(PR047) Survey on Predoctoral Endodontic Education and Training in U.S. and Canadian Dental Schools

Objective(s): The study aimed to evaluate endodontic education and training across U.S. and Canadian dental schools. It investigated clinical practices, curriculum structures, competency assessment methods, and challenges, providing insights into improving endodontic competencies among dental graduates to meet patient care demands effectively.

Methods: A comprehensive survey was distributed to predoctoral program directors from accredited dental schools in the United States and Canada. The survey captured data on program characteristics, clinical and didactic hours, competency certification approaches, and integration of advanced technologies. Descriptive statistics were calculated, with response rates and significant findings emphasized.

Results: Of the 82 program directors contacted, 48 responded (response rate: 58.54%). The survey revealed variability in clinical endodontic requirements, with a mean of 4.59 root canal treatments completed per student. Nearly 33% of schools cited insufficient patient pools, with 71.43% substituting simulation exercises for clinical experience. Most programs (86.05%) used extracted teeth for training, and 42.86% permitted treatment of routine second molars. Certification methods varied, with 29.27% emphasizing live patient experiences. Notably, 54.76% of directors were uncertain about graduates’ competence in molar endodontics for private practice.

Conclusion: Endodontic education in the U.S. and Canada exhibits significant variability, with patient access being a key factor influencing training quality. Simulation exercises help mitigate some challenges, but their use raises concerns about the adequacy of clinical preparedness. Standardizing clinical requirements, improving patient access, and increasing integration of advanced resources could enhance educational outcomes. Future studies should explore the long-term impact of these practices on graduate competence and patient care quality.