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تحميل الدليل التدريبي

أسئلة شائعة


Clinical Fixed Prosthodontics

4 Credit Hours 

-           One (1) Credit Hour:            One (1) hour lecture weekly for one semester

-           One (1) Credit Hour:            Two and one-half (2½) hour lab weekly for one semester

-           Two (2) Credit Hours:          Three (3) hour clinical weekly for two semesters



SDS 431 Course is the first clinical course in fixed Prosthodontics taught in the fourth year.


Pre-requisite:           SDS 331 Course



  1. The course serves as the transitional phase from the preclinical to the clinical environment.
  2. It provides a framework for the student to negotiate the difficult preclinical-to-clinical divide in a measured and controlled way, reinforcing concepts learned in SDS 331.
  3. The clinical phase seeks to equip the student with the fundamental skills for sound clinical Fixed Prosthodontics practice through the comprehensive management of a minimum of two selected FP cases (as a guide, the total number of units expected to be completed in these cases is 6).
  4. The concurrent laboratory session in the first semester facilities the student's understanding of, and familiarity with, laboratory procedures, and the mutual interdependence between technical and clinical quality.


Educational and practical objectives

Being the intermediate FP (Fixed Prosthodontic) course, emphasis will be placed on: 

  1. Providing the student with the optional knowledge and skills for a successful introduction to clinical FP.
  2. Developing the student's clinical and technical psychomotor skills to a defined level prior to actual patient care.
  3. Reinforcing the mutual interdependence of high-quality clinical and technical activities for the attainment of precise and predictable clinical outcomes.
  4. Developing the student's knowledge base, both didactically and clinically, with a view to refining the student's approach to patient care.
  5. Awareness  of the cost-benefit equation in FP therapy, and the patient's right to make an informed choice.


Clinical requirements

1.    The student is required to complete the treatment of a minimum of  two FP cases of a relatively simple nature.

2.    For the purpose of this course, treatment means the following:

    1. Detailed and systematic documentation of clinical findings, including full detailed charting, accurate mounted study casts, 20 CMS (where necessary), and so on.
    2. Hand-written or typed account of all findings, treatment options, relative prognosis and treatment sequence.
    3. Meticulous execution of clinical procedur

3. It is important that each student be exposed to a range of common FP procedures.  If this is not achievable by himself/herself, then observing a colleague is the minimum requirement.

4. Procedures that should be satisfactorily completed are: Single metal-ceramic and / or metal crown, 3 – unit FPD and post / core restorations of indirect / direct types.  Procedures that may be undertaken under the proper conditions are: Anterior veneers, resin-bonded FPD, or others as determined by the instructor.

5. Clinical activities will be recorded on a weekly basis.



In order to receive a passing grade for the course, the student must pass each of the didactic and clinical/laboratory components separately.

 1.    Didactic

a.    Mid-term written examination                                                  10%

b.    Final written examination                                                         20%Total                                                                                            30%

2.            Clinical/laboratory

a.    Laboratory exercises including the preclinical test              20%

b.    "In-clinic" continous clinical assessment                              30%

c.    Final clinical examination                                                        20%Total                                                                                            70%


Students are reminded that all clinical/laboratory evaluations include the student's attitude to learning, professionalism, cleanliness, and purposefulness in the working environment.


General Reference Book:

Shillingburg HT, Hobo S. Whitsett LD, Jacobi R, Brackett SE. Fundamentals of Fixed Prosthodontics, ed 3. Chicago: Quintessence Publishing Co, 1997.


Supplementary Reference:

Rosenstiel SF, Land MF, & Fujimoto J. Contemporary Fixed Prosthodontics, 2nd ed. The CV Mosby, 1995.



SDS 431 Lecture Outline


Course Director        :           Dr. Abdullah Al-Farraj

Lecturer Schedule   :           (DUC) Sunday, 1:00 – 2:00 PM, Room 27/GA



Lecture Topics



1.  Introduction and orientation

            (Reference: SDS 431 and SDS 331 course outlines)

·         Overview of SDS 431 course objectives and content.

·         Review of knowledge and skills gained to date (with special reference to course SDS 331).

·         Course continuous assessment and clinical examination.



2.  The dynamics of treatment planning and treatment


            (References: Kay and Nuttall. Clinical decision

making – Part I. Brit. Dent J 1995, 178:76 – 78;

Shillingburg p. 73 – 93.

·         Principles of clinical decision making

·         Principles of observation and identifying problems

·         Making a diagnosis

·         Importance of prognosis

·         Treatment phases

·         Design of the prosthesis




3.  Occlusal examination  (mohl, Zarb, Carlsson Rugh.

     A textbook of occlusion.  Chicago: Quintessence

     Publishing Co., 1988. p. 129 – 141; 185 – 198)

·         Review of mandibular movements, including border and functional movements

·         Clinical significance of tooth and joint morphology

·         Review of articulators and study casts

·         Examination of the occlusion; clinical signs and symptoms, radiographic signs, occlusal contacts.




4.  Review of various tooth preparation, including the     

     extensively damaged vital tooth, the RPD abutment, etc.

     (Shillingburg pp. 139 – 154; 181 – 188; 194 – 209).

·         Methods of build-up for vital/non-vital teeth

·         Full metal crown

·         Metal ceramic crown







Lecture Topics



5.  The diagnostic wax-up and provisional restorations

     (Shillingburg p. 225 – 256; Rosenstiel p. 163 – 165).

·         Applications of templates in diagnosis and treatment

·         Template construction techniques

·         Review of provisional restoration fabrication techniques




6.  Managing abnormal tooth positions

     (Shillingburg p. 95 – 102; 124 – 126; 189 – 193;

     211 – 214; 530 – 533).

·         Managing space deficit/excesses

·         Managing supra-eruptions

·         Tilted abutments

·         Non-rigid connectors

·         Managing short clinical crowns

·         Preparations for periodontally compromised teeth




7.  Tissue management and definitive impressions

     (Shillingburg p. 257 – 279)

·         Fluid control

·         Finish line exposure

·         Types of impression materials

·         Impression techniques




8.  All Ceramic Restorations

     (Anusavice, Science of Dental Materials, 10th ed.

     p. 608 – 617).

·         Aluminous core porcelain

·         Drawback of previous system

·         Injection-molded glass-ceramic

·         Castable glass ceramic

·         Glass-infiltrated alumina-core ceramic

·         CAD-CAM ceramics




9.  Review Sessions





Lecture Topics



10. Mid – Year Written Examination



11. Developments in esthetics in prosthodontics

      (Shillingburg p.433 – 436; 441 – 451; 472 – 481).

·         Porcelain margins with metal ceramics

·         High strength ceramics

·         All crowns

·         Porcelain veneers




12. Esthetics and Shade considerations

      (Shillingburg p. 419 – 431).

·         Appearance zone

·         Light and color

·         Description of light

·         Shade selection sequence




13. The resin bonded FPD

      (Shillingburg p. 537 – 561)

·         Historical background

·         Indications

·         Metal framework

·         Principles of tooth preparation

·         Laboratory aspects

·         cementation




14. Luting cements and delivering the final restoration

     (Shillingburg p. 385 – 415).

·         Provisional cementation

·         Definitive cementation

·         Types of permanent cements

·         Cementation of metal based crowns

·         Cementation of all ceramic veneers and inlays





Lecture Topics



15. Prosthodontic failures, prevention and management

      (Hamerle CHF. Success and failure bridgework.

      Period 2000 1994, 4:41 – 51).




16. Recall examination procedures

      (Rosenstiel, Land, Fujimoto, Contemporary fixed

      prosthodontics. St. Louis: Mosby, 1995 p. 631 – 652).

·         Post-cementation appointments

·         Periodic recall system

·         Continuity of treatment

·         Criteria of evaluation during recall






































Clinical and Laboratory sessions




Semester I



Week 1







Small group demonstrations by instructors on selected, screened patients and/or casts, of Examination, data gathering, diagnosis and treatment plan development.

Note: Students are asked to take notes of discussed findings and use these as a guide at the following session.



14 & 17/9/2004

Set up 4 – 6 variously damaged anterior and posterior extracted teeth (including endodontically treated teeth) in acrylic blocks.  Start excavation and/or preparation for build-ups by appropriate means as a precursor to subsequent preparation for extra coronal restoration.


Week 2



Groups of students examine a selected, screened patient, and record findings.  Each group presents each case to the class in the following week’s clinic time.



21 & 24/9/2004

Continue with week 1 exercise.  Then prepare previously restored teeth for various cast restoration design.

Note: The purpose of these “restore-and-prepare” exercises is to reinforce the importance of learning to visualize what the quality and integrity of the base/foundation is: and to understand how axial reduction alters he stability of such foundations.


Week 3



Presentations of previous week’s patienteamination in groups (in lecture room).



28/9; 01/10/2004

Continue with week 2 exercise.  Mount one ivorine tooth for lab test.


Week 4



First individual patient allocation session for each students:  examination and data collection.

Note: The case should preferably be a single posterior

unit, or single anterior unit, or simple posterior FPD (in

this order.



05 & 08/10/2004

Obtain dentoform and equilibrate.  Do one preparation as directed and provisionalized with a prefabricatred-relined technique.

Note: This exercise is graded and will form part of the lab grade.







Week 5




Continue with case work-up, including impressions for cast, etc.




As from this week, the lab sessions are used to do the following assignment, but patient-related work always takes precedence:

a)         Patient-related lab procedures

b)         A practical assignment of a three-unit FPD             preparation on dentoform and fabrication of two             provisional FPD by two different techniques.              These assignmentmust be completed by the end     of the semester.

The assignment must be handed in for grading no later

than 21/01/2005.


Week’s beginning


Clinical and Laboratory work for assigned patient continue.  Free-time for assignment.

Note: New cases are taken only if satisfactory progress is being made in term of the student;s development of his/ her skills.  Such progress will need to be shown for the student to progress to more difficult clinical cases in the following semester.






























Semester 2

Weeks beginning

07 Feb. – 22 May 2005

Clinic and Laboratory work continue ( subject to satisfactory demonstration of ability in the previous semester).


Week 5 (beginning

06 March 2004)

Students are reminded that from week 5 the final clinical examination can begin.  This means that particular case needs to be selected and approved by the Course Director well ahead of that time.


Clinical Examination:

Each student performs a single crown preparation, provisionalization and impression in a patient, which is graded according to defined srandards by your clinical instructor, and by the Course Director (if necessary).




(Note: If it is not possible to do the exam on a single vital tooth, an abutment for an FPD or an endodontically treated tooth may be used; however, in these cases different grading procedures will be used which are likely to be the student's disadvantage).


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