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ENDODONTICS	
  DB	
  305C	
  
      Year	
  3	
  
        COURSE	
  BRIEFING	
  
         SESI	
  2012/2013	
  
 Dr	
  Wan	
  Noorina	
  Wan	
  Ahmad	
  
Welcome	
  back	
  and	
  congratulaHons	
  
Teaching	
  acHviHes	
  
•    Lectures	
  
•    SimulaHon	
  
•    Clinics	
  
•    Tutorials	
  
DB	
  305C	
  Course	
  Structure	
  	
  
                           2012/2013	
  
                  Con$nuous	
  Assessment	
                                         Final	
  examina$on	
                   TOTAL	
  
                                                                                              (50%)	
  
Module	
  1	
           Module	
  2	
         Module	
  3	
       Clinical	
         Theory	
          OSCE	
               100%	
  
                          Yr	
  4	
             Yr	
  5	
  
  Yr	
  3	
                                                     Requirement	
        paper	
  
   10%	
                   10%	
                 10%	
              20%	
               50%	
          50%	
  


                  Con$nuous	
  assessment	
                                   Year	
  3	
                  Marks	
  
                                          Module	
  1	
                                                    	
  
                  Progress	
  Test	
                                              By	
  semester	
                10%	
  

                  CompleHon	
  of	
  SimulaHon	
  Exercises	
                        MUST	
  
                                                                                   COMPLETE	
  
                  Competency	
  Test	
                                             MUST	
  PASS	
  
                  Clinical	
  Requirement	
                                     1	
  ANTERIOR	
  /
                                                                                SINGLE	
  CANAL	
  
Lectures	
  
No	
          Lecture	
  topics	
                                                      Sem/Hours	
  
1.	
          IntroducHon	
  to	
  course,	
  endodontology	
  &	
  endodonHcs	
  
2.	
          Pathology	
  of	
  the	
  pulpal	
  and	
  periradicular	
  Hssues	
  
3.	
          EndodonHc	
  microbiology	
  
4.	
          Diagnosis	
  and	
  treatment	
  planning	
  
5.	
          Emergency	
  dental	
  treatment	
  
6.	
  	
      PreparaHon	
  teeth	
  prior	
  to	
  root	
  canal	
  treatment	
  
7.	
          EndodonHc	
  instruments	
  and	
  materials	
  
8.	
  	
      Pulp	
  space	
  anatomy	
  
9.	
  	
      Access	
  cavity	
  
10.	
  	
     Pulp	
  space	
  cleaning	
  &	
  shaping	
  
11.	
         Working	
  length	
  determinaHon	
  
12.	
         Pulp	
  space	
  obturaHon	
  
13.	
         IntroducHon	
  to	
  Modified	
  Double	
  Flare	
  Technique	
  
SimulaHon	
  
No	
         Simula$on	
  topics	
                                          Comments	
  
1.	
         SelecHon	
  &	
  MounHng	
                                     (7	
  teeth	
  selecHon)	
  	
  
                                                                            (6	
  mounHng	
  teeth)	
  
2.	
  	
     Taking,	
  developing	
  &	
  mounHng	
  radiographs	
  	
     No	
  SimulaHon	
  session	
  for	
  this	
  
             (SimulaHon	
  OperaHve	
  DenHstry	
  Course)	
                acHvity	
  
3.	
         Radiographic	
  interpretaHon	
  &	
  reporHng	
               Demo	
  
4.	
  	
     Access	
  cavity	
  &	
  pulp	
  exHrpaHon	
                   Demo	
  
5.	
         Competency	
  Test:	
  Upper	
  Premolar	
                     A`er	
  exercise	
  on	
  premolar	
  
                                                                            access	
  
6.	
         Pulp	
  space	
  cleaning	
  &	
  shaping	
  using	
  	
       Demo	
  
             a.  ProTaper	
  Hand	
  files	
  	
                             Resin	
  
                                                                            Premolar	
  
                                                                            Molar	
  (pre-­‐endo)	
  
             b.	
  	
  Modified	
  ProTaper	
  Technique	
                   Demo	
  	
  
                                                                            Resin	
  
                                                                            Max	
  incisor	
  
7.	
         Canal	
  obturaHons	
                                          All	
  teeth	
  
SimulaHon	
  
Aims	
  of	
  endodonHc	
  simulaHon	
  
•  To	
  develop	
  and	
  perform	
  hand	
  skill	
  in	
  endodonHcs	
  
•  To	
  generate	
  competency	
  that	
  meet	
  the	
  standard	
  quality	
  of	
  
     simulated	
  paHents	
  care	
  in	
  endodonHcs	
  
•  To	
  familiarize	
  dental	
  students	
  with	
  the	
  technical	
  challenges	
  in	
  
     performing	
  root	
  canal	
  treatment	
  
•  To	
  guide	
  the	
  dental	
  students	
  with	
  the	
  quality	
  guidelines	
  for	
  
     endodon1c	
  treatment	
  provided	
  by	
  the	
  curriculum	
  guidelines	
  
•  To	
  gain	
  learning	
  experience	
  ‘student	
  learning	
  journey’	
  from	
  the	
  
     simulaHon	
  exercises	
  
•  To	
  provide	
  a	
  smooth	
  transiHon	
  from	
  the	
  lab	
  based	
  simulaHon	
  to	
  the	
  
     clinical	
  set	
  up	
  
•  To	
  be	
  able	
  to	
  self	
  assess	
  owns	
  performances	
  
	
  
	
  
SimulaHon	
  
Selec$on	
  of	
  teeth	
  
•  The	
  pracHcal	
  exercises	
  will	
  be	
  conducted	
  in	
  the	
  simulaHon	
  
     clinic	
  under	
  supervision	
  allocated	
  by	
  the	
  Department	
  of	
  
     OperaHve	
  DenHstry.	
  Please	
  start	
  looking	
  for	
  these	
  teeth:-­‐	
  
•  1.	
  ONE	
  maxillary	
  incisor	
  tooth-­‐	
  unmounted	
  
•  2.	
  ONE	
  mandibular	
  incisor	
  	
  tooth	
  
•  3.	
  ONE	
  max/mand	
  canine	
  tooth	
  	
  
•  4.	
  ONE	
  maxillary	
  premolar               	
      	
        	
  mounted	
  on	
  
     plaster	
  
•  5.	
  ONE	
  mandibular	
  premolar	
  
•  6.	
  ONE	
  max/mand	
  molar	
  
•  7.	
  ONE	
  max/mand	
  molar(badly	
  broken	
  tooth	
  to	
  be	
  
     mounted	
  on	
  blue	
  tray	
  with	
  adjacent	
  teeth)	
  
	
  
SelecHon	
  of	
  teeth	
  
•  sound	
  and	
  caries-­‐free	
  teeth	
  
•  presence	
  of	
  early	
  or	
  small	
  cavitated	
  carious	
  
   lesions	
  is	
  acceptable	
  as	
  long	
  as	
  the	
  defect	
  is	
  
   NOT	
  affec$ng	
  the	
  shape	
  of	
  access	
  cavity.	
  
•  Serrated	
  roots	
  are	
  also	
  unacceptable	
  	
  
SimulaHon	
  
	
  
•      Moun$ng	
  of	
  natural	
  teeth	
  	
  
•      To	
  ensure	
  that	
  the	
  selected	
  teeth	
  are	
  suitable,	
  please	
  show	
  them	
  to	
  the	
  
       supervisors.	
  
•      Prior	
  to	
  mounHng	
  the	
  teeth	
  into	
  the	
  plaster,	
  place	
  a	
  small	
  red	
  boxing	
  wax	
  onto	
  
       each	
  of	
  the	
  root	
  end	
  to	
  enable	
  the	
  apex	
  of	
  the	
  tooth	
  to	
  be	
  radiographically	
  visible.	
  	
  
	
  
•      These	
  teeth	
  are	
  to	
  be	
  mounted	
  into	
  a	
  block	
  of	
  plaster	
  of	
  paris.	
  Wood	
  chips	
  need	
  to	
  
       be	
  added	
  into	
  the	
  plaster	
  to	
  ensure	
  that	
  the	
  plaster	
  block	
  is	
  slightly	
  radiolucent.	
  
	
  
•      The	
  selected	
  teeth	
  must	
  be	
  arranged	
  according	
  to	
  their	
  respecHve	
  aches	
  according	
  
       to	
  sextants:	
   	
  	
  
•      17-­‐14	
                                                                     	
  13-­‐23 	
  	
  	
  	
  	
  	
  	
  	
  	
  24-­‐27	
  
•      47-­‐44	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  43-­‐33 	
  	
  	
  	
  	
  	
  	
  	
  	
  34-­‐37	
  
•      Example:	
  upper	
  anterior	
  teeth	
  are	
  to	
  be	
  arranged	
  in	
  one	
  plaster	
  block	
  with	
  their	
  
       labial	
  and	
  palatal	
  sides	
  appropriately	
  arranged.	
  This	
  also	
  applies	
  to	
  the	
  buccal	
  
       sextants.	
  Occasionally	
  you	
  may	
  find	
  that	
  you	
  may	
  have	
  to	
  mount	
  tooth	
  in	
  single	
  
       block.	
  If	
  this	
  happens	
  be	
  sure	
  to	
  place	
  the	
  radiographic	
  film	
  against	
  the	
  palatal/	
  
       lingual	
  side	
  of	
  the	
  tooth	
  always.	
  	
  
	
  
	
  
	
  
SimulaHon	
  Checklist	
  
Self	
  assessment	
  
•  Checklist	
  book	
  
	
  
CLINICS	
  
Clinics	
  
•  under	
  OPER/PERIO	
  session	
  
•  Clinical	
  requirement	
  
   ü 	
  1	
  anterior/	
  single	
  canal	
  
   ü Carefully	
  divide	
  your	
  clinical	
  session	
  so	
  that	
  Perio,	
  
     Cons	
  and	
  Endo	
  sessions	
  are	
  evenly	
  distributed.	
  
During	
  clinical	
  session	
  
•  Present	
  you	
  case	
  clearly	
  to	
  the	
  supervisor	
  
    –  MUST	
  DISPLAY	
  PRE-­‐OPRATIVE	
  RADIOGRAPH	
  
    –  ALREADY	
  CLEAR	
  ABOUT	
  THE	
  DIAGNOSIS	
  	
  
        •  Pulpal	
  And	
  Periapical	
  
    –  FILL	
  UP	
  ALL	
  NECESSARY	
  FORMS	
  
    –  THEN	
  YOU	
  MAY	
  PROCEED	
  TO	
  THE	
  CLINICAL	
  
         PROCEDURES	
  
    	
  
12:30pm	
  or	
  4:30pm	
  
•  Be	
  sure	
  to	
  complete	
  the	
  endodonHc	
  clinical	
  evaluaHon	
  
   form	
  properly	
  and	
  your	
  folder	
  contemporaneously	
  
•  Let	
  the	
  clinical	
  supervisor	
  sign	
  and	
  counter	
  sign	
  your	
  
   clinical	
  work	
  
•  EndodonHc	
  Clinical	
  EvaluaHon	
  form-­‐	
  need	
  to	
  have	
  
   TWO	
  COPIES	
  (	
  pls	
  get	
  a	
  carbon	
  paper	
  ready)	
  
•  Keep	
  1	
  to	
  youself	
  and	
  the	
  other	
  pls	
  pass	
  it	
  over	
  to	
  DSA	
  
   Hawa.	
  
•  By	
  the	
  end	
  of	
  the	
  semester,	
  the	
  dept	
  may	
  want	
  you	
  to	
  
   CHOOSE	
  the	
  best	
  endodonHc	
  treatment	
  in	
  order	
  to	
  
   qualitaHvely	
  give	
  you	
  the	
  Clinical	
  Requirement	
  marks.	
  
Tutorials	
  
No	
     Tutorial	
  topics	
                             Sem/Hours	
  
1.	
     IsolaHon	
                                       2/1	
  
2.	
     Diagnosis	
  &	
  treatment	
  plan	
            2/1	
  
3.	
     Difficulty	
  in	
  achieving	
  anaesthesia	
     2/1	
  
4.	
     EndodonHc	
  radiography	
                       2/1	
  
5.	
     EndodonHc	
  Instruments	
                       2/1	
  
QuesHons?	
  

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Year 3 course briefing

  • 1. ENDODONTICS  DB  305C   Year  3   COURSE  BRIEFING   SESI  2012/2013   Dr  Wan  Noorina  Wan  Ahmad  
  • 2. Welcome  back  and  congratulaHons  
  • 3. Teaching  acHviHes   •  Lectures   •  SimulaHon   •  Clinics   •  Tutorials  
  • 4. DB  305C  Course  Structure     2012/2013   Con$nuous  Assessment   Final  examina$on   TOTAL   (50%)   Module  1   Module  2   Module  3   Clinical   Theory   OSCE   100%   Yr  4   Yr  5   Yr  3   Requirement   paper   10%   10%   10%   20%   50%   50%   Con$nuous  assessment   Year  3   Marks   Module  1     Progress  Test   By  semester   10%   CompleHon  of  SimulaHon  Exercises   MUST   COMPLETE   Competency  Test   MUST  PASS   Clinical  Requirement   1  ANTERIOR  / SINGLE  CANAL  
  • 5. Lectures   No   Lecture  topics   Sem/Hours   1.   IntroducHon  to  course,  endodontology  &  endodonHcs   2.   Pathology  of  the  pulpal  and  periradicular  Hssues   3.   EndodonHc  microbiology   4.   Diagnosis  and  treatment  planning   5.   Emergency  dental  treatment   6.     PreparaHon  teeth  prior  to  root  canal  treatment   7.   EndodonHc  instruments  and  materials   8.     Pulp  space  anatomy   9.     Access  cavity   10.     Pulp  space  cleaning  &  shaping   11.   Working  length  determinaHon   12.   Pulp  space  obturaHon   13.   IntroducHon  to  Modified  Double  Flare  Technique  
  • 6. SimulaHon   No   Simula$on  topics   Comments   1.   SelecHon  &  MounHng   (7  teeth  selecHon)     (6  mounHng  teeth)   2.     Taking,  developing  &  mounHng  radiographs     No  SimulaHon  session  for  this   (SimulaHon  OperaHve  DenHstry  Course)   acHvity   3.   Radiographic  interpretaHon  &  reporHng   Demo   4.     Access  cavity  &  pulp  exHrpaHon   Demo   5.   Competency  Test:  Upper  Premolar   A`er  exercise  on  premolar   access   6.   Pulp  space  cleaning  &  shaping  using     Demo   a.  ProTaper  Hand  files     Resin   Premolar   Molar  (pre-­‐endo)   b.    Modified  ProTaper  Technique   Demo     Resin   Max  incisor   7.   Canal  obturaHons   All  teeth  
  • 7. SimulaHon   Aims  of  endodonHc  simulaHon   •  To  develop  and  perform  hand  skill  in  endodonHcs   •  To  generate  competency  that  meet  the  standard  quality  of   simulated  paHents  care  in  endodonHcs   •  To  familiarize  dental  students  with  the  technical  challenges  in   performing  root  canal  treatment   •  To  guide  the  dental  students  with  the  quality  guidelines  for   endodon1c  treatment  provided  by  the  curriculum  guidelines   •  To  gain  learning  experience  ‘student  learning  journey’  from  the   simulaHon  exercises   •  To  provide  a  smooth  transiHon  from  the  lab  based  simulaHon  to  the   clinical  set  up   •  To  be  able  to  self  assess  owns  performances      
  • 8. SimulaHon   Selec$on  of  teeth   •  The  pracHcal  exercises  will  be  conducted  in  the  simulaHon   clinic  under  supervision  allocated  by  the  Department  of   OperaHve  DenHstry.  Please  start  looking  for  these  teeth:-­‐   •  1.  ONE  maxillary  incisor  tooth-­‐  unmounted   •  2.  ONE  mandibular  incisor    tooth   •  3.  ONE  max/mand  canine  tooth     •  4.  ONE  maxillary  premolar      mounted  on   plaster   •  5.  ONE  mandibular  premolar   •  6.  ONE  max/mand  molar   •  7.  ONE  max/mand  molar(badly  broken  tooth  to  be   mounted  on  blue  tray  with  adjacent  teeth)    
  • 9. SelecHon  of  teeth   •  sound  and  caries-­‐free  teeth   •  presence  of  early  or  small  cavitated  carious   lesions  is  acceptable  as  long  as  the  defect  is   NOT  affec$ng  the  shape  of  access  cavity.   •  Serrated  roots  are  also  unacceptable    
  • 10. SimulaHon     •  Moun$ng  of  natural  teeth     •  To  ensure  that  the  selected  teeth  are  suitable,  please  show  them  to  the   supervisors.   •  Prior  to  mounHng  the  teeth  into  the  plaster,  place  a  small  red  boxing  wax  onto   each  of  the  root  end  to  enable  the  apex  of  the  tooth  to  be  radiographically  visible.       •  These  teeth  are  to  be  mounted  into  a  block  of  plaster  of  paris.  Wood  chips  need  to   be  added  into  the  plaster  to  ensure  that  the  plaster  block  is  slightly  radiolucent.     •  The  selected  teeth  must  be  arranged  according  to  their  respecHve  aches  according   to  sextants:       •  17-­‐14    13-­‐23                  24-­‐27   •  47-­‐44                                      43-­‐33                  34-­‐37   •  Example:  upper  anterior  teeth  are  to  be  arranged  in  one  plaster  block  with  their   labial  and  palatal  sides  appropriately  arranged.  This  also  applies  to  the  buccal   sextants.  Occasionally  you  may  find  that  you  may  have  to  mount  tooth  in  single   block.  If  this  happens  be  sure  to  place  the  radiographic  film  against  the  palatal/   lingual  side  of  the  tooth  always.          
  • 11.
  • 12.
  • 13. SimulaHon  Checklist   Self  assessment   •  Checklist  book    
  • 15. Clinics   •  under  OPER/PERIO  session   •  Clinical  requirement   ü   1  anterior/  single  canal   ü Carefully  divide  your  clinical  session  so  that  Perio,   Cons  and  Endo  sessions  are  evenly  distributed.  
  • 16.
  • 17. During  clinical  session   •  Present  you  case  clearly  to  the  supervisor   –  MUST  DISPLAY  PRE-­‐OPRATIVE  RADIOGRAPH   –  ALREADY  CLEAR  ABOUT  THE  DIAGNOSIS     •  Pulpal  And  Periapical   –  FILL  UP  ALL  NECESSARY  FORMS   –  THEN  YOU  MAY  PROCEED  TO  THE  CLINICAL   PROCEDURES    
  • 18. 12:30pm  or  4:30pm   •  Be  sure  to  complete  the  endodonHc  clinical  evaluaHon   form  properly  and  your  folder  contemporaneously   •  Let  the  clinical  supervisor  sign  and  counter  sign  your   clinical  work   •  EndodonHc  Clinical  EvaluaHon  form-­‐  need  to  have   TWO  COPIES  (  pls  get  a  carbon  paper  ready)   •  Keep  1  to  youself  and  the  other  pls  pass  it  over  to  DSA   Hawa.   •  By  the  end  of  the  semester,  the  dept  may  want  you  to   CHOOSE  the  best  endodonHc  treatment  in  order  to   qualitaHvely  give  you  the  Clinical  Requirement  marks.  
  • 19. Tutorials   No   Tutorial  topics   Sem/Hours   1.   IsolaHon   2/1   2.   Diagnosis  &  treatment  plan   2/1   3.   Difficulty  in  achieving  anaesthesia   2/1   4.   EndodonHc  radiography   2/1   5.   EndodonHc  Instruments   2/1