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مها منصور محمد الغفيلي

Demonstrator

Faculty

كلية طب الأسنان
KSU,MUC,3rd floor
malghofaily@ksu.edu.sa
course

Clinical Course 422 RDS

King Saud University, College of Dentistry
Department of Restorative Dental Sciences
 
DIVISION OF ENDODONTICS
 
 
423 RDS
Clinical Endodontic Procedures
Academic Year 2013 - 2014
 
 
 
Course Directors
 
Dr. Tarik M. Al-jabreen (DUC)
Dr. Sara A. Alsubait (MUC)
 
 
 
 
 
COURSE DESCRIPTION AND OBJECTIVE
 
Course Description:
This course is given to the 4th year level students who have successfully completed course 323 RDS in theory and practical part. It continues with the endodontic instruction learned in 323 and elaborates on the theoretical part, while giving students clinical experience and exposure to actual patient treatment. The emphasis of the course is the integration between the clinical and biological principles. The students will be trained to treat, clinically, endodontically involved anterior and posterior teeth. In addition, they will be trained to manage endodontic emergencies, and follow up endodontic lesions.
 
The Course Components:
            The course is composed of lecture and clinical components, in which the students must learn to recognize, diagnose and treat pulpally and periapically involved teeth. Students will also learn to relate endodontics to various dental disciplines.
 
Concepts & Skills:
Upon completion of 423 RDS, students will be able to:

  1. Diagnose endodontic pain by organizing pain history, symptoms and clinical findings in a systematic manner.
  2. Utilize endodontic tests to determine pulp vitality.
  3. Treat, clinically, endodontically involved anterior and posterior teeth with non-surgical root canal therapy.
  4. Perform non-surgical root canal re-treatment in indicated cases.
  5. Use new endodontic technologies; such as apex locators and 
rotary instrumentation.
  6. Differentiate cases that need adjunctive therapy, specialist treatment, endodontic surgery and further restorative treatment properly.
  7. Plan and refer the treated cases for appropriate restoration.
  8. Recall treated patients and be aware of the value of post-operative follow-up.

COURSE REQUIREMENTS
 
It is expected that each student will:

  1. Attend all the lectures, quizzes, exams and clinical sessions.  Absences will be looked upon with disfavor and it will be reported to the administration when it reaches 25% or above.

 

  1. The following minimum requirements MUST be completed:
    1. Two anterior teeth.
    2. Two premolars; one with single canal and the other with two canals.
    3. Two molars; one upper and one lower molar. Third molar teeth should not be treated.
    4. A retreatment case. Tooth should be with 1 or 2 canals. This will be considered as both a retreatment case and one of the above requirements.
    5. Two recall case, with a minimum of 3 months passed from treatment, and they must be restored.

 

  1. Preventive endodontic therapy and management of deep carious lesions (caries control), and other procedures approved by the instructor are considered as part of the course.

 
 
 
 
 
 
 
 
 
 
 
 
COURSE GRADING
 

Quizzes 5%
Assignment 5%
Midterm 10%
Final 20%
Clinical competency examination 10%
Requirements 50%
Total 100%
 

 
N.B:

  • Student must pass the theoretical and practical parts, including the clinical competency examination.
  • Cases that are of poor quality, and considered for retreatment will not be credited as requirements.

 
 
CLINICAL COMPETENCY EXAMINATION
Aim:
To assess whether the student can demonstrate, clinically, competence in performing the following skills:

  • Diagnose pulpal and periapical pathosis.
  • Apply different types of anesthesia (primary and supplementary).
  • Apply different isolation methods.
  • Perform a well-designed access cavity in single-rooted tooth.
  • Shaping and cleaning of single-rooted tooth.
  • Obturation of the shaped and cleaned single-rooted tooth.
  • Place the appropriate temporary restoration.
  • Refer for appropriate coronal restoration.
  • Manage time with relation to getting a history, arriving at a diagnosis and providing treatment.
  • Communicate with patient, dental assistant and instructor.

 
Time:
Student will select the appropriate clinical session for her, and evaluators. It should be in the second semester. YOU WILL DECIDE THE TIME. However, you should inform the course director minimum 1 week in advance.
 
Case:
Again, YOU WILL SELECT THE CASE. The tooth should be:

  1. Single-rooted, single-canaled tooth. Anterior or premolar.
  2. Restorable.

 
Evaluators:
The course director and one of 423 RDS clinical instructors will evaluate the case. If you didn’t pass this exam for any reason, you have the chance to redo the exam. However, you will be evaluated in the second case out of 8 instead of 10. IF YOU DON’T PASS THIS EXAM YOU WON’T PASS THE COURSE.
 
N.B:

  • This case will be considered as both a clinical exam case and one of the above-mentioned requirements.
  • You should finish your treatment in a maximum of 2 weeks.

 
 
REQUIRED TEXTBOOK
 
Pathways of the pulp 10th ed. By: Hargreaves and Cohen.
Additional reading:

  • Endodontics 6th ed. by: Ingle, Bakland and Baumgartner.
  • Principles & Practice of Endodontics 4th ed. by: Walton & Torabinejad.

 
 
INSTRUCTORS
To be announced.
LECTURE SCHEDULE
 

Date Title Faculty
Sept 1st, 2013 Introduction Dr. S. Alsubait
Sept 8, 2013 Clinical Diagnostic Procedures Dr. S. Alsubait
Sept 15, 2013 Clinical Endodontics I Dr. S. Alsubait
Sept 22, 2013 Clinical Endodontics II Dr. S. Alsubait
Sept 29, 2013 Nonsurgical Retreatment
 (Quiz # 1)		 Dr. S. Alsubait
Oct 6, 2013 Restoration of Endodontically Treated Tooth Dr. E. Almadi
Oct 13 & 20, 2013 Hajj Vacation  
Oct 27, 2013 Management of Endodontic Emergencies Dr. H. Balto
Nov 3, 2013 Midterm Exam Dr. S. Alsubait
Nov 10, 2013 Endodontic and Periodontal Interrelationships Dr. S. Basoudan
Nov 17, 2013 The Role of Endodontics After Dental Traumatic Injuries Dr. R. Alsulaimani
Nov 24, 2013 Discoloration & Bleaching
 (Quiz # 2)		 Dr. R. Alsulaimani
Dec 1st, 2013 Periradicular Surgery Dr. D. Alsudani
Dec 8, 2013 Prognosis of Root Canal Therapy Dr. R. Alsulaimani
Dec 15, 2013 New Trends in Endodontics Dr. D. Alsudani
Dec 22, 2013 Review Dr. S. Alsubait
Dec 29, 2013 Final Exam  
 

 
 
LECTURE OUTLINE AND LEARNING OBJECTIVES
 

  1. Introduction
    1. Review of objectives and requirements of the course.
    2. Introduction to all endodontic forms to be used in the clinic.
    3. Documentation of procedures and treatment.
    4. Clinical Protocol.

 

  1. Clinical Diagnostic Procedures
    1. Systematic approach to endodontic diagnosis.
    2. Taking chief complaint, medical and dental history.
    3. Endodontic radiography (buccal objective rules).
    4. Diagnosis and treatment planning.

 

  1. Clinical Endodontics I
    1. Local anaesthesia and supplementary injection techniques.
    2. Isolation: its importance, difficulties & management.
    3. Access cavity preparation.
    4. Length determination.

 

  1. Clinical Endodontics II
    1. Canal preparation techniques (hand and rotary instrumentation).
    2. Canal cleaning techniques.
    3. Importance of effectively sealing the root canal system.
    4. Timing of obturation.
    5. Preparation for obturation.
    6. Methods of obturation.

 

  1. Nonsurgical Retreatment
    1. Etiology of posttreatment disease.
    2. Diagnosis of posttreatment disease.
    3. Treatment planning.
    4. Nonsurgical endodontic retreatment.

 

  1. Restoration of endodontically treated tooth
    1. Special features of endodontically treated teeth.
    2. Restorative materials and options.
    3. Pretreatment evaluation and treatment strategy.

 

  1. Management of Endodontic Emergencies
    1. Emergency classifications.
    2. Emergency endodontic management.
    3. Analgesics and antibiotics.
    4. Cracked and fractured teeth.

 

  1. Endodontic and Periodontal Interrelationships
    1. Influence of pulpal pathologic condition on the periodontium.
    2. Influence of periodontal inflammation on the pulp.
    3. Differential diagnosis.
    4. Treatment alternatives.

 

  1. The Role of Endodontics After Dental Traumatic Injuries
    1. Classification – World Health Organization.
    2. Radiographic examination.
    3. Clinical management.
    4. Follow-up after dental trauma.

 

  1. Discoloration and Bleaching
    1. Causes of tooth discoloration.
    2. Contraindications to bleaching.
    3. Methods of bleaching discolored teeth:
    4. Veneering discolored teeth.

 

  1. Periradicular Surgery
    1. Indications for periradicular surgery.
    2. Periradicular surgery.
    3. Postoperative care.

 

  1. Prognosis of Root Canal Therapy
    1. Describe the importance of recall.
    2. Describe modalities used to determine success and failure.
    3. Factors determine success and failure.
    4. Identify causes other than endodontic that may lead to failure.

 

  1. New Trends in Endodontics
    1. Mechanical preparation.
    2. Ultrasonic irrigation.
    3. Radiographic methods.
    4. Thermoplasticized obturation (materials and mechanism).

 
GOOD LUCK
 

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