Comprehensive Rotary Endodontics Training – 5 days

Features of the course –
The program has been designed based on the five principles of contemporary modern endodontics which are
Principle I – Use of aseptic techniques
Principle II – Cleaning the canals thoroughly and mechanically with the aid of chemical agents
Principle III – Shaping the root canals for easy of obturation
Principle IV – Obturation to achieve a tight seal of the root canals
Principle V – Coronal restoration of the tooth to prevent coronal leakage

PRINCIPLE I – USE OF ASEPTIC TECHNIQUE
The most common reason for endodontic failure or/and flare-up is a lack of understanding after BDS of endodontic microbiology at various stages of endodontic treatment. Thus, aseptic techniques right from caries debridement, pre endodontic build-up, isolation with a rubber dam, chamber irrigation protocols and use of sterilized instruments all have a high impact on long term prognosis of our endodontic treatment. To understand this principle better, the course teaches the following topics:
a. Routes of endodontic infection and endodontic microbiology
b. Access preparation, pre-endodontic build-up, chamber irrigation protocol
c. Initial exploratory instrumentation and pulp extirpation

PRINCIPLE II – CLEANING THE CANALS THOROUGHLY AND MECHANICALLY WITH THE AID OF CHEMICAL AGENTS

To achieve the second principle in practice, one has to understand about different irrigant compositions and the concept of irrigation, fluid dynamics and the role they play in cleaning a canal, as well as the concentration v/s the volume recommendations. Also important is the understanding of intracanal medicaments and the role they play in disinfecting and reducing inflammation.
Lectures and hands on : Irrigants, Intracanal medicaments.

PRINCIPLE III – SHAPING THE ROOT CANALS FOR EASE OF OBTURATION
The process of shaping the canal has evolved over the centuries from using broaches to hand files to modern heat-treated NiTi instruments. The basic requirement is to efficiently remove the canal contents and shape the canals in such a way as to enable the sealing of the root canal space completely. Integrated hand and rotary instrumentation techniques have made it possible to gain optimal shape effectively, with minimal instruments and reducing the chairside time.
Topics covered are instrument design, instrumentation techniques, endo motors, Niti, guidelines for rotary, reciprocation and adaptive techniques of canal preparation.

PRINCIPLE IV- OBTURATION TO ACHIEVE A TIGHT SEAL OF THE ROOT CANALS
Once the canals have been shaped and disinfected, they need to be sealed to prevent any further bacterial invasion from coronal, lateral and apical aspects. Various sealing materials as well as obturating techniques have been advocated over the decades to achieve this three dimensional seal.
Lecture and hands on : Root canal sealer, obturating materials, obturating techniques for various root canal anatomies.

PRINCIPLE V – CORONAL RESTORATION OF THE TOOTH TO PREVENT CORONAL LEAKAGE
Long term success of an endodontically treated tooth is impossible without achieving a coronal seal using proper techniques. An accurately done core build up to gain monoblock effect after sealing the orifices of the canals is paramount for predictable prognosis.
Lecture and hands on: Coronal seal/ Access filling and core build-up.

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