National Commission for Academic Accreditation & Assessment Course Specification



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National Commission for Academic Accreditation & Assessment

Course Specification

Institution University of Dammam

College/Department: College of Dentistry /Restorative Dental Sciences




A Course Identification and General Information

1. Course title and code: Clinical Endodontics RDS 532

2. Credit hours 03


3. Program(s) in which the course is offered.

(If general elective available in many programs indicate this rather than list programs)


Bachelor of Dental Surgery

4. Name of faculty member responsible for the course

Dr Abdul Majeed Munir Ahmad

5. Level/year at which this course is offered . 5th year 1st & 2nd Semester

6. Pre-requisites for this course (if any)

RDS 412 : Pulp Biology and Endodontics

RDS 471: Restorative Procedures-I

BDS 421: Oral Surgery & General Practice

BDS 322: Oral Pathology-I

PHARM 321: Dental Pharmacology


7. Co-requisites for this course (if any)


8. Location if not on main campus: College of Dentistry




B Objectives

1. Summary of the main learning outcomes for students enrolled in the course.


The overall goal of this course is to train the student to perform the clinical aspects of the endodontic therapy. It will allow the student to achieve higher experience in treating single and multi-rooted teeth. In addition, student will be trained to manage and treat endodontic emergency cases as well as traumatic injuries if there are available cases. The clinical skills are continuation of the technical skills introduced in RDS 412 but with increased proficiency under clinical supervision. Furthermore, the student will be able to recognize the variables present, which may necessitate consultation with other disciplines and referral of some patients to other specialists.


2. Briefly describe any plans for developing and improving the course that are being implemented. (eg increased use of IT or web based reference material, changes in content as a result of new research in the field):


  • Introduction of Case presentations where in the students are expected to present their cases at the end of each semester. The presentation of cases in each semester will be considered as one of the components of continuous assessment.

  • Students will perform non-vital endodontic therapy using rotary instruments as a requirement.

  • Self-evaluation has been introduced where student will evaluate his own work before an instructor can evaluate him



C. Course Description (Note: General description in the form to be used for the Bulletin or Handbook should be attached)


1 Topics to be Covered (First Semester)


List of Topics

No of

Weeks


Contact hours Lectures and clinics.

Introduction/Endodontic Emergency

1

4

Clinical Diagnostic Procedures

1

4

Vital Pulp Therapy

1

4

Endodontic Pain

1

4

Traumatic Injuries

1

4

Perio-Endo-Interrelationship

1

4

Endodontic Mishaps

1

4

Restoration of Root Canal Treated Teeth

1

4

Tooth Resorption

1

4

Endodontic Retreatment

1

4

Endodontic Surgery

1

4

Evaluation of Endodontic Treatment Outcomes and Technologies in Endodontics

1

4

Bleaching Discolored Teeth

1

4

Revision

2

8



Only Clinical Sessions in Second Semester




No of

Weeks


Contact hours clinics.




15

45




2 Course components (total contact hours first semester):

Lecture: 13

Tutorial:

Laboratory

Practical/Field work/Internship: 45

Other: Exams (1 & 2)

2


Course components (total contact hours second semester):







45






3. Additional private study/learning hours expected for students per week. (This should be an average :for the semester not a specific requirement in each week)






4. Development of Learning Outcomes in Domains of Learning

For each of the domains of learning shown below indicate:



  • A brief summary of the knowledge or skill the course is intended to develop;

  • A description of the teaching strategies to be used in the course to develop that knowledge or skill;

  • The methods of student assessment to be used in the course to evaluate learning outcomes in the domain concerned.

a. Knowledge

  1. Description of the knowledge to be acquired

I.2. Describe dental materials’ structures, properties and manipulative variables.

  1. List the required properties of root-end filling material.

  2. Describe bleaching agents and their possible adverse effects on dental structures.

  3. Describe different techniques for bleaching of endodontically treated teeth and their indications & contraindications.

I.17. Discuss the complications of dento-alveolar surgery.

  1. List indications for surgical endodontics and its role in treatment planning and their pre-operative assessment process.

  2. List key instruments used in different endodontic surgeries.

  3. List the principles and rationales for flap design and suturing selection in surgical endodontics.

  4. List the post-operative instructions and discuss the importance of follow-up examination

I.22. Describe the various theories, concepts, techniques and principles of operative dentistry and endodontics.

  1. Discuss different rotary instruments and terminology used in endodontics.

  2. Describe their properties, limitations, advantages and disadvantages.

  3. Recognize the importance of sterilization of endodontic instruments, various methods and effects on efficiency and physical properties of instruments.

  4. Recognize the importance of magnification in modern endodontics

  5. List the main advantages and disadvantages of NiTi and Stainless Steel instruments

  6. Describe the materials and techniques used for retreatment

  7. Discuss the recent advances in regenerative endodontics and recognize its impact on the vital pulp therapy.

  8. Describe techniques for restoring an access opening.

I.24. Discuss a range of treatment options in endodontics related to lesions affecting pulp and periapical tissues.

  1. List the classification of endodontic-periodontal diseases and their differential diagnosis

  2. List the etiologic factors associated with endodontic-periodontal diseases

  3. Classify tooth resorption

  4. Explain the differences between internal and external dental resorption

I.31. Describe the criteria for success and failure of restorative and endodontic procedures.

  1. Explain criteria of successful endodontic therapy.

  2. Discuss reasons for root canal treatment failure.

  3. State the outcomes of root canal treatment based on pretreatment conditions.

  4. State the outcomes of retreatment, endodontic surgeries and other alternative treatment.

  5. Explain the post-retreatment complications, restorative options, follow-up care of endodontically treated teeth.

  6. List prognosis of endodontic surgeries and influencing factors.

  7. Discuss the types of pulpal irritants and their relative importance in maintaining the pulp vitality during dental procedures.

  8. Discuss the factors affecting the prognosis of different vital pulp treatments, their indications and contraindications

I.32. Discuss the complications of endodontic therapy.

  1. List causes for Endodontic Mishaps.

  2. Discuss causes for endodontic emergencies and their treatment protocols.




(ii) Teaching strategies to be used to develop that knowledge



  • Lectures

(iii) Methods of assessment of knowledge acquired

1- MCQs


2- True/False

3- Short answer questions.




b. Cognitive Skills

  1. Description of cognitive skills to be developed

II.3. Analyse and interpret data collected from the patient’s history, clinical, radiographic and other investigations.

  1. Interpret radiographic findings of patients indicated for endodontic therapy.

  2. Appraise the use of radiographs during endodontic procedures.

  3. Select appropriate radiographic technique for endodontic therapy.

  4. Analyse the causes of errors in radiographs taken during endodontic therapy.

II.4. Choose the appropriate diagnostic and management techniques based on patient age, behaviour capabilities, stage of dental growth/development, and chief complaints.

  1. Select appropriate diagnostic tests and aids used in endodontics.

  2. Differentiate between normal and abnormal responses of pulp to diagnostic tests.

II.5. Formulate differential diagnoses and reach definite diagnosis of oral hard and soft tissue lesions.

  1. Differentiate between pain of pulpal and non-pulpal origin.

  2. Differentiate between acute and chronic periapical conditions.

  3. Differentiate between Pulpal and periradicular diseases.

II.6. Formulate a comprehensive, sequential dental treatment plan based on the diagnostic findings for the child, adolescent and adult patient.

  1. Formulate/select a treatment plan based on history, examination, diagnosis and differential diagnosis in endodontics.

  2. Formulate an appropriate treatment plan for alleviating pain in endodontic emergencies.

II.15. Appraise challenges, failures and emergency cases in endodontics, prosthodontics and restorative dentistry.

  1. Identify endodontic problems that require treatment modifications.

  2. Identify retreatment options in endodontics.

II.16. Choose techniques, materials and instruments for individual cases indicated for prosthodontics, restorative and endodontic treatment.

  1. Select appropriate treatment protocol for vital pulp therapy.

  2. Select various materials and instruments used in endodontics.

  3. Choose amongst various treatment modalities for treating root canals with open apices.

  4. Recognize the factors affecting the delivery of endodontic therapy.

  5. Compare between various irrigation solutions used in endodontic therapy.

  6. Compare between various intracanal medicaments used in endodontic therapy.

  7. Compare between various obturation materials.

  8. Recognize indications for supplemental anesthesia in endodontics.

II.22. Establish prognosis of endodonticaly involved teeth.

  1. Predict the short- and long-term prognosis of treatment and influencing factors

  2. Predict outcomes of non-surgical endodontic therapy based on pretreatment conditions.

  3. Establish prognosis of cases undergoing retreatment and/or endodontic surgery.

(ii) Teaching strategies to be used to develop these cognitive skills

  1. Lectures

  2. Clinical case presentations

  3. Demonstrations

  4. Discussions

(iii) Methods of assessment of students cognitive skills

  • Clinical case presentations and students will be asked to:

  1. Interpret the radiographs

  2. Formulate differential diagnosis

  3. Formulate an appropriate treatment plan



c. Interpersonal Skills and Responsibility

(i) Description of the interpersonal skills and capacity to carry responsibility to be developed

(ii) Teaching strategies to be used to develop these skills and abilities

(iii) Methods of assessment of students interpersonal skills and capacity to carry responsibility

d. Communication, Information Technology and Numerical Skills

(i) Description of the skills to be developed in this domain.

(ii) Teaching strategies to be used to develop these skills

(iii) Methods of assessment of students numerical and communication skills

e. Psychomotor Skills (if applicable)

  1. Description of the psychomotor skills to be developed and the level of performance required

III.2. Perform and order the special investigations needed for diagnosing patients’ chief complaint including oral and maxillofacial radiographic imaging.

  1. Perform various diagnostic tests for pulpal and periapical responses.

III.5. Perform various techniques of local anaesthesia and manage their complications.

  1. Administer supplemental anaesthesia to control pain during endodontic therapy.

III.7. Perform isolation of the operative and endodontic fields.

  1. Apply rubber dam isolation during non-surgical endodontic therapy.

III.9. Perform conservative esthetic restorative procedures.

  1. Perform non-vital bleaching for root canal treated teeth.

III.11. Manage failures and emergencies in restored and endodontically treated teeth.

  1. Manage endodontic cases of traumatic injuries, reimplantation and splinting of teeth.

  2. Perform various modalities of vital pulp therapy including apexogenesis and apexification.

III.18. Perform non-surgical root canal treatment using different available techniques.

  1. Prepare different outlines of access cavities according to tooth morphology.

  2. Locate root canals according to tooth morphology.

  3. Determine working length in endodontic therapy using radiographs and electronic instruments.

  4. Perform cleaning and shaping of canals using hand and rotary instruments.

  5. Employ various radiographic techniques during endodontic therapy.

  6. Perform root canal obturation using lateral compaction technique.

  7. Retreat defective and failed root canal therapy.

  8. Manage various mishaps/complications that may occur during endodontic procedures




(ii) Teaching strategies to be used to develop these skills

  1. Regular supervision in every step of the Clinical procedures

  2. Giving clinical tips in overcoming difficulties in certain complex cases



(iii) Methods of assessment of students psychomotor skills

  1. Continuous assessment of clinical cases completed by the student as part of requirements.

  2. Practical examinations include two clinical cases treated by the student.



5. Schedule of Assessment Tasks for Students During the Semester




Assessment

Assessment task (eg. essay, test, group project, examination etc.)

Week due

Proportion of Final Assessment

1


1st Midterm written examination

7th

10%

2


2nd Midterm written examination

12th

10%

3


Practical Examination

14th

20%

4


Case Presentation

15th

5%

5


Submission of Log books for evaluation

15th

30%

6


OSCE

15th

5%

7

Final Written Examination

15th

20%

D. Student Support


1. Arrangements for availability of teaching staff for individual student consultations and academic advice. (include amount of time teaching staff are expected to be available each week)
Students were encouraged to ask anything they didn’t understand during Clinical sessions / lectures. Each staff member involved in the course had dedicated office hours (4 hours/ week) during which students can consult him.




E Learning Resources




1. Required Text(s)

  1. Endodontics: Principles and Practice. Mahmoud Torabinejad, Richard E. Walton 4th Edition. Elsevier Health Sciences, 2009

2. Essential References

  1. Pathways of the pulp. Kenneth M. Hargreaves, Stephen Cohen . 10th Edition. Mosby Elsevier,

  2. Ingle's endodontics 6. John Ide Ingle. 6th Edition. PMPH-USA, 2008

  3. Clinical Endodontic Manual




3- Recommended Books and Reference Material (Journals, Reports, etc) (Attach List)


4-.Electronic Materials, Web Sites etc

  1. Electronic resource such as peer review journals (Journal of Endodontics, International Endodontic Journal, ….)




5- Other learning material such as computer-based programs/CD, professional standards/regulations




F. Facilities Required


Indicate requirements for the course including size of classrooms and laboratories (ie number of seats in classrooms and laboratories, extent of computer access etc.)

1. Accommodation (Lecture rooms, laboratories, etc.)

  1. Lecture room with data show projector

  2. Clinics with x-ray units/digital x-ray




2. Computing resources

.


  1. Computers in the Clinics

  2. Computers to view radiographs




3. Other resources (specify --eg. If specific laboratory equipment is required, list requirements or attach list)


  1. Endodontic Instrument Kits

  2. Endodonitc Split Kits

  3. Digital Radiographic units [RVG]

  4. Electric Pulp Testers

  5. Endo Ice

  6. Rotary Endodontic Machines

  7. Rotary Endodontic Files





G Course Evaluation and Improvement Processes


1 Strategies for Obtaining Student Feedback on Effectiveness of Teaching
Course evaluation questionnaire (survey)



2 Other Strategies for Evaluation of Teaching by the Instructor or by the Department



3 Processes for Improvement of Teaching

  1. Staff development sessions

  2. Orientation by department chairman or senior staff member

  3. Groups discussions amongst the faculty




4. Processes for Verifying Standards of Student Achievement (eg. check marking by an independent member teaching staff of a sample of student work, periodic exchange and remarking of tests or a sample of assignments with staff at another institution)

  1. External course review is not available

  2. Students have access to course director and other instructors to discuss their performance in any given assessment

  3. Written examinations validity and questions difficulty levels are analysed and discussed by course instructors.

  4. Multiple faculty members are involved in the evaluation of clinical procedures and case presentations performed by each student.




5 Describe the planning arrangements for periodically reviewing course effectiveness and planning for improvement.

  1. Identifying academically-challenged students as early as possible in order to provide necessary support and report them to academic advisor according to Academic Performance Policy.

  2. Departmental/specialty staff discussions to review students’ performance







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