441 SDS

As provided from the course director:

ACADEMIC YEAR
1435/1436H (2014/2015G)

 
COURSE TITLE : Clinical Removable Prosthodontics II

COURSE CODE : SDS 441

CREDIT HOURS : 3 (1L+2C)

PREREQUISITES : SDS 421

COURSE DESCRIPTION:
This fifth year SDS course is designed to give the student both didactic and clinical experience in the comprehensive management of a variety of cases in Removable Partial and Complete Dentures, emphasis will be placed on overdentures, single dentures, attachments and surveyed crowns.
The didactic component will cover general prosthodontic topics such as pattern and sequelae of edentulism. In addition, concepts of shortened dental arch and the pre-edentulous state will be reviewed. Clinically applied topics will be introduced on the following subjects: Attachments, Occlusion, Dental implants, and Maxillofacial prosthetics.

COURSE OBJECTIVES:
1. Improving the student's knowledge level, both didactically and clinically, with a view to refining the student's approach to comprehensive patient care.
2. Improving the student's clinical skills to perform a comprehensive examination, diagnosis, treatment planning and treatment for variety of removable prosthodontic cases. The students should be able to treat cases that need fixed/removable partial denture with surveyed crowns.
3. Reinforcing the mutual interdependence of high-quality clinical and technical activities for the attainment of precise and predictable clinical outcomes.

COURSE TOPICS:

1. Introduction to the course
2. Prosthodontics - Biologic and Functional Aspect of Tooth Loss
3. Pre-edentulism
4. Surveyed Crowns as Abutments for RPD’s
5. Dental Implants – Overview
6. Implants Prosthetic Restorations
7. Implants Supported and/or retained Overdenture
8. Attachments for Overdentures
9. Attachments for RPD and FPD
10. Removable Occlusal Devices and Bite Raising in Prosthodontics
11. Maxillofacial Prosthesis – Part 1
12. Maxillofacial Prosthesis – Part 2
13. Maxillofacial Prosthesis – Part 3

INSTRUCTIONAL METHODS:

 Didactic Lectures
 Clinical Sessions

EVALUATION AND ASSESSMENT:

The student must pass both the Didactic and the Clinical component separately in order to receive a passing grade in the SDS 441 Course.

Daily Clinical Evaluation: 30%
• Clinical evaluation 20%
• Weight 10%
Competency Tests: 10x3 30%
Continuous Written Exam 10%
Final Written Exam 20%
Oral Exam 10%
TOTAL GRADE 100%

COURSE REQUIREMENTS:

The clinical components of SDS 441 will be part of the Comprehensive Treatment for patients. The student may schedule the same patient in any clinical sessions as long as the same Instructor that started the case is available. For the requirements of SDS 441, the student must diagnose and complete the treatment of a minimum of 4 arches that include at least:
• One Overdenture Case
• One Fixed/Removable Partial Denture with Surveyed Crowns

COURSE PROTOCOL:

1. Each student must fulfill the minimum treatment requirements of the Course. The quality of treatment of each clinical step provided will be of primary concern in the assignment of the final grade. The clinical evaluation form will be strictly followed for each clinical procedure and graded and signed by the Instructor during the session. Treatment exceeding the minimum requirement will be favorably considered provided that its quality is acceptable. Attitude, personality, honesty and punctuality warrant positive grading and cannot be over emphasized.
2. Neatness in the arrangement of the instruments, equipments and materials needed for certain practical procedure will be evaluated as well as maintaining a good, neat and clean appearance of the personal outlook and the working area.
3. Personal behavior of the student will be considered in the evaluation, which includes:
• Communication and cooperation with faculty, staff and other students
• Promptness in departing "on time" at the end of each session
• Proper wearing of uniform and laboratory apron
• Careful handling of materials, equipments, electrical and non-electrical devices.
4. Each case must be treated under the supervision of the same instructor who signs the treatment plan of the case. Exceptional cases to this rule are to be arranged only by the course director.
5. Being 5 minutes late to the lecture or 10 minutes late to the clinical session is considered as late attendance (LT), each four(LT) will be considered as one absent. Exceeding the mentioned time will be considered as absent. 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. However, absence due to emergency or sickness may be accepted provided an acceptable excuse or a medical report
6. Competency tests are developed to evaluate the student’s ability to perform the procedure independent of faculty input. There will be 3 competency tests during the period of the Course. The competency tests will be performed on one of the cases being treated. The student will select the day to perform each test and will inform both his Instructor and the Course Director at the beginning of the clinical session.
7. A Continuous Assessment shall be given in this Course. The assessment will be conducted after the seventh week and it will be in a written exam format.
8. The final written examination at the end of didactic component will carry 20% of the total grade. The written examination will include multiple choice questions, short notes and essays.
9. Oral exam should cover the overall basic knowledge related to removable prostheses.

REFERENCES:
1. Owall B, Kayser AF, Carlsson GE. Prosthodontics: Principles and management strategies. London:Mosby-Wolfe, 1996.
2. Jenkines G. Precision attachments: a link to successful restorative treatment. Quintessence Publishing Co., 1999.
3. Preiskel H. Overdentures made easy. Quintessence Publishing Co.
4. Mohl M, Zarb G, Carlsson G, Rugh J. A text book of occlusion. Quintessence Publishing Co., 1991.
5. Dawson P. Evaluation and diagnosis and treatment of occlusal problems, second edition. St Louis: Mosby, 1989.
6. Worthington P, Lang B, LaVelle W. Osseointegration in Dentistry. Quintessence Publishing Co.,1994.
7. Block M, Kent J, Guerra L. Implant in Dentistry. W.B.Saunders Company,1997.
8. Beumer, Curtis , Fritell. Maxillofacial Rehabilitation.
9. Taylor T. Clinical Maxillofacial Prosthetics. Quintessence Publishing Co., 2000.

EVALUATION FORMS:

Three 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 clinical parts.

DPC Didactic Performance Card
The student’s evaluation form in the didactic part

Clinical Evaluation Form
The student’s evaluation form in the clinical part

Competency Tests Form

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 will be submitted to each student during this academic semester:
After each assessment for didactic part

 

 

EVALUATION FORMS ABBREVIATION:

LC Lecture

LT Late attendance on the lecture or clinical sessions beyond 5 minutes after the due time.

AB Absent (no show)

NT Neatness in the arrangement of the instruments, equipments and materials needed for certain practical procedure and maintaining a good, neat and clean appearance of the personal outlook as well as the working area.

PB Personal behavior of the student which includes:
 Communication and cooperation with faculty, staff and other students
 promptness in departing "on time" at the end of each session
 proper wearing of uniform and laboratory apron
 Careful handling of materials, equipments, electrical and non-electrical devices.

 

 

 

DR. Fahim Vohra
Course Director

Student Name Group no. Student no.

WEEK LC LT AB WEEK LC LT AB REMARKS
1st 8th
2nd 9th
3rd 10th
4th 11th
5th 12th
6th 13th
7th 14th

TOTAL: LT AB

First Didactic Assessment GRAND TOTAL /10

 

 

Approved Course Director: Academic Year 20 Semester

 

CLINICAL EVALUATION FORM

Student Name: Student No.:
Patient’s Name: Patient No.:
Date Started: Date Completed:
Type of Case:  Upper  Lower
CLINICAL PROCEDURE DATE GRADE INSTRUCTOR SIGNATURE
1. Diagnosis & Treatment Planning
2. Primary Impressions
3. Survey/Design
4. Mouth Preparation
5. Other Restorative Procedures
6. Border Molding
7. Final Impression
8. Try-in Framework
9. Functional Impression (Altered Cast)
10. Maxillary-Mandibular Jaw Relations
11. Try-in Trial Denture(s)
12. Prosthesis Placement
13. Post Placement Evaluation
14. Neatness
15. Personal Behavior
OVERALL GRADE (AVERAGE)

 

 

 

COMPETENCY TEST FORM

Student Name: Student No.:

EXAMINATION PATIENT NAME & FILE NO. EVALUATION
EXAMINER (1) EXAMINER (2) AVERAGE
(1)
Designing & Tooth Preparation
(2)
Final Impression of Edentulous Arch
(3)
Maxillary-Mandibular Jaw Relation

 

 

 
SCHEDULE OF LECTURES

LECTURE TITLE
DATE LECTURER
1 Introduction
02-09-2012 Dr. Khalil Al Eisa
2 Prosthodontics - Biologic and Functional Aspect of Tooth Loss
09-09-2012 Dr. Khalil Al Eisa
3 Dental Implants – Part 1 16-09-2012 Dr. Khalil Al Eisa

4 Dental Implants – Part 2 30-09-2012 Dr. Khalil Al Eisa
5 Dental Implants – Part 3 07-10-2012 Dr. Khalil Al Eisa
6 Pre-edentulism 14-10-2012 Dr. Mohsin Ali
7 Surveyed crowns as abutments for RPD’s 04-11-2012 Dr. Mohsin Ali

8
Mid-Term Written Exam
Dr. Khalil Al Eisa
9 Attachments for Overdentures 11-11-2012 Dr. Mohsin Ali

10 Attachments for RPD and FPD 18-11-2012 Dr. Mohsin Ali

11 Removable Occlusal Devices + Bite Raising in Prosthodontics 25-11-2012 Dr. Mohsin Ali
12 Maxillofacial Prosthesis – Part 1 02-12-2012 Prof. Walid Sadiq
13 Maxillofacial Prosthesis – Part 2 09-12-2012 Prof. Walid Sadiq
14 Maxillofacial Prosthesis – Part 3 16-12-2012 Prof. Walid Sadiq

 
 

02 Sept. 2012

LECTURE NO. 1 Lecturer: Dr. Khalil Al Eisa
TITLE: Introduction
TOPICS:
 Overview of the course outline, objectives, and requirements
 The inter-relationship between SDS 441 and DEN 491

 

 

09 Sept. 2012

LECTURE NO. 2 Lecturer: Dr. Khalil Al Eisa
TITLE: Prosthodontics - Biologic & Functional Aspect of Tooth Loss
TOPICS:
 Biological and functional aspects of tooth loss
 The shortened dental arch concept

REFERENCE:
• Prosthodontics. Principles and Management Strategies. Owall, Kayser and Carlsson, Chap. 3, pp. 35-47.
• McCracken’s Removable Partial Prosthodontics. Chapter 1, p 2-7
• Stewart’s Clinical Removable partial Prosthodontics. Chapter 1, p 5-8

 

 

16 Sept. 2012

LECTURE NO. 3 Lecturer: Dr. Khalil Al Eisa
TITLE: Implant Overview
TOPICS:
 Osseointegration
 Implant systems
 Implant vs. FPD
 Bone quality and quantity
 Diagnostic workup for single, partial edentulous and overdenture
 Radiographic and surgical guides
 Surgical protocols
 Implant loading protocol
REFERENCE:

 

 

 

30 Sept. 2012

LECTURE NO. 4 Lecturer: Dr. Khalil Al Eisa
TITLE: Implant Prosthetic Restoration

TOPICS:
 Types of restorations
 Abutment selection
 Cement retained vs screw
 Implant abutment connection
 Impression technique
 Provisional restorations
 Laboratory procedures
 Try-in and cementation

 

 

 
 

07 Oct. 2012

LECTURE NO. 5 Lecturer: Dr. Khalil Al Eisa
TITLE: Implant Supported Overdenture

TOPICS:
 Indications
 Contraindications
 Advantages
 Disadvantages
 Implant overdentures vs. conventional dentures.
 Fabrication of the implant overdenture radiographic and surgical stent
 Pick up of attachments under overdentures
 Type of connection
 Clinical procedures with locator attachment

REFERENCE:
• Clinical and laboratory Manual of Implant Overdentures. Chapter 1 patient preferences and expectations, pp. 3-6.
• Zest Anchor web site and video tutorial.

 

 

 

 

14 Oct. 2012

LECTURE NO. 6 Lecturer: Dr. Mohsin Ali
TITLE: Pre-edentulism
TOPICS:
• Definition and sequelae
• Description of ‘preventive’ prosthodontics
• Factors influencing management options
• Transitional prostheses
• Overdentures
• Implants

REFERENCE:
• Prosthodontics. Principles and Management Strategies. Owall, Kayser and Carlsson, Chap. 4, pp. 49-64.
• Overdentures Made Easy. chapter 3, Selection and preparation of abutment teeth pp. 45-66.

 

 

 

 

04 Nov. 2012

LECTURE NO. 7 Lecturer: Dr. Mohsin Ali
TITLE: Surveyed crowns as abutments for RPDs
TOPICS:
Fabrication of Removable Partial Dentures retained by surveyed crowns

REFERENCE:
• McCracken’s Removable Partial Prosthodontics. Chapter 13, p 200-204 & p 208-212.

• Removable Partial Denture Design. Mouth Preparation, chapter 16 p 153-157.

• Stewart’s Clinical Removable Partial Prosthodontics. Chapter 10, p 291-297.

 

 

 

 

MID-TERM WRITTEN EXAMINATION

 
 

11 Nov. 2012

LECTURE NO. 8 Lecturer: Dr. Mohsin Ali
TITLE: Attachments for Overdentures
TOPICS:
• Indications and benefits
• Magnets and stud attachments
• Bar attachments, Hader and Dolder
• Clinical and laboratory methods for attachment incorporation

REFERENCE:
• Overdentures made easy. Preiskel, Chap. 5 & 6, pp. 81-137.
• Clinical and laboratory Manual of Implant Overdentures. Chapter 5, Stud Attachments. p 37-62.

 

 

 
 

18 Nov. 2012

LECTURE NO. 9 Lecturer: Dr. Mohsin Ali
TITLE: Attachments for RPD and Segmented Bridges
TOPICS:
• Classification of RPD attachments
• Indications and contraindications
• Rigid and non-rigid connectors for fixed bridges

REFERENCE:
• Precision Attachments. Gareth Jenkins, Chap. 2 & 5 pp. 21-32 & 65-77.
• Stewart’s Clinical Removable partial Prosthodontics. chapter 21, Attachments for RPD’s, p 502-510.

 

 

 

 

25 Nov. 2012

LECTURE NO. 10 Lecturer: Dr. Mohsin Ali
TITLE: Removable Occlusal Devices + Bite Raising in Prosthodontics
TOPICS:
 Diagnostic and management rationale
 Classification
 Method of fabrication
 Post-insertion instructions
 Definition of bite collapse
 Indications and contraindication of bite raising
 Mechanics of bite raising

REFERENCE:
• A Textbook of Occlusion. Mohl Zarb, Carlsson and Rugh, Chap. 20, pp. 271-284.
• Evaluation and diagnosis of occlusal problems. Peter Dawson, Chap. 5.

 

 

 

 

02 Dec. 2012

LECTURE NO. 11 Lecturer: Prof. Walid Sadig
TITLE: Maxillofacial Prosthesis – Part 1
TOPICS:
 Introduction
 Classification of congenital defects
 Cleft lip and palate team
 Sequence of treatment

REFERENCE:
• Maxillofacial Rehabilitation. Beumer, Curtis & Fritell, Chap. 7, pp. 292-310.

 

 

 

09 Dec. 2012

LECTURE NO. 12 Lecturer: Prof. Walid Sadig
TITLE: Maxillofacial Prosthesis – Part 2
TOPICS:
 Review on head and neck cancer
 Acquired maxillary defects
 Acquired mandibular defects
 Radiation therapy

REFERENCE:
• Clinical Maxillofacial Prosthetics. Thomas Taylor, Chap. 6, 7 & 8, pp. 85-133.

 

 

 

16 Dec. 2012

LECTURE NO. 13 Lecturer: Prof. Walid Sadig
TITLE: Maxillofacial Prosthesis – Part 3
TOPICS:
 Classification of facial replacements
 Facial moulage
 Materials used in maxillofacial prosthetics

REFERENCE:
• Clinical Maxillofacial Prosthetics. Thomas Taylor, Chap. 16, pp. 323-245.

 

Below are some of the exams questions:

MULTIPLE CHOICE QUESTIONS:

1. Oral cavity and oropharyngeal cancers are most commonly seen in:

a. tongue
b. floor of the mouth
c. lips
d. minor salivary gland

2. What is the disadvantage of Polyurethane elastomers when used as a material for facial replacement?

a. Not color stable when exposed to ultraviolet light.
b. Difficult to process.
c. Poor compatibility with adhesive systems.
d. All of the above.

3. When taking an impression to construct an obturator:

a. The tray has to be extended 2 cm onto the medial side of the defect.
b. The tray has to be extended up to the full height of the lateral wall of the defect.
c. The lateral wall undercut should be blocked out.
d. All of the above.

4. The benefit of surgical Obturator is/are:

a. Provides a matrix for surgical packing
b. Reduces contamination of the surgical wound
c. Lessens the psychological impact of the surgery
d. All of the above

5. Dimensional changes of the defect after surgery continue to occur for at least:

a. 3 months
b. 6 months
c. 9 months
d. 1 year