Subject

Resolution of Endodontic Problems

  • code 12274
  • course 1
  • term Anual
  • type OB
  • credits 1

Main language of instruction: English

Other languages of instruction: Catalan, Spanish,

Teaching staff

Head instructor

Dr. Francesc ABELLA - franabella@uic.es

Office hours

Dr. José Antonio González - jagonzalez@uic.es

Introduction

During endodontic treatment, we may have to deal with a number of problems related to diagnosis, isolation, coronal access, irrigation, instrumentation, obturation and retreatment. This subject focuses on the prevention and resolution of these potential problems.

Pre-course requirements

No previous requirements

Objectives

The main objectives of the course are the detection and analysis of problems, the knowledge of methods of action and the development of training skills in order to solve any problems associated with:

Diagnosis and treatment planning and the diagnosis of odontogenic pain.

Techniques of radiological images.

The interpretation of dental radiographic images.

The differential diagnosis of osseous deficiencies as a result of pulp and periapical pathology.

The diagnosis of failure in the endodontic treatment.

The diagnosis of pain of non-odontogenic origin.

Dental hypersensitivity and vital pulp therapy.

Isolation, pulp chamber opening and the localization and identification of root canals.

The determination of working length.

The transformation and instrumentation of root canals.

Cleaning and disinfecting the root canal system.

The filling of root canals.

Compromised roots, the root canal system and anatomical deviations.

Problem-solving and handling dental pain emergencies.

Competences / Learning outcomes of the degree programme

Students will be expected to:

Diagnose any problem that occurs during endodontic treatment.

Acquire the knowledge required to manage treatment from different points of view. This is achieved through learning, management and control of the different materials, techniques and solutions.

Argue and defend their own scientific ideas as well as to listen, analyse, evaluate and respond to the ideas of others.

Acquire learning skills that allow them to continue studying in a self-directed and autonomous manner.

Understand how to provide a basis or opportunity for originality in developing and/or applying ideas in a research context.

Apply acquired knowledge and develop a problem-solving ability in new environments within broader (or multidisciplinary) contexts related to the field of study in question.

Communicate their conclusions and the essential concepts that support them to specialised and non-specialised audiences in a clear and unambiguous way.

Apply the appropriate diagnostic techniques and correctly interpret the results derived from them.

Be familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.

Demonstrate the ability to integrate new knowledge acquired through research and study, and deal with complexity.

Know how to identify the concerns and expectations of patients, as well as how to communicate effectively and clearly, both orally and in writing, with patients, family members, the media and other professionals.

Know how to apply the correct principles to control anxiety and stress in themselves, in patients and in other members of the dentistry team.

Understand and recognise the principles of ergonomics and safety at work (including the control of cross infection, radiation protection and occupational and biological diseases).

Learning outcomes of the subject

It is hoped that students will be able to:

Solve by themselves any problem or nonsurgical endodontic retreatment no matter how difficult. In addition, according to the specific literature, they may adapt the different techniques described and they will know the success rates of their procedures according to the problem.

Adopt the appropriate therapeutic approach to the different pulp and periapical entities that require root canal treatment.

Identify and treat calcified teeth.

Manage and treat teeth in which ledge formation has occurred.

Manage and treat teeth with furcal perforations.

Manage and treat teeth with fractured instruments inside the root canal.

Manage and treat teeth with open apices

Make an adequate diagnosis and treat dental emergencies related to trauma or pulpoperiapical pathosis.

Manage and treat extrusion of irrigators beyond the periapical region.

Syllabus

Part 1: Problem solving in diagnosis and treatment planning:

Problems in the diagnosis of odontogenic pain.

Problems with radiological image techniques.

Problems in the interpretation of dental radiographic images.

Problems in the differential diagnosis of osseous deficiencies as a result of pulp and periapical pathology.

Problems in the diagnosis of endodontic treatment failure.

Problems in the diagnosis of pain with a non-odontogenic origin.

 

Part 2: Problem solving in non-surgical treatment of root canals:

Problems relating to dental hypersensitivity and vital pulp therapy.

Problems relating to isolation, pulp chamber openings and localisation and identification of root canals.

Problems relating to the determination of working length.

Problems relating to the conformation and instrumentation of root canals.

Problems relating to cleaning and disinfection of the root canal system.

Problems relating to filling root canals.

Problems with compromised roots, the root canal system and anatomical deviations.

Problems relating to procedures prior to root canal treatment.

Problems in handling dental pain emergencies.


Practical programme

The practical elements of the subject will be carried out in the laboratory of the university (LAB). They will take up two hours per week throughout the term in which the subject is taught.

Students will learn how to handle the different problems covered in the theoretical classes on teeth in vitro. At the end of the course, the student must submit a CD with all the complications that have been dealt with, with radiographs, photographs, and/or videos of each case.

Teaching and learning activities

In person

The theory content will be split over 15 two-hour sessions, classified as Case Method for the analysis and resolution of clinical cases in class (CM). In pairs and one day a week, students must prepare a presentation on a subject with visual support. Any students that do not present must send the teachers in charge of the subject a short resume to demonstrate they have read up on each subject. There will be two sessions at the end of the course for answering any queries and for the final exam.

Evaluation systems and criteria

In person

Theory exam comprising of 30 questions. A minimum of 70% correct answers is required to pass the exam.

Bibliography and resources

Problem Solving in Endodontics. Prevention, identification and Management. Gutmann, James L; Lovdahl, Paul E. Elsevier Mosby. 5th edition. 2010.

Advanced Endodontics. Clinical Retreatment and Surgery. John S Rhodes. Ed. 2006.

Problems in Endodontics: Etiology, Diagnosis and Treatment. Michael Hülsmann, Clemens Bargholz, Claudia Barthel. Quintessence, 2009.

Pathways of the Pulp. Stephen Cohen, Kenneth M. Hargreaves. Elsevier Mosby, 2011.

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