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SDS - 493

ADVANCED PROSTHODONTICS&

IMPLANTOLOGY

SDS – 493 COMBINES

• SDS 441 – Clinical Removable Prosthodontics II

&

• SDS 432 - Clinical Fixed Prosthodontics II

• With a twist ………….

SDS – 493 COMBINES

• TWO SEMESTER DIDECTIC (Lectures)

&

• TWO semester Clinics

LEARNING OUTCOMES• Perform a comprehensive examination, diagnosis, treatment

planning and treatment for a variety of prosthodontic cases.

• Demonstrate sound basic knowledge of the procedures and materials used in the construction of fixed and removable dental prosthesis.

• Demonstrate the ability to execute clinical procedures related to the treatment of fixed, removable and combined dental cases, applying the fundamental principles of fixed , removable and implant prosthodontics.

• Properly coordinate between technical procedures and knowledge in all clinical procedures.

LEARNING OUTCOMES

• Recognize the importance of shortened dental arch and implant- retained overdenture as a standard of care for the treatment of completely edentulous patients.

• Use all available resources to search for information pertinent to the principles, theories and techniques used to treat patients with comprehensive dental cases.

• The students should be able to communicate and interact professionally and effectively with patients, colleagues and members of the health care team.

• Demonstrate a good rapport with dental technicians for the fabrication of various dental prosthesis.

• Perform high-quality clinical and technical activities for the attainment of precise and predictable clinical outcomes.

COURSE MECHANICS

• Clinical Sessions

• 1 session / week (3 hours)

• 15 sessions / semester (45 hours)

• 30 sessions / year

• However, it is part of DEN 493 so …….

• Lectures

• 12 / semester

• 24 lecutres for the course

• Additional 3 hours per week for home study

LECTURE TOPICS – 1ST SEMESTER

• Course introduction

• Prosthodontics – biologic and functional aspect of tooth loss

• Pre-edentulism

• Overdentures – Part I: rationale, advantages & disadvantages, indications & contraindications

• Overdentures – Part II: examination, case selection, abutment selection, treatment plan

• Overdentures – Part III: clinical procedures, impression techniques, abutments, post-insertion maintenance phase

• Attachments for Overdentures

LECTURE TOPICS – 1ST SEMESTER

• Surveyed crown

• Attachments for RPD and Segmented Bridges

• Treatment planning for implant : Diagnosis, implant treatment decision, indications and planning overview, patient selection, biomechanical consideration

• Dental Implants – Part I: Clinical Procedures

• Dental Implants – Part II: Clinical and Lab Procedures

• Implant retained overdenture

LECTURE TOPICS - 2ND SEMESTER

• Occlusal consideration in prosthodontics

• Dental Implants : Occlusal considerations for implant supported prosthesis and maintenance

• Dental Implants : Implant complications and maintenance

• Dental Implants : Immediate implant loading

• Perio-prostho relation

• Temporomandibular disorders, screening history and exam for routine dental patients

LECTURE TOPICS - 2ND SEMESTER

• Removable Occlusal Devices

• Bite Raising in Prosthodontics

• Wear of Teeth

• Maxillofacial Prosthesis – Part I

• Maxillofacial Prosthesis – Part II

• Maxillofacial Prosthesis – Part III

CLINICAL REQUIREMENTS

• Fixed Prosthodontics including Implants 8 units• Single Crown 1 unit

• Conventional FPD Number of retainers + 1 (for pontics)

• Min Prep / Resin Bonded FPD 2 units (max.)

• Cast P & C 1 unit

• Prefab. P & C build up ½ (0.5) unit

• Implant Crown 1 unit

CLINICAL REQUIREMENTS

• Removable Prosthodontics 4 Arches

• Each Arch Prosthesis 1 unit

• It should be combination of CD, RPD, Overdenture with or without attachments, and implant retention.

• Transitional or interim Prosthesis ½ (0.5) unit

METHODS OF ASSESSMENT

• Clinical Skills

• Fulfilling minimum clinical requirements and completion of a minimum number of comprehensive cases to reflect the students’ ability to perform the procedures with precision and to integrate and apply their acquired manual skills in various clinical situations.

• Daily / Procedural clinical evaluation.

• 4 Practical competency examination.

• Student’s self evaluation for every clinical procedure

• Didactic

• 2 Mid term Written Exams

• Final Written Exam

• OSCE

METHODS OF ASSESSMENT - GRADING• Didactic

• 2 Mid term Written Exams (10 each) 20(8th week of 1st semester & 5th week of 2nd)

• Final Comprehensive Written Exam 20

• OSCE 10 (Extracted from DEN 493)

METHODS OF ASSESSMENT - GRADING• Clinical

• Completion of Requirements 10

• Continuous clinical (Daily procedure) 10

• 4 Competencies 30• Preparation of Full Crown 8

• Final Impression Full Crown 7

• Final Impression CD / RPD 8

• Surveying & Designing RPD 7

LEARNING RESOURCES – TEXT BOOKS• Owall B, Kayser AF, Carlsson GE. Prosthodontics: Principles and management strategies.

London:Mosby-Wolfe, 1996.

• Jenkines G. Precision attachments: a link to successful restorative treatment. Quintessence Publishing Co., 1999.

• Preiskel H. Overdentures made easy. Quintessence Publishing Co.

• Mohl M, Zarb G, Carlsson G, Rugh J. A textbook of occlusion. Quintessence Publishing Co., 1991.

• Dawson P. Evaluation and diagnosis and treatment of occlusal problems, second edition. St Louis: Mosby, 1989.

• Worthington P, Lang B, LaVelle W. Osseointegration in Dentistry. Quintessence Publishing Co.,1994.

• Block M, Kent J, Guerra L. Implant in Dentistry. W.B.Saunders Company,1997.

• Beumer, Curtis, Fritell. Maxillofacial Rehabilitation.

• Taylor T. Clinical Maxillofacial Prosthetics. Quintessence Publishing Co., 2000

LEARNING RESOURCES – REFERENCE BOOKS• Alan B. Carr, David T. Brown. McCracken’s Removable Partial Prosthodontics. Elsevier

Mosby, 2011.

• Rodney D. Phoenix, David R. Cagna, Charles F. DeFreest. Stewart’s Clinical Removable Partial Prosthodontics. Quintessence books. 2008.

• Hamid R. Shafie, Clinical and laboratory Manual of Implant Overdentures. Blackwell unssgaard, 2007.

Electronic Materials, Web Sites etc• Zest Anchor web site for locator attachments.

Student Name:

Student No.

Patient Name:

Patient No.:

Examination &Tx planning

Tooth No. Restoration type

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buildup Try in Cementation

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Procedure Evaluation: please tick one box (satisfactory, unsatisfactory or outstanding)

Clinical management: grades are out of 10

FIXED CLINICAL EVALUATION FORM FOR SDS 493

Clinical Procedure Evaluation Criteria

Student’s Self-evaluation

Clinical Management & Professionality

Procedure Evaluation

Signature

Unsatisfactory

Satisfactory

Outstanding

Unsatisfactory

Satisfactory

Outstanding

1. Diagnosis and treatment planning HistoryClinical examinationMounted casts

1. Primary impressions Tray selectionQuality of the impression

1. Survey design Path of placementTripodSurvey linesDesign

1. Mouth preparation Guiding planesRest seatsBuccal/lingual recontouringPolishing

1. Border molding Tray extensionManipulation of modeling plastic

1. Final impression ExtensionsPressure areasVoids

1. Try-in framework FitOcclusion

1. Functional impression (altered cast) Tray extensionBorder moldingQuality of impression

1. Max. Man. Jaw relations Adjustment of MAX occlusion rimAdjustment of MAN occlusion rimEstablishment of VDR-VDOFace bow transferCentric relation recordShade and mold selection

1. Try-in trial denture(s) Extension-retention-stabilityVerify jaw relations (VD-CR)Esthetics-phoneticsPost. Palatal sealProtrusive record

1. Prosthesis placement Tissue surface/bordersClinical remount in CRInstruction (Oral-written)

1. Post-placement evaluation Adverse tissue reactionsOcclusion Other problems/patient satisfaction

1. Other procedures

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