Abstract
The current trends in minimising the reduction of dentine removal while carrying out root canal treatment are focused on access cavity contraction, paracervical dentine preservation and reduction of taper and apical gauge. These approaches require careful pondering of the risks involved with each step. In particular, modern shaping and activation of irrigants are required to maximise clinical outcomes. The mechanical aspects of endodontic treatment need, therefore, to be supported by the most current evidence. The ultimate step in the sequence is to provide the appropriate root canal filling to retain the achieved disinfection of the complex root canal system. The pure single-cone technique and hybrid single-cone warm vertical technique used in conjunction with bioceramic sealer allow for the appropriate completion of minimally invasive endodontic treatments. Furthermore, the properties of bioceramic sealers allow for a biomimetic approach in the presence of periapical lesions. The lecture will focus on the best approach to utilising bioceramic sealer in modern endodontic techniques.
Learning Objectives
- Understand the value of contracted endodontic access.
- Describe the evidence pertaining to sparing pericervical dentine.
- Discuss the modern approaches to maximise the efficiency of irrigation.
- Describe the use of single cone technique with bioceramic sealer.
- Understand the use of hybrid single cone/warm vertical bioceramic obturation.