In the late 90s, Dr. Mahmoud Torabinejad of Loma Linda University, California, developed a new cement named Mineral Trioxide Aggregate which appears to have all of the characteristics requested of the ideal cement to seal pathways of communications between the pulp and the oral cavity (mechanical and carious pulp exposures), and between the root canal system and the periodontium (iatrogenic perforations, open apices, resorbed apices, root-end preparations).

This cement differs from other current materials because of its biocompatibility, antibacterial properties, marginal adaptation and sealing properties, and hydrophilic nature.

The characteristic distinguishing MTA from other materials used to date in endodontics is its hydrophilic properties. Materials used to repair perforations, to seal the retro-preparation in surgical endodontics, to close open apices, or to protect the pulp in direct pulp capping, are inevitably in contact with blood and other tissue fluids. Moisture may be an important factor due to its potential effects on the restorative materials' physical properties and sealing ability. MTA is the only material not affected by moisture or blood contamination: the presence or absence of blood does not affect the sealing ability of the mineral trioxide aggregate. 

During the webinar, several cases of treatment with MTA will be shown. Aim of the lecture is to show the indications and the technique for the correct use of this relatively new material: how to seal an open apex, how to repair a strip-perforation under the microscope, how to protect a pulp exposure to perform a direct pulp capping, how to use MTA during surgery to seal the retro prep.

In conclusion, the participants should be able to appreciate the advantages of this material, which made our treatments more predictable and allowed us to save teeth otherwise condemned to extraction.

Educational Objectives 

Specifically, this webinar will:

• Illustrate the characteristics and the advantage of Mineral Trioxide Aggregate

• Illustrate the use of MTA to seal an open apex, repair a strip-perforation under the microscope, protect a pulp exposure to perform a direct pulp capping, and seal the retro prep during surgery

• Present successful outcomes through a series of clinical cases reviews

Educational Path

The webinar is a recording of a live course and consists of two parts. 

The first part covers the primary course content via lecture. In the second part, the speaker answers questions received during a live session with participants. 

Interaction with the instructor is an essential part of this program, and participants can follow up with the speaker by e-mail at the address provided at the end of the lecture.

ADDITIONAL RELATED WEBINARS/LECTURES:

This webinar is part of an Edraclass of ten webinars in endodontics from Prof. Arnaldo Castellucci:

1 - Long, short, or just right? Modern techniques to determine an accurate working length in endodontics

2 - The endodontic glide path: the secret for the safe use of Rotary NiTi Files

3 - "Next" endo-generation instruments: the use of ProTaper Next

4 – Three-dimensional obturation of the root canal system

5 - Clinical and surgical approach to the presence of two canals in the same root

6 - Nonsurgical repair of iatrogenic perforations

7 - Endodontic surgery or micro-surgical endodontics? Part I

8 - Endodontic surgery or micro-surgical Endodontics? Part II

9 - Digital Endodontics. The use of CBCT in nonsurgical and surgical endodontics

10 - The use of MTA in nonsurgical endodontics: direct pulp capping and treatment of immature apices with the "Apical Barrier Technique"

Each webinar can be purchased individually or as an Edraclass package (10 webinars).

Course type

Online course

Self-instruction

60 minutes lecture + 30 minutes Q&A

1 CE credit

AGD Code: 070 Endodontics

Audience

Dentists - Knowledge of the endodontics foundation is recommended prior to attending this course.

Faculty

Speaker: Arnaldo Castellucci, MD, DDS

Arnaldo Castellucci graduated in Medicine and Surgery at the University of Florence (1973) and specialized in Dentistry and Prosthodontics at the same University (1977). Between 1978 -1980 he attended Continuing Education in Endodontics courses at the Boston University School of Graduate Dentistry with Prof Herbert Schilder.

Since 1979 his professional career has focused on Endodontics. 

He lives in Florence, where he has his private practice and the Micro-Endodontics Training Center. 

Between 1983 -2000 he was a Visiting Professor of Endodontics at the Graduate Dental Course of the University of Siena, and between 2000- 2011 he was a Visiting Professor of Endodontics at the Graduate Dental Course of the University of Specialization in Oral Surgery at the University Federico II of Naples. 

He is the Past President of the Italian Endodontic Society (SIE - Società Italiana di Endodonzia), Past President of the International Federation of Endodontic Associations (IFEA), Active Member of the European Society of Endodontology (ESE), and Active Member of the American Association of Endodontists (AAE). 

He is a very well-known international lecturer. 

He has been the Editor of "The Italian Journal of Endodontics" and "The Endodontic Informer."  He is now the Editor in Chief of Endo Tribune, Founder and President of the "Warm Gutta-Percha Study Club." He published articles on Endodontics in the most prestigious Endodontic Journals. He authored the textbook "Endodontics," now available in English. 

Research interests: endodontics, micro-endodontics, micro-surgical endodontics.

Moderator: Graziana Baraghini, DDS

Graziana Baraghini is a dentist with over 20 years of experience in the dental field. Passionate about educating patients on the importance of oral hygiene. Committed to providing the best patient care through communication and high-quality service. Experience working with children, adolescents, and those suffering from dental anxiety. She is devoted to remaining current on the latest techniques to provide the highest patient care possible.