Universitat Internacional de Catalunya

Advanced Clinic

Advanced Clinic
25
15397
1
Annual
OB
Main language of instruction: English

Other languages of instruction: Catalan, Spanish

Teaching staff


Dr. ABELLA SANS, Francesc - franabella@uic.es

Student support channels include one-on-one or small-group tutoring sessions (in-person at the clinic or virtual by appointment), virtual campus discussion boards, and assistance via institutional email. Responses to academic or clinical inquiries are guaranteed within a maximum of 48 business hours.

Introduction

Clinical practice with patients will be carried out under the direct supervision of a faculty member in the discipline. To participate, students must have previously passed the Clinical Practice I subject and demonstrated the achievement of patient care competencies in cases of initial and intermediate complexity. Access to advanced clinical practice will be individualized, taking into account the student's autonomy, diagnostic judgment, and demonstrated skills. This subject will emphasize the treatment of complex endodontic cases, retreatments, endodontic surgery cases, and the resolution of clinical accidents or complications.

Pre-course requirements

Having passed the Clinical Practice I subject, as well as having demonstrated full mastery of the diagnostic, radiological (CBCT), and operative field isolation workflow. This requirement ensures that the student possesses the necessary confidence and practical experience to undertake surgical procedures, complex retreatments, and situations involving high anatomical difficulty or extensive crown destruction.

Objectives

The main objective is to perform high-complexity endodontic treatments both at the CUO facilities and in affiliated external internship centers. Students must thoroughly document all cases (using clinical photography, digital radiography, CBCT records, and video-microscopy) for subsequent discussion and critical review during advanced clinical sessions.

Under faculty supervision, the student must be able to:

  • Plan and execute non-surgical endodontic retreatments, including the removal of obturation materials, posts, and separated instruments.

  • Manage complex anatomies (calcified canals, severe curvatures, open apices, internal and external root resorptions).

  • Design and perform endodontic surgery procedures (apicoectomies, retrograde obturation).

  • Perform advanced vital pulp therapy and endodontic revascularization/regeneration procedures.

  • Resolve complications and iatrogenic accidents (perforations, ledges, false canals) using bioceramics and magnification tools.

  • Integrate complex post-endodontic restoration protocols (fiber posts, direct and indirect adhesive reconstructions).

  • Structure and present clinical sessions interprofessionally before multidisciplinary teams (Periodontics, Prosthodontics, Surgery).

  • Consolidate critical analysis skills and applied research in advanced clinical practice.

Competences/Learning outcomes of the degree programme

  • CN01 - Precisely identify the most advanced technical processes related to endodontics.

  • CN04 - Recognize the origin and development of different oral cavity pathologies through the cross-disciplinary integration of biomedical sciences.

  • CP04 - Build collaborative synergies with professionals from other areas and disciplines by designing joint action strategies.

  • HB03 - Manage the complexity of each endodontic case.

  • HB04 - Classify endodontic cases into low, moderate, or high complexity.

  • HB05 - Apply multidisciplinary knowledge acquired from other fields (periodontics, restorative dentistry, and orthodontics) to endodontic problems.

  • HB07 - Combine prevention and management strategies for common endodontic complications (perforations, ledges, separated instruments, etc.).

  • HB08 - Demonstrate high proficiency in applying both conventional and advanced techniques in therapeutic dental pathology.

  • HB09 - Approach complex clinical scenarios with rigor, including endo-periodontal lesions, root resorptions, and non-odontogenic pain.

  • HB10 - Select and apply the most appropriate materials for pulp regeneration, vital pulp therapy, and dental traumatology.

  • HB12 - Plan a defined and suitable protocol when managing endodontic failures.

  • HB16 - Integrate three-dimensional radiological advances into the analysis of diverse endodontic conditions.

Learning outcomes of the subject

Course learning outcomes – Students will be able to:

  • Autonomously diagnose and manage the resolution of endodontic treatments involving high anatomical and/or technical difficulty.

  • Design and execute non-surgical and surgical retreatment plans backed by contemporary scientific evidence.

  • Resolve iatrogenic complications using magnification (operating microscope), ultrasound, and bioceramic materials.

  • Present and discuss complex clinical scenarios before a multidisciplinary team (restorative dentistry, periodontics, surgery).

  • Comprehensively manage the long-term follow-up and evaluation of success or failure in executed advanced endodontic procedures.

Syllabus

This subject delves into the clinical care of patients with complex endodontic pathology, requiring students to demonstrate a high degree of clinical reasoning, autonomy, and problem-solving ability. Practical contents include:

  • Diagnosis and management of complex endodontic cases (severely curved, obliterated, or split canals).

  • Endodontic retreatment techniques (removal of gutta-percha, resins, and cements; bypass or retrieval of separated instruments; post removal).

  • Repair of defects and complications (furcation or root perforations, sealing ledges, and management of root resorptions).

  • Introduction to and practice of endodontic surgery (retrograde cavity preparation and sealing).

  • Advanced management of dental trauma, apexification and apexogenesis procedures, and pulp regeneration/revascularization therapies.

  • Rigorous documentation and presentation of clinical cases using clinical photography and digital tools.

Teaching and learning activities

In person



Students will attend the CUO clinical facilities or affiliated centers to undertake direct clinical practice with patients. These activities will be carried out under the continuous supervision of specialized faculty. Key components include:

  • Direct clinical care: Diagnosis, planning, and execution of high-complexity treatments.

  • Clinical case discussion sessions: Debate surrounding pre- and post-intervention photographic, radiological, and CBCT documentation.

  • Practice with magnification: Routine integration of operating microscopes and ultrasonic tools into daily clinical practice.

Evaluation systems and criteria

In person



  • Continuous clinical evaluation (60%): Daily assessment of attitudes, skills, adherence to safety protocols, ergonomics, and patient care during activities at the CUO/affiliated centers.

  • Completed and documented cases requirement (30%): Completion and submission of the required number of completed complex treatments/retreatments (determined by the master's degree directorship), accompanied by their corresponding photographic and radiographic portfolio.

  • Clinical session defense (10%): Public presentation and evidence-based scientific defense of the most complex cases performed during the course.

Bibliography and resources

The bibliography used in each case presentation will be based on the literature reviewed during the theoretical course seminars and the consultation of updated, high-impact scientific articles (from the last 5 years).

  • Reference scientific journals:

    • Journal of Endodontics (JOE)

    • International Endodontic Journal (IEJ)

    • Dental Traumatology

  • Advanced textbooks:

    • Ingle's Endodontics – Rotstein & Ingle.

    • Endodontics: Principles and Practice – Torabinejad, Fouad & Rivera.

    • Endodontic Microsurgery – Enrique Merino.

  • Digital resources: CBCT visualization software (Romexis, Sidexis), search platforms (PubMed, Web of Science).

Print version