Endodontics I

Code:

MD3603

Acronym:

E I

Keywords
Classification	Keyword
OFICIAL	Dental Medicine

Instance: 2013/2014 - 2S

Active?	Yes
Responsible unit:	Mestrado Integrado
Course/CS Responsible:	Integrated Master in Dental Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMD	81	PLANO OFICIAL 2007/2008 BOLONHA	3	-	4	63	108

Teaching language

Portuguese

Objectives

Purpose
Acquisition of the basic theorical knowledge of disciplines and necessary for the accomplishment of the demanded practical works.

Learning outcomes and competences

Development of knowledge and skills for the root canal treatment
(instrumentation and obturation) of the extracted teeth set in resin/ plaster blocks with one or two canals.

Working method

Presencial

Program

1-Introdution
1.1 Definition and concept of endodontics
1.2 His relationship with other disciplines
1.3 Brief history of endodontics
2- Biology of the pulp and periapical region
2.1 Histology of the dental pulp
2.2 Phisiology of the pulp –dentinary complex
2.2.1 Pulpar defenses

3- Study of the coronal pulp chamber
3.1 Methods of study of the coronal pulp chamber
3.1.1- Radiological study of the coronal pulp chamber
3.2- Tooth morphology and access opening
3.3 Morphology changes due to age and injuries
3.4 Cementum-enamel-junction
3.5 Principals of endodontic cavity preparation

4.Microbiology of endodontics and asepsis in endodontic practice
4.1 - Bacteria associated with endodontic infections - terminology:colonization, permanent colonization, infections disease, pathogenicity, virulence
4.2 - Normal oral flora: facultative anaerobes
4.3 - Main diseases: caries and periodontal disease
4.4 - Main routes of microorganisms ingress
4.5 - Bacterial penetration into dentinal tubules in teeth with necrotic and vital pulps
4.6 - Tubule permeability is reduced by the: presence of various components of the dentinal fluid, the living odontoblastic processes, formation of peritubular dentin; formation of terciary dentin
4.7 - Spreading of bacterial toxins and enzims in the dentinal tubules, before bacteria, which may be pulp irritants
4.8 - Bacteriemic and focal infection : Hunter; Billings/Rosenow; Fish
4.9 - Metastatic infection that may be caused by a root canal infection: dissemination of microoganisms; release of bacterial products and pro-inflamatory mediators
4.10 - Bacteremia/Dental procedures
4.11 - Infective endocarditis: risk assessments and antibiotic prophylaxis

5. Root canal treatment
5.1. Indications and contra-indications
5.2. Instruments for root canal preparation and sterilization
5.3. Biopulpectomy and necropulpectomy
5.4 Stages of endodontic treatment
5.4.1 Preparation of oral cavity
5.4.2 Anesthesia
5.4.3. Access cavity preparation
5.4.4. Tooth isolation – rubber dam placement
5.4.5. Exploration of the root canal (vital pulp). Removal of necrotic pulp tissue and bacteria of root canal (cases of necrotic pulp)
5.4.6. Determination of the length of tooth
5.4.7. pulpectomy
5.4.8. cleaning and shaping
5.4.9. Disinfection of root canals
5.4.10. root canal obturation
5.4.11. recall check-up
5.5 root canal treatment in teeth with wide open immature apex
5.5.1 Apexification
5.5.2. Apexogenesis

Practical classes
Each student must do, at least one endodontic treatment in the following extracted teeth:
1 incisor
1 canine or premolar
1 maxillary premolar with 2 root canals

Mandatory literature

Torabinejad Mahmoud; Endodontics. ISBN: 978-1-4160-3851-1

Complementary Bibliography

Ingle, John I.; Endodontics. ISBN: 1-55009-188-3
Cohen Stephen; Pathways of the pulp. ISBN: 0-323-03067-X
Baumann Michael A.; Endodontology. ISBN: 978-3-13-116462-9

Teaching methods and learning activities

Lectures

Practice-theoretical lessons

Classes pre clinical practice

Software

DBSWIN Durr Dental

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Description	Type	Time (hours)	Weight (%)	End date
	Teste		66,60
	Trabalho laboratorial		33,40
	Total:	-	100,00

Eligibility for exams

Frequency
Three reports made during the six months of evaluation and a practice exam.
But the average these notes may not be inferior to 7.5 values

Calculation formula of final grade

Final Evaluation

Theorical Evaluation

They are conducted two tests (T1, T2) on dates marked, at the beginning of the semester, the conductor with the approval of the students. The arithmetic average of these two tests written note is the theorical note (T1+T2/ 2= T).

Practice Assessment

The classification practice is obtained through the arithmetic mean of the three practical works (TrP1 + TrP2 + TrP3) / 3= TrP undertaken in half a more practical note obtained in the practical test (TP) on two. P= (TrP+TP)/2

Final Classification
The final classification is obtained by summing twice the theoretical evaluation to the pratical evaluation on three .
Final= (2 x T + P)/3