Anatomically Driven Endodontics: New Technologies and Complex Cases

This course will start with a brief endo/implant discussion followed by the discussion of complex anatomy and the latest in irrigation protocol. Successful endodontic treatment outcome is a healthy apical periodontium and long-term survival of the tooth. These objectives are achieved by meticulous disinfection of the root canal space, avoiding excessive removal of dentin, and optimal sealing of the root canal and coronal spaces.

The 3-dimensional XP family of endodontic instruments has been modeled to achieve a fusion of technology and biology that integrates all variables essential for predictable endodontic success. The super elasticity and shape-memory of the alloy used in XP instruments facilitates expansion and adaptation into canal morphology where traditional round NiTi files are unable to reach with any margin of safety. This enables maximal debridement and disinfection without changes to the original canal shape and ensures minimal removal of intra-canal dentin. This ultra-conservative root treatment can then be filled using bioceramic technologies that do not require excessive preparation in the coronal component of the root canal space to accommodate obturation procedures.

Also to be discussed is diagnosis and treatment of cracked teeth and how the CBCT technology has revolutionized our ability to interpret things in 3 dimensions. There will be several complex cases shown and brief discussion about trouble shooting techniques.