1. 422 RDS Clinical Endodontic Procedures
Course Director
Dr Ebtissam Al-Madi
Welcome

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

3. Introduction to Clinical Endodontics
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.
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Introduction to Clinical Endodontics

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

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

6. Introduction to Clinical Endodontics
Utilize endodontic tests to determine pulp vitality.
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Introduction to Clinical Endodontics

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

8. Introduction to Clinical Endodontics
Establish a differential diagnosis between endodontic and periodontal disease.
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Introduction to Clinical Endodontics

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

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

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

12. Introduction to Clinical Endodontics
Determine the prognosis of the treated tooth
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Introduction to Clinical Endodontics

13. Introduction to Clinical Endodontics
Recognize the need for endodontic surgery in appropriate cases.
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Introduction to Clinical Endodontics

14. Introduction to Clinical Endodontics
Identify the need for adjunctive procedures subsequent to endodontic therapy.
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Introduction to Clinical Endodontics

15. Introduction to Clinical Endodontics
Plan and refer case for appropriate restoration.
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Introduction to Clinical Endodontics

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

17. Introduction to Clinical Endodontics
Diagnose, evaluate and perform retreatment on suitable cases.
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Introduction to Clinical Endodontics

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

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

20. Previously in 322 RDS

21. Introduction to Clinical Endodontics
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
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Introduction to Clinical Endodontics

22. Introduction to Clinical Endodontics
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
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Introduction to Clinical Endodontics

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

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
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Introduction to Clinical Endodontics

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

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
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Introduction to Clinical Endodontics

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

29. Introduction to Clinical Endodontics
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)
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Introduction to Clinical Endodontics

30. Introduction to Clinical Endodontics
Type
Grade
Description
Assignments 5
1st Sem: Homework reports
Quizzes
1st Sem: 3 quizzes
Oral exam 10
2nd Sem:
Midterm
1st Sem: after 7th lect
Final 20
1st Sem:
Attendance 2
Year long- Lect & Clinic
Requirements 45
Clinical req
Daily knowledge evaluation 3
During clinic
Bonus +5
Reports and online discussions
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Introduction to Clinical Endodontics

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.)
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Introduction to Clinical Endodontics

32. Introduction to Clinical Endodontics
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.
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Introduction to Clinical Endodontics

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.
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Introduction to Clinical Endodontics

34. Introduction to Clinical Endodontics
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.
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Introduction to Clinical Endodontics

35. Introduction to Clinical Endodontics
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.
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Introduction to Clinical Endodontics

36. Introduction to Clinical Endodontics
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37. Introduction to Clinical Endodontics
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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
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Introduction to Clinical Endodontics

39. Introduction to Clinical Endodontics
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
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Introduction to Clinical Endodontics

40. Introduction to Clinical Endodontics
Today’s Assignment
Start your log book
Review Ch
Biology of the dental pulp and periradicular tissues
Pulp and periradicular pathosis
Review syllabus
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Introduction to Clinical Endodontics

41. Introduction to Clinical Endodontics
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
CH.4
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Introduction to Clinical Endodontics