This lecture presents a systematic methodology for achieving predictable outcomes in endodontic re-treatment. Endodontic failure, often a source of clinical disappointment, can be effectively managed through a disciplined, phased protocol.
The presentation will delineate a comprehensive approach, commencing with precise etiological diagnosis utilizing advanced imaging to identify the definitive cause of failure. Subsequently, a structured decision-making framework for clinical execution will be detailed, encompassing access refinement, the negotiation of previous obstructions, and comprehensive disinfection with the aid of appropriate mechanical NiTi files.
The critical roles of contemporary technologies, including ultrasonics and biocompatible obturation materials, will be emphasized as essential components for success. The ultimate objective of this lecture is to provide attendees with a transferable and reliable protocol to confidently diagnose, manage, and resolve endodontic failures, thereby ensuring predictable clinical results and the long-term retention of the natural dentition.
Professor Federico Foschi graduated with honours from the University of Bologna in 2002 and went on to earn a PhD in Endodontic Microbiology at the Forsyth Institute, Harvard Dental Institute, where he was awarded the IADR Pulp Biology Award. He has since specialized in endodontics, combining advanced research with clinical and academic practice.
Currently, he is Professor of Endodontology at UCL Eastman Dental Institute, where he leads the Endodontology Unit and its postgraduate programs, including the MSc and MClinDent in Endodontology. He also serves as Training Program Director for Endodontics on behalf of Health Education England.
Active in both education and clinical research, Professor Foschi has held academic positions at King’s College London and the University of Plymouth, authored numerous peer-reviewed publications, and co-authored a textbook. He lectures internationally as a Gold Member of Style Italiano Endodontics.
In recognition of his expertise, he is listed on the GDC specialist registers in Endodontics, Periodontics, Prosthodontics, and Restorative Dentistry, reflecting the breadth of his contribution to restorative dental sciences.
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