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SDS ADVANCED PROSTHODONTICS & IMPLANTOLOGY

SDS – 493 COMBINES SDS 441 – Clinical Removable Prosthodontics II & SDS 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 – 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

LECTURE 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

LECTURE 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

LECTURE 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

CLINICAL REQUIREMENTS Fixed Prosthodontics including Implants8 units Single Crown1 unit Conventional FPDNumber of retainers + 1 (for pontics) Min Prep / Resin Bonded FPD2 units (max.) Cast P & C1 unit Prefab. P & C build up½ (0.5) unit Implant Crown1 unit

CLINICAL REQUIREMENTS Removable Prosthodontics4 Arches Each Arch Prosthesis1 unit It should be combination of CD, RPD, Overdenture with or without attachments, and implant retention. Transitional or interim Prosthesis½ (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 (8 th week of 1 st semester & 5 th week of 2 nd ) Final Comprehensive Written Exam20 OSCE10 (Extracted from DEN 493)

METHODS OF ASSESSMENT - GRADING Clinical Completion of Requirements10 Continuous clinical (Daily procedure)10 4 Competencies30 Preparation of Full Crown8 Final Impression Full Crown7 Final Impression CD / RPD8 Surveying & Designing RPD7

LEARNING RESOURCES – TEXT BOOKS Owall B, Kayser AF, Carlsson GE. Prosthodontics: Principles and management strategies. London:Mosby-Wolfe, Jenkines G. Precision attachments: a link to successful restorative treatment. Quintessence Publishing Co., Preiskel H. Overdentures made easy. Quintessence Publishing Co. Mohl M, Zarb G, Carlsson G, Rugh J. A textbook of occlusion. Quintessence Publishing Co., Dawson P. Evaluation and diagnosis and treatment of occlusal problems, second edition. St Louis: Mosby, 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, Rodney D. Phoenix, David R. Cagna, Charles F. DeFreest. Stewart’s Clinical Removable Partial Prosthodontics. Quintessence books Hamid R. Shafie, Clinical and laboratory Manual of Implant Overdentures. Blackwell unssgaard, Electronic Materials, Web Sites etc Zest Anchor web site for locator attachments.

FIXED CLINICAL EVALUATION FORM FOR SDS 493

Clinical ProcedureEvaluation Criteria Student’s Self- evaluation Clinical Management & Professionality Procedure Evaluation Signature Unsatisfactory Satisfactory Outstanding Unsatisfactory Satisfactory Outstanding 1.Diagnosis and treatment planning History Clinical examination Mounted casts 1.Primary impressions Tray selection Quality of the impression 1.Survey design Path of placement Tripod Survey lines Design 1.Mouth preparation Guiding planes Rest seats Buccal/lingual recontouring Polishing 1.Border molding Tray extension Manipulation of modeling plastic 1.Final impression Extensions Pressure areas Voids 1.Try-in framework Fit Occlusion 1.Functional impression (altered cast) Tray extension Border molding Quality of impression 1.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 1.Try-in trial denture(s) Extension-retention-stability Verify jaw relations (VD-CR) Esthetics-phonetics Post. Palatal seal Protrusive record 1.Prosthesis placement Tissue surface/borders Clinical remount in CR Instruction (Oral-written) 1.Post-placement evaluation Adverse tissue reactions Occlusion Other problems/patient satisfaction 1.Other procedures AVE.