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Endodontics Update for GDPs

4 Day hands-on Course

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Course Information

Who is this course for?

All GDPs who would like to comprehend and improve their everyday endodontic skills including dentists who undertake endodontic treatment on the NHS and want to provide good quality treatment in the most efficient manner possible.
Practical, comprehensive information, which will suit to everyday practice realities.
No microscopes. Delegates to bring their loupes.
Emphasis on step by step protocols.


Dr Daniel Flynn

Dr Flynn qualified from Trinity College Dublin in 2002. He moved to London in 2005 to begin a three-year training programme in Endodontics at the Eastman Dental Institute. In, 2008 he was successfully awarded the Membership in Restorative Dentistry (MRD), the highest formal qualification available for the endodontic mono-specialty, by the Royal College of Surgeons of Edinburgh and entered onto the General Dental Council's Specialist List for Endodontics.

He receives referrals from general dental practitioners, patient self-referral and referrals of particularly challenging cases from other Endodontists.

He is an experienced tutor in his speciality having thought both at university level at Eastman Dental Institute and privately thorough his seminar company.

Guest Speaker

Dr Christopher Orr

Our very own Dr Orr will join Dr Flynn on the last session of the programme covering in detail the restoration of endodontically treated tooth.

Course Dates

Endodontic Update for GDPs
Session 1: Foundations for success (1 day)12/10/18
Session 2: Modern endodontic workflow01/12/18
Session 3: Outcomes, complications & restoring the tooth (1 day)15/12/18

Detailed course programme

Dental Treatment Planning

Pulpal biology & management of the deep carious lesion

Aims: To understand the relationship between the pulp and dentine and how we as dentists can influence this relationship.

  • Mechanisms of pulpal pain
  • The effects of caries on the pulp
  • The effects of tooth surface loss on the pulp
  • The effects of restorative procedures on the pulp
  • The regenerative capacity of the pulp
  • Materials for deep cavities: the role of cavity liners & bases
  • Management of exposures

Correct diagnosis leads to correct treatment: Diagnosis and disease classification

Aims: To understand the role of history, special tests and radiography in order to arrive at the correct diagnosis

  • How to make the correct pulpal and periapical diagnosis
  • Identification and treatment of cracks and fractures
  • The role of CBCT in endodontic diagnosis
  • Perio-endo lesions
  • Lesions of non-endodontic origin
  • Iatrogenic problems
  • Assessment of restorability after endodontic treatment

Endodontic anatomy; what you weren't taught in dental school

Aims: To understand the anatomy of the root canal system

  • Root canal anatomy and typical variations that are present in each tooth type
  • How the ageing process affects the internal anatomy of teeth
  • How to use angled radiographs and CBCT scans to assess root canal anatomy
  • How to assess a case and know when to refer
  • The anatomy of the apex
  • Apical deltas and root canal ramifications, lateral canals and isthmuses.
  • Why do most procedural errors are made in the apical 3mm?

Rubber dam and access cavities; traditional, conservative or ninja access?

Aims: To understand the role of isolation and importance of access to enable the canals to be found and instrumentation to be safely accomplished.

  • Armamentarium for isolation
  • The pre-endo buildup
  • Selecting the correct rubber dam and clamp for the case
  • How to place rubber dam
  • Contemporary access vs traditional access, what has changed and why
  • Armamentarium for successful access: the role of diamonds, carbides and ultrasonics
  • The relationship of the pulp chamber to the clinical crown
  • The key to finding canals: anatomy of the pulp chamber floor

Dental Treatment Planning

How to locate all the canals and glide path management

Aims: To understand how to find canals and how to negotiate to the apical terminus once they are identified

  • The anatomy of the pulp chamber as it relates to instrumentation
  • The importance of magnification
  • Use of hand instruments once canals have been found
  • Properties of nickel titanium instruments: advantages and disadvantages
  • Rationale for recapitulation and patency filing
  • How to secure a canal to make it safe to shape with rotary or reciprocating instruments
  • Differences between the major systems available on the market
  • How curvatures affect endodontic instrumentation
  • Procedural errors, why they happen and how to overcome
  • Why instruments fracture and how to manage if this happens

Instrumentation: How to choose your system for optimal shaping.

Aims: To understand how the objectives in shaping root canals systems

  • Biological objectives of root canal treatment versus the technical challenges
  • Understand your chosen system: its strengths and weaknesses
  • Rotary v reciprocation motion of instruments Alternative systems and the hybrid use of systems
  • Taper of instruments versus the natural taper in the root canal systems
  • Decision making on final apical size and taper
  • Advances in metallurgy and how it makes instrumentation faster, quicker and safer
  • How to avoid instrument fracture

Irrigation, obturation and biological objectives of root canal treatment

Aims: To understand the rational of cleaning and sealing the root canal system once shaping has been completed and the biological objectives

  • The process of disinfection
  • The evidence base for irrigation chemicals in use and the biological rationale
  • The smear layer and how it affects cleaning
  • Dentine erosion and tubule deformation
  • Instrumented vs. non instrumented parts of the root canal system
  • Microbiology of the root canal infection and the challenges of biofilm disruption
  • Dynamic irrigation versus static irrigation
  • Understanding of irrigation devices and techniques
  • The role of obturation
  • The decision making rationale regarding timing of obturation
  • Obturation techniques available: advantages and disadvantages of each

Minimal Intervention Aesthetics

Post treatment outcome and introduction to endo microsurgery

Aims: To understand how endodontic treatment is assessed and to understand options available when failure occurs

  • Endodontic success and failure
  • Endodontic success rates vs. implants: which is "better"?
  • The shift away from extraction and implant placement to retention of the natural tooth
  • Clinical practices and pre-existing conditions which influence the outcome of endodontic treatment
  • The causes of endodontic failure
  • Which failed cases are amenable to retreatment or surgery?
  • Differences between traditional apicectomy and endodontic microsurgery
  • Review of your treated cases

Restoration of the endodontically treated tooth

Aims: to predictably restore the endodontically treated tooth to function

  • Review of the classical concepts of post-retained crowns
  • When a post is needed to retain the core
  • When a post is not needed to retain the core
  • The ferrule concept: when it is needed and how we can achieve it
  • Metal vs. fibre vs. lab-made posts
  • Parallel sided vs adhesively retained posts
  • Cementation of posts
  • Metal vs. all-ceramic onlays for the restoration of endodontically treated teeth
  • Posterior endocrowns: do we need a post at all?

Presentation of your cases

Aims: to reflect on cases treated where difficulties arose and how these were managed; to celebrate success or to learn from problems encountered.

All bookings are done online through our website.

Course sessions cost £475.00 + VAT per day. There are 4 sessions on the programme.

Payments are done by setting up a direct debit payment on our website.

Initial booking fee is £570.00 (£475.00 + 95.00)

The remaining fee for 3 days (£1425.00+VAT) will be paid on 10th October 2018 by direct debit payment

The course sessions are held at our custom-built postgraduate education facility, close to London Bridge station.

Advanced Dental Seminars
11a Bell Yard Mews
Bermondsey Street
London SE1 3TN

Each day, the morning lecture starts at 9.00am and we will finish at around 5.30pm.

If you are travelling from outside London we strongly recommend that you travel up the night before the course day and stay the night before so that you are fresh for the session.

Tea and coffee are provided at appropriate intervals throughout the day.

A buffet lunch is provided. If you prefer to go out, there are numerous establishments offering a full range of culinary options just a few minutes’ walk away from our venue.

Please note that currently we are not able to cater for specific dietary requirements. Special care is given to provide a wide selection of options.

Further information & bookings

Please contact ADS Team on 020 7940 0885 if you require further information on the course and its content. Preferably you can contact us by email on

Please note, Advanced Dental Seminars reserves the right to refuse or cancel a booking.