Dr.Filippo Cardinali

 

 
 

Biography

Graduate in Dentistry and Dental Prosthesis at the University of Ancona in 1992

Active Member of the Italian Society of Endodontics

Certified Member of the European Society of Endodontology

Associate Member American Association of Endodontists

Active Member of Style Italiano Endodontics

In the Italian Society of Endodontics (SIE) currently holds the position of Coordinator of the Cultural Committee and Executive Assistant Editor of the Italian Journal of Endodontics (Giornale Italiano di Endodonzia)

Co-author of the book "Text atlas of anatomy endodontic" published by Tecniche Nuove in 2011

Co-author of the book " Isolation of the operative field: how to streamline the clinical and improve their professional quality life " published by ANDI Servizi in 2013

Co-author of the book "Manuale di Endodonzia" published by Elsevier Masson Italy in 2013

Lecturer in theoretical and practical courses on subjects related to the isolation of the operative field and Endodontics

He has participated as a speaker at courses and conferences in Italy and abroad

Private practice, concentrating mainly Endodontics and restorative and author of publications on journals of national and international sector

 

Solution to simplify shaping and cleaning; improving the quality of the root canal treatment

Shaping, cleaning of the root canal system are essential phases of orthograde root canal treatment. Their correct execution allows the clinician to hit the goals of endodontic treatment and achieve the success of the therapy.

In nonsurgical Endodontics the difficulties encountered by the practitioner are almost exclusively of anatomical type, and the endodontic anatomy is together with bacteria the real challenge to the success. During the shaping, the original anatomy respect allows the operator to prepare the endodontic space saving radicular dentine, with an ideal shape for receiving an efficient volume of irrigation and the three-dimensional obturation. The execution of shapes that fit and meet the original anatomy decreases the risk of creating alterations in the morphology of the root canal itself, such as ledges or transport, regarded by the international scientific literature as factors predisposing to failure of the therapy.

Cleaning is a key part of successful root canal treatment: the debridement of all vital or necrotic tissue, microorganisms, and their products from the root canal system is essential to prevent the reinfection and to get a positive outcome of the therapy: in fact in endodontic failures, microbes are always present in the root canal system. The activation of irrigating solutions using ultrasonic dedicated devices, improves the cleaning even in  irregular and oval canal cross-sections, accessory canals, isthmuses, anastomoses, curves and apical delta thanks to cavitation and acoustic streaming effect.

Clinically, the ideal situation for the operator is to achieve the objectives of endodontic therapy in the easiest possible way and with less stress possible, that means to get shaping with an high respect of the original endodontic anatomy using a limited number of rotary files without the fear of separation of the rotary files and to get a good cleaning in less time as possible.

This lecture has two main goals: the first one is to underline how endodontic anatomy, shaping and cleaning are closely related to each other, and also how rotary NiTi files can create alterations that may result in a failure of the endodontic therapy if misused. The second goal is to highlight how nowadays in nonsurgical Endodontics, thanks to the new system, a totally mechanical shaping can be safely performed by the clinician, getting high quality and original anatomy respectful shaping, even in complex anatomies and even using a reduced number of instruments.

The third last but not least goal  is to highlight how nowadays it is possible to improve the quality of the cleaning using technique and devices within everyone's reach.