Universitat Internacional de Catalunya

Endodontics

Endodontics
6
9246
3
First semester
OB
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff


Dr. DURÁN-SINDREU TEROL, Fernando Salvador - fduran@uic.es

 Tuesday from 11 a 12 Appointments are recommended. 

Subject: Dr. Fernando Durán-Sindreu Terol: fduran@uic.es

Practical sessions: Dr. Sergio Morelló Castro: smorello@uic.es

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.


Endodontics is concerned with diseases affecting dental pulp, together with associated periradicular diseases. Endodontics comprises their prevention, diagnosis and treatment. This subject will provide the student with the knowledge, skills and attitudes for the prevention, diagnosis and treatment required. 

Pre-course requirements

There are no prerequisites

Objectives

These objectives may be classified into three large groups:

1. Knowledge-related:

  1. To define the concept of endodontics and establish objectives.
  2. To know the aethiology, ethiopathogeny and clinical expression of pulp and periapical inflammation in their different forms.
  3. To take up an adequate clinical history towards assessing the pulp’s state.
  4. To know the prognosis of the treatment of canals as a function of preoperative variables.
  5. To identify the different types of endodontic treatment.
  6. To describe the emergency treatment of the different entities in pulpo-periapical pathology.
  7. To list the radiographs that are indispensable for carrying out canal treatment and to describe the execution technique.
  8. To know how to organise materials and instruments for endodontics, and their use in different patients.
  9. To describe the ideal forms of chamber opening for each tooth in the arcade.
  10. To list the usual canals and most frequent variations on each tooth of the arcade.
  11. To describe the technique for using the manual instruments during biomechanical preparation.
  12. To list the various irrigation solutions useful for biomechanical preparation, pointing out their properties and indications.
  13. To describe the typical clinical sequence to follow during biomechanical preparation.
  14. To describe the objectives of the restoration of the canal system.
  15. To know the clinical properties of the different materials for canal restoration.
  16. To describe the clinical sequence of the lateral condensation technique with gutaperch.
  17. To know the various techniques of endodontic treatment of the immature tooth.
  18. To adopt the correct therapeutic attitude towards the different pulp and periapical entities requiring the treatment of canals.

2. Sensory and motor:

  1. To adequately isolate the operative field towards treatment of canals.
  2. To adequately plan the treatment of canals.
  3. To identify the materials and instruments useful for endodontic treatment.
  4. To execute correct chamber openings and location of access points to root canals.
  5. To adequately prepare the canals.
  6. To adequately restore the canals.
  7. To manually execute complete treatment of canals on the different teeth of the arcade.

3. Transferable:

  1. To develop the ability to deliver a public presentation
  2. To develop the ability to write scientific texts in the field of endodontics.
  3. To develop an interest in research and in deepening knowledge

Competences/Learning outcomes of the degree programme

  • 20 - Obtaining and creating a medical record containing all the relevant information.
  • 25 - Being aware of and applying basic treatment for the most common dental pathology in patients of all ages. The treatment procedures must be based on the concept of minimally invasive surgery and an overall and comprehensive focus on dental treatment.
  • 28 - Acquiring clinical experience under suitable supervision.
  • 37 - Undertaking the x-rays that are necessary in dental practice, interpreting the images obtained and learning about other important image-based diagnosis techniques
  • 38 - Being aware of clinical and laboratory-based procedures and diagnostic tests, knowing their reliability and diagnostic viability and being competent in interpreting the results
  • 39 - Recognising oral normality and pathology, as well as the evaluation of semiological data
  • 40 - Identifying the main reason for the consultation and the history of the current disease. Creating a general medical record and a clinical record which accurately reflect the patient's notes
  • 42 - Handling, distinguishing and selecting the tools and materials that are suitable for dentistry
  • 43 - Having knowledge of dental biomaterial: in terms of handling, properties, instructions, allergies, biocompatibility, toxicity and eliminating residues as well as their environmental impact
  • 44 - Knowing about and being able to use the basic tools and equipment for dental practice
  • 64 - Undertaking basic oral and dental pathology treatments for patients of all ages. The treatment procedures should be minimally invasive and based on a comprehensive and integrated approach to oral and dental treatment
  • 65 - Diagnosing, planning and undertaking, at a general level, multidisciplinary, sequential and integrated treatment of limited complexity for patients of all ages and conditions and patients with special needs (diabetes, hypertension, oncological diseases, transplants, immune-depression, anti-clotting, etc.) or disabilities. Specifically the dentist should be competent in establishing a diagnosis, a prognosis and developing a suitable treatment plan, particularly in terms of orofacial pain, temporo-mandibular disorders, bruxism and other parafunctions; dental and periapical pathology; oral and dental trauma; periodontal and peri-implanted tissue pathologies; pathology of the mandibular bone, of soft oral tissue and annex glands; states of partial or total edentation and planning rehabilitation treatment via dento-muco supported prostheses, or dental impants, dental malpositions or malocculusions and other anatomical or functional alterations of the face or the stomatognathic system and their potential orthodontic, orthopaedic or surgical corrections
  • 66 - Taking and interpreting x-rays and other image-based procedures that are important in dental practice
  • 67 - Creating diagnostic models, setting them up and taking inter-occlusal registrations
  • 68 - Determining and identifying the aesthetic requirements of patients and the possibility of resolving their concerns
  • 72 - Appropriate medical prescriptions, while being aware of their guidelines and warnings, systemic effects and repercussions on other organs
  • 73 - Applying loco-regional anaesthetic techniques
  • 74 - Preparing and isolating the operatory field
  • 76 - Identifying and dealing with any dental emergencies
  • 81 - Evaluating and treating patients with caries or other dental non-carious pathologies and being able to use all the material required for restoring the shape, function and aesthetics of the tooth in patients of all ages
  • 82 - Designing, preparing teeth, prescribing, recording, doing clinical tests, fitting and putting indirect restorations into service: incrustations, veneers or aesthetic laminate veneers and unitary crowns
  • 84 - Undertaking endodontic treatment and applying procedures to preserve pulp vitality
  • 85 - Undertaking conventional aesthetic procedures from a multidisciplinary perspective

Learning outcomes of the subject

  • 4.031 - Differentiate pain according to location
  • 4.032 - Differentiate pain according to origin
  • 4.033 - Differentiate pain according to duration
  • 4.034 - Differentiate pain according to the characteristic of the pain
  • 4.089 - Perform a proper medical history to assess the state of the pulp
  • 4.090 - Know how to organize the materials and instruments for endodontics, and treatment between patients
  • 4.091 - List the usual conducts and the most frequent variations in each tooth of the Arcade
  • 4.092 - Adopt the appropriate therapeutic approach to the different pulp and periapical entities that require root canal treatment
  • 4.093 - Isolate the operative field properly for a root canal treatment
  • 4.094 - Plan Properly the root canal treatment
  • 4.095 - Identify the material and instrumental useful in endodontics
  • 4.096 - Perform correct camera openings and locate the entrances to the root canals
  • 4.097 - Implement properly the ducts
  • 4.098 - Fill properly the ducts
  • 4.099 - Perform hand treatments of complete ducts on different teeth of the arcade
  • 4.100 - Perform in vivo ducts treatment in teeth with a difficulty level 1

Syllabus

THEORY  

 

Unit 1. Bases of endodontics.

Unit 2. Pulp pathology.

Unit 3. Periapical pathology.

Unit 4. Pulp diagnosis and dental clinical history.

Unit 5. Treatment plan in Endodontics

Unit 6. Preparing the surgical field.

Unit 7. Instrumental for preparation.

Unit 8. Chamber opening.

Unit 9. Pulp surgical anatomy.

Unit 10. Objectives of biomechanical preparation.

Unit 11. Instruments for preparation of canals.

Unit 12. Irrigation.

Unit 13. Objectives of restoration.

Unit 14. Tecniques of Obturation.

Unit 15. Prognosis in endodontics.

Unit 16. Emergency in endodontics.

Unit 17. Endodontic therapeutics of the immature tooth.

PRACTICAL SESSIONS  

 

  1. Assembly of teeth.
  2. Isolation of the operative field.
  3. Chamber opening and location of canals.
  4. Endodontic treatment in monoradicular mould.
  5. Endodontic treatment in multiradicular mould.
  6. Endodontic treatment of a monoradicular tooth.
  7. Endodontic treatment of premolar with two canals.
  8. Endodontic treatment of lower first molar.
  9. Endodontic treatment of upper first molar.

SEMINARS

 

Teaching and learning activities

In blended



  1. Knowledge-related dimension: The theoretical concepts of the subject will be explained through master classes and directed lectures. Seminars will be carried out to help students to interpret available data in order to appropriately carry out a diagnosis and treatment planning.
  2. Sensory and motor dimension: Practical training sessions (“preclinicals”) will be carried out in which the student will exercise on extracted teeth or resin models to acquire the dexterities needed for implementing the clinical techniques of endodontics.
  3. Affective dimension: Students may undertake non-directed reading, attend non-compulsory conferences, maintain contact with lecturers and researchers and, where appropriate, conduct monographic projects, individually or as part of a team, so as to maintain adequate motivation for broadening their knowledge, work in a team and collaborate toward the advancement of dentistry in general, and of endodontics in particular.

Evaluation systems and criteria

In blended



Theoretical examination: Final exam with multiple choice and/or short answer questions. Under special circumstances, and after aproval by the professors and academic secretary, the student can ask for an oral examination by a jury of two or more faculties. Entering the class when the lecture has started will not be allowed.

Practical sessions: Continuous assessment, complemented with a final evaluation exam.

Students must pass both the theoretical and practical blocks to pass the subject.

Final mark: Weighted sum of the marks in the theoretical and practical components (70% theoretical examination, 20% practical examination and 10% continuous assessment of practical sessions). Attendance at the practical part is mandatory. In case of more than two absences, the subject will be considered as not passed

Bibliography and resources

 

  1. Beer R, Bauman MA, Kim S. Atlas de endodoncia. Barcelona: Masson, 1998
  2. Cohen S, Burns RC. Pathways of the pulp. 7th ed. St. Louis: Mosby, 1997
  3. Frank AL y cols. Endodoncia clínica y quirúrgica. Barcelona: Labor, 1986
  4. Gutman JL y cols. Problems solving in endodontics. Prevention, identification and management. St Louis: Mosby, 1997
  5. Ingle JI, Bakland LK. Endodontics. 4ª ed. McGraw-Hill, 1997
  6. Stock CJR, Gulabivala K, Walker RT. Color atlas and text of endodontics. 2ª ed. St Louis: Mosby, 1995
  7. Trönstad L. Endodoncia clínica. Barcelona:Masson, 1993
  8. Walton RE, Torabinejad M. Endodoncia. Principios y práctica. 2ª ed. McGraw-Hill, 1997

Evaluation period

E: exam date | R: revision date | 1: first session | 2: second session:
  • E1 22/12/2020 A16 08:00h
  • E1 22/12/2020 A09 08:00h
  • E1 22/12/2020 A10 08:00h
  • R1 19/01/2021 A17 13:00h
  • E2 29/06/2021 A22 08:00h
  • E2 29/06/2021 A21 08:00h
  • R2 02/07/2021 A08 09:30h
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