Dr. Massimo Giovarruscio
Italy
The Endodontic Prosthodontic interface. From the canal to the crown. Clinical options for daily practice.
Endodontic success is achieved not only by obtaining a proper apical seal but also a coronal seal. Coronal leakage is one of the main reasons for long-term failure of endodontically treated teeth. After the endodontic treatment is completed, a coronal restoration is necessary in order to obtain an adequate coronal seal. A pulpless tooth is different to a vital tooth, mainly in terms of remaining tooth structure. Hence, it is the residual dentinal tissue (and its preservation) that mainly dictates the restoration. This is especially important for severely compromised teeth, where we should accurately choose the best restoration.
Many techniques are available for the reconstruction and restoration of pulpless decayed teeth. Is a root canal post absolutely necessary? Which core materials should be used? Should a crown be placed after root canal therapy? With modern adhesive dentistry there are two treatment possibilities for anterior and posterior teeth: placement of a direct restoration or placement of an indirect restoration.
Adhesive techniques can be used in either approach to achieve coronal restoration which will seal properly. To obtain favourable long-term results, the restoration must protect the tooth against excessive load. The cervical region of the restored tooth is subject to the most stress. We should restore an endodontically treated tooth in the most conservative way possibly minimizing any further tooth structure loss; adhesive techniques offer potential advantages.
AIM: to give indications in this presentation why we will choose either direct or indirect restoration in different clinical situations and the type of coronal-radicular restoration procedure that should be adopted
LEARNING OBJECTIVES
1) Understand what is important to achieve the Endodontic Success
2) Understand which adhesive material to choose
3) Understand how is important to clean and prepare the chamber and post space
4) Understand how to restore anterior and posterior teeth
5) Understand when using the post and which post
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Bio
Dr. Massimo Giovarruscio is a highly skilled professional, with extensive experience in Endodontics, Restorative and Aesthetic Dentistry. With over 20 years’ experience in dentistry, he has developed his reputation within the profession as an excellent endodontist, clinician and educator. He is accredited Specialist in Endodontics and he was a Clinical Teacher in Endodontics at King’s College London Dental Institute to both Undergradute and Postgraduate students for more the 10 years. Visiting Professor at Universidad CEU Cardenal Herrera Valencia, Master Internacional en Odontologia Restauradora y Endodoncia.
Professor of Department of Theraupetich Dentistry of Setchenov University of Moscow.
He is a Visiting Endodontic Specialist Teacher on MSc in Endodontics at University of Plymouth.
He works in Rome, Bristol and London, specialising in Endodontic Treatment and Restoration of Endodontically Treated Teeth and is regarded as an World Opinion Leader in Endodontics and restorative procedures related to the endodontically treated tooth. He lectures world-wide and has published many articles in International journals, and wrote several endodontic chapter and manuals recognized and used by the University.
Active member of the European Society of Endodontology, British Academy of Aesthetic Dentistry, Italian Society of Endodontics, Italian Academy of Microscopy Dentistry. Massimo is also a Gold member of Styleitaliano Endodontics, the largest Dental Study Group in the web, with the mission of setting excellence standards while simplifying protocols in this vast world of Endodontics. He is also a co-founder of Delta Dental Academy in Bristol, recognized as one of the top Dental Education Center in United Kingdom.