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 • 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