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It is with immense pride that I welcome you to the International Endodontic Forum ENDO SAPIENS 2022, which will be held in Rome on 15 and 16 October 2022. Four eminent international speakers from the United States; Syngcuk Kim, Martin Trope, Samuel Kratchman and Meetu Kohli, will contribute; together with myself, to a major endodontic event with an ambitious goal: to combine the most modern technologies, biomaterials, and advanced operative procedures in orthograde and surgical endodontics with research evidence. An intense first day of presentations in which clinical and scientific topics alternate, will be followed by a second day of hands-on workshops with a limited number of participants. See you in Rome this October 15 and 16, 2022.

Scientific committee
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Dr. Domenico Ricucci

Cetraro, Italy
15.10.2022
09:3009:45
Opening ceremony Dr. Domenico Ricucci
09:4511:00
Bioceramics in Endodontics 2022 - Time for change Dr. Meetu Kohli
The advent of MTA about 2 decades ago brought about a significant change in the practice of clinical endodontics. A material that suited our work-space and the periradicular tissue, perfectly. It has been used from coronal most application in the tooth as a pulp cap material to the apical end as a root-end filling material. However, there are limitations to use of MTA e.g., inability to use for routine obturation, it's difficult handling properties and tendency to cause discoloration. Material scientists have worked on overcoming the limitations of MTA by introducing newer generation of Bioceramics. This is going to be an overview of the current research and clinical applications of the bioceramics available to us. Published research will be critically reviewed and clinical cases presented demonstrating the applications for obturation, vital pulp therapy, endodontic microsurgery, reimplantation, perforation repair etc.
11:0012:15
Evolution of root canal instruments. From Stainless Steel to Adaptive Technologies. Dr. Martin Trope
Now there is a movement to adapt the tool design to the inner anatomy of teeth and therefore new endodontic instruments have been modeled to integrate all variables essential for predictable canal cleaning. The super-elasticity and shape-memory of the alloy used in new endodontic instruments facilitates adaptation into canal morphology where traditional round instruments are unable to reach. This enables debridement and disinfection without major changes to the original canal shape and ensures minimal removal of intra-canal dentin. This conservatively treated root canal can then be filled using bioceramics that are more dimensionally stable than traditional endodontic sealers.
12:4514:00
New Advanced Endodontic Microsurgery Dr. Syngcuk Kim
As a starter, modern endodontic microsurgery developed and taught at our institution, Penn Endo, will be presented pointing key areas of importance using video clips. These include instruments, materials, biological principles and, most importantly, the success rate. This is followed by the newly developed approach, the 'Bone Window' Technique.

Endodontic microsurgery for a tooth with a large periapical lesion and an intact cortical plate may necessitate the removal of extra bone and cause delayed healing. In such cases, the "bone window" technique offers excellent exposure to the operative field and preserves cortical bone. Cone-beam computed tomographic imaging is essential for a presurgical assessment for indication selection and precise design of the bone window. The use of the 'bone window' technique which is a reliable technique, should be the method of preference when the large lesion with intact buccal plate.
15:0016:15
Troubleshooting Surgical Complications and replantation techniques based on the latest Upenn studies Dr. Samuel Kratchman
The presentation begins with perhaps the most important part of efficiently done microsurgery; positioning of the patient/microscope and doctor. The lecture then continues with management of the mental foramen, sinus perforation and palatal surgery. When microsurgery is not possible then one should also consider intentional replantation as a procedure to save the natural tooth. The latest techniques and several cases of replantations will be discussed with success rates of 88%.
16:1517:30
Clinical Science of Endodontic Success and Failure. Update in Vital Pulp Therapy. Dr. Samuel Kratchman
After pulp penetration by caries, necrosis and bacteria are initially confined to the pulp chamber, but soon the pulp degeneration process extends beyond root canal orifices and moves slowly in apical direction. Bacteria are observed forming complex structures, known as "biofilms", on the root canal walls, in irregularities, isthmuses, and lateral canals. Only their complete elimination will lead to endodontic success, with regeneration of trabecular bone and healthy periodontal ligament. Tissue biopsies from failed cases demonstrate how infection from the apical root canal walls or from complex anatomical intricacies can hardly be controlled through conventional treatment procedures. The presence of extraradicular bacteria and their possible role in determining root canal treatment failures is finally discussed.
Scientific committee
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Dr. Domenico Ricucci

Cetraro, Italy
16.10.2022
09:0011:30
The latest trends in Endodontic microsurgery Dr. Samuel Kratchman, Dr. Syngcuk Kim
This hands-on workshop will demonstrate the importance of proper positioning of the microscope/patient/doctor for microsurgery, enabling the practitioner to do the surgery comfortably and efficiently. A complete surgery will be performed on an extracted tooth mounted in a stone model, reproducing real-life situations. The procedure will be performed under the microscope utilizing all the microsurgical instruments as well as the new generation of bioceramic putty for root end fillings. The armamentarium will be discussed in detail, allowing the audience to see each instrument's relevance for the procedure.
12:3015:00
Anatomically Directed Endodontics Dr. Martin Trope, Dr. Samuel Kratchman
Evolutionary technologies have resulted in a new generation of instruments designed to access areas that traditional "round" NiTi cannot safely reach. After initial negotiation of the root canal space with a glide path file, these "virtual core" files complete the cleaning to the maximum natural diameter. The native anatomy configuration is sustained and intra-canal dentin conservation is optimized. This conservative root treatment is completed by bioceramic root filling technology that does not shrink, wash out or require excessive preparation on the coronal third of the canal space. Participants will experience the use of these instruments and learn the subtle differences between the use of these files and the traditional NiTi instruments.
15:3018:00
Effective Retreatment with concurrent perforation repair Dr. Meetu Kohli, Dr. Domenico Ricucci
This hands-on course offers training in non-surgical retreatment under microscope, with new three dimensional files that allow for effective and easy gutta percha removal from the canals. The key to successful retreatment is adequate disinfection. In order to allow for irrigation and medication to be effect against the persistent intracanal infection, the previously filled gutta percha and sealer have to be efficiently removed. Along with finisher files the re-instrumented canals are cleaner both of debris and biofilm. After biomechanical instrumentation, obturation technique with bioceramic sealer and gutta percha will be demonstrated to reseal the canal hermetically. By the end of the session the participant should be able to remove gutta percha, instrument and obturate a couple teeth of various complexities in an adept structured workflow, which is repeatable, and easily transferable to their clinical practice. An iatrogenic error such a perforation can be disheartening. During this hands-on steps to repair perforations with biocermaic putty will also be discussed.
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Dr. Syngcuk Kim

United States of America

Dr. Syngcuk Kim is the Louis I. Grossman Professor of the Department of Endodontics at the School of Dental Medicine, University of Pennsylvania. He is also Associate Dean for Global Affairs and Associate Dean for Advanced Dental Education for the School of Dental Medicine. He earned his undergraduate and his dental degrees from Columbia University in New York. Dr. Kim also earned his Ph.D. in circulatory physiology at the Medical School of Columbia University, Department of Physiology. Dr. Kim is well known and respected for his research in dental pulp physiology and microcirculation and the AAE has awarded him the Louis I. Grossman Award for outstanding research.

Extensive speaking engagements take Dr. Kim to universities, conferences, study clubs and professional associations in the U.S. and abroad. In addition to over a hundred articles in peer reviewed journals Dr. Kim is the primary author of the book titled "Color Atlas of Microsurgery in Endodontics".

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Dr. Meetu Kohli

United States of America

Dr. Meetu Ralli Kohli is Clinical Associate Professor and Director for Continuing Education and International Visiting Scholar Program and the Masters in Advanced Dentistry Program at the University of Pennsylvania, School of Dental Medicine, Endodontic department. She is a member of the Dean's advisory council. She pursued her D.M.D. degree as well as specialty training in Endodontics at the University of Pennsylvania, USA. During her training she received the esteemed Louis I Grossman award, the Samuel R. Rossman scholarship and the Sherrill Ann Siegel award & scholarship for demonstrating excellence in patient care, clinical skills and research. She is on the Scientific Advisory Board as a reviewer for Journal of Endodontics, International Endodontic Journal, Journal of American Dental Association and other endodontic journals. Dr. Kohli has published in national and international peer reviewed journals and has contributed in books on microsurgical retreatment. Her publications have been recognized as the best clinical research paper and honorary mentions by JOE multiple times. She has served on the AAE's Constitution and Bylaws committee and currently serves in the Research and Scientific Affairs Committee. She also serves as a Board of Director on the American Board of Endodontics and is a diplomate. Dr. Kohli also maintains four private practice locations limited to Endodontics in Pennsylvania, USA.

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Dr. Samuel Kratchman

United States of America

Dr. Samuel Kratchman received a B.S. in Biology and D.M.D. at Tufts University in Boston, and his certificate in endodontics from the University of Pennsylvania, where he is an Associate Professor of Endodontics and Assistant Director of Graduate Endodontics, in charge of microsurgery.

Dr. Kratchman co-authored the textbook of Endodontic Microsurgery with Dr. Kim published in 2017 and developed a patented instrument called the S Kondenser for obturation of root canals. Both Main Line Today and Doctor of Dentistry magazines honored Dr. Kratchman as the cover story for their "Best of "issues.

Dr. Kratchman lectures nationally and internationally as well as maintaining three private practices, in Exton, West Chester and Paoli Pennsylvania.

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Dr. Domenico Ricucci

Italy, Cetraro

Dr. Domenico Ricucci received his degree in General Medicine from "La Sapienza" University of Rome in 1982, and his DDS from the same University in 1985. Since then on he has maintained private dental practices limited to endodontics. He served in the Research Committee of the European Society of Endodontology from 1999 to 2005. Since 1998 he has run his own histology laboratory and his primary research interest relates to pulpal and periapical tissue reactions to caries and treatment procedures, biofilms in endodontic infections, etiology of RTC treatment failure, pulp regeneration / revascularization.

Dr Ricucci has published 112 papers and has lectured both nationally and internationally. He has authored the Textbook and Atlas "Patologia e Clinica Endodontica", the textbook and atlas "Endodontology. An integrated biological and clinical view", also translated into Chinese, Russian, Japanese. He has also authored or co-authored 22 book chapters.

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Dr. Martin Trope

United States of America, Philadelphia

Dr. Trope was born in Johannesburg, South Africa where he earned his BDS degree in dentistry in 1976. From 1976 to 1980, he practiced general dentistry and endodontics. In 1980, he moved to Philadelphia to specialize in Endodontics at the University of Pennsylvania. After graduating as an endodontist, he continued at the University of Pennsylvania as a faculty member until 1989 when he became Chair of Endodontology at Temple University, School of Dentistry.

Dr. Trope is currently a clinical professor, Department of Endodontics, School of Dental Medicine at the University of Pennsylvania. He is in private practice in Philadelphia, PA.

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