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Restoratively Driven Endodontics

Dr Adnill George Kock
Dr Adnill George KockSouth Africa
77 minutes 1.25 hrs CPD/CE

Root-filled teeth are more often lost to coronal leakage and fracture than to endodontic failure. Dr Adnill George Kock rebuilds the tooth first, so restorability is assessed before treatment starts and the canals are disinfected in a sealed, four-walled environment.

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Lecture preview A short clip from the full 77 minutes lecture
About this lecture

Restoratively Driven Endodontics

The quality of our endodontic treatment depends heavily on the environment we create before it begins. Endodontically treated teeth are often extracted because of coronal leakage, recurrent caries or fracture, yet restorability is still commonly judged after the endodontic treatment is complete. Restoratively driven endodontics reverses that, dismantling and rebuilding the tooth first so that the canals are cleaned, shaped and obturated in a sealed, isolatable, four-walled environment. The pre-endodontic build-up is as much a diagnostic procedure as a restorative one, because only once the old restoration and the caries are removed can we judge how much sound dentin remains and whether the tooth is restorable. Dr Adnill George Kock shares the literature and the reasoning behind this approach, with cases ranging from severely broken down molars to crowned teeth, retreatments and paediatric patients.

What you'll learn

Learning Aims & Objectives

Understand the rationale for restoratively driven endodontics and why restorability should decide whether treatment is started, rather than being assessed once it is finished.
Learn why a pre-endodontic build-up is performed and the conditions it creates for predictable endodontic treatment.
Identify the evidence linking loss of coronal seal, missed anatomy and remaining tooth structure to the retreatment and extraction of root-filled teeth.
Apply a diagnose, deconstruct, assess and rebuild sequence to your own cases, including the decision to access through an existing crown or to remove it.
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Your lecturer

Meet Dr Adnill George Kock

Dr Adnill George Kock

Dr Adnill George Kock

South Africa

Dr Adnill George Kock is a general dentist with a special interest in endodontics and biomimetic dentistry. He graduated with a BChD from the University of the Western Cape in 2018 and completed a Postgraduate Diploma in Implantology at UWC in 2021. In July 2023, he limited his clinical practice to endodontics and currently manages all endodontic and referral cases…

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