University of Warwick MSc in Endodontics
University of Warwick
MSc in Endodontics
Preliminary proposal
Overview
Endodontics was first mentioned in the 1700`s but it was taken to a new level in the last 18 years. The diagrammatic evolution of Endodontics illustrated by the American Association of Endodontists demonstrates the development of the profession.
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YEAR ONE
Ten study days, to include case presentations. The study days will be taught at Warwick University in 5 two-day blocks
3 practical days based on bench work at Warwick University. The practical sessions will added onto the 5 two day block courses
1 clinical observation day at a Regional Training Centre
60 CATS.
Foundation Course
There will be a 2 day course to teach critical appraisal skills and statistics
DIPLOMA YEAR
One 40 CAT module and a 20 CAT module
M Sc YEAR
Either a 60 CAT research project or a 20 CAT module with a 40 CAT practice project
CERTIFICATE YEAR
Day 1
Endodontologic science:
- healthy pulp
- pulp pathology
- accidental pulp opening – managment
- emegency endodotic therapy
Treatment planing
- diagnosis
- differential diagnosis
- anamnesis
- forensic
- infection control
- preendodontic build up
- rubber dam
Optimal Anaesthesia for the Endodontic Therapy
Day 2
Hand files
- glide path
- mechanical shaping
- step down, crown down, balanced force, double flare
ELM
Goals of cleaning and shaping
Torque control motors
Rotary instrumentation – the NITI Jamboree
- NiTi materials
Day 3
Rotary instrumentation – the NITI Jamboree part II
- File concepts
- File sequences
- Mechanical shaping – the 3 dimensions
- Mechanical shaping and Ultrasonics
- Multiple files and minimal files usage
Day 4
Rotary instrumentation – the NITI Jamboree part III
- Mechanical shaping and iatrogenic failures
- Management of iatrogenic failures
Chemical disinfection
- Disinfection science
- Disinfection procedures
- The disinfection protocol
Root canal dressing
- Material science
- Protocols
Day 5
Root canal obturation
– Science
– Sealers
– materials: a. GP
b. Resilon
c. Guttaflow
– techniques: a. single cone
b. multiple cone technique
c. squirt technique
d. carrier technique
- Condensation techniques: a. lateral condensation
b. warm vertical condensation
c. thermomechanical condensation
Management of ‘flare ups’
The postendodontic pain management concept
Antibiotics in endodontic therapy
Day 6
The postendodontic rehabilitation
- To post or not post
- Posts :
material science
selecting the optimal post
optimal cementation approach
- Coronal reinforcement approaches
material science
selecting the optimal reinforcement procedure
optimal reinforcement technique
- ‘Comp Up’ – the direct composite restoration
- Coronal build up for indirect prosthetic restoration
Adhesive science
Day 7
Previous RCT treated tooth and optimised bleaching approach
- Material science
- Techniques
Endo – periodontolgic conundrum (from GBR/GTR to Crown lengthening)
Endo – prosthetic conundrum: Previous RCT treated tooth – integration in prosthetic concepts
Occlusal concepts for RCT treated teeth – rehabilitation concepts
Day 8
1. Re-RCT – orthograde vs retrograde
2. Nonsurgical re-RCT
3. Post removal
4. Re-RCT and atrogenic failure management: from fractured instruments retrieval to closing perforations
5. Surgical re-RCT
Day 9
Endodontics for the deciduous tooth
The caries profunda concept
Direct pulp capping
Pulpectomy
Pulpotomy
Apexification
Temporisation
Day 10
The Endo – Implantology conundrum
- RCT outcome
- Success and failure in RCT
- Difficulty assesment for RCT
- Success and failure of single tooth Implantology
- Minimal invasive tooth extraction
- Implant science for single implants
- Immediate implant placement
- GTR for immediate implant placement
- Temporisation
Case presentation
Candidate will present a case at each study day and monitor its progress and treatment
ASSESSMENT FOR THE CERTIFICATE YEAR
The assessment for the first year will be based on written assignments. There will be four assignments; 3 x20 CAT summative assignments and one formative assignment. These assignments will be based on the clinical cases. The areas that will be covered in the cases are as follows:
- Consent
- Indications and contraindications for RCT.
- The Straight Line Access Concept.
- The disadvantages and benefits of the “crown down” vs “step back” concept .
- ELM vs X – ray.
- ELM vs paper point technique.
- Mechanical shaping approaches.
- The equipment available such as NiTi files.
- Magnification and light – benefits for the treatment outcome.
- Irrigation protocols.
- Root canal obturation approaches.
- Coronal restoration approaches.
- Iatrogenic failures.
DIPLOMA YEAR
1) Clinical Practice Module 40 CATS
Students will be required to undertake the treatment of 10 cases and demonstrate whole patient care in all 10 cases. There will be 6 days teaching for this module as well as personal supervision to monitor the progress of cases.
The assessment of this module will be a portfolio of the 10 cases. There will also be a final interview which will be based on the 10 cases and an OSCE.
2) Mandatory 20 CAT module
Materials in Endodontics
Instruments in Endodontics
Operational Surgical Microscope
Microbiology in Endodontics
Mechanics in Endodontology
Literature searching and statistics
The assessment of this module will be a 4,000 word assignment to critically appraise literature.
M Sc YEAR
The M Sc year will consist of a series of tutorials that will cover the same areas as the implant and orthodontic M Sc programmes. These tutorials focus on statistics, critical appraisal of literature and research skills.
1) Research Project.
Possible research projects
1. Irrigation and disinfection
2. Comparison conventional RCT long term outcomes using different variables
3. Comparison RERCT long term outcomes using different variabls
4. Comparison coronal restoration of RCT treated teeth - long term outcomes using different variables
5. Mechanical shaping – the NiTi jamboree
6. Electronic Length Measuring
7. Root canal obturation – comparing techniques – comparing outcomes – comparing ease of use – many more.
8. Searching for the adequate coronal restoration
9. GTR and surgical RERCT
10. Endo – Periodontolgy: indications – limits.
11. Endo – Implantology : indications – limits.
12. Endo – Prosthetics: indications – limits.
Regional Centre
It will be necessary to establish a new Regional Training Centre which specialises in endodontics. This centre will be situated in London. It provides all of the equipment needed for modern endodontic therapy. The centre will be subjected to the same quality assurance process that the other dental programmes are required to attain.
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