.
Preclinical and Clinical Course in Endodontics
Study Course Description
Course Description Statuss:Approved
Course Description Version:5.00
Study Course Accepted:01.08.2024 12:56:32
| Study Course Information | |||||||||
| Course Code: | ZTMVK_059 | LQF level: | Level 7 | ||||||
| Credit Points: | 4.00 | ECTS: | 6.00 | ||||||
| Branch of Science: | Clinical Medicine | Target Audience: | Dentistry | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Aleksandra Kārkle | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Conservative Dentistry and Oral Health | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 20 Dzirciema Street, tsk rsu[pnkts]lv, +371 67455560 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 7 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 14 | ||||
| Classes (count) | 12 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 36 | ||||
| Total Contact Hours | 50 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 13 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 52 | ||||
| Total Contact Hours | 52 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Oral anatomy, oral histology, dental embryology, pulp histology, physiology, oral microbiology, immunology, radiology, dental hard tissue pathology. | ||||||||
| Objective: | To acquire theoretical knowledge and practical skills in the etiology, diagnosis, prevention and treatment of pulp and apical periodontal tissue diseases. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Introduction in Endodontic course.The anatomy and morphology of the teeth and associated pulp space of incisors. Access preparation. Guidelines for root canal location. | Classes | 1.00 | clinical base | |||||
| 2 | Endodontic Instruments. Isolation. Root canal preparation using hand techniques. | Classes | 1.00 | clinical base | |||||
| 3 | The anatomy and morphology of the teeth and associated pulp space of premolars. Root canal irrigation and medication. | Classes | 1.00 | clinical base | |||||
| 4 | The anatomy and morphology of the teeth and associated pulp space of premolars. Root canal preparation using rotary NiTi instruments. | Classes | 1.00 | clinical base | |||||
| 5 | The anatomy and morphology of the teeth and associated pulp space of molars. Procedural accidents in endodontic treatment. | Classes | 1.00 | clinical base | |||||
| 6 | The anatomy and morphology of the teeth and associated pulp space of molars. Pulp pathology. | Classes | 1.00 | clinical base | |||||
| 7 | Obturation of the cleaned and shaped root canal system. Biomaterials. | Classes | 1.00 | clinical base | |||||
| 8 | Obturation of the cleaned and shaped root canal system. Periapical immune responses to infection. Microbiology of Endodontic Infections. | Classes | 1.00 | clinical base | |||||
| 9 | Practical test. Access cavity preparation. Root canal shaping and obturation. | Classes | 1.00 | clinical base | |||||
| 10 | Test | Classes | 1.00 | clinical base | |||||
| 11 | Evaluation and prognosis of an endodontically treated tooth. Basic principles of endodontic retreatment. Whitening of an endodontically treated tooth. | Lectures | 0.50 | auditorium | |||||
| 12 | Aim and objectives of the endodontics course. Pulp structure and functions. | Lectures | 0.50 | auditorium | |||||
| 13 | Pulp response to irritants and caries. Pulp inflammation and necrosis. Inflammation of the periapical tissue. Microbiology of root canals. | Lectures | 0.50 | auditorium | |||||
| 14 | Classification of endodontic diseases, clinical picture. Diagnosis of endodontic diseases. | Lectures | 0.50 | auditorium | |||||
| 15 | Tools and materials in endodontics. Root canal preparation techniques. | Lectures | 0.50 | auditorium | |||||
| 16 | Case selection and preparation for treatment. Isolation. Anesthesia. | Lectures | 0.50 | auditorium | |||||
| 17 | Iatrogenic errors in endodontics. Use of biomaterials in endodontics. | Lectures | 0.50 | auditorium | |||||
| 18 | Root canal filling methods. Temporary closure of the tooth. Basic principles of restoring an endodontically treated tooth. | Lectures | 0.50 | auditorium | |||||
| 19 | Root canal medications. | Lectures | 0.50 | auditorium | |||||
| 20 | Differential diagnosis of endodontic pain. | Lectures | 0.50 | auditorium | |||||
| 21 | Introduction. Case Selection and Treatment Planning. | Classes | 1.00 | clinical base | |||||
| 22 | Classification of endodontic disease. | Classes | 1.00 | clinical base | |||||
| 23 | Diagnosis of endodontic disease. | Classes | 1.00 | clinical base | |||||
| 24 | Test. Practice. | Classes | 1.00 | clinical base | |||||
| 25 | Treatment of endodontic emergencies. | Classes | 1.00 | clinical base | |||||
| 26 | Treatment of endodontic emergencies. | Classes | 1.00 | clinical base | |||||
| 27 | Procedural accidents in endodontic treatment. | Classes | 1.00 | clinical base | |||||
| 28 | Test. Practice. | Classes | 1.00 | clinical base | |||||
| 29 | Biomaterial uses in endodontic treatment. | Classes | 1.00 | clinical base | |||||
| 30 | Prognosis of endodontically treated tooth. | Classes | 1.00 | clinical base | |||||
| 31 | Test. Practice. | Classes | 1.00 | clinical base | |||||
| 32 | Summury seminar. Student presentations ( Clinical cases ). | Classes | 1.00 | clinical base | |||||
| 33 | Summary seminar. Students presentations (Endodontic cases). Q&A | Classes | 1.00 | clinical base | |||||
| 34 | Pulp pathology | Classes | 1.00 | clinical base | |||||
| 35 | Periapical pathology. Immune respone to infection. Microbiology of Endodontic Infections. | Classes | 1.00 | clinical base | |||||
| 36 | Acute situations in endodontics. Pain pharmacotherapy and the use of ABV in endodontics. | Lectures | 1.00 | E-Studies platform | |||||
| 37 | Classification of resorptions and basic principles of treatment. | Lectures | 1.00 | E-Studies platform | |||||
| Assessment | |||||||||
| Unaided Work: | Students should independently learn the theoretical part of the study course by reading the mandatory literature and presentations in e-studies specified for each topic. Learning the specified literature is a mandatory part of the course. | ||||||||
| Assessment Criteria: | Course Part 1: Evaluation of Student-Created Access Cavities According to Basic Principles of Cavity Formation and Cavity Quality Criteria: Evaluation of root canal localization according to basic principles of root canal localization. Assessment of appropriate instrument selection for root canal preparation. Evaluation of root canal preparation techniques. Evaluation of root canal filling techniques. Evaluation of individual stages in the process of tooth preparation and filling. Theoretical assessments after mastering the topic. Practical skill assessment (practical test): practical application of knowledge and acquired manual skills will be tested in a preclinical training base. Theoretical examination at the end of Part 1 (written). Practical part: Evaluation will include appropriate bur selection, conformity of access cavity shape, instrument selection for root canal preparation, preparation technique, preparation quality, tooth preparation for filling, filling instrument selection, appropriate filling material selection, and filling quality. General theoretical knowledge assessment - written. Course Part 2: Student’s theoretical knowledge assessment after mastering the topic - written test. Oral examination of theoretical knowledge before performing manipulations on a patient. Clinical work evaluation: conformity in performing diagnostics, diagnosis determination, appropriate selection of isolation, correctness of manipulation sequence, bur selection, conformity in access cavity formation, appropriateness of root canal treatment instrument selection, determination of working length, root canal preparation, selection of irrigating medication, irrigation technique, choice of inter-appointment medication, inter-appointment medication placement instruments and technique, filling instruments and materials selection, filling technique, filling completion, tooth sealing, radiological examinations during endodontic treatment. If all theoretical examinations during the course (both Part 1 and Part 2) are passed on the first attempt, a grade of 8 or higher is obtained in the final examination, and at least 80% is achieved in practical evaluation and the practical test - the student receives an automatic pass in the exam with a grade of 8 or higher - according to the obtained grades. Written tests, assessment of practical manipulation skills (practical test), investigation of problem situations, theoretical test at the end of the course (written). | ||||||||
| Final Examination (Full-Time): | Exam (Written) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | After obtaining of the content of the study course students will have a detailed knowledge of the prevention, etiology, pathology, clinical presentation and treatment options for diseases affecting the pulp and periradicular tissue. Will be able to perform the diagnosis of endodontic pathology. Will have the knowledge of the differential diagnosis of oro-facial pain. Will understand the microbiology and immunology of pulpal and periapical disease, relation to the general health. Will understand biomaterials science and medicaments in relation to endodontics. Will have knowledge of the indications for apical surgery and complicated root canal treatment and for referral to an endodontic specialist. Will be able to evaluate the outcome and prognosis of the root canal treatment. | ||||||||
| Skills: | The undergraduate will be able to use and to interpret basic diagnostic tests. Will be able to use rubber dam and additional isolation methods. Will be able to use rubber dam and additional isolation methods. Will be able to provide good dental anesthesia and supplemental anesthesia methods. Undergraduate will be able to perform primary root canal treatment in satisfactory quality on non-complicated teeth and to provide first aid in the case of symptomatic endodontic pathology. | ||||||||
| Competencies: | Students acquire competence in endodontics according to the regulations of the general dentist specialty. Competence to diagnose endodontic disease, make decisions and choose treatment methods that are in accordance with existing treatment methods in dentistry. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Treatment of tooth furcal perforation | B1 - Basic level | |||||||
| 2 | Cold test | B1 - Basic level | |||||||
| 3 | Heat test in endodontics | B1 - Basic level | |||||||
| 4 | Palpation test | B2 - Intermediate level | |||||||
| 5 | Percussion test | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Cohen S., Burns R. C. Pathways of the Pulp. 12. izd., 2020 | ||||||||
| 2 | Walton R.E., Torabinejad M. Principles and practice of Endodontics. 6th ed., 2020 | ||||||||
| 3 | Orstavik D., Ford P.T. Essential Endodontology: Prevention and Treatment of Apical Periodontitis. Wiley Blackwell, 2022 | ||||||||
| 4 | Goldberg M. The Dental Pulp Biology, Pathology, and Regenerative Therapies. Springer. | ||||||||
| Additional Reading | |||||||||
| 1 | Malamed, Stanley. Medical Emergencies in the Dental Office. 8th ed., 2022 | ||||||||
| 2 | Chugal N., Li L.M. Endodontic Prognosis. Clinical Guide for Optimal Treatment Outcome. Springer, 2017 | ||||||||
| 3 | International Journal of Endodontics | ||||||||
| 4 | Journal of Endodontics | ||||||||
| Other Information Sources | |||||||||
| 1 | Lekciju un praktisko nodarbību mācību materiāli./Teaching materials for lectures and practical lessons. | ||||||||
| 2 | Zobārstniecības profesionālo asociāciju vadlīnijas./Guidelines for dental professional associations. | ||||||||
