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4 days - theoretical and practical course

Advanced course in retreatment & microsurgery

How to manage compromised teeth

Course overview

This intensive four-days course offers hands-on training and provide rational and technical aspect of endodontic non surgical retreatment and microsurgery.
New equipments, bio-materials, CBCT imaging, coupled with enhanced visibility with operating microscopes drastically increased the success rates and predictability of our treatment.
Tips & tricks in disassembling, in post removal, in broken file retrieval, in root perforation, in the management of large foramens. 
Specific tip & tricks in microsurgery including how to optimize the use of the guided surgery.
A special section on how to improve microscope documentation is included

Two great teachers for an amazing course

With a special guest

Next edition of this course

7th • 8th • 9th • 10th
of December 2023

Location: MIKROS Training Facility
Viale Edison 621 • Sesto San Giovanni - MI (Italy)

Registration fee

€ 3.800,00

+22% VAT when applicable

Book your seat now!

Course Program

Day 1

8.30 - 10.30

Theory

  • Natural teeth Vs implants : recover or not recover-
  • The treatment plan in the modern dentistry
  • Diagnosis and Prognosis in complex cases : the role of the CBCT
  • The disassembling the most important step in retreatment
  • The role of crown down technique in retreatment

10:30 - 10:45

Coffee break

Coffee break in the training facility

10:45 - 13:00

Theory

  • Tips & Tricks in cast posts and fiber posts removal
  • Broken files management : bypass o retrieval - techniques and armamentarium

13:00 - 14:30

lunch

Lunch in a nearby restaurant

14:30 - 18:30

Theory

  • Perforation : how to manage pulpal floor perforation and middle one third perforation
  • Stripping : approach and prognosis - The sandwich technique
  • Large foramen : MTA apical plug
  • Invasive cervical resorption : diagnosis,prognosis,techniques and choose of materials to use
  • MTA VS BC putty VS BC sealers- How to optimize the use of the different materials
  • MTA 20 years follows-up

Day 2

8.30 - 10.30

Theory

  • Tips & Tricks in microscopy: how to manage the difficult positions in retreatment and surgery

  • Working positions and additional tools

  • How to increase visibility and light in lower molar - the most challenge situation

10:30 - 10:45

Coffee break

Coffee break in the training facility

10:45 - 13:00

Theory

  • How to improve videos and photos: mirrors, rubber dam colors, access cavities, no light no party-shots and photographic technique learning from professional photographers

13:00 - 14:30

lunch

Lunch in a nearby restaurant

14:30 - 18:30

HANDS-on

  • Disassembling on natural teeth using rotaries files
  • Broken file, bypass techniques - the use of the retrieval devices
  • MTA master class - repair of perforation in multiple rooted teeth-apical plug in large foramen Microscope set-up and working position on dental chair

Day 3

8.30 - 10.30

Theory

  • Non surgical retreatment vs surgical approach:costs & benefits of the endodontic surgery

  • The new role of the endodontic surgery in a predictable treatment plan

  • Indications and contraindications to the endo surgery

10:30 - 10:45

Coffee break

Coffee break in the training facility

10:45 - 13:00

Theory

  • The pre-operative exam : anatomy problems , dental problems , periodontium problems

  • Surgical armamentarium and surgical devices

13:00 - 14:30

lunch

Lunch in a nearby restaurant

14:30 - 18:30

theory

  • Flaps design  (Sulcular flap - Submarginal scalloped flap - “papilla base” flap)

  • The importance of soft tissue management

  • Osteotomy and apical resection

  • Bevel yes/no costs and benefits of the smart cut

  • Apical retro-prep : the role of the US retro tip

  • The root end filling : the role of three dimensional sealing

  • SUPER-EBA VS Bioceramic material VS MTA

  • The suture

  • Guided surgery - cost & benefit - when and why

Day 4

8.30 - 10.30

hands-on

  • Surgical treatments on surgical model

  • Microscope set-up and working position on dental chair

10:30 - 10:45

Coffee break

Coffee break in the training facility

10:45 - 13:00

hands-on

  • Surgical treatment videos on frontal teeth

  • Surgical treatment videos on posterior teeth

13:00 - 14:30

lunch

Lunch in a nearby restaurant

14:30 - 18:30

theory

  • Surgical treatments on surgical model

  • Surgical treatments on surgical model using a guide

Learning Outcomes

  • Understand decision making process between recover and tooth extraction
  • Understand how the modern approach in disassembling can change  success rates in retreatment
  • Understand how to recover compromised teeth in predictable way
  • Understand how to manage MTA and bioceramic materials
  • Understand why endodontics micro-surgery is one of the most important procedures in the endodontic treatment
  • Understand soft tissue management in endodontic surgery
  • Understand  materials involved in root-end filling and evaluate their appropriateness to given clinical situation
  • Understand the team approach to surgical endodontics and critically evaluate its implementation in specific context
  • Understand the correct use of the microscope and tip & tricks in video documentation
Register for this course
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