The biologic mandate of successful endodontic treatment outcome is a healthy apical periodontium and long-term survival of the tooth. These objectives are achieved by meticulous disinfection of the root canal space, avoiding excessive removal of dentin, and optimal sealing of the root canal and coronal spaces.
The XP family of endodontic instruments have been modelled to achieve a fusion of technology and biology that integrates all variables essential for predictable endodontic success.
The superelasticity and shape-memory of the alloy used in XP instruments facilitates expansion and adaptation into canal morphology where traditional in-the-round NiTi files are unable to reach with any margin of safety. This enables maximal debridement and disinfection without changes to the original canal shape and ensures minimal removal of intra-canal dentin. This ultra-conservative root treatment can then be filled using bioceramic technologies that do not require excessive preparation in the coronal component of the root canal space to accommodate obturation procedures.
This presentation will emphasize the biologic essentials of long-term successful endodontics. Evolutionary strategies using new generation instrumentation and root filling technologies will be discussed. The treatment parameters discussed for vital and non-vital teeth will prevent or resolve apical periodontitis thereby ensuring the long-term survivability of the tooth. The endodontic restorative synchronicity resulting from ultra-conservative root treatment is now the default position of rehabilitation and further adds the return of the treated tooth to its functional and harmonious integration in the dentition.
- To fully comprehend the scientifically based biologic requirements for endodontic success.
- To differentiate between the diverse needs of vital and non-vital tooth to meet the requirements for endodontic success.
- To be cognizant and comfortable with the latest generation of technologies in endodontics to clinically obtain the essential biologic goals for success.
Predictable Endodontic Success; Accessing the 3rd Spatial Dimension
Evolutionary technologies have resulted in new generation of instruments designed to access areas that traditional “round” NiTi cannot safely reach. After initial negotiation of the root canal space with a glide path file, these “virtual core” files complete the cleaning to the maximum natural diameter. The native anatomy configuration is sustained and intra-canal dentin conservation is optimized. This conservative root treatment is completed by bioceramic root filling technology that does not shrink, wash out or require excessive preparation on the coronal third of the canal space. Participants will learn the shortcomings associated with traditional NiTi instrumentation and legacy obturation techniques and how this new evolutionary generation of 3D files and bioceramic technologies will obviate these shortcomings and engender predictable endodontic success:
- Understand the shortcomings of traditional files that produce round shapes
- Understand the addition of 3D files to clean to maximal diameters with conservative dentin removal
- Understand the use of bioceramic sealer in both cold and warm hydraulic techniques