Preclinical Course in Prosthetic Dentistry I

Study Course Description

Course Description Statuss:Approved

Course Description Version:1.00

Study Course Accepted:19.12.2018 10:11:23

Study Course Information
Course Code:		ZPK_018		LQF level:		Level 6
Credit Points:		5.00		ECTS:		7.50
Branch of Science:		Clinical Medicine		Target Audience:		Dentistry
Study Course Supervisor
Course Supervisor:		Gints Krāģis
Study Course Implementer
Structural Unit:		Department of Prosthetic Dentistry
The Head of Structural Unit:
Contacts:		Zobu protezēšanas katedra, Dzirciema iela 20, zpkrsu[pnkts]lv, LV-1007, +371 67456043
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		8	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		16
Classes (count)		15	Class Length (academic hours)		3	Total Contact Hours of Classes		45
Total Contact Hours								61
Full-Time - Semester No.2
Lectures (count)		7	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		14
Classes (count)		15	Class Length (academic hours)		3	Total Contact Hours of Classes		45
Total Contact Hours								59
Study course description
Preliminary Knowledge:
Human anatomy, dental anatomy, histology, medical physics with biomaterials, general medical chemistry, English.
Objective:
To acquire knowledge and comprehension of types of dentures, biomechanics and biomaterials. To gain practical skills in clinical work practicing on simulators.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Introduction into prosthetic dentistry.			Lectures		1.00	auditorium
2	Construction of teeth loss.			Lectures		1.00	auditorium
3	Preparation of teeth – biomechanical and esthetic aspects.			Lectures		1.00	auditorium
4	Materials for fabrication of temporary crowns/bridges, techniques of fabrication and cementation.			Lectures		1.00	auditorium
5	Classification of impression materials, impression taking techniques.			Lectures		1.00	auditorium
6	Construction of metal ceramic crowns/bridges. CAD/CAM digital technology.			Lectures		1.00	auditorium
7	Basics of full ceramics restorations.			Lectures		1.00	auditorium
8	Dental cements, selection of cement for cementation of metal ceramic crowns/bridges.			Lectures		1.00	auditorium
9	Introduction to prosthodontics. Indications for replacement of lost teeth. Principles of replacement.			Classes		1.00	clinical base
10	Equipment, instruments, materials in the preclinics. Basics of safety and control of infection. Biomechanical principles of tooth preparation. Demonstration of tooth preparation (upper incisor).			Classes		1.00	clinical base
11	Incisor (d 11) preparation for the fabrication of metal ceramic crown. Structure of metal ceramic crown. Independent work: preparation of d11 in the virtual environment (MOOG).			Classes		1.00	clinical base
12	Test. Finishing of preparation.			Classes		1.00	clinical base
13	Preparation of canine (d 13) for metal ceramic crown. Independent work: preparation of d13 in the virtual environment (MOOG).			Classes		1.00	clinical base
14	Report: methods and materials for fabrication of temporary crowns/bridges. Independent work: finishing of preparation d 13.			Classes		1.00	clinical base
15	Colloquium: preparation of maxillary anterior teeth for metal ceramic crowns.			Classes		1.00	clinical base
16	Preparation of premolar tooth (d 14). Independent work: preparation of d14 in the virtual environment (MOOG).			Classes		1.00	clinical base
17	Cont. of premolar preparation and fabrication of temporary crown. Preparation of molar (d 16) tooth. Independent work: preparation of d16 in the virtual environment (MOOG).			Classes		1.00	clinical base
18	Cont. preparation of molar and fabrication of temporary crown.			Classes		1.00	clinical base
19	Colloquium: preparation of maxillary posterior teeth for metal ceramic crowns.			Classes		1.00	clinical base
20	Preparation of mandibular anterior teeth (3rd quadrant) and fabrication of temporary crown. Independent work: preparation of mandibular anterior tooth in the virtual environment (MOOG).			Classes		1.00	clinical base
21	Test. Preparation of premolar (d 34) for metal ceramic crown and fabrication of temporary crown. Independent work: preparation of d34 in the virtual environment (MOOG).			Classes		1.00	clinical base
22	Preparation of molar (d 36) for metal ceramic crown and fabrication of temporary crown.			Classes		1.00	clinical base
23	Colloquium: making matrix, tooth preparation and fabrication of temporary crown.			Classes		1.00	clinical base
24	Fixed partial dentures: biomechanical principles of construction. Short span edentulous spaces: basics of treatment planning. Clinical and laboratory stages of metal ceramic bridge fabrication. Pontics.			Lectures		1.00	auditorium
25	Biomechanical aspects of metal ceramic crowns, clinical and laboratory stages of fabrication.			Lectures		1.00	auditorium
26	Full ceramic crowns: types and materials.			Lectures		1.00	auditorium
27	Alginate and gypsum.			Lectures		1.00	auditorium
28	Cements and selection for cementation.			Lectures		1.00	auditorium
29	Elastic impression materials. Elastomers, A-silicone and selection for impression taking.			Lectures		1.00	auditorium
30	Clinical and technical complications in the fixed prosthodontics.			Lectures		1.00	auditorium
31	Preparation of teeth for metal ceramic bridge. Independent work: alginate impression from upper jaw (1 posterior tooth in the 2nd quadrant missing), alginate impression from opposite jaw and making of plaster casts.			Classes		1.00	clinical base
32	Vax-up of missing tooth on plaster cast.			Classes		1.00	clinical base
33	Making of matrix and preparation of posterior teeth in the 2nd quadrant for metal ceramic bridge.			Classes		1.00	clinical base
34	Test. Cont. preparation of teeth and fabrication of temporary bridge.			Classes		1.00	clinical base
35	Report: Impression materials and techniques for fabrication of metal ceramic bridge. Independent work: taking of impression in putty-wash technique, bite registration and alginate impresssion from opposite jaw. Order for dental laboratory.			Classes		1.00	clinical base
36	Report: dental laboratory stages. Try-in of the framework and basics of shade matching. Try-in in the bisquite-bake stage and delivery of the finished bridge. Demo models.			Classes		1.00	clinical base
37	Test. Preparation of teeth for metal ceramic bridge in the mandible. Independent work: alginate impression from mandible (1 posterior tooth in the 4th quadrant missing), alginate impression from opposite jaw and making of plaster casts.			Classes		1.00	clinical base
38	Colloquim: Clinical and laboratory stages for fabrication of metal ceramic bridge. Materials.			Classes		1.00	clinical base
39	Vax-up of the missing tooth and fabrication of custom impression tray.			Classes		1.00	clinical base
40	Preparation of teeth and fabrication of temporary bridge.			Classes		1.00	clinical base
41	Cont. of independent work and impression taking with custom tray.			Classes		1.00	clinical base
42	Report: dental cements: selection for temporary and permanent cementation. Independent work.			Classes		1.00	clinical base
43	Test. Cementation of temporary bridge. Independent work: preparation of frontal teeth in the upper jaw for fabrication of bridge.			Classes		1.00	clinical base
44	Cont. preparation and fabrication of temporary bridge.			Classes		1.00	clinical base
45	Colloquim: preparation of posterior teeth for 3 unit metal ceramic bridge and fabrication of temporary bridge.			Classes		1.00	clinical base
Assessment
Unaided Work:
Within the framework of individual work the students are able to improve their manual skills practicing on virtual dental simulators and at specified times do certain types of procedures in preclinic, preparing for the planned lesson. According to the list on e-studies: acquire theory and read recommended publications, comprehension of content will be controlled by e-test during the lessons.
Assessment Criteria:
2. study year 3. semester Requirements for successful completion of the course: 1. Observation of RSU Academic regulations and general rules of the preclinics, 2. Successful preparation of one tooth from each group and temporary crown fabricated, 3. Pass 3 tests, 4. Pass 2 colloquiums, 5. Completed independent work in the virtual environment (MOOG), 6. Active participation in the preparation of reports. 2. study year 4. semester Requirements for successful completion of the course: 1. Observation of RSU Academic regulations and general rules of the preclinics, 2. Successful practical work (prepared teeth for bridge in the 2nd and 4th quadrant and temporary bridges fabricated), 3. Pass 3 tests, 4. Pass 2 colloquiums, 5. Active participation in the preparation of reports.
Final Examination (Full-Time):		Test
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Upon successful completion of the study course the students will be able to describe stages of treatment, technologies and materials applied for treatment, instruments used in prosthetics, making removable and non-removable dentures.
Skills:		Upon successful completion of the study course the students will be able to perform following manipulations: tooth preparation according to principles of biomechanics, making provisional crowns, taking impressions of all types of dentures, post and core modelling, bite registration, fitting the framework of crowns and cast dentures, trying of dentures, denture adjustments, cementing crowns and fixed partial dentures as well as simple treatment plan presentation and drawing design of prosthesis.
Competencies:		Upon successful completion of the study course the students will be able to justify necessity of manipulations, selection of instruments and materials as well as to critically evaluate their own failures and treatment related risks.
Bibliography
No.	Reference
Required Reading
1	An Introduction to the Fixed Prosthodontics, p. 16-42. In: Fundamentals of Fixed Prosthodontics, 4th ed. Schillingburg H.T.(ed). Quintessence Publ. Co Inc., 2012.
2	Treatment planning for the Replacement of Missing Teeth, p. 191-233. In: Fundamentals of Fixed Prosthodontics, 4th ed. Schillingburg H.T.(ed). Quintessence Publ. Co Inc., 2012.
3	Principles of Tooth Preparations, p. 299-345. In: Fundamentals of Fixed Prosthodontics, 4th ed. Schillingburg H.T.(ed). Quintessence Publ. Co Inc., 2012.
4	Goodacre C.J. Designing tooth preparations for optimal success. Dent Clin N Am 2004; 48: 359-385.
5	Parker M.H. Resistance form in tooth preparation. Dent Clin N Am 2004; 48: 387-396.
6	Preparations for Full Coverage Crowns, p. 354-368. In: Fundamentals of Fixed Prosthodontics, 4th ed. Schillingburg H.T.(ed).
Additional Reading
1	Metal Ceramic Restorations, p. 1081-1136. In: Fundamentals of Fixed Prosthodontics, 4th ed. Schillingburg H.T.(ed). Quintessence Publ. Co Inc., 2012.
2	Provisional Restorations, p. 577-645. In: Fundamentals of Fixed Prosthodontics, 4th ed. Schillingburg H.T.(ed). Quintessence Publ. Co Inc., 2012.
3	Gratton D.G., Aquilino S.A. Interim Restorations. Dent Clin N Am 2004; 48: 487-497.
4	Fluid Control and Soft Tissue Management, p. 646-700. In: Fundamentals of Fixed Prosthodontics, 4th ed. Schillingburg H.T.(ed). Quintessence Publ. Co Inc., 2012.
5	Donovan T.E., Chee W.W.L. Current concepts in gingival displacement. Dent Clin N Am 2004; 48: 433-444.
6	Donovan T.E., Chee W.W.L. A review of contemporary impression materials and techniques. Dent Clin N Am 2004; 48: 445-470.