This is the first basic course meant for clinicians beginning their journey into the world of Microscopic Endodontics. During this Two-day Hands-on course, the participant will understand the fundamental principles of Microscopic Endodontics. The topics covered include designing or modifying an operatory to incorporate the microscope, so that the clinician can work ergonomically.The participants will also learn mirror skills and hand-eye coordination to enable them to do clinical endodontics on all Maxillary and Mandibular teeth. After the course, participants will continue to receive online mentoring and assistance in their journey to becoming world-class Micro-Endodontists.

Course Fee: Rs 49,000

This course is limited to clinicians who have prior experience working with the Microscope. Participants will need to have sufficient Hand-eye coordination, mirror skills and experience to work with the microscope before they take up this course.

Course Fee: Rs 39,000

A high caries rate

The periapical radiograph shows the carious lesion in the crown of the lower right first molar to be extensive, involving the pulp cavity. The mesial contact has been completely destroyed and the molar has drifted mesially and tilted. There are periapical radiolucencies at the apices of both roots, that on the mesial root being larger. The radiolucencies are in continuity with the periodontal ligament and there is loss of most of the lamina dura in the bifurcation and around the apices. The bitewing radiographs confirm the carious exposure and in addition reveal occlusal caries in all the maxillary and mandibular molars with the exception of the upper right first molar. No approximal caries is present.

Extraction of the lower right first molar may well be the preferred treatment. The caries is extensive, restoration of the tooth will be complex and expensive and problems will probably ensue in the long term. The missing tooth might not be readily visible. To a large degree the decision will depend on the patient’s wishes. If he would be happy with an edentulous space, the extraction appears an attractive proposition. However, if a restoration is required, a bridge will require preparation of two further teeth. A denture-based replacement is probably not indicated but an implant might be considered at a later date. Any hesitancy or uncertainty on the patient’s part might well influence you to propose extraction. Another factor affecting the decision is the condition and long-term prognosis of the other molars. If further molars are likely to be lost in the short or medium term it makes sense to conserve whichever teeth can be successfully restored.