Årsmøtekurs og generalforsamling - NEF

Tid: 27. - 28. oktober 2023

Sted: Hotel Continental, Stortingsgaten 24/26, Oslo

• Clinical strategies for the scouting of complex root canals
• Endodontic updates - Irrigation protocols
• Complex cases in Endodontics

Kursavgifter
inkluderer lunsjer og kaffe/te med tilbehør

• Kursavgift spesialist 3700,-
• Kursavgift spesialistkandidater 2200,-
• Kursavgift ikke spesialist 4700,-
• Festmiddag fredag 1100,-

Påmelding gjøre på e-post til marianne.legreid@uib.no

Ved påmelding vennligst gi tilbakemelding om evt. matallergier eller øvrige behov.

Om kurset:

“Clinical strategies for the scouting of complex root canals”
After access to the root canal system and localization of the root canal orifices, the most difficult step during endodontic treatment is the need to scout the root canals and to create a safe and predictable glide path. In clinical practice, 80-85% of the root canals in primary treatments may be defined as standard cases, as they present a natural glide path that may be successfully scouted from the beginning during initial canal assessment. The remaining 15-20% of the canals may be defined as complex, as they present anatomical variations that make the scouting procedures the most delicate and challenging phase of the entire treatment. This phase requires skills and clinical experience for its correct management and it is often time-consuming and frustrating. In fact, complex cases in endodontic primary treatments mainly depend on the initial permeability of the canals to their terminus and on the presence or absence of a natural glide path. Following these considerations, the present lecture will analyze the different possible clinical scenarios, first considering the cases in which an initial manual scouting is successful to negotiate the canal to its terminus, then describing why in some cases there are difficulties to the negotiation caused by coronal or apical impediments and how to clinically deal with these situations predictably, safely and efficiently, using the ideal instruments for each clinical situation. Clinical procedures on how to manage canals with difficult scouting will be clearly explained, to simplify these procedures and ensure more predictable, gold standard endodontic treatments.

Endodontic updates - Irrigation protocols”
Effective irrigants, irrigant delivery and agitation are pre-requisites to promote root canal disinfection and debris removal and improve successful endodontic treatment. Antagonistic interactions between irrigants dictate that multiple endodontic irrigation solutions must be used in a specific, carefully prescribed sequence with intermediate flushes to avoid dangerous chemical reactions and that they cannot be mixed together. Among the irrigants presently used, sodium hypochlorite (NaOCl) is essential because it uniquely dissolves organic tissues and disinfects, chelators such as ethylenediaminetetraacetic acid (EDTA) are also needed to remove smear layer and inorganic debris and the use of chlorhexidine (CHX) has been suggested for further disinfection in infected cases. A novel root canal irrigation protocol, the continuous chelation, was introduced, whereby gentle, soft chelators combined with NaOCl are administered during the whole course of root canal therapy for simultaneous antimicrobial action, tissue dissolution and smear layer and debris removal. Continuous chelation is simpler than standard irrigation and some authors have also reported an improved antimicrobial effectiveness, enhanced smear layer and dentinal debris removal, effective tissue dissolution and improved bonding of endodontic materials to dentine.

“Complex cases in Endodontics”
Endodontic specialists usually treat complex cases consisting in challenging difficult teeth along with challenging patient management, which need advanced materials and techniques. Given the skills, time, equipment and the technical and anatomical knowledge, endodontic specialists are expected to solve these cases doing all efforts possible to make teeth again available for their functional oral status. Through the use of three-dimensional diagnostic tools, microscope, ultrasonics, repair materials and all the technical advancements available today, the outcome of these "hopeless" cases has drastically increased in the last decade. This lecture aims to present an explicative case series representative of several complex clinical situations in Endodontics solved using the ideal approach and to describe techniques and clinical tips to treat such cases.

Hotell

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Spørsmål?

Kontakt NEF v/ Øyvind Kristoffersen på e-post oeyvkr3@online.no eller 41274130