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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










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