Name Area
Indian Association of Conservative Dentistry and Endodontics

Fellowship in Micro-restorative and endodontics


“Fellowship in Micro-restorative and endodontics” is a prestigious qualification, which carries with it a responsibility to enhance the current practice of restorative dentistry endodontics by using contemporary magnification technologies. The program is designed for well-motivated candidates who remain zealous in their pursuit of knowledge and clinical skill as they practice and teach the specialty of restorative dentistry and endodontics to the highest standards.

Value of Certification

To achieve diplomate status and become a fellow, a restorative dentist and endodontist should exhibit excellent self-motivation and exceptional commitment to continuing professional growth

On certification, the fellow would understand the importance of:

  1. 1. Achieving necessary skills in managing routine and advanced restorative & endodontic scenarios using modern magnification technology.
  2. 2. Constantly enhancing the existing knowledge by pursuing new arenas in magnification technology.
  3. 3. Complete understanding and application of cutting edge research in the practice of micro restorative and endodontics.
  4. 4. Ensuring the highest possible patient centric quality of care.


Microscope enhanced restorative dentistry and endodontics is a science with an established theoretical and scientific base and widespread clinical applications in restoration, rehabilitation, regeneration, maintenance and promotion of optimal function of the dental hard tissues, dental pulp and periradicular tissues. Micro restorative endodontists, study and practice the basic and clinical sciences including the biology of the human teeth, the etiology, diagnosis, prevention and treatment of diseases and injuries of the enamel, dentine, pulp and associated periradicular conditions. They diagnose and manage various restorative and endodontic scenarios using magnification tools. These practitioners contribute to society and the profession through practice, teaching, administration and the discovery and application of new knowledge about magnification techniques.
Learning experiences are provided under the guidance and supervision of competent faculty through workshops, contact sessions and learning assignments. The designed curriculum will prepare the restorative dentists and endodontists, to be an autonomous, effective, safe and a compassionate professional, who practices collaboratively in a variety of clinical and academic setups , responsive to the current and future needs of the restorative and endodontic health care system.


To create a platform that nutures and recognises talented micro restorative dentist and endodontist who shall lead to provide quality dental care services using advanced magnification technology in restorative dentistry and endodontics.


To recognize highly competent, knowledgeable, service-oriented, micro restorative and endodontic practitionerswho by virtue of their critical and integrative thinking along with clinical reasoning, and ethical values, render evidence based precision treatments that conserve and maintain the health of the teeth and surrounding supporting structures that contribute to the long term success through contextual, and collaborative foundations of microscopic practice.


The following “essential requirements” specify those attributes that the faculty consider necessary for completing the professional education enabling each graduate to subsequently enter clinical practice. The purpose of this curriculum is to delineate the cognitive, affective and psychomotor skills deemed essential for completion of this program and to perform as a competent micro restorative dentist and endodontist who will be able to evaluate, plan & execute various treatments using magnification.

Cognitive learning skills:

The Participant must demonstrate the ability to receive, interpret, remember, reproduce and use information in the cognitive, psychomotor and affective domains of learning to solve problems, evaluate work and generate new ways of processing or categorizing similar information listed in course objectives.

Psychomotor skills:

The participant must demonstrate the following skills.

1. Manual tasks:

a. Manoeuvring the magnification devices, other supports/accessories or chair to aid in positioning, moving, or treating a patient effectively.
b. Competently perform magnification enhanced restorative dentistry and Endodontics

2. Fine motor/hand skills:

a. Legibly record data, evaluations, tests, patient care notes etc. through written assignments (including diagrams) and/or standard softwares used in hospital/clinical settings in a timely manner and consistent with the acceptable norms of clinical settings.
b. Safely apply and adjust the dials or controls of the magnification tools.
c. Safely and ergonomically position the patient and the operating dentist to achieve maximum magnification benefits.

3. Visual acuity:

a. Read written and illustrated material in the English language, in the form of online educational material, textbooks, literature and patient’s chart.
b. Observe active online content.
c. Visualize training videos, projected slides/overheads, X-ray pictures and notes displayedon a blackboard/whiteboard/ computer screens.
d. Receive visual information from patients, for purposes of evaluation.
e. Receive visual information from treatment environment
f. Receive visual cues as to the patient’s tolerance of the magnification assisted intervention.

4. Auditory acuity:

a. Hear lectures and discussion in an academic and online educational setting.


a. Effectively communicate information and safety concerns in a timely manner and within the acceptable norms of academic and clinical settings.
b. Receive and interpret written communication in both academic and clinical settings in a timely manner.
c. Participants must be able to communicate quickly, effectively and efficiently in oral and written english with all members of the health care team.


The participant must be able to:


1. The certification and fellowship of the board for micro-restorative and endodontics, an affiliate body of Indian association of conservative dentistry and endodontics, India may be granted to those who possess a two year experience after postgraduate in conservative dentistry and endodontics registrable in the register of dentists for India and to other international micro-restorative and endodontics specialists who comply with the regulations.
2. The requirements to present for the examination are:
  1. a) MDS or equivalent and should be in good standing in relation to the maintenance of the IACDE life membership/ international restorative and endodontic bodies
  2. b) Evidence of satisfactory completion of two years clinical/academic experience in an institution/clinical setup recognised by the faculty. Candidates are required to submit certified, documented evidence of their training
  3. c) Eligibility certificate from the board after verification of academic qualifications ( The decision of the board members is deemed final)
    1. i) Email your current CV
    2. ii) Send a formal copy of your qualifications to-date, and two letters of recommendation confirming any training you have undertaken related to the field of microscopic dentistry.
  4. d) Complete the requisite contact sessions/online lectures. Online assessments should be completed within the stipulated time
  5. e) Properly documented clinical cases with complete history, photos and radiograohs must be sent to the board office for assessment (atleast 28 days before the final examination)


Examination will test the candidate's understanding of diagnosis and treatment planning over a wide range of problems in endodontics together with his/her expertise in carrying out comprehensive endodontic treatment using magnification tools.
The examination consists of the following components:
Part I
(At the end of the six months or after completion of the third module whichever is earlier)
  1. a. Two Assignments duly accepted by the assigned mentor
  2. b. A one hour forty minute paper containing 100 multiple choice questions
Part II
At the end of one year or after completing the prerequisites
1) A one hour presentation of the case records of patients personally treated by the candidate. Case histories should describe the examination, diagnosis, treatment planning and management of the patient who has received advanced endodontic care, using microscopes.
The presented cases must include:
( Document template would be provided)
  1. a) Ten(10) cases of molar root canal therapy treated and documented using a microscope.
  2. b) Five(5) cases of Non- surgical Endodontic retreatments using microscope.
  3. c) Three(3) cases of special endodontic treatments (Management of class III fractures, Regenerative endodontics, Single step apexification,MTA obturations etc. performed using microscope)
  4. d) Two(2) cases of surgical micro endodontics ( 1 anterior + 1 Posterior)
  5. e) Two(2) cases of inlay/onlay
  6. f) Two(2) patients treated with veneers (1 direct and 1 indirect)
  7. g) Two(2) cases of Diastema closure using composite restoration
  8. h) Two(2) class IV composite restorations
  9. i) Two(2) class III composite restorations
  10. j) One(1) case of management of initial carious lesions
  11. k) Two(2) anterior crown preparationsto recieve lithium disilicate restoration
  12. l) Two(2) posterior crown preparations to recieve zirconia restoration
  13. (All cases have to be properly documented and should be accompanied by pre-operative, intra-operative, post-operative and follow-up radiographs and photographs using the template. Patient consent forms to be submitted)
2) A 30 minute oral examination.


Application fees: INR 2000
Course fee: INR 2,00,000
The cases will be assessed using the following criteria
Adapted (AAE criteria for assessment)
Adapted(AAE criteria for assessment)


On and half years ( 18 months, 6modules, 2 contact sessions and two examinations)

Module 1

Unit code: EL1 (Entry level 1)

Credit value: 15

Guided learning hours: 40


S.No Learning/ Subject area Learning hours Credits
1. Diagnosis/differential diagnosis in endodontics 4 1
2. Pulpal and periapical disease 4 1
3. Radiology and 3D imaging in endodontics 2 1
4. Pain of odontogenic and non-odontogenic origin 4 1
5. Pain control 4 1
6. Endo-Perio lesions 2 1
7. Treatment planning 4 2
8. Root canal anatomy 4 1
9. Magnification
  1. a) Introduction to magnification
  2. b) History of magnification
  3. c) History of magnification in dentistry
  4. d) Options for magnification
2 1
10. Loupes
  1. What are Dental loupes
  2. Benefits of loupes
  3. Anatomy of loupes
  4. Optics of loupes ...simplified
  5. Important Parameters and deciding factors for limitations in loupes
  6. Types of dental loupes
  7. How to choose Dental loupes for personal use
  8. Accessories
  9. Testing the loupes
  10. Maintenance
2 1
11. Introduction to microscopes:
  1. • Anatomy of the dental operating microscope
  2. • Detailed discussion of components
  3. • Optics and optical components of the microscope
  4. • Different magnifications and its utilities
12. Patient and operator positioning 2 1
13. Isolation 2 1
14. Basics of micro dentistry
  1. a) Adjusting IPD
  2. b) Parfocalling
  3. c) Gross and fine adjustments
  4. d) Microphotography and documentation
2 1

Module 2

Unit code: ML1 (Mid level 2)

Credit value: 15

Guided learning hours: 40


S.No Learning/ Subject area Learning hours Credits
1. Endodontic access cavities: clinical guidance, instruments and techniques. 4 1
2. Traditional access and minimal access preparations 4 1
3. Locating calcified root canal orifices under magnification : instruments and operative techniques. 2 4
4. Initial scouting ,mechanical exploration and glide path establishment of fine and curved root canals with stainless steel files and nickel-titanium instruments. 2 4
5. Use of reciprocating hand pieces for stainless-steel files. 2 4
6. Nickel titanium rotary instruments: designs, procedures, advantages and limitations 2 4
7. Endodontic motors and handpieces for nickel-titanium instruments. 2 4
8. Electronic apex locators to determine working length. 2 4
9. Root canal shaping: the principles and techniques of root canal preparation with nickel titanium rotary instruments. 8 4
10. Irrigation: solutions, delivery devices and operative techniques.
Active and passive irrigation devices and techniques
4 1
11. Intracanal medicaments: rationale and options available 2 1
12. Errors during root canal instrumentation: stripping, ledgesetc 2 1
13. Breakage of instruments: causes, prevention and managing of the errors. 4 2

Module 3

Unit code: ML2 ( Mid level2 )

Credit value: 15

Guided learning hours :30


S.No Learning/ Subject area Learning hours Credits
1. Gutta percha and canal sealers: technical, biological and handling properties. 2 1
2. Techniques and materials of root canal obturation:
  1. i. Lateral condensation of cold gutta-percha
  2. ii. Vertical compaction of warm gutta-percha
  3. iii. Thermo-mechanical compaction of gutta-percha
4 2
3. Preservation of vitality of the teeth: technical, biological and handling properties of MTA and biodentine. 6 3
4. Diagnosis and treatment of painful emergencies. 4 2
5. Biofilms 2 1
6. Postendodontic restoration: principles, the newer materials and techniques for anterior and posterior teeth. 4 2
7. Procedures for Improving adhesion 2 1
8. Choosing between direct and indirect restoration. 2 1
9. Endodontic posts: why and when. 4 2

Module 4

Unit code: AL1 ( Advanced level1 )

Credit value: 15

Guided learning hours :40


S.No Learning/ Subject area Learning hours Credits
1. Root perforations: Prevention and repair with MTA and Biodentine. 2 1
2. Immature teeth: Endodontic treatment of teeth with large and open apices. 4 1
3. Root resorptions: Etiologies, diagnosis and treatment. 4 1
4. Root fracture: Etiologies, diagnosis and prevention. 2 1
5. Bleaching of endodontically treated teeth. 4 1
6. Dental traumatic injuries: Treatment of root fracture, luxation and avulsion. 4 1
7. Retreatment decisions and treatment planning in endodontics. 2 1
8. Removal crowns and bridges. 2 1
9. Removal of prefabricated metallic and fiber posts, and cast post and core from single rooted tooth and molars. 4 1
10. Solvents and removal of obturation materials: paste, gutta-percha, resin 2 1
11. Removal broken posts, silver points and broken instruments. 2 1
12. Managing ledge, block and calcification. 2 1
13. Reshaping root canal with manual and rotary instruments. 2 1
14. Revascularization and regeneration 4 2

Module 5 Microsurgical Endodontics

Unit code: AL2 ( Advanced level 2 )

Credit value: 10

Guided learning hours : 30


S.No Learning/ Subject area Learning hours Credits
1. Introduction to microsurgical principles, including diagnosis using cbct, root resection and retrograde preparation, management of the apical third, retrograde filling materials, the palatal approach, grafting materials, endodontic–periodontic lesions, and complex surgical cases.
  1. a) Indications for endodontic surgery.
  2. b) Medical considerations of the patient.
  3. c) Presurgical preparation of the patient.
  4. d) Armamentarium and Preparation of the instruments and materials.
  5. e) Anatomic considerations.
  6. f) Anesthesia.
  7. g) Flap design and incision.
  8. h) Elevation and retraction of the flap.
  9. i) Osteotomy.
  10. j) Curettage.
  11. k) Apicoectomy.
  12. l) Root and preparation.
  13. m) Perforation.
  14. n) Root amputation.
  15. o) Hemorrhage control.
  16. p) Root end filling materials.
  17. q) Root end filling procedure.
  18. r) Suture materials and suturing.
  19. s) Immediate postsurgical care.
  20. t) Postsurgical complications.
  21. u) Postsurgical evaluation and suture removal.
  22. v) Failure and success in endodontic surgery.
30 10

Module 6: Micro-restorative dentistry and endodontics

Unit code: AL1 (Advanced level 1)

Credit value: 15

Guided learning hours :20

S.No Learning/ Subject area Learning hours Credits
1. Instruments and instrumentation techniques for micro-operative procedures 5 10
2. Cariology
Risk analysis
Early detection
5 10
3. Operative management of carious lesion
Minimal invasive dentistry
Enamel preparation
Carious dentine removal
Peripheral caries(EDJ)
Caries overlying the pulp
Distinguishing the zones of carious dentine
Step wise excavation
10 10
4. Soft tissue handling Tooth preparations for direct/ indirect restorative procedures under magnification
  1. a) Direct composite retorations: classII, class III, class IV , diastema closures
  2. b) Indirect: Material considerations, procedures for inlays, onlays, crown and veneers
10 10



S.No Hands on Learning hours Credits
1. Orientation to dental microscopes
Operating the microscope
Focal length
IPD adjustments
Par focaling
Using the beam splitter and assistant scope
Operator positioning
Patient positioning
Microscope positioning
Different placements of microscope in the operatory
Ergonomics at operatory
10 25
2. Access opening on extracted tooth under microscope
Rubber dam placement
Ultrasonics in endodontics
Case discussions and use of CBCT
10 25
3. Biomechanical preparation under microscopes(rotary instrumentation)
Use of apexlocators
Warm vertical condensation and 3D obturation using thermoplasticized gutta-percha
Post obturation restorations and tooth preparations
5 25
The 25(twenty five) practical hours should be completed and certified by a recognized mentor
This contact session must be completed within the first 6 months or before the Part 1 examination (whichever is earlier)



S.No Hands on Learning hours Credits
1. Management of calcified and difficult canals
Perforation repair
Regeneration/ revascularization
Instrument retrieval
Post retrieval
8 25
2. Diagnosis and case selection
Flap design
Microsurgical tools
Soft tissue management
Hard tissue management
Root end preparations
Root end filling
Guided bone regeneration
(Procedures to be performed on animal jaws or cadavers)
8 25
3. Tooth preparations for Direct/ indirect restorative procedures under magnification
  1. a) Direct composite retorations: classII, class III, class IV , diastema closures
  2. b) Indirect: Material considerations, Procedures for veneers, inlays, onlays and crowns
  3. c) Cementation protocols
This contact session must be completed before the Part 2 examination


PART ONE EXAMINATION : The exam is graded based on the grade points

PART TWO EXAMINATION : The exam is graded based on the grade points


S.No Grade Grade Points
1 O (Outstanding) 10
2 A+(Excellent) 9
3 A (Very Good) 8
4 B+(Good) 7
5 B (Above Average) 6
6 C (Average) 5
7 P (Pass) 4
8 F (Fail) 0-3
9 Ab (Absent) 0


S.No Details Credit points Credit Hours
1. Module 1 15 40
2. Module 2 15 40
3. Module 3 15 30
4. Module 4 15 40
5. Module 5 10 30
6. Module 6 10 30
7. Contact session 1 25 25
8. Contact session 2 25 25
9. Part one examination Grade -
10. Part two examination Grade -
11. Clinical hours for completion of requisite cases (70 hours) 20 70
Total 150 330


Attention should be directed to contemporary literature. Key areas such as regeneration, wound healing, prophylacticantibiotic coverage, management of traumatized teeth and medically compromised patients should be given due importance. Additionally, latest editions of the following textbooks may prove as invaluable resources.
1. Syngcuk Kim and Samuel Kratchman,Microsurgery in Endodontics, Wiley Blackwell
2. Enrique Merino, Endodontic Microsurgery, Quintessence
3. Arnaldo Castellucci, Endodontics Vol:1,2,3; Tridente
4. Ingle JI, Bakland LK. Endodontics. Baltimore: Williams and Wilkins.
5. Malamed SF. Handbook of local anesthesia. St.Louis: Mosby.
6. Malamed SF. Medical emergencies in the dental office. St.Louis: Mosby.
7. Gutmann JL, Dumsha T, Lovdahl P, Hovland E. Problem-solving in endodontics. St. Louis: Mosby.
8. Seltzer and Bender’s The Dental Pulp, Hargreaves and Goodis
9. Arens DE, Torabinejad M, Chivian N, Rubinstein R. Practical lessons in endodontic surgery. Carol Stream (IL): Quintessence Publishing Company, 1998.
10. Cohen S, Burns RC. Pathways of the pulp. St. Louis: Mosby.
11. Gutmann JL, Harrison JW. Surgical endodontics. St. Louis: Ishiyaku Euro America 1991.
12. Little JW, Falace DA, Miller CS, Rhodus NL. Dental management of the medically compromised patient. St. Louis: Mosby.
13. Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. St. Louis: Mosby.
14. Neidle EA, Yagiela JA. Pharmacology and therapeutics for dentistry. St. Louis: Mosby.
15. Essential Endodontology, Orstavik and Pitt Ford
16. Studervant’s art and science of Operative Dentistry
17. Pickards manual of Operative Dentistry
18. Summit’s Fumdamentals of Operative Dentistry
19. Cariology, Newbrun
20. Science of Porcelain laminates and Veneers, GalipGurel
21. Esthetics in Dentistry, Ronald Goldstein


The candidate, in order to be abreast with the current literature needs to pay special attention to the following journals:
Journal of Endodontics
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
International Endodontic Journal
Dental Traumatology.
Journal of Conservative Dentistry and Endodontics
Journal of Dental Research
Journal of aesthetic Dentistry
Dental Materials
Operative Dentistry