Pio Bertani

Pio Bertani M.D., D.D.S Visiting Professor of restorative dentistry, University of Modena and Reggio Emilia, years 2003-2008 Lecturer at the postgraduate course of restorative dentistry, University of Modena and Reggio Emilia, years 2004-2005. Lecturer at the Master Course of Prosthetic Dentistry, University of Bologna, years 2009-2013 Co-author of the book “Manuale illustrato di Endodonzia” (Masson, 2003) Co-author of the book “ Manuale di Endodonzia” (Elsevier, 2013) Active member and President in charge of Società Italiana di Endodonzia Active member of Accademia Italiana di Odontoiatria Estetica and of European Society of Endodontics Full member of Association “Amici di Brugg”
Pio Bertani M.D., D.D.S Visiting Professor of restorative dentistry, University of Modena and Reggio Emilia, years 2003-2008 Lecturer at the postgraduate course of restorative dentistry, University of Modena and Reggio Emilia, years 2004-2005. Lecturer at the Master Course of Prosthetic Dentistry, University of Bologna, years 2009-2013 Co-author of the book “Manuale illustrato di Endodonzia” (Masson, 2003) Co-author of the book “ Manuale di Endodonzia” (Elsevier, 2013) Active member and President in charge of Società Italiana di Endodonzia Active member of Accademia Italiana di Odontoiatria Estetica and of European Society of Endodontics Full member of Association “Amici di Brugg”

EVENTS BY THIS MEMBER

Moscow, April 2016: meeting point for specialists in endodontics from all around the world. http://endopoint.com/ Dr. Pio Bertani is going to take part in the world endodontic congress ENDOPOINT 2016 (Moscow, Russia) with a lecture “Modern conservative methods and techniques in restoration of endodontically treated teeth”. The event features specialists of the highest international level: Pio Bertani, Arnaldo Castellucci, Silvio Taschieri, Vittorio Franco, Aviad Tamse, John Meechan, Elisabetta Cotti, Alexandr Mitronin, Elio Berutti, Damiano Pasqualini, Irina Makeeva, Francesco Mannocci.
The Congress represents one of the biggest summits on the theme in Europe, offering a unique opportunity for participants to discuss the latest innovations and scientific achievements in the field of Endodontics. It will be an exciting mix of invited worldwide known speakers, poster sessions, clinical tables, SIE awards presentations. Pre-Congress course will focus on the use of bioactive materials in Endodontics. Submissions are open to all the attendees: submit your research or your case report for the 2016 SIE Awards Session. For further informations: http://endodontics.it

ARTICLES PUBLISHED BY THIS AUTHOR

Endodontics often presents both diagnostic and treatment planning issues. This involves the need to choose from various acceptable options, because dilemmas necessarily only arise when there are options. In the absence of alternatives, there would not be dilemmas. Substantial improvements within endodontic treatment, and within radiology, implant therapy, adhesive dentistry, and the introduction of new restorative materials, ensure that more options are now available. Having many options to choose from is associated with a number of positive aspects, but too many options to choose from can have negative consequences, eventually leading to the phenomenon known as “choice overload”, reducing decision quality. It is widely known that differences in treatment planning choices do exist, depending on various factors, including clinician’s and patient’s education, experience, attitudes, and also on economic resources. A lot of literature has been published on the topic of decision making in medicine, dentistry and endodontics; evidence-based medicine and dentistry has brought a completely new way of thinking in diagnostic and therapeutic questions. In addition to interest from health professionals, clinical decision problems have attracted attention from philosophers and psychologists, owing to their complexity. Despite general guidelines, literature data show that dentists choose very different treatments when being presented the same cases. As an example, our group has focused the problem of decision-making in endodontic retreatment, reaching a uniform criteria and consensus behind the rationale of various treatment options. In cases with persisting pain, and/or with the presence of swelling or sinus tract, there is obviously a consensus that retreatment procedures have to be performed, but identical cases often receive fully different treatment recommendation. The indication for endodontic retreatment should, in our opinion, include considerations about the time lapsed from the last endodontic treatment, since clinical data available in literature show the possibility of late healing of periradicular radiolucencies. Less invasive strategies increase the chance of conserving teeth, more than selecting strongly invasive treatments. Conservative choices, to be considered among the usual several treatment options, include: waiting some months, then perform a new examination in doubtful cases, or postpone the orthograde re-treatment until the restoration/crown needs to be replaced, or wait for clinical and radiological signs of healing after orthograde treatment before surgery. Another debated question is the role of 3-D radiology in endodontic diagnosis and follow-up. The so-called “Threshold method” can be used to evaluate the indication for a CBCT in endodontic diagnosis. The choice between conservation of a tooth using endodontic treatment and crown restoration or extraction of the tooth and its replacement by an implant remains controversial. In this debate, we have proposed an algorithm that could be of some help for the clinician, trying to balance relative risks of treatment options. Considerations about these topics are shown in the video attached to this article.

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