Scopri gli tutti gli Amici e gli Illustri "Ospiti Speciali" del Master in Clinical and Surgical Microendodontics che hanno tenuto seminari e conferenze presso la Sede della Dental School Torino - Lingotto.

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Biography



Dr. Jean-Yves Cochet DDS
Docteur en Chirurgie Dentaire,
Visiting Professor of Nova Southeastern University College of Dental Medicine Florida (USA)

Biography

Dr. Jean-Yves Cochet DDS
Docteur en Chirurgie Dentaire,
Visiting Professor of Nova Southeastern University College of Dental Medicine Florida (USA)

Dr Cochet received his DDS in 1984 from the University of Paris VII and his endodontic training at the university of Paris VII in 1990.

He has served as a clinical assistant professor at the University of Paris VII from 1986 to 1990. He was teaching post-doctoral students at the post-graduate program of endodontics directed by Dr J.M Laurichesse from 1990 to 1996.

e is now teaching since 1999 at the Post graduate program of Endodontics of Florida Southeastern University NOVA. Nominated Visiting Professor of Nova Southeastern University College of Dental Medicine in 2008 He is also Clinical teacher in the post graduate programm of Paris Diderot university since 2010 Fellow of the International College of Dentist He was President of the French Endodontic Society from 1998 to 2000.

He made numerous international presentations on endodontics, traumatology and endodontic surgery,fascinated by the bone regeneration technics and sinus pathology treatment. He currently resides in Paris and his favorite activity other than endodontics includes scuba diving, skiing and spending time with his family.


BONE REGENERATION AND BONE PRESERVATION IN SURGICAL ENDODONTIC TREATMENT

Endodontic lesions may result in significant bone destruction.

Orthograde endodontic treatment, when done properly, will result in the regeneration of large bony defects. However, there are times one most resort to endodontic surgery when healing does not take place.

A new approach for the treatment of large endodontic lesions will be discussed.

Today with the advent of CT and CBCT scans, we are supplied with much more information than the traditional two-dimensional radiographs.

The complementary surgical technique develops several therapeutic possibilities and increases significantly the percentage of positive outcomes.

New resorbable membranes, bone grafting materials, piezo-surgery (regarding the repositioning the bone) can broaden our extent of treatment to regenerate original structures, particularly in endo-perio lesions.

For long term non-restorable teeth why not imagine the endodontic treatment as a way to optimize bone preservation or regeneration in preparation for a future implant. This treatment modality is documented by 25 years of CT scans and, more recently, the Cone Beam CT scan. It will be seen as a new approach for bone regeneration and preservation.

At conclusion, participants should be able to:

• Simplify treatment strategy for large endodontic lesions
• Identify indications for non-surgical as well as surgical treatment
• Read a CT Scan and a CBCT, understand its possibility
• Identify indications of endodontic surgery and complementary surgery
• Discover the extended possibilities of resorbable membranes and Piezo surgery
• Indications for a surgical approach for the endo-perio lesion

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SINUS ENDODONTIC SURGERY : RATIONAL TREATMENT and COMPLICATIONS

Endodontic pathology can induce sinus diseases because of the anatomic situation.

Classical sinusitis, pain, otolaryngological pathologies are the most common side effects.

Proper investigation procedures followed by a faithfull diagnosis will enable effective treatment to be administered.

The Endodontic or surgical approach should be performed according to the latest radiological, biochemical and clinical studies on tissue regeneration.

It is important to understand clinical evaluation and specific investigation (CBCT or CT scann) for determining the precise diagnosis and rational treatment, and modulate the clinical approach depending on the size of the Endodontic lesion, the extension of the sinus disease and the anatomical considerations.

In numerous cases endontic treatment by himself is able to permit the sinus pathology healing ,but in the other ,endodontic surgery has to be perform. Different possibilities could be developpe : Endodontic treatment and surgery or direct surgery are the most common one.

The maxillary surgery induce a lot of difficulties and complications,concerning:

-The “hole or cavity deffect “and the risk of propulsion of different materials during our procedures (irriguant liquid,cotton pellet,brocken ultrasonic retropreparation inserts,filling materials membranes…

-The particular bone regeneration approach.

-The possibilities removing old over filling or aspergilosis inside the sinus.

These procedures induce knowledge to chose an efficient access way and to respect soft and hard tissues.and to be able manage bone substititute materials, bone regenerative membrane and eventualy the piezo surgery to facilate the access and cleaning.

Learning objectives

Understand sinus pathology and the process of selecting surgical treatmen.

Determine the pathophysiology and management of endodontic sinus deasease

Learn how to read and interpret CBCT or CT scans and understand its applications for diagnosis, treatment and case selection of sinus pathology treatment,particulary in surgical approach.

Define the sinus endodontic surgery indications ,and manage complications.

 How to remove foreign bodies inside the sinus 

 Piezo-surgery (including the repositioning of the bone), new resorbable membranes and bone grafting materials, can broaden our extent of treatment to regenerate original structures, in sinus surgery and extensive bony defects.