Endodontics

Endodontics is the branch and specialty of dentistry concerned with the morphology, physiology, and pathology of the dental pulp and periradicular tissues. Its study and practice encompass the basic clinical sciences, including biology of the normal pulp, and etiology, diagnosis, prevention, and treatment of diseases and injuries of the pulp and associated periradicular tissues.

Examination Format

The Fellowship Examination in Endodontics evaluates the advanced clinical judgment, diagnostic reasoning, and communication skills required of a Fellow in Endodontics. The objective is to assess a candidate’s ability to synthesize information, make sound treatment decisions, and manage complex patient care scenarios at the level expected of a Fellow of The Royal College of Dentists of Canada. The examination emphasizes applied clinical reasoning, patient-centered decision making, and professional communication.

StructureTakes place over two days, with candidates completing one oral case-based session (one hour) on each day.
FormatEach session consists of a series of structured clinical cases designed to reflect real-world endodontic practice.
AssessmentPerformance is evaluated using the Global Rating Scale (GRS), which emphasizes judgment, reasoning, and communication across multiple domains.
Examiner RoleExaminers are responsible for pacing the examination and guiding the discussion. Examiners may supplement case scenarios with text, clinical photographs, radiographs, or other imaging as part of the discussion.
Candidate RoleCandidates are expected to approach each case as they would in practice: by gathering and interpreting information, formulating a diagnosis, developing and justifying treatment options, and communicating their decisions clearly. Candidates are encouraged to think aloud, explain their reasoning, and communicate their approach as they would in a clinical setting.

Examination Blueprint

DomainWeight (%)
Assessment, Diagnosis, and Prognosis30 – 40%
Treatment Planning and Decision-Making20 – 30%
Treatment Delivery and Management30 – 40%
Communication5 – 15%

Blueprint

Endodontics

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Preparation

Preparation should focus on applied reasoning and communication rather than memorization. Candidates are encouraged to:

  • Practice structured case discussions, individually or with peers.
  • Rehearse verbalizing reasoning, including justification of decisions and management of uncertainty.
  • Review the example case provided to become familiar with the style of questioning and depth of response expected.
  • Focus on clarity, structure, and professionalism in communication

FDI Two-Digit Tooth Numbering Chart

The Fellowship Examination uses the FDI Two-Digit system.

Sample Case

Endodontics

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