493 DEN

Course Name:            Comprehensive Clinical Dentistry
Course Number:       DEN 493
Credit Hours:            10-Credit Hours
                                    Weekly one Lecture and Four Clinical Sessions (3 hr.) for two Semesters
Sequence:                   Fifth Year
 
Course Description:
 
The course is designed to cover all clinical disciplines in dentistry. It is offered during the fifth year and consists of one lecture and four clinical sessions per week throughout the academic year.
This is a conjoint course by the six dental departments where contributors from all dental disciplines participate in both in the lecture and clinical sessions.
In addition, a web-based Cardio-Pulmonary Resuscitation (CPR) course is given by the College of Medicine.
 
Course Objectives:
            
The course is organized to augment the clinical experience of the students, there by, providing them with an excellent foundation for patient care and clinical management.
 
By the end of the course:

1. The students should be able to diagnose conditions of the oral cavity and its related structures, using proper diagnostic tools.
2. The students also should be able to develop a comprehensive treatment plan for the prevention and treatment of oral conditions so that each patient can be maintained in, or restored to, a healthy, functioning aesthetic condition.
3. The students should be able to perform competently preventive and therapeutic procedures which are used by general dentists in the treatment of patients.
4. The students should be able to communicate and interact professionally and effectively with patients, colleagues and members of the health care team.
5. The students should be able to practice dentistry in the best interest of patients observing professional standards of oral health and the rules and regulations of the health care system in Saudi Arabia.
6. The students should be able to apply evidence-based reasoning and practices to provide comprehensive dental care to patients.
7. The students should be able to illustrate their appreciation to the professional self development process.

Course Protocols:

1. The specialized definitive treatment plan is approved and signed in the patient's file & logbook by the respective specialty clinical instructor supervising the student.
2. The overall comprehensive treatment plane is approved and signed by the course director.
3. Zero (0) mark is given to the student who fails to fulfill items no. 1 and 2 of the protocols.
4. Zero (0) mark is given to the student who shows improper management of the case, repeated ignorance to instructions, repeated irreversible damage, improper behavior with patients and/or clinical instructors. Students must perform a complete comprehensive treatment for all cases that are assigned to them by the course director. Every student should finish FIVE cases to pass the course (One M++ case and any combination of M and M+ cases). Cases which include more than 10 fixed prosthodontic units are not accepted in the course. Also complete denture cases are not counted as one of the comprehensive required cases except if tooth/implant supported overdenture. 
5. The student is not allowed to start any case prior to classification of such a case by the course director.
6. It is not allowed to dismiss or transfer patients from this course to another or from a student to another without the approval of the course director.
7. One of the completed cases should be selected by the student for a case presentation.
8. A student is allowed to start the treatment procedure only after:

• If the student does not finish the clinical work during the allotted clinical time, warning will be given for the 1st time. More than three warnings, the highest case points will be completely canceled.
• The course director is the only one who can implement items no. 3, 4 and 5 of the protocols.

9.  The final evaluation is based on the degree of difficulty of cases, attendance, proper management of the allotted clinical time, knowledge, performance of clinical procedures and proper behavior. The unfinished cases will not be considered for the final grading.
10. Discussion and questions about the on-going clinical procedure can be conducted at any time by the clinical instructor during the regular clinical session.
11. The student should book patient according to the availability of the specialty instructor at the clinical session. Names of clinical instructors at all clinical sessions are posted on the clinic's bulletin board.
12. Any clinical procedure that is started under the supervision of a clinical instructor should be completed under the supervision of the same clinical instructor. Exceptional cases to this rule are to be arranged only by the course director.
13. Any clinical procedure that is performed by the student should be recorded in the patient's file. The student should also write clearly his name, university number and signature. This should be followed by the signature of the clinical instructor supervising the student.
14. Attendance of students in both lectures and clinic is mandatory. Student's absence at any clinical session is absolutely not acceptable. Being 5 minutes late to the lecture or 15 minutes late to the clinical session is considered as absence. This will affect the student's evaluation. However, absence due to emergency or sickness may be accepted provided an acceptable excuse or a medical report. When 25% of the lecture or the clinical sessions are missed, the student will be deprived from taking the final exam according to the university rules and regulations.
15. Professionalism is expected from students at all times. Coordination with the Booking Area to book patients is the responsibility of the students.
16. All procedures of infection control should be followed strictly in the clinics (See the attached Clinical Manual). 
17. Emergency case(s) is/are assigned only by the course director to any student at a clinical session where no patient is booked.

  
Grade Distribution:
           
            Clinical evaluation                                                                                   60 %
 
                        Clinical Procedure Points                                                      20 %
                        Procedure Evaluation: (clinical evaluation X points)             30 %

                        On spot Clinical Evaluation*                                                 10 %
 
            Mid-year Didactic Exam                                                                         10 %
 
            Case Presentation**                                                                                10 %
 
            Final Oral Exam**                                                                                   10 %
 
            Final Didactic Exam                                                                                10 %      
           
* Based on attendance, behavior and compliance with instructions, time management, student's knowledge and care for patient.   
** Case presentations and the final oral exam will be held during the 2nd semester of the academic year.
 
 
Case Presentation:
 
Each student is required to present one of his clinical cases to the class by the end of the second semester of the academic year. Students should collect all clinical data, radiographs, mounted diagnostic casts and clinical photographs of the clinical case at the start, during and at completion of the dental treatment.
The Case Presentations are designed as a venue for critical thinking. Critical thinking is more than applying your understanding of dental and medical knowledge to treatment planning and diagnosis; it involves analyzing, evaluation and creating.
The student must select a patient who will have the proper motivation to continue throughout the entire treatment. Please note that treatment does not need to be completed before the day of the presentation.
The quality of presentation, knowledge of student and his response during case discussion are considered in the evaluation by the attending faculty members.
 
Note: CPR course is a compulsory attached course that should be passed by the students.
 

Reference Textbooks for the 493 DEN Course:
 
Inter-disciplinary Treatment Planning: principles, design, implementation.
Michael Cohen.
Quintessence publishing co; 1st edition, 2008
 
Periodontics:
Carranza's Clinical Periodontology
Michael G. Newman, Henry Takei, Fermin A. Carranza, Perry R. Klokkevold. 
W.B. Saunders Company; 10th edition, 2006.
 
Operative Dentistry:
Fundamentals of Operative Dentistry: A Contemporary Approach
James B. Summitt.
Quintessence Publishing; 3ed edition, 2006.
 
Endodontics:
Pathways of the Pulp
Stephen Cohen, Kenneth M. Hargreaves.
C.V. Mosby; 9th edition, 2005.
 
Oral Surgery:
Contemporary Oral and Maxillofacial Surgery
Larry J. Peterson, Edward Ellis, James R. Hupp, and Myron R. Tucker,
Mosby; 4th edition, 2003.
 
Prosthodontics:
Fixed partial denture
Contemporary Fixed Prosthodontics
Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto
C.V. Mosby; 4th edition, 2006.
 
Removable partial denture
Stewart's Clinical Removable Partial Prosthodontics
Rodney D. Phoenix, David R. Cagna, Charles F. DeFreest
Quintessence Publishing; 3rd edition, 2002.
 
Removable complete denture
Clinical complete denture prosthodontics
Moustafa A. Hassaballa
King Saud University, Academic publishing& pres, 2004