Universitat Internacional de Catalunya
Endodontic Treatment I
Other languages of instruction: Catalan, Spanish
Teaching staff
Introduction
Esta asignatura proporciona el conocimiento sobre, Fisiopatología de la pulpa, Instrumentación de Conductas, Resolución de Problemas en Endodoncia y retractamiento endodotónico no quirúrgico.
Objectives
To learn the different types of dentin and their characteristics.
To learn the morphological zones of dental pulp.
To learn the different types of cells that make up dental pulp and their characteristics.
To describe the characteristics of the pulpal interstitium and ground substance.
To learn how the pulpal nervous system works, its links to pain and the responses of sensitivity tests.
To learn how the pulpal blood flow is regulated.
To learn how pulp inflammation affects pulpal blood flow.
To describe the mechanics of pulpal repair.
To describe the characteristics of pulpal diseases.
To learn the characteristics of different types of dental resorption.
To learn the diagnostic techniques for differential diagnoses for different dental resorptions.
To learn how to treat different types of dental resorptions
To learn the mechanisms for regulating dental pain
To learn about inflammatory mediators and how they influence pulpal inflammation
To learn about the different medication that exists to control dental pain and hypersensitivity
Biological objectives of cleaning and shaping
Mechanical objectives of instrumentation
Advantages and disadvantages of the 2 instrumentation lines (large apical calibers compared to small apical calibers with high taper)
Advantages and disadvantages of stainless steel
Advantages and disadvantages of Ni-Ti
Know and identify the different parts of the instruments
Know the mechanisms by which instruments can fracture
Causes of fracture due to cyclic fatigue and torsion
Definition of elasticity, flexibility, elastic limit, elastic deformation, shape memory and plastic limit.
Know the types of deformation and causes that can cause instruments inside the canal (zip, elbow, stripping, apical perforation, apical transport, new canal…)
Importance of instrument design
Advantages and disadvantages of reciprocating files compared to continuous rotation files
Diagnosis and treatment planning and the diagnosis of odontogenic pain.
Techniques of radiological images.
The interpretation of dental radiographic images.
The differential diagnosis of osseous deficiencies as a result of pulp and periapical pathology.
The diagnosis of failure in the endodontic treatment.
The diagnosis of pain of non-odontogenic origin.
Dental hypersensitivity and vital pulp therapy.
Isolation, pulp chamber opening and the localization and identification of root canals.
The determination of working length.
The transformation and instrumentation of root canals.
Cleaning and disinfecting the root canal system.
The filling of root canals.
Compromised roots, the root canal system and anatomical deviations.
Problem-solving and handling dental pain emergencies.
To learn the purpose of and justification for endodontic retreatment and how to make a good diagnosis, take decisions and prepare an appropriate treatment plan.
To acquire the knowledge to remove coronal restorations and any hard dental paste, gutta-percha and cements, as well as silver tips and separated instruments.
To acquire the ability to treat a perforation and renegotiate the root canal system.
To acquire knowledge of irrigation and medication during orthograde nonsurgical retreatment.
Competences/Learning outcomes of the degree programme
- CN01 - Identify with precision the most advanced technical processes related to endodontics.
- HB03 - Manage the complexity of each endodontic case.
- HB05 - Apply multidisciplinary knowledge acquired from other areas (periodontics, restorative and orthodontics) in an endodontic problem.
- HB12 - Plan a defined and appropriate protocol in the event of endodontic failure.
- HB14 - Prepare, through correct prior argumentation, a treatment plan through the presentation of clinical cases and the most relevant literature.
- HB18 - Present the final master's thesis in front of a tribunal with guarantees and scientific criteria.
- HB20 - Prepare an appropriate endodontic treatment plan based on an exhaustive clinical and radiographic analysis.
Learning outcomes of the subject
- - Diagnosis and Treatment Plan in Endodontics LEARNING OUTCOMES From title – CN01, HB03, HB05, HB12, HB14, HB18, HB20 Of matter – The students will be able to: 1. Solve the complications that undergraduate students have during their preclinical practices. 2. Make public presentations of their own clinical cases based on scientific literature, through the correct use of scientific terminology. 3. Debate and reason endodontic clinical techniques before a specialized and non-specialized audience in a clear and unambiguous way. 4. Determine the role of an endodontist within an interdisciplinary team. 5. Successfully plan, through prior analysis, any endodontic problem, as well as those directly related to restorative and aesthetic dentistry. 6. Identify and organize endodontic material and instruments in a precise and orderly manner. 7. Assess different therapeutic options for pulpo-periapical pathology according to the scientific literature. 8. Develop different isolation strategies for the surgical field to carry out a successful endodontic and restorative treatment
Syllabus
The biological objectives of cleaning and configuration.
The mechanical objectives of instrumentation.
Permeability or "glide path" objectives.
The advantages and disadvantages of the two lines of instrumentation (large apical calibres compared to small apical calibres with wide conicity).
The advantages and disadvantages of stainless steel.
The advantages and disadvantages of nickel titanium.
To know and be able to identify different parts of an instrument.
To define elasticity, flexibility, elastic limit, elastic deformation, shape memory and plastic limit.
To understand the mechanisms that can cause an instrument to fracture.
The causes of fracture through cyclic fatigue and torsion.
To identify the types and causes of deformation that instruments may produce inside the root canal (zip, elbow, stripping, apical perforation, apical transportation).
The importance of instrument design.
The advantages and disadvantages of reciprocating and continuous rotary files.
Part 1: Problem solving in diagnosis and treatment planning:
Problems in the diagnosis of odontogenic pain.
Problems with radiological image techniques.
Problems in the interpretation of dental radiographic images.
Problems in the differential diagnosis of osseous deficiencies as a result of pulp and periapical pathology.
Problems in the diagnosis of endodontic treatment failure.
Problems in the diagnosis of pain with a non-odontogenic origin.
Part 2: Problem solving in non-surgical treatment of root canals:
Problems relating to dental hypersensitivity and vital pulp therapy.
Problems relating to isolation, pulp chamber openings and localisation and identification of root canals.
Problems relating to the determination of working length.
Problems relating to the conformation and instrumentation of root canals.
Problems relating to cleaning and disinfection of the root canal system.
Problems relating to filling root canals.
Problems with compromised roots, the root canal system and anatomical deviations.
Problems relating to procedures prior to root canal treatment.
Problems in handling dental pain emergencies.
Justification for endodontic retreatment.
Decision making and treatment planning.
Removal of coronal restorations.
Removal of pastes, gutta-percha and hard cements.
Removal of silver tips and separate instruments.
Complications during endodontic treatment
Teaching and learning activities
In person
The objectives of the subject will be achieved through theoretical seminars of compulsory attendance
Evaluation systems and criteria
In person
Final exam with multiple choice questions and/or short questions