Fabio Gorni

Fabio Gorni was consulting professor in endodontics at the University of Milan, H. San Paolo. He is active member of the Italian Society of Endodontics, of the Italian Academy of Microdentistry, specialist member of the European Society of Endodontology and member of the American Association of Endodontists. From 1994 to 1998 he was part of the members acceptance committee of the Italian Society of Endodontics, while from 1998 to 2001 he was Cultural secretary of the Italian Society of Endodontics. He was President of the Italian Society of Endodontics from 2003 to 2005. He was speaker in several courses and congresses in Italy and in the enitire world, and published numerous scientific articles on national and international papers. He produced a series of scientific videos in collaboration with Dott. C.J. Ruddle, named -The Endodontic Game” distrubuted in Europe, USA, Canada, Australia and Asia.
Fabio Gorni was consulting professor in endodontics at the University of Milan, H. San Paolo. He is active member of the Italian Society of Endodontics, of the Italian Academy of Microdentistry, specialist member of the European Society of Endodontology and member of the American Association of Endodontists. From 1994 to 1998 he was part of the members acceptance committee of the Italian Society of Endodontics, while from 1998 to 2001 he was Cultural secretary of the Italian Society of Endodontics. He was President of the Italian Society of Endodontics from 2003 to 2005. He was speaker in several courses and congresses in Italy and in the enitire world, and published numerous scientific articles on national and international papers. He produced a series of scientific videos in collaboration with Dott. C.J. Ruddle, named -The Endodontic Game” distrubuted in Europe, USA, Canada, Australia and Asia.

EVENTS BY THIS MEMBER

ARTICLES PUBLISHED BY THIS AUTHOR

Endodontic diagnosis, therapies and follow-up procedures can be the most complex of dental treatments; among these, shaping the root canals has always been considered as the basic and most important procedure. Various instruments and techniques have been developed in the history of endodontics, to deal with the almost infinite anatomical variations of root canals; this topic has been extensively debated elsewhere in this web site (http://www.styleitaliano.org/history-of-endodontic-instruments). A relatively recent technological evolution has put forth a variety of endodontic files, more aggressively shaped, flexible but resistant to breakage, made from new alloys, with new surface treatments, mechanically driven with rotary or reciprocating motion. These instruments should be chosen and used according to the manufacturer’s instructions, in a precise sequence or sometimes as a single file, after evaluation of canal anatomy, curvature and gauge. This evaluation is either made with an initial scouting of the canal with small instruments, or even directly examining a periapical x-ray. Obviously, each commercial brand of endodontic instruments proposes a different protocol, based upon the use of instruments of its own production. The possibility to choose instruments of different brands for different canals, or the use of simplified sequences, is ruled out by marketing rules. StyleItalianoEndodontics watchword is simplification for excellence. This article is the first of a series, in which the philosophy of root canal shaping will be thoroughly explained, along with clinical and practical examples that will show the best way to deal with anatomic complexities.
The most important thing to do when treating a dilaceration is having an efficient shaping strategy. A correct rational for treatment with an efficient equipment is a key of success
The use of the rubber dam is mandatory for the endo treatments and in case of adhesive restorations . Here we have a case where the fracture forces us to change our strategy if we want the isolation of the operative field. Traumatic lesions of permanent dentition have a percentage of incidence which ranges from 26-76%: the most frequent causes are falls, accidents occurred during sports or as a consequence of violent epidodes (1). Upper incisors are the most frequently affected teeth, even if, when there are traumatic lesions of the chin, as a rebound effect, it is possible to have fractures of the premolars region (2) Treatment of root fractures depends on the location of the fracture itself and can also vary , according to the guidelines, from splinting to the extraction of the root followed by implant placement. In this case report we will report a new conservative approach of reattachment associated to root canal therapy followed by fixing with a post.
The use of MTA in the repair of perforations is a well-known technique that has been successfully employed for a long time. To repair a perforation in the middle third of the root can be extremely difficult because the position of the perforation can hinder the achievement of an adequate space for the setting of the material, due to the reduced thickness of the walls. This situation is frequent in molars, where the shape of the defect (caused by the iatrogenic damage) is irregular and the walls have been eroded by mechanical instruments employed for shaping the root canal system and/or by the post space preparation. The stripping of the root makes even worse the case, because it is harder to achieve a stable position of the MTA that, sometimes, can be dislocated with a subsequent loss of seal and failure of the therapy. From here rises the idea of a different technique that allows us having a whole portion of the root canal available for placing a thick MTA layer, which will be stable over time.

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