10 day endodontic programme

Hands-on techniques are demonstrated both live and with the use of video. The ratio of didactic to hands-on training is 50:50.

Participants are encouraged to have a go themselves, using all of the contemporary endodontic preparation and obturation systems currently available in the UK. The hands-on sessions allow participants the opportunity for an unbiased look at the different systems and materials.

Module 1

• Aetiology of endodontic disease.
• Prognosis of non-surgical endodontic treatment.
• A brief review of the mechanical properties of endodontic instruments.
• Endodontic instrumentation techniques: introducing an old favourite but still a very valuable technique - balanced force filing.
• How to ledge, perforate and block a canal BUT more importantly, how not to!
• Introduce a simple and predictable protocol for use of Dentsply's Protaper Gold.

Module 2

• An exploration of root canal anatomy of each tooth using some amazing software that almost takes you on a journey down the root canal.
• A look at the bacteriology of endodontic disease from a very practical aspect, understanding the science behind the disease process and the best way to treat endodontic disease.
• To understand aims and objectives, and a brief introduction on how to get the best out of research papers.
• A quick look at different endodontic instrumentation techniques, including a very brief review of hand filing techniques, as you may still need to use some of these files at the start of a case.
• Alternative protocols for use of Dentsply's Protaper Gold, showing use of a reduced numbers of files in a very predictable and safe protocol.
• Understanding different tapers for canal preparations, and how to create these using hand files.
• A quick introduction to the trend towards smaller and tapered preparations and why this might be important for preserving the strength of the tooth.

Module 3

• Diagnostic procedures.
• Diagnosis of non-odontogenic pain.
• Management of medically-compromised patients.
• Radiographic interpretation, their limitations and future trends including the use of CBCT for endodontic practice.
• Accessing the canal system, the why and the how!
• Role of glide path management in root canal preparation, comparing glide path production using hand files and automated files. Importance of a glide path in preventing instrument separation.
• An introduction to rotary versus reciprocating automated filing, comparing MicroMega's OneCurve with VDW's Reciproc Blue, working in single and double curved canals.

Module 4

• Pulpal response to caries and dental procedures.
• What can cause pulpal damage? A review of pulpal irrigants.
• Pulp capping, pulpotomies and the trend towards the increasing use of vital pulp therapy.
• Anatomy of the apical third of the root canal, looking at such questions as what should the working length be and how wide should our preps actually be?
• Endodontic length determination using apex locators and comparing with radiographic determination.
• Detection and management of vertical root fractures.
• Contemporary root canal irrigants, what are they? How many should we be using and how are they best used?
• Comparing irrigation efficiency in three different tapered canal preparations, made with either the latest generation of Kerr's K3 file system K3XF, Dentsply's Protaper Next or VDW's Reciproc Blue. Comparing standard needle based irrigation with Sonic activation of irrigant to see if preparation taper and irrigant activation actually makes any difference to irrigant penetration. Remember files shape canals but it is the irrigant that cleans the canal!
• Understanding proper and reliable use of apex locators (we have a few for you to review), to assess vertical canal dimension.
• Use of hand files for apical gauging to assess the correct horizontal canal dimension, which is very important for correctly preparing the apical third.

Module 5

• A complete review of NiTi and how it has changed endodontic instrumentation through the last 20-30 years, including a review of the mechanism of fracture of NiTi files, and the role of NiTi instrumentation in the preparation of curved canals.
• Navigating pulp chambers, with some top tips on how to find those canal orifices! All of them!!
• Introducing Dentsply's latest generation reciprocating file, WaveOne Gold and comparing with Kerr's brand new rotary Zenflex file system.

Module 6

• A highly practical and incredibly useful review of local anaesthesia, looking at the best anaesthetics to use and the most reliable techniques. LA failure in endodontics is an issue we are all faced with occasionally. We will review why this is and how to manage these situations.
• Use of antibiotics in endodontics (not a very long discussion!).
• Prediction of endodontic pain and use of analgesics to control the discomfort of endodontic disease reliably and predictably.
• Review of endodontic obturation techniques looking at both historical and contemporary techniques. Many folks are now using single cone techniques. But here you will have a great opportunity to compare thermal obturation techniques with single cone obturations, in either extracted teeth OR in 3d printed anatomically correct simulated teeth.
• Gutta Percha is still the favoured obturation material. So, we want to have a quick look at alternative obturation materials also, and see how they compare.
• A look at contemporary root canal sealers and how the role of sealers is becoming more and more important in these days of sealer based obturations. How to introduce sealers into the canal systems. We look at the various ideas for doing this demonstrating the need for careful control of materials that can be easily extruded.
• A review of Interappointment medicaments.

Module 7

• A whole day on endodontic retreatment.
• Assessing success and failure of endodontic treatment using clinical and radiographic parameters, including some suggestions for sensible review periods. Knowing when a treatment has failed is of paramount importance! One should not retreat a tooth that is not broken.
• Causes of failure of endodontic treatment.
• Biology of the failed endodontic case.
• Endodontic retreatment, a challenging procedure!
• Tactics in overcoming failure.
• Developing a sound strategy for dismantling the obturated canal. Removal of Gutta Percha from canals, using automated systems, Dentsply's Protaper retreatment files, VDW's Reciproc Blue and FKG's XP-Shaper, but also bringing you up to speed with use of heat to remove Gutta Percha and also solvents.

Module 8

• Restoration of the endodontically treated tooth, including temporisation and provisional restorations.
• Importance of coronal seal, and cuspal protection. The latest trends and thoughts on this huge subject.
• Treatment planning and the need to plan the coronal restoration before you embark upon endodontic treatment. Start with the end in mind!
• Use of root filled teeth as abutments and whether this is sensible.
• Canal preparation with a single file protocol using Coltene's Hyflex EDM OneFile system, followed by obturation and restoration using various core materials and techniques. Then a more complex canal preparation using a 3 file protocol based on Coltene's Hyflex EDM file system, and again restoration using various core materials.
• A review of the history of amalgam dowels (Nyaar) to retain cores and the challenges that the increasing use of composite materials brings to core build ups.
• A review of direct and indirect restorations and their respective roles in the restoration of the endodontically treated tooth.

Module 9

• An overview of endodontic trauma: its pathogenesis and management, both short term and long term.
• Trauma is a significant risk factor for root resorption, specifically external root resorption in all its various presentations. We will look at the diagnosis and management of resorption, both internal and external resorption.
• A look at aesthetic issues of trauma which sometimes involves discolouration. So we will review tooth lightening both internal and external techniques.
• What is the link between orthodontics and endodontics? Well one answer is resorption and it is critical we look at the issues involved.
• What are the differences between apexification and apexogenesis? How have the boundaries between these two concepts been blurred by "pulpal" regenerative techniques? What can you do in your own practices? Well, quite a lot in all honesty and we will explain how.
• A practical look at the use of contemporary bioceramic materials as apical barrier repair materials in apexification techniques and as perforation repair materials.

Module 10

• We look at medico-legal issues as they relate to endodontic diagnosis and treatment, including a review of what is "proper consent" to what to say to patients if things don't quite go to plan.
• Procedural misadventures and how to avoid them by planning carefully and having sensible expectations.
• A review of ways to dismantle the restored tooth including removal of instruments, posts etc. from canals, using various bits of special equipment and of course ultrasonic energy.
• A quick overview of endodontic/periodontal relationships, and whether the "perio-endo" lesion truly exists!
• In the practical session for this day, it's time to prove that you can remove posts and fractured files from canals using the correct equipment (including the enhanced magnification from the dental operating microscope). It's a great session and a fab way to conclude the 10 day programme.

60 hours

The fee for the simplyendo 10 day endodontic programme which includes tuition, hand-outs, lunch and refreshments is £6250.

Easy payment options. To secure your place on the programme, we would require a deposit of £650 at the time of application, followed by 8 x monthly payments of £700. The monthly invoices will start 2 months before the programme starts.

Please note that online students will incur additional postage charges for programme materials. For further information, including a full breakdown of costs, please refer to our Terms and Conditions.

If at any point during the programme, you wish to settle the outstanding balance with one payment, you can request an invoice for the entire amount. Just contact a member of the simplyendo team.

Formby College 46 Freshfield Road Formby Liverpool L37 3HW

Online

Join us (virtually) where we deliver live lectures and hands-on sessions. Training kits will be sent to you in advance for each day, to enable you to complete the practical sessions remotely, you’ll also get live feedback from the tutor. All you need is your own endodontic motor.

Skipping the 10 day programme is not possible. The 10 day endodontic programme is an integral part of our training structure and serves as a prerequisite for the MSc programme.