School of radiodiagnostics in dentistry. Module on endodontics: a complete guide in CBCT and 2D radiography
School of radiodiagnostics in dentistry. Module on endodontics: a complete guide in CBCT and 2D radiography
Course overview
A course guide on the latest updates in digital dental radiography and endodontic navigating systems.
Within this module you will learn how to:
Minimize the radiation load on the patient
Conduct and analyze 2D film and digital imaging
Analyze CBCT when planning endodontic treatment
Treat root canals using static and dynamic navigation
Use CBCT for classic and retrograde root canal filling.
As a result of training, you will learn how to see hidden pathologies, obstacles or treatment opportunities, which means:
being able to treat canals better
assurance of long-term results of endodontic treatment
saving of time through better diagnostics and planning.
Course lessons
Lesson 1. 2D Film radiography vs Digital radiography. Introductory lesson
The main advantages of Digital radiology
Evaluating radiation dose for different radiographic exams
Comparing digital sensors: CCD (Charged couple device) vs. CMOS (Complementary metal oxide semiconductor)
Clarke’s positioning technique for the superimposition of structures
Errors in radiography
Preoperative, intraoperative, and postoperative dental radiology
Root canal working length determination: understanding the anatomical structures
Ingle’s radiographic method of working length determination.
Lesson 2. 2D Film radiography vs Digital radiography
The main advantages of Digital radiology
Evaluating radiation dose for different radiographic exams
Comparing digital sensors: CCD (Charged couple device) vs. CMOS (Complementary metal oxide semiconductor)
Clarke’s positioning technique for the superimposition of structures
Errors in radiography
Preoperative, intraoperative, and postoperative dental radiology
Root canal working length determination: understanding the anatomical structures
Ingle’s radiographic method of working length determination
Endodontic Apex Locator (EAL): the working mechanism, advantages and its interpretation
EAL and X-ray
Cases abd clinical tips.
Lesson 3. CBCT in endodontics: diagnosis and treatment planning. Clinical guidelines and the ALARA principle
Understanding differences between 2D film radiography vs digital radiography
Proper diagnosis using 3D radiography: when is CBCT needed?
CBCT in endodontics. How to play with images in different planes
How to improve treatment planning with CBCT
Detection of periapical lesions
Locating MB2 with the help of CBCT
Diagnosis of calcified canals with CBCT
CBCT to avoid iatrogenic errors
Clinical guidelines for CBCT in endodontics
Evaluating RCT with CBCT
Limiting radiation doses: as low as reasonably achievable (ALARA).
Lesson 4. CBCT in endodontics: usage for orthogade, retrograde and surgical treatment
Improvements in the dental office with 3D Radiology CBCT
The principles of the international commission on radiological protection
Current trends: low dose protocols/devices
The ALARA concept
How to judge the endodontic anatomy? Evaluation of root canal anatomy
3D Endo new software: automatic design of canal trajectories
The hidden “dangerous” anatomy: banana curvature and elbow abrupt curvature
Hidden abrupt apical curvatures: instrumentation
3D visualization of canal trajectories and complexities
Is NINJA access easy to perform? Is it predictable?
Dynamic cavity access: minimally invasive access cavity and rational invasive access cavity
3D curvatures: double, triple, and S-shaped curvatures
Treating complexities: unexpected fracture of NiTi instruments
Bypass or remove broken instruments
Selective coronal flaring
Iatrogenic errors: stripping/tooth cracks/fracture
Artificial intelligence in endodontics and future trends.
Lesson 5. CBCT in endodontics: software, static and dynamic navigation
Patient-Endodontist communication with the help of latest dental technology
Orthograde and apical surgery
Endomicroscope: magnification and light
Normal pulp chamber, pulp stones and calcified pulp chamber
Completely calcified canal
Unguided (free hand) vs. guided endodontics
CBCT based Dynamic Navigation System (DNS): Navident
Navident: plan, trace and place
Dynamic Navigation in endo: access cavity, calcified canals, and surgery
Ninja access requirements
Dynamic Navigation System DNS: digital design of Ninja access.
