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Preclinical Course in Prosthetic Dentistry II
Study Course Description
Course Description Statuss:Approved
Course Description Version:7.00
Study Course Accepted:22.09.2023 08:52:02
| Study Course Information | |||||||||
| Course Code: | ZPK_024 | LQF level: | Level 7 | ||||||
| Credit Points: | 3.00 | ECTS: | 4.50 | ||||||
| Branch of Science: | Clinical Medicine; Oral Medicine | Target Audience: | Dentistry | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Baiba Spriņģe | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Prosthetic Dentistry | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, Dzirciema Street 20, zpk rsu[pnkts]lv, LV-1007, +371 67456043 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 15 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 60 | ||||
| Total Contact Hours | 68 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Successfully completed study course - Dental Anatomy (ZTMVK_056). Successfully completed study course - Preclinical Course in Prosthetic Dentistry I (ZPK - 023) Prerequisites in Human Anatomy, Medical Physics, General Medical Chemistry, English in Dentistry, Radiology. Successfully completed previously completed all study courses. | ||||||||
| Objective: | 1. To introduce students with the basic principles of functional tooth anatomy and occlusion and to integrate the acquired knowledge in practical work by preparation of artificial phantom teeth for metal-ceramic crowns and bridges according to occlusal basic paradigms. 2. To give students an understanding of fixed partial tooth supported dentures (focusing on metal-ceramic crowns and bridges), of their manufacturing possibilities, of tooth bio-mechanical and aesthetic preparation principles, the stages to be performed in clinical work and the dental technical laboratory and the bio-materials to be used in the relevant stage of work. 3. To develop skills to perform sequential clinical steps in the fabrication of fixed tooth supported partial dentures (metal-ceramic crowns and bridges on artificial phantom teeth in preclinical conditions) - to prepare teeth according to bio-mechanical preparation principles, to fabricate and cement a temporary restoration, to take an impression for working model, to fulfill an order for a technical dental laboratory, to perform try-in steps, to recognize the errors, to deliver the prostheses, to give instruction for patient when delivering partial fixed tooth supported dentures. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Materials and manufacturing techniques for temporary crowns and bridges | Lectures | 1.00 | E-Studies platform | |||||
| 2 | Impression for indirect restorations | Lectures | 1.00 | E-Studies platform | |||||
| 3 | Dental cements in prosthetic dentistry | Lectures | 1.00 | E-Studies platform | |||||
| 4 | Clinical and laboratory steps of fabrication of metal ceramic and full ceramic fixed partial tooth supported dentures (crowns and bridges) | Lectures | 1.00 | E-Studies platform | |||||
| 5 | Bio-mechanical and aesthetic aspects of tooth preparation / Preparation of maxillary incisors and canines for metal ceramic bridge / Improvement of practical skills from previous semester | Classes | 1.00 | other | |||||
| 6 | Materials and manufacturing techniques for temporary crowns and bridges / Manufacturing a temporary crown for incisor | Classes | 1.00 | other | |||||
| 7 | Materials and manufacturing techniques for temporary crowns and bridges / Manufacturing a temporary crown for canine | Classes | 1.00 | other | |||||
| 8 | Materials and manufacturing techniques for temporary crowns and bridges / Manufacturing a temporary bridge in frontal area | Classes | 1.00 | other | |||||
| 9 | Bio-mechanical and aesthetic aspects of tooth preparation / Preparation of maxillary premolars for metal ceramic crowns | Classes | 1.00 | other | |||||
| 10 | Bio-mechanical and aesthetic aspects of tooth preparation / Preparation of mandibular premolars for metal ceramic crowns | Classes | 1.00 | other | |||||
| 11 | Bio-mechanical and aesthetic aspects of tooth preparation / Preparation of maxillary molars for metal ceramic crowns | Classes | 1.00 | other | |||||
| 12 | Bio-mechanical and aesthetic aspects of tooth preparation / Preparation of mandibular molars for metal ceramic crown | Classes | 1.00 | other | |||||
| 13 | Materials and manufacturing techniques for temporary crowns and bridges / Temporary bridge fabrication in mandibular posterior teeth area | Classes | 1.00 | other | |||||
| 14 | Impression for making an indirect restoration / Taking an impression for making a crown or bridge prosthesis / Issuing a dental laboratory warrant | Classes | 1.00 | other | |||||
| 15 | Clinical and laboratory steps of fabrication of metal ceramic and full ceramic fixed partial tooth supported dentures (crowns and bridges) / Try - in of a metal framework and color determination of a metal ceramic crown or bridge | Classes | 1.00 | other | |||||
| 16 | Clinical and laboratory steps of fabrication of metal ceramic and full ceramic fixed partial tooth supported dentures (crowns and bridges) / Try - in of a ceramic "biscuit" phase of a metal ceramic crown or bridge / HANDS-ON PRACTICAL EXAM | Classes | 1.00 | other | |||||
| 17 | Dental cements in prosthetic dentistry / Delivery and cementation of a metal ceramic crown or bridge prosthesis with permanent cement / Cementation of temporary crown or bridge prostheses with temporary cement | Classes | 1.00 | other | |||||
| 18 | Colloquium | Classes | 1.00 | other | |||||
| 19 | Colloquium analysis and obtaining the final evaluation of the study course / Improvement of practical skills | Classes | 1.00 | other | |||||
| Assessment | |||||||||
| Unaided Work: | As part of independent work, students have to improve their manual skills by using virtual dental MOOG simulators in preclinic. To learn the theory (lectures, video materials and guidelines) and read the recommended publications according to the list specified in E-studies, whose comprehension will be controlled by e-tests during the lessons. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal. | ||||||||
| Assessment Criteria: | 1. Observance of the requirements of RSU Academic Regulations and general regulations in pre-clinical training premises. 2. All 4 tests of lecture control questions with at least 55% evaluation have been successfully passed and evaluated in the 10-point system with at least 4 points. According to the RSU Academic Regulations, the achievement of learning outcomes in exams and tests (for example, computer-based tests and similar) can be assessed as a percentage aligning it with 10-point grading scale: *from 55% to 59% - almost satisfactory(4); * from 60% to 64% - satisfactory (5); * from 65% to 69% - almost good (6); * from 70% to 74% - good (7); * from 75% to 84% - very good (8); * from 85% to 95% - excellent (9); * from 96% to 100% - with distinction (10). If the test is passed unsuccessfully, in order to continue studying in this study course and get permission to write the colloquium, the test must be passed successfully (grade at least 4) before the colloquium lesson. Only the first obtained grade (even if unsuccessful) is taken into account for obtaining the cumulative exam grade. 3. Successfully passed and evaluated in a 10 - point system colloquium with a grade from 4 to 10: According to the RSU Academic Regulations, the achievement of learning outcomes in exams and tests (for example, computer-based tests and similar) can be assessed as a percentage aligning it with 10-point grading scale: *from 55% to 59% - almost satisfactory(4); * from 60% to 64% - satisfactory (5); * from 65% to 69% - almost good (6); * from 70% to 74% - good (7); * from 75% to 84% - very good (8); * from 85% to 95% - excellent (9); * from 96% to 100% - with distinction (10). 4. It is prescribed that each semester examinations (tests of lecture control questions, colloquium) within the framework of the study programme acquisition may be taken not more than three times (if the examination by 1st try was evaluated as not passed - less than 55%, then extra 2 possibilities are offered) according to the RSU Academic Regulations. Absence from the classes in which assessment of knowledge, skills and competence is carried out (a test, a colloquium, etc.) shall be equivalent to the first time of taking the respective semester examination, with exception of cases referred to not taken the semester examination for valid reasons. 5. Successful evaluation in a 10-point system (at least 4) for practical work for each practical skill (10 evaluations). The evaluation of practical work is fixed, taking into account the student's best performance (for example, if in the lesson it was intended to prepare the premolars of the upper jaw and the student has prepared 4 premolars, one of which is rated with 8 points, and the other preparations with 4, 6 and 7 points, then the final grade is the best grade, i.e. 8 points): * 1 successful manufacture of a temporary crown for maxillary and mandibular incisors - 1 evaluation * 1 successful manufacture of a temporary crown for maxillary and mandibular canines - 1 evaluation * 1 successful construction of a temporary bridge in the anterior tooth area - 1 evaluation * 1 successful premolar preparation of the upper jaw - 1 evaluation * 1 successful premolar preparation of the lower jaw - 1 evaluation * 1 successful molar preparation of the upper jaw - 1 evaluation * 1 successful molar preparation of the lower jaw - 1 evaluation * 1 successful construction of a temporary bridge in the posterior tooth area - 1 evaluation * Impression for indirect restorations / Impression taking for crown or bridge fabrication / Fulfillment of a dental technical laboratory order - 1 evaluation * Delivery and cementation of a metal ceramic crown or bridge prosthesis with permanent cement / Cementation of temporary crown or bridge prostheses with temporary cement - 1 evaluation If the student is unsuccessful in any of the practical work, the lecturer must immediately notify the head of the department in order to decide on the student's additional opportunities to improve clinical skills and assessment. 6. Successful evaluation in a 10-point system (at least 4) for practical exam. 7. Assessment in a 10-point system for the attitude towards work (diligence, analysis of mistakes) and the workplace (preparation for work, timely (10 min before the end of the lesson) finishing the work and arranging the workplace after the end of the work) during the semester. Observance of work safety. During the study course it is possible to obtain an assessment of the attitude towards work 10 points, if during the study course no minuses are obtained in the practical classes. Every minus reduces the assessment of the attitude to work by 1 point. (For example, if during the study course the student has gained 3 minuses, then the evaluation is 7 points). 8. The student needs to complete 80% of the full-time study course, without which further participation in the study course is not possible. Allowed 20% absence of full-time classes from the total amount of the study course. Of the intended 2.4. 60 academic contact hours of the study course (1 ac.h. = 45min), may be missed 12 ac.h. (= 9h = 3 lessons). The cumulative assessment of the exam in the 10-point system is obtained by summarizing all the assessments obtained during the study course and by evaluating the 7 assessment criteria described above: *the requirements of RSU Academic Regulations and general regulations in pre-clinical training premises have been observed; * attendance of classes at least 80% (missed no more than 20% of classes); * 4 assessments in a 10-point system for tests of lecture control questions (arithmetic mean mark - 5% of the exam assessment); * 10 assessments in a 10-point system for 8 lessons of practical work (arithmetic mean mark - 30% of the exam assessment); * successfully passed and evaluated in a 10-point system colloquium with a grade from 4 to 10 (30% of the exam assessment); * 1 assessment in the 10-point system for the practical exam - 30% * 1 assessment in the 10-point system for the attitude towards work and the workplace and observance of work safety during the semester (5% of the exam assessment). | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | As a result of successful acquisition of the study course, students will be able to: 1. to list the bio-mechanical principles of tooth preparation when choosing different materials for fixed partial tooth-supported dentures; 2. to sequentially name and explain in detail the steps to be performed in clinical work and in the dental technical laboratory and the biomaterials to be used in the respective steps of the work , when fabricating fixed partial tooth-supported prostheses (crown or bridge). | ||||||||
| Skills: | As a result of successful acquisition of the study course, students will be able to: 1. prepare artificial lateral teeth from phantom jaws according to the bio-mechanical principles of tooth preparation and chosen material for crown or bridge; 2. to manufacture and cement a temporary fixed partial tooth-supported dentures on artificial phantom jaw teeth (temporary crown and bridge); 3. to take an impression from prepared teeth for fabrication of c; 4. to fulfill an order for a technical dental laboratory; 5. to perform try-in steps for metal ceramic fixed partial tooth-supported dentures, to recognize and analyse the possible errors; 6. to cement and deliver the metal ceramic fixed partial tooth-supported dentures, to give instruction for patient | ||||||||
| Competencies: | As a result of successful acquisition of the study course, students will be able to: 1. integrate the acquired knowledge about the functional anatomy of different groups of teeth and occlusion into practical work by tooth preparation for different material fixed partial tooth-supported prostheses; by fabricating temporary restorations on artificial phantom teeth; 2. to analyze indications, possible complications and long-term factors when planning fixed partial tooth-supported dentures; 3. to substantiate the choice of certain instruments, work accessories and manipulations to be performed in the clinic by preparing teeth for partial fixed tooth supported dentures; 4. identify and critically evaluate own clinical work failures and their possible causes, and find solutions. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Bite registration when taking an impression for fixed teeth supported indirect restoration | A - Beginner level | |||||||
| 2 | Bite registration when taking an impression for fixed teeth supported indirect restoration | B1 - Basic level | |||||||
| 3 | Cementation of fixed teeth supported indirect restoration with zinc phosphate cement | A - Beginner level | |||||||
| 4 | Cementation of fixed teeth supported indirect restoration with zinc phosphate cement | B1 - Basic level | |||||||
| 5 | Cementation of fixed teeth supported temporary restoration | A - Beginner level | |||||||
| 6 | Cementation of fixed teeth supported temporary restoration | B1 - Basic level | |||||||
| 7 | Fabrication of fixed teeth supported temporary restoration | A - Beginner level | |||||||
| 8 | Fabrication of fixed teeth supported temporary restoration | B1 - Basic level | |||||||
| 9 | Fabrication of silicone matrix for fixed teeth supported temporary restoration (crown, bridge) | A - Beginner level | |||||||
| 10 | Fabrication of silicone matrix for fixed teeth supported temporary restoration (crown, bridge) | B1 - Basic level | |||||||
| 11 | Gingivl retraction before an impression taking for fixed teeth supported indirect restoration | A - Beginner level | |||||||
| 12 | Gingivl retraction before an impression taking for fixed teeth supported indirect restoration | B1 - Basic level | |||||||
| 13 | Impression taking for fixed teeth supported indirect restoration | A - Beginner level | |||||||
| 14 | Preparation of mannequin posterior teeth for fixed teeth supported indirect restoration | A - Beginner level | |||||||
| 15 | Preparation of mannequin posterior teeth for fixed teeth supported indirect restoration | B1 - Basic level | |||||||
| 16 | Taking an alginate impression from phantom jaws | A - Beginner level | |||||||
| 17 | Taking an alginate impression from phantom jaws | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Sailer, Irena; Fehmer, Vincent; Pjetursson, Bjarni. 2021. Fixed Restorations: A Clinical Guide to the Selection of Materials and Fabrication Technology. Quintessence Publishing. | ||||||||
| 2 | Ronald Sakaguchi, Jack Ferracane, John Powers, 2019. Craig’s Restorative Dental Materials. 13th Edition, Elsevier | ||||||||
| 3 | Herbert T. Shillingburg. 2012. Fundamentals of fixed prosthodontics. 4th edition. Quintessence Publishing (akceptējams izdevums) | ||||||||
| 4 | Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto. 2016. Contemporary Fixed Prosthodontics. 5th Edition. Elsevier | ||||||||
| Additional Reading | |||||||||
| 1 | Iven Klineberg and Steven Eckert. 2015. Functional Occlusion in Restorative Dentistry and Prosthodontics. Elsevier. | ||||||||
| 2 | J. Robert Kelly. 2016. Ceramics in Dentistry Principles and Practice. Quintessence Publishing | ||||||||
| 3 | Matthias Kern. 2017. Resin-Bonded Fixed Dental Prostheses. Quintessence Publishing | ||||||||
