Section 1032.7 - Portfolio Examination: Endodontics(a) The portfolio examination shall contain the following documentation of the minimum endodontic clinical experiences and documentation of the endodontic portfolio competency examination: (1) Evidence of successful completion of the endodontic clinical experiences shall be certified by the director of the school's clinical education program on the "Portfolio Examination Certification of Clinical Experience Completion" Form 33A-23P (New 08/13), which is hereby incorporated by reference, and shall be maintained in the candidate's portfolio.(2) Documentation providing proof of satisfactory completion of a final assessment in the endodontic competency examination. For purpose of this section, satisfactory proof means the endodontic competency examination has been approved by the designated dental school faculty.(b) Competency Examination Requirements. The candidate shall have the approval of his or her clinical faculty prior to beginning the competency examination. The endodontic examination shall include: (1) Ten (10) scoring factors: (A) Pretreatment Clinical Testing and Radiographic Imaging;(B) Endodontic Diagnosis;(C) Endodontic Treatment Plan;(D) Anesthesia and Pain Control;(E) Caries Removal, Removal of Failing Restorations, Evaluation of Restorability, Site Isolation;(G) Canal Preparation Technique;(I) Obturation Technique;(2) One (1) clinical case.(3) Documentation the candidate applied case selection criteria for endodontic case. The portfolio shall contain evidence the case selected met the American Association of Endodontics case criteria for minimum difficulty such that treated teeth have uncomplicated morphologies, have signs and symptoms of swelling and acute inflammation and have not had previously completed or initiated endodontic therapy. The documentation shall include:(A) The determination of the diagnostic need for endodontic therapy;(B) Charting and diagnostic testing;(C) A record of radiographs performed on the patient and an interpretation of the radiographs pertaining to the patient's oral condition;(D) Evidence of a pulpal diagnosis within approved parameters, including consideration and determination following the pulpal diagnosis that it was within the approved parameters. The approved parameters for pulpal diagnosis shall be normal pulp, reversible pulpits, irreversible pulpits, and necrotic pulp.(E) Evidence of a periapical diagnosis within approved parameters, including consideration and determination following the periapical diagnosis that it was within the approved parameters. The approved parameters for periapical diagnosis shall be normal periapex, asymptomatic apical periodontitis, symptomatic apical periodontitis, acute apical abscess, and chronic apical abscess.(F) Evidence of development of an endodontic treatment plan that included trauma treatment, management of emergencies, and referrals when appropriate. An appropriate treatment plan may include an emergency treatment due to a traumatic dental injury or for relief of pain or acute infection. The endodontic treatment may be done at a subsequent appointment.(4) Documentation the candidate performed pretreatment preparation for endodontic treatment. The documentation shall include: (A) Evidence the patient's pain was competently managed.(B) Evidence the caries and failed restorations were removed.(C) Evidence of determination of tooth restorability.(D) Evidence of appropriate isolation with a dental dam.(5) Documentation the candidate competently performed access opening. The documentation shall include: (A) Evidence of creation of the indicated outline form.(B) Evidence of creation of straight line access.(C) Evidence of maintenance of structural integrity.(D) Evidence of completion of un-roofing of pulp chamber.(E) Evidence of identification of all canal systems.(6) Documentation the candidate performed proper cleaning and shaping techniques. The documentation shall include:(A) Evidence of maintenance of canal integrity.(B) Evidence of preservation of canal shape and flow.(C) Evidence of applied protocols for establishing working length.(D) Evidence of demonstration of apical control.(E) Evidence of applied disinfection protocols.(7) Documentation of performance of proper obturation protocols, including selection and fitting of master cone, determination of canal condition before obturation, and verification of sealer consistency and adequacy of coating.(8) Documentation of demonstrated proper length control of obturation, including achievement of dense obturation of filling material and obturation achieved to a clinically appropriate height for the planned definitive coronal restoration.(9) Documentation of a competently completed endodontic case, including evidence of an achieved coronal seal to prevent recontamination and creation of diagnostic, radiographic, and narrative documentation.(10) Documentation of provided recommendations for post-endodontic treatment, including evidence of recommendations for final restoration alternatives and recommendations for outcome assessment and follow-up.(11) Patient Management. The candidate shall be familiar with the patient's medical and dental history.(12) Implementation of any treatment modifications needed that are consistent with the patient's medical history.(c) Acceptable Criteria for Endodontics Competency Examination. The procedure shall be performed on any tooth to completion by the same candidate on the same patient. A "completed case" means a tooth with an acceptable and durable coronal seal.(d) Competency Examination Scoring. The scoring system used for the endodontics competency examination is defined as follows:(1) A score of 0 is unacceptable; candidate exhibits a critical error.(2) A score of 1 is unacceptable; major deviations that are correctable.(3) A score of 2 is acceptable; minimum competence.(4) A score of 3 is adequate; less than optimal.(5) A score of 4 is optimal. A score rating of "2" shall be deemed the minimum competence level performance.
Cal. Code Regs. Tit. 16, § 1032.7
1. New section filed 11-5-2014; operative 11-5-2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 45). Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1630, 1632 and 1632.1, Business and Professions Code.
1. New section filed 11-5-2014; operative 11/5/2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 45).