Curriculum

Endodontics

Second Year, BDS

CURRICULUM PLANNING OF DEPARTMENT OF ENDODONTICS

S.No TOPIC Learning Objectives
(At the end of
 the session the student
 should be able to)
Teaching Guidelines Methodology Time
31 INTRODUCTION TO ENDODONTICS

  1. Introduction
  2. Definition
  1. Importance
  2. Procedures undertaken in the department
  3. Scope and future of endodontics

 

1. Enumerate the procedures undertaken in the department of Endodontics

2. Discuss the scope and future of endodontics.

1. Introduction of the Endodontics and procedures undertaken in the department of Endodontics

2. Scope and future of endodontics.

 

  1. Lecture
  1. Student Interactive session

 

1 hr
32 DIAGNOSIS IN ENDODONTICS

  1. History and record symptoms
  2. Subjective symptoms
  3. Objective symptoms
  4. Diagnostic aids
  5. Recent advances in diagnosis in endodontics
1.Explain taking case history of patient

2.Explain both subjective and objective symptoms for correct diagnosis of the problem

3.Discuss the various diagnostic aids

4.Enumerate recent advancements in diagnostic aids in endodontics

 

1.To cover taking case history and clinical record of the patient

2.Subjective symptoms and objective symptoms of the patient

3.Utilizing various diagnostic aids in endodontics to arrive at a correct diagnosis

4.Differential diagnosis

5.Recent advances in the diagnostic methods in endodontics

 

1.Video demonstration

2.Display of diagnostic aids

3. Ask students to prepare a sample history case sheet

 

2 hr
33 DISEASES OF PULP

  1. Causes of pulpal diseases
  2. Classification
  3. Diseases of pulp

Reversible pulpitis
Irreversible pulpitis
Chronic hyperplastic pulpitis
Internal resorption
Pulp degeneration
Necrosis of pulp

  1. Treatment of pulpal diseases

 

 

 

1.Discuss various etiological factors of pulpal diseases

2.Enumerate types of pulpal diseases

3.Describetheir etiology, clinical features and symptoms, diagnosis , differential diagnosis and management of pulpal diseases.

1.To cover causative factors of pulpal diseases

2.Classification

3.Clinical features and symptoms, diagnosis , differential diagnosis and management of pulpal diseases which include
–Reversible pulpitis
–Irreversible pulpitis
–Chronic hyperplastic pulpitis
–Internal resorption
–Pulp degeneration
–Necrosis of pulp

 

 

1.Didactic lecture with case presentation

2. Charts

 

 

2.Rapid session of one word answer

2 hr
34 DISEASES OF PERIRADICULAR TISSUES

  1. Causes of periradicular diseases
  2. Classification
  3. Diseases

Symptomatic apical periodontitis
Acute alveolar abscess
Phoenix abscess
Asymptomatic apical periodontitis
Chronic alveolar abscess
Granuloma
Radicular cyst
Condensing osteitis
External root resorption
Persistent apical periodontitis

  1. Treatment

 

 

 

1.Discuss various etiological factors of periradicular diseases

2.Enumerate types of periradicular diseases

3.Describe their etiology, clinical features and symptoms, diagnosis , differential diagnosis and management of periradicular diseases

1.To cover causative factors of periradicular diseases

2.Classification

3.Clinical features and symptoms, diagnosis , differential diagnosis and management of periradicular diseases which include
–Symptomatic apical periodontitis
–Acute alveolar abscess
–Phoenix abscess
–Asymptomatic apical periodontitis
–Chronic alveolar abscess
–Granuloma
–Radicular cyst
–Condensing osteitis
–External root resorption
–Persistent apical periodontitis

 

1.Didactic lecture with power point presentation

 

2.Case presentation

 

3.Rapid session of one word answer

 

2 hr
35 RATIONALE OF ENDODONTIC TREATMENT

1. Inflammation
2. Endodontic implications

1.Explain the inflammatory changes associated with periradicular infection

2.Discuss endodontic implications

3.Explain Zones of reaction .

1.To cover inflammation associated with periradicular infection

2.Tissue changes following inflammation

3.Different zones of reaction.

 

1.Didactic lecture with

2.Power point presentation

3. Giving MCQ questions to students at the end of lecture and discussing answers with them.

1 hr
36 SELECTION OF CASES FOR TREATMENT

  1. Common medical findings that may influence endodontic treatment planning
  1. Dental evaluation and development of the endodontic treatment plan

 

Periodontal considerations
Surgical considerations
Restorative considerations
Endodontic therapy or dental implant
Retreatment
Immature teeth
Other factors

1.Enumerate common medical findings that affect the treatment plan in endodontics

2.Explain dental evaluation and planning appropriate endodontic treatment

3.Discuss
–Periodontal considerations
–Surgical considerations
–Restorative considerations while treatment planning

3.Discuss
Endodontic therapy or dental implant,
retreatment and
treatment in an Immature teeth

1.To discuss common medical findings that affect the treatment plan in endodontics

2.Dental evaluation and planning appropriate endodontic treatment

3. To cover
–Periodontal considerations
–Surgical considerations
–Restorative considerations in treatment planning,

4.Endodontic therapy or dental implant

5.Retreatment

6.Treatment in an Immature teeth

 

1.Group discussion

 

2.Case evaluation by students

1 hr
37 PRINCIPLES OF ROOT CANAL TREATMENT

  1. Local anesthesia
  2. Rubber dam isolation
  3. Techniques of rubber dam application
  4. Sterilization of instruments
  5. Recommended sterilization protocols
  6. Biological monitoring
1.Descibethe local anesthetic techniques

2.Enumerate materials for isolation of the operating field

3.Explain components and technique of rubber dam application

4.Explain protocols for sterilization of instruments and operatory

5.Explain biological monitoring of sterilization.

1.To cover the local anesthetic techniques

2.Devices for isolation of the operating field

3.Components and technique of rubber dam application

4.Explain protocols for sterilization of instruments and clinical operatory

5. Biological monitoring of sterilization

 

1.Power point presentation

2.Pictorial

3.MCQ round for students

 

2 hr
38 ANATOMY OF PULP CAVITY AND ACCESS OPENING

  1. Components of the root canal system
  2. Root canal anatomy
  3. Anatomy of the apical root
  4. Objectives of access cavity preparation
  5. Armamentarium
  6. Morphology and Clinical guidelines for access cavity preparation for individual teeth
  7. Challenges
  8. Errors
1.Explain anatomy and components of root canal system

2. Explain variations in the apical root anatomy

3. Enumerate objectives and armamentarium of access cavity preparation.

4.Describe the morphology and clinical guidelines for access cavity preparation of individual maxillary and mandibular teeth.

4. Explain the modifications in complicated preparations and to rectify errors in access preparation.

1.To cover anatomy and components of root canal system

2. Variations in the apical root anatomy, objectives and armamentarium of access cavity preparation.

3.To include the morphology and clinical guidelines for access cavity preparation of individual maxillary  and mandibular teeth.

4.To explain the modifications in complicated preparations and guidelines to rectify errors in access preparation.

 

1.Pictorial

2.Video demonstrations

3.Clinical demonstration

4.Showing models of access opening of teeth

5.Student interactive session 3:2:1
Asking students to list 3 things they found out, 2 interesting things and 1 question they still have.

 

 

2 hr

39 WORKING LENGTH DETERMINATION

  1. Definition
  2. Anatomical considerations
  3. Methods of determining working length
  4. Electronic apex locators

Classification
Principle
contraindications

 

1.Define working length

2. Explain radiographic, nonradiographic and electronic methods of working length determination.

3.Describe different generations of apex locators , their principle of working, advantages and disadvantages of each generation.

4.Enumerate false positive and false negative conditions and contraindications of using apex locators.

1.To cover definition of working length

2.Discuss radiographic, nonradiographic and electronic methods of working length determination.

3.Different generations of apex locators, their principle of working, advantages and disadvantages of each generation.

4.To enumerate false positive and false negative conditions and contraindications of using apex locators.

 

1.Clinical demonstration

2.Audio video mode

3.One minute paper

2 hr
40 ENDODONTIC INSTRUMENTS

  1. Hand instruments
  2. Instruments for pulp space preparation

Classification

  1. ISO standardization of instruments
  2. Instruments for obturation
1.Describe hand instruments in endodontics.

2.Identify and explain manual and rotary instruments for pulp space preparation

3.Enumerate sonic and ultrasonic instruments
4. Describe Instruments for obturation of radicular space.

5.Explain ISO standardization of endodontic instruments.

1. Identification and description of hand instruments in endodontics

2.Manual and rotary instruments for pulp space preparation

3.Enumerate sonic and ultrasonic instruments

4.Instruments for obturation of radicular space.
5.To teach ISO standardization of endodontic instruments.

 

1.Display of instruments

2.Pictures

3.Student interactive session
Showing endodontic instruments to students and asking students to identify them.

4. Students will be asked to prepare poster on endodontic instruments

2 hr
41 CLEANING AND SHAPING

  1. Goals of shaping radicular space
  2. Guidelines for shaping root canal
  3. Phases in shaping
  4. Root canal shaping techniques

 

1.Explain goals and guidelines for biomechanical preparation of root canal

2.Describe phases of cleaning and shaping .

3.Describe  different techniques of biomechanical preparation, their advantages and disadvantages.

1.To cover goals and guidelines for biomechanical preparation of root canal

2. Phases of cleaning and shaping .

3.Different techniques of biomechanical preparation including manual and rotary

4. Advantages and disadvantages of individual technique

 

1.Video demonstration

2.Clinical demonstration

3.Students will be asked to prepare a chart on techniques of biomechanical preparation of teeth

4. MCQ session for students and discussing answers with them.

 

2 hr
42 INRACANAL IRRIGANTS

  1. Ideal requirements
  2. Functions
  3. Types of endodontic irrigants
  4. Guidelines
  5.  Techniques

 

1.Enumerate the ideal requirements and functions of endodontic irrigants

2. Discuss types of endodonticirrigants and function of each.

3.Describe the guidelines for irrigation

4. Enumerate devices and techniques for irrigation

5.Explain ideal irrigation protocol

6.Explain accidents associated with irrigation and its management

7. Explain precautions to be taken during irrigation.

1.To cover the ideal requirements and functions of endodontic irrigants

2. Types of endodontic irrigants and function of each .

3.To explain the guidelines for irrigation, devices and techniques for irrigation

4.Ideal irrigation protocol to be followed

5. Accidents associated with protusion of irrigant beyond apex and its management

6.Precautions to be taken during irrigation.

 

1.Power point presentation

2.Video demonstration

3.Clinical demonstration of technique of irrigation

4. Showing endodontic irrigants to students and asking them to identify.

2 hr
43 INTRACANAL MEDICAMENTS

  1. Types
  2. Ideal requirements
  3. Mechanism of action

 

1.Classify the types of intracanal medicaments and their mechanism of action.

2.Explain the duration of placement of each medicament

1.To cover ideal requirements of intracanal medicaments

2. The types of intracanal medicaments and their mechanism of action

3.Duration of placement of each medicament .

 

1.Video demonstrations

2.Display of intracanal  medicaments

3.Clinical demonstration

4.Group discussion where students will be divided in groups and will be asked questions on intracanal medicaments.

2 hr
44 SEALERS

  1. Ideal properties of root canal sealers
  2.  Classification
  3. Manipulation
  4. Advantages and disadvantages of each sealer
  5. Recent advances in sealers
1.Describe ideal properties of root canal sealers

2. Classify sealers.

3.Discuss manipulation, advantages, disadvantages and specific indication of individual sealer.

4.Enumerate recent advancements in sealers and their advantages.

 

 

1.To cover the ideal properties of root canal sealers

2. Classification of sealers.

3.To explain manipulation, advantages , disadvantages and specific indication of individual sealer

4. Recent advancements in sealers and their advantages and specific indications.

 

 

 

1.Video demonstrations

2.Display of sealers

3.Clinical demonstration

4.Students will be shown different sealers and asked to identify them.

 

2 hr
45 OBTURATION

  1. Timing of obturation
  2. Length of obturation
  3. Requirements of ideal root canal filling material
  4. Core material
  5. Techniques  of obturation
  6. Recent advances in obturating materials
  7. Coronal seal

 

1.Explain ideal requirements of root canal filling materials.

2.Describe clinical criteria for timing of obturation.

3.Discusssolid core obturating materials

4. Describe various techniques of obturation and advantages, disadvantages and limitations of each technique.

5. Describe the recent advances in obturating materials.

6.Expalin importance of coronal seal.

 

1.To cover ideal requirements of root canal filling materials

2. Clinical criteria for timing of obturation.

3.Discuss  solid core obturating materials

4.Various techniques of obturation and advantages, disadvantages and limitations of each technique

5.  Recent advances in obturating materials.

6.To explain importance of coronal seal after endodontic treatment.

 

1.Video demonstration

2.Display of materials for obturation

3.Clinical demonstration

4.Students will be asked to prepare charts on various obturation techniques.

 

 

2 hr
46 RESTORATION OF ENDODONTICALLY TREATED TEETH

  1. Planning of post endodontic restoration
  2. Post endodontic restoration fabrication
  3. Components of post core preparation
  4. Classification and description of posts

 

1.Explain  the restorability of endodontically treated  teeth

2.Explain the anatomical, biological and mechanical considerations in restoring endodontically treated teeth.

3.Discuss the types of post, post design,
To comprehend factors determining selection of post, clinical recommendations for preparation of teeth for post and luting.

 

1.To cover the restorability of endodontically treated  teeth

2. The anatomical, biological and mechanical considerations in restoring endodontically treated teeth.

3.To cover  types of post, components of post core preparation, varied post design and
factors determining selection of post

4.Clinical guidelines for preparation of teeth for post, post fabrication and luting of post

5.Core materials and fabrication.

 

1.Power point presentation

2.Video demonstration

3.Pictures

4.Intraclass quiz

2 hr
47 TRAUMATIC INJURIES OF TEETH

  1. Causes
  2. Examination of traumatic injuries
  1. Classification
  2. Management of fractured teeth
  3. Uncomplicated and complicated crown fractures
  4. Root fractures
  5. Luxation
  6. Avulsion
  7. Response of pulp to trauma
  8. Effect of trauma on supporting tissues

 

 

1.Discuss causes of traumatic injuries of teeth

2.Describe diagnosis and examination of traumatized teeth

3.Classify traumatic injuries of teeth which include
–uncomplicated and complicated crown fractures
—root fractures
— luxation,
—avulsion

4. Classify avulsed teeth, transport media of avulsed tooth and its management.

5.To explain response of pulp to trauma and effect on supporting tissues.

6.Explain management of traumatized teeth and its prognosis.

1.To cover etiology and incidence of traumatic injuries of teeth

2. Diagnosis and examination of traumatized teeth

3.Classification of traumatic injuries of teeth which include
–uncomplicated and
–complicated crown fractures
–root fractures
— luxation
— avulsion

4.Classification of avulsed teeth, transport media of avulsed tooth and its management.

5.To explain pulpal response to trauma and effect on supporting tissues.

6.To cover management of traumatized teeth and healing.

 

1.Didactic lecture with power point presentation

2.Discussion

3.Quiz: show visuals of traumatic cases and student will be asked what will be the best modality of treatment for that case.

 

2 hr
48 ENDODONTIC EMERGENCIES AND THEIR MANAGEMENT

  1. Diagnosis & treatment planning
  2. classification
  3. Pretreatment, Intratreatment

&Postobturationemergencies.

  1. Clinical management
1.Classify endodontic emergencies.

2.Explain diagnosis of endodontic emergencies and treatment plan.

3.Discuss clinical management of endodontic emergencies presenting with pain and / swelling before treatment, hot tooth, endodontic flare ups, post obturation pain.

1.To cover classification of endodontic emergencies

2.  Diagnosis of endodontic emergencies and treatment plan.

3.To explain clinical management of endodontic emergencies presenting with pain and / swelling before treatment, hot tooth, endodontic flare ups, post obturation pain

4. Pharmacotherapy for endodontic pain management

5.Incision and drainage, trephination

 

1.Group Discussion

2. Quiz: show visuals of traumatic cases and student will be asked what will be the best modality of treatment for that case.

 

 

2 hr
49 PROCEDURAL ACCIDENTS AND THEIR MANAGEMENT

  1. Related to access opening
  2. Related to canal shaping and cleaning
  3. Related to obturation
1.Describe procedural errors related to access opening which include
–treating the wrong tooth
–incomplete removal of caries
— access through full coverage restorations
— missed canal
–cervical perforations

2. Discuss errors related to canal cleaning and shaping which include curved canal, ledges, zipping, transportation, elbow, instrument separation, instrument aspiration, obstruction from previous obturating materials

3. Discuss errors related to obturation like under and overfilling.

 

1.To cover procedural errors related to access opening which include treating the wrong tooth, incomplete removal of caries, access through full coverage restorations, missed canal, cervical perforations

2. Errors  related to canal cleaning and shaping which include ledges, zipping, transportation, elbow, instrument separation, instrument aspiration, obstruction from previous obturating materials

3.Related to obturation like under and overfilling.

 

1.Problem based learning

2.Explain your solution
Students will be given a situation with procedural accident and asked to how they will manage it.

 

2 hr
50 ENDO-PERIO RELATIONSHIP

  1. Pathways of communication between pulp and periodontium
  2. Effect of pulpal & periodontal disease  on pulp
  3. Classification
  4. Diagnosis & treatment planning
  5. Management
1.Explainpulpoperiodontal pathways

2. Explain etiology of endo-perio lesions

3. Classify Endo-perio lesions

4.Discuss
—–primary endodontic lesions—-primary endodontic lesion with secondary periodontal involvement
—-primary periodontal lesion
—- primary periodontal lesion with secondary endodontic involvement
—- true combined lesions and
—-concomitant endodontic and periodontal lesion.

1.To cover pathways of communication between pulp and periodontum

2. Etiology and classification of endo-perio lesions

3.To cover primary
—endodontic lesions
—primary endodontic lesion with secondary periodontal involvement
— primary periodontal lesion
— primary periodontal lesion with secondary endodontic involvement
— true combined lesions and
—concomitant endodontic and periodontal lesion
4. Line of treatment of each lesion.

 

1.Didactic lecture with power point presentation

2.Case presentation

3.Flow chart

4. Quiz: show visuals of Endo-Perio cases and student will be asked what will be the best modality of treatment for that case

 2 hr
51 RESORPTION AND ITS MANAGEMENT

  1. Classification
  2. Cells involved in tooth resorption
  3. Internal, External  Cervical  root resorption
  1. Mechanism
  2. Factors regulating tooth resorption

 

1.Classify resorption

2. Discuss mechanism of resorption

3. Discuss etiology, clinical features, radiographic features and management of
—internal
— external
—cervical root resorption.

1.To cover classification of resorption, mechanism of resorption

2. To discuss etiology, clinical features, radiographic features and management of
—internal
—external
—cervical root resorption.

 

1.Student interactive session

2.Case presentation for students

1 hr
52 SURGICAL ENDODONTICS

  1. Classification
  2. Presurgical considerations
  3. Indications and contraindications
  4. Principles
  5. Flap designs
  6. Application of surgical techniques
  7. Root end filling material
  8. Post surgical care
  9. Suturing techniques
  10. Postsurgical complications
1.Describe objectives and rationale for periradicular surgery

2.Discuss Indications and contraindications, classification, treatment planning

3.Explain principles of surgery

4.Describe flap designs

5.Explain hard tissue and soft tissue management

6.Describe apical root resection,
Root end preparation, root end filling materials

7. Expalin suturing techniques

8.Describe post surgical care

9.Describe post surgical complications

1.To cover objectives and rationale for periradicular surgery

2. Indications and contraindications, treatment planning, principles of surgery

3.Flap designs

4.Hard tissue and soft tissue management

5. Apical root resection,
Root end preparation, root end filling materials

6.Closure of surgical area and suturing techniques

7.Post surgical care
8. Post surgical complications and their management.

9. To cover
—hemisection
—radisectomy
— tooth reimplantation.

 

1.Video demonstration

2.Power point presentation with pictures

3.Group Discussion on surgical procedures.

 

 

2 hr
53 NONSURGICAL  ENDODONTIC THERAPY

  1. Etiology of persistent apical periodontitis
  2. Treatment planning
  3. Retreatment procedures
  4. Prognosis

 

1.Explain etiology of persistent apical periodontitis

2. Discuss treatment planning and retreatment procedures which include
—post removal
—guttapercha removal
— removal of separated instruments and
—perforation repair.

 

1.To cover etiology of persistent apical periodontitis

2. Treatment planning and retreatment procedures which include
—post removal
—guttapercha removal
— removal of separated instruments
—perforation repair.

 

1.Flow chart

2.Power point presentation

3.Video demonstration

4. Student interactive session
Various retreatment procedures of clinical importance will be summarized at the end of lecture.

 

2 hr
54 SINGLE VISIT ENDODONTICS

  1. Indications
  2. Single vs multiple visit
  3. Clinical considerations

 

 

1. Explain  indications of single visit endodontics

2.Describe Single vs multiple visit endodontics

3.Discuss clinical considerations.

 

1.Aware of indications of single visit endodontics

2.Single vs multiple visit endodontics and

3. Cinical considerations

 

 

 

1.Compare and contrast

2.Student interactive session
Students will be asked to evaluate cases for single visit endodontics.

 

1 hr

 

 

55 FAILURES IN ENDODONTICS

  1. Evaluation of success
  2. Causes of failures
  3. Case selection for retreatment
  4. Endodontic retreatment

 

1.Discuss  microbial and nonmicrobial causes

2. Explain pathobiology of post treatment apical periodontitis

3.Discuss case selection for retreatment .

1.To cover  microbial and nonmicrobial causes

2.Pathobiology of post treatment apical periodontitis

3.  Case selection for retreatment and endodontic retreatment.

 

1.Evidence based learning.

3.  3-2-1
Asking students to list 3 things they found out, 2 interesting things and 1 question they still have

4. Explain your solution
Students will be asked to give their solution for a case with endodontic failure.

 

1 1 hrhr

56 PHARMACOLOGY IN ENDODONTICS

  1. Pain control
  1. Selection of antibiotics
1.Explain control of pain

2.Describe Indications, contraindications, dosage and side effects of analgesics and antibiotics to be used in endodontic cases.

 

1.To cover control of pain
2. Indications, contraindications, dosage and side effects of analgesics and antibiotics to be used in endodontic cases.
 

1.Power point presentation

2.Viva voce

3.Seminar presentation

1 hr
57 MODERN CONCEPT IN ENDODONTICS

  1.  Lasers
  2. Microscopic dentistry
  3. Recent advances
1. Describe recent advancements in materials and techniques in endodontics

2. Describe procedures in microscopic dentistry

3.Discuss types and uses of lasers in endodontics.

 

1. To cover recent advancements in materials, equipments and techniques in endodontics

2. Procedures in microscopic dentistry
3. Types and uses of lasers in endodontics.

 

1.Power point presentation

2.Video demonstration

3.Studnets will be asked to Summarize new knowledge

 

 

1 hr
58 ETHICAL PRACTICE

  1. Principles of ethics
  2. Informed consent
  3. Dental negligence
  4. Malpractice

 

1. Discuss ethics in practice

2.Explain importance of written consent of patient before starting any treatment,

3. Discuss dental negligence and malpractice.

1.To cover ethics in practice

2. Take written consent of patient before starting any treatment

3. Dental negligence and malpractice.

 

1. Student interactive session
Questions will be asked to students related to ethical practice and dental negligence and its consequences and answers will be discussed.

 

 

 

1 hr

 

 

 

 

Admission 2017