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Redefining Endodontics with Laser Technology
Educational Objectives
After completing this course, participants will be able to:
- Discuss the role of biofilms in apical periodontitis and the limitations of current treatment protocols in complex root canal systems.
- Describe how lasers work and their role in Radial Apical Cleansing – a new protocol for the management of root canal systems.
- Explain that laser-assisted endodontics is not just about disinfection but also plays a critical role in the management of other treatment challenges.
- Enhance the endodontic experience for the dentist and identify the benefits of this new treatment paradigm.
Abstract
Laser-assisted endodontics is emerging as one of the more important technologies in the management of endodontic disease. Much confusion exists as to which lasers are the most efficacious and conflicting ideas have emerged on how to apply the laser energy within root canal systems. To fully comprehend laser-assisted endodontics, a sound knowledge is required of laser physics and safety as well as the mechanism of action of lasers within confined root canal systems. Further understanding is necessary of fluid dynamics within open and closed systems and the consequences of imparting a high velocity to irrigating solutions, with the potential to extrude these irrigants into periapical tissues.
This lecture will review these concepts and apply them to clinical endodontics. An evidence based, laser-assisted treatment protocol will be presented that maximizes deep dentinal cleaning and disinfection, while maintaining foraminal patency, facilitating canal shaping and promoting drainage and decompression of periapical tissues. By re-thinking treatment concepts and putting to rest many of the dogmas that have governed endodontics for generations, the introduction of this innovative treatment paradigm will enhance success while significantly reducing stress and improving productivity for the endodontist.
Additional Information
Author Bio
Justin Kolnick, DDS
Dr. Kolnick received his dental degree, cum laude, from the University of the Witwatersrand in South Africa, where he was the first dental school graduate to be awarded the University Scholarship for Overseas Postgraduate Study. He received his postdoctoral endodontic training from Columbia University in the City of New York. Dr. Kolnick has been committed to endodontic education, first as an Associate Clinical Professor in Endodontics at Columbia University and then as an Attending at Westchester Medical Center and an Associate Clinical Professor in Endodontics at New York Medical College. Although he no longer holds these positions, he continues to lecture extensively on local, national and international levels and has published several articles on endodontics. Dr. Kolnick is dedicated to fostering excellence in endodontics through education and the incorporation of the latest technology. For the past 20 years, his experience and expertise in lasers has made a significant contribution to the development of a comprehensive, laser-assisted treatment concept in endodontics. Dr. Kolnick is in full-time private practice limited to endodontics in Westchester County, New York.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of Edge Endo. Justin Kolnick, DDS is a consultant and/or speaker for the following companies and/or organizations: Dental Learning, Edge Endo. Justin Kolnick, DDS may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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