1. Portfolio Examination Endodontic Treatment Competency Examiner Training Course

2. Portfolio Examination Endodontic Treatment Endodontic competency Portfolio examiners are dental school endodontic faculty members who are chosen by their school, registered with and approved by the Board, and are trained and calibrated to conduct and grade the Board Portfolio endodontic competency examination.

3. Portfolio Examination Endodontic Treatment Each Portfolio examiner will undergo training and calibration in the Board’s standardized evaluation system through didactic and experiential methods.

4. Portfolio Examination Endodontic Treatment Calibration of Portfolio examiners will be conducted at least annually in conjunction with the usual and customary calibration course given to the school’s competency examiners.

5. Portfolio Examination Endodontic Treatment All Portfolio examiners will be trained and calibrated to use the same rating criteria.

6. Portfolio Examination Endodontic Treatment The purpose of the endodontic treatment competency is to assess the candidate’s independent ability to demonstrate clinical knowledge and skills in all aspects of endodontic treatment from diagnosis to completion of nonsurgical endodontic interventions.

7. Portfolio ExaminationEndodontic Treatment OVERVIEW Ten (10) scoring factors One (1) clinical case (single or multiple canals) Must be familiar with patient’s medical and dental history Medical conditions must be managed appropriately

8. Portfolio Examination Endodontic Treatment PATIENT PARAMETERS Any tooth to completion by the same candidate Completed case is defined as a tooth with an acceptable and durable coronal seal

9. Portfolio Examination Endodontic Treatment Scoring: Score of 0 is unacceptable (critical error) Score of 1 is unacceptable (major deviations but correctable) Score of 2 is acceptable (minimum competence) Score of 3 is acceptable (less than optimal) Score of 4 is optimal

10. Portfolio Examination Endodontic Treatment SCORING CRITERIA FACTOR 1: PRETREATMENT, CLINICAL TESTING AND RADIOGRAPHIC IMAGING

11. Portfolio Examination Endodontic Treatment FACTOR 1: Pretreatment clinical testing and radiographs Appropriate clinical testing performed and recorded Heat Cold Electric Pulp Testing (EPT) Percussion Palpation Bite Periodontal evaluation

12. Portfolio Examination Endodontic Treatment FACTOR 1: Pretreatment clinical testing and radiographs Appropriate clinical testing performed and recorded Heat Cold Electric Pulp Testing (EPT) Percussion Palpation Bite Periodontal evaluation

13. Portfolio Examination Endodontic Treatment FACTOR 1: Pretreatment clinical testing and radiographs Appropriate clinical testing performed and recorded Heat Cold Electric Pulp Testing (EPT) Percussion Palpation Bite Periodontal evaluation

14. Portfolio Examination Endodontic Treatment FACTOR 1: Pretreatment clinical testing and radiographs Appropriate clinical testing performed and recorded Heat Cold Electric Pulp Testing (EPT) Percussion/Palpation Bite Periodontal evaluation

16. Portfolio Examination Endodontic Treatment FACTOR 1: Pretreatment clinical testing and radiographs Appropriate clinical testing performed and recorded Heat Cold Electric Pulp Testing (EPT) Percussion/Palpation Bite/Pressure Periodontal evaluation

17. Endodontic Treatment Portfolio Examination FACTOR 1: Pretreatment clinical testing and radiographs Appropriate radiographs of diagnostic quality Multiple rooted teeth should have two views (straight and angled) Complete tooth centered on radiograph Diagnostic quality with proper brightness and contrast If sinus tract present, traced with gutta percha point and radiograph

22. Portfolio Examination Endodontic Treatment FACTOR 2: Established correct pulpal and periapical diagnosis

23. Portfolio Examination Endodontic Treatment Pulpal Diagnosis

24. Portfolio Examination Endodontic Treatment FACTOR 2: Established correct pulpal and periapical diagnosis Periapical diagnosis Normal periapex Symptomatic apical periodontitis Asymptomatic apical periodontitis Acute apical abscess Chronic apical abscess

25. Portfolio Examination Endodontic Treatment Periapical Diagnosis

27. Portfolio Examination Endodontic Treatment FACTOR 3: Endodontic treatment plan

29. Portfolio Examination Endodontic Treatment FACTOR 4: Anesthesia and pain control

31. Portfolio Examination Endodontic Treatment FACTOR 5: Removal of caries and failing restorations, Evaluation of restorability and Site isolation

34. Portfolio Examination Endodontic Treatment FACTOR 6: Coronal access opening

35. Maxillary Incisors

36. Mandibular Incisors

37. Maxillary Premolars

38. Mandibular Premolars

39. Maxillary Molars

40. Mandibular Molars

42. Portfolio Examination Endodontic Treatment FACTOR 7: Canal preparation technique

43. Working Length Within 0.5 – 1.0 mm of Radiographic Length

44. Deviation From Natural Root Canal Morphology

46. Portfolio Examination Endodontic Treatment FACTOR 8: Master cone fit

47. Master Cone Fit Within 0.5 – 1.0 mm of Radiographic Root Apex

49. Portfolio Examination Endodontic Treatment FACTOR 9: Obturation technique

50. Obturation of Canal Space