Advanced Prosthodontics amp Implantology SDS 493 combines SDS 441 Clinical Removable Prosthodontics II amp SDS 432 Clinical Fixed Prosthodontics II With a twist ID: 932327
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Slide1
Welcome back
Slide2SDS - 493
Advanced Prosthodontics
&
Implantology
Slide3SDS – 493 combines
SDS 441 –
Clinical Removable Prosthodontics
II
&
SDS 432 -
Clinical Fixed Prosthodontics
II
With a twist ………….
Slide4SDS – 493 combines
TWO SEMESTER DIDECTIC (Lectures)
&
TWO semester Clinics
Slide5Learning 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.
Slide6Learning 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.
Slide7Course 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
Slide8Lecture
topics – 1
st 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
Slide9Lecture
topics – 1
st 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
Slide10Lecture topics -
2
nd 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
Slide11Lecture topics -
2
nd semester
Removable
Occlusal
Devices
Bite Raising in
Prosthodontics
Wear of Teeth
Maxillofacial Prosthesis – Part I
Maxillofacial Prosthesis – Part II
Maxillofacial Prosthesis – Part
III
Slide12Clinical 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
Slide13Clinical 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
Slide14Methods 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
Slide15Methods of
Assessment -
Grading
Didactic
2 Mid term Written Exams (10 each) 20
(8
th
week of 1
st
semester & 5
th
week of 2
nd
)
Final Comprehensive Written Exam 20
OSCE 10
(Extracted from DEN 493)
Slide16Methods 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
Slide17Learning 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
Slide18Learning 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.
Slide19Slide20FIXED CLINICAL EVALUATION FORM FOR SDS 493
Slide21Clinical Procedure
Evaluation Criteria
Student’s Self-evaluation
Clinical Management & Professionality
Procedure Evaluation
Signature
Unsatisfactory
Satisfactory
Outstanding
Unsatisfactory
Satisfactory
Outstanding
Diagnosis and treatment planning
History
Clinical examination
Mounted casts
Primary impressions
Tray selection
Quality of the impression
Survey design
Path of placement
Tripod
Survey lines
Design
Mouth preparation
Guiding planes
Rest seats
Buccal/lingual recontouring
Polishing
Border molding
Tray extension
Manipulation of modeling plastic
Final impression
Extensions
Pressure areas
Voids
Try-in framework
Fit
Occlusion
Functional impression (altered cast)
Tray extension
Border molding
Quality of impression
Max. Man. Jaw relations
Adjustment of MAX occlusion rim
Adjustment of MAN occlusion rim
Establishment of VDR-VDO
Face bow transfer
Centric relation record
Shade and mold selection
Try-in trial denture(s)
Extension-retention-stability
Verify jaw relations (VD-CR)
Esthetics-phonetics
Post. Palatal seal
Protrusive record
Prosthesis placement
Tissue surface/borders
Clinical remount in CR
Instruction (Oral-written)
Post-placement evaluation
Adverse tissue reactions
Occlusion
Other problems/patient satisfaction
Other procedures
AVE.