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ENDOBALTIC 2017

24-25 November 2017 / Vilnius, Lithuania

FINAL PROGRAMOrganized by Lithuanian Society of Endodontology

www.endodontologija.lt

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DEAR COLLEAGUES,

On behalf of the Lithuanian Society of Endodontology it is my great pleasure to welcome you at ENDOBALTIC 2017, which after a few years is again organized in Vilnius, Lithuania. We have prepared a rich scientific program for you. An up-to-date scientific program, lecturers from different countries, poster presentations will represent the multidisciplinary approach in the field of endodontology. We hope that everybody will benefit from the scientific program and networking to get new knowledge and ideas.We warmly welcome you in Vilnius – one of the most beautiful cities in Europe, full of historical spirit, colors, friendly and affectionate people. We hope you will enjoy the conference, both the scientific as well as the social part of the event.

Sincerely Yours,Saulius DrukteinisChairman of the Lithuanian Society of Endodontology

ORGANIZATION

ORGANIZING COMMITTEE: Assoc. Prof. Dr. Saulius DrukteinisProf. Dr. Vytautė PečiulienėDr. Greta LodienėSecretary Antanas Blažys

SCIENTIFIC COMMITTEE: Prof. Dr. Vytautė Pečiulienė Doc. Dr. Rasmutė Manelienė Prof. Dr. Vita Mačiulskienė Doc. Dr. Vygandas Rutkūnas

WELCOME

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ABOUT THE CONFERENCECONFERENCE VENUECoference Centre of the hotel “Radisson Blu hotel Lietuva”Konstitucijos pr. 20, Vilnius, Lithuania

OFFICIAL LANGUAGEEnglish. Simultaneous translation to Lithuanian language will be provided.

REGISTRATION DESKThe registration desk is located near the entrance to conference center lobby. The staff at the registration desk can help you with all conference-related questions.

Opening hours:Friday (24 November) 08:00 – 18:00Saturday (25 November) 08:00 – 17:00

Conference Sessions Alfa hallRegistration Desk PI hall

Coffee Breaks Lobby of the conference centerLunch Riverside restaurant (for additional fee)

Exhibition Lobby of the conference centerPosters Lobby of the conference center

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EXHIBITIONExhibition floor will form an integrated part of the Conference. It is located in the lobby of conference center.

Opening hours:Friday (24 November) 08:00 – 18:00Saturday (25 November) 08:00 – 17:00

POSTER EXHIBITIONThe poster exhibition will take place in the Lobby of Conference center. The posters should be brought in person and put up on 24 November until 08:30. Staff at the registration desk can help you with all poster-related questions.Important! Posters that will not be taken off by the specified deadline (25 November at 18:00) will be destroyed.

COFFEE BREAKS AND LUNCHESCoffee, tea and other refreshments will be served in the Lobby of the conference center together with industry exhibition. *For the people who have purchased lunches they will be served in Riverside restaurant located on the 1st floor of the hotel. Special tickets for lunches will be distributed during registration.

EVENING IN SKY BAR CLUB24 November, from 20:00.SKY BAR – 22nd floor of the hotel. Tickets can be purchased at the registration desk.

The party in SKY BAR with delicious snacks and refreshing drinks will set everyone for a pleasant evening. It will be the perfect opportunity to catch up with old colleagues and meet new contacts. Don’t forget your dancing shoes!

SKY BAR – 22nd floor of the hotel

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CONFERENCE PROGRAM

November 24 (Friday)

8.00 – 9.15 Registration

9.15 – 9.30 Opening ceremony

9.30 – 11.00

“When can deep carious lesion be treated for the avoidance of pulp exposure? Understanding the Pathology and treatment of deep caries”. Prof. Dr. Lars Bjørndal, University of Copenhagen, Copenhagen, Denmark.

11.00 – 11.30 Coffee break

11.30 – 13.00

“When do we CAP the vital pulp – a definition of class I and class II direct pulp cappings “. Prof. Dr. Lars Bjørndal, University of Copenhagen, Copenhagen, Denmark

13.00 – 13.45 Meeting of the LSE

13.00 – 14.30 Lunch

14.30 – 16.00“Reciprocating files in endo treatment: is there an advantage?” Dr. Marco Martignoni, Rome, Italy

16.00 – 16.30 Coffee break

16.30 – 18.00“Minimally invasive endodontics, reciprocation and restorative implications.” Dr. Marco Martignoni, Rome, Italy

20.00 Get together evening – Sky Bar 22 floor

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November 25 (Saturday)

9.00 – 10.30

“Bioceramics in Endodontics. Characterization and clinical applications.” Prof. Dr. Josette Camilleri. School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham UK

10.30 – 11.00 Coffee break

11.00 – 12.30

„Pulp capping with resin-based materials”. Prof. Dr. Josette Camilleri. School of Dentistry, School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, Birmingham UK

12.30 – 13.30 Lunch

13.30 – 15.00“Deciphering fracture predilection in root-filled teeth”. Prof. dr. Anil Kishen, University of Toronto, Toronto, Canada

15.00 – 15.30 Coffee break

15.30 – 17.00“Nanoparticles and changing concepts in endodontic treatment”. Prof. dr. Anil Kishen, University of Toronto, Toronto, Canada

17:00 – 17:15 Closing remarks

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INVITED SPEAKERSLars Bjørndal

BIOGRAPHYLars Bjørndal (born 1963) graduated in 1988 as a dentist from the University of Copenhagen, Denmark. In 1992: Ph.D. thesis on the topic: Caries progression in enamel and the pulp-dentin organ using thin undemineralized tooth sections. In 2011:Dr. Odont. Thesis entitled: Endodontic treatment: reason, prevention and quality - shaping factors. From 1993-1998: Assistant professor at the Department of Cariology and Endodontics, University of Copenhagen. 1999-2001: Received specific postgraduate endodontic specialist courses in collaboration with the universities in Copenhagen, Denmark, Malmö and Gothenburg, Sweden. From 1998: Associate professor at the University of Copenhagen, Denmark, and Head of Endodontic. In 2012 LB was visiting Scholar at Loma Linda University, US. From 2012: Head of the Special Clinical Unit receiving referrals at the Institute of Odontology, University of Copenhagen, Denmark. One day weekly LB is in in private practice devoted endodontic referrals. LB has been Secretary in the Scandinavian Endodontic Society (SES) from 1999-2001. In 2007 and 2016 LB hosted the SES biennial congress in Denmark . LB is second time President of the Danish National Endodontic Society (2014-), and country representative for the European Society of Endodontology (ESE), as well as a certified member of ESE. Besides numerous national post-graduate GDP courses covering endodontic treatments, LB has been giving lectures in Europe, Asia, North and South America, and the topics have been within the field of deep caries lesion pathology, treatments and quality-shaping factors concerning endodontic treatments. LB has authored and co-authored numerous international and national articles, including book chapters and reviews, and is at present reviewer in many several international Journals.

LECTURES: When can deep carious lesion be treated for the avoidance of pulp exposure? Understanding the Pathology and treatment of deep cariesUnderstanding pulp inflammation is crucial in endodontics but neither easy. Inflammation is a two-edged sword comprising the platform for beneficial mineralization as well as unwanted pulp necrosis followed by bacterial infection and progression of apical inflammation. Concomitantly, it is a clinical task to deal with the borderlines of reversible pulpitis and irreversible asymptomatic pulpitis. Research has shown that a suggested treatment may vary when the

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deep carious lesion is examined, reflecting a low level of evidence. However, recent clinical randomized trials have started to emerge perhaps making treatment decision more easier. In the lecture a journey comprising an updated understanding of carious pathology will be presented including suggested guidelines for deep carious handling based on published clinical data.The lecture will present examples of deep carious lesions and suggested treatments. Variables such a penetration depth of the carious lesion, caries progression and patient age may play a role for a proper prognosis. The objective is to raise the insight of deep caries pathology and treatment and to be familiar with a suggested practical guideline for treating the deep carious lesion and its limitations.

When do we CAP the vital pulp – a definition of class I and class II direct pulp cappings A frequent cause of pulp exposure is caries. Quite often it is unclear from clinical pulp capping studies, whether the procedures were carried out due to an unexpected event, or whether the procedure was planned, moreover the depth of the caries lesion is seldom specified, which reflects degree of pulp inflammation. It is no wonder that there appears to a treatment variation within the general practitioners environment for patients having a deep caries lesion, - some perform pulp-capping or root canal treatment, and other prefer a partial excavation approach, aiming to avoid pulp exposure. What does the best available evidence tell us for the performance of pulp capping? Would it benefit to divide carious into deep and extreme deep lesion? Indications and contra indication are presented. A classification of pulp capping is suggested dividing the pulp capping into Class I indicating that the pulp exposure has been made accidently and Class II defining that pulp exposure was made intentionally as part of caries excavation and by the use of magnification.

Marco Martignoni

BIOGRAPHYMarco Martignoni is graduated con lode at University of Chieti in 1988. From 1989 through 1991 he followed continuing education courses at the Henry Goldman school of Dental Medicine, Boston University USA, with dott. Herbert Schilder, in 1992 he follows continuing education program with dott. Cliff Ruddle in Santa Barbara, California USA. He leads a private clinic in Rome Italy and dedicates his practice mainly at endodontics, pre-prothesic core buil-up and prosthodontics. He has done and published research on post endodontic core build up He is well known speaker and gave numerous lectures and practical workshops in Italy and worldwide

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on endodontics , on core build up and on the use of operatory microscope in dentistry. He is founder of the Italian Accademy of Mycroscopic Dentistry and honorary member of the French Society of Endodontics He is president of the Italian Society of Endodontics. In 2011 he has been president of ESE-Rome 2001 congress (European Society of Endodontology).

LECTURES:

Minimally invasive endodontics, reciprocation and restorative implications.Modern endodontics gives the opportunity of obtaining fast and reliable treatments mainly due to the fact that instruments used for shaping the main canal are better performing.It is necessary a strict relationship between technical design and mechanical properties in order to have the best performance possible weather continuous rotation is used or if reciprocating motion is chosen.Today we can count on new designs associated with new metallurgic approach for reaching unique results in terms of gliding and shaping.Flexibility and resistance are the key words for the new era but just as well minimally invasiveness, related to new instruments, will leave teeth that will last better to function when properly restored. New era of endodontics is more simple, fast and reliable but most importantly gives the chance of leaving more residual structure.

Reciprocating files in endo treatment: is there an advantage?Modern endodontics gives the opportunity of obtaining fast and reliable treatments mainly due to the fact that instruments used for shaping the main canal are better performing.A strict relationship between technical design and mechanical properties in order to have the best performance possible.Today we can count on new designs associated with new metallurgic approach for reaching unique results in shaping.New generation glider uses similar approach than the original but now can offer breakthrough features.Flexibility and resistance are the key words for the new era.Reduction of fatigue over the alloy with new cutting pattern and control of torque with development of special metal are both controlled and directed with a totally new digital and interactive device that has become a personal partner able to guide and support the endodontist in his daily practice increasing safety and consciousness.Faster shaping means better and deeper cleaning.New era of endodontics is more simple, fast and reliable but most importantly more safe.

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Josette Camilleri

BIOGRAPHYProfessor Josette Camilleri obtained her Bachelor in Dental Surgery and Master of Philosophy in Dental Surgery from the University of Malta. She completed her doctoral degree, supervised by the late Professor Tom Pitt Ford, at Guy’s Hospital, King’s College London.She has worked at the Department of Civil and Structural Engineering, Faculty for the Built Environment, University of Malta and is currently Associate Professor at the Department of Restorative Dentistry, Faculty of Dental Surgery, University of Malta. Her research interests include endodontic materials such as root-end filling materials and root canal sealers, with particular interest in mineral trioxide aggregate; Portland cement hydration and other cementitious materials used as biomaterials and also in the construction industry.Josette has published over 90 papers in peer-reviewed international journals and her work is cited over 3000 times. She is the Editor of Mineral trioxide aggregate. From preparation to application published by Springer in 2014. She is a contributing author to the 7th edition of Harty’s Endodontics in Clinical Practice(Editor: BS Chong) and Glass ionomer cements in Dentistry (Editor: SK Sidhu). She is an international lecturer, a reviewer and a member of the scientific panel of a number of international journals including the International Endodontic Journal, Cement and Concrete Composites, Clinical Oral Investigation, Dental Materials, Journal of Endodontics, Journal of Dental Research, Journal of Biomedical Materials Research Parts A and B, The Arabian Journal for Science and Engineering, Journal of Dentistry, Acta Odontologica Scandinavica and Acta Biomaterialia.

LECTURES:

Bioceramics in Endodontics. Characterization and clinical applicationsBioceramics are a subset of biomaterials and define biocompatible ceramic materials. Although it is assumed that all materials based on tricalcium silicate are Bioceramics, in the literature only the Endosequence BC and Totalfil range are referred to as Bioceramics. These materials are a new generation, having a biphasic cement design, free of bismuth oxide, aluminium and heavy metals. The lecture discusses the material chemistry and interactions.

Pulp capping with resin-based materialsTraditionally calcium hydroxide has been used as a pulp capping material. The main shortcoming with the use of calcium hydroxide as pulp capping material is the material inherent weakness and solubility. The material is water based and thus it cannot be etched and bonded making restoration with resin composites

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difficult. Newer materials have been developed which are resin-based and thus light curable. These materials are easier to use and are compatible with composite resins used to restore the tooth. This and the effect of the light curing materials on the pulp will be discussed.

Anil Kishen

BIOGRAPHYAnil Kishen graduated with a Bachelor of Dental Surgery from the University of Madras, and Master of Dental Surgery in Endodontics & Operative Dentistry from Dr. M.G.R Medical University, Madras, India. He subsequently received his PhD in Biomedical Engineering from the Nanyang Technological University in Singapore. After his stint as Assistant and Tenured Associate Professor at the Faculty of Dentistry in the National University of Singapore, he moved to the Faculty of Dentistry at the University of Toronto, where he is currently a Full Professor of Endodontics and Graduate Coordinator at the Faculty of Dentistry. Prior to Faculty restructuring, Dr. Kishen also served as the Head of Discipline of Endodontics from 2012 to 2016.Dr. Kishen has published over 200 peer-reviewed publications, and is a co-inventor in 10 patents and invention disclosures. He is a recipient of many awards and honors including, The Enterprise Challenge Innovator Award in Singapore 2002, University of Toronto Dental Student Society (DSS) Honorary Member Award 2013, Honorary Diplomate of the Indian Board of Endodontics 2013, the American Association of Endodontists (AAE) Foundation-Denstply-Research Excellence Award 2013 and the Journal of Endodontics Publication Awards 2015, 2016 and W. W. Wood Award 2016. He has published 19 book chapters, and has edited three interdisciplinary textbooks. He currently serves as an Associate Editor for the Journal of Endodontics and BMC Microbiology, as well as an Editorial Board Member for several international journals. At the University of Toronto, Dr. Kishen is involved with the undergraduate and post-graduate-level teaching in Endodontics, Microbiology and Biomaterials. As a Principal Investigator, his research lab focuses on Nanomaterials and Phototherapeutics for dental infections.

LECTURES:

Deciphering fracture predilection in root-filled teethFractures of endodontically treated teeth are not an uncommon occurrence in clinical practice. Many physiologic, pathologic and iatrogenic factors have been cited to be responsible for compromised mechanical integrity in restored endodontically treated teeth. Iatrogenic procedures resulting in removal of dentin

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structure, aggressive instrumentation and obturation techniques, indiscriminate use of chemical irrigants and/or medicament, restorative steps and age changes have all been suggested to alter the mechanical characteristics of remaining dentin, increasing their predisposition to fracture. Unfortunately, a scientific understanding on the causes of such fracture is lacking. This lecture will provide a biomechanical foundation to understand the causes and risk factors that increases the propensity of fractures in root-filled teeth. Clinical steps to curb the occurrence of such fracture will also be discussed.

Nanoparticles and changing concepts in endodontic treatmentEndodontic technologies and biomaterials have witnessed significant advances in the last decade. In spite of these advances, some of the integral limitations in endodontic treatment still persist. Development of minimally invasive techniques that predictably disinfect the infected teeth, reverse disease mediated changes in dentin, improve mechanical characteristics of dentin and promote biologically based treatment will have the potential to shift the current paradigm in endodontic therapy. Bioactive nanoparticles have received significant interest in biomedicine and health care industry in the recent times. These nanoparticles exhibit unique physical as well as biological characteristics. They may also be modified for different tissue-specific functions. This lecture will cover the application of multifunctional nanoparticles for functional tissue engineering strategies on teeth with apical periodontitis.

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