Всемирный Эндодонтический Конгресс

 

Ванкувер, Канада; 22-27 августа, 7ой Всемирный Эндодонтический Конгресс.
Девиз мероприятия – Превентивная и малоинвазивная стоматология.
Масштабность – около 900 человек практически со всего мира.
Были представлены даже такие страны как Ирак и Шри-Ланка; из ближайших к нам соседей – Литва и Польша.
Из России присутствовал только 1 участникШеплев Б.В.

 

   
Eric Herbransen, Boris Sheplev, David Clark
и красивый доктор из Ирака
Россия – вперед!    

Программа Конгресса была чрезвычайно насыщенной: ежедневный общий пленарный доклад, за которым следовали одновременные доклады в 4 разных группах. Сложно выбирать между лекциями таких корифеев современной эндодонтии как К. Раддл и А. Кастеллуччи!

Вполне вероятно, что Борис Валентинович предоставит активным зарегистрированным посетителям возможность ознакомиться на нашем сайте с подробными транскриптами, слайдами и своими комментариями о пленарных докладах Конгресса; а сейчас вы можете изучить краткие конспекты. 

 

Abstracts, IFEA 7th World Endodontic Congress

 

PL-01

Optimising Pulp and Perodontal Healing After Trauma

Andreasen, Jens

A series of clinical studies have shown that severity (extent and direction of displacement) and root development are the two most significant factors determining the prognosis for pulp and periodontal healing.

Treatment approaches may enhance or disturb healing. Based on recent studies, the following treatment rules can be recommended:

    Extrusion: Optimal repositioning
2 weeks splinting (semirigid)
    Lateral_luxation: Repositioning
3-4 weeks splinting (semirigid)
    Intrusion: Primarily dictated to stage of root development and extent of trauma.
In case of simple intrusion of a tooth with incomplete root formation to the gingival level, spontaneous eruption can be expected.
In case of complete root formation, surgical orthodontic repositioning is indicated.
Splinting (semirigid) for 4-8 weeks (according to radiographic appearance i.e. transient alveolar breakdown).
    Avulsion: Immediate replantation, if possible.
Otherwise, storage in physiologic media (saline, milk, saliva).
Splinting for 1 week (to protect against permanent ankylosis).
Prophylactic pulp extirpation after 1 week.
In case of open apices, revascularisation is expected.
Unsuccesful healing becomes apparent after 3-4 weeks
    Root fracture: Optimal repositioning
4 weeks of splinting (semirigid)

 

PL-02

One vs Multiple Visits in Root Canal Management

Machtou, Pierre

Controversies are common in the different fields of dentistry and root canal therapy is no exception. Indeed, it is striking to notice that there is no general agreement about most of the clinical phases of the endodontic treatment and even still about the way the treatment itself has to be conducted.

For years, as an example, a one visit versus multiple visits treatment has been advocated and, over time, this trend has substantially increased with the introduction of new technological advances that make the root canal treatment easier, faster and technically more predictable. If this latter approach looks quite sound for the treatment of vital teeth, there is still a debate regarding the outcome of a single visit treatment for infected teeth.

The purpose of this presentation is to use the current best scientific evidence available to try to clarify this question.

 

PL-03

Evidence-based Management of Persistent Disease after Endodontic Treatment

Friedman, Shimon

Over 30% of endodontically-treated teeth in the population present with persistent disease, suggesting an extensive need to manage affected teeth. Treatment options include extraction and replacement, orthograde retreatment and apical surgery. These alternatives differ considerably in biological rationale and in prognosis. Apparently, patients and dentists often face a dilemma when selecting the appropriate treatment. Patients should apply their own values in selecting a specific treatment. A key consideration is the outcome of treatment or prognosis; therefore, data on prognosis should be communicated to patients in an objective manner.

The outcome of endodontic retreatment and surgery has recently been challenged, because of inconsistent reports that contrast with consistently favourable reports for implant-supported single-tooth replacement. Indeed, the inconsistency of the endodontic treatment outcomes has caused considerable confusion in the profession. To establish reliable outcomes, studies must conform to design and methodology criteria consistent with an acceptable level of evidence. There are but few studies on orthograde retreatment and apical surgery that meet these criteria.

This lecture will define the expected outcomes for endodontic management of persistent disease. Studies will be reviewed and those that provide the best evidence highlighted. Based on these selected studies, the outcome of orthograde retreatment and apical surgery will be summarized in regards to healing and asymptomatic function of the treated teeth.

 

PL-3D-A and B

Micro-Endodontics and Endo-Restorative for The Next Century

David, Clark; Herbranson, Eric

Dr David Clark, founder of the Academy of Microscope Enhanced Dentistry and Dr. Eric Herbransen, co-author of the 3D Interactive Tooth Atlas will present together at the IFEA Pre-Congress Session.

This union of one of the worldʼs foremost authorities in endodontic anatomy and imaging (Herbransen) combined with a pioneer of endo-restorative and microdentistry (Clark) will be a first. Their combined imagery, now in 3-D, has been described as jaw-dropping.

The goal of the presentation is to provide information on endodontics as part of the larger continuum that is crucial to long term clinical success, based on the microscopic level of care.

 

PL-04

Implants: No More Heroic Periodontal Therapy… and Now a Predictable Alternative To Endodontic Retreatment & Apical Surgery

Leziy, Sonia

Maintaining ailing or failing teeth by extensive multi-disciplinary treatments is increasingly being questioned by clinicians today, in light of the high predictability of implant therapy. This is particularly the case in areas where esthetic
requirements are demanding. Historically, compromised teeth were retained and restored with the aid of periodontal procedures, endodontic treatments or retreatments, which were often coupled with apical surgical procedures. The high success rate of implant therapy has had a profound influence on restorative treatment planning; extraction and implant placement often being deemed more predictable and more cost effective than many conventionally used treatment methods.

Appropriate timing from extraction to implant placement increases both the functional and esthetic success by conserving bone and gingival architecture that are often lost because of disease processes and by resective periodontal and endodontic surgical therapies. Refined microsurgical techniques and soft tissue management protocols, a clear understanding of the importance of implant design selection criteria, 3-dimensional implant positioning and use of ceramic abutments/restorations contribute to the predictably superior esthetic outcomes of implant restorations when compared to many traditional treatment approaches.

This presentation will review the following issues:

    Current review of the literature on implant success rates.
    Decision making process: when to conserve and when to extract a tooth.
    Surgical and restoration concepts and techniques:
     Atraumatic extraction.
    Implant surgery timing relative to extraction. The advantage of immediate implant placement for biologically engineering hard and soft tissues.
    3D implant positioning and implant design selection (including a review of Nobel Biocare implant designs and their applications).
    Bone and soft tissue grafting to repair ridge deficiencies.
    Timing between surgery and restoration. Exploring current concepts of one immediate implant restoration and guided surgery.
    The changing role of ceramics in implant dentistry.
    The importance of treatment planning, surgical and prosthetic training, as well as clinicianʼs experience level on treatment success.

 

PL-05

Whatʼs New in Pain Control and Pulp Biology

Hargreaves, Kenneth

This lecture will describe current issues in pain control including the diagnostic/ treatment dilemmas of bisphosphonate associated osteonecrosis, possible cardiotoxic effects of mixed COX1/COX2 inhibitors, and practical evidence-based approaches for pain control.

In addition, current research on pulp biology including new research on regenerative endodontic techniques will be addressed.

 

PL-06

Pushing Rotary Instrumentation to the Limit — How far can we go?

Johnson, Ben

Since the introduction of Nickel Titanium Profile.04 rotary instruments in 1994, the world of Nickel Titanium has virtually erupted into a multitude of new instrument designs and tapers. These new instruments with multiple tapers to choose from, and even multiple taper on a single blade, can be somewhat confusing to the clinician. In fact, most clinicians use a combination of various instruments to accomplish the task at hand.

Is it as good as it gets? The answer is: obviously not: There will always be new innovations in instrument design.

Could it be better? Absolutely!

This presentation will show new instrument designs that will hopefully answer the needs of most clinicians, in the majority of cases, utilizing the combination of active and passive cutting segments on the same instrument. A new innovation in the manufacturing of Nickel Titanium for endodontic instruments will be introduced. These new instruments are as flexible as our present Nickel Titanium, have the same torque strength, but is up to 5 to 9 times more resistant to cyclic fatigue.

 

PL-07

Current Concepts In Root Canal Disinfection — How Far Have We Come?

Haapasalo, Markus

Successful disinfection of the root canal system is recognized as being of central importance in the treatment of endodontic infections such as apical periodontitis. While instrumentation reshapes the anatomy of the main canal(s) to facilitate removal of the microbes, alone it is not effective enough and must be accompanied by use of irrigation solutions with antibacterial activity and in many cases by intracanal disinfecting agents.

This lecture will present the newest information from literature and results from ongoing studies about the effectiveness of various disinfection strategies in the instrumented (smear) and uninstrumented parts of the root canal system, including penetration into dentinal tubules. The effect of the disinfection on long term prognosis of the treatment will be discussed and recommendations for disinfection strategies will be given.