From Diagnosis to Outcome: Managing Complex Endodontic Challenges

This lecture will explore challenging scenarios, including retreatment cases, open apex management, dens invaginatus, calcified canals, among others, emphasizing evidence-based protocols and clinical reasoning. Comprehensive clinical evaluation and CBCT imaging are mandatory for accurate diagnosis, assessment of internal anatomy, and prognosis. Modern technologies—such as operative microscopes, ultrasonics, new NiTi alloy instruments, and bioceramic materials—offer safer, more predictable approaches.

Many teeth with pulpal and periradicular disease can be preserved through advanced endodontic procedures in highly complex clinical situations. Persistent intracanal infection remains the primary cause of treatment failure, and the intricate root canal anatomy dictates strategic decision-making during cleaning and shaping. This lecture will explore challenging scenarios, including retreatment cases, open apex management, dens invaginatus, calcified canals, among others, emphasizing evidence-based protocols and clinical reasoning. Comprehensive clinical evaluation and CBCT imaging are mandatory for accurate diagnosis, assessment of internal anatomy, and prognosis. Modern technologies—such as operative microscopes, ultrasonics, new NiTi alloy instruments, and bioceramic materials—offer safer, more predictable approaches. Supported by current literature and fully documented complex clinical cases, this presentation aims to enhance clinical confidence and improve outcomes in demanding endodontic situations.

Speakers receive a speaking fee from Henry Schein for these courses.