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Biologically based endodontics

5.00
6 votos
Domenico Ricucci
Detalhes do curso
Aulas do curso
Aulas do curso
Palestrante
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Detalhes

5 aulas (9h 45m)

inglês

Descrição

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Aula 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?

Aula 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.

Aula 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.

Aula 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?

Aula 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.

conferências 1

Endodontista e histopatologista especializado em biologia pulpar, reações de tecidos periapicais e pesquisa de infecção endodôntica. Medical Doctor e Doctor of Dental Surgery. Proprietário e diretor de laboratório privado de histologia para microscopia de tecidos duros.

 

Mais de 40 anos de experiência clínica e de pesquisa estudando respostas biológicas da polpa e tecidos periapicais a cáries e tratamento endodôntico. Desde 1998 opera laboratório próprio de histologia desenvolvendo habilidades avançadas em preparações de tecidos duros para microscopia óptica, permitindo pesquisa revolucionária correlacionando achados clínicos com evidência histológica. Foco de pesquisa em reações de tecidos pulpares e periapicais ao processo carioso e procedimentos de tratamento, biofilmes em infecções endodônticas, resultados de terapia pulpar vital, regeneração e revascularização pulpar, e mecanismos de sucesso e falha endodôntica.

 

Principal especialista mundial em microscopia de tecidos duros dentais tendo publicado mais de 100 artigos científicos revisados por pares estabelecendo fundamento histológico para endodontia baseada em evidências. Autor e coautor de oito livros didáticos sobre endodontia incluindo "Endodontology: Clinical and Biological Aspects" (referência em idioma italiano) e "Endodontology: An Integrated Biological and Clinical View" (livro didático abrangente e atlas publicado pela Quintessence). Palestrante internacional apresentando nas mais prestigiosas conferências dentais mundialmente sobre terapia pulpar vital, procedimentos endodônticos regenerativos, ciência clínica do sucesso e falha endodôntica, e histopatologia de doenças pulpares e periapicais.

 

MD. DDS. Extenso registro de publicações no Journal of Endodontics, International Endodontic Journal e outras revistas líderes. Pesquisa mudou fundamentalmente o entendimento da resposta pulpar a cáries (demonstrando reversibilidade da pulpite sob condições apropriadas), eficácia de procedimentos de pulpotomia parcial, papel de biofilmes em infecções persistentes, e importância da eliminação bacteriana completa para cicatrização. Estudos utilizam espécimes de dentes humanos coletados de casos clínicos, processados em laboratório privado usando técnicas especializadas permitindo visualização de bactérias, respostas teciduais e resultados de cicatrização. Prática em Cetraro limitada a casos endodônticos complexos referidos por especialistas por toda Itália.

 

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