Curriculum Endodontics (2024)

Introduction to the Curriculum (Univ.-Prof. Hülsmann, Univ.-Prof. Schäfer)

• Basics of endodontics
• Goals, concepts, guidelines of endodontics
• Pathology of the pulp and apical periodontium
• Systemic aspects of endodontics
• Leave in place or remove existing restorations?
• Preparation of the tooth: build-up filling and rubber dam
• Anatomy of the teeth and preparation of the access cavities
• Use of Gates-Glidden drills and ultrasonic systems
• Locating additional duct systems
• Identification and visualisation of mb2 on maxillary molars
• How do I create a case presentation?

Practical exercises:

• Preparation of the access cavity under the dental microscope
• Representation of the mb2 at the maxillary molar

Manual preparation (Univ.-Prof. Schäfer)
Diagnostics and differential diagnostics, differential therapy, vital maintenance of the pulp: indication, techniques and prognosis, pain management, determination of working length, principles of preparation, instrumentation (manual root canal instruments), endobox, sterilisation, manual preparation techniques, problems of preparation.

Mechanical preparation with NiTi instruments (Univ.-Prof. Hülsmann, Univ.-Prof. Attin)

• Requirements for preparation techniques and systems: cleaning effect, shaping, occupational safety
• Differences in the design of NiTi instruments
• Differences in the design of NiTi instruments
• Systematics and advantages of the crown-down technique
• Standard and single length technology
• Instrument fractures: incidence, causes and prevention
• Importance of torque control to minimise breakage
• How good is NiTi preparation: cleaning effect, shaping, work safety, time saving, clinical success rate? A look at the literature
• Disinfection of the root canal system
• Requirements for disinfection in endodontics – current concepts
• New tools for rinsing (RinsEndo, EndoActiator, RoekoBrush, etc.)
• Laser, ozone and photodynamic disinfectionPassive ultrasonic irrigation (PUI)
• Interactions between rinsing solutions and rinsing incidents
• The medicinal insert: When, why and with what?
• Single or multiple root canal treatment

Practical exercises:

Mechanical preparation with various NiTi systems (FlexMaster, ProTaper, Mtwo…) and for ultrasonic rinsing

Root canal filling (Univ.-Prof. Bitter, Dr. Wolf-Yamamura)

• Filling materials: composition and properties
• Gutta-percha
• Sealer
• Pen systems
• Resilon warm and cold filling techniques
• Pencil techniques
• Problems of the WKF
• Prerequisites for obturation
• Time of obturation
• Preparations for obturation
• Step-by-Step: Lateral Condensation
• warm vertical condensation
• Obturation problems and their management
• Advantages and disadvantages of different filling techniques

Practical exercises:

• lateral and vertical condensation under the dental microscope

Dental trauma: consider biology, restore esthetics (Univ.-Prof. Dr. Krastl)

Focus on modern biologically oriented, evidence-based traumatology on the promotion of wound healing processes. Cell physiological storage media, tetracyclines, steroids, enamel matrix proteins, biocompatible as well as biomimetic materials are individual pieces of the puzzle that complement each other to form new therapy concepts and, in complex cases, decide whether teeth are retained or lost. In children, it is important to avoid negative effects on jaw growth and to take into account the still high life expectancy of the patients.

• Primary care: What materials do I need in the practice?
• Therapy after tooth fracture: bonding the fragment, composite or all-ceramic?
• Crown fractures with root involvement: Crown lengthening, extrusion, or intentional replantation?
• Root transverse fracture: Why such teeth can usually be preserved in the long term without any problems?
• Influencing healing processes in dislocation injuries: Emdogain, cortisone, or tetracycline?
• Endo in wide open apex: what can MTA do, how is it used?
• Managing late effects after trauma: are there even “hopeless” cases?
• Dealing with resorptions due to infection: Which insert?
• Dealing with ankylosed teeth
• Traumatic tooth discoloration: How and with what to bleach?

Billing of endodontic services (ZMV Parlak)

• When BEMA – when GOZ?
• GKV treatment guidelines: What should be considered?
• Prohibition of co-payments in the SHI system
• Non-contractual services, calculation of materials, case studies.

This part of the course will take place online, so that in addition your* ZMV will have the opportunity to participate free of charge.

Apical surgery (Dr Petschler)

Indications and contraindications, case selection and diagnostics, criteria for success, anaesthesia, flap design: techniques, advantages and disadvantages of different designs, technique of retrograde preparation, use of ultrasound, techniques and materials for retrograde obturation (MTA), suture techniques and materials, problems and prognosis of apical surgical measures.
Practical exercises under the dental microscope for retrograde ultrasound preparation and handling of the different closure materials.

Revisions (Univ.-Prof. Hülsmann)

Frequency and causes of endodontic failure, indication and decision aids: no therapy/revision/WSR/extraction? Special germ flora in endod. Failures, concepts and techniques, removal of posts and post abutments, removal of: Gutta-percha, silver posts, paste fillings, cement fillings, fractured instruments, disinfection protocol in endodontic failures, problem management, prognosis. Disinfection protocol for endodontic failures, problem management, prognosis/success rates depending on different prerequisites, bleaching of endodontically treated teeth.

Practical exercises:

• Revision of the root fillings of the previous module with manual and mechanical techniques.

Case presentations and collegial final discussion (Univ.-Prof. Hülsmann)

Handing over of the certificates

You will need for the practical exercises in the course:

• Extracted teeth in larger numbers (especially molars)
• with intact root tips
• if possible with moderate and difficult root curvature
• How to prepare the teeth will be announced to you in time.