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Markus Haapasalo, D.D.S., PhD
Professor
UBC
Disclosures: Brasseler: Grant/Research Support; Dentsply Maillefer: Honorarium; Dentsply Tulsa: Grant/Research Support, Honorarium, Royalties; FKG Dentaire, Switzerland: Honorarium; Henry Schein, Sybron Endo: Honorarium; Sonendo Inc.: Consultant, Material support, Other Financial or Material Support, Stockholder/Ownership Interest (excluding diversified mutual funds); sybronendo: Grant/Research Support; Vista dental: Grant/Research Support
A short introduction to "level of evidence in endodontic research" will be given. The lecture will continue with a description of the building blocks for success in endodontic treatment, and how these have changed (or not!) during the decades. We will then look at the “endodontic triad” as a disease/treatment model and how the three arms are related. An identification of how legacy protocols came out of the then available technology will be discussed with an emphasis on the continued evolution of debridement technology and how it has impacted the other arms of the triad and challenges our ideas around obturation. The use of new sealers that effectively seal in large film thicknesses, the concept of gutta percha points used as a condenser rather than an obturation material, and a review of the need for vertical condensation will also be evaluated along with whether obturation will really be necessary in the future.