Universitat Internacional de Catalunya
Endodontic Treatment II
Other languages of instruction: Catalan, Spanish
Teaching staff
MSc,PhD Jordi Tomàs Aliberas -jtomas@uic.es
Introduction
Anaesthesia, pain control and anxiety in dentistry are very important factors in the clinical dynamics of the endodontist.
This subject aims to instruct the student in the manipulation of the anaesthetic material, safeguarding aseptic principles, knowledge of the drugs used and mastery of the main techniques, as well as the systemic considerations of the patient. The knowledge imparted will help reduce the patient's anxiety and perform endodontic treatments with the absence of pain.
Pre-course requirements
Knowledge of anatomy, physiology and pharmacology.
Objectives
To learn the origin of odontogenic pain and its pathways of propagation.
To be familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.
To provide the student with the theoretical, anatomical, physiological and pharmacological bases necessary for the control of pain.
To understand and master the locoregional anaesthesia techniques most frequently used in dentistry.
To know about all of the possible complications and to master how to treat them, as well as understand the limitations of local anaesthesia.
To know the guidelines for the pharmacological treatment of pain.
To train students in the correct manipulation of their instruments and material through a sterile and safe technique.
To train students to decide the appropriate anaesthesia technique for each patient and planned treatment.
To train students in the clinical use of analgesic drugs, personalising the therapeutic guidelines for each patient.
Competences/Learning outcomes of the degree programme
- CN01 - Identify with precision the most advanced technical processes related to endodontics.
- CN02 - Remember the theoretical and practical aspects of the methodology and work system in all fields of endodontics.
- CN03 - Carry out a critical analysis to rigorously assimilate the different scientific methodologies
- CP01 - Integrate into the endodontic scientific community in the form of publication of articles and participation in national and international conferences.
- CP02 - Resolve the main endodontic complications through the correct preparation of a treatment plan in the context of daily clinical practice.
- HB01 - Carry out an adequate and precise bibliographic search of the different endodontic treatments.
- HB02 - Apply different sources of information (scientific publications and gray literature) depending on the endodontic context found.
- HB03 - Manage the complexity of each endodontic case.
Learning outcomes of the subject
- - Biomedical Sciences - LEARNING OUTCOMES Title – CN01, CN04, HB04, HB16 Subject – Students will be able to: 1. Identify the main anatomical structures of the head and neck. 2. Recognize macro or microscopic anomalies or alterations that cause pathology in the oral cavity. 3. Identify the different pathogenic microorganisms by applying the necessary laboratory techniques. 4. Make a diagnosis of the different pathologies of the oral cavity based on the interpretation of the results obtained. 5. Analyze and interpret the results obtained to determine the impact of other complex systems. 6. Discuss the most appropriate actions or drugs for the treatment of diagnosed pathologies related to the oral cavity.
- - Diagnosis and Treatment Plan in Endodontics LEARNING OUTCOMES From title – CN01, HB03, HB05, HB12, HB14, HB18, HB20 Of matter – The students will be able to: 1. Solve the complications that undergraduate students have during their preclinical practices. 2. Make public presentations of their own clinical cases based on scientific literature, through the correct use of scientific terminology. 3. Debate and reason endodontic clinical techniques before a specialized and non-specialized audience in a clear and unambiguous way. 4. Determine the role of an endodontist within an interdisciplinary team. 5. Successfully plan, through prior analysis, any endodontic problem, as well as those directly related to restorative and aesthetic dentistry. 6. Identify and organize endodontic material and instruments in a precise and orderly manner. 7. Assess different therapeutic options for pulpo-periapical pathology according to the scientific literature. 8. Develop different isolation strategies for the surgical field to carry out a successful endodontic and restorative treatment
- - Scientific Bases in Endodontics - LEARNING OUTCOMES Title – CN02, HB06, HB07, HB11, HB13, HB17 Subject – Students will be able to: 1. Identify the etiology, etiopathogenesis and clinical presentation of pulpo-periapical pathologies in all its variations. 2. Differentiate the patient's pain based on its location, origin, pain and characteristics. 3. Apply a logical sequence of instrumentation, irrigation and obturation of the canal system, regardless of the degree of complexity of the case. 4. Classify the endodontic and restorative prognosis required by the different pulpo-periapical entities. 5. Select the most appropriate emergency treatment for each situation. 6. Design a drug administration plan in relation to pulpo-periapical pathology. 7. Modify your therapeutic strategy depending on the root status of the affected tooth. 8. Schedule the minimum radiographs necessary to perform a successful endodontic treatment without exposing the patient to excessive ionizing radiation.
- - Contemporary Scientific Evidence and Research Methods - LEARNING OUTCOMES Title – CN03, HB01, HB02, HB15, CP01 Subject – Students will be able to: 1. Classify the different phases of the research process in the field of life sciences health. 2. Distinguish between the different quantitative and qualitative research models, identifying the main advantages and limitations of the two models. 3. Structure an appropriate bibliographic search strategy in the main databases related to health sciences. 4. Access the documentary sources identified in the bibliographic search, download the documents and carry out a critical and rigorous analysis. 5. Describe the basic concepts related to sampling variables and obtaining quantitative data. 6. Design a research protocol based on the scientific method. 7. Justify the conduct of a research based on a prior presentation of objectives, questions and hypotheses related to the topic to be discussed. 8. Recognize the different types of scientific articles, their structure and characteristics and their publication standards.
- - Master's Thesis - LEARNING OUTCOMES Title – CN03, HB01, HB02, CP05 Subject – Students will be able to: 1. Define the main concepts of research in health sciences, as well as the different phases of the research process . 2. Distinguish between quantitative and qualitative research models, identifying the main advantages and limitations of both models. 3. Structure an appropriate bibliographic search strategy in the main databases related to health sciences, and evaluate the results obtained critically. 4. Describe the basic concepts related to measuring variables and obtaining quantitative data, as well as the different procedures for obtaining quantitative data and identifying them in published studies. 5. Write a scientific summary for the preliminary presentation of results at conferences and conferences, as well as prepare an oral communication and/or poster based on a research protocol based on the scientific method. 6. Develop a research project applying new techniques learned and managing time and resources. 7. Properly write the introduction, justification, objectives, hypotheses, state of the art, materials and methods, results, discussion and conclusions of your master's thesis. 8. Defend the "Master's Thesis" completed before a competent court in Dentistr
Syllabus
1. Anaesthetic techniques according to:
The pulpoperiapical diagnosis.
The degree of severity of pain.
The systemic conditions of the patient.
2. Indications and contraindications of anxiolytic, anti-inflammatory and antibiotic premedication. Dosage, form of dosage and systemic interactions.
3. Knowledge of the main systemic diseases that can affect our treatment.
4. Knowledge of the patient's medications and their interactions with endodontic treatment.
5. Management of intra-operative pain: Complications during treatment (extrusion hypochlorite, drain purulent exudate).
6. Pathophysiology of postoperative pain. Study of mediators of inflammation and tissue response.
7. Management of postoperative pain: Guideline for action in exacerbations (flare-up). Guideline medication, therapy and surgery.
8. Differential diagnosis between periodontal and pulpal-based pain.
9. Non-odontogenic-based pain: ATM - Muscular - Neurologic.
10. Guideline for action in paediatric patients.
Teaching and learning activities
In person
The student must attend and present an oral communication at two national conferences (AEDE or SEOC) and at an international congress (ESE or AAE).
Evaluation systems and criteria
In person
Student participation at seminars.
Examination of 25 short questions. A mark of 60% is required to pass the exam. The final grade is based 75% on the exam and 25% on participation in seminars.
Bibliography and resources
Papers from JOE and IEJ related to the subject.
Cohen S, Burns RC. Pathways of the pulp. 10th ed. St. Louis: Mosby, 2011
Gutmann JL and cols. Problems solving in endodontics. Prevention, identification and management. 5th St Louis: Mosby, 2012.
Ingle JI, Bakland LK. Endodontics. 6th ed. McGraw-Hill, 2008.