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Apical surgery: for endodontists and surgeons
4.10
49 votes
1 Mar - 2 Apr 2022
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Angelo Cardarelli
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Gianluca Plotino
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Felipe Restrepo
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Paula Villa
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Francesc Abella
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Nicola Grande
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Gurien Demiraqi
Course details
Course lessons
Course lessons
Lecturers
Reviews
Details
7 lessons (10h 37min)
9.75 CE Credits

English
Description
The course in apical surgery that fully covers the aspects of surgery and retrograde filling.
1. Surgical aspect:
- protocols for creating incisions and suturing wounds,
- work with navigation templates,
- the use of piezosurgery and grafting materials.
2. Retrograde filling. Step by step protocols of retrograde preparation and filling. Various methods and materials.
Training created for endodontists and surgeons.
Lesson 1.Piezoelectric procedure in endodontic surgery
– Piezosurgical procedures in dentistry: indications
– Piezosurgical instruments: physical properties and clinical benefits
– Flap design: selection criteria depending on the clinical situation
– Apicoectomy: step-by-step protocol
– Use of bone graft in apical surgery
– The focus of destruction near the maxillary sinus: tactics and protocol
– Sawing according to the type of bone block using a piezosurgical instrument
– Differences in apicoectomy techniques
– Apicoectomy vs dental implants.
Recommended for: Implantologist, Periodontist, Endodontist, General Dentist.
Lesson 2.Retrograde filling: materials. Bioceramics
– Indications for endodontic surgery
– Materials for retrograde root canal filling
– Factors affecting the results of surgical procedures in endodontics
– Advantages of modern microsurgical techniques
– Ultrasonic devices in endodontic microsurgery
– Retrograde sealing: material requirements
– Properties of materials for retrograde filling:
- Amalgam
- GIC and their modifications for retrograde filling
- COE Cement and Super EBA
- MTA
- Bioceramics.
– Tools for retrograde filling of root canals
– Bioactivity and biocompatibility of bioceramic materials
– Tape perforation of the tooth: treatment protocol
– Histological aspects of tissue healing after apical surgery
– Technique of introduction and compaction of the material during retrograde filling
– Extraoral root apical resection:
- Indications
- Technique
- Clinical recommendations.
Recommended for: Implantologist, Periodontist, Endodontist, General Dentist.
Lesson 3.Minimally invasive periapical surgery
– Root apical resection protocol
– Apical surgery for a through defect in maxilla
– Prognostic factors of apical surgery
– Apical surgery on mandible: anatomical aspects
– Strategies in apical surgery: tools, techniques, indications
– Protocol of primary endodontic treatment of a tooth with periapical pathology
– Endodontic failures: tactics of actions
– Non-surgical retreatment: factors of dental survival
– Biocompatible materials for bone regeneration
– Contraindications for apical surgery
– Planned replantation: indications and techniques
– Replantation vs apical surgery: criteria for choosing a technique
– Advantages of piezosurgical methods in endodontics
– Surgical templates for apical surgery
– Digital planning in apical surgery
– Possible causes of apical surgery failures.
Recommended for: Implantologist, Periodontist, Endodontist, General Dentist.
Lesson 4.Retro-preparation and sealing: step-by-step protocols
– Clinical aspects of strategic treatment planning;
– Pain control in apical surgery:
- Premedication
- Local anesthesia
- Postoperative therapy.
– Flap design: paramarginal vs full muco-periosteal flap;
– Features of creating access to a pathological focus near:
- Chin hole,
- Maxillary sinus,
- Inferior alveolar nerve.
– Deep apical dissection technique;
– Strongly curvature of the roots: features of resection of the root tip;
– Isthmuses: classification and features of retrograde filling;
– Tools for retrograde root canal preparation: NiTi condenser;
– Apical cracks: tactics and prevention;
– Silers and compaction techniques of materials;
– Intentional reimplantation.
Lesson 5.Guided endodontic surgery
– Technological aids to modern endodontic microsurgery
– Anatomical challenges in endodontic microsurgery
– How to perform less invasive surgeries with better results
– 3D Planning of the surgical approach
– Computer guided endodontic microsurgery:
- Static navigation
- Dynamic navigation.
– Advantages and disadvantages of guided microsurgery.
Recommended for: Implantologist, Periodontist, Endodontist, General Dentist.
Lesson 6.Apical surgery with grafting
– Rationales of apical surgery
– Tooth preparation prior to surgery
– What to have in mind when creating a suitable incision
– Instruments to perform grafting
– Apex exposing techniques
– Preparing the site
– Choosing the most suitable grafting materials
– Closing the wound, materials and methods.
Recommended for: Implantologist, Periodontist, Endodontist, General Dentist.
Lesson 7.Apical Filling: materials and techniques
– Types of osteotomy: with bur, piezotome or piezosurgery and trephine
– Cortical Window Technique
– Apicoectomy (3mm rule. More or less?)
– Retropreparation (3mm or more?)
– Isthmus Managment
– Apical Filling
– Commun mistakes.
Recommended for: Implantologist, Periodontist, Endodontist, General Dentist.
Course includes next lessons:
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57min
Lesson 1
Piezoelectric procedure in endodontic surgery
Angelo CardarelliShow lesson program
0:01
Introduction to piezosurgery and clinical applications
2:54
Piezosurgery physics, advantages and histological evidence
9:25
Flap design and suturing in endodontic surgery
12:15
Step‑by‑step apicectomy using piezosurgery
18:35
Case series: preserving fixed restorations and GBR with piezosurgery
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1h 53min
Lesson 3
Minimally invasive periapical surgery
Francesc AbellaShow lesson program
0:01
Introduction & Principles of Minimally Invasive Apical Surgery
5:00
CBCT, Flap Design and Simple Anterior Apical Surgery
10:00
Dens Invaginatus, Tunnel Defects and GBR Indications
18:00
Prognostic Factors in Apical Surgery (Meta‑analysis)
26:00
Decision‑Making: Non‑surgical Retreatment vs Apical Surgery
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1h 46min
Lesson 4
Retro-preparation and sealing: step-by-step protocols
Nicola GrandeShow lesson program
0:01
Introduction and Overview of Apical Microsurgery
2:11
Treatment Workflow: Diagnosis, Planning, Anesthesia
3:54
Case 1: Failed Episectomy — Clinical Findings
8:56
CBCT Diagnostics and Non‑surgical Retreatment Outcome
9:25
CBCT for Molar Lesions — MB2 Anatomy and Implications
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Implantology
Treatment methods
Directed regeneration
Endodontics
Lecturers 7
Adjunct Professor at Vita-Salute San Raffaele University, Milan, Italy. Visiting Professor at International University of Agadir, Morocco. Scientific Advisor to the Dental Clinic at the Department of IRCCS San Raffaele Hospital, Milan (Dean Prof. E. Gherlone). Specialist in oral surgery with practice limited to oral surgery, implantology, and periodontal surgery. Maintains practices in Milan and Isernia, Italy, and as Oral Surgeon at Dona Medical Clinic, Dubai, UAE.
Over 18 years of clinical experience since graduation in 2007. Expert in piezoelectric surgery for impacted teeth extraction, surgical anatomy and atraumatic extraction techniques, management of pathological processes in maxillofacial region using piezosurgery, complex third molar surgery, bone augmentation procedures, and advanced oral surgical protocols. Pioneer in applying piezoelectric surgical techniques for minimally invasive tooth extraction and bone surgery. Known for meticulous surgical technique and emphasis on minimizing trauma during complex extractions and bone procedures.
Author of the textbook "Piezoelectric Surgery of Impacted Teeth" (EDRA Publisher, 2020), a comprehensive reference on piezosurgical approaches to oral surgery. Author of numerous scientific publications and book chapters on oral surgery and implantology. Founder Member of the San Raffaele Implant Cultural Association (ACRIS Research Group). Member of SIMO (Società Italiana Maxillo Odontostomatologica), IAO (Italian Academy of Osseointegration), SICOI, SIDCO, and International Extraction Academy of California. Regional Referent for Molise region of SIMO. International lecturer presenting at hundreds of national and international congresses on implant dentistry and oral surgery throughout Europe, Middle East, and internationally. Instructor for hands-on courses teaching piezoelectric surgery techniques with live surgical demonstrations. Regular faculty conducting office-based courses with theoretical training and live patient surgeries.
DDS from University of L'Aquila, Italy (2007, graduated with honors 110/110 cum laude). Specialization in Oral Surgery from "Sapienza" University of Rome (2010, final grade 65/70). Postgraduate training in Endodontics with Dr. Fabio Gorni, Milan (2016). Postgraduate training in Fixed Prosthodontics with Dr. Mauro Fradeani, Pesaro (2017).
Founder of GPT Studio, a private practice limited to endodontics and restorative dentistry in Rome, Italy. Associate Editor of the European Endodontic Journal and Italian Journal of Endodontics. Member of Editorial Boards of multiple international endodontic journals. Certified Member of the European Society of Endodontology (ESE). International Member of the American Association of Endodontists (AAE). Active Member of the Italian Academy of Endodontics (AIE), Italian Society of Endodontics (SIE), and Italian Society of Conservative Dentistry (SIDOC). One of Italy's most distinguished endodontists and researchers.
Over 24 years of combined clinical and research experience since graduation in 2002. Expert in complex endodontic retreatment, management of iatrogenic complications including ledges and separated instruments, treatment of teeth with complex anatomy, CBCT applications in endodontics, microscopic endodontics, contemporary instrumentation techniques, and adhesive restorative procedures following endodontic treatment. Holder of four patents for endodontic innovations. Founder of a start-up company developing endodontic technologies. Known for systematic evidence-based approaches to managing the most challenging endodontic cases.
Author and co-author of over 90 articles published in international scientific peer-reviewed journals on various endodontic and restorative topics. Contributing author of chapters in multiple endodontic textbooks and monographs. Recipient of several international prizes recognizing contributions to endodontic research and education. International lecturer having presented extensively throughout Europe and worldwide on topics including advanced endodontic retreatment protocols, management of complex anatomical cases, separated instrument removal techniques, CBCT interpretation and applications, and contemporary endodontic materials and techniques. Instructor for hands-on courses teaching systematic protocols for complex cases including ledge management, open apex treatment, and root resorption cases. Regular faculty at major endodontic conferences including Annual Christmas Endodontic Congress in Berlin alongside world-renowned experts. Official reviewer for several international journals. Organizer of multiple international research groups advancing endodontic knowledge.
DDS from Università Cattolica del Sacro Cuore, Rome, Italy (2002). PhD from same university (2009). Professor of Endodontics in the School of Dental Hygiene (2005-2008). Faculty member at Department of Endodontics, Sapienza University of Rome (since 2009).
Endodontist, educator, and microsurgery specialist in private practice in Medellín, Colombia (since 2007) — limited exclusively to endodontics, endodontic microsurgery, and tooth autotransplantation. Director, Postgraduate Endodontics Programme, Universidad de Antioquia, Medellín (current). Founder and Director, Diploma in Dental Emergencies, Universidad de Antioquia — an interdisciplinary continuing education program for general practitioners. Born and raised in Medellín.
Clinical research focus on endodontic microsurgery outcomes, CBCT-guided treatment planning for complex cases, dental trauma, and tooth autotransplantation — a topic of particular interest given its rarity and complexity. Author of peer-reviewed publications in endodontics and dental traumatology (Google Scholar citations: 420+). International speaker on endodontics, endodontic microsurgery, computer-guided endodontic techniques, and dental trauma management. Faculty lecturer for ZEISS dental microscopy education. Former President, Antioquian Association of Endodontists (Asociación Antioqueña de Endodoncistas, AAE Colombia).
DDS, Universidad de Antioquia, Medellín (2003). MDent in Endodontics, Universidad CES, Medellín (2007).
Endodontist and microsurgeon in private practice limited exclusively to endodontics and endodontic microsurgery in Medellín, Colombia. Co-founder of the Postgraduate Endodontic Program at Universidad de Antioquia — one of Colombia's most prestigious public universities — where she holds the rank of Titular Professor and shapes the country's postgraduate endodontic education.
Author of peer-reviewed articles in indexed endodontic journals. Associate Editor of the Journal of Endodontic Microsurgery. Past President of the Colombian Association of Endodontists (ACE). Invited speaker at the AIO International Congress (Italy), British Endodontic Society Annual Meeting, and FDI World Dental Congress.
DDS and Specialist in Endodontics — Universidad CES, Medellín. Member of the Colombian Association of Endodontics and the American Association of Endodontists (AAE).
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