Access Cavity: Working with Complex Endodontic Anatomical Variations

– The challenges of making fast decisions in everyday endodontic practice
– Revisiting anatomical variations learned during university training
– The impact of routine and cognitive ease on clinical decision-making
– Common assumptions about root canal anatomy and their consequences
– The risks and mistakes caused by working from routine
– Strategies for avoiding routine work and reducing errors
– Importance of correct planning in complex anatomical cases
– Complex dental anatomies in endodontics: identification and treatment planning. 

Recommended for: Endodontists, General dentists.

– Techniques for creating an effective access cavity during endodontic treatment
– The concept and protocols of glide path in endodontics
– Tools and strategies for establishing a glide path during the instrumentation phase of the treatment
– Shaping strategies for different types of root canals
– The role of rotary and hand instruments in shaping
– Managing complex anatomy during shaping
– Step-by-step analysis of complex anatomical variant cases and how to properly manage them.

Recommended for: Endodontists, General dentists.

– The pulp-dentinal complex microstructure
– Role of dentine in maintaining tooth integrity
– Impact of pathological processes on tooth integrity
– Pathological modifications of dentine
– Tubular infection characteristics
– The most effective shaping techniques supported by available scientific evidence
– Protocols for activation of irrigants
– Irrigation adjuvants available to the clinician
– Endodontic outcome limitations in the presence of refractory infections
– Infections in the main lumen and dentine thickness (dentinal tubules and lateral canals)
– Protocols for the management of persistent infections.

Recommended for: Endodontists, General dentists.

– Overview of standard textbook anatomy vs. anatomical variability in teeth
– Impact of external tooth anatomy on endodontic anatomy
– Challenges posed by anatomical variations in diagnosing pathology
– Importance of identifying anatomical aberrations for diagnosis and treatment planning
– Role of CBCT in discerning major variations in endodontic anatomy
– Detailed description of main anatomical aberrations
– Working with dens in dente, invaginations, and grooves
– Examination of radix entomolaris and paramolaris
– Protocols for the management of dilacerations and C-shaped canals
– Application of CBCT in detecting endodontic anatomy
– Limitations of instrumentation effectiveness in isthmuses and fins
– Protocols for the Print and Try Technique: combining CBCT with 3D printing
– Step-by-step analysis of clinical cases: protocols for cavity access creation, canal instrumentation, and obturation.

Recommended for: Endodontists, General dentists.