Graduated with Honor in Dentistry and Dental Prostheses at the University of Pavia in 1995. Co-author of endodontic textbooks: Retreatments Ed. EDRA; Manuale di Endodonzia Ed. EDRA, Digital Dentistry Science & Clinics Ed. DDS. Coordinator and editor of “Testo atlante di anatomia endodontica” published by Tecniche Nuove in 2011. Active member SIE since 2003, and now President of SIE – Italian Endodontic Society. Member since 2007 of the Editorial Committee of GIE (Giornale Italiano di Endodonzia). Certified Member since 2010 of ESE – European Society of Endodontology. Certified Speaker of DDS (Digital Dental Society). He gives his contribution as an expert in this specific subject to II Rehabilitative Dentistry (coordinator, Prof. Massimo Gagliani), in the specialized degree course of Dentistry and Dental Prostheses at the odontostomatological clinic of the Department of Surgery and Dental Medicine San Paolo, Milan.Lecturer in several Italian University in post graduate program (Master) at Bologna, Brescia, Napoli e Varese.Lecturer at Congresses in Italy and abroad focusing on endodontic and restorative themes, and teacher of endodontics and 3D imaging & radiology practical courses. Freelancer since 1996. Owner, since 2005, of a dental clinic in Marcallo con Casone, Milan.
CBCT e dime endodontiche per accessi ortogradi: cosa sapere per un uso razionale
Ven 10 Nov
CBCT and endo-guides for non surgical treatment: what to know for a rationale use
Over the years we have witnessed an increasingly aware use of CBCT in the endodontic field which has revolutionized the way of approaching endodontics. In addition to improving diagnostic thinking, he has changed the approach by addressing prognostic indications thanks to an ever greater understanding and awareness in decision making first and then in clinical treatment. These considerations, although important, are valid when applied to complex endodontic cases. Among these, the calcification of root canals has always represented a challenge even for the expert endodontists. The risks in severely calcified treatment are represented by the creation of false pathways and perforations as well as by the removal of excessive dentinal tissue with weakening of the tooth structure. Recently, endodontic access guides have been used which can facilitate the retrieval of calcified canal entrances relocated to the most apical position without the use of the operating microscope. This aspect allows the technique to be used even by less experienced operators. Guides can be static and dynamic. In this presentation we will only deal with the statics, which are obtained from the combination of CBCT data and intraoral scanning; thanks to their stable positioning, it allows, through the use of special drills, guided access for finding the calcified canal. In this presentation the advantages and disadvantages of using this method will be considered, trying to understand the main limitations related to the design phase of the guides.
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