Subject

Resolution of Endodontic Problems.

  • code 09718
  • course 1
  • term Anual
  • type OB
  • credits 3

Main language of instruction: English

Other languages of instruction: Catalan, Spanish

Teaching staff

Introduction

While conducting clinical endodontics one can be found with a number of problems as ledges, perforations, overinstrumentation. This course will focus on the prevention and resolution of these potential accidentents

Pre-course requirements

No previous requirements

Objectives

1. The student must be able to solve problems arising during diagnosis and treatment planning as well as during diagnosis of odontogenic pain.

2. To be able to solve problems relating to techniques of radiological images.
3. To be able to solve problems relating to the interpretation of dental radiographic images.

4. To be able to solve problems relating to the differential diagnosis of osseous deficiencies as a result of pulp and periapical pathology.

5. To be able to solve problems relating to the diagnosis of failure of the endodontic treatment.

6. To be able to solve problems relating to the diagnosis of pain of non-odontogenic origin.

7. To be able to solve problems relating to dental hypersensitivity and vital pulp therapy.

8. To be able to solve problems relating to isolation, pulp chamber openings and localization and identification of canals.

9. To be able to solve problems relating to the determination of working length.
10. To be able to solve problems relating to the conformation and instrumentation of canals.
11. To be able to solve problems relating to cleaning and disinfection of the canal system.
12. To be able to solve problems relating to the filling of root canals.
13. To be able to solve problems relating to compromised roots, the canal system and anatomical deviations. 14. To be able to solve problems relating to procedures prior to canal treatment.
15. To be able to solve problems while handling dental pain emergencies.

Syllabus

Part 1: Problem solving in diagnosis and treatment planning:

1. Problems in the diagnosis of odontogenic pain.
2. Problems in the radiological images techniques.
3. Problems in the interpretation of dental radiographic images.
4. Problems in the differential diagnosis of osseous deficiencies as a result of pulp and periapical pathology.
5. Problems in the diagnosis of failure of the endodontic treatment.
6. Problems in the diagnosis of pain of non-odontogenic origin.

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

7. Problems relating to dental hypersensitivity and vital pulp therapy.
8. Problems relating to isolation, pulp chamber openings and localization and identification of canals. 9. Problems relating to the determination of working length.
10. Problems relating to the conformation and instrumentation of canals.
11. Problems relating to cleaning and disinfection of the canal system.
12. Problems relating to filling the root canals.
13. Problems in compromised roots, canal system and anatomical deviations.
14. Problems relating to procedures prior to canal treatment.
15. Problems in handling dental pain emergencies.

Practical programme

The practices of the subject will be carried out in the laboratory of the university and will be considered (LAB). They will take up two hours per week throughout the term in which the subject is given.

The student will learn how to handle the different problems that will be given in the theoretical classes on teeth in vitro. At the end of the subject course the student must submit a CD with all the complications that have been dealt with, with X-rays, photographs, and/or videos of each case.

Under the minimum requirements, the student must submit at least:

• Handling and treatment of five calcified teeth.
• Handling and treatment of five teeth in which a ledge occurred and was overcome.
• Handling and treatment of five furcal perforations.
• Handling and treatment of five instruments fractured inside the canal.
• Handling and treatment of five teeth with open apexes.
• Handling and treatment of five molars in which the MP canal has been located and instrumented.

Teaching and learning activities

In person

The theoretical programme will be spaced over 15 two hour sessions, classified as Case Method for the analysis and resolution of clinical cases in class (CM), in which, in pairs and one day per week, the students must prepare a chapter backed up by visual support in power point. The students that do not present the chapter must send the teachers in charge of the subject a short resume in Word format to prove they have read each chapter.

There will be two sessions at the end of the subject course for answering questions 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.

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