Clinical Endodontics Symposium 2025

 This course is not available for individual purchase. If you wish to attend the course on 14 November 2025 (limited seats available only), you have to register for the conference (14-15 November).

Abstract

This hands-on training offers a focused approach to modern endodontics, emphasizing conservative access and efficient canal preparation. The session begins with key principles of minimally invasive access under magnification, followed by practical exercises on simulated teeth. Participants will learn shaping protocols using the WaveOne Gold system and gain experience with the X-Smart Pro+ motor. Thermoplastic obturation techniques—continuous wave and carrier-based—will be demonstrated and practiced. The workshop also covers coronal restoration strategies and endo-resto interface design to ensure long-term clinical success. With a blend of lectures, demonstrations, and hands-on exercises, this course is designed to enhance the precision, safety, and predictability of endodontic treatment in daily practice.

Learning Objectives

• Understand conservative access cavity principles under magnification.
• Practice access preparation on simulated teeth.
• Learn efficient canal shaping using the WaveOne Gold system.
• Master thermoplastic obturation techniques.
• Design effective coronal restorations and endo-resto interfaces.

Agenda

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Abstract

Apical surgery has undergone a profound transformation in recent years, moving from a last-resort treatment to a predictable and minimally invasive procedure. Advances in digital planning, microsurgical techniques, and biocompatible materials have significantly improved clinical outcomes and patient experience. This lecture will highlight the integration of 3D imaging, surgical navigation, ultrasonic root-end preparation, and novel biomaterials into modern endodontic microsurgery. Through clinical cases and evidence-based discussion, participants will gain insight into how these strategies can optimise treatment success and expand the scope of apical surgery in contemporary practice.

Learning Objectives

At the conclusion of this session, participants will be able to:

• Describe the key technological innovations that have enhanced predictability in apical surgery.
• Recognize the role of 3D imaging and digital planning in case selection and surgical execution.
• Understand the principles of microsurgical instrumentation and root-end management.
• Evaluate the clinical applications of new biomaterials for root-end filling and tissue healing.
• Integrate modern apical surgery strategies into daily endodontic and restorative practice.

Abstract

Endodontics is evolving into a new era with the introduction of four-dimensional endodontics, where innovation and biology merge to elevate treatment outcomes. The first dimension is the latest motor technology, capable of operating at 4000 RPM, enhancing efficiency, precision, and safety in canal preparation. The second dimension is the XP-4D file system, designed to adapt to canal morphology, respect dentin preservation, and achieve optimal shaping in complex anatomies. The third dimension involves advanced irrigation solutions and activation methods, maximizing disinfection and tissue dissolution. The fourth dimension is obturation with bioceramic-based sealers and gutta-percha, ensuring superior sealing ability, dimensional stability, and bioactivity. This lecture will provide evidence-based insights, clinical protocols, and case demonstrations to show how these four dimensions can be seamlessly integrated into daily practice for safer, more predictable, and biologically centered endodontic care.

Learning Objectives

By the end of this lecture, participants will be able to:

• Explain the role of modern endodontic motors operating at 4000 RPM and their impact on shaping efficiency and clinical outcomes.
• Describe the features and clinical advantages of the XP-4D file system in adaptive canal shaping and dentin preservation.
• Evaluate advanced irrigation solutions and activation strategies for improving disinfection and tissue dissolution.
• Discuss the benefits of bioceramic obturation systems for achieving long-term sealing and bioactivity.
• Integrate the four dimensions into a comprehensive workflow to improve predictability in both routine and complex endodontic cases.

Abstract

The lecture will focus on the 3D anatomy of root canals describing those anatomical challenges that make a case complex, and consequently can negatively affect the outcome due to iatrogenic errors. A clinical evaluation of canal curvatures will be presented to provide clinicians useful hints how not to overstress NiTi rotary instruments and reduce the risk of iatrogenic errors like instruments' separation, ledges and canal blockage. The lecture will also show how to manage oval canals, calcified canals, divergent canals with a rationale approach, aiming at increasing clinical outcomes in these complex cases. The lecture will also hightighten the use of CBCT for proper diagnosis and treatment planning in challenging endodontic cases.

Learning Objectives

• Describe the importance of 3D anatomy and the value of CBCT in endodontics 
• Discuss the correlations between curvatures and the related stress on NiTi rotary instruments
• Discuss the clinical approach to oval canals and divergent canals
• Demonstrate the clinical strategies for management of calcified canals
• Demonstrate the clinical strategies for management of iatrogenic errors ( ledges,  canal blockage,etc)

Abstract

Totally or partially calcified canals present a constant challenge in clinical endodontics. Negotiating obliterated canals could be from difficult to nearly impossible. The risk of procedurals accidents, such as perforation and instrument separation, is high. However, under the magnification provided by a dental operating microscope the whole procedure of dealing with obliterated canals could become very predictable. Complete root canal space obliteration associated with apical periodontitis is relatively rare. This lecture is designed to help the clinician deal predictably with challenging cases of partial or diffuse calcification in Endodontics and blocked canals.

Learning Objectives

• Understand the Challenges of Calcified Canals involved in negotiating obliterated canals, including the high risk of procedural accidents such as perforation and instrument separation.
• Develop skills to handle challenging cases of partial or diffuse calcification in endodontics, including strategies for successfully negotiating and unblocking calcified canals.
• Describe a new technique with specially designed files to penetrate through calcified canals
• Focus on acquiring techniques and procedures that enable clinicians to deal predictably with blocked and calcified canals, enhancing treatment outcomes and minimizing the risk of complications.

Abstract

Ultrasonics is transforming the landscape of modern endodontics, redefining what is possible in challenging clinical scenarios. In synergy with high-magnification visualization, ultrasonic tips empower clinicians to work with exceptional precision and a truly conservative philosophy preserving tooth structure while overcoming obstacles that once hindered successful outcomes. From navigating calcified canals to tackling complex retreatments with removal of cast posts, screw posts, fractured instruments and fiber posts, ultrasonics opens doors to solutions beyond the reach of conventional techniques. 

This presentation will explore practical, evidence-based clinical strategies for integrating ultrasonics into daily endodontic practice, demonstrating how this technology can expand the therapeutic possibilities and elevate clinical results.

Learning Objectives

• Describe the principles of ultrasonic technology and its role in enhancing precision and conservation of tooth structure in endodontics. 
• Identify the clinical scenarios where ultrasonics provides advantages over conventional techniques, including management of calcifications, retreatments, and post removal. 
• Demonstrate the integration of ultrasonics with high-magnification visualization to improve access, cleaning, and obstacle removal. 
• Evaluate the evidence supporting ultrasonic use in complex endodontic cases and its impact on treatment outcomes. 
• Design an evidence-based clinical workflow incorporating ultrasonics to address challenging anatomical and restorative barriers. 

Abstract

Cone-beam computed tomography (CBCT) has revolutionized the diagnostic and therapeutic approach in endodontics, particularly when dealing with complex clinical scenarios. This lecture will explore how CBCT can enhance the detection of hidden anatomy, resorptive lesions, vertical root fractures, and pathology undetectable on conventional 2D radiographs. Through clinical cases and evidence-based discussion, we will examine how 3D imaging impacts treatment planning and decision-making, including retreatments, surgical endodontics, and management of calcified canals. Emphasis will be placed on the integration of CBCT with digital workflows, including guided endodontics, artificial intelligence for image interpretation, and 3D analysis for surgical planning. By understanding when and how to utilize CBCT effectively, clinicians can significantly improve the predictability and outcomes of endodontic treatment.

Learning Objectives

By the end of this lecture, participants will be able to:

• Discuss the indications and limitations of CBCT in endodontic diagnosis.
• Explain how CBCT aids in the identification of complex root canal anatomy.
• Demonstrate how CBCT influences treatment planning in retreatment and surgical cases.
• Discuss the integration of CBCT into digital and guided endodontic workflows.
• Explain the role of 3D imaging in detecting vertical root fractures and resorptive defects.

Abstract

The ability to navigate the primary canal system channels to their endpoints using a root canal instrument, referred to as technical patency and glidepath creation, is recognized as the most crucial factor influencing a favorable periapical healing outcome in teeth with apical periodontitis. This might not hold true for teeth without apical periodontitis, where reaching canal endpoints is not essential and could even compromise periapical health. While a natural anatomical glide pathway is generally present in most human roots, its dimensions, content, geometry, and topography can pose challenges. Factors such as root canal curvatures, canal splitting, and calcifications introduce complexities that increase the risk of procedural accidents during the establishment of patency and creation of a consistent glidepath.

Common procedural issues, such as the inability to achieve patency to the apical third and asymmetrical dentine removal leading to transportation, ledging, perforation, and instrument fracture, can jeopardize the management of intraradicular infection, resulting in poor treatment outcomes in cases with apical periodontitis. In fact, curved, splitting, ledged, and constricted canals introduce such complexity that specialized instrumentation concepts have been introduced, and instruments have been designed specifically to address these challenges.

The course on root canal blockages will focus on the re-establishment of the lost glide path in cases of curvature/separation blockages, calcification blockages and ledge blockages.

Learning Objectives

• Understand the importance of technical patency and glidepath creation in root canal treatment, particularly in cases with apical periodontitis.

• Describe the challenges posed by curved, splitting, ledged, and constricted canals in root canal treatment.
• Explore specialized instrumentation concepts and instruments designed to address blockages and navigate complex root canal anatomy effectively.
• Learn techniques for re-establishing lost glide paths in cases of blockages to optimize treatment outcomes.
• Discuss the principles and techniques for different clinical scenarios through case-based discussions.

Agenda

Supported by

Abstract

The goal of the presentation is to describe innovative approaches and products for endodontic treatment aiming at making procedure  easier, faster and more predictable even in difficult molar  cases. The course will show a comprehensive approach starting from access cavity design and coronal flaring, describing the use of heat treated NitI rotary files and the benefits provided by their use in complex anatomy ( including retreatment cases) , the concept of shaping and cleaning root canals in 3 dimensions and simplified obturation technique with new bioceramic sealers.

Learning Objectives

• Describe the importance of a correct access cavity  and rationally invasive  coronal flaring
• Discuss the advantages of  heat treated endodontic rotary files and related motions
• Demonstrate the clinical strategies for safe and efficient instrumentation of complex canals
• Discuss the current principles for enhanced irrigation technique
• Demonstrate the clinical advantages of single-cone hydraulic technique with bioceramic sealers

Agenda

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