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Indian Association of Conservative Dentistry and Endodontics

Guidelines for Cases

Endodontic Cases

Case Type Description Pre op documentation Pocedure documentation Prost op documentation
Three cases of non surgical RCT in maxillary first molar(minimum 4 canals should be present) Should include brief case history

Clinical pictures

  • Profile
  • Retracted anteriors, posteriors
  • Occlusal- Upper and Lower

Radiographs

In 2 different angulations to separate the root canals

Clinical pictures

  • Endodontic access with canal orifices
  • Post obturation (Obturations should be preferably done using down pack and backfil)

Radiographs

  • Radiographs with WL, Master cone and Obrturation in 2 different angulations
  • 6 months post op photo with radiographs in 2 angulations showing satisfactory healing
  • CBCT is optional
Three cases of Non surgical RCT in maxillary second molar(minimum 4 canals should be present) Should include brief case history

Clinical pictures

  • Profile
  • Retracted anteriors, posteriors
  • Occlusal- Upper and Lower

Radiographs

In 2 different angulations to separate the root canals

Clinical pictures

  • Endodontic access with canal orifices
  • Post obturation (Obturations should be preferable done using down pack and backfil)

Radiographs

Radiographs with WL, Master cone and Obrturation in 2 different angulations
  • 6 months post op photo with radiographs in 2 angulations showing satisfactory healing
  • CBCT is optional
Three cases of Non surgical RCT in mandibular first molar(minimum 4 canals should be present) Should include brief case history

Clinical pictures

  • Profile
  • Retracted anteriors, posteriors
  • Occlusal- Upper and Lower

Radiographs

In 2 different angulations to separate the root canals

Clinical pictures

  • Endodontic access with canal orifices
  • Post obturation (Obturations should be preferable done using down pack and backfil)

Radiographs

Radiographs with WL, Master cone and Obrturation in 2 different angulations
  • 6 months post op photo with radiographs in 2 angulations showing satisfactory healing
  • CBCT is optional
Three cases of Non surgical RCT in mandibular second molar with C shaped canal Should include brief case history

Clinical pictures

  • Profile
  • Retracted anteriors, posteriors
  • Occlusal- Upper and Lower

      • Radiographs

      In 2 different angulations to separate the root canals

Clinical pictures

  • Endodontic access with canal orifices
  • Post obturation (Obturations should be preferable done using down pack and backfil)

Radiographs

  • Radiographs with WL, Master cone and Obrturation in 2 different angulations
  • 6 months post op photo with radiographs in 2 angulations showing satisfactory healing
  • CBCT is optional
Three cases of teeth (Non molar) with variation in canal configuration) - calcified canals, curved canals Should include brief case history

Clinical pictures

  • Profile
  • Retracted anteriors, posteriors
  • Occlusal- Upper and Lower

Radiographs

In 2 different angulations to separate the root canals

Clinical pictures

  • Endodontic access with canal orifices
  • Post obturation (Obturations should be preferable done using down pack and backfil)

Radiographs

  • Radiographs with WL, Master cone and Obrturation in 2 different angulations
  • 6 months post op photo with radiographs in 2 angulations showing satisfactory healing
  • CBCT is optional
Three cases of Non surgical Retreatment RCT in maxillary molar(presence of lesion) Should include brief case history

Clinical pictures

  • Profile
  • Retracted anteriors, posteriors
  • Occlusal- Upper and Lower

Radiographs

In 2 different angulations to separate the root canals

Clinical pictures

  • Endodontic access with canal orifices
  • complete removal of GP
  • Post obturation (Obturations should be preferable done using down pack and backfil)

Radiographs

  • WL after complete removal of GP
  • Master cone and Obrturation in 2 different angulations
  • 6 months post op photo with radiographs in 2 angulations showing satisfactory healing
  • CBCT is optional
Three cases of Non surgical retreatment RCT in mandibular molar(presence of lesion) Should include a brief case history

Clinical pictures

  • Profile
  • Retracted anteriors, posteriors
  • Occlusal- Upper and Lower

Radiographs

In 2 different angulations to separate the root canals

Clinical pictures

  • Endodontic access with canal orifices
  • complete removal of GP
  • Post obturation (Obturations should be preferable done using down pack and backfil)

Radiographs

  • WL after complete removal of GP
  • Master cone and Obrturation in 2 different angulations
  • 6 months post op photo with radiographs in 2 angulations showing satisfactory healing
  • CBCT is optional
One case of surgical retreatment in anterior teeth Should include a brief case history
  • Pre op photos
  • Radiographs in 2 angulations

Clinical pictures

Flap design
Flap elevation
Post curettage
Retro preparation
Retro filling
Bone graft placement
Suturing

Radiographs

Retro preparation
Retro filling
Bone graft placement
Post suture removal
One year post op photo with radiographs in 2 angulations showing satisfactory healing
One case of surgical retreatment in mandibular posteriors Should include a brief case history
  • Pre op photos
  • Radiographs in 2 angulations

Clinical pictures

  • Flap design
  • Flap elevation
  • Post curettage
  • Retro preparation
  • Retro filling
  • Bone graft placement
  • Suturing

Radiographs

  • Retro preparation
  • Retro filling
  • Bone graft placement
Post suture removal
One year post op photo with radiographs in 2 angulations showing satisfactory healing
Four cases of apexification Should include a brief case history
  • Pre op photos
  • Radiographs in 2 angulations

Clinical pictures

  • Endodontic access with canal orifices
  • Placement of apical barrier(MTA/Biodentin)
  • Post obturation

Radiographs

  • WL
  • Placement of apical barrier(MTA/Biodentin)
  • Post obturation
 6 months post op photo with radiographs in 2 angulations showing satisfactory healing
One case of Regeneration/Apexogenesis Should include a brief case history
  • Pre op photos
  • Radiographs in 2 angulations

Clinical pictures

  • Induction of bleeding
  • Scaffold placement
  • Placement of coronal restorative seal

Radiographs

  • WL
  • Placement of coronal restorative seal
 One year post op photo with radiographs in 2 angulations showing satisfactory healing
Two cases of instrument retrieval/bypass Should include a brief case history
  • Pre op photos
  • Radiographs in 2 angulations

Clinical pictures

  • Endodontic access with canal orifices
  • Location of separated instrument

Radiographs

  • WL Post instrument retrieval/bypassing ledge
  • Post obturation
 6 months/I year post op photo with radiographs in 2 angulations showing satisfactory healing
Any three of the following
  1. Management of internal resorption
  2. Management of perforation
  3. Hemisection/Root resection
  4. Management of endo-perio lesion
  5. RCT in tooth with developmental anomalies
  6. Management of Traumatic injuries (root fractures, luxation, avulsion)
 Should include a brief case history
  • Pre op photos
  • Radiographs in 2 angulations

Clinical pictures

  • Endodontic access with canal orifices
  • Photograph of splinting in cases of traumatic injuries

Radiographs

  • WL in 2 different horizontal angulations
  • Post obturation
  • 6 months post op photo with radiographs in 2 angulations showing satisfactory healing

Curriculum for Fellowship program.

1. All procedures should be performed under surgical microscope and rubber dam isolation

2. Pictures to be documented: Endodontic access with canal orifices

3. Radiographs with WL, Master cone and Obrturation in 2 different angulations (Obturations should be preferable done using down pack and backfil)

4. Follow up radiograph post 6 months showing bone regeneration

5. Clinical picture of complete removal of GP and Radiograph to support it

Restorative Cases

Case Type Description Pre op documentation Pocedure documentation Prost op documentation
Direct Anterior Restorations
  • Diastema closure (2 Cases)
  • Diastema should be greater than 1mm , in the upper anterior region (Centrals or laurels).

Clinical pictures

  • Head Shot with full smile - frontal view
  • Full smIle - Frontal
  • Retracted - Frontal
  • Occlusal- Upper and Lower
  • Retracted views should be in the magnification 1:3 and 1:1

Clinical pictures

  • Step by step layering
  • Final restoration to match the anatomy and optical properties of the adjacent teeth
  • Rubber dam is optional
  • Procedural Photo should be taken under the at 0.6x/1x microscope (Under White light).
  • 6 months post - op photographs with similar magnification as pre-op. Post op radiographs of the procedure.
 
  • Proximal restoration (Class 3) - (2 Cases)
  • Adjacent teeth should not be restored.
  • Teeth involved should be upper anterior

Clinical pictures

  • Full smIle - Frontal
  • Retracted - Frontal
  • Occlusal- Upper and Lower
  • Retracted views should be in the magnification 1:3 and 1:1
  • Pre-op radiograph (IOPA)
  • Step by step layering with prudent use of effect materials.
  • Final restoration to match the anatomy and optical properties of the adjacent teeth.
  • Rubber dam is optional
  • Procedural Photo should be taken under the at 0.6x / 1x microscope (Under white light)
  • 6 months post - op photographs with similar magnification as pre-o
  • Post op radiographs of the procedure
 
  • Angle build up of anterior tooth with minimum 10% tooth loss - (2 Cases)
  • Adjacent teeth should not be restored. Involved tooth must be upper anterior and can be root canal treated tooth.

Clinical pictures

  • Head Shot with full smile - frontal view
  • Full smIle - Frontal
  • Retracted - Frontal
  • Occlusal- Upper and Lower
  • Retracted views should be in the magnification 1:3 and 1:1
  • Pre-op radiograph (IOPA)
  • Step by step layering with prudent use of effect materials.
  • Final restoration to match the anatomy and optical properties of the adjacent teeth
  • Rubber dam is optional
  • Procedural Photo should be taken under the at 0.6x / 1x microscope (Under white light)
  • 6 months post-op photographs with similar magnification as pre-op
  • Post op radiographs is mandatory
 
  • Direct composite Veneer (2 Cases)
  • Single or two upper anteriors can be used

Clinical pictures

  • Head Shot with full smile - frontal view
  • Full smIle - Frontal
  • Retracted - Frontal
  • Occlusal- Upper and Lower
  • Retracted views should be in the magnification 1:3 and 1:1
  • Step by step layering with prudent use of effect materials.
  • Final restoration to match the anatomy and optical properties of the adjacent teeth
  • Rubber dam is optional
  • Procedural Photo should be taken under the microscope at 0.6x/1x magnification (Under white light)
  • Photos in maximum intercuspation and anterior edge to edge
  • 6 months post -op photographs with similar magnification as pre-op

Direct Posterior Restorations
  • - Class 2 with good anatomy, contacts and contours (5 casesincluding 2 cases of single cusp build up in molars)
  • Rubber Dam Isolation
  • Can use Layering or Bulkfil

Clinical pictures

  • Pre op photos of the involved teeth, (mirror image) quadrant view.
  • Pre-op radiograph (Bitewing and IOPA)
  • Final restoration to match the anatomy of the tooth.
  • Procedural Photo should be taken under the microscope at 0.6x/1x magnification (Under white light)
  • 6 months post-op photographs with similar magnification as pre-op
  • Post op radiographs is mandatory (Bitewing and IOPA)
 
  • Deep caries management (5 cases)
  • Rubber Dam Isolation
  • Can use any of the contempor ary materials with justification

Clinical pictures

  • Pre op Photos of the involved teeth, (mirror image) quadrant view
  • Buccal view with teeth slightly parted.
  • Buccal view in occlusion
  • Pre-op radiograph (Bitewing and IOPA)
  • Final restoration to match the anatomy of the tooth.
  • Procedural Photo should be taken under the microscope at 0.6x/1x magnification (Under white light)
  • Use of specific instruments for caries removal should be documented
  • Caries detection dye
  • Use of pulp protection materials should be documented
  • Immediate and 6 months post -op photographs with similar magnification as pre-op
  • Post op radiographs is mandatory (Bitewing and IOPA)
Indirect Anterior restorations
  • Single or two anterior veneer (2 cases)
  • involved tooth should be upper anterior
  • Adjacent teeth should not be restored.
  • Treatment Planning should be documented (analog or digital) with effective lab communication

Clinical pictures

  • Head Shot with full smile - frontal view
  • Full smIle - Frontal
  • Retracted - Frontal
  • Occlusal- Upper and Lower
  • Retracted views should be in the magnification 1:3 and 1:1
  • Pre-op radiograph (IOPA)
  • Documentation of shade selection
  • Biologically driven minimal tooth reduction with justification for the same.
  • Type of peripheral margins
  • Gingival tissue management and impressions (analog or digital)
  • Try-in of veneer with documentation of Marginal fit
  • Final Cementation
  • Procedural documentation same as above
  • Post op radiographs showing the margins of the veneers
  • Immediate and 6 months post-op photographs similar to pre-op
 

Crown preparation (2 cases)

  • Involved tooth should be upper anterior
  • Single tooth
  • Treatment Planning should be documented (analog or digital) with effective lab communication
  • Justify the choice of material
  • Tooth can be vital or root canal treated

Clinical pictures

  • Head Shot with full smile - frontal view
  • Full smIle - Frontal
  • Retracted - Frontal
  • Occlusal- Upper and Lower
  • Retracted views should be in the magnification 1:3 and 1:1
  • Pre-op radiograph (IOPA)
  • Documentation of shade selection
  • Biologically driven minimal tooth reduction with justification for the same.
  • Type of peripheral margins
  • Gingival tissue management and impressions (analog or digital)
  • Try-in of crown with documentation of Marginal fit
  • Final cementation
  • Procedural documentation same as above
  • Post op radiographs showing the margins of the veneers
  • Immediate and 6 months post-op photographs similar to preop

Indirect posterior restorations
  • Onlay preparations in molars (2 cases)
  • Treatment Planning should be documented
  • Justify the choice of material
  • Tooth can be vital or root canal treated

Clinical pictures

  • Pre op photos of the involved teeth, (mirror image) quadrant view
  • Buccal view with teeth slightly parted.
  • Buccal view in occlusion
  • Pre-op radiograph (IOPA)
  • Biologically driven optimal tooth reduction with justification for the same.
  • Type of peripheral margins
  • Impressions (analog ordigital)
  • Try-in of the onlay with documentation of marginal fit
  • Final cementation
  • Procedural documentation same as above
  • Post op radiographs showing the margins.
  • Immediate and 6 months post-op photographs similar to preop
 
  • Inlay preparations in premolars or molars (2 cases)
  • Treatment Planning should be documented
  • Justify the choice of material
  • Tooth can be vital or root canal treated

Clinical pictures

  • Pre op photos of the involved teeth, (mirror image) quadrant view
  • Buccal view with teeth slightly parted.
  • Buccal view in occlusion
  • Pre-op radiograph (IOPA)
  • Biologically driven tooth preparation
  • Gingival tissue management (if any) and impressions (analog or digital)
  • Try-in of the inlay with documentation of marginal fit
  • Final cementation
  • Procedural documentation same as above
  • Post op radiographs showing the margins
  • Immediate and 6 months post -op photographs similar to preop
 
  • Crown preparations (2 cases)
  • Treatment Planning should be documented
  • Justify the choice of material
  • Tooth can be vital or root canal treated

Clinical pictures

  • Pre op photos of the involved teeth, (mirror image) quadrant view
  • Buccal view with teeth slightly parted.
  • Buccal view in occlusion
  • Pre-op radiograph (IOPA)
  • Biologically driven tooth preparation
  • Gingival tissue management and impressions (analog or digital)
  • Try-in of the crown with documentation of marginal fit
  • Final cementation
  • Procedural documentation same as above
  • Post op radiographs showing the margins
  • Immediate and 6 months post-op photographs similar to preop