콘아시아 2019 학술대회 근관치료, 치수치료 관련 강의

Bekir Karabucak University of Pennsylvania
Endodontics
USA

3D Root Canal Enlargement, Disinfection and Obturation

Three-dimensional instrumentation, disinfection and obturation of a canal system are essential for the success of a root canal treatment. Recently, new file systems called XP Shaper and Finisher file systems (FKG, La Chaux-de-Fonds, Switzerland) have been introduced featuring the MaxWire® Technology allowing files to expend and adapt the three-dimensional structure of root canal. This technique creates conservative canal preparation preserving more dentin tooth structure but, also, provides more efficient anatomical treatment of dentin surfaces. In the last decade, Mineral Trioxide Aggregate (MTA) has been used successfully with a range of treatments such as endodontic microsurgery, perforation repair, pulp capping or revascularization. MTA became the material of choice based on biological principals however, its handling properties remain a practical obstacle to its application in root canal obturation. Recently, other calcium silicate based bioactive cements and sealers have been introduced changing the rational and methods of accepted endodontic techniques in root canal obturation, perforation repair or Endodontic microsurgery. This presentation will explore the clinical applications, outcomes of XP file systems and bioceramic sealer obturation technique in endodontic practice. The hands-on course will allow participants to practice XP canal instrumentation and Bioceramic sealer obturation technique, and implement the knowledge learned during the seminar.

 

Marino Sutedjo Endodontist
Private Practice
Indonesia

Minimally Invasive in Endodontics, Trend or Necessity?

Nowadays often we heard the term of Minimally invasive dentistry. This minimally invasive thing is pretty much apply on almost any field of dentistry. It’s main purpose mostly is to preserve healty tooth / tissue structure as much as possible and this is interesting that now we are thinking to do as conservative as we can. But in endodontic do this minimally invasive give us a huge benefit?
In this lecture, this issue will be discuss along with scientific evidence to proof that whether minimally invasive in endodontic give us a benefit or it’s just a trend.

 

Reuben Kim Professor and Chair
Restorative Dentistry
UCLA School of Dentistry
USA

Vital Pulp Therapy – An Old Thought but a New Paradigm in Restorative Dentistry

Vital pulp therapy, such as direct pulp capping, is a conservative restorative treatment modality with a goal of preserving vitality of the otherwise diseased pulp tissue. Biologically, vital pulp therapy allows for reparative dentin regeneration by dental pulp stem cells, formation of which serves as a “biological seal” to protect the underlying pulp tissue. Calcium hydroxide has been used more than 80 years for this purpose in restorative dentistry; however, its clinical utilization has been less appreciated due to unpredictable outcomes that often resulted in a complete removal of the pulp tissue via root canal therapy. on the other hand, recent introduction of hydraulic calcium silicate cements (HCSCs), derivatives of prototype mineral trioxide aggregates (MTAs), confers reliable and predictable outcomes that increasingly gained its popularity and enabled vital pulp therapy as a viable conservative treatment option. In this seminar, we will discuss about the current status of vital pulp therapy and present some of our research findings related to reparative dentin regeneration at the molecular, preclinical, and clinical levels. We will also propose that vital pulp therapy is a new paradigm in managing the diseased pulp tissues in restorative dentistry.

 

Abdulla Alsharif President of Saudi Endodontic Society
Saudi Arabia

Endodontic Surgery; Procedure or Decision?

New approach of decision and procedures of endodontic surgery with clinical examples will be covered.

 

Emre Nagas Hacettepe University
Turkey

Biomimetic Endodontics

This topic attempts to provide a better understanding of the relative position of the biomimetic endodontics in the context of the past and present endodontic approaches.

 

Hiromichi Yumoto Tokushima University
Japan

Clinical Technique in Endodontics

Debridement and disinfection within the root canal system are the most important points in endodontic treatment. However, it is quite difficult to completely remove bacteria and all causal agents from the root canal system as well as bacterial biofilms formed in the extraradicular area because of the anatomical and morphological complexities. Therefore, it is necessary to develop new methods of bacterial control and I would like to present a novel non-surgical treatment for refractory periapical periodontitis. technique in Endodontics

 

S. Sai Kalyan Pravara Institute of Medical Sciences
India

Regeneration in endodontics: Current trends and Future perspectives

The future of regenerative endodontics lies in overcoming the existing roadblocks and incorporating cutting edge technologies to improve the clinical and histological outcomes. The lecture outlines the current trends and lays emphasis on the future strategies for successful endodontic regeneration.

 

Won-Jun Shon Seoul National University
Korea

Dentin-Pulp Regeneration Concept: How Can We Translate to Clinical Practice?

The regeneration of the pulp-dentin complex has been reported in several animal studies using exogenous biological cues or stem/ progenitor cells. The animal and human studies using endogenous biological molecules released from ethylenediaminetetraacetic acid-conditioned dentin or evoked bleeding have shown the formation of tissues that are of periodontal origin. Endogenous biological molecules have a release profile with a high initial burst followed by rapid reduction, perhaps accounting for the lack of regeneration in clinical studies. We investigated biological function and mechanisms of Cpne7 in regulation of dental and non-dental mesenchymal cell differentiation into odontoblasts via epithelial mesenchymal interaction. Cpne7 induces the differentiation of dental mesenchymal cells, such as human dental pulp cell (hDPCs) or non-dental origin mesenchymal cells, into odontoblasts and dentin formation in vivo. This presentation introduce the potential roles of Cpne7 in vital pulp therapy ( direct pulp capping, indirect pulp capping, hypersensitivity tx. ) and regenerative endodontic procedure through animal study. If we fully understand about Cpne 7 function and reactive mechanism, clinicians can induce artificially tertiary dentin that produced by such as caries, abfraction, or dental treatment to protect pulp tissue naturally.

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