Section 338.11523. Endodontics explained; licensure requirements; examination content.

(1) The practice of endodontics includes the morphology, physiology, and pathology of the human dental pulp and periradicular tissues. Its study encompasses related basic and clinical sciences, including the biology of the normal pulp and the etiology, diagnosis, prevention, and treatment of diseases and injuries of the pulp and associated periradicular conditions.

(2)  The specialty of endodontics shall include all of the following:

(a)   Pulpotomy.

(b)   Pulp capping.

(c)   Hemisections.

(d)  Pulp extirpation.

(e)   Root amputations.

(f)  Implants.

(g)   Treatment of the pulp canals.

(h)   Bleaching of discolored teeth.

(i)   Obturation of canals of the teeth.

(j)   Replantation and intentional replantation.

(k)   Periapical and lateral pathosis of pulpal origin.

(l)   Selective surgical removal of lesions of endodontic origin and affected teeth.

(m)   ) Differential diagnosis and control of pain of pulpal origin.

(n)   Pulp restoration.

(3)   A dentist who applies for licensure as an endodontist shall comply with all of the following requirements:

(a)   Hold a current license to practice dentistry in this state.

(b)    Have graduated from a program of endodontics approved by the board under R 338.11301.

(c)   Provide verification of a passing score on clinical examination for licensure as an endodontist. The clinical examination shall include, but not be limited to, all of the following:

(i)   Submission and defense of patient case histories and treatment plans for evaluation by not less than 2 examiners. This includes the completion and presentation of 10 case histories with complete radiographs before and after completion of the cases which shall include all of the following:

(A)   One case in which the diagnostic evaluation of the patient, systemic or dental, was the most significant feature of the case.

(B)    One case in which emergency treatment procedures in addition to endodontic procedures were required.

(C)    One case of the endodontic management of a medically compromised patient. Recognition, documentation, or both of a medical problem shall not satisfy this requirement.

(D)   Two cases of a nonsurgical root canal treatment, which shall include, but not be limited to, a case with calcified canals, curved canals, long canals, or unusual anatomy. These 2 cases shall include 1 maxillary molar and 1 mandibular molar.

(E)  One case of a nonsurgical retreatment of a maxillary or mandibular molar.

(F)     One  case   of  maxillary   or  mandibular   molar  periapical   surgery  with  root-end resection and root-end filling.

(G)    Three additional cases selected by the applicant which may include, but not be limited to, any of the following:

(1)   A procedure described in subrule 3(c)(i)(A) to (G) of this rule.

(2)   A surgical or non-surgical case of sufficient complexity that fits in the current scope of endodontic practice.

(3)   The management of any of the following:

(a)   Traumatic injuries and their sequelae.

(b)   External or internal resorption.

(c)   Iatrogenic or resorptive perforations.

(d)  Incompletely developed apices.

(e)   Periodontic endodontic lesions.

(f)  Hemisections or root amputations.

(g)   Intentional replantation or transplantation.

(h)   Orthodontic endodontic cases.

(i)   Separated instrument or post removal.

(j)   Developmental anomalies.

(ii)   An oral examination.

(5)     A  dentist  who  applies  for  licensure   as  an  endodontist   shall  comply  with  R 338.11505.

History: 1984 AACS; 2011 AACS; 2014 AACS.