Mastering Excellence in Micro-Surgical Endodontics

Mastering Excellence in Micro-Surgical Endodontics

Detailed info and subscription material pdf

Program includes the use of the Operating Microscope in Surgical Endodontics

March, 29th-30th, 2019

Lecturer Dr. Arnaldo Castellucci

Place Via degli Artisti, 6r Firenze

COURSE DESCRIPTION

In the last 20-25 years Surgical Endodontics has became a Specialty with long term results predictable like never before. The introduction of the Surgical Operating Microscope, the use of ultrasonic tips and the new biocompatible materials are the most important developments which contributed to improve and increase the long term prognosis from 50% like it was before to more than 95% today. There is a precise protocol that must be followed and then the satisfactory results will arrive!

The several steps of the surgical procedure must be followed properly and completely to guarantee a successful therapy. These steps will be discussed in detail during the course and the participants will have the opportunity to apply them during the work-shop working on natural teeth mounted on special anatomically designed models.

At the conclusion of this two day course, the participants will be able to:

  • make a correct treatment plan and decide when the surgical approach in best indicated
  • understand the causes of the previous failed endodontic therapy and how to best achieve a predictable result
  • make the patient and the surgical team comfortable during the entire procedure
  • obtain a profound anesthesia and excellent hemostasis, having a good control of the bleeding
  • choose the most suitable flap design that guarantees an ideal visibility
  • atraumatically retract the flap in order not to damage the soft tissues and obtain a comfortable access
  • access the surgical site, remove the granulation tissue and perform a correct apical resection
  • keep the bony crypt and the resected root under control to maintain good visibility
  • accomplish an adequate root-end preparation and place the retrofill
  • choose the best retrofilling material
  • atraumatically and precisely reposition the flap
  • place accurate sutures that can be removed 24/48 hours post-operatively
  • use atraumatic techniques capable to eliminate post-operative pain, swelling and any kind of discomfort
  • prescribe the most effective drugs to guarantee a rapid and uneventful healing

PROGRAM

June 29th 2019

08.30 Registration of participants

Lecture

09.00 – 10.00

  • The correct treatment plan in Surgical Endodontics
    • Extraction and implant?
    • Non-surgical retreatment?
    • Surgical retreatment?
    • The use of the Cone Beam Computed Tomography (CBCT) as a diagnostic tool
  • The use of the Operating Microscope in Surgical Endodontics
    • Anatomy of the operating microscope
    • The illumination of the working field
    • Working positions
    • Ergonomics at the microscope: the role of the assistants

10.00 – 11.00

  • The Anesthesia
  • Management of soft tissue: flap design, incision and atraumatic flap elevation and retraction
  • Anatomical considerations: inferior alveolar nerve, mental nerve, greater palatine artery, maxillary sinus
  • The control of the bleeding

11.00 – 11.30 Coffee break

11.30 – 13.00

  • The bony crypt
  • The location of the root apex
  • Crypt management
  • The root-end bevel and root-end preparation
  • Ultrasonic root-end preparation vs handpiece preparation

13.00 – 14-00 Lunch break

14.00 – 16.00

  • Root-end filling materials: SuperEBA, MTA, Bioceramics
  • Suture
  • Post-operative care
  • 24 hour suture removal

16.00 – 16.30 Coffee break

16.30 – 18.00

  • Causes of failure after surgical therapy: the most common errors made during surgical procedures
  • Surgical retreatment of surgical failures
  • Non-surgical retreatment of surgical failures

 

June 30th 2019

Work-shop

09.00 – 11.00 Work-shop

11.00 – 11.30 Coffee break

11.30 – 13.00 Work-shop

13.00 – 14-00 Lunch break

14.00 – 16.00

  • Videos of surgical procedures performed in anterior and posterior teeth using the Surgical Operating Microscope

16.00 – 16.30 Coffee break

16.30 – 18.00

  • Videos of surgical procedures performed in anterior and posterior teeth using the Surgical Operating Microscope

For the work-shop the participants will practice on natural teeth mounted on special anatomically designed models. The natural teeth will have the root canal treated; the models will have a rubber gengiva to make the incision and then the suture; the root apex will be surrounded by a “rubber lesion” to simulate a granuloma. The participants will be able to perform a complete surgical procedure, from incision to the suture, working with the operating microscope.
The cost of the surgical model is included.
Materials and instruments available for each participant

  • Microscope
  • Ultrasonic unit
  • Ultrasonic tips
  • Surgical instruments
  • Root-end filling material
  • Suture

The course is limited to 10 participants