Dentaltown April 2016 - (Page 98)

continuing education feature Bio-Minimalism: Trends and Transitions in Endodontics Dr. Martin Trope served as the chair of endodontology at Temple University, School of Dentistry, and is currently clinical professor in the department of endodontics at the School of Dental Medicine at the University of Pennsylvania. In 1993, he accepted the J.B. Freedland professorship in the department of endodontics at the University of North Carolina at Chapel Hill, School of Dentistry. Trope has been director of the American Board of Endodontics; editor-in-chief of both Dental Traumatology and Endodontic Topics; a member of the editorial board of Oral Surgery, Oral Medicine, Oral Pathology; a member of the advisory board of Esthetic Dentistry; and has received The Louis I. Grossman Award for publication of significant research. and Dr. Kenneth Serota Dr. Kenneth Serota received his certificate in endodontics and master of medical sciences degree in nuclear medicine from the Harvard-Forsyth Dental Center in Boston. In 1981, he was the recipient of the American Association of Endodontics Memorial Research Award for his work in nuclear-medicine screening procedures related to dental pathology. Active in online education since 1998, he is the founder of the online endodontic forum ROOTS, the Facebook forums NEXUS and Dental Divas Global. He is currently global clinical director for Dentaltown. Course description This article is an overview of the essentials that accept that the endorestorative continuum is not a concept. Rather, it is a de facto treatment approach. "Clean, shape and pack," with hindsight, should have been "shape, clean and pack"-but even that was a somewhat simplistic approach. Debridement, disinfection and microstructural replication due to the introduction of adaptive bioceramic technologies for root filling are increasingly being recognized as the standard for optimal endodontic therapy. Objectives 1. To have a better understanding of the dynamic changes in mainstream endodontic instrumentation. 2. To have a better understanding of latest and most advanced obturation techniques. 3. To understand the synergism between the endodontic and restorative Fig. 1a Fig. 1b Four-rooted maxillary molar Maxillary molar fused roots continuum of tooth rehabilitation. 4. To dispel the myths of past "concepts" and evaluate the shifts in treatment protocols with better evidentiary understanding. History The recent history of endodontics has been an evolution through several transitional stages: nickel-titanium (NiTi) instruments for sculpting and debridement; microscopes for illumination and magnification-indispensable for detection and exploration of the inner space of teeth (Figs. 1a-1d); and, of late, the inclusion of cone-beam computed tomography for diagnosis and treatment planning. The clinician can thus anticipate, visualize and treat with unprecedented levels of accuracy and safety. However, the failure to overcome all potential mechanical and pathologic vectors that negate treatment success continues in spite of these technologic Fig. 1c Mandibular molar A Fig. 1d Mandibular molar B The root-canal system is an arborizational, anastomotic, byzantine, labyrinthine complexity, morphologically comparable to the passages of a maze. While primary canals exist, the tributaries, accessory branches and luminae of the dentinal tubuli harbor extensive tissue and microflora, which if left untreated remain vectors for persistent and refractory pathology. Approved PACE Program Provider FAGD/ MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. 1/1/2016 to 4/30/2016 Provider ID#304396 98 APRIL 2016 // dentaltown.com AGD Code: 070 This print or PDF course is a written self-instructional article with adjunct images and is designated for 1.5 hours of CE credit by Farran Media. Participants will receive verification shortly after Farran Media receives the completed post-test. See instructions on page 102. Figs. 1a-1d provided by Dr. Marco Versiani, Jesus D. Pécora and Manoel D. Sousa Neto by Dr. Martin Trope http://www.dentaltown.com/OnlineCE.aspx?action=DETAILS&cid=666 http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown April 2016

On Dentaltown.com
HOWARD SPEAKS: Lessons from Asia
PROFESSIONAL COURTESY: Today’s Active Topics
Continuing Education Update
Industry News
Love It!
Poll
What Do You Use to Calculate Offi ce Metrics?
When’s the Last Time You Googled Your Practice?
How is My Curing Different From Pulse Curing?
OFFICE VISIT: Family Ties
Breaking the Cookie Cutter: Finding Our Way Back to Individuality with Shape, Form and Texture
Choose Your Weapon: Finding the Best Fluoride Option for Your Patient
(Your Own) Practice, Made Perfect
Braces vs. Aligners: The Science of Picking the Best Appliance
You Be the Judge: The Case of the Lazy X-Rays
Product Profile: Premier
Principles of Flap Design and Closure
Any More Tips on This Extraction?
Dentistry’s Great Marketing Untruths
Product Profile: CreoDent Prosthetics
Product Profile: Ivoclar Vivadent
You Should Know: Dental Planet
New Products
Ad Index
Bio-Minimalism: Trends and Transitions in Endodontics
Material Classifi cation and Shade Selection Protocol for All-Ceramic Restorations
Dentally Incorrect

Dentaltown April 2016