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Risposta tessutale alla carie dentale. Controversie sull’estensione dell’escavazione. Fatti e opinioni

Domenico Ricucci
Course details
Lecturers

Details

1h 41min

Italian

Lesson program

– Eventi istologici che hanno luogo nel tessuto pulpare sotto lesioni cariose medie/profonde.

– Morfologia della dentina terziaria e modificazioni regressive nello strato odontoblastico.

– La possibilità che nuovi odontoblasti possano formarsi dalla differenziazione di cellule staminali pulpari: realtà o fantasia?

– Eventi istologici e microbiologici che caratterizzano la transizione da uno stato pulpare infiammatorio “reversibile” a uno “irreversibile”.

– Diagnosi clinica di reversibilità o irreversibilità dell’infiammazione pulpare. Quanto precisa è la correlazione tra la diagnosi clinica e quella istologica?

– Il concetto di “escavazione selettiva”. Analisi critica basata sulla più recente letteratura.

– Possono i batteri sigillati in una cavità da un restauro ermetico diventare non patogeni?

– Protocolli clinici per una escavazione completa (non-selettiva) della lesione cariosa.

Lecturers 1

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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