UW School of Dentistry

ENDO 535

Advanced Endodontic Diagnosis and Treatment Issues

Avina Paranjpe

1 Credit / Quarter 11 (Winter, Third Year)

Course Description

ENDO 535 helps to reinforce the concepts learned in earlier courses and adds information to endodontics related diagnosis and treatment. This course is implementing “case based” and “team based” learning, in addition to the traditional lectures. It helps to understand the biology, diagnostics, wound healing and management of dental pulp and related tissues in pathological conditions other than caries i.e. dental trauma, periodontal disease and resorption.

Educational Objectives

Students are expected to:

1. Understand and perform endodontic diagnostic procedures and formulate correct pulpal and periradicular diagnoses.

2. Differentiate between endodontic lesions, periodontal lesions, and endodontic-periodontal lesions. Recognize cases that will respond to root canal therapy and those that will require periodontal therapy for resolution.

3. Differentiate between internal, external, and extracanal invasive resorption, and understand their causes, treatment and prognoses.

4. Understand the scope of surgical endodontics, and list the indications and contraindications for endodontic surgical procedures.

5. Understand endodontic diagnosis and treatment of the young permanent dentition. Identify types of vital pulp therapy and list the indications and contraindications for these therapies. List treatment modalities for managing necrotic teeth with incompletely formed apices.

6. Understand the importance of infection control in endodontics. Demonstrate knowledge in current irrigation techniques and materials as well as intracanal medication.

7. Epidemiology, diagnosis, classification and treatment of traumatic injuries to the teeth and supporting structures.

8. Assessment of endodontic treatment – success and failure. Decision making for retreatment (surgical versus nonsurgical approach). Management of failures with focus on the conventional retreatment techniques. Problems involved with accessing root canals with existing coronal restorations (post, core, crowns). Preparation and criteria for the referral of patients to an endodontic specialist.

9. Indications for intracoronal bleaching and patient selection. Bleaching agents. Intracoronal bleaching technique. Complications.

Course Expectations

To successfully meet the criteria of this course, the student must attend all sessions and demonstrate his/her understanding of the session topics through quizzes, case based team assignments and a final examination.

Effective Winter Quarter 2007, completion of on-line course evaluation is a requirement of this course. Failure to comply will result in an “Incomplete” grade being assigned.

Competencies Addressed

  • UWSOD Competency 1: Examine a patient using contemporary diagnostic methods to evaluate the head and neck region and to reach a diagnosis of the patient’s oral and craniofacial health status.
  • UWSOD Competency 3: Formulate a comprehensive treatment plan based on diagnostic findings, then implement treatment in a safe, properly sequenced and timely manner.
  • UWSOD Competency 7: Manage pulpal and periradicular disease.
  • UWSOD Competency 8: Manage dental emergencies.
  • UWSOD Competency 11: Diagnose and manage hard and soft tissue lesions and diseases of the orofacial complex.
  • UWSOD Competency 14: Manage periodontal diseases.
  • UWSOD Competency 26: Evaluate the outcomes of treatment.


Required textbooks for the course:

  • Principles and Practice of Endodontics, Walton and Torabinejad, 2002.
  • Traumatic Dental Injuries. A Manual, 2nd Ed. 2003, J.O. Andreasen, F.M. Andreasen, L.K. Bakland, and M.T. Flores.

Course website

*last updated: 2/12/2013