2COURSE TITLE : Clinical Fixed Prosthodontics I COURSE CODE : PSD 533CREDIT HOURS : 4H(1L+4C)PREREQUISITES: PSD431 +PSD 432 (Introduction to Fixed Prosthodontics)Sequence: Fifth year
3COURSE OBJECTIVESAt the end of the course, the dental student should: 1. acquire basic concepts necessary for the diagnosis and treatment planning of simple fixed prostheses. 2. bring together the knowledge and skills for a successful management of different clinical fixed prosthetic cases. 3. acquire experience of performing different types of tooth preparations of abutments of fixed prostheses. 4. acquire the knowledge and skills to fabricate a biologically compatible and esthetically and functionally acceptable provisional crown.
45. acquire the knowledge and skills to safely manage soft tissues for making impressions of prepared tooth/teeth. 6. acquire an experience in performing some laboratory procedures for fabrication of fixed prostheses. 7. develop a good dentist-laboratory technician relationship. 8. properly deliver fixed prostheses.
5COURSE TOPICS Introduction and orientation The dynamics of treatment planning and treatment sequences.Occlusal examination Review of various tooth preparation, including the extensively damaged vital tooth, the RPD abutment, The resin bonded FPD etc.The diagnostic wax-up and provisional restorationsManaging abnormal tooth positions
6COURSE TOPICS Tissue management and definitive impressions All Ceramic RestorationsDevelopments in esthetics in prosthodonticsEsthetics and Shade considerationsLuting cements and delivering the final restorationProsthodontic failures, prevention and managementRecall examination procedures
7Satisfactory completion of this course requires: 1. Attendance in lecture, and clinic. Twenty-five percent (25%) of absence from the lecture or clinical sessions will deprive the student from taking the final examination (University Rules & Regulations).2. A minimal passing grade of %60 must be achieved for the didactic component as well as the clinical component of the course.3. A satisfactory completion of the clinical competency exams.4. A satisfactory completion of the minimum clinical requirements.
8CLINICAL REQUIREMENTS: Each student is required to: Complete the treatment of a minimum of two fixed prosthodontic cases of a relatively simple nature with a minimum of 6 units (2 single crowns, 1 fixed partial denture, post and core restorations- direct or indirect).
9EVALUATION AND ASSESSMENT In order to receive a passing grade for the course, the student must pass each of the didactic and clinical components separately.DidacticTotal 50 %Mid-term written examination 15 %Final written examination 35 %ClinicalTotal 50%Final clinical and oral examination 20 %Clinical student work 30%
10Clinical student work 6 units: 2 single crowns (posterior then anterior)1 posterior fixed partial denturepost and core restorations (direct or indirect).
11Shillingburg HT, Hobo S, Whitsett LD, Jacobi R & Brackett SE Shillingburg HT, Hobo S, Whitsett LD, Jacobi R & Brackett SE. Fundamentals of Fixed Prosthodontics, 3rd ed. Quintessence PublishingCo, 1997.RosensTIel SF, Land MF & Fujimoto J. Contemporary Fixed Prosthodontics, 4th ed. Mosby Elsevier, 2006.
12Course protocolThe student should be seated on the same location in the laboratory and the clinic and should handle the materials, equipments, instruments and other devices with care and caution. A student is allowed to start the treatment procedure only after a definitive treatment plan is approved and signed in the patient's chart by the clinical instructor supervising the student. A case completion form must be signed by the supervising instructor upon case completion and submitted with the radiographs.
13Any clinical procedure that is performed by the student should be recorded in the patient's chart at each clinical session. 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.Improper management of the case, repeated ignorance to instructions, repeated irreversible damage, improper behavior with patients, dental assistants and/or clinical instructors will have a negative impact on the student’s grade.
14Your evaluation of each step is required; otherwise 1 point will be subtracted from each section lacking.The patient is to arrive minutes prior to the appointed time so that all paperwork can be completed prior to appointment without wasting chair utilization time.
15Receiving patient with a file 1Receiving patient with a file2Paperworks, documentation steps and informing the patient about treatment cost then having him signed on the consent form
24All treatment steps are listed on student works card Do not move on quickly in preparation steps, ask instructors’ assistance for every procedure.At the end of the appointment ask instructor to sign the performed procedures recorded in the patient ‘s card and in your own works card.