Prof. Giuseppe Cantatore

Prof. Giuseppe Cantatore

Speciality
Lecturer/Topic
Endodontics:
Summit
Topic:
“The skill of managing dental trauma in the young patient”

Personal Information

He graduated in Medicine in 1980 at the University of Rome “La Sapienza”. In 1983 he specialized in General Dentistry at the same University. Prof. Cantatore taught Endodontic at the University of L’Aquila from 1987 to 1991 and of Rome “La Sapienza” from 1992 to 1998. From 2000 to 2014 he has been Associate Professor of Endodontics at the University of Verona-Italy. From 2014 he is Professor of Endodontics and Restorative Dentistry at the University San Raffaele in Milan. In the same University Professor Cantatore is Coordinator of the Deparment of Carious Pathology. Dr. Cantatore is Author of more than 100 articles mostly related to Endodontics published on National and International Dental Magazines. As an International Speaker Dr. Cantatore gave Precongress Courses, Workshop and Presentations during the most important International Meeting; among them the American Association of Endodontists, the IFEA (International Federation of Endodontic Associations), and the European Association of Endodontists (ESE). At the present moment Dr. Cantatore is Past-President of the European Society of Dental Microscopy (EFAM), Past-President of the Italian Society of Endodontists (SIE), Past President of Italian Association of Dental Microscopy (AIOM), and honorary member of the Libanese Society of Endodontics. Dr. Cantatore lives and works in Rome with clinical practice limited to Endodontics.

Topic:

“The skill of managing dental trauma in the young patient”

Abstract:

Traumatic injuries often affects young permanent dentition. Some of them (such as coronal
fractures) are not severe and can be successfully treated with simple treatments such as direct pulp
capping and/or pulpotomies. In other cases, however, such as dental luxations and avulsions the
tooth is partially or completely displaced from its alveolar socket, affecting the pulp tissue,
periodontal ligament, dental hard tissues, and alveolar bone. In these cases the treatment becomes
more complex and the success rates decrease drastically because of the high risk of root resorption
(RR), which can be classified into external and internal RR. Although the best therapy for luxated
and avulsed teeth is immediate replantation, it is not always possible in clinical conditions.
Consequently, delayed replantation is often required. To arrest or delay the root resorption in cases
of delayed remplantation, the use of Calcium Hydroxide has been advised for decades. Today in
many clinical situations, Calcium Hydroxide has been replaced by Bioceramic Materials. The first
bioceramic introduced was MTA (Mineral Trioxide Aggregate). The mechanism of action of MTA
is strictly related to that of calcium hydroxide. The main advantage of bioceramics over calcium
hydroxide is that they constitute a definitive cement, and appear to have less dentin weakening
effect. Their main drawback is that inflammation of the periodontal tissues and contamination with
blood can alter their properties. For this reason it is suggested, in cases of inflamed tissues and
intracanal bleeding, to use bioceramics after reducing inflammation and bleeding with a pure
calcium hydroxide medication. During this presentation we will examine a series of clinical cases,
even extreme ones, where the combined use of calcium hydroxide and MTA allowed to block or
resolve the replacement and/or inflammatory resorption processes.