Conservative Dentistry and Endodontics

Overview

Conservative Dentistry is the subject that deals with the art and science of the diagnosis, treatment and prognosis of defects of teeth which do not require full coverage restorations for correction; such treatment should result in the restoration of proper tooth form ,function and aesthetics while maintaining the physiological integrity of the teeth in harmonious relationship with adjacent hard and soft tissues; all of which enhance the general health and welfare of the patient.

DEPARTMENT GOAL

The goal of the undergraduate curriculum in this subject to impart knowledge regarding

  • The basic biology, pathophysiology and clinical presentation of the carious and non carious diseases.
  • The planning of treatment protocols based on the finding from various diagnostic tools.
  • The understanding of the instruments, equipments and the materials that are needed to restore the lost tooth structure.
  • Execution of the treatment plan using various restorative modalities and materials based on minimal invasive philosophy.
  • The recognition and identification of caries risk individuals using caries risk assessment protocols and institutional diseases and preventive measures as a main part of treatment option.

ENDODONTICS is the subject that deals with art and science of diagnosis treatment and prognosis of pulpally compromised teeth.

The goal of the undergraduate curriculum is the subject is to impart knowledge regarding:

  • The basic pathophysiology and clinical presentation of all the pulpal and periapical disease caused by carious or a non carious disfigurement.
  • The planning of treatment protocols based on the findings from various diagnostic tools.
  • The execution of non surgical or surgical treatment using various endodontic material and modalities.
  • Rationale in various steps in root canal therapy, the material and instruments that are used in this steps

 

DEPARTMENT OBJECTIVE

The main objective of the field of Conservative dentistry and endodontics is to identify the disease involving the dental and pulpal and peri-apical structures and to manage them and thus to restore the health and functionality of the dentition.

The department apart from focusing on these key objectives will contribute to the subject of cariology, through the clinical cariology as well as through the proposed research ion dental caries concepts.

The department is conducting research on Herbal medicine intervention for prevention of caries. This will contribute to the existing weak evidence on the Herbal medicine in dentistry.

  • To implement the biological management of dental caries as opposed to the traditional mechanical management by using
    • The ICDAS system of classifying and detecting caries
    • The non-operative interventions to control and manage caries
    • To comprehensively assess the patient with caries risk assessment and make a tailor made treatment plan for the best oral health outcome
  • To encourage research facility within the department on Cariology
  • To introduce caries simulated models in physical or in virtual way for preclinical students to shift from mechanical based training to biological training
  • To assess the capacity of the student in a comprehensive treatment planning and execution of the treatment
  • To introduce the student into a Young Scientists Program by which the untapped potential of the students can be enhanced and encouraged in the Research field
  • To encourage the students to participate in National Level conferences
  • To bring out departmental newsletter for internal circulation edited by students and the staff
  • To encourage CAL – computer assisted learning in our specialty and to computerize and network the working units
  • On the whole, top evolve into a department with excellence in education and patient service

Facilities

The Department is compartmentalised into clinical and pre-clinical department. The infra structure also includes minor divisions such as HOD room, staff room, sterilisation room, endo-surgical room and radiology section.

The clinical department is equipped:

  • 29 state-of-the-art electrically dental chair units with airotor and micromotor connections and doctor’s operating stool.
  • A centralised compressor and a centralised suction provides noise free and comfortable ambience.
  • Apart from centralised suction, the department is equipped with autoclave and a glass bead sterliser.
  • For effective patient education, the waiting area of the clinical department has patient education posters which ensure that the patient’s precious waiting time is well spent.
  • Seminar room and Departmental library is equipped with 20 text books in the subject of Conservative Dentistry, Endodontics, Dental Materials and basic sciences for quick reference it also contains more than 20 e-books on CD s and educational videos .

The pre-clinical department is equipped with the following:

  • 60 phantom head tables with accessories are present for the simulation training of the pre-clinical student on various treatment procedures.
  • All the units are equipped with airotor and micromotor control so that the students can be trained in high speed as well.
  • Departmental museum is in pre-clinical department where models are exhibited for self study as well as demonstration tools are also present.

SPACE
In addition to the BDS functional programme the following physical facilities is available for post- graduate training programmes.

A separate clinical area 600 sq. ft. for post-graduate students exists. A 300 sq. ft. furnished seminar room with proper seating arrangement and audio-visual equipments along with 200 sq.ft. separate room for the use of post-graduate students exists.

EQUIPMENT

The department has every equipment necessary for carrying out the day-to-day clinical work like dental chairs and units, endosonic handpieces, mechanized rotary instruments including hand pieces and hand instruments, glass bead sterlizers for each chair, autoclaves for bulk instrument, sterilization vaccum (front loading + fully automatic), autoclaves for hand piece sterilisation, apex locators 4th generation upwards, equipments for injectable thermoplasticized gutta-percha, pressurized local anasthesia  system, pressurized local anasthesia system, operating microscopes-steroscopic distance (22-25mm), pickling kits, surgical endokits (microsurgery), low speed high torque motors, torque control handpeices, Hu Freidy set of hand instruments (FDI Approved quality), Hu Freidy sterlizer trays, variable intensity polymerisation equipments VLC units, build quality & technical performance, conventional VLC units, LCD projector with computer-basic system with printer and scanner [TMA Attachment], overhead projector, slide projector, clinical micro motors, high speed hand pieces, composite kits with different shades and polishing kits, ceramic finishing kits, metal finishing kits, amalgam finishing kits, X-ray machine & RVG with all sensors (0,1,2) FDI approved to name a few.

CURRICULUM

UNDER GRADUATE CURRICULUM

FIRST YEAR CURRICULUM

The curriculum focuses on the laboratory training in the manipulation and uses of all the restorative dental materials along with in-depth didactic lectures on the same. The dental materials as per the new DCI regulation is taken up by the students in the second year.

THE LEARNING HOURS
Theory : 4 hours a month
Practical : 8 hrs a month

SECOND YEAR CURRICULUM

The curriculum focuses on the laboratory training regarding tooth preparations for restorations with different restorative materials in simulated phantom head models with ivorine teeth coupled with demonstrations in the advanced restorative systems. The training is substantiated with didactic lectures on the same topics.

THE LEARNING HOURS
Theory : 4 hrs a month
Practical : 24 hrs a month

CLINICAL CURRICULUM

Third year focuses on the clinical training on various restorative techniques and preventive treatment modalities on patients supported with group discussions, seminars and project works on the related topics. Fourth year focuses on the clinical training continues with emphasis on comprehensive patient care after assessing the caries risk status of the patient with appropriate restorative and preventive treatment modalities. Clinical training is done in pre endodontic, endodontic and post endodontic treatment modalities. The training is supported with didactic lectures, group discussions, seminars and project works in the related topics.

THE LEARNING HOURS
Theory 110 hrs in 3 yrs
Clinical 460 hrs in 3 yrs

POST GRADUATE CURRICULUM

APPLIED DENTAL MATERIALS

  • Physical and mechanical properties of dental materials, biocompatibility.
  • Impression materials, detailed study of various restorative materials, restorative resin and recent advances in composite resins, bonding- recent developments- tarnish and corrosion, dental amalgam, direct filling gold, casting alloys, inlay wax, die materials, investments,casting procedures, defects, dental cements for restoration and pulp protection (luting, liners,bases) cavity varnishes.
  • Dental ceramics-recent advances, finishing and polishing materials.
  • Dental burs – design and mechanics of cutting – other modalities of tooth preparation.
  • Methods of testing biocompatibility of materials used.

 

CONSERVATIVE DENTISTRY
  • Examination, diagnosis and treatment plan
  • Occlusion as related to conservative dentistry, contact, contour, its significance. Separation of teeth, matrices, used in conservative dentistry.
  • Dental caries- epidemiology, recent concept of etiological factors, pathophysiology,Histopathology, diagnosis, caries activity tests, prevention of dental caries and management –recent methods.
  • Hand and rotary cutting instruments, development of rotary equipment, speed ranges, hazards.
  • Dental burs and other modalities of tooth reparation- recent developments (air abrasions, lasers etc)
  • Infection control procedures in conservative dentistry, isolation equipments etc.
  • Concepts in tooth preparation for amalgam, composite, GIC and restorative techniques, failures and management.
  • Direct and indirect composite restorations.
  • Indirect tooth colored restorations- ceramic, inlays and onlays, veneers, crowns, recent advances in fabrication and materials.a. Tissue management
  • Impression procedures used for indirect restorations.
  • Cast metal restorations, indications, contraindications, tooth preparation for class 2 inlay, Onlay full crown restorations. Restorative techniques, direct and indirect methods of fabrication including materials used for fabrication like inlay wax, investment materials.
  • Direct gold restorations.
  • Recent advances in restorative materials and procedures.
  • Management of non-carious lesion.
  • Advance knowledge of minimal intervention dentistry.
  • Recent advances in restoration of endodontically treated teeth and grossly mutilated teeth.
  • Hypersensitivity, theories, causes and management.
  • Lasers in Conservative Dentistry.
  • CAD-CAM & CAD-CIM in restorative dentistry.
  • Dental imaging and its applications in restorative dentistry (clinical photography).
  • Principles of esthetics
    • Color
    • Facial analysis
    • Smile design
    • Principles of esthetic integration
    • Treatment planning in esthetic dentistry
ENDODONTICS
  • Rationale of Endodontics.
  • Knowledge of internal anatomy of permanent teeth, anatomy of root apex and its implications incendodontic treatment.
  • Dentin and pulp complex.
  • Pulp and periapical pathology.
  • Pathobiology of periapex.
  • Diagnostic procedure – recent advances and various aids used for diagnosis a. Orofacial dental pain emergencies: endodontic diagnosis and management.
  • Case selection and treatment planning.
  • Infection control procedures used in Endodontics (aseptic techniques such as rubber dam,sterilization of instruments etc.).
  • Access cavity preparation – objectives and principles.
  • Endodontic instruments and instrumentation – recent developments, detailed description of hand, rotary, sonic, ultra sonic etc..
  • Working length determination / cleaning and shaping of root canal system and Recent development in techniques of canal preparation.
  • Root canal irrigants and intra canal medicaments used including non – surgical Endodontics by calcium hydroxide.
  • Endodontic microbiology.
  • Obturating materials, various obturation techniques and recent advances in obturation of root canal.
  • Traumatic injuries and management – endodontic treatment for young permanent teeth. Pediatric Endodontics – treatment of immature apex.
  • Endodontic surgeries, recent developments in technique and devices, endoosseous endodontic implants – biology of bone and wound healing.
  • Endo perio interrelationship, endo + Perio lesion and management.
  • Drugs and chemicals used in Endodontics.
  • Endo emergencies and management.
  • Restoration of endodontically treated teeth, recent advances.
  • Geriatric Endodontics.
  • Endo emergencies and management.
  • Biologic response of pulp to various restorative materials and operative procedures.
  • Lasers in Endodontics.
  • Multidisciplinary approach to endodontics situations.
  • Endodontics radiology- digital technology in endodontics practice.
  • Local anesthesia in endodontics.
  • Procedural errors in endodontics and their management.
  • Endodontics failures and retreatment.
  • Resorptions and its management.
  • Microscopes in endodontics.
  • Single visit endodontics, current concepts and controversies.

Faculty