Course Specification

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Unit aims

  1. To acquire and demonstrate a thorough understanding of the processes involved in pulpal inflammation, the pathogenesis of pulpal inflammation and apical periodontitis.
  2. To understand the importance of history, clinical/radiographic examination and special tests in determining an accurate diagnosis.
  3. Clinical scenarios with the results of appropriate radiographic investigations and special tests will be used to develop a systematic diagnostic process. Special attention will be given to interpreting 2-dimensional (and where appropriate 3-dimensional) imaging.
  4. The role of multifactorial pain, and in particular, non-odontogenic pain will be discussed, and examples given.

Learning outcomes

  1. Demonstrate an understanding of the physiology and anatomy of the pulp
  2. Explain and apply the principles of endodontic assessment, special tests and diagnosis

Unit aims

  1. To acquire and demonstrate a thorough understanding of the key principles of access cavity design in upper and lower teeth – incisors, canines, premolars and molars.
  2. Appreciate the necessity of rubber dam and methods of placement using a systematic approach
  3. Appreciate how ideal access cavities are based on sound knowledge of root canal anatomy correlated with careful study of pre-operative radiographs
  4. To understand the range and function of burs and piezo-electric ultrasonics to facilitate ideal access cavity preparation
  5. Appreciate how the use of magnification and light can retain maximum tooth structure yet allow all canals to be located.

Learning outcomes

  1. Demonstrate an understanding rationale, appropriate use and placement of rubber dam
  2. Relate knowledge of root canal anatomy with pre-operative radiographs& consider ideal access cavity designs on upper and lower incisors, canines, premolar and molars
  3. Demonstrate an understanding of how different burs and ultrasonic tips can be used to cut and modify an access cavity
  4. Demonstrate an understanding of the importance of additional light and magnification to cut access cavities

Unit aims

  1. To acquire and demonstrate a thorough understanding of the key principles of canal negotiation, glide path formation, canal preparation and consider adjuncts thereafter in order to adequately decontaminate the root canal system.
  2. Appreciate how canal negotiation facilitates glide path formation which subsequently allows safe root canal preparation
  3. Consider a variety of methods to achieve the same objectives
  4. Reflect on supplemental techniques to adequately decontaminate the the root canal system once the main canals are prepared

Learning outcomes

  1. Evaluate techniques to negotiate canals
  2. Demonstrate an understanding of glide paths
  3. Demonstrate an understanding canal preparation
  4. Evaluate methods to decontaminate a prepared root canal system

Unit aims

  1. To acquire and demonstrate a thorough understanding of the key principles of root canal obturation in order to entomb existing microbes and reduce recontamination of new microbes.
  2. Consider when a chemomechanically debrided root canal system is ready to obturate.
  3. Appreciate the importance of apical gauging for all obturation techniques.
  4. Reflect on the value of a well-fitting master cone in most obturation techniques.
  5. Compare and contrast different obturation methods in order to achieve the objectives

Learning outcomes

  1. Consider when a root canal is ready to obturate
  2. Demonstrate an understanding of the canal length, shape and size in order to select an appropriate obturation method and master cone if required
  3. Demonstrate an understanding five obturation methods
  4. Consider the importance of the coronal seal in an obturated canal

Unit aims

  1. To acquire and demonstrate a thorough understanding of the key principles of restoration of the root filled tooth
  2. Consider when and how to restore a root filled tooth
  3. Appreciate the importance of remaining dentine and occlusion on selecting appropriate restorative materials.
  4. Reflect on the role of a post to retain a core
  5. Compare and contrast different fabricated and pre-fabricated metal and non-metal posts

Learning outcomes

  1. Consider assessing the restoration of structurally compromised root canal treated teeth
  2. Demonstrate an understanding the need for a post
  3. Develop working knowledge of the form and function of direct cuspal overlay restorations
  4. Demonstrate an understanding of classification and management of cracked teeth

Unit aims

  1. To acquire and demonstrate a thorough understanding of the key principles of dento-alveolar trauma
  2. Consider the prevalence, common types and common causes of luxation injuries
  3. Consider the tissues affected, how they heal and how injury to the worst-affected tissues affects the management and prognosis of teeth
  4. Reflect on key aspects of history and examination of patients who gave sustained dento-alveolar trauma in order to specify the worst-affected tissues
  5. Consider an evidence-based approach to managing dento-alveolar trauma cases including immediate management and follow-up protocols
  6. Appreciate the prognosis of affected teeth and consider positive and negative predictors

Learning outcomes

  1. Demonstrate an understanding of the prevalence of dento-alveolar trauma
  2. Demonstrate an understanding of the types of luxation injuries
  3. Demonstrate an understanding of the common causes of luxation injuries
  4. Demonstrate an understanding of which tissues may be affected, how the injured tissues heal and how this impacts on management including splinting times
  5. Demonstrate an understanding history and examination of the injured patient
  6. Conclude the immediate management of luxation injuries

Unit aims

  1. To acquire and demonstrate a thorough understanding of the key principles of coronal disassembly
  2. Consider why, when and how a direct and indirect, intra-coronal and extra-coronal restoration can be removed
  3. Reflect on various methods of coronal restoration removal
  4. Appreciate the importance of assessment root integrity and restorability prior once the existing coronal restoration is removed

Learning outcomes

  1. Formulate a strategy for coronal disassembly
  2. Evaluate the different methods of coronal disassembly
  3. Appreciate the need to assess root integrity and tooth restorability once the coronal restoration is removed

Unit aims

  1. To acquire and demonstrate a thorough understanding of orthograde root canal retreatment
  2. Consider why, when and how orthograde root canal retreatment should be considered
  3. Appreciate the importance of having a sound restoration to work through when carrying out endodontic treatment
  4. Reflect on various methods of identifying the nature of the contents of the previously treated root canal system

Learning outcomes

  1. Formulate a strategy for deciding when orthograde root canal retreatment is indicated
  2. Appraise the pre-operative status of the tooth
  3. Develop a process for management of the root canal system once previous canal contents have been removed
  4. Consider additional factors specific to orthograde root canal retreatment

Unit aims

  1. To acquire and demonstrate a thorough understanding of the key principles of procedural (iatrogenic) errors and troubleshoot common problems encountered in endodontics.
  2. Consider why, when and how procedural errors occur and the philosophy of managing them
  3. Appreciate the most common procedural errors in endodontics, how they can be identified, prevented and subsequently managed.
  4. Consider iatrogenic and non-iatrogenic problems encountered during root canal treatment such as difficulties with anaesthesia, internal resorption, ledges, blockages, perforations and open apices.
  5. Evaluate methods that may be employed to overcome common endodontic problems

Learning outcomes

  1. Formulate a strategy to prevent or manage procedural errors
  2. Demonstrate an understanding of identifying and managing common endodontic problems

Unit aims

  1. To individually judge and demonstrate a thorough understanding of the concepts covered in all units of the course.
  2. Critically evaluate an anatomically conformative canal preparation technique
  3. Organise topics of your choice to review and consolidate skills under direct supervision on an individual basis
  4. Using clinical case scenarios, understandof key principles of decision making and treatment planning
  5. Debate, argue and justify various decision making and treatment planning decisions using scenarios
  6. Complete a final written assessment to validate learning

Learning outcomes

  1. Individually choose topics to consolidate skills acquired during the EndoArt course
  2. Demonstrate an understanding of anatomically conformative canal preparation
  3. Demonstrate an understanding of endodontic decision making and treatment planning
  4. Final written assessment and discussion

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