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Biologically based endodontics
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Domenico Ricucci
Course details
Course lessons
Course lessons
Lecturers
Reviews
ADA CERP
Details
5 lessons (9h 45min)
9.25 CE Credits
English
Description
The course is suitable for general dentists and endodontists who are ready to supplement their knowledge and improve their skills in root canal treatment.
The lecturer will tell you in detail about:
– histological features of the structure of teeth
– methods of preparation of teeth
– protocols of endodontic treatment to achieve a good therapeutic effect.
The course describes the tactics in case of accidental perforation of the cavity, as well as how to act in a difficult clinical situation.
Lesson 1.Tissue response to caries. The issue of the depth of caries excavation. Facts and beliefs
– Etiology of pulp diseases:
- Superficial caries
- Caries in the spot stage
- Dental caries
- Deep caries.
– Histological events occurring in the pulp tissue below medium-deep caries lesions
– Morphology of tertiary dentin and regressive changes in the odontoblast layer
– The possibility that new odontoblasts can be formed from undifferentiated pulpal stem cells: fact or fantasy?
– Histological and microbiological events characterizing the transition from a “reversible” to an “irreversible” inflammatory state of the pulp
– Clinical diagnosis of reversibility or irreversibility of pulp inflammation. How strict is the correlation between clinical and histologic diagnoses?
– The “selective excavation” concept. Critical analysis based on recent literature
– Caries excavation: complete or incomplete
– Clinical protocols for “complete” or “non-selective” caries excavation
– Treatment of deep cavities: contradictions and misconceptions
– Dense pigmented dentin: remove or leave on
– Do bacteria sealed in a cavity by a hermetic restoration become harmless?
Recommended for: Endodontists, General dentists.
Time: 2 h 3 min
Lesson 2.Deep caries lesions and exposed pulp. Can “vital pulp therapy” measures maintain pulp vitality?
– Reversible and irreversible pulpitis: clinical signs
– The concept of indirect pulp capping
– Direct pulp capping:
- Indications and contraindications
- Failures: early and late
- Methodology.
– Cracks in the dentin: tactics
– Partial pulpotomy: demonstration of the technique
– Bioceramic materials: options and properties
– Choice of treatment method: decision-making algorithm
– Sensitivity after direct pulp capping: tactics
– Materials for direct capping of pulp
– Calcium hydroxide. The first biomaterial in the history of dentistry.
Recommended for: Endodontists, General dentists.
Time: 2 h 2 min
Lesson 3.Apical limit of root canal instrumentation and obturation
– Apical limit of instrumental treatment and obturation of the root canal: nomenclature
– Apical constriction: definition
– Histological and histobacteriological conditions of the root canal
– Apical patency and the concept of working length
– Prevention of sawdust accumulation
– Manipulations in the area of the radiographic apex: consequences
– Microbial biofilm: localization
– Biological healing: histological aspects
– Pulp degeneration: progression of the process
– Mineralized dental deposits of endodontic origin
– Working with the apexlocator: clinical examples
– The role of silers based on calcium silicate
– Root canal treatment and irrigation: clinical recommendations.
Recommended for: Endodontists, General dentists.
Time: 2 h 10 min
Lesson 4.Lateral canals in endodontics. The never-ending story
– Obturation of lateral canals: influence on the result of treatment
– Histopathological status of tissues in the lateral canals
– Infection in the lateral canals: effect on healing
– Elimination of apical infection: method
– The complexity of the treatment of lateral canals: histological justification
– The effectiveness of cleaning the lateral canals with ultrasound
– Reasons for failures in cleaning and obturation of lateral canals
– Does the radiographic evidence of filling materials in ramifications correspond to their factual obturation?
– Lateral lesions: indications for surgical operation
– Vital tissues in the lateral canals: is it worth removing?
Recommended for: Endodontists, General dentists.
Time: 1 h 37 min
Lesson 5.Regenerative endodontic procedures. Are we really regenerating the dentin-pulp complex?
– Morphological aspects of tooth tissue restoration:
- Reactive and reparative dentin
- Primary, secondary and tertiary dentin
- The role of odontoblasts.
– Clinical criteria for pulp regeneration
– Modern materials for endodontic treatment:
- MTA
- Calcium silicate.
– Revascularization: definition and clinical significance
– Variants of tissue response to treatment
– Embryological aspects of the regeneration of the dentin-pulp complex
– Infection control as a stage of tooth tissue regeneration
– Pulp necrosis and apical periodontitis: factors of successful regeneration
– Ideal regeneration for bone tissue and dentin-pulp complex
– Рrotocols for the treatment of teeth with immature roots.
Recommended for: Endodontists, General dentists.
Time: 1 h 54 min
Course includes next lessons:
Endodontics
Direct Restoration
Treatment methods
Pathologies
Pediatric Dentistry
Treatment methods
Lecturers 1
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Endodontist and histopathologist specializing in pulp biology, periapical tissue reactions, and endodontic infection research. Medical Doctor and Doctor of Dental Surgery. Owner and director of private histology laboratory for hard tissue microscopy.
Over 40 years of clinical and research experience studying biological responses of pulp and periapical tissues to caries and endodontic treatment. Since 1998 operates own histology laboratory developing advanced skills in hard tissue preparations for light microscopy, enabling groundbreaking research correlating clinical findings with histological evidence. Research focus on pulpal and periapical tissue reactions to carious process and treatment procedures, biofilms in endodontic infections, vital pulp therapy outcomes, pulp regeneration and revascularization, and mechanisms of endodontic success and failure.
World's leading expert in microscopy of dental hard tissues having published over 100 peer-reviewed scientific articles establishing histological foundation for evidence-based endodontics. Author and co-author of eight textbooks on endodontics including "Endodontology: Clinical and Biological Aspects" (Italian-language reference) and "Endodontology: An Integrated Biological and Clinical View" (comprehensive textbook and atlas published by Quintessence). International lecturer presenting at most prestigious dental conferences worldwide on vital pulp therapy, regenerative endodontic procedures, clinical science of endodontic success and failure, and histopathology of pulpal and periapical diseases.
MD. DDS. Extensive publication record in Journal of Endodontics, International Endodontic Journal, and other leading journals. Research has fundamentally changed understanding of pulp response to caries (demonstrating reversibility of pulpitis under proper conditions), effectiveness of partial pulpotomy procedures, role of biofilms in persistent infections, and importance of complete bacterial elimination for healing. Studies utilize human tooth specimens collected from clinical cases, processed in private laboratory using specialized techniques enabling visualization of bacteria, tissue responses, and healing outcomes. Practice in Cetraro limited to complex endodontic cases referred by specialists throughout Italy.
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