In collaboration with the Australian & New Zealand Academy of Endodontists (ANZAE), the ADA NSW Centre for Professional Development is proud to host Dr Stephen Niemczyk DMD for a comprehensive, cutting-edge course in endodontic microsurgery. Combining lectures and a hands-on workshop over two separate days, this course represents an opportunity to enhance our knowledge and expertise under the tutelage of a renowned expert in endodontic microsurgery.

This course is exclusive to Australian and New Zealand-registered endodontists.

COURSE OUTLINE

Treatment of a refractory endodontic procedure via microsurgical revision presents better outcomes due, in part, to the integration of the Surgical Operating Microscope (SOM) and CBCT into clinical practice. Advances in technique and technology allow the surgeon to plan in a digital environment, design precision aids for acquisition to the field and utilise elegant resection and refinement armamentarium. The acquired image promotes accurate 3D assessment of the proposed surgical site and affords the surgeon the opportunity to execute the procedure in the virtual realm. Precision surgical stents, in concert with piezosurgical techniques, provide a bone-sparing environment without compromising visualization. Soft tissue resorptive defects are more elegantly addressed using light energy than traditional excavation protocols. Lastly, these are all complemented by improved soft tissue practices for pre, interim and post-operative flap management.

This course program will encompass a day of lectures including a live demonstration of positioning the microscope to enhance both ergonomics and clinical success in all areas of the mouth. The lecture day will be followed by two identical one-day workshops on piezosurgery techniques for hard tissue management. Participants will learn the basics of piezosurgery techniques for endodontic microsurgery and achieve basic competency in performing the bony lid technique, root resection using piezo ultrasonic units and management of complications.

Attendance at the lecture is a prerequisite to the workshop. You will need to register for the lecture and workshop separately.

Click on your preferred workshop day to register – sessions are available on Thursday and Friday.

Topics include

• “Virtual Surgery’ Treatment Planning”:
  • Surveying/triangulation of vital structures and formulation of the surgical sequence / dimensions.
• Flap design / Incision / Soft Tissue Management / Retraction:
  • “Staged reflection” principles
  • Incision armamentarium and wound healing
  • Retraction strategies
• “Positioned for Success”
  • Ergonomic principles to minimize fatigue.
  • The Patient-Surgeon-SOM Synergy Dynamics
  • (Didactic presentation supplemented with live chairside demonstration with mannequin)
• Root End Preparation/Filling Tips and Tricks
  • Tip selection/utilisation
• Emerging Technologies: Piezosurgery and Er,Cr:YSGG laser
  • Piezoelectric incision principles and the Bony Lid technique
  • Er,Cr:YSGG laser: procedure-specific applications
• “This is your Knife”
  • Surgical cases representative of varied procedures and locations are available but hidden behind a hyperlinked pictogram. The attendees can select the hidden case at random, where the pertinent history and images are displayed in this “Microsurgical Jeopardy” format.

Learning Objectives

• Implement the various imaging technologies in a “Virtual Surgery™” digital environment to develop an effective and appropriate treatment plan.
• Discuss the steps involved in achieving proper ergonomics and retraction to maximize access to the surgical field.
• Discuss the development of the bony lid technique and the advantages/disadvantages.
• Sequence the steps involved in the planning and fabrication of a precision endodontic surgical stent (PRESS)
• Evaluate the use of Piezoelectric surgery and PRESS© versus conventional techniques for root end procedures.
• Explain the etiologies of treatment failures of the Bony Lid technique and their prevention/remedies
• Assess the application and effectiveness of the laser for hard and soft tissue applications