Subject

Resolution of Endodontic Problems.

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

Main language of instruction: English

Other languages of instruction: 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 arisen during diagnosis and treatment planning  and  diagnosis of odontogenic pain.

2. Being able to solve problems related to techniques of radiological images.

3. Being able to solve problems related to the interpretation of dental radiographic images.

4. Being able to solve problems related to the differential diagnosis of osseous deficiencies as a result of pulp and periapical pathology

5. Being able to solve problems related to the diagnosis of failure in the endodontic treatment.

6. Being able to solve problems related to the diagnosis of pain of non-odontogenic origin. 

7. Being able to solve problems related to dental hypersensitivity and vital pulp therapy.

8. Being able to solve problems related to isolation, pulp chambers opening and the localization and identification of canals.

9. Being able  to solve problems associated with the determination of working length.

10. Being able to solve problems associated with the transformation and instrumentation of canals.

11. Being able to solve problems related to cleaning and disinfection of the canal system.

12. Being able to solve problems related to the filling of root canals.

13 Being able to solve problems connected with  compromised roots,the canal  system and anatomical deviations.

14. Being able to solve problems and handling dental pain emergencies.

Competences / Learning outcomes of the degree programme

Students must be able by themselves to diagnose any problem that occurs during the endodontic treatment. They will also acquire the knowledge required for handeling from different of view.. This acquisition is achieved through learning, management and control of  the different materials, techniques and solution.

The student will be able to relate in a multidisciplinary context/environment in order to solve complex problems. They will also acquired self-learning abilities for developing new techniques through the acquisition (and practice) of new scientific concepts, as well as the search of new scientific information. The main objectives of the course are the detection and analyze of problems, the knowledge of methods of action and the development of training skills.

Learning outcomes of the subject

Students will be able to solve themselves any problem or nonsurgical endodontic retreatment despite its difficulty. 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

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 theory will be spaced in 15 two hour sessions, classified as Case Method for the analysis and resolution of clinical cases in class (CM). By pairs and one day a week, the students must prepare a chapter with a visual support in a power point or key note. The students that do not present the chapter must send the teachers in charge of the subject a short resume in a Word format .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.

 

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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