Update in endo 2021 by Domenico Ricucci.
November 20, 2021
NOVEMBER 20, 2021
This is going to be a big annual update in endodontics by the foremost endodontist Dr. Domenico Ricucci from Italy where he will share with you his personal overview on the latest trends in modern endodontics as of the year 2021.
Diagnosis of the pulpal status: an updated view
Update in Endo by Domenico Ricucci 2021
The opinion that a precise diagnosis of the pulp status cannot be made on the bases of clinical symptoms, radiography, and responses to pulp tests is deep rooted among clinicians. This originates from textbooks and previous literature. New emerging evidence is challenging this old belief and it is high time that dentists understand the pulp response to the carious attack and learn how to perform a meticulous examination in the clinical setting.
Potential of Vital Pulp Therapy
Update in Endo by Domenico Ricucci 2021
During excavation of asymptomatic deep caries lesions the occurrence of pulp exposure is still regarded as the evil, because "an exposed pulp is a condemned pulp". Similarly, too many teeth presenting with symptomatic irreversible pulpitis are root canal treated in the daily practice. Based on histopathologic observation and presentation of clinical cases it will be clear that the vitality of a large number of exposed pulp can be maintained in the presence of the correct clinical indications. On the other hand, in teeth with irreversible pulpitis new evidence shows that it is possible to clinically locate the front of infection and selectively remove the diseased/infected tissue through a pulpotomy procedure. Clinical steps are thoroughly described.
New knowledge about patterns of endodontic infections
Update in Endo by Domenico Ricucci 2021
A pulp does not become necrotic overnight. After carious penetration of the pulp, necrosis and bacteria are initially confined to the pulp chamber, but soon the pulp degeneration process extends beyond root canal orifices and moves slowly in apical direction. In histologic sections, bacteria arranged in biofilm structures can be observed on the RTC walls. A radiographically visible periapical lesion appears at an early stage, when a consistent part of the radicular pulp is still vital. The biological and clinical advantages of an incomplete colonization of the pulp space are illustrated. If the condition is not treated, in later stages bacterial colonization occurs in lateral canals, ramifications, isthmuses, with the consequence that infection control is not always achieved with usual chemomechanical procedures. These difficulties are highlighted through the analysis of biopsies obtained from failed cases.
Extraradicular infection: the most challenging condition
Update in Endo by Domenico Ricucci 2021
The possibility that bacteria can occasionally trespass the boundaries of the root canal system, giving rise to a condition known as extraradicular infection, has been elucidated only in recent years, and consistently reported by histobacteriologic evaluations. Out of the canal, bacteria can give rise to cohesive actinomycotic-like colonies within the body of the inflammatory lesion, or form biofilms adhered to the external radicular surface. This condition, which cannot be diagnosed by radiography, has a strong impact on the outcome of the primary endodontic treatment. In fact, given its location outside the root canal, infection is not affected by usual instrumentation procedures. Hints are given concerning identification and management of this unfavorable pathologic condition.
Dr. Domenico Ricucci
Update in Endo by Domenico Ricucci 2021
Dr. Domenico Ricucci received his degree in General Medicine from "La Sapienza" University of Rome in 1982, and his DDS from the same University in 1985. Since then on he has maintained private dental practices limited to endodontics. In addition to his private practice, Dr. Ricucci was Professor of Cariology at "Magna Graecia" University of Catanzaro, Italy in 2002 -2003. He served in the Research Committee of the European Society of Endodontology from 1999 to 2005. Dr. Ricucci's primary research interest relates to pulpal and periapical tissue reactions to caries and treatment procedures, vital pulp therapy (VPT), biofilms in endodontic infections, etiology of RTC treatment failure, pulp regeneration/revascularization. Since 1998 he has run his own histology laboratory and has developed considerable skills in hard tissue preparations for light microscopy. Dr Ricucci has published more than 100 papers and has lectured both nationally and internationally. He has authored the Textbook and Atlas "Endodontology. An integrated biological and clinical view". He has also authored or co-authored sixteen book chapters.
Event program (November 20, 2021)
Update in endo 2021 by Domenico Ricucci
15:00 - 16:45 CET (GMT+1)
15:00 - 16:45 CET (GMT+1)
Part 1
Update in endo 2021 by Domenico Ricucci
  • Non cavitated white spot lesions. New findings challenge the knowledge about their bacterial status and the rationale for treatment methods.
  • The selective excavation concept. A misconception in modern dentistry.
  • The diagnosis of the pulpal status. An updated view.
  • The potential of Vital Pulp Therapy.
  • New knowledge about patterns of endodontic infections. The concept of localization of the front of infection. Impact on the RTC treatment outcome.
17:00 - 18:30 CET (GMT+1)
17:00 - 18:30 CET (GMT+1)
Part 2
Update in endo 2021 by Domenico Ricucci
  • The impact of technology on the debridement of the endodontic space. From Ni-Ti instruments to multisonic devices. Are revolutionary devices sufficiently tested?
  • Extraradicular infection. The most challenging condition that a clinician may face.
  • The types of apical inflammatory lesions. Does the presence of an apical cyst impair the result of the endodontic treatment? Does the size of the lesion matter?
  • Evidence base or opinions? The dangerous use of the social media today.
Q&A session
Questions and answers by Dr. Ricucci
Will become available for watching few days after the event day
How it works
Update in endo 2021 by Domenico Ricucci
November 20, 2021
Get registered for the course
Please follow the registration procedures by clicking the "Registration" button here on this webpage. Right after registration you will receive an email with your login/password to enter the secured streaming page in your personal account. If you already have an account in our system - you will just have the event streaming page activated there.
Watch the event and come back to the recording at any time within 1 month
The stream becomes available for watching at the scheduled day and time, and then the record of the stream is viewable at any time within 1 month, it can be paused, fast-forwarded, and re-watched as many times as you'd like.
Q&A session
In order to cover as many questions as possible the Q&A session will be recorded by the speaker separately few days after the event. Participants are welcome to send their questions using the special form on the secured streaming page. Participants will receive a notification by email after the Q&A session is published.
Get the Certificate
After the event is finished we will prepare Certificates under the electronic signature of Dr. Ricucci. If you wish to get a Certificate please send us a request by email.
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Press the button below and go to the secured streaming page
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