Competencies Biomedical Sciences
|Course Title/Year/Credit Institution
|Regional Anatomy Biennial 3 UNC
||(OMSU 207) odd years|
|Oral Biology Biennial 2 UNC
||(OBIO234 A, B) odd years|
|Research Design Yearly 1 UNC
||(DENG 201) |
|Biostatistics Yearly 2 UNC
||(DENG 202) |
|Oral Path & Histopath Biennial 2 UNC
||(ORPA 263) odd years|
|Pharmacology Biennial 1 UNC
||(OMSU 220) even years|
|Oral Path & Histopath Biennial 1 UNC
||(ORPA 262) even years|
|Oral Radiology Biennial 2 UNC
||(ORAD 206) even years|
|Oral Biology Biennial 2 UNC
||(OBIO 234C,D) even years|
It is expected that the resident will become well versed in the basic fundamentals of endodontic therapy and develop proficiency in the clinical evaluation and management of endodontic cases. Clinical and didactic training will be integrated to provide the situations and information to allow sufficient development of endodontic expertise. Fort Bragg Endodontic 2 Year program is a competency based curriculum. Most of the competency statements are rated as competency (C) or proficiency (P). Competency means the ability to practice independently and safely with some degree of speed and accuracy consistent with patient well being but not performance at the highest level possible. It requires an awareness of what constitutes acceptable performance under normal circumstances. (P) Proficiency refers to a level of practice that exceeds competency and entails slightly greater speed and accuracy of performance, ability to handle more complicated and unusual problems, and problems presenting under less than ideal circumstances and greater internalization and integration of professional standards.
The clinical phase will be augmented by lectures, tests and quizzes, case presentations, clinical demonstrations, literature reviews, seminars, consultant visits, and participation in mock clinical and written board examinations. The role of endodontics in the overall treatment plan patient care will be stressed. The interrelationship of endodontics and all other specialty care will be emphasized. This phase will include:
- Orientation, philosophy and rational of treatment, and review of trauma guidelines.
- Clinical diagnosis and pulp and periapical pathology.
- Review of clinical root canal system access and anatomy.
- Armamentarium demonstration and discussion of endodontic instruments and materials.
- Instrumentation techniques including numerous methods of cleansing and shaping the canal system.
- The usefulness of various irrigants, chelating agents, intracanal medicaments, and working length determination techniques.
- Review and clinical demonstration of available obturation techniques.
- Management of endodontic emergencies.
- Review of resorption diagnosis and treatment/trauma/ apexification.
- Review of current intracoronal and extracoronal bleaching techniques.
- Surgical endodontic techniques/bone and collagen.
- Microbiology, pharmacology, sterilization, and infection control.
- Periodontal and endodontic relationships.
- Endodontic failures and retreatment/success and failure.
- Pulp biology.
- Pain and pulp pathology/periopical pathology.
- History of Endodontics.
- Non-odontogenic facial pain and endodontics.
- Geriatric endodontics, medically compromised patients.
- Restoration of endodontically treated teeth.
- Inflammation and immunology.
[NA] Demonstrate mastery of didactic material concerning endodontics. (P)
This portion of the training program will provide the resident clinical experience in the management of teeth with pulpal or potential pulpal involvement. Additionally, the resident will manage the treatment or retreatment of teeth with periapical pathology. This training will emphasize the practical treatment options to manage pulpal sequela of trauma, infection and inflammation.
- Collect, organize, analyze and interpret data from the medical and dental histories and clinical evaluation to determine their relationship to the patient’s endodontic treatment. (P)
- Perform tests and clinical examinations and interpret the significance of the data in the differential diagnosis of clinical conditions arising from injury to and pathosis of pulp and periradular tissues. (P)
- Expose, process and interpret radiographs and/or take and interpret digital images. (P)
- Establish differential interpretation of lesions and normal anatomic structures through radiographs or digital images. (P)
- Formulate a diagnosis, prognosis, and treatment plan for conditions that require endodontic treatment in support of the total oral health of the patient, requesting information/consultation from other health professionals as needed. (P)
- Provide appropriate emergency treatment to relieve pain and resolve infections of endodontic origin. (P)
- Recognize and manage, or prevent endodontic pain and associated anxiety using physical, chemical and psychological modalities. (P)
- Provide non-surgical and surgical endodontic treatment. (P)
- Retreat endodontically treated teeth using both non-surgical and surgical techniques. (P)
- Evaluate the results of endodontic treatment and determine whether additional evaluation/treatment is required. (P)
- Provide space for intraradicular restorations and cores in endodontically treated teeth. (P)
- 12. Communicate to patients the nature of their endodontic conditions and the value of treatment to their overall oral health. (P)
- Communicate with other health-care professionals interpreting their assessments and integrating this information into the treatment of the patient. (P)
- Provide vital pulp therapy. (P)
- Perform root-end closure procedures. (P)
- Evaluate, diagnose and manage traumatic injuries to teeth and their supporting structures. (P)
- Provide endodontic treatment for the medically compromised patient. (P)
- Develop a differential diagnosis of orofacial pain. (P)
- Diagnose and treat periodontal disease and defects in conjunction with the treatment of the specific tooth undergoing endodontic therapy; treatment should be provided in consultation with individuals who will assume the responsibility for the completion or supervision of any additional periodontal maintenance of treatment. (P)
- Place intraradicular restorations and cores in endodontically treated teeth; when the patient is referred, this treatment is accomplished in consultation with the restorative dentist. (P)
- Perform non-surgical and surgical endodontic procedures using microscopy. (P)
- Perform intracoronal bleaching procedures. (P)
- Provide instruction in a variety of endodontic techniques. (C)
- Comprehensive records of history, diagnosis and treatment must be maintained for each patient and be available for review. (P)
- The program must include a system for follow-up evaluation of patients. (P)
- The history of endodontics, teaching methodology, ethics and jurisprudence, and practice management. (C)
- Endodontic endosseous implants, osseointegrated implants and techniques for placement of implants, and orthodontic extrusion procedures (exposed) Extrusion (C)
- Seminars and conferences dealing with various phases of endodontic diagnosis and treatment, including literature and textbook reviews as well as clinical conferences, must be held on a regularly scheduled basis. (C)
- Students must actively participate in seminars or conferences in which they present and participate in the evaluation of diagnostic data, treatment planning, treatment procedures, and outcomes assessment. (P)