423 SDS Clinical Removable Prosthodontics II

COURSE TITLE            :           Clinical Removable Prosthodontics II

 

COURSE CODE   :           SDS 421

 

CREDIT HOURS  :           3 (1L+2C)

 

PREREQUISITES           :           SDS 321

 

 

COURSE DESCRIPTION:

This course is specially designed to provide an opportunity for gaining better & finer knowledge and skill in prosthodontic services in the diagnosis, treatment planning, special treatment procedures and the insertion and post-insertion of partial, complete, immediate and transitional temporary dentures.  Included are relining and rebasing procedures. 

This course has a didactic and a clinical component and the course is spread over the entire academic year i.e. 1st & 2nd academic terms.  The didactic (lecture) component is covered in 16 sessions during the 1st half of the academic year.  The lectures cover the theoretical background and the different modalities in prosthodontics.  During the entire academic year there will be a weekly three-hour clinical session, with assistance from the college central dental laboratory.

 

COURSE OBJECTIVES:

 

1. The fourth year students will be reinforced and enriched in his/her previous experiences with the didactic and clinical disciplines of Removable Prosthodontic Sciences.
2. The students will be exposed to a finer insight into the examination, diagnosis, treatment planning and technical procedures in the art & science of Prosthodontics, while treating patients.
3. The students will have a lab exercise of putting an implant on a jaw model.
4. It is expected that after the completion of the course, the students will be in a better position to render a scientifically acceptable diagnosis, treatment planning and treatment for his/her patients, requiring removable complete, partial, and immediate dentures.    He will also be familiar to implant systems.  It is also expected that the student will demonstrate proficient skills in his/her clinical treatment with minimum assistance from his/her instructor.

 

COURSE TOPICS:

 

1. SDS Clinical Forms, Clinical Protocol, Lecture Contents and References
2. Temporomandibular Disorders:  Screening History & Exam for Routine Dental Patients
3. Treatment of Abused and Pathologic Oral Tissues
4. Management of Reduced Residual Alveolar Ridges
5. Prosthodontic Treatment Planning In Older Adults
6. Patient Requiring a Single Complete Denture
7. Clinical and Laboratory Techniques in Relining and Rebasing
8. Overdentures – Part 1
9. Overdentures – Part 2
10. Overdentures – Part 3
11. History and Types of Implants
12. Treatment Planning for Implant – Part 1
13. Treatment Planning for Implant – Part 2
14. Implant Retained Overdenture

 

 

INSTRUCTIONAL METHODS:

 

Ü    Didactic Lectures

Ü    Clinical Sessions

 

• The student will attend one clinical session and one lecture session in the first half of the year, and one clinical session in the second half of the year.  The student is expected to still be present during all sessions or to be officially excused by his/her instructor.
• At the beginning of the year, the student will be assigned patients, and his/her assigned instructor will be responsible for the supervision of the student in his/her clinical session.
• The student will have the experience of putting an implant.
• References for each lecture will be submitted at the end of the lecture.

 

 

COURSE REQUIREMENTS:

 

1. The requirements of the course are 8 arches to be completed, during the course of one (1) clinical session per week, by the end of the academic year. 
2. Out of the total 8 minimum arches:

• 4 arches - Removable Partial Dentures (RPD) 

                       - One RPD with altered cast impression technique                

• 2 arches - Complete Dentures (CD)   

                       - Patient Clinical Remount of Complete Dentures

• 2 arches - Immediate, transitional or interim dentures or relining/ rebasing.

1. However, in order to pass the clinical exam a total of minimum 4 arches are required to obtain the passing grade of the clinical requirements.
2. On each patient, the student is required to perform the following for diagnosis and treatment planning:

(1) Radiographic evaluation

(2) Record history

(3) Clinical exam

(4) TMD Screening

(5) Diagnostic impressions and mounted casts, if requested, and

(6) Formulate a written treatment plan.

1. The treatment plan is to be discussed with the instructor and the student will be evaluated accordingly (see SDS Clinical Evaluation and Procedure Form, Steps 1 and 2). Both the clinical Instructor and the Course Director will sign the final treatment plan form in the patient's file.
2. For each patient, the treatment plan form and the prostheses insertion visit (patient's file) will require two signatures:  the Instructor and the Course Director. The Instructor will also sign the Summary Form of Accomplishment of Clinical Procedures at the insertion visit.
3. 7.   At the end of each semester, each student must turn in his/her SDS Summary of Clinical Work Form, listing each patient work performed and initialed by her Instructor. Late turn-in of this form will result in a grade reduction.  
4. The Clinical Evaluation Form will be strictly followed for each clinical procedure, and each step must be signed by the instructor during the session.
5. Each student must fulfill the minimum treatment requirements of the course (8 units).  The quality of treatment for each clinical step provided will be of primary concern in the assignment of the final grade. 
6. Regularity, punctuality & adherence to college didactic & clinical regulation in treating patients must be strictly observed.
7. Your instructor will continually monitor your clinical skills, behavior and patient management.
8. During the academic year, each student will have two continuous oral assessments during his/her clinical session. Before each clinical session each student should be prepared to understand the theoretical and clinical steps for the actual clinical procedures to be accomplished on his/her patient.

 

 

EVALUATION AND ASSESSMENT:

 

In order to receive a passing grade, the student must pass both the didactic and the clinical parts separately.

 

 

Continuous Assessment:		60%
Continuous assessment (5% per Mid-term written exam)	10%
Two clinical competency tests  (20% per semester)	40%
Two clinical oral exams (5% per semester)	10%
Final Exams: Didactic		40%
Total Grade		100%

 

 

COURSE PROTOCOL:

 

At the beginning of each clinical session, the instructor will evaluate the student's theoretical knowledge part of the clinical procedure to be performed.  The student must know the theoretical background of that procedure; otherwise he/she should not proceed.

1. A minimum of two patients will be assigned for each student at the first half of the year and their clinical treatment should be completed within the prescribed clinical time allotted, with mutual consent of the instructor.
2. The students should strive to perform the clinical procedures independently and take minimum assistance from their instructor in order to score a good grade.
3. The student should maintain discipline with regards to attending the clinic sessions on time, and is expected to maintain a good rapport with his/her patients, colleagues and instructor alike.
4. The student must always observe cleanliness and neatness in appearance and wear their proper clinical gowns during the clinical session; otherwise they will not be allowed to perform their clinical procedures.
5. It is the responsibility of the student to complete the patient's permanent file, indicating all the relevant information and to obtain the signature of the instructor. A temporary file is not acceptable. The patient's file, without the signature of the assigned instructor, shall be considered as an incomplete clinical procedure, and will affect your daily grade.
6. The dental laboratory authorization form should be filled out by the student and should be duly signed by the instructor.  Good rapport with laboratory personnel should be maintained (Please see sample work sheet attachment # 9 & 10).
7. In a situation where the patient is unable to attend the clinic, the student should immediately notify the instructor. Students should attend the clinic session despite the absence of their patients.
8. Attendance rules and regulations are to be applied during both clinic and didactic sessions of this course.
9. All previously mentioned protocols are to be followed.  Otherwise, the clinical grading will be affected negatively.

 

 

EVALUATION FORMS:

 

            Two forms are to be used by the Course Director to register the grades, sign the marks and write the remarks for each student on a daily basis for both the didactic and laboratory parts.

 

DPC   Didactic Performance Card

 

                        The student’s evaluation form in the didactic part.

 

CPC   Clinical Performance Card

 

                        The student’s evaluation form in the laboratory part.

 

            Each form will represent the assessments and grand total marks for each part of the course.

 

            A copy of each evaluation form is attached to this course outline for the student’s information and guidance.

 

 

Computer print of DPC and CPC will be submitted to each student during this academic semester:

      After each assessment for didactic part 

      After each practical assessment for laboratory part