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Continuing Education Program in Endodontics for International Dentists

Endodontics for International Dentists

This online program is designed to provide opportunities for dentists in the many areas of the world that do not recognize endodontics as a specialty, to become more knowledgeable and more proficient in this discipline. It is also designed to be a valuable adjunct to advanced education programs in dentistry to bolster training in endodontics.

The UB Continuing Education Program in Endodontics is a non-credit bearing, non-degree program that enables dentists from outside the United States to acquire additional training in endodontics by means of distance learning. This is not an endodontics residency program or a CODA-approved endodontics specialty program. It does not prepare dentists to become specialists in endodontics.

This is an intense 1.5 - 3 year, advanced-level program for international dentists. Each student will complete at least 100 clinical cases covering different aspects of endodontics (initial treatment, retreatment, management of obstructions and surgeries in the anterior and posterior region etc) A complete program syllabus is available here.

On this page:


Open Enrollment

Enrollment is now open for this program.


Minimum one calendar year – Maximum 3 calendar years

Program Director and Faculty

Adham A. Azim, BDS

Diplomate of the American Board of Endodontics; Director of the Post-Graduate Endodontic Program; Director - Division of Endodontics

Department of Periodontics and Endodontics

240 Squire Hall

Phone: (716) 829-3847


Application Requirements

  1. Complete online application
  2. CV/Resume
  3. Translated dental degree
  4. Proof of having access properly equipped private or institutionally based dental office with surgical microscope.
  5. Send information to:

Annamarie Phalen

Associate Director

Continuing Dental Education

327 Squire Hall

Phone: (716) 829-2320; Fax: (716) 829-2484


Students currently enrolled in post-graduate endodontic programs are encouraged to apply.

Program Requirements

  1. Completing all clinical requirements
  2. Passing the oral exam
  3. Passing the written exam
  4. Attending at least one of the Micro-Endodontic surgery course provided by University at Buffalo

Program Syllabus

The Certificate in Advanced Endodontics is composed of 3 parts:

Part 1: Clinical Endodontics

Course Description & Goals

The purpose of this course is to ensure that students are proficient in clinical endodontics through evaluating each individual clinical case posted by each student on the Endolit online forum. Instruction will be provided so that the student will develop clinical knowledge and skills in patient management, practice management, and attain proficiency levels in clinical procedures required of an Endodontic specialist.

Learning Sources

  • Online material provided on Endolit and through the Endodontic UB online library.
  • WEB based reference material.

Clinic Guidelines

  1. In all matters, concern for the patient takes precedence.
  2. All patients must be examined clinically and radiographically and medical and dental histories evaluated. Students will determine the pulpal and periapical diagnosis and plan a course of treatment. All relevant consultations must occur prior to treatment initiation. The diagnosis and treatment plan must be presented in each posted case. 
  3. Endodontic surgery
    1. Surgery must be indicated as the best care of the patient and not solely as an educational experience
    2. All surgical procedures are to be video recorded and photographed
    3. All pathologic tissue must be sent for biopsy
  4. All clinical cases will be reviewed by the Program Director
  5. Each student must present at least 50 non-surgical and 5 surgical cases covering different aspects of endodontics (initial treatment, retreatment, management of obstructions and surgeries in the anterior and posterior region etc)
  6. All cases presented must include pre-operative, intra-operative and post-operative radiographs at high quality in addition to clinic pictures when possible.

General Objectives

Upon successful completion of this course, the student should be proficient in:

  1. Obtaining relevant information from the dental and medical histories, clinical examinations and pertinent consultation for clinical diagnosis and treatment planning
  2. Performing clinical tests and intraoral examinations
  3. Performing dental radiographic techniques and correct interpretation of lesions and normal anatomical structures.
  4. Providing endodontic emergency procedures to relieve pain and infection of endodontic origin.
  5. Provide non-surgical and surgical endodontic treatment for anterior teeth, premolar and molar teeth.
  6. Diagnose the need and providing vital pulp therapy and root end closure procedure.
  7. Intracoronal bleaching procedures.
  8. Managing, non-surgically, resorptions, perforations and root fractures.
  9. Managing pain and patient anxiety associated with endodontic treatment.
  10. Performing corrective procedures on teeth having received previous endodontic treatment.
  11. Communicating with patients and other health care professionals in regards to the procedures proposed and performed.
  12. Evaluating endodontic treatment outcome and prognosis.

Upon successful completion of the course the student should be competent in:

  1. Evaluating, diagnosing and managing traumatic injuries to teeth and their supportive structures
  2. Diagnosing and providing treatment, in conjunction with the periodontist, to endodontically and periodontally involved teeth.
  3. Providing endodontic treatment to medically compromised patients.
  4. Developing differential diagnosis of orofacial pain.
  5. Providing vital pulp therapy.
  6. Perform root-end closure procedures.
  7. Placing intraradicular restorations and cores in endodontically treated teeth.
  8. Performing intracoronal bleaching procedures.
  9. Proficient at using the operating microscope to perform nonsurgical and surgical endodontic procedures.


P/F grades will be assigned based on:

  1. Anonymous evaluation from Endolit members
  2. Program director’s review of completed cases

-       Student must maintain an average score for their cases not less than: 

4/5     for the “Quality of endodontic treatment” 

2.5/5     for the “Documentation quality” 

Regarding level of complexity:


Non-surgical cases

At least 5 cases should be between 4-5/5

At least 30 cases between 2-3/5


Surgical cases

1 cases should be between 4-5/5

2 cases between 2-3/5


The evaluation criteria are available on Endolit.



The student has the right to challenge any aspect of their evaluation. The final decision / evaluation remains at the program faculty’s discretion and judgement.

Part 2: Classic Endodontic Literature

Course Description & Goals

The purpose of this course is to enable students to have adequate endodontic knowledge based on evidence based dentistry.

Learning Resources

  • Journal of Endodontics
  • International Endodontic Journal
  • Journal of the American Dental Association
  • Australian Endodontic Journal
  • Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology and others

Course Material

  • Students will be provided with list of articles and their summaries that they should cover on a quarterly basis.
  • Recorded lectures will be provided on these topics through the Endolit digital library. Lectures will be provided in a specific sequence and limited number of lectures will be allowed to view every week.

General Objectives

Student should be able to have:

  1. Thorough knowledge of Endodontic literature in the following topics
    1. Pulp Biology
    2. Microbiology
    3. Root canal disinfection
    4. Diagnosis
    5. Endodontic retreatment
    6. Endodontic surgery
    7. Root canal Anatomy
    8. Pain & Pain control
    9. Endodontic outcome
    10. Vital pulp therapy
    11. Dental Trauma
    12. Local Anesthesia
    13. Restoration of Endodontically treated teeth and Leakage
    14. Systemic diseases and Emergencies.
  2. The ability to quote and discuss the controversies present in endodontic literature in the clinical and biological aspects.
  3. To correlate findings in the literature with clinical endodontics.
  4. Defend his/her method of instrumentation and obturation with documented literature.
  5. List and describe the physical and biologic properties of various endodontic materials in relation to endodontic therapy.
  6. To be familiarized with recent findings relating to diagnosis and treatment of pulp and periapical diseases.
  7. To discuss the controversies that exists in the literature with respect to the biology of the pulp and the periapical tissues.
  8. To stimulate critical analysis of experimental findings.
  9. To correlate findings in the literature with clinical endodontics.


  • Upon completion of all the topics covered in the classic literature section in the order provided in the program, the student will request to take the oral exam. The oral exam can only be taken after passing Part 1 (clinical endodontics).
  • Location: On-line based exam through Skype or similar means
  • Duration of the exam: 1 hour
  • Passing grade: 70% 
  • Instructions on ideal answers will be provided as part of the course material.
  • Number of attempts to take the exam: 3

Course Failure

  • In case of failure of the oral exam, the student may retake the exam after at least 2 months.
  • If the student fails the exam 3 times, he/she will have to repeat the course before taking the exam again.
  • Cost of retaking the exam: $500

Part 3: Current Endodontic Literature

Course Description and Goal

The purpose of this course is to review and critique articles currently published in endodontic journal on a month-by-month basis. The goal is to provide the students the opportunity to learn about the current literature published in the field of endodontics.

Learning Resources

  • Journal of Endodontics
  • International Endodontic Journal

Course Material

  • Students are required to read the original articles selected by Endolit as “Articles of the month” every month.
  • Students will be informed of these articles via email and summaries of these articles will be provided via Endolit current literature section.
  • Number of articles can range between 2 – 6 / month.


The student should be able to:

  1. Critique current literature and point out study limitations.
  2. Correlate findings in the literature with clinical endodontics.


  • After completion of part 1 (clinical endodontic) and Part 2 (classic literature), student will request to sit for the written exam.
  • Exam will consist of 150-200 multiple choice questions
  • 2/3 of the questions will be related directly to articles published throughout the last three years from the Endolit current literature list.
  • 1/3 of the questions will be related to general endodontic questions at the Post-graduate level.
  • Students must attend the exam at University at Buffalo. If the student is unable to attend, and provides a proof for inability to arrange for travel, an alternative exam method will be provided. Student, however, is responsible for all the expenses.
  • Exam duration: 3 hours
  • Passing grade: 60% 
  • Number of attempts to take the exam: 3

Course Failure

  • In case of failure, the student may reapply for the exam after at least 2 months.
  • If the student fails the exam 3 times, he/she will have to repeat part 2 & 3 of the program.

Expenses and Payments

Cost: $15,000


  • $7,500 due at program registration to cover Part 1 of the course 
  • $5,000 due prior to the oral exam (Part 2)
  • $2,500 due prior to the written exam (Part 3*)
  • There is a $500 fee to retake the exam plus any additional fees at the testing center, if applicable

*Students will be responsible for additional costs charged by testing center(s)

Course Expenses:

  • Endodontic Micro-surgery course (3 days) at University at Buffalo: $1,200 (original cost $3,000)

Added Benefits

(Total value $8000)

  • Attend Endodontic CE course(s) provided at UB at no additional cost. (Based on space availability.)
  • Attend one time at a reduced fee, the 1 week micro-surgery course provided to the post-graduate endodontic residents (likely offered in July).
  • Observe for 1 week in our Post-grad endodontic clinic at the University at Buffalo.
  • Access to the UB online library that includes all journals needed for the program.