic loading. 

11. Cuspal coverage and protection: outdated or still valid?

- Crowns, onlays, overlays, amalgam crown, or alternative restorative options?

12. The ferrule effect in tooth restoration: definition and clinical guidelines

- Surgical crown lengthening , orthodontic extrusion, or extraction. 

13. What prosthodontists should know about modern endodontics

- Cysts, granulomas, or ""what are they?""

- Vertical root fracture

- Cracked tooth syndrome

- Endo-perio lesions

- Internal invasive resorption

- Apical surgery: modern techniques, possibilities, and biological rationale

- Anatomy of the apex and radiographic quality control in endodontics

- Prevention of perforations

- Possibilities of modern endodontics.

14. Maximizing the effectiveness of endodontists' expertise and skills in interdisciplinary treatment programs and the medical legal aspects of the dental practice.

Program of module 9 "Surgical endodontics: Adamant knowledge. Apical surgery"

- Comparison of technical aspects between conventional and modern approaches

- Instrumentation and materials: what is proven and what is not:

Ultrasonic tips,

Microscopes,

Microinstuments, probes, pluggers,

Materials for retrograde obturation : IRM, Super EBA, MTA, BC Putty.

- Prognostic analysis : from case reports to retrospective studies, prospective research, and meta-analysis (traps for readers)

- Etiology of endodontic failures

- Integration of modern advancements into existing problems

- Case selection and long-term prognosis

- CBCT for strategic decisions, treatment planning, and clinical procedures

- Tooth replantation and autotransplantation:

Biological rationale,

Analysis of existing literature,

Case selection.