Current Concepts in Dentistry Day 3

Course description

Current Trends in Endodontics

Monday, Nov. 11, 2024
Presented by Jeffrey Coil, DMD, MSD, PhD, FRCD(C), FADI, FACD

This course will guide you through the sequential steps of managing the root canal patient. Complete endo examination and radiographic interpretation will lead to differential diagnosis and a list of treatment options. CBCT examinations are prescribed mainly to assist treatment planning rather than to make a diagnosis. Learn which factors to look for in CBCT scans which can strongly influence the outcome of the treatment. Based on the degree of difficulty, your endodontic experience, and your willingness to treat, you will learn which cases to treat and which ones you are better off referring.

Vital pulp therapy used to be for permanent, immature teeth. Today, not all fully developed permanent teeth that become endodontically involved receive a traditional root canal treatment. Learn which teeth and under what conditions fully developed teeth receive a pulpotomy or partial pulpectomy treatment; but never receive a full root canal treatment. This contemporary treatment of maintaining vital pulp in mature permanent teeth has gained popularity in Europe, Asia and North America. For performing conventional root canal treatment with mechanized Nickel Titanium instruments, you will learn how to predictably navigate the clinical steps of root canal treatment. By assessing the tooth before treatment has started, learn which steps of the procedure might contribute to roadblocks and learn how to overcome such obstacles, including being blocked short of working length, unable to pass rotary files around curvatures, and how to minimize instrument breakage in canals.

This course will highlight the disinfection of the root canal system and how to maintain asepsis during the root canal treatment. Finally, after having cleaned, shaped and disinfected the root canal system, obturation utilizing bioceramic sealers and sealing of the access cavity will be presented.

Learning objectives

• Describe how to assess CBCT scans for vertical root fracture, tooth cracks, extent of resorption defects and lesion shape
• Discuss the conditions where vital pulp therapy on fully developed permanent teeth would be a reasonable treatment option
• Describe what factors would make root canal treatment difficult and how to manage procedural mishaps
• Understand why canal disinfection and asepsis during the root canal procedure are important for successful outcomes
• Describe an effective disinfection protocol while performing root canal treatment
• Discuss the advantages of using bioceramic sealers and cements

About the presenter

Jeffrey M. Coil, DMD, MSD, PhD, FRCD(C), FADI, FACD is director of the graduate endodontics program in the Department of Oral Biological and Medical Sciences at the University of British Columbia. He is the mentor and founder of the Northwest Endodontic Study Club and Seminar. He serves as an editorial consultant for the Journal of the Canadian Dental Association and on the Scientific Advisory Board for the Journal of Endodontics. He is a past president of the Canadian Academy of Endodontics and British Columbia Society of Endodontists, and is a member of the American Association of Endodontists. Dr. Coil received his undergraduate, dental and doctorate degrees from the University of British Columbia. He practiced general dentistry for eight years and was a clinical instructor in endodontics and periodontics, before obtaining his certificate in endodontics at the University of Washington in 1993.