COURSES
The following course descriptions represent detailed summaries of select topics:
Clean•Shape•Pack and Nonsurgical Retreatment

(The following course descriptions are provided only to offer insight as to a possible course curriculum. Your individual "ONE-ON-ONE" experience can be tailored according to your exact needs, time permitting)


Clean•Shape•Pack
This seminar offers personalized, high-level training for general dentists and specialists alike. Whether a new or returning doctor, learn how to more effectively shape canals, clean root canal systems, and three-dimensionally obturate utilizing scientifically-proven techniques. This seminar will teach safe, efficient and predictably successful endodontic techniques that can be immediately implemented into your practice. Participation is designed to improve your clinical results, professional satisfaction, and endodontic profitability.
LECTURE
A review of basic biologic principles in endodontic treatment is followed by a systematic analysis of those factors which guide each case to successful completion. Lecture material will be powerfully presented utilizing a multimedia format comprised of easy-to-understand animations, microscopeassisted clinical video, and radiographic images. Particular emphasis will be placed on root canal system anatomy and the avoidance of frequently overlooked problems. Dr. Ruddle will discuss the most clinically relevant technologies utilized to precisely shape canals and three-dimensionally clean and pack root canal systems. A sequential description is made of the following:
  • Differential diagnosis
  • Root canal system anatomy
  • Breakdown and disease flow
  • Complete access: tools & methods
  • Preparation strategies
  • Glide path management
  • Rotary systems: The ProTaper Advantage
  • Cleaning: debridement, smear layer, biofilm
  • Finishing criteria for success
  • Three-dimensional obturation
The presentation will focus on the ProTaper Universal rotary and manual file systems, their unique features, and the scientific evidence supporting their method of use. Dr. Ruddle will show innovative methods for three-dimensionally cleaning with emphasis on the reagents, their delivery and activation. The advantages of vertical condensation of warm gutta percha utilizing a new advanced obturation device will be illustrated in detail.
PARTICIPATION WORKSHOP
The workshop portion of the course will provide a hands-on opportunity to shape canals and threedimensionally clean and obturate root canal systems. Each participant is responsible for bringing 3-4 previously extracted and accessed teeth for the all-day hands-on workshop. Each workshop station will be fully equipped, including a microscope, electric motor, ultrasonic generator and all relevant and recently developed instruments. Digital radiography will be available to participants for reviewing shaping and obturation results. Clinical results will be reviewed and discussed.
CLINICAL SESSION
Dr. Ruddle will perform live demonstrations on S-curved plastic blocks and extracted teeth to forward your training and help you integrate what you have learned into your practice. Time is scheduled for group interaction and discussion of relevant clinical issues including:
Radiographic film techniques • Clinical evaluations • Vital pulp testing
Endodontic diagnosis • Emergency treatment • How to find canals • Apex locators
Comparing various NiTi rotary file lines • Working length • Patency
Ongoing controversies • Resin-based materials • Carrier-based obturation

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Nonsurgical Retreatment
Clinicians frequently encounter endodontically treated teeth that are failing. The vast majority of these cases can be successfully retreated nonsurgically. This unique two-day course is designed to help you learn all aspects of disassembly, then provide an opportunity to re-shape canals and threedimensionally clean and obturate these root canal systems. Evidence-based procedures will be clearly demonstrated utilizing the most proven, effective and state-of-the-art techniques. Dr. Ruddle will emphasize multi-disciplinary treatment planning, case selection, and retreatment fees in order to improve your clinical results, professional satisfaction, and profitability. This advanced program is designed for the dental team whose vision is the long-term retention of critically essential teeth.
LECTURE
A review of root canal system anatomy and its role in endodontic prognosis is followed by a systematic analysis of those factors commonly implicated in endodontic failure. Emphasis will be placed on the role of the microscope in nonsurgical retreatment to resolve a wide range of frequently encountered clinical challenges. A sequential description is made of the following:
  • Root canal system anatomy
  • Rationale for nonsurgical RCT
  • Restorative disassembly techniques
  • Identification/treatment of missed canals
  • Efficient removal of obturation materials
  • Predictable removal of posts & cores
  • Broken instrument retrieval
  • Blocks: negotiation & patency
  • Ledges: bypass & management
  • Perforations: hemostatics & repair materials
Lecture material will be powerfully presented utilizing a multimedia format comprised of easy-tounderstand animations, microscope-assisted clinical videos, and radiographic images. Dr. Ruddle will show the most recent advances in technologies and clinically-driven techniques for successful nonsurgical endodontic retreatment.
PARTICIPATION WORKSHOP
The workshop portion of the course will provide a hands-on opportunity to nonsurgically disassemble root canals. Each clinician must bring 3-4 extracted teeth, treated and "set-up" to simulate frequently encountered endodontic failures. Participants are encouraged to create scenarios in accordance with their specific areas of interest. Each workshop station will be fully equipped with a microscope, electric motor, ultrasonic generator, and all relevant and recently developed instruments. Digital radiography will be available and the images obtained will be utilized to review and discuss your retreatment results.
CLINICAL SESSION
Dr. Ruddle will perform live demonstrations on extracted teeth to clearly show the step-by-step techniques required for safe and successful disassembly procedures. Time will be scheduled for group interaction and discussions of relevant clinical issues including:
Managing the upset patient • Communication • Multidisciplinary treatment
Case selection • Scheduling • Fees • Implants vs. endodontics • New technology
Ownership • Leadership • Management • Marketing • Future

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