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Mission Smile Endodontic Training Courses In Kolkata

To provide students with the knowledge and skills required to assist in a dental practice
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    Dental Assistant Training Workshop

    Endodontic Course Module

    • Day 1: Clinical concepts in contemporary modern endodontics.
    • Day 2: Learning rubber dam placement on an extracted premolar and then hands on access opening and demonstration of rotary endodontics.
    • Day 3: Access opening on a patient after anesthesia and rubber dam application. (1hr. 30 minutes)
    • Day 4 : BMP and irrigation on a patient (1 hr. 30 minutes)
    • Day 5: Performing obturation in a patient (1 hour 30 minutes)
    • Day 6: Crown preparation and impression making (1 hour 30 minutes)
    • Day 7: Passive crown cementation process --- Method, Choice of cements, Do’s and don’ts
    • Day 8:How to handle endodontic accidents in a private practice?
    • Day 9: Handling medical emergencies in a dental practice.
    • Day 10: Practice Management.
    Course Fee: Rs. 35,000/-
    Course structure and duration: 10 classes over a period of 3 months

    Course Faculty

    Dr. Shruti Agarwal

    Dr. Shruti Agarwal is a clinician practicing for last 20 years. Her area of interest is clinical endodontics. She focuses on painless endodontics which is her forte. She developed her skills through diligent learning for many years under many renowned clinicians. Special mention should be made about Dr. Barin Roy who is considered the Father of Cliical Dentistry of Bengal who has been one of the mentors of Dr. Shruti. Endodontics is a subject which requires sound diagnostic skills as well as a precise clinical hand which comes only through years of perseverance. Dr. Shruti has been an inspiration for young dentists who aspire to become sound clinicians and want to confidently practice clinical endodontics. In Mission Smile Dr. Shruti heads the endodontic department which is one of the best in the city. Doing endodontics in real life situations is a completely different ball game and cannot be learnt from bookish courses. And thats the USP of our curriculum in Mission Smile where Dr. Shruti focuses on how to prepare the right access cavity, find the canals, clean and shape them and obturate them the right way keeping things simpler for a beginner. She has shaped many clinicians from start to finish who practice endodontics with ease today.

    Dr. Angshuman also has integrated CBCT technology into his practice since last 10 years as he introduced Cone Beam CT to dentistry of Kolkata by starting Pioneer Scans (A Dental Imaging company) with its branches in Howrah, Lake Town and Golpark. He also introduced the first organised Medical Emergency Kit for Orthodontic and dental clinics in the name of Denlife which is being used pan India. He was recently felicitated in Align India Forum 2023 in Kochi in recognition for achieving Platinum status in India as a Invisalign Provider. Dr. Angshuman has lectured in Orthodontics in several platforms and has chaired many important sessions incuding international conferences. He has a net clinical experience of 23 years.

    What are Clinical concepts in contemporary modern endodontics?

    • Biomimetic Principles: Focus on preserving tooth structure and using biocompatible materials.
    • Advanced Imaging (CBCT): Utilization of 3D imaging for accurate diagnosis and treatment planning.
    • NiTi Rotary Instruments: Improved efficiency and safety in canal shaping.
    • Enhanced Irrigation Techniques: Use of sonic/ultrasonic activation for effective cleaning and disinfection.
    • Regenerative Endodontics: Techniques aimed at revitalizing pulp tissue in immature teeth.

    What is rubber dam placement in endodontics?

    • Isolation: Prevents saliva contamination during the procedure.
    • Visibility: Enhances the dentist's ability to see and access the treatment area.
    • Infection Control: Reduces the risk of bacteria entering the root canal system.
    • Patient Safety: Minimizes the risk of swallowing or aspirating debris.
    • Improved Treatment Outcomes: Contributes to higher success rates in endodontic procedures.

    What is Access opening on a patient after anesthesia and rubber dam application in endodontics?

    • Purpose: To create a pathway to the pulp chamber and root canals for effective treatment.
    • Location: The access opening is typically made on the occlusal or buccal surface of the tooth, depending on the tooth type and anatomy.
    • Technique: Utilizes specific rotary or hand instruments to remove tooth structure carefully, preserving as much healthy dentin as possible.
    • Identification of Canals: Allows for direct visualization and exploration of the root canals to locate the canal orifices.
    • Preparation for Treatment: Facilitates subsequent procedures, such as cleaning, shaping, and filling the canals.

    What are BMP and irrigation on a patient in endodontics?

    • Biomechanical Preparation (BMP): This process involves cleaning and shaping the root canal to remove infected tissue and prepare it for filling, ensuring the canal is adequately debrided.
    • Irrigation Purpose: Irrigation flushes out debris, bacteria, and toxins during BMP, aiding in the disinfection of the root canal system.
    • Common Irrigants: Sodium hypochlorite, chlorhexidine, and EDTA are frequently used irrigants, each with specific properties like antibacterial action and tissue dissolution.
    • Irrigation Activation: Techniques such as ultrasonic or sonic activation improve the penetration and effectiveness of irrigants.
    • Safety Precautions: Proper irrigation techniques help avoid complications like extrusion of irrigant beyond the apex, which can cause tissue damage.

    What is Performing obturation in a patient in endodontics?

    • Definition: Obturation is the process of filling and sealing the cleaned and shaped root canal space to prevent reinfection and promote healing.
    • Materials Used: Gutta-percha, a thermoplastic material, along with sealers, is the most commonly used material for filling the root canal.
    • Techniques: Different techniques are used for obturation, such as cold lateral condensation, warm vertical condensation, and carrier-based systems, depending on the case.
    • Airtight Seal: The goal of obturation is to create an airtight, hermetic seal from the coronal portion of the tooth to the apex to prevent bacterial leakage.
    • Post-Obturation Care: After obturation, the tooth is usually restored with a crown or other dental restoration to ensure structural integrity and long-term success.

    What is the purpose of crown preparation and impression making in endodontics?

    • Crown Preparation: After a root canal treatment, crown preparation involves reducing the tooth structure to create space for a crown, which restores the tooth’s function and strength.
    • Tooth Structure Shaping: The tooth is shaped to have smooth, tapered sides and a flat or contoured top to allow proper fitting of the crown, ensuring long-term durability and aesthetics.
    • Margins: Precise margins are created at the tooth's base to ensure that the crown fits tightly, preventing bacterial leakage and protecting the underlying tooth structure.
    • Impression Making: Once the tooth is prepared, a detailed impression is taken using materials like silicone or polyvinyl siloxane to capture the exact shape and contours of the prepared tooth.
    • Temporary Crown: While the permanent crown is fabricated in a dental lab, a temporary crown is placed to protect the tooth and maintain function until the final restoration is ready.

    Passive crown cementation process in endodontics?

    • Passive Fit: The crown is designed to fit precisely on the prepared tooth without force or pressure, ensuring a snug and accurate placement without damaging the underlying tooth structure.
    • Surface Preparation: Both the inner surface of the crown and the prepared tooth are cleaned and dried. In some cases, the tooth surface may be etched or primed to improve adhesion.
    • Cement Application: Dental cement is applied to the inner surface of the crown. This cement acts as a bonding agent, securing the crown to the tooth while filling any microscopic gaps.
    • Seating the Crown: The crown is carefully placed on the tooth and gently seated in position using finger pressure or a light tapping tool to ensure proper alignment and fit.
    • Excess Cement Removal: Once the crown is seated and the cement has set, any excess cement is removed to avoid irritation or gum inflammation, ensuring a clean and precise finish.

    What is the best way to handle endodontic accidents in a private practice?

    • Stay Calm and Assess: Immediately assess the situation carefully to determine the extent of the accident, whether it’s an instrument separation, perforation, or overfilling of material.
    • Communicate with the Patient: Transparently explain the situation to the patient, providing them with information on what happened and the next steps for managing the complication.
    • Use Specialized Tools: In case of issues like instrument separation or perforation, use specialized endodontic tools such as retrieval systems or repair materials like MTA (Mineral Trioxide Aggregate).
    • Referral to Specialist: For complex or severe accidents, promptly refer the patient to an endodontic specialist (if you are not one) to ensure they receive the appropriate care.
    • Document and Follow Up: Thoroughly document the incident and treatment steps in the patient’s record and schedule follow-up visits to monitor healing and ensure that the problem is resolved.

    How to Handle medical emergencies in a dental practice?

    • Preparedness and Training: Ensure that all staff are trained in basic life support (BLS) and emergency protocols, including CPR, choking management, and use of an automated external defibrillator (AED).
    • Emergency Kit and Equipment: Keep a well-stocked emergency kit with essential medications (e.g., epinephrine, nitroglycerin, glucose, oxygen), along with necessary equipment like oxygen tanks, AEDs, and suction devices, readily accessible.
    • Recognize Early Signs: Be vigilant in recognizing the early signs of medical emergencies such as syncope, allergic reactions, hypoglycemia, or chest pain, and act immediately to prevent escalation.
    • Emergency Protocol Activation: Follow a clear and rehearsed protocol for each type of emergency. This includes stabilizing the patient, calling for emergency services (911), and administering the appropriate care or medication while awaiting paramedics.
    • Post-Emergency Care and Documentation: After the emergency is managed, ensure the patient is stable, provide detailed documentation of the incident, and schedule a follow-up to monitor their condition. This is also crucial for legal and medical record-keeping.

    What is Practice Management in an Endodontic Course?

    • Business Operations: Covers essential aspects of running an endodontic practice, including financial management, staffing, inventory control, and day-to-day operations to ensure efficiency and profitability.
    • Patient Communication: Teaches skills for effective patient interaction, including educating patients on procedures, managing expectations, and handling concerns or complaints with professionalism.
    • Marketing and Growth: Focuses on strategies to attract and retain patients through digital marketing, referral systems, and community outreach to grow the practice.
    • Legal and Ethical Considerations: Emphasizes adherence to legal and ethical standards, including informed consent, record-keeping, and ensuring patient safety and confidentiality.
    • Clinical Workflow Optimization: Provides insights on streamlining clinical processes, from scheduling appointments to treatment planning and post-treatment follow-ups, for an efficient and patient-centered practice.

    Why Mission Smile Dental Clinic for Endodontic Training Courses?

    • Comprehensive Curriculum: The course covers key topics such as clinical endodontics, BMP, rubber dam placement, anesthesia, and crown cementation.
    • Hands-On Learning: Students get practical experience by working with patients under supervision.
    • Experienced Faculty: Led by Dr. Shruti Agarwal, an expert with over 20 years of experience.
    • Modern Techniques: Training includes contemporary tools like 3D scanning and rotary endodontics.
    • Focused on Practical Skills: Emphasizes real-life endodontic challenges and solutions.

    Module 5 : Advanced Orthodontic Techniques

    Course Fee :Rs. 3500/-

    Course Duration : 3 months

    Conclusion

    • Temporary Anchorage Devices (TADs): Mini implants in Orthodontics: two decades of experience and clinical tips. Includes IZC placement, Buccal Shelf placement, engine driven palatal TADs placement, MSE and engine driven TAD placement, Intrusion biomechanics with TADs, Lever arm usage Gummy Smile correction with TADs, Occlusal can't correction with TADs, Retraction with TADs, Distalisation with TADs, Mesialisation with TADs, How to treat difficult mandibular canines with 3D springs and TAD. A new paradigm.
    • Invisalign and Clear Aligner Therapy: Aligners: Algorithm of Clear Aligners: What works?, Attachment planning, space management, TADs usage with aligners, staging, how to make DBH, deep bite bio mechanics, MA wings mechanics, sequential distalisation ( planning), G8 protocol Digital Orthodontics and work flow
    • Lingual Orthodontics
    • Self-Ligating Fixed Appliances
    • Reverse Pull headgear with modified Tandem and treatment protocols with it. Alt RAMEC protocol.
    • MSE (Maxilla Skeletal Expansion): MARPE: In adults, How to facilitate opening of sutures with micro osteo perforation, anterior maxillary suture loosening to facilitate easy expansion, turn protocols. How to combine MSE with aligners.
    • Accelerated Orthodontics: How we can reduce treatment time in Orthodontics ?
    • TMD and management: Potential TMDs, Deprogramming Splints
    • How to avoid round tripping in Clinical Orthodontics?
    • Finishing and Debonding Procedures
    • Orthodontic Scars : How to prevent?