Access Cavity: Working with Complex Endodontic Anatomical Variations

Access Cavity: Working with Complex Endodontic Anatomical Variations

Category: Endodontics

Instructor(s): Gergely Benyőcs, Federico Foschi

Course structure: Lessons: 4 lessons | Duration: 3 h 12 min

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.

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.

Who is this course for?

This online course is designed for dentists and dental professionals interested in endodontics, clinical decision-making and evidence-informed dental practice.