Program – First Day
09,00 – 10,00
• The correct treatment plan in Micro Surgical Endodontics
– Extraction and implant ?
– Non-surgical retreatment ?
– Surgical retreatment ?
– The use of the Cone Beam Computed Tomography (CBCT) as a diagnostic tool
• The use of the Operating Microscope in Surgical Endodontics
– Anatomy of the operating microscope
– The illumination of the operative field
– Working positions
– Ergonomics at the microscope: the role of the assistants
10,00-11,00
• The Anesthesia
• Management of soft tissue: flap design, incision and atraumatic flap elevation and retraction
• Anatomical consideration: inferior alveolar nerve, mental nerve, greater palatine artery, maxillary sinus
• The control of the bleeding
11,00-11,30 Coffee break
11,30-13,00
• The bony crypt
• The location of the root apex
• Crypt management
• The root-end bevel and root-end preparation
– Ultrasonic root-end preparation vs handpiece preparation
13,00-14,00 Lunch break
14,00 – 16,00
• Root end filling materials: Super EBA, MTA, Bioceramics
• Suture
• Post-operative care
• 24 hours suture removal
16,00 -16,30 Coffee break
16,30 – 17,00 – Video on Ergonomics. The role of the assistants during the surgical procedure at the operating microscope
17,00-18,00
• Causes of failure after surgical therapy: the most common errors made during surgical procedures
• Surgical retreatments of surgical failures
• Non-surgical retreatments of surgical failures
Program – Second Day
09,00 – 11,00
• Work-shop
11,00 – 11,30 Coffee break
11,30 – 13,00
• Work-shop
13,00 – 14,00 Lunch break
14,00 – 16,00
• Video of surgical procedures performed in anterior and posterior teeth using the Surgical Operating Microscope
16,00 – 16,30 Coffee break
16,30 -18,00
• Video of surgical procedures performed in anterior and posterior teeth using the Surgical Operating Microscope
For the work-shop the participants will practice on natural teeth mounted on special anatomically designed models. The natural teeth will have the root canal treated; the models will have a rubber gengiva to make the incision and then the suture.; the root apex will be surrounded by a “rubber lesion” to simulate a granuloma. The participants will be able to perform a complete surgical procedure, from incision to the suture, working with the operating microscope.
Material and instruments available for each participant:
– Microscope
– Ultrasonic unit
– Ultrasonic tips
– Micro surgical instruments
– Root-end filling material
– Suture
