Prof. Federico Foschi – Italy / UK

Fede graduated with honours from the Alma Mater Studiorum of Bologna. He accomplished a PhD in Endodontic Microbiology at the Forsyth Institute, leading to the IADR Pulp Biology award. He moved to the UK, as Lecturer in Endodontology at King’s College London. He became Fellow of the Royal College of Surgeons of England after completing the five-year training in Restorative Dentistry at Guy’s Hospital, London. He published 50 peer-reviewed papers a book and two book chapters. He is a Fellow of the Higher Education Academy. He is the current Training Program Director for Endodontics on behalf of Health Education England LaKSS. He is the Programme Lead for the MSc in Endodontics at King’s College London.

ECR 3D diagnosis and repair approaches

Abstract

External Cervical Resorptions (ECR) diagnosis is greatly enhanced with the aid of CBCT. Previous classifications of ECRs were based on 2D imaging technique, which represent an approximation of the clinical scenario. The axial, sagittal and frontal planes analysis of the extension of the lesion together with the detection of apical pathology allows for a precise diagnosis. The subsequent treatment planning is facilitated by evaluation of several aspects including the proximity to the pulp and accessibility of the lesion. More long term follow-ups indicated which are the most successful treatment approaches. Traditional default approach was root canal treatment and simultaneous or asynchronous surgical external repair. This approach can be still opted for in many cases, however minimally invasive treatments including vital pulp therapy and internal repair can be selected successfully. The aim of the lecture is to describe the clinical workflows and treatment planning based on the novel 3D ECR classification.