Dr Giuseppe Cantatore graduated in Medicine in 1980 at the University of Rome “La Sapienza”. In 1983 he specialized in General Dentistry at the same University. Prof. Cantatore taught Endodontic at the University of L’Aquila from 1987 to 1991 and of Rome “La Sapienza” from 1992 to 1998. From 2000 to 2014 he has been Associate Professor of Endodontics at the University of Verona-Italy. From 2014 he is Professor of Endodontics and Restorative Dentistry at the University “Vita-Salute San Raffaele" in Milan. Dr. Cantatore is Author of more than 100 articles mostly related to Endodontics published on National and International Dental Magazines. As an International Speaker Dr.Cantatore gave Precongress Courses, Workshop, and Presentations during the most important International Meeting; among them the American Association of Endodontists, the IFEA (International Federation of Endodontic Associations) and the European Association of Endodontists (ESE). At the present moment Dr.Cantatore is Past-President of the European Society of Dental Microscopy (EFAM), Past-
President of the Italian Society of Endodontists (SIE), Past President of Italian Association of Dental Microscopy (AIOM), and honorary member of the libanese society of Endodontics Dr. Cantatore lives and works in Rome with clinical practice limited to Endodontics.
Latest trends in Endodontics: Glide Path creation with ProGlider, Root Canal Shaping with ProTaper Next and Obturation with the GuttaCore obturators.
Endodontics is a discipline in continuous evolution, especially in the field of the root canal preparation and obturation where new concepts, materials, instruments and clinical protocols increasingly performing, are continuously proposed to the clinicians. Among them this presentation will focus on two new files to be used in combination to optimize our protocol of instrumentation and on a new carrier-based obturators, the GuttaCore.
The presentation will start with a clear explanation of the “glide path” that can be defined as a root canal with smooth walls, without interferences, that works as a guide for the tip of the shaping file thus facilitating their penetration towards the root canal apical third. A smooth glide path will significantly reduce the risk of complications like ledges, canal blockades and apical transportation. The glide path can be easily obtained today using a single file, the ProGlider, manufactured with the M-Wire, a new Ni-Ti alloy with high resistance to cyclic fatigue. It shows variable tapers (form .02 up to .8,5 ) with a 18 mm. blade length and a rounded, safe tip. Whereas other rotary files system dedicated to mechanical glide path includes 2-3 instruments with a continuous .02 taper, Proglider is a single file wich allows to obtain at the same time, due to its increasing taper, the removal of coronal interferences and the creation of a smooth glide path.
The second part of the presentation will be dedicated to the ProTaper Next which show many improvements and new features compared to those of the ProTaper Universal. Among them the new NiTi alloy (M-Wired), a reduced number of files, a lower taper in their apical portion and a new asymmetrical rectangular cross section. The ProTaper Next innovative off-centered rectangular cross section gives the file a snake-like “swaggering” movement as it moves through the root canal. The rotation of the off-centered cross section generates enlarged space for debris removal. Many unbiased research studies confirm unanimously that the ProTaper Next are superior to the ProTaper Universal files as to their resistance to fatigue stresses and ability to maintain the original canal anatomy with a significant reduced risk of apical transportation and intra-canal separation. Finally, with ProTaper Next, the root canal preparation can be completed, in the majority of cases, with only two files.
The last part of the presentation will be dedicated to the Guttacore Pink, a carrier-based obturator characterized by a core made of a cross-linked, thermoset elastomer of gutta-percha that create an hermetic block with the external layer. This close link between the external layer of gutta-percha and the carrier should dramatically reduce the risk of coronal leakage. For sure, with the GuttaCore, the preparation of the post-space and the removal of the carrier in case of retreatments become significantly easier than using the conventional Thermafil obturators with plastic carriers. During the presentation the clinical advantages of the GuttaCore Pink Obturators will be described together with a protocol of use that is based on more than 20 years of experience with the Thermafil Obturators and more than 4 years with the GuttaCore Obturators.
At conclusion of this presentation, with the help of many clinical cases and in-vivo HD videos, participants should be able to:
- Understand the importance of the glide path and learn how to create the glide path and remove coronal interferences at the same time using the ProGlider.
- Understand the differences between PT Universal and PT Next.
- Learn a protocol of instrumentation/irrigation based on the use of ProGlider and ProTaperNext.
- Learn a protocol of use for the GuttaCore Pink Obturators.