Dr Vladimir Ivanovic, DDS, MSc, Spec, PhD, SDS
Full time Professor in Restorative Odontology and Endodontics, School of Dental Medicine, University of Belgrade
Prof. Ivanovic is author and co-author of seven textbooks for undergraduate and postgraduate studies, editor of translated “Textbook of Endodontology” (Bergenholtz, Horsted-Bindslev & Reit) – “Endodontologija”, and has published over 150 articles in international and national refereed journals. He gave presentations and lectures at numerous international scientific meetings, symposiums and congresses, moderated and conducted seminars and hands-on courses in restorative dentistry and endodontics on current instrumentation techniques and technologies in Serbia and internationally. Professor Ivanovic is a member and reviewer in the editorial boards of two international journals: Endodontic Practice Today-ENDO, and Endodontic Practice. In the last two decades he has been organizing 18 endodontic meetings in Belgrade, with world-wide recognized lecturers.
Lecture – Main Program
CBCT and Complex Root Canal Anatomy- Diagnosis, Report, Therapy
Cone-beam computed tomography (CBCT) or Digital volumetric tomography (DVT) is the greatest “break-through” in dental imaging technology of 21st century, primarily because for the first time a practitioner can use harmless radiographic system as a powerful tool to visualize any area of interest in all three planes, obtaining 3D images.
The lecture presents CBCT series of images and detailed analysis of various morphological groups of teeth, with particular accent on the mandibular premolars and maxillary molars, in both extracted teeth and clinical cases with unusual and complex root and root canal anatomy, relation and special orientation of the roots to surrounding anatomical structures, and interrelationship among canals inside the multi-canal roots. The significance of the canal orifice geometry, number, location and dimension of the apical foramen/foramina and their impact on the working length determination, development and treatment plan of various periapical and periradicular pathosis is pointed out. Incidence/frequency of the anatomical modalities in maxillary molars and mandibular premolars in Serbian population, that has been studied throughout two last decades, with special interest on teeth with fused roots, is showed in details, with its impact on the difficulties and possible complications during operative procedures and root canal instrumentation, focusing on important stages of endodontic therapy, treatment outcome and follow ups of different types of endodontic pathology. Throughout the lecture the stress is put on the wide abilities of CBCT and its software to acquire and reveal “hidden” details of interest for clinical endodontics, like overlooked and un-instrumented canals, and what the report of all those findings should contain.