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About Study Course

ECTS:34
Course supervisor:Aleksandra Kārkle
Study type:Full time
Course level:Doctor
Target audience:Medicine
Language:Latvian
Study course description Full description, Full time
Branch of science:Clinical medicine; Dentistry

Objective

The course develops the resident's advanced theoretical knowledge and practical skills in endodontic retreatment and the diagnosis, treatment planning and management of complex clinical cases. Residents acquire contemporary retreatment techniques, principles for the diagnosis and management of procedural complications, and the ability to make evidence-based clinical decisions to optimise treatment outcomes and ensure the long-term prognosis of the natural dentition.

Learning outcomes

Knowledge

1.1. Acquire knowledge of the principles of assessing the quality of endodontic treatment and the indications for nonsurgical endodontic retreatment.
2. Acquire knowledge of the causes and pathogenesis of endodontic treatment failure and the principles of clinical decision-making.
3. Acquire knowledge of the principles and techniques for the safe removal of coronal restorations and intracanal posts.
4. Acquire knowledge of the principles and techniques for the removal of conventional root canal filling materials.
5. Acquire knowledge of the principles and techniques for the removal of root canal sealers and other filling materials.
6. Acquire knowledge of the principles of bypassing and removing separated instruments.
7. Acquire knowledge of the diagnosis, prevention and management of complications associated with nonsurgical endodontic retreatment.
8. Acquire knowledge of the diagnosis and management of root perforations.
9. Acquire knowledge of the diagnosis and management of root resorption.
10. Acquire knowledge of the diagnosis and management of calcified and obliterated root canals.
11. Acquire knowledge of the diagnosis and management of complex root canal anatomy.
12. Acquire knowledge of the diagnosis and management of discolouration of endodontically treated teeth and the principles of internal bleaching.
13. Acquire knowledge of the diagnosis, prognosis and treatment planning of cracked and fractured teeth.
14. Acquire knowledge of the differential diagnosis and treatment planning of persistent pain following endodontic treatment.
15. Acquire knowledge of the principles of prognosis assessment and outcome evaluation following endodontic retreatment.
16. Acquire knowledge of the principles of analysing and treatment planning for complex endodontic retreatment cases.

Skills

1.1. Perform clinical and radiographic assessment of the quality of previous endodontic treatment and identify indications for nonsurgical endodontic retreatment.
2. Analyse the causes of endodontic treatment failure and justify clinical decision-making.
3. Perform the removal of coronal restorations and intracanal posts while preserving tooth structure.
4. Perform the removal of conventional root canal filling materials.
5. Perform the removal of root canal sealers and other filling materials.
6. Perform bypassing and removal of separated instruments.
7. Recognise, prevent and manage complications associated with nonsurgical endodontic retreatment.
8. Diagnose and manage root perforations.
9. Diagnose and manage root resorption.
10. Diagnose and manage calcified and obliterated root canals.
11. Diagnose and manage cases with complex root canal anatomy.
12. Diagnose discolouration of endodontically treated teeth and perform internal bleaching.
13. Diagnose cracked and fractured teeth and develop an appropriate treatment plan.
14. Perform the differential diagnosis of persistent pain following endodontic treatment and develop an appropriate treatment plan.
15. Evaluate the outcomes and long-term prognosis of endodontic retreatment.
16. Analyse complex endodontic retreatment cases and develop appropriate treat.

Competence

1.1. Independently assess the quality of previous endodontic treatment and justify the need for nonsurgical endodontic retreatment.
2. Make evidence-based clinical decisions in cases of endodontic treatment failure.
3. Independently plan and perform the removal of coronal restorations and intracanal posts.
4. Independently plan and perform the removal of conventional root canal filling materials.
5. Independently plan and perform the removal of root canal sealers and other filling materials.
6. Independently manage cases involving bypassing and removal of separated instruments.
7. Prevent and manage complications associated with nonsurgical endodontic retreatment.
8. Independently diagnose and manage root perforations.
9. Independently diagnose and manage root resorption.
10. Independently diagnose and manage calcified and obliterated root canals.
11. Independently manage cases involving complex root canal anatomy.
12. Integrate aesthetic and functional principles in the management of endodontically treated teeth.
13. Make evidence-based clinical decisions for the management of cracked and fractured teeth based on prognosis.
14. Perform differential diagnosis and collaborate with other healthcare professionals in the management of persistent post-treatment pain.
15. Independently evaluate the outcomes and long-term prognosis of endodontic retreatment.
16. Integrate diagnostic findings, scientific evidence and clinical expertise in the planning and management of complex endodontic retreatment cases.