Course outline
King Saud University, College of Dentistry
Department of Pediatric Dentistry and Orthodontics Sciences
Division of Pediatric Dentistry
413 POS
Clinical Pediatric Dentistry I
Thursday, 2:00 – 5:00 pm [DUC]
Monday, 2:00 – 5:00 pm [MUC]
Course Directors : Dr. Yousef. H. Al-Dlaigan [DUC]
Dr. Manal Al-Mutairi [MUC]
Contributors : Prof. Amjad H. Wyne
Prof. Fouad Salama
Dr. Lanre Bello
Dr. Ibrahim Al-Majed DUC
Dr. Fares Al-Sehaibany
Dr. Omar Bawazir
Dr. Skare Al-Qhtanie
Dr. Ahmed Al-Mahdi
Dr. Mohamed Al-Dubiaban
Dr. Mani Al-Dosari
Dr. Saad Bin Saleh
Contributors :
Dr. Darwish
Prof. Al-Hussyeen
Dr. Murshid
Dr. Al-Sarheed
Dr. Al-Hammad MUC
Dr. Al-Jobair
Dr. Rehab Allam
Dr. Hafiz
Dr. Al-Essa
Dr.Al-Humaidi
Dr. Azizalrahman
Course Number : 413
Course Code : POS
Credit Hour : Four (4)
Pre-requisite Course : 312 POS
Location in the Curriculum : Fourth Year
Required Textbook : Dentistry for the Child and Adolescent
By: Ralph E. McDonald
8th Edition, 2004, Mosby Co., Inc.
Fundamentals of Pediatric Dentistry
Richard J. Mathewson& Robert E. Primosch 3rd
Edition, Chapter24 “Treatment Planning”
Pediatric Dentistry: Infancy through Adolescence
By: Jimmy Pinkham
4th Edition, 2005, St, Louis: MO.
Course Description:
This is a four-credit hour course with the duration of one academic year. The course consists of didactic and clinical components. The didactic component addresses the different aspects of diagnosing, managing and treating the dental problems of school age children.
The clinical component is the first clinical course in Pediatric Dentistry. The course offers one session of three (3) hours each week for one academic year. It is a clinical setting in which the student acquires the motor skills necessary to render care for children. The student should have an opportunity to perform the clinical procedures commonly associated with children’s dentistry. The concept of comprehensive care will be adapted so that the student develops an awareness of and appreciation for the total child. Patients with age ranging from 7 to 14 years will be selected according to course requirement.
Course Detail:
1. Assessment of the child which includes the medical and dental history, type of behavior, occlusion, oral habits, soft tissue, carious lesions, radiographic interpretation.
2. Practice of patient motivation, plaque control, topical fluoride therapy, fissure sealant.
3. Practice of operative dentistry for children, which include local anesthesia, rubber dam placement, amalgam and resin restorations, stainless steel crown, pulpal procedures for primary and young permanent teeth, extraction of primary teeth. Space management appliances and employment of behavior management aids.
Evaluation:
Didactic- 50% + Clinic- 50% = 100%
Didactic Distribution:
- 312 POS-Based Review Exam - 4 %
- First Written Assessment - 8 %
- Second Written Assessment - 8 % =50%
- Third Written Assessment - 10%
- Final Written Assessment - 20%
Clinical Distribution:
Quality
- Knowledge of the clinical procedure being performed or related topics = 10%
- Average of grades for the quality work in weekly clinical procedure--- = 20%.
=50%
Effort
- Satisfying the course clinical requirements to assess clinical effort ------ = 10%
- Points for various dental procedures to assess clinical effort--------------- = 10%
The evaluation of the clinical work will be based on:
1.Weekly assessment of the quality of work (30%).
A number of instructors are assigned for this course. Each one of them will work with a group of seven or eight students for three or four weeks then rotate with other groups. The final grade for the quality of work will be an average of the grades given by the all instructors.
The knowledge of the student on clinical procedure being performed or related topics will be tested on weekly basis by the instructor.
2. Satisfying the course requirements and efforts (20 pts).
Minimum course requirement for the year.
3
Acceptable treatment plan
2 Class I cavity preparation including OL
2 Class II cavity preparation
2
Anterior restoration (Class III, IV, V build up)
2
Extraction
8 Fissure sealant i.e. Minimum of 4 points
3 Pulpotomy
2 Space maintainer
3 Preventive resin restoration
3 Stainless steel crown
2 Complete cases
2 Recall visit
Points systems to assess the course clinical procedures requirement;
(Satisfying the course clinical requirements to assess clinical effort= 10%)
- Acceptable treatment plan = (If student did 3 = 3 points)
- Class I cavity preparation including OL = (Any number student did = 1 point)
- Class II cavity preparation = (Any number student did = 1 point)
- Anterior restoration (Class III, IV, V build up) = (Any number student did = 1 point)
- Extraction = (Any number student did = 0.5 point)
- Fissure sealant i.e. Minimum of 4 points = (Any number student did = 0.5 point)
- Pulpotomy = (If student did 3 = 3 points)
- Space maintainer = (If students did 2 = 2 points)
- Preventive resin restoration = (Any number student did = 1 point)
- Stainless steel crown = (If student did 3 = 3 points)
- Complete cases = (If student did 2 = 2 points)
- Recall visit = (If student did 2 = 2 points)
The above are the minimum requirements accepted for the course. It is expected that the students would use their time wisely and show more effort. If the student managed to do all the minimum requirements, student well get 20 points; then this figure well be divided on 2 to get the exactly 10 % of Satisfying the course clinical requirements which well be full grades in this section.
Point system will be adopted to assess this effort.
(Points for various dental procedures to assess clinical effort = 10%)
The final grade of total points will be measured according to class performance. Each point of the clinical procedures well be add for each student and then the curve system well be used between the highest and lowest total points which the student archived; this method in order to get the exactly 10 % of Points for various dental procedures, which will cover the grades in this section.
Students are expected to complete every case started.
Points for various procedures to assess clinical effort:
Name of the Procedure Point
1. Examination, Treatment Plan, Charting, Prophy/Fl 4
2. Sealant (per tooth) 1
3. Class I / Preventive resin restoration 2
4. Class II 3
5. Class III / V 2
6. Class IV / MOD / build up 4
7. SSC / strip crown 5
8. Pulpotomy 5
9. I.P.C. / direct pulp cap. 1
10. Temporary dressing for incomplete cavity prep 0
11. Complete case (after polishing / prophy / Fl) 4
12. Exceptional cases (eg. Pulpectomy) to be determined by the instructor.
13. Extraction (not mobile tooth) 1
14. Space maintainers
Band and Loop 4
Nance Appliance, Lingual Arch 5
15. Management problem patients 1 – 6
16. Caries control (gross excavation of caries 1
in 2 or more quadrants and IRM dressing)
17. Recall visit (Prophy, Fluoride, OHI, X-ray etc.) 3
NOTES: * Punctuality, neatness, professional attitude and rapport with the
instructors are variables to be considered in the final grade of the students.
* Traumatic pulp exposure or perforation of pulpal floor attracts a
failure grade but the completed procedure will be awarded points.
Clinic Policy:
The student is required to perform during:
First Visit:
1. Record personal data and case history – Dental / Medical.
2. Introduce the child to the clinic – apply the tell show and do technique.
3. Examine the child and record finding.
4. Take necessary radiographs and models if indicated.
5. Give oral hygiene instruction after disclosing the plaque and do rubber cup prophylaxis. Fluoride application (if indicated) should be done, following approval by the instructor.
6. Dispense a toothbrush for the patient, write his name over it and keep it in the cabinet for his use during subsequent appointment.
7. Formulate a treatment plan on a sheet of paper (if time allows).
8. Present treatment plan to the instructor. When approved, rewrite the treatment plan in the chart and have your instructor sign it.
Second Visit
9. Proceed with treatment as planned.
10. At each visit, the first ten minutes should be spent in teaching the patient the proper way of brushing, using disclosing solution or tablet and his/her own toothbrush.
11. If the patient has rampant caries or large cavities in two quadrants or more, gross excavation of caries should be done and I.R.M. is placed.
Student’s Responsibilities:
1. Give appointment to the patient.
2. Make sure that the patient attends the clinic. Re-confirm the appointment with parent 24 hours before the appointment. If the patient is not attending, book another patient (NO EXCUSE).
3. Be on time for the clinic.
If the student fails to attend for any reason, it is his/her responsibility to:
a. Cancel the patient.
b. Notify the course director about it.
c. Write a letter to the course director explaining the reason for his/her absence.
d. Notify the booking staff and arrange for the next appointment.
If the student fails to follow the above steps, he/she would be considered absent without excuse and be given “F” grade for the session.
Attendance Policy:
- Any student who is absent for 25% or more in the clinics/lectures would not be allowed to take final examination.
- All the students must be in time for the lectures. Any student who is late for 5 minutes will be allowed to sit in the lecture but will be marked absent. Any student late by 10 minutes will not be allowed to enter the lecture room.