422 RDS Clinical Endodontic Procedures

1. 422 RDSClinical Endodontic Procedures Course Director Dr Ebtissam Al-Madi

2. Endodontics That branch of dentistry concerned with the morphology, physiology, and pathology of the human dental pulp and periradicular tissues. 2 Introduction to Clinical Endodontics E. Al-Madi

3. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention, and treatment of diseases and injuries of the pulp and associated periradicular tissues. 3 Introduction to Clinical Endodontics E. Al-Madi

4. Skills to acquire in 433 RDS Develop a systematic approach to diagnosis of endodontic pain by organizing clinical findings, symptoms and pain history. 4 Introduction to Clinical Endodontics E. Al-Madi

5. Clinically record the status of the pulpal and periapical tissue through clinical and radiographic examinations. 5 Introduction to Clinical Endodontics E. Al-Madi

6. Utilize endodontic tests to determine pulp vitality. 6 Introduction to Clinical Endodontics E. Al-Madi

7. Establish a differential diagnosis of odontogenic and non-odontogenic pain. 7 Introduction to Clinical Endodontics E. Al-Madi

8. Establish a differential diagnosis between endodontic and periodontal disease. 8 Introduction to Clinical Endodontics E. Al-Madi

9. Be familiar with major pulpal and periapical pathology and their sign and symptoms. 9 Introduction to Clinical Endodontics E. Al-Madi

10. Plan and deliver routine non-surgical endodontic treatment to patients with pulpal and periapical disease. 10 Introduction to Clinical Endodontics E. Al-Madi

11. Select or differentiate cases for treatment or referral based on knowledge, experience and ability. E. Al-Madi Introduction to Clinical Endodontics 11

12. Determine the prognosis of the treated tooth E. Al-Madi Introduction to Clinical Endodontics 12

13. Recognize the need for endodontic surgery in appropriate cases. 13 Introduction to Clinical Endodontics E. Al-Madi

14. Identify the need for adjunctive procedures subsequent to endodontic therapy. E. Al-Madi Introduction to Clinical Endodontics 14

15. Plan and refer case for appropriate restoration. E. Al-Madi Introduction to Clinical Endodontics 15

16. Recall treated patients, and be aware of the value of post-operative follow-up (recall), and continuing prognosis. E. Al-Madi Introduction to Clinical Endodontics 16

17. Diagnose, evaluate and perform retreatment on suitable cases. 17 Introduction to Clinical Endodontics E. Al-Madi

18. Be exposed to trauma cases, emergency cases, endo-perio cases, bleaching and preventive therapy cases. E. Al-Madi Introduction to Clinical Endodontics 18

19. Exposure to new endodontic technologies; such as apex locators, rotary instrumentation, innovations in irrigation, and contemporary obturation techniques. 19 Introduction to Clinical Endodontics E. Al-Madi

20. Previously in 322 RDS

21. Theory-322 Case Selection, Indication & Contraindication to Endodontic therapy Endodontic Instruments and Isolation Endodontic Access Opening Root Canal Preparation Root Canal Filling materials and Obturation Endodontic Radiography and Local Anesthesia 21 Introduction to Clinical Endodontics E. Al-Madi

22. Theory-322 Intracanal Medication Endodontic Mishaps Histology and Physiology of the Pulp Microbiology and Immunology Pulp Reaction to Caries and Dental Procedures Pulpal Diseases Periradicular Disease 22 Introduction to Clinical Endodontics E. Al-Madi

23. Practical- 322 Minimum 3 anterior roots Minimum 2 premolar roots (including two-canal premolar) Minimum 4 molar teeth 23 Introduction to Clinical Endodontics E. Al-Madi

24. 422 RDS Clinical Endodontic Procedures Overview

25. Theoretical components Clinical Diagnostic Procedure Preparation for Clinical Endodontic Therapy Clinical Endodontics Endodontic Re-treatment Restoration of Endodontically treated teeth Endodontic Emergency Treatment 25 Introduction to Clinical Endodontics E. Al-Madi

26. Traumatic Dental Injuries Endodontic-Periodontal Relation Prognosis of Root Canal Therapy Endodontic Surgery Discoloration and Bleaching New Trends in Endodontics 26 Introduction to Clinical Endodontics E. Al-Madi

27. Clinical Requirements  A minimum of: Two (2) single rooted teeth: U/L anterior, or U/L premolar One (1) premolar with two canals Three (3) molars: U/L 1st + 2nd molars NO 3rd molars Retreatment case Two (2) recall case: From your own cases, must be restored 27 Introduction to Clinical Endodontics E. Al-Madi

28. Required Textbook Principles & Practice of Endodontics Walton & Torabinejad 3rd ed (2002) 28 Introduction to Clinical Endodontics E. Al-Madi

29. Grading Theory = 50% Assignments (5) Quizzes (5) Oral exam (10) Midterm (10) Final (20) Clinic =50% Attendance (2) Requirements (45) Daily knowledge evaluation (3) Bonus = (+5) 29 Introduction to Clinical Endodontics E. Al-Madi

30. E. Al-Madi Introduction to Clinical Endodontics 30

31. Clinical Requirements Point system to include: Difficulty of case (patient factor) Number of canals Curvature of the canals Accessibility of the tooth Retreatment case (removal of GP) Caries control Vital pulp therapy Extra procedure (build-up, gingivectomy, etc.) 31 Introduction to Clinical Endodontics E. Al-Madi

32. Initial access and pulp extirpation Completed case (all endodontically involved teeth in pt) Partial procedures (incomplete pt�s) Restoration of case recall Cases that are of poor quality, and considered for retreatment will not be credited as requirements. 32 Introduction to Clinical Endodontics E. Al-Madi

33. Clinical Protocol (Attendance =2) Prompt attendance. Clean & tidy attire & clinic. Infection control measures. Patient must be booked. Working without a rubber dam is prohibited. Every procedure & file must be signed before 4:30pm. 33 Introduction to Clinical Endodontics E. Al-Madi

34. Clinical Protocol You are not allowed to leave the clinical hall before 4:30 P.M. You must be ready for the step you are going to perform that day. (Daily Knowledge=3) Present cases to the course director as soon as you finish the case. 34 Introduction to Clinical Endodontics E. Al-Madi

35. Clinical Forms Start check must be signed BEFORE any procedure. Instructor's signature for each step. Sign each procedure as soon as you perform it. Fill in all fields of your endodontic form. Complete set of radiographs. 35 Introduction to Clinical Endodontics E. Al-Madi

36. 36 Introduction to Clinical Endodontics E. Al-Madi

37. 37 Introduction to Clinical Endodontics E. Al-Madi

38. Expectations (i.e. How to ACE this course) Read lectures daily (weekly) Prepare yourself for clinic (know what you are doing + why- have all your materials ready) Plan ahead for clinics- use your time wisely Preview next week lesson 38 Introduction to Clinical Endodontics E. Al-Madi

39. Today�s Clinic Everyone will have a pt, or practice on each other: Take a history Fill out forms Take radiographs Book patient for following week 39 Introduction to Clinical Endodontics E. Al-Madi

40. Today�s Assignment Start your log book Review Ch. 2 + 3 Biology of the dental pulp and periradicular tissues Pulp and periradicular pathosis Review syllabus 40 Introduction to Clinical Endodontics E. Al-Madi

41. Next lesson- Preview Clinical Diagnostic Procedure Pulpal responses to testing methods Documentation of pulpal responses and related data Diagnostic perplexities (sinus tract, numbness, persistent discomfort, cracked tooth syndrome, idiopathic tooth resorption, and failure cases) Systematic approach to endodontic diagnosis Diagnosis and treatment planning Give cases presentation showing the sequences used to determine diagnosis 41 Introduction to Clinical Endodontics E. Al-Madi