Clinical Procedures and tips

Question 1

HOw many cases do you need to graduate in endo?

Answer 1

4 cases

Question 2

What are the 4 cases needed?

Answer 2

2 Uncomplicated ant. or PM tooth
Then Uncomplicated 1st molar
Then Competency tooth (any non complicated tooth Ant, pm, or 1st molar)

Question 3

You MUST do it ON YOUR OWN: (Other than approving case selection, faulty will NOT be allowed
to help you in any way including working on the tooth, offering advice or answering questions. A Fellow
Student may assist but only in assistant capacity. A “Cheat Sheet” may be prepared and brought by the
student.
If you FAIL ANY PORTION of the it, this will be documented and you
must successfully make up the competency before you will be passed in Endo.

Answer 3

Competency guidelines

Question 4

Can you do a competency after doing 1 tooth?

Answer 4

Nope; must do 2 cases first

Question 5

How many recalls must you perform on RCT?

Answer 5

2 recalls

Question 6

How many assisting in grad endo must be done?

Answer 6

2 assistings

Question 7

Can rCT be done without rubber dam?

Answer 7

Nope

Question 8

How many consults and diagnosis do you need for each tooth in question?

Answer 8

1 diagnosis form and 1 consult form (1 per tooth)

Question 9

Do these indicate a consult from endo?
Restoratibility concern
Previous O&R
Asympotmatic pulp exposures

Answer 9

Nope

Question 10

Do these need an endo consult?
Pt in pain
Previous RCT w/wo symptoms and PARL
Symptomatic teeth
Create post space

Answer 10

Yes

Question 11

How do you get endo consult?

Answer 11

Pager from team clerk

Question 12

What do you do if pulp exposure occurs?

Answer 12

1. Insure Dental Dam is in 
place and tooth is well 
isolated.
2. Remove ALL remaining 
Caries.
3. Irrigate with 8.3% 
NaOCl to gain hemostasis
& to reduce microbial
contamination.
4. Place cotton pellet over
exposure and place a good
temporary restoration.
5. Take 2-3 radiographs of 
post-restoration tooth.

Then Email faculty with appropriate info

Question 13

How long do you want to see past apices in radiographs?

Answer 13

2 mm beyond apex

Question 14

How many months equals a recent radiograph for endo purposes?

Answer 14

Witthin 5 months