Orthograde endodontic treatment: what are the factors that most influence its outcome?

Maintaining the natural element must always be the first goal for every clinician.The choice of the most suitable treatment plan obviously passes through a careful and accurate evaluation of the outcome of our endodontic therapies, a fundamental prerequisite for guaranteeing a favorable prognosis even in the long term.
The success of orthograde endodontic treatment has been the subject, over the years, of a vast amount and variety of studies.
The introduction of the surgical microscope, ultrasound, digital radiography, CBCT, rotary instruments, and innovative obturation materials and techniques have certainly improved the efficiency and the "technical" result of endodontic treatments and retreatments, but these improvements can be translated into an improvement in the clinical outcome at a distance? The aim of the work will be to find, if possible, an answer to this question through a review of the literature and the clinical experience of the speaker.

Dr Denise Pontoriero

Dr. Denise Pontoriero graduated in Dentistry, summa cum laude, at the University of Brescia( Italy )in1997.Active Member of the Italian Society of Endodontics ( S.I.E) since 2000. Member of the European Society of Endodontology (E.S.E), International Specialist Member of the American Academy of Endodontology (AAE), Active Member of the Italian Academy of Microscopic Dentistry(A.I.O.M) Fellow of the International Academy for Dental Facial Esthetics (IADFE).From 2013 to 2017 she has been S.I.E. Regional Cultural Secretary.She has been lecturing for National and International Congresses and Courses regarding Endodontics and she participated as a visiting professor for the Master in Periodontology at the University of Genoa in 2011, and for the University of Pennsylvania, Philadelphia U.S.A.. in 2012. Adjunct Professor in Endodontics at the UNIVERSITY OF GENOA since 2014.Professor and Responsible for the INTERNATIONAL FELLOWSHIPS and MASTERS OF ADVANCED ENDODONTICS –the UNIVERSITY OF GENOA, Professor for THE MASTER OF LASER at the UNIVERSITY OF GENOVA.Adjunct Professor at the UNIVERSITY OF SIENA, Professor for the MASTER IN PROSTHODONTICS AND NEW TECHNOLOGIES _UNIVERSITY OF SIENA and for THE MASTER OF PROSTHODONTICS, ESTHETICS, AND DIGITAL DENTISTRY.Elected in the Board of the Italian Society of Endodontology (S.I.E) since 2018.Elected National Treasurer in the Board of the Italian Society of Endodontology (S.I.E) 2021-2022 She maintains private practices limited to Endodontics and Micro-dentistry in Brescia and Genoa, Italy.