Access Cavity: Working with Complex Endodontic Anatomical Variations
Access Cavity: Working with Complex Endodontic Anatomical Variations
Course overview
Key concepts, protocols, and tips in access cavity design for minimally invasive and predictable endodontic treatment!
Dr. Gergely Benyőcs and Federico Foschi will share their years of experience in dealing with anatomical variations in endodontic practice.
What you will learn
Protocols for diagnosis and treatment planning of endodontic treatment for teeth with complex anatomy
Working with various anatomical variations such as dens in dente, invaginations, and grooves
Protocols for access cavity preparation and design
Protocols for glide path preparation and canal shaping strategies
Protocols for the management of dilacerations and C-shaped canals.
Through a combination of theoretical knowledge and practical demonstrations, this course will help you develop the skills necessary for successful endodontic treatment outcomes, from access design to root obturation.
Course lessons
Lesson 1. Anatomical Variations in Endodontics from a Clinical Perspective
The challenges of making fast decisions in everyday endodontic practice
Revisiting anatomical variations learned during university training
The impact of routine and cognitive ease on clinical decision-making
Common assumptions about root canal anatomy and their consequences
The risks and mistakes caused by working from routine
Strategies for avoiding routine work and reducing errors
Importance of correct planning in complex anatomical cases
Complex dental anatomies in endodontics: identification and treatment planning.
Lesson 2. Access Design, Glide Path, and Shaping Strategies
Techniques for creating an effective access cavity during endodontic treatment
The concept and protocols of glide path in endodontics
Tools and strategies for establishing a glide path during the instrumentation phase of the treatment
Shaping strategies for different types of root canals
The role of rotary and hand instruments in shaping
Managing complex anatomy during shaping
Step-by-step analysis of complex anatomical variant cases and how to properly manage them.
Lesson 3. Microscopic Endodontic Anatomy and Its Clinical Implications
The pulp-dentinal complex microstructure
Role of dentine in maintaining tooth integrity
Impact of pathological processes on tooth integrity
Pathological modifications of dentine
Tubular infection characteristics
The most effective shaping techniques supported by available scientific evidence
Protocols for activation of irrigants
Irrigation adjuvants available to the clinician
Endodontic outcome limitations in the presence of refractory infections
Infections in the main lumen and dentine thickness (dentinal tubules and lateral canals)
Protocols for the management of persistent infections.
Lesson 4. Macroscopic Anatomical Variations of Teeth in Endodontic Clinical Practice
Overview of standard textbook anatomy vs. anatomical variability in teeth
Impact of external tooth anatomy on endodontic anatomy
Challenges posed by anatomical variations in diagnosing pathology
Importance of identifying anatomical aberrations for diagnosis and treatment planning
Role of CBCT in discerning major variations in endodontic anatomy
Detailed description of main anatomical aberrations
Working with dens in dente, invaginations, and grooves
Examination of radix entomolaris and paramolaris
Protocols for the management of dilacerations and C-shaped canals
Application of CBCT in detecting endodontic anatomy
Limitations of instrumentation effectiveness in isthmuses and fins
Protocols for the Print and Try Technique: combining CBCT with 3D printing
Step-by-step analysis of clinical cases: protocols for cavity access creation, canal instrumentation, and obturation.
