Endodntic treatment – mishaps and complications

Treatment plan in cases of pathology of endodontic origin includes a specific clinical protocol for the respective nosological unit. Following this protocol strictly will allow the dentist to achieve better clinical results with good short- and long-term prognosis. Treatment outcome will be influenced negatively by any mishap and complication which may appear in every single stage of the endodontic therapy. In most of the cases, these situations are due to the individual characteristics of the patient and the tooth and, on other hand due to the practitioner. The need of detailed interpretation of the information found in the anamnesis, clinical and paraclinical examinations as well as the treatment methods and techniques are crucial for the final result.

The periapical healing process may be altered by procedural mistakes such as separated instrument, ledges or perforation. Contemporary endodontic methods and instruments are usually helpful in overcoming these problems. On the other hand, negligence in the diagnostic part of the treatment or the procedures of the final functional restoration may possibly undermine the overall decision for conservative clinical approach.

The treatment outcome in cases of mishaps and complications are mostly dependent on the clinician’s skills and approach. Good clinical experience and thorough theoretical background of the dentist as well as the ability to predict a possible negative outcome of the treatment are the premise to prevent or to manage any critical clinical situation.

Key knowledge/skills that the lecture will

provide to attendees:

Attendees will be provided with knowledge about the steps to create an individual treatment plan for the patient focused on prevention of mishaps and complications.
Attendees will be provided with knowledge about the methods for analysis and interpretation of the data given in the anamnesis, clinical and paraclinical examination which may concern possible mishaps and complications.
Attendees will be provided with knowledge about some of the most common mishaps and complications which may appear during the endodontic treatment.
Attendees will be provided with knowledge about some protocols used to manage mishaps and complications during the endodontic treatment.
Attendees will be provided with knowledge about some guidelines for treatment follow up in cases of mishaps and complications.

Assoc. Prof. Dr. Silvia Dimitrova Dimitrova

Associate Professor Dr. Silvia Dimitrova Dimitrova graduated from the Faculty of Dentistry of the Higher Medical Institute - Plovdiv in 1996, and since 1997 she has been accepted as a full-time assistant. She has acquired three specialities: Operative Dentistry and Endodontics, General Dentistry and Therapeutic Dentistry. In 2014, she successfully defended her PhD dissertation. In 2018, she obtained her habilitation and is currently an Associate Professor in the Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, MU-Plovdiv.

She is a member of an expert council to the Ministry of Health.
Chairperson of the Qualification and Accreditation Comission of Bulgarian Dental Association for two consecutive terms and is currently the chairperson of Control Commitee of BDA.
She is a member of the board of directors of BDA-Plovdiv.
She is the chairperson of the general assembly and a member of the faculty council of FDM, MU-Plovdiv.
She is is a member of the board of directors of Bulgarian Scientific Society of Dental Medicine and is a member of Union of Scientists in Bulgaria.

Manager of "Center for Continuing Education in Dental Medicine" ltd. of MU-Plovdiv.
Active participation in the continuing and post-graduate training of dentists by organizing and conducting practical courses, delivering lectures accredited by BDA, lectures with demonstrations and discussion panels. Head of interns and doctoral students in the Department of Operative Dentistry and Endodontics of the MU, FDM Plovdiv.

A long-standing therapeutic and diagnostic-consultative practice focused on the prevention and treatment of complicated endodontic cases, microscopically assisted endodontic treatment and retreatment in cases with complex root canal anatomy, removal of separated instruments, treatment of root perforations and resorptions, treatment of immunocompromised patients and others.
 

Scientific research activity aimed at modern methods for the analysis of risk factors and new possibilities for the prevention and treatment of diseases of the hard dental tissues, pulp and periodontium. Investigating the qualities of tools and materials regarding parameters of their optimal clinical application. Research of innovative methods and means in endodontic treatment. Biomechanical problems in retrieval of separated instruments. Study of qualities of natural products and essential oils with possibilities for their use in dentistry, etc.

The results of the long-term scientific research activity have been published in Bulgarian and international specialized publications and presented with scientific reports at national and international forums in Bulgaria and abroad.

Active teaching activity by using modern teaching methods.

 

 

 

 

 

 

 

 

 

 

 

 

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Dr. Bogomil Antonov