CLINICAL ENDODONTICS CERTIFICATE & DIPLOMA PROGRAMME

MODULE 5 ENDO

Restoration of Endodontically Treated Teeth

Programme outline: Occlusion and whole patient care. The restorative endodontic Interface. Plastic restoration, posts, intra and extra-coronal restorations, cuspal coverage amalgam vs composite.

Hands-on: Placement of core restorations and post retained restorations.


DAY 1

Title: The Principles of Occlusion in Advanced Restorative Dentistry

Topics

  •     History
  •     Balanced occlusion
  •     Gnathology v’s PMS
  •     5 principles of occlusion
  •     Levers
  •     Bruxism

Aims

(Attending this course module will help students...)

  •     Discuss the events precipitating the study of occlusion
  •     Appreciate the limitations of a balanced occlusion
  •     Understand the distinctions between Gnathology and Pankey Mann Scheiler theories
  •     Introduce the concepts of RCP, ICP, and RAP
  •     Define how the dentition distributes lateral and vertical loading
  •     Describe the concepts of anterior and posterior guidance
  •     Understand the classification of levers and how this applies to occlusion
  •     Consolidate the theory and implications of bruxism
  •     Classify the options for lateral and protrusive guidance
  •     Consider the consequences of non-working side interferences
  •     Establish the three components of posterior stability

Objectives

(By the time the delegate has completed this module he/she will...)

  •     Manipulate the mandible to arc around its terminal hinge axis
  •     Confirm the tooth contact to register retruded contact position
  •     Evaluate the vertical and horizontal components of the RCP –ICP slide
  •     Demonstrate the examination for a mutually protected occlusion
  •     Identify the consequences of class II leverage in the occlusal scheme
  •     Record the guidance for a given occlusal scheme
  •     Critique the guidance and prescribe any adjustment
  •     Illustrate the protocol to identify non-working side interferences
  •     Conceptualize the impact of removing non-working side interferences
  •     Appreciate the treatment modalities for: working, balanced and non-working side guidance

Course outline

The morning session will consist of a seminar on occlusion and will cover the following topics:

  •     The 5 principles of occlusion
  •     RAP V centric relation
  •     Mutually protected occlusion
  •     The importance of anterior guidance
  •     Non- working side interferences
  •     Posterior stability

The afternoon session will be a hands on practical (Adam Toft). This will cover face bows and jaw registration.

Agenda

08:30 – 10:30
Occlusion Seminar
10:30 – 10:45
Discussions
10:45 – 11:00
Coffee Break
11:00 – 11:45
Occlusion seminar continued
13:00 – 14:00
Lunch
14:00 – 16:00
Hands-on practical: face bows & jaw registration
16:00 – 16:15
Discussions
16:15 – 16:30
Coffee Break
16:30 – 18:00
Case review & discussion

DAY 2

Title: Occlusal Examination

Topics

  •     Adaptation
  •     RCP-ICP slide
  •     ICP stability
  •     VH
  •     HV
  •     Bruxism
  •     Dahl appliance
  •     Conformative
  •     Reorganized

Aims

(Attending this course module will help students…)

  •     Define the mechanisms of occlusal adaptation
  •     Recognise that social and medical history may influence occlusal harmony
  •     Appreciate how the anatomy of the glenoid fossa influence the mandibular movement
  •     Assign a classification and values to condylar movements
  •     Discriminate the opportunities to prescribe a Dahl appliance
  •     Understand how anterior tooth shape and position influence the condylar movement
  •     Appreciate why vertical and horizontal elements of the slide influence treatment planning

Objectives

(By the time the delegate has completed this module he/she will…)

  •     Establish the protocol for occlusal examination
  •     Deliberate the consequences of an unstable ICP
  •     Evaluate the Bennett angle and Bennett movement
  •     Confirm the orbiting and rotating condyles during mandibular movements
  •     Conceptualize condyle position for working and non-working side excursions
  •     Describe the impact of bruxism with class II leverage
  •     Evaluate all information to prescribe a reorganized or conformative treatment plan

Course outline

The morning session will consist of an occlusal examination seminar and the afternoon session will consist of an occlusal examination practical.

Agenda

08:30 – 10:30
Occlusal examination seminar
10:30 – 10:45
Discussions
10:45 – 11:00
Coffee Break
11:00 – 11:45
Occlusal examination seminar continued
13:00 – 14:00
Lunch
14:00 – 16:00
Hands-on practical: an Occlusal examination
16:00 – 16:15
Discussions
16:15 – 16:30
Coffee Break
16:30 – 18:00
Case review & discussion

DAY 3 

Title: Modern Post and Core Techniques

Topics

  •     Long and thin
  •     Tapered v’s parallel
  •     5 x criteria
  •     Ferrule
  •     Shenker post
  •     Nayyar cores
  •     Split cast post and core
  •     Duralay direct post and core
  •     Impression technique
  •     Material choice
  •     Anti rotation grooves

Aims

(Attending this course module will help students…)

  •     Discuss the advantages/disadvantages of the various post morphologies
  •     Introduce the 5 criteria which influence the success of a post
  •     Revise the principles of Shenker post design
  •     Understand the stages required for accurate impression taking
  •     Appreciate the importance of the ferrule in a post’s prognosis
  •     Awareness of the technique for a direct Duralay post and core
  •     Evaluate the techniques available for treating multi rooted teeth
  •     Understand the implications of material choice on aesthetics and prognosis
  •     Discuss anti-rotation grooves, their placement, and instrumentation

Objectives

(By the time the delegate has completed this module he/she will...)

  •     Identify the material of choice for a clinical scenario
  •     Evaluate the criteria for post success in a clinical scenario
  •     Demonstrate the use of the Nayyar core for multi rooted teeth
  •     Prepare a Shenker post and provide a suitable impression
  •     Fabricate a Duralay direct post and core for anterior teeth
  •     Produce a split cast post and core using the ‘bead-on’ technique
  •     Examine the stages in cementation of carbon fiber posts

Course outline

The morning session will consist of a seminar covering posts and the afternoon session will be a hands-on practical covering shenker, duralay, and fiber post preps.

Agenda

08:30 – 10:30
Posts seminar
10:30 – 10:45
Discussions
10:45 – 11:00
Coffee Break
11:00 – 11:45
Posts seminar continued
13:00 – 14:00
Lunch
14:00 – 16:00
Hands-on practical: Shenker, Duralay & Fibre post preps
16:00 – 16:15
Discussions
16:15 – 16:30
Coffee Break
16:30 – 18:00
Case review & discussion

DAY 4

Title: Modern Adhesive Techniques for Restoration of the Root Filled Tooth Seminar and Practical

Course Aims & Objectives

  •     Revision of posterior tooth anatomy
  •     Introduce the principles of PKT carving
  •     Present the criteria for the use of Nayyar cores
  •     Expanded armamentarium to include PKT and Frahm’s carving instruments
  •     Understand the various ways to restore Posterior root Filled teeth
  •     When to restore with filling or onlay
  •     Techniques for different onlay preparations
  •     Learn modern Adhesive techniques
  •     Understand how 'C Factor' influences your filling technique
  •     Metal onlay v Porcelain onlay v Composite onlay
  •     Choosing different types of ceramic
  •     Use of sectional matrix bands
  •     Layering techniques to minimize stress

Course Outline

The morning session will consist оf: First Part- seminar, Second Part- practicals (Adhesion and Posterior Composites).

The afternoon session will consist оf: First Part- seminar, Second Part- practicals (Posterior Porcelain Onlays).

Agenda

08:00 – 10:00
Lecture: Adhesion and Posterior Composites for Root Filled Posterior Teeth
10:00 – 10:15
Discussion
10:15 – 10:30
Coffee break
10:30 – 13:00
Hands-on practical: Posterior Class 1 and Class 2 Composites for Posterior Root Filled Teeth
13:00 – 14:00
Lunch Break
14:00 – 15:00
Lecture: Onlay preps for Root Filled Posterior Teeth
15:00 – 15:15
Discussion
15:15 – 15:30
Coffee Breaks
15:30 – 17:30
Hands-on practical: Posterior Porcelain Onlays for Posterior Root Filled Teeth


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