Dent 5805 Operative Dentistry III Course Director Dr. Ignatius Lee Office: 8-376b Moos Telephone: Course Director Dr. Ignatius Lee Office: 8-376b Moos Telephone:

Course Purpose  To facilitate the transition of students from pre- clinic laboratory to the clinic setting.  To demonstrate competency in the surgical treatment of dental caries prior to being certified for patient treatment.  Discuss treatment planning in Operative Dentistry; includes the diagnosis of dental caries and other dental abnormalities; and the understanding of different treatment options relating to the diagnosis.  To facilitate the transition of students from pre- clinic laboratory to the clinic setting.  To demonstrate competency in the surgical treatment of dental caries prior to being certified for patient treatment.  Discuss treatment planning in Operative Dentistry; includes the diagnosis of dental caries and other dental abnormalities; and the understanding of different treatment options relating to the diagnosis.

3 Components  Competencies - 4th floor Simulation Lab  Clinic: Introduction to clinical field isolation, tissue retraction and matrixing  Lectures  Competencies - 4th floor Simulation Lab  Clinic: Introduction to clinical field isolation, tissue retraction and matrixing  Lectures

Competencies Tested  Class II amalgam preparation  Class II amalgam condensation and carving  Class IV composite restoration  Class II composite restoration  Class II cast gold onlay preparation  Class II amalgam preparation  Class II amalgam condensation and carving  Class IV composite restoration  Class II composite restoration  Class II cast gold onlay preparation

Other Competencies  Rubber dam application on typodont.  Amalgam restoration polish.  Presentation at clinically acceptable level of 4 rubber dam application and amalgam polish (on daily assignment) is a requirement for demonstration of competency.  Rubber dam application and tissue retraction on partners.  Rubber dam application on typodont.  Amalgam restoration polish.  Presentation at clinically acceptable level of 4 rubber dam application and amalgam polish (on daily assignment) is a requirement for demonstration of competency.  Rubber dam application and tissue retraction on partners.

Grading  Competencies required for Oper III  Five testing competencies  Rubber dam application on typodont and amalgam polish  Rubber dam applications and retraction cords on partners  A passing grade will be assigned for Oper III following the satisfactory completion of all competencies.  A passing grade for Oper III is a prerequisite for any patient contact in the clinic.  One retake opportunity (without remediation) for any of the five testing competencies.  Failed retake will need remediation before you are allowed to take it again.  Competencies required for Oper III  Five testing competencies  Rubber dam application on typodont and amalgam polish  Rubber dam applications and retraction cords on partners  A passing grade will be assigned for Oper III following the satisfactory completion of all competencies.  A passing grade for Oper III is a prerequisite for any patient contact in the clinic.  One retake opportunity (without remediation) for any of the five testing competencies.  Failed retake will need remediation before you are allowed to take it again.

Grading  Five testing competency (based on score from the first competeny exam; retake competency score will not be counted towards the final grade) - 70%  Score will be calculated based on:  N (ideal) - 2 points  S (deviation form ideal, clinically acceptable) - 1 point  M/E (mod/extensive deviation from ideal, clinically unacceptable - 0 point  Lecture: written exam - 30%  Five testing competency (based on score from the first competeny exam; retake competency score will not be counted towards the final grade) - 70%  Score will be calculated based on:  N (ideal) - 2 points  S (deviation form ideal, clinically acceptable) - 1 point  M/E (mod/extensive deviation from ideal, clinically unacceptable - 0 point  Lecture: written exam - 30%

Practice Sessions  Please come prepared!!!!!! - review all criteria before session (Oper I and II manual) - UNACCEPTABLE to ask your instructor “How does it look like??????”>>>>\\\  Self evaluate before presenting for faculty evaluation.  Attendance is mandatory; unexcused absence will result in loss of retake privilege.  Performance on daily work will not affect your grade.  Save all evaluation forms; it will be part of the consideration I use to prescribe remediation needed before retake are given again.  Please come prepared!!!!!! - review all criteria before session (Oper I and II manual) - UNACCEPTABLE to ask your instructor “How does it look like??????”>>>>\\\  Self evaluate before presenting for faculty evaluation.  Attendance is mandatory; unexcused absence will result in loss of retake privilege.  Performance on daily work will not affect your grade.  Save all evaluation forms; it will be part of the consideration I use to prescribe remediation needed before retake are given again.

Past Results YEAR Total # of Students Class II Amalgam Prep Class II Amalgam Finish Class III Composite Prep Class IV Composite Finish Cast Gold Onlay Prep # of students failed at least one competency YEAR Total # of Students Class II Amalgam Prep Class II Amalgam Finish Class III Composite Prep Class IV Composite Finish Cast Gold Onlay Prep # of students failed at least one competency

Competency Grading  Grading format and criteria - similar to the clinical competency exam.  Evaluated by one instructor; use of the same grading sheet.  N grade - ideal  S grade - deviate from ideal but clinically acceptable  M/E grade - moderate/extensive deviations from ideal; clinically unacceptable  Grading format and criteria - similar to the clinical competency exam.  Evaluated by one instructor; use of the same grading sheet.  N grade - ideal  S grade - deviate from ideal but clinically acceptable  M/E grade - moderate/extensive deviations from ideal; clinically unacceptable

Remediation  Students who fail any competencies will be required to complete a remediation program as prescribed by the course director.  Successful completion of the prescribed program is a prerequisite for retaking the competency.  All competencies will have to be passed within 1 month from the last day of the spring semester (5/25/08).  Students who fail any competencies will be required to complete a remediation program as prescribed by the course director.  Successful completion of the prescribed program is a prerequisite for retaking the competency.  All competencies will have to be passed within 1 month from the last day of the spring semester (5/25/08).

Clinical Procedures  Common clinical procedures that cannot be simulated in the pre-clinic settings.  Procedures will be performed on your classmates.  Isolation procedures - e.g. rubber dam, cotton rolls etc.  Tissue retraction  Various matrix systems - contour matrix for composite, bitine ring for posterior composite, copper band.  Common clinical procedures that cannot be simulated in the pre-clinic settings.  Procedures will be performed on your classmates.  Isolation procedures - e.g. rubber dam, cotton rolls etc.  Tissue retraction  Various matrix systems - contour matrix for composite, bitine ring for posterior composite, copper band.

Lectures  Competencies review  Matching tooth color (Dr. T. Larson)  Histopathology of dental caries (Dr. Hildebrandt)  The stratification technique for direct anterior composite (Dr. Perdigao)  Clinic protocol; Fifty years of care (Dr. Ziegler)  Diagnosis and treatment planning  Treatment planning in dentistry  Diagnosis of dental caries and treatment options - pits and fissures, smooth surface, proximal surface, root surface, secondary caries  Evaluation of existing restoration  Competencies review  Matching tooth color (Dr. T. Larson)  Histopathology of dental caries (Dr. Hildebrandt)  The stratification technique for direct anterior composite (Dr. Perdigao)  Clinic protocol; Fifty years of care (Dr. Ziegler)  Diagnosis and treatment planning  Treatment planning in dentistry  Diagnosis of dental caries and treatment options - pits and fissures, smooth surface, proximal surface, root surface, secondary caries  Evaluation of existing restoration

Status of Treatment Planning in Private Practice An article published in Reader’s Digest (Feb., 1997) summarized the current status of treatment planning in dentistry… The article described how a patient who went to 50 different dental offices in 28 states; came back with treatment plans ranging from no treatment needed to a quote of $30,000 An article published in Reader’s Digest (Feb., 1997) summarized the current status of treatment planning in dentistry… The article described how a patient who went to 50 different dental offices in 28 states; came back with treatment plans ranging from no treatment needed to a quote of $30,000