Archiviert.
Biologically based endodontics
Beschreibung
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Lektion 1.Tissue response to caries. The issue of the depth of caries excavation. Facts and beliefs
– Etiology of pulp diseases:
- Superficial caries
- Caries in the spot stage
- Dental caries
- Deep caries.
– Histological events occurring in the pulp tissue below medium-deep caries lesions.
– Morphology of tertiary dentin and regressive changes in the odontoblast layer.
– The possibility that new odontoblasts can be formed from undifferentiated pulpal stem cells: fact or fantasy?
– Histological and microbiological events characterizing the transition from a “reversible” to an “irreversible” inflammatory state of the pulp.
– Clinical diagnosis of reversibility or irreversibility of pulp inflammation. How strict is the correlation between clinical and histologic diagnoses?
– The “selective excavation” concept. Critical analysis based on recent literature.
– Caries excavation: complete or incomplete
– Clinical protocols for “complete” or “non-selective” caries excavation.
– Treatment of deep cavities: contradictions and misconceptions
– Dense pigmented dentin: remove or leave on
– Do bacteria sealed in a cavity by a hermetic restoration become harmless?
Lektion 2.Deep caries lesions and exposed pulp. Can “vital pulp therapy” measures maintain pulp vitality?
– Reversible and irreversible pulpitis: clinical signs
– The concept of indirect pulp capping
– Direct pulp capping:
- Indications and contraindications
- Failures: early and late
- Methodology.
– Cracks in the dentin: tactics
– Partial pulpotomy: demonstration of the technique
– Bioceramic materials: options and properties
– Choice of treatment method: decision-making algorithm
– Sensitivity after direct pulp capping: tactics
– Materials for direct capping of pulp
– Calcium hydroxide. The first biomaterial in the history of dentistry.
Lektion 3.Apical limit of root canal instrumentation and obturation
– Apical limit of instrumental treatment and obturation of the root canal: nomenclature
– Apical constriction: definition
– Histological and histobacteriological conditions of the root canal
– Apical patency and the concept of working length
– Prevention of sawdust accumulation
– Manipulations in the area of the radiographic apex: consequences
– Microbial biofilm: localization
– Biological healing: histological aspects
– Pulp degeneration: progression of the process
– Mineralized dental deposits of endodontic origin
– Working with the apexlocator: clinical examples
– The role of silers based on calcium silicate
– Root canal treatment and irrigation: clinical recommendations.
Lektion 4.Lateral canals in endodontics. The never-ending story
– Obturation of lateral canals: influence on the result of treatment
– Histopathological status of tissues in the lateral canals
– Infection in the lateral canals: effect on healing
– Elimination of apical infection: method
– The complexity of the treatment of lateral canals: histological justification
– The effectiveness of cleaning the lateral canals with ultrasound
– Reasons for failures in cleaning and obturation of lateral canals
– Does the radiographic evidence of filling materials in ramifications correspond to their factual obturation?
– Lateral lesions: indications for surgical operation
– Vital tissues in the lateral canals: is it worth removing?
Lektion 5.Regenerative endodontic procedures. Are we really regenerating the dentin-pulp complex?
– Analysis of the tissues formed following successful pulp capping and pulpotomy procedures.
– Can odontoblasts and tubular dentin be regenerated?
– Tissue response of the radicular pulp tissue to microbial challenges in immature teeth.
– The role of “apical papilla” and HERS during the apical progression of pulp necrosis in immature roots.
– Control of infection as the crucial step in revascularization procedures.
– Evolution of protocols of revascularization procedures.
– Histologic analysis of tissues formed after successful revascularization procedures in human. Regeneration or repair?
– Evidence based clinical directives for the treatment of teeth with immature roots.
Der Kurs beinhaltet die nächsten Lektionen:
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Dozenten 1
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