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Non-Surgical Root Canal Therapy

NS-5 - Irrigation Unveiled: Diving into Current Technologies, Agents, and Optimized Disinfection

Saturday, April 5, 2025
2:00 PM – 3:30 PM EST
Location: Hynes Convention Center, Floor 3, Room 312
Earn 1.5 CE Credits
Not Recorded
Disclosure(s):
Jose F. Siqueira, D.D.S., M.Sc., PhD, Jr.: No financial relationships to disclose
Fabricio B. Teixeira, D.D.S., M.S., Ph.D.: No financial relationships to disclose
Domenico Ricucci, MD, D.D.S.: No financial relationships to disclose
Callee Cosby Clark, D.D.S.: No financial relationships to disclose
Bettina Basrani, D.D.S., Ph.D., M.Sc.: No financial relationships to disclose
Endodontics plays a critical role in preventing and eliminating apical periodontitis by reducing the microbial content in the root canal system. Extensive research has shown that mechanical debridement combined with thorough irrigation is crucial for successful treatment outcomes. With various irrigation protocols claiming to effectively eradicate microorganisms, it's essential to consider the type of irrigant and the agitation techniques. This presentation aims to explore the biological and morphological challenges for root canal disinfection and evaluate the practical impact of available protocols on treatment outcomes. We will assess different methods, including syringes, manual agitation, positive or negative apical pressure, and sonic or ultrasonic activation of irrigants from biological, clinical, and scientific standpoints. The presentation will feature clinical cases and discuss the potential impact of the available evidence.

Learning Objectives:

  • Describe the microbiological goals and challenges during root canal treatment.
  • Reveal the impact of the different treatment steps and current technologies to achieve proper root canal disisinfection.
  • Define the anatomical and pathological factors that limit achievement of full debridement and disinfection of the root canal system using contemporary irrigation protocols.