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Fixed

Year 1

432 Prin&Tech-Cast Rest Preps & Provisionals

432 Prin&Tech-Cast Rest Preps & Provisionals

General Information

Director:    Kerby, Ronald
Minor Unit:    Fixed
Designation:    Clinical Science

Type:    Required
Credit Hours:    3
Starting Year / Semester:    1 / 3
Ending Year / Semester:    1 / 3
 

Purpose

Dentistry 432 is a Restorative Dentistry course which is designed to teach first-year dental students how to prepare ivorine teeth (molars and bicuspids) for a complete veneer crown cast gold restoration and provisional restorations.  This is a 3-credit hour course and Dentistry 430 is a prerequisite.  Course format consists of 1 two-hour lecture, 7 one-hour lectures, 10 two hour and 10 four hour laboratory periods.

The students` progress will be measured by his/her performance on daily graded exercises (tooth preparations and provisionals), three class practical examinations, one final practical examination, a written quiz and one written final examination.

Course Goal:

The student will be able to prepare maxillary and mandibular molar and bicuspid teeth for the complete veneer crown (CVC).  These preparations must be of sufficiently high quality to be used in subsequent courses as objects of polysulfide or polyvinylsiloxane impression making, die, wax pattern fabrication and the production of the final cast gold alloy restorations.  This course will also familiarize the student with the important aspect of fabricating an indirect single unit provisional restoration.
 

Outcomes

  1. Indications for CVC Restorations: List the indications and contraindications for the maxillary and mandibular CVC  restorations.

     

  2. Advantages of CVC Restorations: List the advantages and disadvantages of the maxillary and mandibular CVC restorations.

     

  3. Tooth Preparation for CVC Restorations: Prepare utilizing high speed rotary instrumentation, molar and bicuspid teeth, for the CVC restorations on a dentoform.

     

  4. Principles of Preparation Design: Incorporate the principles of preparation design into the extracoronal preparation.

     

  5. Tooth Reduction for CVC: Demonstrate, on a dentoform, adequate occlusal reduction, axial reduction, axial taper and chamfer width and position.

     

  6. Laboratory Practical Exams: Complete a single preparation within a 2 1/ 2-hour laboratory practical examination.  The examinations will be accomplished on a post-mounted dentoform and the student will utilize proper hand and chair position.

     

  7. Dental Alloys Relative to CVC: Present a review of the significant concepts of dental alloys as they relate to complete veneer crown restorations.

     

  8. Equipment and Materials: List equipment and materials needed for each preparations.

     

  9. Stages of Restoration Development: List the stages of restoration development following preparation completion (i.e., final impression, pouring, die formation, etc.).

     

  10. Sequential Steps in Preparation: List sequential steps in preparation development.

     

  11. Components of Preparations: List all of the components of each preparation and their relationship to each other.

     

  12. Biologic Factors: List biologic factors to be considered during tooth preparation.

     

  13. Evaluation of Final Preparation: Evaluate occlusal reduction, axial reduction and taper, convergence angle, chamfer placement and interproximal clearance and rank quality of final preparation.

     

  14. Provisional Resin Materials: Present a review of provisional resin materials as they relate to fabrication of provisional restorations.

     

  15. Fabricate Single Tooth Provisional: Fabricate a single tooth provisional restoration which incorporates those principles set out by the evaluation criteria.

Instructional Sessions

 

001 Extracoronal Cast Restorations

 

General Information

Date(s):    1/6/1998
Faculty:    Kerby, Ronald
 

002 Principals of Preparation Design

 

General Information

Date(s):    1/6/1998
Faculty:    Knobloch, Lisa
 

003 Adjust typodont, Begin #30 CVC Preparation

 

General Information

Date(s):    1/6/1998
Faculty:    Kerby, Ronald
 

004 #30 CVC Preparation (Continued)

 

General Information

Date(s):    1/8/1998
Faculty:    Kerby, Ronald
 

005 Introduction to Cast Restoration Preparation Design

 

General Information

Date(s):    1/13/1998
Faculty:    Rosenstiel, Steve F.
 

006 Complete #30 CVC Preparation

 

General Information

Date(s):    1/13/1998
Faculty:    Kerby, Ronald
 

007 Begin #29 CVC Preparation

 

General Information

Date(s):    1/15/1998
Faculty:    Kerby, Ronald
 

008 Dental Alloys for Complete Veneer Crowns

 

General Information

Date(s):    1/20/1998
Faculty:    Johnston, William
 

009 Complete #29 CVC Prep  , Begin#19 CVC Prep

 

General Information

Date(s):    1/20/1998
Faculty:    Kerby, Ronald
 

010 Complete #19 CVC Preparation

 

General Information

Date(s):    1/22/1998
Faculty:    Kerby, Ronald
 

011 Mandibular CVC Preparation & Help Session

 

General Information

Date(s):    1/27/1998
Faculty:    Kerby, Ronald
 

012 PRACTICAL EXAM  Mandibular CVC

 

General Information

Date(s):    1/29/1998
Faculty:    Kerby, Ronald
 

013 Maxillary CVC Preparation

 

General Information

Date(s):    2/3/1998
Faculty:    Kerby, Ronald
 

014 Begin #3 CVC Preparation

 

General Information

Date(s):    2/3/1998
Faculty:    Kerby, Ronald
 

015 Complete #3 CVC Prep, Begin #4 CVC Prep

 

General Information

Date(s):    2/5/1998
Faculty:    Kerby, Ronald
 

016 Provisional Restorations

 

General Information

Date(s):    2/10/1998
Faculty:    Gegauff, Anthony
 

017 Complete #4 CVC Prep, Begin #3 Provisional Rest.

 

General Information

Date(s):    2/10/1998
Faculty:    Kerby, Ronald
 

018 Provisional Restoration #3 (continued)

 

General Information

Date(s):    2/12/1998
Faculty:    Kerby, Ronald
 

019 Provisional Resin Materials

 

General Information

Date(s):    2/17/1998
Faculty:    Johnston, William
 

020 Complete #3 Provisional Restoration

 

General Information

Date(s):    2/17/1998
Faculty:    Kerby, Ronald
 

021 PRACTICAL EXAMINATION  Maxillary Provisional

 

General Information

Date(s):    2/19/1998
Faculty:    Kerby, Ronald
 

022 Biological Factors To Consider During Tooth Prep

 

General Information

Date(s):    2/24/1998
Faculty:    Alley, Keith
 

023 Maxillary CVC Preparation  Help Session

 

General Information

Date(s):    2/24/1998
Faculty:    Kerby, Ronald
 

024 PRACTICAL EXAMINATION  Maxillary CVC

 

General Information

Date(s):    2/26/1998
Faculty:    Kerby, Ronald
 

025 CVC Preparation Review

 

General Information

Date(s):    3/3/1998
Faculty:    Kerby, Ronald
 

026 Begin #31 CVC Preparation

 

General Information

Date(s):    3/3/1998
Faculty:    Kerby, Ronald
 

027 Complete #31 CVC Preparation

 

General Information

Date(s):    3/5/1998
Faculty:    Kerby, Ronald
 

028 CVC Preparation (Max & Mand) Help Session

 

General Information

Date(s):    3/10/1998
Faculty:    Kerby, Ronald
 

029 FINAL PRACTICAL EXAMINATION

 

General Information

Date(s):    3/12/1998
Faculty:    Kerby, Ronald
 

030 WRITTEN FINAL EXAMINATION

 

General Information

Date(s):    3/18/1998
Faculty:    Kerby, Ronald
 

Learning Resources

  1. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Rosenstiel
        Secondary Author:    Land
        Publishing House:    CV Mosby
        Edition/Version#:    2nd
        Year Published:    1995

     

  2. Laboratory Manual for Dent 432

        (Primary Resource)
        Resource Type:    Handout/Manual
        Year Published:    1998

Evaluation Methods Overview

    20 %    Final (Written) Exam
    15 %    Classroom Participation
    20 %    Lab Exam
    45 %    Lab Projects

In 432, projects and tests will be graded on a scale of 0.0-4.0.  This is the same scale used for clinic grading in Restorative Dentistry.

Grading will be in increments of 0.5, i.e., grades of 0.0; 0.5; 1.0; 1.5; 2.0; 2.5; 3.0; 3.5; and 4.0 can be given for any project or test.  Grades of 0.0, 0.5, l.0 and 1.5 are below minimum acceptable standards.  A grade of 2.0 is minimally acceptable; 2.5 is acceptable; 3.0 is good and 3.5 and 4.0 demonstrate exceptional work.

The final written examination will be converted from a raw score to a grade as follows:

The best scores in the class will be assigned a value of 100%.  Your raw score will be expressed as a percentage of the best score and assigned a numerical grade:  100% - 4.0; 99% to 93% = 3.5; 92% to 83% = 3.0; 82% to 76% = 2.5; 75% to 65% = 2.0; 64% to 56% = 1.5; 55% to 47% = 1.0; 46% to 37% = 0.5; 37% to 1% = 0.0.  To eliminate differences between instructors and between groups, the class average will be weighted as follows:  your raw class average will be multiplied by the year average and divided by your group`s average grade.  This score will be multiplied by your group`s average for all practicals and divided by the year average for all the practicals.  Example below:


Your average class score = 2.8  x  2.687*   x  2.89***    = 4.0
             2.322**     2.33****    

*    C Year average class grade
**    C Group average class grade
***    C Group average practical grade
****    C Year average practical grade


The course grades earned will be calculated as a weighted average of your class grade (15%), class practicals (3 x 15%), written final and quiz (20%) and laboratory practical final exam (20%).

The letter grade earned will be calculated from this weighted average as follows:

3.0 and above = "A"; 2.9 to 2.6 = "B"; 2.5 to 2.0 = "C"; 1.9 and below = "E".  "D" grades are not awarded in Restorative Dentistry.

NOTE:        A score of below 2.0 (65%) in either the Written Final or Final Laboratory Grade will constitute a course failure ("E" grade).



 

Policy and Procedures

ATTENDANCE

Attendance is mandatory for all lectures and laboratory.  Absence by reason of illness must be notified to the Dean`s Office (292-2401).

434 Fabricating Single Unit Cast Alloy Rests

434 Fabricating Single Unit Cast Alloy Restorations

General Information

Course Director: Lisa A. Knobloch, DDS, MS
Office/Phone: 3001-E Postle Hall / 292-1465
Office Hours: Monday 1:30-3:00
Quarter/Year: Spring / 2001           Dent I
Location: lecture:  1183 Postle Hall                       LAB:   005 Postle Hall
Class Time: lecture: Thursdays, 7:30-8:30am        LAB:  Thursdays, 8:30-11:30am
Credit Hours: 3

Purpose

    Dentistry 434 is a three credit hour course (1 hr. lecture; 2 hr. laboratory) providing fundamental didactic knowledge and laboratory experience for making single unit cast alloy restorations.  Most of the effort in Dent 434 will be spent in the laboratory during scheduled and unscheduled periods fabricating two complete veneer crown restorations.  The lecture portion of the course provides sigificant support for the aboratory exercise.
COURSE GOAL:
    To produce clinically acceptable cast alloy restorations and be able to defend individual laboratory or clinical procedures on the basis of accepted fixed prosthodontics practices and dental materials science.

Sessions

001 Course Orientation,Polyvinylsiloxane Impressions

General Information

Date(s):    3/29/2001
Faculty:    Knobloch, Lisa
 

002 Laboratory

General Information

Date(s):    3/29/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Evaluate preparations (CVC: #3, #30) and custom impression trays.
Make impressions, pour and trim working casts.

003 Pindexing and Mounting Working Casts

General Information

Date(s):    4/5/2001
Faculty:    Knobloch, Lisa
 

004 Laboratory

General Information

Date(s):    4/5/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Pindex; mount casts on articulator.
Trim dies; apply die spacer.

005 Complete Crown Waxing

General Information

Date(s):    4/12/2001
Faculty:    Gegauff, Anthony
 

006 Laboratory :  Wax Copings

General Information

Date(s):    4/12/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Fabricate wax copings.
Wax #3 and #30 to flat occlusal stage, place cones.
Gold Issue.

007 Elastomeric Impression Materials

General Information

Date(s):    4/19/2001
Faculty:    Johnston, William
 

008 Laboratory:   Continue Waxing

General Information

Date(s):    4/19/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Continue waxing procedure: triangular ridges, cusp ridges and marginal ridges.
Integrate axial and occlusal aspects of pattern; finalize contour and occlusal and proximal contacts.

009 MIDTERM EXAMINATION

General Information

Date(s):    4/26/2001
Faculty:    Knobloch, Lisa
 

010 Laboratory:   Finalize Wax Patterns

General Information

Date(s):    4/26/2001
Faculty:    Knobloch, Lisa
 

011 Refining Margins, investing and casting procedures

General Information

Date(s):    5/3/2001
Faculty:    Knobloch, Lisa
 

012 Laboratory:   Reflow margins, invest & cast #3 & #30

General Information

Date(s):    5/3/2001
Faculty:    Knobloch, Lisa
 

013 Cast Metal finishing and polishing procedures

General Information

Date(s):    5/10/2001
Faculty:    Knobloch, Lisa
 

014 Laboratory:   Finish and Polish #3 & #30

General Information

Date(s):    5/10/2001
Faculty:    Knobloch, Lisa
 

015 Review for Final Practical

General Information

Date(s):    5/17/2001
Faculty:    Knobloch, Lisa
 

016 Laboratory:   Midterm waxing practical

General Information

Date(s):    5/17/2001
Faculty:    Knobloch, Lisa
 

017 Luting Procedures

General Information

Date(s):    5/24/2001
Faculty:    Knobloch, Lisa
 

018 Laboratory:   Lute Designated Casting

General Information

Date(s):    5/24/2001
Faculty:    Knobloch, Lisa
 

019 Gypsum Products, Die & Investment Materials

General Information

Date(s):    5/31/2001
Faculty:    Brantley, William A.
 

020 Final Laboratory Practical

General Information

Date(s):    5/31/2001
Faculty:    Knobloch, Lisa
 

021 Final Didactic Examination  12:30-1:30pm

General Information

Date(s):    6/6/2001
Faculty:    Knobloch, Lisa
 

Learning Resources

  1. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Rosenstiel
        Secondary Author:    Land
        Publishing House:    CV Mosby
        Edition/Version#:    2nd
        Year Published:    1995
  2. Dental Materials and Their Selection

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    O`Brien
        Publishing House:    Quintessence Inc.
        Edition/Version#:    2nd
        Year Published:    1997
  3. Dent 434 Laboratory Manual

        (Primary Resource)
        Resource Type:    Handout/Manual
        Primary Author:    Knobloch
        Year Published:    2000
  4. Introduction to Occlusal Anatomy

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Lundeen, HC
        Publishing House:    University of Florida Press
        Year Published:    1969

Evaluation Methods Overview

    15 %    Final (Written) Exam
    15 %    Mid-Term (Written) Exam
    3 %    Other (Written) Exam
    47 %    Lab Exam
    20 %    Lab Projects

Laboratory and didactic evaluations will be conducted separately.  Students must pass each component independent of the other to earn a passing final grade for the course.
DIDACTIC
Unannounced quizzes may be given, if a majority of the class is unprepared for the weekly sessions.
   The didactic evaluation will be determined as follows:
Quizzes (Director`s Option)     10%     (0%)
Midterm Written Exam             45%     (50%)
Final Written Exam                   45%     (50%)

OVERALL DIDACTIC        100%   (100%)

LABORATORY
     Daily work, course projects, and mid-term and final practical examinations will be used to assess pre-clinical and laboratory skills.  These four items will not be weighted equally, rather they will be apportioned as follows:
    Adjusted daily grade           10%
     Completed project              20%
     Mid-term practical exam     35%
     Final practical                     35%
    
     OVERALL LABORATORY  100%

FINAL COURSE GRADES
     The overall didactic and laboratory percentage grades will be combined on a 1:2 basis (laboratory grade counts twice the didactic grade) to arrive at a basis for awarding final course letter grades.  Those who are in the `non-passing` category in either the didactic (<65%) or laboratory (<2.0) component will receive an "IE" or an "E".  All other final course grades are determined from the combined percentage in the following manner:
     A     > 90%
     B     >82% and <89%
    C      <82%
     IE     Those receiving a non-passing grade in either or both the didactic or laboratory components.
     E     Those receiving a non-passing grade in either or both the didactic or laboratory components and  two or more unexcused absences in laboratory. (An unexcused absence is one which is not approved by the Dean`s office.

Policy and Procedures

    Due to the use of projected visuals during lectures and the need for faculty interaction at laboratory sessions, attendance for both is expected.  If an absence is completely unavoidable, you must report the reason to the Dean`s Office the day of the missed class.  Please refer to "Final Course Grade" for reference to the effect of unexcused absences (those not reported to the Dean`s Office) on course grades.
    Please be considerate of your fellow students and faculty during scheduled laboratory sessions.  Radios, tape players, etc. can be annoying and distracting to others.  If you must have audible diversion, headphones are required with the volume adjusted to levels which cannot be heard by your neighbors.
ACADEMIC MISCONDUCT
    Accurate evaluation of student knowledge and skill is the cornerstone of any academic institution.  When this process is subverted by student misconduct, it can destroy the reputation of an entire college and cast doubt upon all of its graduates, even those who have maintained the highest integrity and possess superior abilities.  Because of the potential seriousness of misconduct and the fact that no one can escape injury from it, including faculty, we must all act decisively and with conviction when academic misconduct is observed.  Student participation in the process is essential.  It cannot be accomplished by faculty alone.  I encourage dialogue and class discussion on this matter and I pledge to support actively any effort to expose and report misconduct to the appropriate committee.
    In order to prevent any possible misunderstanding as to what constitutes academic misconduct in Dent 434, the following is provided:  All written or laboratory work turned in for evaluation must represent that individual`s independent effort.  In the case of laboratory projects or exams, even partial completion of the work by another student is unethical. You are expected to follow the sequence provided in the laboratory manual in fabricating the wax patterns for crowns #3 and #30.  Making a citricon mold of an unprepared typodont tooth and using it to fabricate the wax pattern is not the procedure taught in this course.  You are permitted to make a citricon mold of your wax patterns prior to investing/casting them to preserve your work in case of a "miscast".   No past examinations have been released in Dent 434.  Therefore, the use of any study materials representing previous or future examinations will be considered misconduct leading to disciplinary action, including possible dismissal.  Knowledge of such materials should be reported to the course director at the soonest possible time.

Year 2

531 Posterior Fixed Partial Dentures

531 Posterior Fixed Partial Dentures

General Information

Course Directors: Alvin G. Wee, BDS, MS  
Office/Phone: 3001-B Postle Hall / 292-0785  
Office Hours: Friday pm, Wednesday 5-7 pm  
Quarter/Year: Early Autumn / 2001      Dent II
Location: Lecture:1183 Postle Hall    Laboratory: 005 Postle Hall
Class Time: Tuesdays and Fridays 12:30-4:30 pm
Credit Hours: 2


Course URL:    http://www.dent.ohio-state.edu/d531/
 

Purpose

Proper tooth preparation, provisionalization and restoration design is critical for the clinical success of any restoration.  The increased public demand for esthetic procedures has made the metal-ceramic restoration the most widely used treatment techniques in fixed prosthodontics.  It is essential that the restorative dentist develops good preparation design skills as well as an understanding of the theoretical and laboratory procedures in order to enhance both the esthetics and clinical success of their metal-ceramic restorations.

    The main topics of Restorative Dentistry 531 will focus on the clinical and theoretical considerations of tooth preparation design for fixed partial dentures and metal ceramics, the importance of diagnostic waxing, fabrication of direct and indirect provisional restorations, theoretical considerations in framework design, and the properties  materials used in the fabrication of metal-ceramic restorations.  Course topics will also include esthetic biologic and mechanical considerations of pontic design for complete cast and metal ceramic fixed partial dentures.  In addition, the student will be required to review and be able to perform procedures including typodont adjustment, custom tray fabrication, and final impression making with polysiloxane impression materials.

    Dentistry 531 is a two-credit hour course required for Dent II students.  This course will include both lecture and laboratory sessions where students will be able to apply lecture material through a variety of laboratory projects.  Many principles and techniques associated with fixed partial dentures and metal ceramic restorations will build on previous course work in Restorative Dentistry.  The students successful implementation of proper preparation skills for complete cast and metal ceramic fixed partial dentures, and the ability to design and fabricate direct and indirect provisional restorations will be demonstrated in this clinical restorative dentistry courses.

COURSE GOAL
    The student should be able to prepare clinically acceptable posterior teeth for complete cast and metal ceramic posterior fixed partial denture. Additionally, the student should be able to make clinically acceptable direct and indirect provisional restorations for posterior fixed partial dentures. By the end of the course, the student should have developed sound theoretical background knowledge on the scientific and clinical aspects of the techniques and materials used for posterior fixed partial dentures.  
 

Outcomes

  1. Dx and Tx Planning for FPD: Describe diagnosis and treatment planning considerations for a fixed partial denture.
  2. Indications and alternatives for FPD: List the indications, contra-indications and alternatives for posterior fixed partial dentures.
  3. Principles fo Tooth Preparation: Describe the principles of tooth preparation for a complete cast and a metal ceramic fixed partial denture.
  4. Path of Withdrawal: Describe how to determine a path of withdrawal for a fixed partial denture.
  5. Rigid Connector Type FPD: Describe the sequence of treatment steps for the preparation, fabrication and insertion of a rigid connector type posterior fixed partial denture.
  6. Diagnostic Waxing: Describe the significance of diagnostic waxing procedures.
  7. Provisional Restoration Construction: Describe the stages of direct and indirect provisional restoration construction.
  8. Rigid Connector FPD Design: Describe the biomechanics of a rigid connector fixed partial denture design.
  9. Metal-Ceramic Crowns: Describe the principles of tooth preparation for metal-ceramic crowns, their indications, contraindications, advantages, and disadvantages.
  10. Framework Design: Describe the principles of framework design for fabrication of metal-ceramic crowns and fixed partial dentures.
  11. Biomechanics of Dental Materials in Dental Restorations: Present a review of significant concepts of dental materials regarding metals and porcelain, and explain the relationship between biomechanics and the combination of metal and procelain in a dental restoration.
  12. Pontic Designs: Describe different pontic designs and their relationships with the oral environment.
  13. Axial Contours and Occlusal Morphology: Describe correct axial contours and occlusal morphology for a maxillary posterior rigid connector fixed partial denture.
  14. Connectors Between Retainers and Pontics: Describe the position, size and contour of connectors between maxillary posterior retainers and pontics of a fixed partial denture, and have a practical working knowledge of forming them in acrylic resin.
  15. Simultaneous Bilateral Posterior Contacts: Demonstrate the ability to adjust the typodont to achieve simultaneous bilateral posterior contacts.
  16. Diagnostic Waxing for FPD Fabrication: Make diagnostic waxing for fixed partial denture fabrication.
  17. Path of Withdrawal & Insertion for FPD: Determine the most appropriate path of withdrawal and insertion for a fixed partial denture.
  18. Proper Preparation Design for Post. FPD: Demonstrate proper preparation design for a posterior complete cast and metal ceramic fixed partial denture.
  19. Provisional Restorations for FPD: Demonstrate ability to fabricate indirect and direct provisional restorations for fixed partial dentures.
  20. Final Impression: Demonstrate the ability to make final impression using polysiloxane material.

Sessions

001 Course Overview, Introduction to FPD`s

General Information

Date(s):    8/21/2001
Faculty:    Wee, Alvin
 

Content Outline

Course overview, introduction to fixed partial dentures, typodont adjustment
Reading Assignment: Manual, Chapter 1
Okeson:  Ch 19 pp 547-567 (in the manual)

002 LABORATORY   Typodont Adjustment

General Information

Date(s):    8/21/2001
Faculty:    Wee, Alvin
 

Content Outline

Distribution of lab kits (Debbie Vagnier)
Typodont adjustment, alginate impressions, pouring casts, mounting

003 Diagnostic Waxing

General Information

Date(s):    8/24/2001
Faculty:    Wee, Alvin
 

Content Outline

Reading Assignment:
Manual, Chapter 2
Rosenstiel:  Ch. 7 pp.195-197
        

004 LABORATORY  Diagnostic Waxing

General Information

Date(s):    8/24/2001
Faculty:    Wee, Alvin
 

Content Outline

Diagnostic waxing #18/ #20 and #3/ #5, alginate impression, pouring, reduction template

005 Preparation Techniques for FPD

General Information

Date(s):    8/28/2001
Faculty:    Wee, Alvin
 

Content Outline

QUIZ
Reading Assignment:
Manual, Chapter 3
Rosenstiel:  Ch.8, pp.202-215

006 LABORATORY  CVC FPD Preparations #18, #20

General Information

Date(s):    8/28/2001
Faculty:    Wee, Alvin
 

Content Outline

Start CVC Retainer Preps #18,20

007 Metal-Ceramic Preparations

General Information

Date(s):    8/31/2001
Faculty:    Wee, Alvin
 

Content Outline

Reading Assignment: Manual, Chapters 5,6
Rosenstiel, Ch.9, pp. 216-229

008 LABORATORY  MCC FPD Preparation #3, #5

General Information

Date(s):    8/31/2001
Faculty:    Wee, Alvin
 

Content Outline

Complete CVC Preps #18, #20
Start MCC retainer preps #3, #5

009 Principles of fixed-partial dentures, pontic designs

General Information

Date(s):    9/4/2001
Faculty:    Wee, Alvin
 

Content Outline

Reading Assignment:  Rosenstiel:  Ch 3, pp. 59-82

010 LABORATORY  Potential Problems in FPD prep techniques

General Information

Date(s):    9/4/2001
Faculty:    Wee, Alvin
 

Content Outline

Complete MCC prep #3, #5

011 QUIZ   12:30-12:45   LABORATORY PRACTICAL 1:00 - 4:00

General Information

Date(s):    9/7/2001
Faculty:    Wee, Alvin
 

Content Outline

Mid Practical in RM 005:  Preparation of MCC for #20 and CVC for #18.  1:00-4:00pm
Faculty grading 4:00 - 5:00pm

012 Provisional Restorations

General Information

Date(s):    9/11/2001
Faculty:    Wee, Alvin
 

Content Outline

Reading Assignment:
Manual, Chapters4
Rosenstiel:  Ch. 15, pp.380-416

013 LABORATORY  Direct Provisional

General Information

Date(s):    9/11/2001
Faculty:    Wee, Alvin
 

Content Outline

Start on direct provisional  #18-#20

014 Practical Provisional Fabrication

General Information

Date(s):    9/14/2001
Faculty:    Wee, Alvin
 

Content Outline

Reading Assignment:
Manual, Chapters4
Rosenstiel:  Ch. 15, pp.380-416
 

015 LABORATORY  Indirect Provisional

General Information

Date(s):    9/14/2001
Faculty:    Wee, Alvin
 

Content Outline

Complete direct provisional #18-#20
Start on indirect provisional on #3 - #5

016 Clinical and laboratory design factors for MC FPD

General Information

Date(s):    9/18/2001
Faculty:    Wee, Alvin
 

Content Outline

Reading Assignment:  Rosenstiel: Ch 19, pp. 488-512

017 LABORATORY  Potential problems in FPD Provisional

General Information

Date(s):    9/18/2001
Faculty:    Wee, Alvin
 

Content Outline

Complete indirect provisional #3 - #5

018 Ceramic Alloys and dental porcelain    Course Review

General Information

Date(s):    9/21/2001
Faculty:    Monaghan, Peter
 

Content Outline

Reading Assignment:
Manual, Chapter 7-8
Rosenstiel:  Ch. 22, pp. 497-525; Ch. 13, pp.301-323
O`Brien:  Ch. 16, pp. 225-235; Ch. 17, pp. 237-247, Ch. 21, pp. 287-302

019 LABORATORY  Final impressions for FPD, laboratory authorization

General Information

Date(s):    9/21/2001
Faculty:    Wee, Alvin
 

Content Outline

Complete all projects
Final impression of #3 and #5 with lab slip

020 FINAL WRITTEN EXAM   FRIDAY 12:30 - 1:30pm   room 1187

General Information

Date(s):    9/28/2001
Faculty:    Wee, Alvin
 

021 FINAL PRACTICAL EXAM 1:30-4:30

General Information

Date(s):    9/28/2001
Faculty:    Wee, Alvin
 

Content Outline

FPD Provisional #18-#20
Faculty grading 4:30-5:30pm

Learning Resources

  1. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    S.F. Rosenstiel
        Secondary Author:    M.F. Land
        Publishing House:    Mosby
        Edition/Version#:    3rd
        Year Published:    2001
  2. Dental Materials and Their Selection

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    W.J. O`Brien
        Publishing House:    Quintessence Books
        Edition/Version#:    2nd
        Year Published:    1997
  3. RD 531 Lab Manual: Posterior Fixed Partial Dentures

        (Primary Resource)
        Resource Type:    Handout/Manual
        Primary Author:    Section of Restorative Dent, Prosthodontics & Endo
        Year Published:    2001

Evaluation Methods Overview

    21 %    Final (Written) Exam
    14 %    Quizzes(Written)
    52 %    Lab Exams
    13 %    Daily Lab Projects

Didactic and laboratory evaluations will be conducted separately.  To pass the course you must pass both the laboratory and didactic portion of the course.  A final "non-passing" grade in either the didactic or laboratory component will result in a grade of E for the course.  Remediation for that section will be given in the Summer Quarter of 2002.

Didactic evaluation (35 % of final grade)

    Student knowledge of the course objectives will be evaluated with a written final examination (50 minutes) and two quizzes (@10 minutes). These will be apportioned as follows:

                         Didactic Grade                          Final Grade    
    Quiz 1                        20%                                        7%
    Quiz 2                        20%                                        7%
    Final Written              60%                                        21%                    
    Overall percentage   100%                                         35%

Information sources are lectures, reading assignments, and the laboratory manual.  Where possible examination questions will be aimed at evaluating the student`s understanding of the objectives rather than an ability to commit words to memory.  Examination format will most likely consist of a sentence or phase followed by numbered items, each requiring a true or false response.  As always, the course director retains the right to change the format of the examination, if unusual circumstances warrant it.  Every attempt will be made to inform the class of any such changes at the earliest possible time.  Evaluation of the examinations is based on a relative scale.  One hundred percent will be awarded to the student or students earning the highest exam score.  Other students will be graded from the quotient of their exam score divided by the highest exam score, then multiplied by 100.  Any student below 65% will receive a non-passing grade.

Laboratory evaluation (65% of final grade)

    Daily work and final laboratory examination will be used to assess performance.  These will be apportioned as follows:
                              Laboratory Grade        Final Grade    
    Adjusted daily work             20%                  13%
    Two mid-term practical        40%                   26%
    Final practical                       40%                  26%                    
    Overall percentage              100%                  65%    

Criteria for laboratory evaluation:
    4    Outstanding work; little or no improvement needed.
    3    Good work; minor improvement desirable.
    2    Minimally acceptable; significant improvement desirable.
    1    Unacceptable; improvement mandatory.
    0    Failure to achieve even minimal acceptance in any aspect of the work under evaluation, failure to recognize a serious error or failure to submit work which is due.

Grades may be awarded in increments of 0.5.  A `non-passing` grade would result from a 0.0, 0.5, 1.0 or 1.5 since these are below minimum acceptable standards.


Adjustment of daily work evaluation

    Each laboratory group will be assigned an instructor who will remain with that group throughout the course.  This policy enhances student/faculty continuity.  Although faculty strive to promote evaluation consistency by attending weekly meetings, students often perceive grading differences.  Some perceptions may be accurate, some not.

    In contradistinction with faculty differences is the potential inequality of student laboratory groups.  The complaint has been heard that each group may not be equal with respect to student skills.  Therefore, a group with an average higher than another group may be proper, and not an indication of inconsistent instructor grading.

    To address these student concerns which have been voided in previous years, the mean daily grade for each student will be adjusted to account for both faculty and student group differences.  This is accomplished with the following formula:


In reality there is very little variation between instructors or between groups.  Since the daily grades account for 20% of the total laboratory grade, this weighted technique does not generally result in any large grade change.

    Adjusted daily and final practical grades will be weighted and combined to determine the overall laboratory evaluation.  An overall laboratory evaluation below 2.0 is non-passing which requires a final course grade of E.  For the purpose of combining the laboratory with the didactic evaluation, the overall laboratory evaluation will be converted to a percentage.  This conversion will be performed as follows:

        Overall laboratory evaluation (percent) = 100 - [17.5 x 4 - L]

        where L = Overall laboratory evaluation (0 - 4 scale)

Practicals

    In Dentistry 531, there are two mid-term practical and one final practical.  The first mid-term practical will consist of preparing one tooth for a complete cast fixed partial denture.  The second mid-term practical will consist of fabricating a direct provisional fixed partial denture.  Each practical will be assessed 0.0-4.0 with feedback given on an assessment criteria sheet.

    After each mid-term practical, bench instructors will be available to review the practical grade by request with each student at their bench.  The course director will review the work of any students receiving below a 2.0 and ensure that each of these students is aware of the reasons for mid-term failure and where additional effort should be directed.  A grade below 2.0 on a mid-term practical does not constitute a course failure.

    The final practical will consist of a metal ceramic preparation for a fixed partial denture abutment.


    Grading Criteria:
    Evaluation criteria sheets itemize the features that will be assessed in the practical. Make sure that you understand these criteria and how they relate to the course objectives. Use the criteria in the sheets to check that your work has met the course standards before turning in a practical for assessment. The examiners will use these sheets to give you feedback on how closely you me the course objectives and where improvement could be sought.

Final course grade

    The didactic (35%) and laboratory percentages (65%) will be combined to yield the course percentage.  The didactic grade will be one-third of the final course grade and the laboratory grade will be two-thirds of the final course grade.  Final course letter grades will be awarded as follows:
        A    > 85%
        B    > 75%; <85%
        C    > 65%; <75%
        E    Those receiving a `non-passing` grade: <65% in the didactic and/or <2.0 in the laboratory component.
 

Policy and Procedures

Attendance is mandatory for all lectures and laboratories.  Notification of absence by reason of illness must be given to the Dean`s Office.  Failure to do so will result in a grade of 0.0 being assessed for the procedure(s), written quizzes, exams or practicals scheduled for that session.  Make-up sessions will not be given.  Make-up work for any excused quizzes, written or practical exams will be arranged on an individual basis by the course director.

    Students should be prepared before attending the lecture or laboratory portions.  All reading assignments in the textbooks or laboratory manual should be done before arriving that day.

 ACADEMIC MISCONDUCT
    (Approved by Professionalism Committee, July 13, 1998)

    Students are expected to maintain standards of professionalism with regards to their academic performance and are expected to protect the integrity of their work at all times during the course, whether in the classroom, laboratory or clinic.  Students should report any alleged misconduct by another student to the Course Director and during examinations to the Course Director and/or proctor immediately.

    By way of example only and not by limitation, the following would constitute academic misconduct in Dentistry 531: Plagiarism of another classmate`s work for any class assignment or examination or communicating with another student by any means during an examination.  For further examples and further information students should refer to the  Student Reference Book, and The  Code of Student Conduct.

    The Course Director will report cases of alleged academic misconduct to the Associate Dean of Academic Affairs who may refer the matter to the  Professionalism Committee.

    Students are encouraged to seek discussion with the Course Director if they have any doubt about approaches and procedures that might result in charges of academic misconduct against them.

535 Esthetic Crowns & Anterior FPD's

535 Esthetic Crowns & Anterior FPD`s

General Information

Course Director: Dr. Ronald Kerby
Office/Phone: 3001-Q Postle Hall / 292-0880
Office Hours: arranged
Quarter/Year: Winter / 2001 Dent II
Location: Lecture-1187 Postle Hall   LAB-005 Postle Hall
Class Time: Wednesdays: 12:30-4:30pm     Fridays: 8:30-11:30am
Credit Hours: 3

Purpose

Dentistry 535 is a three- credit- hour lecture/laboratory course.  Class topics include clinical, laboratory and scientific aspects of esthetic restorations of anterior teeth with crowns and fixed partial dentures.  The course material is clinically relevant and there should be an effort to excel rather than just pass the course.  Course format consists of 10 one-hour lectures, 10 two and four-hour laboratory periods.

COURSE GOAL
Every student should be able to make clinically acceptable preparations on anterior teeth for metal-ceramic fixed partial dentures, single crowns and all-ceramic single crowns at the end of this course.  Additionally, the student should be able to make clinically acceptable direct and indirect provisional restorations for anterior teeth.  Finally, the student should have developed a sound theoretical background on the scientific and clinical aspects of the techniques and materials used for esthetic restorations.

Outcomes

  1. Diagnostic Waxing: Diagnostically wax anterior teeth.
  2. Prepare Teeth for Crowns: Prepare maxillary and mandibular typodont teeth for anterior metal-ceramic crowns, anterior metal-ceramic crown fixed partial dentures, and all-ceramic crowns.
  3. Prepare Shoulder for Porcelain: Prepare a 90 degree labial shoulder for porcelain labial margin and a 120 degree labial shoulder for a conventional margin.
  4. Fabricate Incisal Guide Table: Fabricate a custom anterior  incisal guide table from diagnostic casts.
  5. Use Pindex System to Prepare Dies and Casts: Prepare dies and working casts using the Pindex System.
  6. Fabricate Anterior Wax Patterns: Fabricate anterior wax patterns:  coping formation, waxing to full anatomic contour, and cut-back of the wax pattern.
  7. Construct Provisional Restorations: Construct provisional restorations using prefabricated polycarbonate shells, and generally demonstrate the ability to construct direct and indirect provisional restorations for anterior single crowns and FPDs.
  8. Principles of Tooth Preparation: Analyze the basic principles of tooth preparation for the anterior metal-ceramic crown, and all-ceramic crown and state the space requirements in millimeters, and the reason for such requirements, for the anterior metal-ceramic crown, and the all-ceramic crown preparations.
  9. Path of Withdrawal: Describe the principles of producing a proper path of withdrawal for an anterior metal-ceramic crown fixed partial denture.
  10. Depth Orientation Axial Guide: Describe and discuss the use of depth orientation axial guide grooves during anterior crown preparation.
  11. Anterior Custom Incisal Guide Table: Describe the construction and state the purpose of an anterior custom incisal guide table.
  12. Labial Cavosurface Angle: Describe and discuss the difference between a 90 degree and 120 degree labial cavosurface angle and its significance in anterior crown tooth preparation.
  13. Provisionals for Anterior Teeth: Describe and discuss the different options for provisionals of anterior teeth.
  14. Options for Anterior Restorations: List and evaluate the indications, contraindications, advantages and disadvantages of the available options for anterior restorations.
  15. Investment Materials: Discuss the characteristics and uses of gypsum and phosphate bonded investment materials and discuss hygroscopic and thermal expansion.
  16. Metal-Ceramic Crown, Design and Properties: Describe the design and physical properties of a metal-ceramic crown, and discuss the composition of dental porcelain and noble metal alloys used in metal-ceramic crowns.
  17. Metal-Ceramic Bond: Discuss the components of the metal-ceramic bond and the esthetic properties of porcelain and all-ceramic materials.

Sessions

001 Course Overview & Custom Incisal Guide Table

General Information

Date(s):    1/3/2001
Faculty:    Kerby, Ronald
 

002 Laboratory #1  Equilibrate typodonts; impressions; models

General Information

Date(s):    1/3/2001
Faculty:    Kerby, Ronald
 

Content Outline

Mark and equilibrate typodonts
Alginate impressions
Diagnostic models

003 Laboratory #2  Diagnostic models & waxing/custom guide table

General Information

Date(s):    1/10/2001
Faculty:    Kerby, Ronald
 

Content Outline

Diagnostic models mounted and diagnostic waxing for #10 (sign-off 2:00pm)
Custom incisal guide table (sign-off 4:00pm)

004 Anterior metal-ceramic tooth preparations

General Information

Date(s):    1/12/2001
Faculty:    Rosenstiel, Steve F.
 

005 Laboratory #3  MCC Preparation

General Information

Date(s):    1/12/2001
Faculty:    Kerby, Ronald
 

Content Outline

MCC preparation of typodont tooth #8 (start)
 

006 Laboratory #4 MCC Preparation

General Information

Date(s):    1/17/2001
Faculty:    Kerby, Ronald
 

Content Outline

MCC preparation typodont tooth #8 (sign-off 4pm)
Final impression, pour and die stone (start) (quiz)

007 Wax&Cut-Back Anterior MCC Restorations

General Information

Date(s):    1/19/2001
Faculty:    Holloway, Julie
 

008 Laboratory #5 Master cast pindex,mount,waxing

General Information

Date(s):    1/19/2001
Faculty:    Kerby, Ronald
 

Content Outline

Master cast pindexed and mounted (sign-off 11:00)
Full contour waxing #8 (start)

009 Laboratory #6  waxup,cutback,MCC prep

General Information

Date(s):    1/24/2001
Faculty:    Kerby, Ronald
 

Content Outline

Full contour waxup #8 (sign-off 2:00pm)
Cutback wax pattern (sign-off 4:00pm)
MCC preparation, typodont tooth #6 (start)
(collect waxup; prep #8)

010 Metal -Ceramic Technology

General Information

Date(s):    1/26/2001
Faculty:    Johnston, William
 

011 Laboratory #7 MCC preparation

General Information

Date(s):    1/26/2001
Faculty:    Kerby, Ronald
 

Content Outline

MCC preparation, typodont tooth #6 (sign-off 11:00)

012 Laboratory #8 - PRACTICAL EXAM  (max ant MCC)

General Information

Date(s):    1/31/2001
Faculty:    Kerby, Ronald
 

Content Outline

12:30-3:00 PRACTICAL EXAM
3:00-5:00 Grading practical examination by faculty

013 Preparation Faults

General Information

Date(s):    2/2/2001
Faculty:    Kerby, Ronald
 

Content Outline

Common faults in anterior MCC tooth preparations
Review of anterior FPD preparations

014 Laboratory #9  FPD MCC preparation

General Information

Date(s):    2/2/2001
Faculty:    Kerby, Ronald
 

Content Outline

FPD MCC preparation; typodont teeth #9-11 (start)

015 Laboratory #10   MCC Preparation

General Information

Date(s):    2/7/2001
Faculty:    Kerby, Ronald
 

Content Outline

MCC preparation, 9-11 (sign-off 4:00pm)

016 Provisionals for Anterior Restorations

General Information

Date(s):    2/9/2001
Faculty:    Gegauff, Anthony
 

017 Laboratory #11  Indirect Provisional

General Information

Date(s):    2/9/2001
Faculty:    Kerby, Ronald
 

Content Outline

Indirect Provisional for FPD #9-11(start)

018 Laboratory #12  Indirect Provisional

General Information

Date(s):    2/14/2001
Faculty:    Kerby, Ronald
 

Content Outline

Indirect Provisional for FPD #9-11 (sign-off 4:00)

019 Esthetic Properties:  Metal-Ceramic & All-Ceramic

General Information

Date(s):    2/16/2001
Faculty:    Johnston, William
 

020 Laboratory #13  Direct Provisional

General Information

Date(s):    2/16/2001
Faculty:    Kerby, Ronald
 

Content Outline

Direct Provisional for #6

021 All Ceramic Preparations and Systems

General Information

Date(s):    2/21/2001
Faculty:    Miller, R. Bruce
 

022 Laboratory #15  All-ceramic Preparation

General Information

Date(s):    2/21/2001
Faculty:    Kerby, Ronald
 

Content Outline

Start #8 All-Ceramic Crown Prep

023 Laboratory #16  All-ceramic preparation & provisional

General Information

Date(s):    2/23/2001
Faculty:    Kerby, Ronald
 

Content Outline

Finish #8 All-Ceramic Crown Prep (sign-off 11:00)
Polycarbonate provisional #8 (start)

024 Laboratory #14 - PRACTICAL EXAM:  Indirect provisional FPD

General Information

Date(s):    2/28/2001
Faculty:    Kerby, Ronald
 

Content Outline

12:30-3:00  PRACTICAL EXAM Indirect Provisional for FPD #9-11
3:00-5:00 Grading practical exam by faculty

025 Review for Final Practical and Written Examination

General Information

Date(s):    3/2/2001
Faculty:    Kerby, Ronald
 

026 Laboratory #17  Polycarbonate Provisional

General Information

Date(s):    3/2/2001
Faculty:    Kerby, Ronald
 

Content Outline

Polycarbonate Provisional #8 (sign-off 11:00)

027 Laboratory #18 -  FINAL PRACTICAL EXAM

General Information

Date(s):    3/7/2001
Faculty:    Kerby, Ronald
 

Content Outline

12:30-2:30 FINAL PRACTICAL EXAMINATION  Anterior MCC Preparation
3:00-5:00 Grading by faculty

028 New Polymeric Materials for Anterior FPD Restorations

General Information

Date(s):    3/9/2001
Faculty:    Seghi, Robert
 

029 WRITTEN FINAL EXAMINATION  8:30-9:20

General Information

Date(s):    3/15/2001
Faculty:    Kerby, Ronald
 

Learning Resources

  1. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Rosenstiel
        Secondary Author:    Land
        Publishing House:    CV Mosby Co.
        Edition/Version#:    2nd
        Year Published:    1995
  2. Restorative Dental Materials

        (Secondary Resource)
        Resource Type:    Book
        Primary Author:    R.G. Craig
        Publishing House:    C.V. Mosby Co.
        Edition/Version#:    9th
        Year Published:    1993
  3. Dental Materials and Their Selection

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    O`Brien, W.J.
        Publishing House:    Quintessence
        Edition/Version#:    2nd
        Year Published:    1997

Evaluation Methods Overview

    
The final course grades will be calculated as an average of laboratory practicals(2x20%), class grade(15%), written final and quiz grade(20%), and a laboratory practical final exam (25%).  

The letter grade earned will be calculated from this weighted average as follows:
3.2 and above   = A
3.1 - 2.7             = B
2.6 - 2.0             = C
1.99 and below = E
"D" grades are not awarded in Restorative Dentistry.

NOTE:  A score of below 2.0 (65%) in either the Written Final or Final Laboratory Grade will constitute a course failure ("E" grade).


 

Policy and Procedures

Attendance is mandatory for most lectures and all laboratory sessions.  Absence by reason of illness must be notified to the Dean`s Office.  Unnotified absence will result in a grade of 0.0 being assessed for the procedure of procedures scheduled for that session.  Please realize that an unnotified absence will also result in a grade of 0.0 being assigned for your written quizzes, exams, or practicals as well, and make-up sessions will not be given.  Make-up work for any excused quizzes, written exams, or practical exams will be arranged on an individual basis by the course director.

Students should plan ahead before attending the lecture or the laboratory portions.  All reading assignments in the textbooks or laboratory manual should be read before arriving for that day.

ACADEMIC MISCONDUCT

Students are expected to maintain standards of professionalism in regard to their academic performance and are expected to protect the integrity of their work at all times during the course, whether in the classroom, laboratory or clinic.   Students should report any  alleged  misconduct by another student to the Course Director and during examinations to the Course Director and/or proctor immediately.

By way of example only and not by limitation, the following would constitute academic misconduct in Dentistry 535:  Plagiarism of another classmate`s work for any class assignment or examination or communicating with another student by any means during an examination.  For further examples and further information students should refer to the  Student Reference Book, and The  Code of Student Conduct.

The Course Director will report cases of alleged academic misconduct to the Associate Dean of Academic Affairs who may refer the matter to the  Professionalism Committee.

Students are encouraged to seek discussion with the Course Director if they have any doubt about approaches and procedures that might result in charges of academic misconduct against them.

536.01 Foundation Rests/Rest of Endo Treated Te

536.01 Extensive Amalgam Restorations/ Restoration of Endodontically Treated Teeth

General Information

Course Director: Dr. Janet Bolina
Office/Phone: 3005-E Postle Hall / 292-3316
Office Hours: Wednesday 9:00-11:00a.m. and by appointment
Quarter/Year: Winter, 2000 /  Dent II
Location: Lecture, 1187 Postle Hall      Lab, 005 Postle Hall
Class Time: Mondays, 12:30-4:30pm
Credit Hours: 2

Purpose

    Restorative Dentistry 536.01, Foundation Restorations and Restoration of Endodontically Treated Teeth, is the last in the series of five pre-clinical courses designed to prepare students for the preclinical competency examination and eventually the clinical component of your dental education.
    The course will familiarize the student with the important aspects of restoring large amalgam restorations, provisional restorations, and learning how best to restore endodontically treated teeth.
    Very often, teeth with large carious lesions, fracture or other substantial loss of tooth structure require a foundation prior to the fabrication of a full coverage restoration.  These amalgam restorations form the foundation that provides retention and resistance form for the crown.  It is important that the foundation have sufficient retention, resistance and strength to provide a suitable foundation, even after the tooth is prepared for a crown.
    Provisional restorations are used to maintain dental health while a definitive prosthesis is being fabricated in the laboratory.  They often play an important role in establishing optimum contour and appearance.  You will learn the direct technique for their fabrication, using both a custom matrix and a pre-formed external surface form.
    Some teeth that require fixed restorations have been endodontically treated.  Special considerations are needed to restore them to form and function. These will also be addressed in Dentistry 536.01.
COURSE GOAL
    The course will enable students to progress into the Restorative Dentistry clinic with a mastery of preparation of teeth for large amalgam restorations, restoration with amalgam of large preparations, the fabrication steps for provisional restorations, and foundations for endodontically treated teeth.

Outcomes

  1. Isolation of Teeth: Perform quadrant isolation by R.D. on the dentoform prior to tooth preparation and restoration.
  2. Molar Tooth Prep for Large Amalgam Restoration: Prepare molar teeth for a large amalgam restoration using supplemental retention features.
  3. Appropriate Dental Bases & Liners: Demonstrate ability to select appropriate dental bases and liners, and list the proper sequence of their placement.
  4. Place Extensive Amalgam Restorations: Restore molar teeth with extensive amalgam restorations as a foundation for a full coverage restoration.
  5. Single Tooth Provisional: Fabricate a single tooth provisional within 60 minutes.
  6. Restoring Endodontically Treated Teeth: Describe the options for restoration of endodontically treated teeth relative to the amount of remaining tooth structure.
  7. Cast Post and Core: Prepare an endodontically treated tooth to receive a cast post and core, fabricate a poly (methyl methacrylate) pattern, and make an adequate provisional restoration within 3 hours.

Instructional Sessions

001 Varnishes, Liners, Bases

General Information

Date(s):    1/3/2000     12:30-1:20
Faculty:    Dr. Monaghan
 

Lecture Objectives:

1.    List the biologic factors that should be considered during tooth preparation.
2.    List the proper order for placement of the discussed varnishes, liners, and bases.

Reading Assignment:     Laboratory Manual - Chapter 2
                                        Sturdevant, pp. 303-323

002 LAB  

General Information

Date(s):    1/3/2000      1:30-4:30

Prep MOD-A #19
MOD-A #30 - Homework
Rubber Dam Isolation #18 - 25

003 Supplemental Retention: Pins and Wells

General Information

Date(s):    1/10/2000    12:30 - 1:20
Faculty:    Dr. Bolina
 

Lecture Objectives:

1.   Name the material of choice for foundation restorations and its advantages and disadvantages.
2.    List the locations that lend themselves to placement of supplemental retentive/resistance features for each posterior tooth and the consequences of deviating from these locations.
3.    List the pin sizes available and each corresponding drill size.

Reading Assignment:     Laboratory Manual - Chapter 1
                                        Sturdevant, pp. 500-518

004 LAB

General Information

Date(s):    1/10/2000    1:30 - 4:30

Prep MODB-A #30 with MB pin
Prep MODBL-A #19 with MB well and DL pin
 

005 Large Amalgam Restorations

General Information

Date(s):    1/24/2000  12:30 - 1:20
Faculty:    Dr. Scheid
 

Lecture Objectives:

1.    List the functions of a matrix band.
2.   Describe the effect of poor wedge placement or size selection.
3.    Explain the rationale behind the use of rubber dam isolation.

Reading Assignment:     Laboratory Manual - Chapter 3
                                        Sturdevant, pp. 518-532

006 LAB

General Information

Date(s):   1/24/2000   1:30 - 4:30

1:30 - 2:30:  Video demo of large amalgam restoration
2:30 - 4:30:    Restore both #19 & #30 with amalgam.
 

007 PRACTICAL EXAM

General Information

Date(s):    1/31/2000   12:30 - 3:00

Prep Pin-retained MODB-A and Restore

008 Restoration of Endodontically Treated Teeth I

General Information

Date(s):    2/7/2000   12:30 - 1:20
Faculty:    Dr. Holloway

Lecture Objectives:

1.    Evaluate the circumstances when an endodontically treated tooth would and would not  require a crown.  Cite a reference on which the clinic protocol is based.
2.    Assess the reasons why post length has an important influence on the prognosis of endodontically treated teeth.
3.    Using a cemented post in an endodontically treated tooth that does not require a crown is not recommended.  Determine why, citing a study to support the view.
4.    Evaluate the significant factors that need to be considered when determining the correct depth for post space preparation.
5.    List the steps for both the indirect and direct techniques for the fabrication of a post and core.
6.    List the biologic, mechanical and esthetic requirements for provisional restorations.

Reading Assignment:     Laboratory Manual - Chaptes 4, 5, 6
                                        Rosenstiel:   pp. 238-267 & 325-357
                                        Craig:   pp. 504-515, 543-544

009 LAB

General Information

Date(s):    2/7/2000     1:30 - 4:30

Prep #8 for Post and Core, Fabricate Direct Pattern #8

010 Restoration of Endodontically Treated Teeth II

General Information

Date(s):    2/14/2000   12:30 - 1:20
Faculty:    Dr. Holloway

**See session 008 for Lecture Objectives and Reading Assignment**

011 LAB

General Information

Date(s):    2/14/2000   1:30 - 4:30

Paper-clip Provisional #8
Lab Prescription (turn patterns into Rick)

012 Materials for Foundation Restorations

General Information

Date(s):    2/21/2000   12:30 - 1:20
Faculty:    Dr. Holloway

**See session 008 for Lecture Objectives and Reading Assignment**
 

013 LAB

General Information

Date(s):    2/21/2000   1:30 - 4:30

Indirect Post and Core Impression, Opposing arch Alginate Impression

014 LAB

General Information

Date(s):   2/28/2000    **12:30 - 4:30

Wax pattern check, Seat P&C #8 and cement P&C, Provisional #8

015 PRACTICAL EXAM

General Information

Date(s):    3/6/2000    **12:30 - 3:30

Direct Post&Core Pattern & Provisional
 

016 FINAL WRITTEN EXAMINATION

General Information

Date(s):    Wednesday, 3/15/2000     12:30 - 1:20pm   Room 1183
Faculty:    Dr. Bolina
 

Learning Resources

  1. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Rosenstiel
        Secondary Author:    Land
        Publishing House:    CV Mosby Co
        Edition/Version#:    2nd
        Year Published:    1995
  2. The Art and Science of Operative Dentistry

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Sturdevant
        Publishing House:    CV Mosby
        Edition/Version#:    3rd
        Year Published:    1995
  3. Dental Materials
        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Craig
        Publishing House:    CV Mosby
        Edition/Version#:    10th
        Year Published:    1997
  4. Course Manual for Dentistry 536.01

        (Primary Resource)
        Resource Type:    Handout/Manual
        Primary Author:    Bolina, Janet
        Year Published:    2000

Evaluation Methods Overview

    30 %    Final (Written) Exam
    60 %    Lab Practicals
    10 %    Daily Lab Exercises
 

The Daily Lab Exercises will be evaluated using clinic grading (0-4 point scale).
outstanding = 4.0 - 3.0
satisfactory = 2.9 - 2.0
clinically unacceptable = 1.9 - 0

The final written exam will consist of 50 multiple choice questions, 2 points each, and will be converted from a raw score to a clinical grade as follows:
100 % = 4.0            82 - 76% = 2.5            55 - 47% = 1.0
99 - 93% = 3.5        75 - 65%= 2.0             46 - 37% = 0.5
92 - 83% = 3.0        64 - 56% = 1.5             36 - 0%  = 0.0

The final course grades will be calculated as a weignted average of 2 mid-term practicals (2 x 30%), written final (30%), and daily class grades (10%).  .

The letter grade earned will be awarded according to the following scale:

4.0 - 3.0 = A
2.99-2.6 = B
2.59-2.0 = C
To pass the course, a student must score an overall average of 2.0 or above AND score above 1.0 (56%) in the written.  If you score <56% on the written and still overall average 2.0 or greater an "I/E" grade will be awarded and further study will be required to reach an acceptable level..  "D" grades are not awarded in Restorative Dentistry

 

Policies and Procedures

Attendance
   Attendance is mandatory for all lectures and laboratory.  Any absence must be notified to the Dean's office (292-2401).  Unnotified absence will result in a grade of  0.0 being assessed for the procedure or procedures scheduled for that session.  More than two absences (notified or not) for this course will result in lowering the final course grade one letter grade.

Academic Misconduct
  
Accurate evaluation of student knowledge and skill is the cornerstone of any academic institution.  When this process is subverted by student misconduct, it can destroy the reputation of an entire college and cast doubt upon all of its graduates, even those who have maintained the highest integrity and possess superior abilities.  Although isolated incidents may seem trivial, taken collectively over a period of time, they may threaten the life of a college. Because of the potential seriousness of misconduct and the fact that no one can escape injury from it, including faculty, we must all act decisively and with conviction when academic misconduct is observed.  Student participation in the process is essential.  I encourage class discussion on this matter and I pledge to actively support any effort to expose and report misconduct to the appropriate committee.
    In order to prevent any misunderstanding as to what constitutes academic misconduct in Dent. 536.01, the following is provided:  All written and laboratory work turned in by a student for evaluation will be a result of that student's own efforts.  In the case of laboratory projects or exams, even partial completion of the work by anyone else is unethical.  With respect to study material for written examinations, study questions have been provided in the manual.  No previous written examinations have been released.  The use of any other study materials representing previous or future examinations will be considered misconduct leadint to disciplinary action including possible dismissal.  Knowledge of such materials should be reported to the  course director at the soonest possible time.   During examinations, each student is responsible for protecting the integrity of his/her answers.  If cheating is noted during the examination or evidence of cheating is disclosed, the students involved, whether they be copiers or those copied from, will be subject to disciplinary action.  Communication between students is not permitted during examinations, and laboratory practicals.  Students will not be allowed to leave and then return to the test room during the exam unless for medical emergency.
   

By way of example only and not by limitation, the following would constitute academic misconduct in Dentistry 536.01.  Plagiarism of another classmate’s work for any class assignment or examination or communicating with another student by any means during an examination. For further examples and further information students should refer to the  Student Reference Book, and The  Code of Student Conduct.

The Course Director will report cases of alleged academic misconduct to the Associate Dean of Academic Affairs who may refer the matter to the  Professionalism Committee.

Students are encouraged to seek discussion with the Course Director if they have any doubt about approaches and procedures that might result in charges of academic misconduct against them.

Operative

Year 2
Restorative and Prosthetic Dentistry

Year 1

417 Oral Anatomy

430 Overview of Restorative Dentistry

433 Occlusion I : Form and Function

433 Occlusion I : Form and Function

General Information

Course Director: W.G. Golden, DDS
Office/Phone: 3005-A Postle Hall / 292-5162
Office Hours: Tuesday and Friday, 7:30 a.m. - 8:30 a.m., Wednesday, 7:30-9:30am
Quarter/Year: Winter / 2002         Dent I
Location: lecture, 1183 Postle Hall;  Lab, 005 Postle Hall
Class Time: Thursdays  7:30- 11:30a.m.
Credit Hours: 2

Purpose

    Dent 433 is a two credit hour lecture/laboratory course which is the first in a series of three occlusion courses.  The didactic component of the course is composed of weekly lectures and reading assignments.  Lectures address a variety of subjects including terminology, biomaterials, anatomy, physiology and the mechanical aspects of occlusion. The laboratory component concentrates on posterior occlusion.
    Didactically, the goal of this course is to develop a holistic concept of the functional and morphological relationship of the posterior teeth to each other, to the skeletal and muscle structures of the mandible and maxilla, and to the peripheral and central neuromuscular controlling elements of the stomatognathic system.
    From a psychomoter perspective, the goal is to train the student to be able to independently create posterior occlusal morphology of proper size and form by means of wax addition techniques.

Outcomes

  1. Overview and Terminology of Occlusion: Be able to identify a word or phrase listed in the Occlusion Glossary when given its definition.  Conversely, be able to define or identify the definition of a word or phrase listed in the glossary.

    Given any tooth in either arch, state its axial inclination (mesioverted or distoverted and buccoverted or linguoverted).

    Describe the normal (Angle Class I) faciolingual and mesiodistal relationship between the teeth of the maxillary and mandibular dental arches.

    State the difference in the faciolingual locations of the centric and non-centric cusps of the maxillary and mandibular teeth.

    State the relationships of the buccoocclusal, linguoocclusal, and central fossae lines between the maxillary and mandibular dental arches.

    Given an excursive movement, state the potential sites of deflective occlusal contact for maxillary and mandibular posterior teeth.
     
  2. Wax and Its Manipulation: State the relationship of the wax, heat source, work and the movements of the individual performing the waxing with respect to maximizing efficiency.

    List the waxing instruments used to add wax and those used to remove wax.  State the basis for selecting the size of adding instruments and the type of removal instruments.

    Describe the method for maintaining a given occlusal vertical dimension when waxing articulator-mounted casts.

    State the effect of adding increasing amounts of carnauba to paraffin wax on the melting range of the mixture.

    Give the approximate change in percent expansion of Kerr Hard Wax (blue) in going from room temperature to 46oC (115oF).  Compare the coefficient of thermal expansion for dental waxes to other dental materials and describe the basis for their behavior.

    Give the relative compressive strength of carnauba, inlay, and paraffin waxes and state the approximate changes in strength in going from room temperature to 4OoC (104oF).

    List the percent composition by type for a typical inlay wax.

    Describe how inlay waxes warp on the basis of residual stress, flow and temperature change with time.  State the best way to minimize distortion of completed wax patterns.

     
  3. Static Tooth Contacts: Compare and contrast the following terms: centric relation, intercuspal position, maximum intercuspation, and median occlusal position.

    Describe a Cusp-Fossa (C-F) Occlusal Scheme.

    Describe a Cusp-Marginal Ridge (C-MR) Occlusal Scheme including the number and position of contacts for each centric cusp.

    State the functional requirements of the contacting surfaces (interface) of the posterior teeth.

    Given an illustration of any posterior tooth, be able to show the positions) and name the tooth that opposes it for both C-F and C-MR occlusal schemes.

    State some possible sequelae seen with time when a lack of occlusal stability exists because of a failure to establish appropriate tooth-contacting relationships.
     
  4. Envelope of Mandibular Motion:Sagittal Plane: Give the names of the three axes of rotation for the mandible and describe the movement for each.

              State the only axis about which pure rotation of the mandible is clinically reproducible and
              describe the associated position of the condylar heads in the mandibular fossae.

              Describe rotation and translation and identify their relationship with the superior and inferior                                                                                            
              temporomandibular joint space.

              Define border movements and list the anatomical components that determine their limits.

              Identify a typical sagittal plane incisor point border movement diagram and the position of
              the condylar heads with respect to the fossae for any point on it.

              Describe in anatomic and functional terms why the superior and posterior aspects of the
              sagittal border diagrams have their characteristic appearance.

              Compare `clinical rest position` and the position at which elevator muscle activity is at a
              minimum.
     
  5. Envelope of Mandibular Motion:Transverse and Frontal Planes: Describe a `Gothic arch tracing` and identify its components with respect to mandibular position.
              
              Given a diagram of a posterior tooth (teeth) and an arrow representing cusp movement, determine the                                                                                                                                                                                            
              opposing cusp by name and state whether the mandibular movement is left or right and mediotrusive
              or laterotrusive.

              Identify a typical frontal plane incisor point border movement diagram and the position of the
              condylar heads with respect to the fossae for any point on it.

              Describe the relationship of the three border movement diagrams to the envelope of motion.  State
              the relationship of functional movements to the envelope of motion.

              Specify the conditions necessary for optimal occlusion.

              Describe the role of posterior teeth in satisfying the conditions of optimal occlusion.
     
  6. Functional Morphology and Mandibular Movement: Define the origin, insertion and synergism of the muscles of mastication.

               Discuss the changes in mandibular architecture associated with different feeding paradigms.

               Describe the translatory and rotary components of the human temporomandibular joint.

               Describe the relationship of the masseter-pterygoid sling.

               Identify the specific masticatory muscles primarily involved in four mandibular movements:
               protrusion, retrusion, clench/closing and hinge/opening and translation/wide opening.
     
  7. Masticatory Dynamics: Describe the functions of trigeminal alpha and gamma motor neurons as they relate to contraction of
               the masticatory muscles.

               Describe mandibular movement during mastication.

               Identify masticatory muscles involved in different components of the masticatory cycle.

               Describe appropriate rotatory and translatory activities in the TMJ during the masticatory cycle.

               Describe the movements that occur within a chewing cycle in both the frontal and sagittal planes.  
              
               Relate the various phases of the cycle to the occurrence of EMG activity in the muscles of
               mastication.

               Describe the changes in the masticatory cycle that result from variations in food consistency.                        
               Understand the possible mechanisms responsible for these variations.
     
  8. Masticatory Biomechanics: Identify relationships between biting force along the tooth row and reaction force at the TMJ.

    Describe the aspects of mandibular architecture that allow comparison with Class III levers.

    Discuss the components of the mandibular apparatus that allow for dissipation of masticatory forces.
     
  9. Axial Contours of Posterior Teeth: State the maximum faciolingual dimension of a crown in terms of the cervical width of a tooth.

    Describe the facial and lingual heights of contour for posterior crowns.

    List the heights of proximal contact and describe the contour between them and the cervical area of posterior teeth.

    Describe the shape of proximal transitional line angles as viewed from a lateral perspective.

    State the ideal relationship between adjacent marginal ridges.

    Describe the optimal position and contour of margins for artificial crowns.

    Explain the relationship existing between the axial cuspal contour lines of adjacent posterior teeth and how this is relevant to forming the axial surfaces of adjacent artificial crowns.
     
  10. Laboratory: Outline the procedure for developing opposing occlusal surfaces in wax using the method presented in Lundeen, H.C. Introduction to Occlusal Anatomy.

    State three aspects of cusp location determined by wax cones and give the advantage of their use.

    Demonstrate with articulator mounted casts left and right working side border movements and protrusion.

    Demonstrate the procedure for maintaining a constant occlusal vertical dimension for articulator mounted casts on which waxing is being performed.

    State the proper names for the elements of occlusal anatomy delineated by colored wax.

    Demonstrate proper waxing techniques which include finger rests and positioning of wax, heat and work,
    Demonstrate proper formation of cones, cusp ridges, triangular ridges, and marginal ridges maintaining separation of wax colors.

    Wax any posterior tooth occlusal surface to optimal occlusion, size and contour in 2.5 hours using the technique described in Lundeen, H.C. Introduction to Occlusal Anatomy
     

Sessions

001 Overview & Terminology of Occlusion

General Information

Date(s):    1/10/2002
Faculty:    Golden, William
 

Content Outline

Reading Assignment:
     Okeson: pp 3-27, 67-81
    Syllabus: pp 22-26, 9-11
     Lundeen: pp 1-19

002 LAB:  Preparation of Casts

General Information

Date(s):    1/10/2002
Faculty:    Golden, William
 

Content Outline

1.    Mounting of Casts
2.    Marking of Study Casts    
3.    Marking of Exercise Casts
4.    Mandibular Cast Reduction and Marking
5.    Mandibular Buccal Cones

003 Wax & Its Manipulation

General Information

Date(s):    1/17/2002
Faculty:    Gegauff, Anthony
 

Content Outline

Reading Assignment:
Syllabus: p 33, pp 27-29
O"Brien, ed 2, pp 147-148
Rosenstiel, et al, ed 3, pp 462-6
Lundeen, pp 19-28

004 LAB:  Maxillary Cast Preparation

General Information

Date(s):    1/17/2002
Faculty:    Golden, William
 

Content Outline

6.    Maxillary Cast Marking
7.    Maxillary Cast Reduction and Occlusal Marking
8.    Maxillary Buccal Cones

005 Static Tooth Contacts

General Information

Date(s):    1/24/2002
Faculty:    Wee, Alvin
 

Content Outline

Reading Assignment:
Okeson, pp 74-83
Syllabus, pp 30-32
Rosenstiel, et al, ed 3, pp 471-478
Lundeen, pp 29-37

006 LAB:  Mandibular & Maxillary Buccal Ridges

General Information

Date(s):    1/24/2002
Faculty:    Golden, William
 

Content Outline

9. Mandibular and Maxillary Buccal Ridges

007 Envelope of Mandibular Motion-Sagittal Plane

General Information

Date(s):    1/31/2002
Faculty:    Gegauff, Anthony
 

Content Outline

Reading Assignment:
Okeson, pp 93-101
Lundeen, pp 38-53

008 LAB:  Maxillary & Mandibular Ridges

General Information

Date(s):    1/31/2002
Faculty:    Golden, William
 

Content Outline

10. Maxillary Buccal Triangular Ridges
11. Maxillary and Mandibular MB and DB cusp ridges

009 MIDTERM EXAMINATION  7:30-8:20  room 1183

General Information

Date(s):    2/7/2002
Faculty:    Golden, William
 

Content Outline

Reading Assignment:
Lundeen, pp 53-63

010 LAB:  Maxillary Lingual Cones

General Information

Date(s):    2/7/2002
Faculty:    Golden, William
 

Content Outline

12. Maxillary Lingual Cones
13. Max. Ling. Cusp Ridges (MLCR, DLCR, LCR, TR)

011 Envelope of Mandibular Motion/ Optimal Occlusion

General Information

Date(s):    2/14/2002
Faculty:    Gegauff, Anthony
 

Content Outline

Envelope of Mandibular Motion-Transverse and Frontal Planes
Optimal Occlusion

Reading Assignment:
Okeson, pp 101-125

012 LAB:   Midterm Practical and Maxillary Marginal Ridges

General Information

Date(s):    2/14/2002
Faculty:    Golden, William
 

Content Outline

Midterm Practical evaluation due 10:00am
14. Max. Mesial and Distal Marginal Ridges
 

013 Functional Morphology & Mandibular Movement

General Information

Date(s):    2/21/2002
Faculty:    Alley, Keith
 

Content Outline

Reading Assignment:
Okeson, pp 3-27
Lundeen, pp 64-68

014 LAB:  Mandibular Buccal Triangular Ridges

General Information

Date(s):    2/21/2002
Faculty:    Golden, William
 

Content Outline

15.    Mandibular Buccal Triangular Ridges

015 Masticatory Dynamics

General Information

Date(s):    2/28/2002
Faculty:    Alley, Keith
 

Content Outline

Reading Assignment:
Okeson, pp 44-51
Lundeen, pp 69-71

016 LAB: Mandibular Lingual Cones & Cusp Ridges

General Information

Date(s):    2/28/2002
Faculty:    Golden, William
 

Content Outline

16.    Mandibular Lingual Cones
17.    Mandibular Lingual Cusp Ridges
    (MLCR, DLCR, TR, LCR)
 

017 Masticatory Biomechanics

General Information

Date(s):    3/7/2002
Faculty:    Alley, Keith
 

Content Outline

Reading Assignment:
Bradley, R, Basic Oral Physiology, 1981, pp 187-195

018 LAB: Mandibular Marginal Ridges & Refinement

General Information

Date(s):    3/7/2002
Faculty:    Golden, William
 

Content Outline

18.    Mandibular Mesial and Distal Marginal Ridges
19. Refinement (Final Grade)

019 Axial Contours of Posterior Teeth

General Information

Date(s):    3/14/2002
Faculty:    Golden, William
 

Content Outline

Reading Assignment:
Syllabus, p 44
Lundeen, pp 70-72

020 LAB: Final Practical

General Information

Date(s):    3/14/2002
Faculty:    Golden, William
 

Content Outline

20. Final Practical, #3

021 DIDACTIC FINAL EXAMINATION  TUESDAY, 8:30-9:20, Room 1187, TUESDAY

General Information

Date(s):    3/19/2002
Faculty:    Golden, William
 

022 LAB: MAKEUP FINAL PRACTICAL EXAMINATION 9:30-  12:20

General Information

Date(s):    3/9/2002-3/19/2002
Faculty:    Golden, William
 

Learning Resources

  1. Management of Temporomandibular Disorders&amp;Occlusion

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Okeson, JP
        Publishing House:    Mosby
        Edition/Version#:    4th
        Year Published:    1997
  2. Introduction to Occlusal Anatomy

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Lundeen, HC
        Publishing House:    Univ of FL Press
  3. Dent 433

        (Primary Resource)
        Resource Type:    Handout/Manual
        Year Published:    2000
  4. Contemporary Fixed Prosthodontics

        Primary Author:    Rosenstiel. SF
        Publishing House:    Mosby

Evaluation Methods Overview

    25 %    Final (Written) Exam
    25 %    Mid-Term (Written) Exam
    25 %    Lab Exam
    25 %    Lab Projects

Evaluation will be based on didactic and laboratory performance.  Please refer to the appropriate sections below for details.  Didactic and laboratory evaluations will be conducted separately.  A final `non-passing` grade in either the didactic or laboratory component will result in a grade of E for the course.

Didactic Evaluation

The student`s knowledge of the course objectives will be evaluated with the written midterm and final examinations.  The information sources are lectures, reading assignments, and the laboratory manual.  Often an examination question will require interpretation and application of the basic didactic assignment.  Where possible examination questions will be aimed at evaluating the student`s understanding of the objectives rather than an ability to commit words to memory.  Examination format will most likely consist of a sentence or phrase followed by numbered items, each requiring a true or false response.  As always, the course director retains the right to change the format of the examination, if unusual circumstances warrant it.  Should this be necessary every attempt will be made to inform the class of any such changes at the soonest possible time.  One hundred per cent will be awarded to the student or students earning the highest examination raw score.  Other students will be graded from the quotient of their examination raw score divided by the highest raw score, then multiplied by 100.  A simple mean will be calculated for the mid-term and final percentages.  It is not mandatory to pass both midterm and final exams as long as their mean is 65% or greater, Any student below 65% will receive an E grade for the course.  The didactic grade will be one-half the course grade.

Laboratory Evaluation

Daily work, midterm practical and final practical examination will be used to assess preclinical skills.  These three items will not be weighted equally, rather they will be apportioned as follows:

    Adjusted daily work    40%
    Practical average    60%
    Overall laboratory    100%

1Please see description which follows under heading `Adjustment of daily work evaluations`.  Turn to page l5 for an example of the evaluation record upon which your bench instructor will enter grades for daily work.


Laboratory work will be evaluated using the following scale:

4    Outstanding work; meets or exceeds evaluation criteria.

3    Good work; minor improvement needed to meet the evaluation criteria.

2    Minimally acceptable; significant improvement needed to meet the evaluation criteria.

1    Unacceptable; failure to meet most of the evaluation criteria.

0    Failure to meet any of the evaluation criteria, failure to submit work which is due or submitting work which is a result of academic misconduct.

Grades may be awarded in increments of 0.25. A`non-passing`grade would result from a grade below 2.0 since these are below minimum acceptable standards.  The total laboratory grade will be one-half the course grade, but the student must pass the laboratory part of the course or face summer remediation.


Consistent with clinical evaluation, daily grades will reflect not only the finished product but the following as well:

1 .    Preparation - having read the assigned pages in the manual before that day`s laboratory and adhering to instructions.
2.    Organization/Completeness of required equipment - (See below for itemized list under Required Laboratory Material and Equipment). Sharing equipment is not acceptable.
3.    Self-assessment - ability to recognize attributes and deficiencies in work submitted for evaluation.

It is important for the student to work consistently and efficiently on the laboratory exercise in order to develop necessary waxing skills and to complete the project by the end of the quarter.  To this end, the evaluation deadlines indicated on schedule should be met.  If a deadline is not met, minus 0.5 will be deducted from a task evaluation for each session of lateness.

Please note that it is the student`s responsibility to ensure bench instructors have recorded evaluations at the time work is submitted.

Adjustment of daily work evaluations

Each laboratory group will be assigned an instructor who will remain with that group throughout the course.  This policy enhances student/faculty continuity.  Although faculty strive to promote evaluation consistency by attending weekly meetings, students often perceive grading differences.  Some perceptions may be accurate, some may result from the`grass-is-greener`phenomenon.

In contradistinction with faculty differences is the potential inequality of student laboratory groups.  The complaint has been heard that each group may not be equal with respect to student skills.  Therefore, a group with an average higher than another group may be proper, and not an indication of inconsistent instructor grading.

To address these student concerns which have been raised in previous years, the mean daily grade for each student will be adjusted to account for both faculty and student group differences.  This is accomplished with the following formula:

Adjusted daily grade =[individual MDG]      X     class MDG  
                                          group MDG
    
Where MDG is the Mean Daily Grade.
        
Adjusted daily, midterm and final practical grades will be weighted and combined to determine the overall laboratory evaluation.  An overall laboratory evaluation below 2.0 is non-passing, which requires a final course grade of E. For the purpose of combining the laboratory with the didactic evaluation, the overall laboratory evaluation will be converted to a percentage.  This conversion will be performed as follows:

Overall laboratory evaluation (percent) = 100 - [17.5 x (4 - L)] where L = Overall laboratory evaluation (O - 4 scale) EXAMPLE:

     Daily Average..............………    2.5 x .40 = 1.0    
     Practical grade…............……..3.0 x .60 = 1.8    
     Overall laboratory (0-4 scale)                      2.8    4.0-2.8= 1.2
     Overall laboratory (per cent) 100 - [17.5 x 1.2 = 100 - 21 = 79%

Final course grades

A simple mean will be calculated from the didactic and laboratory percentages to yield the course percentage (final lab grade + final didactic grade).
                                          2
Final course letter grades will be awarded as follows:                              


`A`    90%
`B`    > 80%; < 90%
`C`    > 65%; < 80%

`E`    Those receiving a `non-passing` grade: < 65% in the didactic and/or < 2.0 in the laboratory components.
 

Policy and Procedures

Required Laboratory Material and Equipment

All 12 of the following items must be visible on the bench top during each laboratory session for each student:

1. Study casts.
2. Articulator and exercise casts.
3. Lundeen Waxing Manual.
4. All five PKT waxing instruments.
5. Hard inlay wax (yellow, red, green, blue).
6. Bunsen burner.
7. Cotton cleaning cloth.
8. Double-ended plate brush.
9. Powdered wax.
10. Bow dividers.
11. Fine pointed lead pencil.
12. Miller forceps and articulating film.

Please be considerate of your fellow students and faculty.  Radios, CD or tape players, etc. can be annoying and distracting to others.  If you must have audible diversion, headphones are required with the volume adjusted to levels that cannot be heard by your neighbors.

Attendance

Due to the use of projected visuals during lectures and the need for faculty interaction at laboratory sessions student attendance for both is mandatory.  If an absence is completely unavoidable you must report the reason in writing to the Course Director upon return to class.  Absences should also be reported to the Dean`s Office.  Each absence in lecture or laboratory for which there is insufficient reason (as judged by the course director) will result in the loss of 2% in final didactic and/or laboratory percentages.  Please note that this could result in a lowered final letter grade for the course.


Academic Misconduct

Accurate evaluation of student knowledge and skill is the cornerstone of any academic institution.  When this process is subverted by student misconduct it can destroy the reputation of an entire college and cast doubt upon all of its graduates, even those who have maintained the highest integrity and possess superior abilities.  Although isolated incidents may seem trivial,  collectively they may pose a threat to the future of the College.  Because of the potential seriousness of misconduct and the fact that no one is immune to its damage, including faculty, we must all act decisively and with conviction when academic misconduct is observed.  Student participation in the process is essential; it cannot be accomplished by the faculty alone.  I pledge to actively support any effort to expose and report misconduct to the Associate Dean of Academic Affairs.  Referral to the  Professional Committee will be reflected in the student`s academic record and may result in sanctions or dismissal from the College.

Students are encouraged to seek advice from the Course Director if there is any doubt regarding the academic propriety of their actions or intentions.  In order to clarify what constitutes academic misconduct in Dent 433, the following is provided: All work turned in for evaluation must represent that individual`s independent effort.  In the case of laboratory projects or exams, even partial completion of the work by another student is unacceptable conduct.  No copies of previous quizzes or examinations have been released.  Student possession or  use of any other study materials representing previous or future examinations will be considered misconduct.  Knowledge of such materials should be reported to the course director at the soonest possible time.

532 Occlusion II:Form & Function/ Ant. Teeth

532 Occlusion II:Form & Function/ Ant. Teeth

General Information

Course Director: Dr. Anthony Gegauff
Office/Phone: 3001-R Postle Hall / 292-0774
Office Hours: Monday, 12:30-1:00pm, Wednesday, 8:00-8:30am
Quarter/Year: Spring, 2000 /  Dent I
Location: Lecture: 1183 Postle Hall    LAB: 005 Postle Hall
Class Time: Thursdays, 12:30 - 4:30 pm
Credit Hours: 2

Purpose

Dent 532 is a two credit hour lecture and laboratory course which is the second of three in the occlusion core curriculum.  In the prerequisite course, Dent 433, posterior teeth were emphasized and in this course anterior teeth are the major focus.  The final core course is Dent 630 which draws upon learning from the previous courses to prepare you to participate in diagnosing and treating patients with advanced restorative needs.

      Seven 50 minute lectures will help the student explore the influence of anterior teeth on posterior counterparts, anterior contour/ esthetics, mandibular translation, speech, dental forces and biomechanics, guidance considerations for restoring patients with malocclusion, and an introduction to orthodontic and surgical correction of malocclusion.   Lectures are not intended to be a repetition of the reading assignments.  They are intended to augment reading or provide information which is not presented in textbooks.  Likewise some of the reading assignments are not covered in lecture.  Lecture time will not be used as specific preparation for the succeeding laboratory session.  Short lectures at the beginning of laboratories, the manual, and bench instructors will provide information needed to accomplish laboratory exercises.

    Laboratories are designed to illustrate and develop some of the material which is covered in the didactic portion of the course.  The laboratory comprises three categories of exercises, functional contouring of anterior teeth, custom incisal guide table fabrication, and functional contouring of a posterior tooth using the cusp-fossa occlusal scheme.


    Course Goal

    The goal of this course is to enable the student to explore the function and esthetics of anterior teeth and to more fully comprehend and visualize mandibular movement as critical elements in providing optimal restorative dental treatment.

Outcomes

  1. Definition of Terms: Be able to identify a word or phrase listed in the Manual Occlusion Glossary when given its definition.  Conversely, be able to define or identify the definition of a word or phrase listed in the glossary.
  2. Describe Angle Class I for Anterior Teeth: Given any anterior tooth, describe in detail the normal or optimal (Angle Class I) opposing articulation during maximum intercuspation (static contacts).  The description must include opposing tooth numbers and the location of the articulation for all involved teeth [e.g. given #8, the description would be: #25 incisal edge (mesial) with mesial marginal ridge #8; #26 incisal edge (meisal) with distal marginal ridge #8].
  3. Locations of Occlusal Contact Pathways: Describe the locations of the occlusal contact pathways which occur during protrusion, retrusion  and lateral movement for optimal occlusion and for non- optimal occlusions in which posterior interferences occur.
  4. Determinants of Occlusion: List and describe the effect of the "determinants of occlusion". Include angle of the eminence, vertical and horizontal overlap, anterior guidance angle, plane of occlusion and anteroposterior  curve (curve of Spee).
  5. Identify Cusps and Mandibular Movements: Given a diagram of a posterior sextant and an arrow representing cusp movement, determine the opposing cusp by name and state whether the mandibular movement is left or right and working or non-working (laterotrusive or mediotrusive).
  6. Positions of TMJ Condyles Relative to Incisor Positions: Describe the relative positions of the TMJ condyles (in terms of mandibular fossa features) for any given incisor position in the envelope of motion.  The given position may be indicated in a sagittal, frontal or transverse plane view.
     
  7. Superior Aspect of Envelope of Motion: Describe the superior aspect of the envelope of motion viewed in the sagittal and frontal planes for the functional range of mandibular movement.  Include in your description transverse horizontal axis (THA) of rotation, transverse horizontal axis contact position (THACP), maximum intercuspation position (MIP), and the superior, anterior, and lateral components of the discrepancy between THACP and MIP.
     
  8. Symmetry of Embrasures: Describe the concept of "symmetry of embrasures" as presented in lecture.
  9. Features of Adjacent Teeth:     List features of adjacent teeth which are helpful in forming wax patterns that closely resemble natural tooth contour.  Include specific profiles, embrasures and heights of contour.
  10. Profile Characteristics of Anterior Teeth: For any anterior tooth recognize the profile characteristics for labial, incisal, and lateral aspects as outlined in the Manual Appendix, Anterior Tooth Anatomy Guide.
     
  11. Mandibular Lateral Translation (Bennett Movement(: Define mandibular lateral translation (Bennett movement).  Describe quantity, timing, direction and the two anatomical elements most responsible for its expression.
  12. Influence of Bennett Movement on Restoring Posterior Teeth: Describe the influence mandibular lateral translation (Bennett movement) has on restoring posterior teeth (cusp height; ridge and groove direction) and be able to identify in a diagram the altered cusp pathway resulting from such movement.
  13. Custom Incisal Guide Table: List the uses of a custom incisal guide table and given a diagram of one, identify which regions of the surface correspond to a particular mandibular movement.
  14. Speech Sounds:     Describe specific speech sounds and the anatomical parts used to make those sounds. State which sounds are dependent on teeth.
  15. Intraoral Appliances - Effect on Speech: When intraoral appliances are introduced, state the period  of time after which no improvement in speech is likely.
  16. Speech Accommodations to Dental Prostheses: Describe patient-to-patient variability for making speech accommodations to dental prostheses and relate difficulty of accommodation to general areas of the mouth.
  17. Functional and Parafunctional Activity: State the relative amount and time distribution of occlusal forces for functional and parafunctional activity.
  18. Mandible as a Lever:     Describe how the mandible may be considered a lever (sagittal view) and what effect anterior guidance has on the forces exerted on the teeth.
  19. Mandible as a Lever During Lateral Excursion w/ Interference: State the class of lever represented by the mandible during a lateral excursion with a non-working side interference (canines out of contact), and what adverse effects this may have on the stomatognathic system.
  20. Optimal Occlusion: Define optimal occlusion and specify five conditions which must be met in order for it to exist.
  21. Canines Provide Anterior Guidance: State the two main reasons for the canines being particularly well suited to providing mandibular guidance.
  22. Cusp-Marginal Ridge & Cusp-Fossa Occlusal Schemes: Compare and contrast cusp-marginal ridge and cusp-fossa occlusal schemes with respect to the relative position of each of the maxillary and mandibular centric cusps.
  23. Advantages of Cusp-Fossa vs. Cusp-Marginal Ridge: List two purported advantages of the cusp-fossa occlusal scheme which are not found in the cusp-marginal ridge arrangement.
  24. Cusp-Fossa Waxing Procedures: Outline the sequence used in cusp-fossa waxing procedures.
  25. Alternatives to Optimal Occlusion Scheme: When restoring patients with malocclusion or missing teeth describe alternatives to the "optimal occlusion" scheme.
  26. Hierarchy of Treatment for Spectrum of Malocclusion: State the hierarchy of treatment for the spectrum of malocclusion beginning with minor dental and ending with severe skeletal discrepancies.  Be able to accurately recognize the millimeter limits of adult orthodontic anterior tooth movement in the sagittal plane as specified by Dr. William Proffit.
  27. Form Wax Pattern Consistent w/ Optimal Occlusion & Anatomy: Given any prepared anterior tooth on mounted casts, be able to form a wax pattern consistent with optimal occlusion and proper anatomic size and shape.  The pattern should be made primarily by wax-added rather than carving techniques.  This must be accomplished in the allotted time for the laboratory practical.
  28. Form Custom Incisal Guide Table: Form a custom incisal guide table which closely meets the requirements specified in the laboratory manual.
  29. Create Posterior Occl. Surface using Cusp-Fossa Wax-Added: Be able to create a posterior occlusal surface consistent with optimal occlusion and proper anatomic size and shape using the Cusp-fossa Wax-added Technique.

Instructional Sessions

001 Occlusion of Ant.Teeth & Determinants of Posterior Occlusal Morphology

General Information

Date(s):    3/30/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment:  pp84-92;127-137{2-4} (review), 93-108 (review) {5-7} Occlusion Glossary, Manual pp 27-33 {1}

002 LAB  Mount Casts;Contour Incisal #22

General Information

Date(s):    3/30/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment:  Manual pp 1-7

003 LAB  Contour #6[1]

General Information

Date(s):    4/6/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment:Manual pp 7-10
 

004 Anterior Tooth Contour and Esthetics {8-10}

General Information

Date(s):    4/13/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment: Manual pp 34-41 {10}; Manual pp 11-16 {13}
 

005 LAB Complete #6 [1]

General Information

Date(s):    4/13/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment: Manual pp 11-16 [2]

006 Mandibular Translation: biomechanics & clinical implications
        --(Review of Mandibular Movement)

General Information

Date(s):    4/20/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment:  pp 137-146 {11,12}

007 LAB: Make Custom Guide Table [2]

General Information

Date(s):    4/20/2000
Faculty:    Gegauff, Anthony
 

008 Didactic mid-quarter exam

General Information

Date(s):    5/4/2000
Faculty:    Gegauff, Anthony
 

009 LAB: Contour #7 [1]

General Information

Date(s):    5/4/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment:  Manual pp 16-17

010 Dental Forces & Biomechanics of Masticatory System

General Information

Date(s):    5/11/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment: pp 67-69; 44-51; 115-125

011 LAB:  Laboratory Exam

General Information

Date(s):    5/11/2000
Faculty:    Gegauff, Anthony
 

012 The Role of Teeth in Speech     {14-16}

General Information

Date(s):    5/18/2000
Faculty:    Gegauff, Anthony
Guest:    Mr. Gibbons/Mr. Nissen
 

Content Outline

Assignment:  pp 54-55 {14}

013 LAB: Complete #8; Begin Contour #10 [1]

General Information

Date(s):    5/18/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment:  Manual, p 18

014 Guidance Considerations When Restoring Teeth {25,26}

General Information

Date(s):    5/25/2000
Faculty:    Holloway, Julie
 

Content Outline

Assignment: pp 75-77 (Rosenstiel, et al. Contemporary Fixed Prosthodontics, 2nd ed. , St. Louis, Mosby-Year Book 1995); Manual pp 311-317 (Shillingburg, et al.) {22-24}

Student Evaluation of Teaching

015 LAB  Complete #10; Wax #20   [3]

General Information

Date(s):    5/25/2000
Faculty:    Gegauff, Anthony
 

Content Outline

Assignment:  Manual pp 19-23  [3]

016 Orthodontic Correction of Malocclusion

General Information

Date(s):    6/1/2000  12:30 -12:55pm
Faculty:    Vig, Katherine Dryland
 

017 Surgical Correction of Malocclusion

General Information

Date(s):    6/1/2000  1:00 - 1:20 pm
Faculty:    Ness, Gregory
 

018 DIDACTIC FINAL EXAM 

General Information

Date(s):    6/1/2000      1:30 - 2:20 pm
Faculty:    Gegauff, Anthony
 

019 LABORATORY FINAL EXAM

General Information

Date(s):    6/1/2000    2:30 - 4:30 pm
Faculty:    Gegauff, Anthony
 

Learning Resources

  1. Management of TM Disorders and Occlusion

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Okeson, J.P.
        Publishing House:    C.V. Mosby
        City, Country:    St. Louis
        Edition/Version#:    4th
        Year Published:    1998
  2. Dent 532 Manual

        (Primary Resource)
        Resource Type:    Handout/Manual
        Year Published:    2000

Evaluation Methods Overview


Didactic and laboratory evaluations will be conducted separately.  A final `non- passing` grade in either the didactic or laboratory component will result in a grade of E for the course.  If the didactic grade is equal to or greater than 65% and the final Overall Laboratory grade is below 2.0 but greater than or equal to 1.8, the course director has the discretion to award an `IE` instead of an `E`.

Didactic evaluation

    Student knowledge of the course objectives will be evaluated with two written examinations.  Information sources are lectures, reading assignments, and the laboratory manual.  Often an examination question will require interpretation and application of assigned material.  Where possible examination questions will be aimed at evaluating the student`s understanding of the objectives rather than an ability to commit words to memory.  Examination format will most likely consist of a sentence or phrase followed by numbered items, each requiring a true or false response.  As always, the course director retains the right to change the format of the examination, if unusual circumstances warrant it.  Every attempt will be made to inform the class of any such changes at the soonest possible time.  Evaluation of the examinations is based on a relative scale.  One hundred per cent will be awarded to the student or students earning the highest exam score.  Other students will be graded from the quotient of their exam score divided by the highest exam score, then multiplied by 100.  Each student`s examination percentages will be averaged with equal weight to determine the final didactic grade.  A student with a final didactic grade below 65% will receive an E for the course.

Laboratory evaluation

    Daily work, mid-quarter and final laboratory examinations will be used to assess performance.  These will be apportioned as follows:

    Adjusted daily work           20%
    Mid-Quarter practical         20%
    Final practical                     60%
    Overall laboratory             100%

Criteria for laboratory evaluation will consider preparation and organization as well as the technical product:

    4    Outstanding work; little or no improvement needed.
    3    Good work; minor improvement desirable.
    2    Minimally acceptable; significant improvement desirable.
    1    Unacceptable; improvement mandatory.
    0    Failure to achieve even minimal acceptance in any aspect of the work under evaluation, failure to recognize a serious             error or failure to submit work which is due.

Grades may be awarded in increments of 0.5.  A `non-passing` grade would result from a 0.0, 0.5, 1.0, or 1.5 since these are below minimum acceptable standards.

Adjustment of daily work evaluation

    Each laboratory group will be assigned an instructor who will remain with that group throughout the course.  This policy enhances student/faculty continuity.  Although faculty strive to promote evaluation consistency by attending weekly meetings, students often perceive grading differences.  Some perceptions may be accurate, some may result from the `grass-is-greener` phenomenon.

    In contradistinction with faculty differences is the potential inequality of student laboratory groups.  The complaint has been heard that each group may not be equal with respect to student skills.  Therefore, a group with an average higher than another group may be proper, and not an indication of inconsistent instructor grading.

    To address these student concerns which have been voiced in previous years, the mean daily grade for each student will be adjusted to account for both faculty and student group differences.  This is accomplished with the following formula:


    Adjusted daily grade =

    [individual mean daily grade]     X    class mean daily grade
                                                            group mean daily grade

                                                      X    group mean practical grade
                                                             class mean practical grade

    Adjusted daily and final practical grades will be weighted and combined to determine the overall laboratory evaluation.  An overall laboratory evaluation below 2.0 is non-passing which  requires a final course grade of E.  For the purpose of combining the laboratory with the didactic evaluation, the overall laboratory evaluation will be converted to a percentage.  This conversion will be performed as follows:

    Overall laboratory evaluation (percent) = 100 - [17.5 x (4 - L)]

        where L = Overall laboratory evaluation (0 - 4 scale)

Final course grades

    The didactic and laboratory percentages will be combined on an equal basis to yield the course percentage.  Final course letter grades will be awarded as follows:

        `A`     >86%

        `B`     >80%; < 86%

        `C`    >65%; < 80%

        [`IE`     >65% didactic; overall lab grade  1.8; < 2 (course director`s discretion)*]

        `E`    Those receiving a `non-passing` grade: < 65% in the didactic and/or < 2.0 in the laboratory components.

*  Factors to be considered: attendance and tardiness, preparedness, organization.


 

Policy and Procedures

Due to the use of projected visuals during lectures and the need for faculty interaction at laboratory sessions student attendance for both is mandatory.  If an absence is completely unavoidable you must report the reason  in writing to the Course Director upon return to class.  Absences should also be reported to the Dean`s Office.  Each absence in lecture or laboratory for which there is insufficient reason will result in the loss of 2% in final didactic and/or laboratory percentages.   Please note that this could result in a drop in the final letter grade for the course.

Students needing special accommodation to participate and complete this course are asked to meet individually with the Course Director.

    Academic Misconduct

Accurate evaluation of student knowledge and skill is the cornerstone of any academic institution.   When this process is subverted by student misconduct it can destroy the reputation of an entire college and cast doubt upon all of its graduates, even those who have maintained the highest integrity and possess superior abilities.  Although isolated incidents may seem trivial, collectively they may pose a serious threat to the future of the  College.  Because of the potential seriousness of misconduct and the fact that no one is immune to its damage, including faculty, we must all act decisively and with conviction when academic misconduct is observed.  Student awareness of their role is essential and discussion of this important issue is encouraged.  I pledge to actively support any effort to expose and report misconduct to the Associate Dean of Academic Affairs.  Referral to the  Professional Committee will be reflected in the student`s academic record and may result in sanctions or dismissal from the College.

Students are urged to seek advice from the Course Director if there is any doubt regarding the academic propriety of their actions or intentions.  In order to clarify what constitutes academic misconduct in Dent 532, the following is provided:  All written or laboratory work turned in for evaluation must represent that individual`s independent effort.  In the case of laboratory projects or exams, even partial completion of the work by another student is unethical conduct.  With respect to study for written examinations only two previous examinations have been released.  They are the mid-term examination for 1987 and the final examination for 1992.  The latter is included in the course Manual Appendix (page 53).  Student possession or use of any other study materials representing previous or future examinations will be considered misconduct..  Knowledge of such materials should be reported to the course director at the soonest possible time.

Year 2

538 Conserv. Complex Indirect Esthetic Rests

538 Conservative&Complex Indirect Esthetic R

General Information

Course Director: Dr. Robert Seghi
Office/Phone: 3005-R Postle Hall / 292-6068
Office Hours: arranged
Quarter/Year: Autumn / 2001 Dent II
Location: Lecture-1187 Postle Hall   LAB-005 Postle Hall
Class Time: Wednesdays, Lecture: 12:30-1:30pm     Lab: 1:30-4:30pm
Credit Hours: 2

Purpose

Restorative Dentistry 538 is a didactic and laboratory course developed to give the student experience and knowledge of complex indirect esthetic single tooth restorations.  The student will become familiar with conservative and esthetic treatment options that can be used to restore posterior teeth that are weakened by large intracoronal restorations.   Direct composite restorations and indirect fabricated cast metal, composite and ceramic inlays and onlays are the procedures that will be covered.

    The student will also become familiar with conservative complex esthetic procedures that can be utilized in the anterior regions of the mouth.  The student will learn to perform direct and indirect composite and ceramic labial veneers for a variety of clinical situations.

    Dent 538 is a two credit hour course that consists of both a lecture and a laboratory component.  The lectures will be designed to strengthen and reinforce the required reading as well as provide the most up-to-date information on these techniques and materials which may not be found in the current text.  The laboratory exercises are designed to give the student hands on experiences with the covered procedures and reinforce the reading and lecture materials.
 

Outcomes

  1. Etiology and Pathology of Recurrent Decay: Understand the etiology and pathology of secondary or recurrent decay.
  2. Replacing Existing Restorations: Determine the factors which need to be considered when deciding whether to replace exisitng restorations.
  3. Suitable Teeth for Cast Metal Onlay/Inlay: Determine which teeth are suitable candidates for a cast metal onlay or inlay and what the advantages and disadvantages of these treatments are.
  4. Suitable Teeth for Direct Composite: Determine which teeth are suitable candidates for direct composite restorations and the advantages and disadvantages of the use of these materials.
  5. Basic Properties of Materials: Understand the basic properties of and differences between metals, ceramics, and composites.
  6. Preparation Designs for Inlays and Onlays: Describe the differences in preparation designs used for cast metal, ceramic, and composite inlays and onlays.
  7. Direct Composites for Veneers and Diastema Closure: Describe the advantages and disadvantages of using direct placement composites for veneering teeth and closing diastemas.
  8. Composites for Restoring Anterior Teeth: Describe the main types of composite that are used for restoring anterior teeth and the advantages and disadvantages of each of the materials.
  9. Indirect Bonded Ceramics for Veneering and Diastema Closure: Describe the advantages and disadvantages of using indirect resin bonded ceramics for veneering teeth and closing diastemas.
  10. Porcelain Shade Modification: Describe the procedures used to modify the shade of porcelain labial veneers.
  11. Bonding Ceramic or Composite to Enamel and Dentin: Describe the procedures used to bond ceramic or composite to enamel and dentin.
  12. Remove Existing Restorations: Remove existing restorations without damage to the existing remaining tooth structure.
  13. Direct Posterior Composite Restorations: Learn the techniques required to produce successful direct posterior composite restorations to replace amalgam.
  14. Modify Tooth Structure for Cast Metal Inlay/Onlay: Modify remaining posterior tooth structure to accept a cast metal inlay or onlay.
  15. Modify Tooth Structure for Composite or Ceramic Inlay/Onlay: Modify remaining posterior tooth structure to accept an indirect fabricated composite or ceramic inlay or onlay.
  16. Fabricate Lab Processed Composite Restoration: Fabricate a laboratory processed composite restoration.
  17. Veneering and Diastema Closure with Direct Resin Techniques: Modify anterior teeth with direct resin bonding techniques to close diastemas and veneer the surface to modify shade and/or contour of existing teeth.
  18. Modify Ant. Teeth for Porcelain Veneers: Modify anterior tooth structure to accept a porcelain labial veneer.
  19. Bonding of Resin and Ceramic Restorations: Bond a resin or ceramic restoration to existing tooth structure and understand the different techniques used to bond to dentin and enamel.

Sessions

001 Recurrent Decay and Restoration Removal

General Information

Date(s):    9/26/2001
Faculty:    Seghi, Robert
 

Content Outline

Reading Assignment:
Recurrent Decay
The Art and Science of Operative Dentistry
recurrent caries pp187-193, 295
 

002 LAB-Place MOD amalgams(3 x#30, 12)

General Information

Date(s):    9/26/2001
Faculty:    Seghi, Robert
 

Content Outline

Recurrent caries assessment on natural teeth.

003 Replacing Amalgam with Direct Posterior Composite Restorations

General Information

Date(s):    10/3/2001
Faculty:    Seghi, Robert
 

Content Outline

QUIZ
Reading Assignment:
WEEK 2    Direct Posterior Composite Restorations
Tooth Colored Restoratives
Chapters 11a, 11f, 11g
The Art and Science of Operative Dentistry    
Chapter 17 pp 590-608

004 LAB - Direct Composite

General Information

Date(s):    10/3/2001
Faculty:    Seghi, Robert
 

Content Outline

mount extracted tooth
MOD prep, GI base, adhesives, direct composite placement, finish and polish

005 Conservative Posterior Cast Metal Restorations

General Information

Date(s):    10/10/2001
Faculty:    Seghi, Robert
 

Content Outline

        QUIZ

Reading Assignment:
WEEK 3    Cast Gold Inlays and Onlays cont.
The Art and Science of Operative Dentistry
Cast Metal Inlays and Onlays pp 688-724
 

006 LAB - Remove amalgam/ Modify for Onlay preps

General Information

Date(s):    10/10/2001
Faculty:    Seghi, Robert
 

Content Outline

remove MOD amalgam #30
modify to MOD cast metal onlay
2 preps

007 Conservative Esthetic Posterior Indirect Restorations

General Information

Date(s):    10/17/2001
Faculty:    Seghi, Robert
 

Content Outline

QUIZ
Reading Assignment:
WEEK 4    Indirect Tooth Colored Inlays and Onlays
The Art and Science of Operative Dentistry
Esthetic Inlays and onlays pp 609-625
 

008 LAB -Esthetic Onlay

General Information

Date(s):    10/17/2001
Faculty:    Seghi, Robert
 

Content Outline

Mount extracted tooth, prepare esthetic onlay, impression, model
 

009 Conservative Esthetic Posterior Indirect Restorations

General Information

Date(s):    10/24/2001
Faculty:    Seghi, Robert
 

Content Outline

QUIZ
Reading Assignment:
WEEK 5    
The Art and Science of Operative Dentistry
Cementation and Finishing Esthetic Inlays and Onlays pp 620-624

Tooth Colored Restoratives
Chapter 7c (pp 7c-1 to 7c-6) resin-resin bonding

010 LAB -Composite Onlay

General Information

Date(s):    10/24/2001
Faculty:    Seghi, Robert
 

Content Outline

Fabricate composite onlay, cementation of onlay, finish and polish techniques

011 Closing Diastemas with Direct Composite

General Information

Date(s):    10/31/2001
Faculty:    Seghi, Robert
 

Content Outline

QUIZ
Reading Assignment:
The Art and Science of Operative Dentistry
Closing Diastemas with composites pp 627-642

Tooth Colored Restoratives
Chapter 9 (pp 9-1-9-9)

012 LAB - Close Diastema with Composite

General Information

Date(s):    10/31/2001
Faculty:    Seghi, Robert
 

Content Outline

Mount denture teeth, close diastema with composite

 

013 Veneering Anterior Teeth with Direct Composite

General Information

Date(s):    11/7/2001
Faculty:    Seghi, Robert
 

Content Outline

QUIZ
Reading Assignment:
WEEK 7
The Art and Science of Operative Dentistry
Direct Veneers pp 649-656

Tooth Colored Restoratives
Chapter 10 (pp 10-1 to 10-18 finishing and polishing composites)

014 LAB - Veneer Preparation and Restoration with Composite

General Information

Date(s):    11/7/2001
Faculty:    Seghi, Robert
 

Content Outline

Veneer preparations on 8,9 and restore with composite resin

015 Veneering Anterior Teeth with Porcelain

General Information

Date(s):    11/14/2001
Faculty:    Seghi, Robert
 

Content Outline

QUIZ
Reading Assignment:
WEEK 8
The Art and Science of Operative Dentistry
Indirect Veneers pp 656-660
 

016 LAB -Porcelain Veneer Preps

General Information

Date(s):    11/14/2001
Faculty:    Seghi, Robert
 

Content Outline

Porcelain labial veneer preparations.
Facial only, extend to cover incisal edge.

017 Color Modification/Cementation of Veneers

General Information

Date(s):    11/21/2001
Faculty:    Seghi, Robert
 

Content Outline

QUIZ
Reading Assignment:
WEEK 9
The Art and Science of Operative Dentistry
Cementation of veneers pp 661-663

Tooth Colored Restoratives
Chapter 7a Enamel Bonding (pp 7a-1 to 7a-10)

018 LAB - Fabricate and Cement Veneer

General Information

Date(s):    11/21/2001
Faculty:    Seghi, Robert
 

Content Outline

Fabricate veneer on typodont, cementation procedure, practice for practical.

019 FINAL WRITTEN EXAM

General Information

Date(s):    11/29/2001
Faculty:    Seghi, Robert
 

020 FINAL PRACTICAL EXAM (veneer preparation)

General Information

Date(s):    11/29/2001
Faculty:    Seghi, Robert
 

Learning Resources

  1. The Art and Science of Operative Dentistry

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Sturdevant
        Publishing House:    Mosby
        Edition/Version#:    3rd
  2. Tooth-Colored Restoratives

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Albers
        Publishing House:    Alto Books
        Edition/Version#:    8th
        Year Published:    1996

Evaluation Methods Overview

    40 %    Final (Written) Exam
    30 %    Other (Written) Exam
    15 %    Lab Exam
    15 %    Lab Projects

To pass the course, the student must pass both the didactic and laboratory portions.  Failure of one or the other will result in a failure of the entire course.  The grading will be done based on the following criteria:
    A = 90%-100%
    B = 80% - 89%
    C = 65% - 79%
    Non Passing = below 65%
Didactic Portion (70%)
     Daily Quizzes (30%)    
The best 6 out of 8 quiz scores will be used to calculate 35% of your grade.  The daily quizzes will be based on the reading that is due the day of the lecture.  The quizzes will consist of 5 questions (true/false, multiple choice or short narrative.)

Written Examinations (40%)
    A written Final Examination will be comprehensive.  The written examinations will consist of true/false, multiple choice, or short narrative questions based on the lecture and reading materials.  The final exam will compose 40% of your grade.
    A = 90%-100%
    B = 80% - 89%
    C = 65% - 79%
    Non Passing = below 65%

Laboratory Portion (30%)
    Weekly Laboratory Attendance and Laboratory Projects (15%)
    The laboratory portion of the course is required.  15% of your overall grade will be based on attendance and completion of all projects.  You must complete all projects to a satisfactory level (grade 2 or 4).   Any missed laboratory or unsatisfactory project grades must be made up on your own time and turned in the following week for evaluation.  The laboratory projects performed daily will be graded and signed by the instructor upon completion.
    
    The grading of projects will be criteria based and each criterion will be evaluated as either 0, 2, 4.
    a grade of 0 is considered not clinically acceptable.
    a grade of 2 is considered just clinically acceptable.
    a grade of 4 is considered exceptional.
    
    Practical Exam (15%)
    There will be one final practical examination that will be 15% of your grade.  The Final practical will consist of preparing an anterior tooth to receive a porcelain labial veneer.  The 0, 2, 4 grading scheme will be utilized for all criteria graded.  

    The overall practical grade is determined by averaging the individual grades from each criterion and will be translated into a % based on the following criteria
    a grade of 1.0 is considered not clinically acceptable. (50%)
    a grade of 1.5 is considered not clinically acceptable. (60%)
    a grade of 2.0 is considered just clinically acceptable. (70%) This is considered a minimal passing grade
    a grade of 2.5 is considered average. (80%)
    a grade of 3.0 is considered above average (90%)
    a grade of 3.5 is considered very good (100%)

Policy and Procedures

ATTENDANCE
    Attendance in both laboratory and lecture sessions is mandatory.  The course director should be notified as soon as possible in emergency situations where students must miss class.  Make up work for missed exams, and laboratory sessions will be determined on an individual basis by the instructor.

ACADEMIC MISCONDUCT
    Students are expected to maintain standards of professionalism in regard to their academic conduct.  Students who illicitly obtain copies of the examinations, copy from other`s work, or allow others to copy their work, may face charges of academic misconduct.  Students who have questions regarding this issue should contact the course director.  The course director will report cases of academic misconduct to the  Professionalism Committee.

630 Complex Prosthodontic Dx & Tx Planning

 630 Diagnosis & Treatment Planning Procedures for Rehabilitating Partially Dentulous              Patients

General Information

Course Director: Lisa A. Knobloch, DDS, MS
Office/Phone: 3001-E Postle Hall / 292-1465
Office Hours: Tuesday 8:30-9:30
Quarter/Year: Spring / 2001           Dent II
Location: lecture:  1187 Postle Hall                       LAB:   005 Postle Hall
Class Time: lecture: Fridays, 7:30-8:30am        LAB:  Fridays, 8:30-11:30am
Credit Hours: 2

Purpose

    Dentistry 630, Diagnosis and Treatment Planning Procedures for Rehabiliting Partially Dentulous Patients,  is a 2 credit hour course required of second year dental students.  The course includes lecture, laboratory, and clinical experiences.
    The general population today has a life expectancy greater than ever before.  This fact, coupled with improvements in oral health care delivery, allows dentists to render complex rehabilitative therapies to individuals who demand excellent dental health and who are economically able to obtain quality treatment.  Contemporary dental education must prepare the new practitioner to meet these challenges.  The key to rendering complex rehabilitative treatment for these patients lies with accurate diagnosis and thoughtful treatment planning.
    Restorative Dentistry 630 is designed to provide the new clinician with a technique for collecting the clinical information necessary to accurately diagnose the patient`s condition and thereby plan appropriate treatment.  The goal of this course is to begin to integrate the theory obtained in preclinical courses into actual clinical practice through a series of clinical and laboratory projects.  Emphasis will be placed upon collecting accurate diagnostic information and on providing a foundation upon which to base treatment planning decisions.
    Experiences in Dent 630 will range from the most fundamental, such as making diagnostic casts, to sophisticated presentation and justification of why specific treatment is chosen.  Every attempt will be make to explain the clinical relevance of all procedures, although extra effort on the part of both the student and the faculty will be necessary for understanding some of the more difficult concepts.  The greatest benefit to the student will be realized if an attempt is made to understand why the procedures are being completed, rather than merely achieving proficiency in technical steps.

Outcomes

  1. Identify Landmarks for Diagnostic Impression: Identify landmards necessary to obtain an adequate diagnostic impression.
  2. Accurate Diagnostic Casts: Make and trim accurate diagnostic maxillary and mandibular casts that capture necessary anatomical landmarks.
  3. Facebow Record: Make an accurate facebow record using an arbitrary hinge axis.
  4. Centric Relation Jaw Position: Demonstrate techniques for obtaining centric relation jaw position.
  5. Initial CR Contacts: Identify a patient`s initial contact or contacts in centric relation.
  6. Centric Relation Records: Make a diagnostic centric relation record and be able to differentiate diagnostic and working records.
  7. Attach Diagnostic Casts on Articulator: Attach diagnostic casts on an articulator using a facebow transfer and centric relation record.
  8. Cross Attach Diagnostic Casts: Accurately cross attach an additional set of diagnostic casts.
  9. Accuracy of Articular Oriented Casts: Verify the accuracy of articulator oriented diagnostic casts.
  10. Diagnostic Occlusal Adjustment: Identify the objectives of a diagnostic occlusal adjustment.
  11. Diagnostic Waxing of Restorations: Diagnostically wax anterior and posterior restorations to develop an intended treatment.
  12. Set Denture Teeth Opposing Natural Teeth: Diagnostically set denture teeth to opposing natural dentition in accordance with an intended treatment.
  13. Sequencing of Diagnostic Procedures: Identify the correct sequencing of diagnostic procedures to complete a treatment plan.
  14. Oral Presentation of Treatment Plan: Orally present a treatment plan to faculty and peers and justify a treatment sequence with alternatives.

Sessions

001 Course Overview

General Information

Date(s):    3/30/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Course Overview
-Purpose
-Goals
-Grading
-Laboratory Instructions

002 Clinic

General Information

Date(s):    3/30/2001
Faculty:    Knobloch, Lisa
 

Content Outline

8:30-11:30
    Gather equipment and meet in clinic in assigned areas
    Faculty demo, maxillary & mandibular impressions
    Student impressions

003 Clinic

General Information

Date(s):    4/6/2001
Faculty:    Knobloch, Lisa
 

Content Outline

8:00-11:30
    Finish impressions and Casts (2 max, 2 mand.)

004 Jaw Records

General Information

Date(s):    4/13/2001
Faculty:    Knobloch, Lisa
 

005 Clinic

General Information

Date(s):    4/13/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Facebow demonstration, mount maxillary casts
Identify 1st occlusal contact
Obtain centric records
Mount mandibular casts

006 Occlusal Splint Therapy /  Occlusal Adjustment

General Information

Date(s):    4/27/2001
Faculty:    Knobloch, Lisa
 

007 Laboratory

General Information

Date(s):    4/27/2001
Faculty:    Knobloch, Lisa
 

Content Outline

9:15-11:30
Complete occlusal adjustment, receive individualized tooth removal instructions, begin tooth removal and cast smoothing.

008 Diagnostic Tooth Positioning

General Information

Date(s):    5/4/2001
Faculty:    Knobloch, Lisa
 

009 Laboratory

General Information

Date(s):    5/4/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Finish removing teeth and smoothing cast, survey cast, sketch RPD, begin tooth arrangement and waxing procedures.

010 Instructions for Student Presentations  7:30-8:00

General Information

Date(s):    5/11/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Instructions for Student Presentations
-Medical History
-Treatment Sequence

 

011 Laboratory

General Information

Date(s):    5/11/2001
Faculty:    Knobloch, Lisa
 

Content Outline

8:30-11:30
Diagnostic Cast Completion
Custom Guide Table

012 Laboratory

General Information

Date(s):    5/18/2001
Faculty:    Knobloch, Lisa
 

Content Outline

8:00-11:30
    Diagnostic cast completion;student subgroups organize information for presentation, photograph casts.

013 Laboratory:  Finish Group Presentations

General Information

Date(s):    5/25/2001
Faculty:    Knobloch, Lisa
 

014 Group Presentations in assigned areas

General Information

Date(s):    6/1/2001
Faculty:    Knobloch, Lisa
 

Content Outline

Group presentations in assigned areas

Learning Resources

  1. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Rosenstiel
        Secondary Author:    Land
        Publishing House:    C.V. Mosby Co.
        City, Country:    St. Louis
        Edition/Version#:    2nd
        Year Published:    1994
  2. Fundamentals of Occlusion & Temporomandibular Disorders

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Okeson
        Publishing House:    C.V. Mosby Co.
        City, Country:    St. Louis
        Edition/Version#:    3rd
        Year Published:    1993
  3. Restorative Dentistry 630 Lab Manual

        (Primary Resource)
        Resource Type:    Handout/Manual
        Year Published:    2001

Evaluation Methods Overview

    25 %    Classroom Participation
    30 %    Lab Exam
    45 %    Lab Projects

Grades will be weighted as follows:
Daily Grades                              = 45%
Completed Individual Project      = 30%
Group Presentation                      = 25%
Total                                          = 100%

Clinic/Laboratory:  All evaluations will be made by your instructors in a manner similar to clinic grading.(0-4)

Areas to be rated:
1.  Knowledge of Procedure
2.  Laboratory Work
3.  Technical Ability

Deadlines:  A deadline is given for each project in the course schedule.  These deadlines will be adhered to by your instructor.  If you fail to make a deadline, 0.5 points will be deducted for each session that the project is late. It is the student`s responsibility to ensure that their instructor has signed the evaluation form at the designated time for each procedure.  Note:  If you are not satisfied with the grade that you received for class work, you may elect to repeat the work and ask your instructor to reassess your performance at the start of the next session.  The new grade (minus the penalty) will supplement the unsatisfactory grade.

Final Course Grades:  The corrected final score will determine the students course letter grade.  Letter grades will be determined as follows:
4.0 - 3.5 = A
3.49 - 3.0 = B
2.99 - 2.00 = C
1.99 - 0    = D
 

Policy and Procedures

ATTENDANCE
    Attendance in lecture, clinic and laboratory is mandatory.  This is because students work in pairs for several sessions of this course and if one student is absent, the other student in that pair is unable to complete the laboratory work for that day.  In addition, the value of this course is for you to obtain the feed back from your bench instructor and observe the demonstrations when given.  No make-up will be available. If a session is missed, the student will be responsible to obtain the necessary evaluations and complete the assigned procedures to be on schedule for the next class session.  The format for this course does not include a written final exam during finals week.  This is based on attendance.  If you miss two or more sessions, either clinic or laboratory, you will be given an oral examination that will cover the entire contents of the course.  This exam will be given during finals week at the discretion of the course director. Please refer to the section concerning penalties for work not completed on time.  If an emergency requires you to miss a laboratory session, please make arrangements in advance with your bench instructor or the course director.
ACADEMIC MISCONDUCT
    Students are expected to maintain standards of professionalism in regard to their academic conduct.  Students who illicitly obtain copies of examinations, copy from others` work, or allow others to copy their work, may face charges of academic misconduct.  Students who have questions regarding this issue should contact the course director.  The course director will report cases of academic misconduct to the  Professionalism Committee.

Year 3

536.02 Restorative Dentistry-Dental Ceramics

536.02 Dental Porcelain

General Information

Course Director: Dr. Julie Holloway
Office/Phone: 3005-U  Postle Hall / 292-0894
Office Hours: Wednesdays 10:00-11:30 and by appointment
Quarter/Year: Summer, 2000 /  Dent III
Location: lecture:  1183 Postle Hall     lab:  005 Postle Hall
Class Time: Wednesdays 1:00 - 4:00pm
Credit Hours: 1

Purpose

Restorative Dentistry 536.02:Dental Ceramics will familiarize the student with practical applications of dental ceramics.
Dental ceramics is an important component of every general dental practice.  Dentistry 536.02 will teach you how to assess a restoration as it comes back from a commercial laboratory, then assess it at the try-in stage in the patient`s mouth (typodont).   This course will give you sufficient experience with the fabrication steps of metal-ceramic crowns and fixed partial dentures to enable you direct a laboratory technician during your clinical career.  The fixed partial denture you prepared Autumn Quarter in Dentistry 531 will be returned to you cast and with porcelain applied.  You will learn how to evaluate, try-in, contour, section, color and solder the prosthesis in a systematic way.  The single unit (#8) that you waxed last Winter Quarter in Dentistry 535 will be cast and returned to you.  You will prepare the metal framework and apply the porcelain for this restoration. Sometimes making a restoration provides dramatic feedback as to an overlooked deficiency in a tooth preparation!  In this course your instructors will only assess you as to how well you perform and understand the course objectives of 536.02 - deficiencies in your preparations will not affect your grade.  However, when you do the laboratory exercises you should review the criteria for tooth preparation for metal ceramics presented in Dentistry 535 and gain important feedback.
Course Goal
    The course will enable students to progress into the Restorative Dentistry clinic with an understanding of dental ceramics.
 

Outcomes

  1. Evaluate Metal-Ceramic FPD: Evaluate the adaptation and contours of a metal ceramic FPD when it is returned from the laboratory.
  2. FPD Failure to Seat: Determine the reason that a fixed partial denture fails to seat on all abutment teeth and undertake the appropriate corrective action.
  3. Shade Discrepancies in Metal Ceramic Rest.: Correct shade discrepancies in Hue, Chroma, and Value and create eight commonly seen characterizations in a metal ceramic restoration using Vita ceramic stains.
     
  4. Lab prescription for MC procedures: Demonstrate a proficiency in metal ceramic laboratory procedures such that he/she is able to prescribe to a commercial dental laboratory authoritatively and assume control of quality by identifying deficiencies in clinical and laboratory phases of treatment.
     
  5. Shade Selection for MCR: Select a shade for a metal ceramic restoration and communicate it to the dental laboratory.

Instructional Sessions

001 Eval. of Lab Product &Try-in Procedures for Metal Ceramics

General Information

Date(s):    7/5/2000
Faculty:    Holloway, Julie
 

002 Evaluate FPD #3-5 on dies, begin contouring FPD

General Information

Date(s):    7/5/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB 2:00-4:00            (signoff at 3:45)

003 Staining and Glazing

General Information

Date(s):    7/12/2000
Faculty:    Holloway, Julie
 

004 Contouring,staining,and glazing FPD#3-5

General Information

Date(s):    7/12/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB   2:00 - 4:00    (Sign off at 3:45)
 

005 Soldering Metal Ceramics

General Information

Date(s):    7/19/2000
Faculty:    Holloway, Julie
 

006 Post-ceramic soldering

General Information

Date(s):    7/19/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB 2:00-4:00

007 Polishing Cast Restorations

General Information

Date(s):    7/26/2000
Faculty:    Holloway, Julie
 

008 Polish FPD #3-5 and evaluate on Typodont

General Information

Date(s):    7/26/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB  1:00-4:00             (sign off 3:45)

009 Metal Preparation

General Information

Date(s):    8/2/2000
Faculty:    Holloway, Julie
 

010 Fit casting & begin Metal Preparation #8

General Information

Date(s):    8/2/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB  2:00-4:00    (sign off 3:45)

011 Opaque Application

General Information

Date(s):    8/9/2000
Faculty:    Holloway, Julie
 

012 Metal Prep & Opaque Application

General Information

Date(s):    8/9/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB  2:00-4:00
Metal Prep (sign off 2:00)
Opaque Application   (sign off 3:45)

013 Shoulder Porcelain Application

General Information

Date(s):    8/16/2000
Faculty:    Holloway, Julie
 

014 Shoulder Porcelain Application #8

General Information

Date(s):    8/16/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB 2:00-4:00      (sign off 3:45)

015 Body and Incisal Porcelain Application

General Information

Date(s):    8/23/2000
Faculty:    Holloway, Julie
 

016 Body Porcelain Application #8

General Information

Date(s):    8/23/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB 2:00-4:00

017 Principles of Shade Selection

General Information

Date(s):    8/30/2000
Faculty:    Holloway, Julie
 

018 Porcelain Application and Contouring #8

General Information

Date(s):    8/30/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB 2:00-4:00     (sign off 3:45)

019 Color Science

General Information

Date(s):    9/6/2000
Faculty:    Johnston, William
 

020 Staining,Glazing, & Polishing/Final Eval #8

General Information

Date(s):    9/6/2000
Faculty:    Holloway, Julie
 

Content Outline

LAB 2:00-4:00
Final Eval #8 (sign off 3:30)
FINAL PROJECTS DUE (4:00)

021 Written Final Examination   7:30-8:20am   1183 Postle Hall

General Information

Date(s):    9/13/2000
Faculty:    Holloway, Julie
 

Learning Resources

  1. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Rosenstiel
        Secondary Author:    Land
        Publishing House:    CV Mosby Co.
        Edition/Version#:    2nd
        Year Published:    1995
  2. Laboratory Manual

        (Primary Resource)
        Resource Type:    Handout/Manual
        Primary Author:    Julie Holloway
        Year Published:    2000

Evaluation Methods Overview

    40 %    Final (Written) Exam
    30 %    Lab Projects
    30 %    Final Project
There are no mid-term or final practical examinations in Dentistry 536.02.  The final course grades will be calculated as a weighted average of your class grade (30%), independent final project grade (30%), and written final (40%).  To pass the course you must score an overall average of 2.0 or above and score above 1.0 (55%) in the written, otherwise an "E" grade will be given.  Those passing the course will be ranked by weighted average.  The most successful students will be awarded an "A" grade and the remaining students will receive a "B" or "C" grade.  "D" grades are not awarded.  THE PROJECTS IN THIS COURSE MUST BE COMPLETED ON THE TOOTH PREPARATIONS FROM DENT 531 AND 535.  FAILURE TO TURN IN THE FINAL PROJECTS ON THE ORIGINAL PREPS CONSTITUTES A FULL LETTER GRADE DEDUCTION FROM THE FINAL COURSE GRADE.


LABORATORY GRADING


Class Grades (30%) and Deadlines

    There are 12 "class" or "daily" grades awarded by your bench instructor in Dentistry 536.02. Refer to the grading criteria at the end of each manual chapter to see how these are awarded. Make sure your work meets these criteria before asking for a grade.  Please note that a deadline is given for the completion of each laboratory grade.  These will be strictly adhered to by your instructor.  The course objectives refer to the time needed to complete the various projects. Time is limited in the clinic and patient treatments must progress expeditiously.  Improvement comes with planning, thorough understanding, and practice.
If you fail to meet a deadline for reasons other than excused absence, 1.0 point will be deducted for each laboratory session that the project is late.  If you receive a low grade for class work, you may elect to correct deficiencies and resubmit the project for regrading no later than the start of the next session.  The new grade (less a 0.5 late penalty) will replace the low grade.
Balanced Grading:
    Students often voice complaints that their bench instructor grades harder than other instructors and their grades suffer accordingly.  To prevent this, the daily grades will be weighted arithmetically.  Other students have further complained that their higher than average grades are because their bench is particularly talented and they feel it unfair that their high daily grades are reduced by weighting.  To prevent this complaint, group performance will be weighted by scores in the final project.  The arithmetic is as follows:  Your raw class average will be multiplied by the year average and divided by your group`s average grade.  This score will be multiplied by your group`s average for the final project and divided by the year average for the final project.  Example below:
Your average class score = 2.8 X 2.687*  X  2.89***  = 4.0
                                                 2.322**     2.33****
*    -    Year average class grade
**    -    Group average class grade
***    -    Group average final project grade
****    -    Year average final project grade

Note:  In reality there is normally very little variation between instructors or between groups. In a recent year, the correction factors ranged from 1.07-0.92.

Project Grade (30%)

All projects handed in at the end of the last laboratory session will be assessed for an independent project grade.  The following six aspects will be evaluated:
1.  Contour of #3-5 FPD                    4.  Contour of #8 MCC
2.  Occlusion and stability of #3-5 FPD    5.  Staining of #8
3.  Finish and Polish of #3-5 FPD            6.  Polish of #8
Written Final Examination (40%)

The final written will consist of questions based on the course and lecture objectives.  The answers will be taken from the reading assignments, lectures and course manual.  The format and scope will be similar to the study questions although, naturally, no question will be repeated.  Make sure you are familiar with the format.  Each stem question will have four numbered true/false responses any, all, or none of which might be correct.  To discourage guessing, points will be deducted for an incorrect response.  However, in general, if you have some idea as to the correct reply, but are not absolutely certain, it is best to mark a response rather than leave a blank.  The examination with be scored as the total of correct responses minus one-half the total of incorrect responses.  

The written examination will be converted from a raw score as follows:

The best score(s) in the class will be assigned a value of 100%.  The other scores will be expressed as a percentage of the best score and assigned a numerical grade using the formula:  4 - (100 - your %)/17.5.  For example: if the best score is 80 and your score is 60 which is 75% of the best score, you will get 4 - (100-75)/17.5 = 2.57

Note:  A written score between 64.9% and 55.0% of the best score will constitute an "I/E" grade, requiring further study to reach a "C" grade by the 6th week of the following quarter.  A written score of 54.9% will constitute a "E" grade and will require remediation to successfully complete the course.
 

Policy and Procedures

Attendance is mandatory for all lectures and laboratory.  Absence by reason of illness must be notified to the Dean`s office (292-2401).  Unnotified absence will result in a grade of 0.0 being assessed for the procedure or procedures scheduled for that session..

Academic Misconduct

    Accurate evaluation of student knowledge and skill is the cornerstone of any academic institution.  When this process is subverted by student misconduct it can destroy the reputation of an entire college and cast doubt upon all of its graduates, even those who have maintained the highest integrity and possess superior abilities.  Although isolated incidents may seem trivial, taken collectively over a period of time they may threaten the life of a college.  Because of the potential seriousness of misconduct and the fact that no one can escape injury from it, including faculty, we must all act decisively and with conviction when academic misconduct is obserbed.  Student participation in the process is essential.  I encourage class discussion on this matter and I pledge to actively support any effort to expose and report misconduct to the appropriate committee.  
    In order to prevent any misunderstanding as to what constitutes academic misconduct in Dent. 536.02, the following is provided:  All written and laboratory work turned in by a student for evaluation will be a result of that student`s efforts.  In the case of laboratory projects or exams, even partial completion of the work by anyone else is unethical.  With respect to study material for written examinations, study questions in the actual test format have been provided in this manual.  No previous written examinations have been released.  The use of any other study materials representing previous or future examinations will be considered misconduct leading to disciplinary action including possible dismissal.  Knowledge of such materials should be reported to the course director at the soonest possible time.  During examinations, each student is responsible for protecting the integrity of his/her answers.  If cheating is noted during the examination or evidence of cheating is disclosed, the students involved, whether they be copiers or those copied from, will be subject to disciplinary action.  Communication between students is not permitted during examinations.

589 Clinical Procedures for RPD's

631 Intro to Clinical Restorative Dentistry

632 Comprehensive DX and TX Plan/Rest&Pros

632 Comprehensive DX and TX Plan/Rest&Pros

General Information

Course Director: Dr. Stephen F. Rosenstiel
Office/Phone: 3005-F Postle Hall / 292-0941
Office Hours: 7:30AM-4:30PM, Monday-Friday (by appointment)
Quarter/Year: Autumn / 2001 Dent IIII
Location: 1188 Postle Hall
Class Time: 7:30am-8:30am, Thursdays
Credit Hours: 1

Purpose

    A diagnosis, or more correctly, a differential diagnosis, is a necessary first step to providing quality dental care through a sequenced treatment plan.

All pertinent data from the health questionnaire, dental history, radiographs, clinical examination and often, mounted casts, must be carefully evaluated in order to determine the diagnosis.  Once a diagnosis is established all mitigating factors must be considered prior to developing a treatment plan.  Students are required to construct sequenced treatment plans for all patients accepted for comprehensive treatment in order that treatment be rendered as efficiently as possible.  Sequenced treatment is established in consultation with the Sections of Endodontics, Oral Medicine, Oral Surgery, Orthodontics, and Periodontics.  Alternative treatment plans, and their prognoses, are presented to prospective patients when, for mitigating circumstances, worthwhile teaching can occur by rendering less than first choice treatment.  Students are instructed to discuss home care, and other preventive measures, with all active patients.  Certain patients are selected for more intense preventive treatment counseling, including nutritional analysis, with the Section of Community Dentistry.

Because some students graduate prior to completing extensively planned treatment, the sequenced treatment plan allows efficient treatment to resume when patients are transferred to a new Dentistry III or a Dentistry IV student.

Since the general dental practitioner is generally the first to examine and the last to render definitive treatment in a comprehensive scheme, the general dentist must become the treatment coordinator C this is the philosophy espoused by the Section of Restorative and Prosthetic Dentistry.

    Dentistry 632, Comprehensive Diagnosis and Treatment Planning for Restorative and Prosthetic Dentistry, is a one credit hour course required of Dentistry III students.  The goal of the course is to stress the importance of diagnosis and treatment planning and to present selected, but varied,  examples of sequenced treatments completed by past students.  Information presented in this course is not only practical, but is vital to rendering comprehensive complex prosthodontic treatment.  The subject matter of this course is presented in nine lectures.

Outcomes

  1. Data and Background Knowledge: List the elements of pertinent data and background knowledge associated with comprehensive Restorative and Prosthetic dental diagnosis.
  2. Formulate and Sequence Treatment Plans: Formulate and sequence appropriate comprehensive Restorative and Prosthetic treatment plans based on the diagnosis, needs assessments, and relevant mitigating factors.
  3. Prognoses for Treatment Plans: Write best estimate prognoses for formulated treatment plans (based on all pertinent information).

Sessions

001 Diagnosis,Diagnostic Waxing & Treatment Planning

General Information

Date(s):    9/27/2001
Faculty:    Gegauff, Anthony
 

002 Treatment Planning: Operative Dentistry

General Information

Date(s):    10/4/2001
Faculty:    Rashid, Robert
 

003 Treatment Planning: C/Fx

General Information

Date(s):    10/11/2001
Faculty:    van Putten, Meade C.
 

004 Treatment Planning: Fx, RPD/Fx

General Information

Date(s):    10/18/2001
Faculty:    Holloway, Julie
 

005 Treatment Planning: C/Fx, RPD

General Information

Date(s):    10/25/2001
Faculty:    van Putten, Meade C.
 

006 Treatment Planning:  Fx/Fx, Part I

General Information

Date(s):    11/1/2001
Faculty:    Rosenstiel, Steve F.
 

007 Treatment Planning: Fx/Fx, Part II

General Information

Date(s):    11/8/2001
Faculty:    Rosenstiel, Steve F.
 

008 Treatment Planning:Classification of Edentulism

General Information

Date(s):    11/15/2001
Faculty:    Golden, William
 

009 Treatment Planning: Fx, RPD/Fx, RPD

General Information

Date(s):    11/29/2001
Faculty:    Rosenstiel, Steve F.
 

010 FINAL EXAMINATION  TUESDAY,  7:30-8:20am   Room 1187

General Information

Date(s):    12/4/2001
Faculty:    Rosenstiel, Steve F.
 

Learning Resources

    HANDOUTS

  1. "Mixed Prosthodontic Treatment Sequencing for Complete Denture/Fixed Prostheses"
     
  2. "Mixed Prosthodontic Treatment Sequencing for Complete Denture/Fixed Prostheses and Removable Partial Denture"
     
  3. "Treatment Sequencing for Maxillary Fixed Prostheses and Removable Partial Denture/Mandibular Fixed Prostheses"
     
  4. "Treatment Sequencing for Maxillary Fixed Prostheses/Mandibular Fixed Prostheses and Removable Partial Denture"
     
  5. "Treatment Sequencing for Maxillary Fixed Prostheses and Removable Partial Denture/Mandibular Fixed Prostheses and Removable Partial Denture"
     
  6. "Comprehensive Treatment Form"
     

Evaluation Methods Overview

    100 %    Final (Written) Exam

Final written examination includes 40-50 multiple choice questions.
Final course grade based on the following scale:
100%-90% = A
89% - 80% = B
79% - 65% = C
less than 65% = E

Attendance is required and is recorded 10 minutes after the course is scheduled to begin.  Two unexcused absences will result in lowering of the earned course grade one letter; a grade of "D" will be given in such instances.  Three unexcused absences will result in an "E" grade.  

Course failures are to be remedied the following quarter; after consultation with the course instructor, remediation is scheduled, the student is re-enrolled and a final oral examination date is set.

All grade appeals are to be discussed with the course instructor.  Students are allowed to review their examinations, along with the answer key, prior to formal discussion of performance outcome.
 

Policy and Procedures

ACADEMIC MISCONDUCT:

Students are expected to maintain standards of professionalism in regard to their academic performance and are expected to protect the integrity of their work at all times during the course, whether in the classroom, laboratory or clinic.   Students should report any  alleged  misconduct by another student to the Course Director and during examinations to the Course Director and/or proctor immediately.

By way of example only and not by limitation, the following would constitute academic misconduct in Dentistry 632:  Plagiarism of another classmate=s work for any class assignment or examination or communicating with another student by any means during an examination.  For further examples and further information students should refer to the  Student Reference Book, and The  Code of Student Conduct.

The Course Director will report cases of alleged academic misconduct to the Associate Dean of Academic Affairs who may refer the matter to the  Professionalism Committee.

Students are encouraged to seek discussion with the Course Director if they have any doubt about approaches and procedures that might result in charges of academic misconduct against them.

633 Restorative Dentistry-Clinical Principle

633 Restorative Dentistry-Clinical Principles

General Information

Course Director: Dr. Stephen F. Rosenstiel
Office/Phone: 3005F Postle Hall / 292-0880
Office Hours: 7:30 a.m.- 4:30 p.m., Monday, Tuesday, Wednesday, Friday (by appointment)
Quarter/Year: Winter, 2002 /  Dent III
Location: 1183 Postle Hall  
Class Time: Tuesdays, 7:30-8:20 a.m.
Credit Hours: 1

Purpose

    Specific and typical fixed prosthodontic treatment techniques, first taught preclinically, present new challenges when applied clinically.  Fluid control, and soft tissue deflection when necessary, are arduous pre-impression making procedures.  Electrosurgery, while not typically used, is presented because of its usefulness in selected circumstances prior to impression making.  Basic mechanical/technical principles for post and core and fixed partial denture treatment planning and fabrication are reviewed and simplified since Dent III students will have encountered associated clinical problems at this juncture of their clinical education.  Casting contour, finish and adaptation is examined as these parameters affect the hard/soft tissue biologic interface.  
    Dent 633, Clinically Applied Principles for Restorative and Prosthetic Dentistry, is a one credit-hour course required of Dentistry III students.  The goal of the course is to stimulate students to call upon previously learned theory and apply this theory to solving practical clinical treatment problems.  Students are encouraged to synthesize treatment modalities, to meet clinical situations, without unacceptably departing from sound principles.  The subject matter of this course is presented in nine lectures.

Outcomes

  1. Rationale & Procedures for Restorative Materials: Explain the rationale and perform the procedures for use of pulp protection, enamel, conditioners, enamel and dentinal bonding agents and glass ionomers.
  2. Theory and Technique for Porcelain: Understand the theory and technique for porcelain etching and silanation to enhance retention of porcelain laminate veneers and porcelain repairs.
  3. Dry Field for Impressions: Describe procedures, and medications (where necessary), used to maintain a dry field immediately prior to impression making.
  4. Soft Tissue Deflection for Impressions: Describe the physical procedures and chemical agents used to deflect soft-tissue from tooth preparation margins prior to and during impression making; also describe possible sequelae from these procedures and/or agents.
  5. Post and Core Systems: List different commercially-available post and core systems and discuss advantages and disadvantages of each.
  6. Restore Endodontically -Treated Anterior Teeth: Contrast the recommended restorative treatment for endodontically-treated anterior and posterior teeth.  Justify the recommendations with a literature citation.
  7. Cantilever Fixed Partial Dentures: Discuss when single tooth cantilever fixed partial dentures may lead to undesirable consequences.
  8. Assess Abutment Teeth: Discuss guidelines for the assessment of abutment teeth for fixed partial dentures.
  9. Fixed Partial Denture Design: Explain the importance of span length and arch curvature on fixed partial denture design.
  10. Crown Cementation: Identify a procedural sequence for crown cementation.
  11. Hydraulic Phenomenon: Outline the hydraulic phenomenon associated with crown cementation and methods used to minimize this effect.
  12. Manipulate Zinc Phosphate Cement: List the procedure for correct manipulation of zinc phosphate cement.
  13. Treatment for Initial Occlusal Carious Lesions: List the treatment options for an initial occlusal carious lesion and discuss the advantages of each.
  14. Treatment for Initial Proximal Carious Lesion: List the treatment options for an initial proximal carious lesion and discuss the advantages of each.
  15. Replace Maxillary Premolar MOD Restoration: Discuss the restorative options for a replacement MOD restoration on a maxillary premolar.
  16. Electrosurgery: Explain how electrosurgery works.
  17. Use of Electrosurgery: Discuss the indications and contraindications for the use of electrosurgery.

Sessions

    CFP = Contemporary Fixed Prosthodontics by Rosenstiel, et al, 2nd edition

    RDM = Restorative Dental Materials by Craig, 9th edition

001 Fluid Control and Soft Tissue Management

General Information

Date(s):    1/8/2002
Faculty:    Gegauff, Anthony
 

Content Outline

Reading Assignment:  CFP, pp. 301-306

002 Restoration of the Endodontically-treated Tooth

General Information

Date(s):    1/15/2002
Faculty:    Rosenstiel, Steve F.
 

Content Outline

Reading Assignment:  CFP, pp. 238-267

003 Prevention of Recurrent Caries Under Fixed Restorations

General Information

Date(s):    1/22/2002
Faculty:    Rosenstiel, Steve F.
 

004 Clinical Dental Materials I - Amalgam

General Information

Date(s):    1/29/2002
Faculty:    Brantley, William A.
 

Content Outline

Reading Assignment:  RDM, pp 227-241

005 Clinical Dental Materials II:Elastomeric Impression Materials & Luting

General Information

Date(s):    2/5/2002
Faculty:    Rosenstiel, Steve F.
 

Content Outline

Reading Assignment:  RDM, pp. 298-314, 178-201

006 Casting Delivery: Finishing, Polishing & Cementation

General Information

Date(s):    2/12/2002
Faculty:    Knobloch, Lisa
 

Content Outline

Reading Assignment:  CFP, pp. 579-588, 601-610, 618-630

007 Electrosurgery

General Information

Date(s):    2/26/2002
Faculty:    Holloway, Julie
 

008 Tooth Whitening of Vital Teeth

General Information

Date(s):    3/5/2002
Faculty:    Gegauff, Anthony
 

009 All-Ceramic Restorations

General Information

Date(s):    3/12/2002
Faculty:    Miller, R. Bruce
 

Content Outline

Reading Assignment:  CFP, pp.526-547

010 FINAL EXAMINATION    7:30-8:20am    Room 1187

General Information

Date(s):    3/19/2002
Faculty:    Rosenstiel, Steve F.
 

Learning Resources

  1. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Rosenstiel
        Secondary Author:    Land
        Publishing House:    C.V. Mosby
        City, Country:    St. Louis
        Edition/Version#:    2nd
        Year Published:    1995
  2. Restorative Dental Materials

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Craig
        Publishing House:    C.V. Mosby
        City, Country:    St. Louis
        Edition/Version#:    9th
        Year Published:    1993

Evaluation Methods Overview

    100 %    Final (Written) Exam

Final written examination:  32 questions, each with true/false responses; scored rights minus one-half wrongs.

Grading:       100% - 90% = A
                      89% - 80% = B
                      79% - 65% = C
                       ess than 65% = E

 

Policy and Procedures

Attendance is required and is recorded 10 minutes after the course is scheduled to begin; two unexcused absences will result in lowering of the earned course grade one letter.  A grade of "D" can be given in such instances but an "E" grade will not be given because of poor attendance only.


ACADEMIC MISCONDUCT:

Students are expected to maintain standards of professionalism in regard to their academic performance and are expected to protect the integrity of their work at all times during the course, whether in the classroom, laboratory or clinic.   Students should report any  alleged  misconduct by another student to the Course Director and during examinations to the Course Director and/or proctor immediately.

By way of example only and not by limitation, the following would constitute academic misconduct in Dentistry 633:  Plagiarism of another classmate`s work for any class assignment or examination or communicating with another student by any means during an examination.  For further examples and further information students should refer to the  Student Reference Book, and The  Code of Student Conduct.

The Course Director will report cases of alleged academic misconduct to the Associate Dean of Academic Affairs who may refer the matter to the  Professionalism Committee.

Students are encouraged to seek discussion with the Course Director if they have any doubt about approaches and procedures that might result in charges of academic misconduct against them.

634 Complex Prosthodontic TX Considerations

634 Complex Prosthodontic TX Considerations

General Information

Course Director: Dr. Stephen F. Rosenstiel
Office/Phone: 3005-F Postle Hall / 292-0880
Office Hours: 7:30am-4:30pm weekdays,  by appointment
   
Quarter/Year: Spring, 2001/  Dent III
Location: 1188 Postle Hall  
Class Time: Fridays, 7:30 A.M.
Credit Hours: 1

Purpose

    Dentistry 632 (Autumn Quarter) was directed toward providing the Dent III student with basic information needed when rendering a differential diagnosis and sequenced treatment plan for patients being treated in the disciplines of Restorative and Prosthetic Dentistry.

This course, Dentistry 634, given two quarters later, enlarges on previous basic information because some patient treatments necessarily deviate from textbook or traditional prosthodontic approaches.

In general, the subject of removable partial denture design has always been difficult and confusing.  The subject is first taught to Dent I students during the second and third quarters (Winter-Spring).  Subsequently, ten lecture hours are given seventh quarter to Dent III students and RPD principles are incorporated into treatment planning during Dent 632.  The Section has found it necessary to further integrate basic principles and specific procedures, such as design modifications and biologic/mechanical considerations, with the complex treatment considerations C the course theme.

Two other specific considerations are each presented in a separate lecture:  The first topic, "VDO and Esthetics for Reconstruction", deals with the complexities of altering the vertical dimension of occlusion which is often necessary with worn and/or malposed dentition; the second lecture, "Restoration of the Worn Dentition", broadly covers schemes and technics necessary for restoring posterior occlusion C additionally, treatment considerations for extensive tooth destruction due to acid erosion and attrition is presented.  

Dentistry 634, "Complex Prosthodontic Treatment Considerations", is a one credit hour course required of Dentistry III students.  The goal of the course is to present several common variations often seen when rendering complex restorative care.  The subject matter of this Course is presented in nine lectures.

Patients with temporomandibular disorders are not routinely assigned to Dent III students.  Rather, these patients are referred to more advanced students or faculty.  However, in order to acquaint students with the complexities of myofascial pain dysfunction and anteriorly displaced discs, they are presented two lectures on these subjects.
 

Instructional Sessions

001 Premade and Custom Made RPD Attachment

General Information

Date(s):    3/30/2001
Faculty:    Holloway, Julie
 

002 Treating the Difficult Complete Denture Patient

General Information

Date(s):    4/6/2001
Faculty:    van Putten, Meade C.
 

003 New Indirect Esthetic Materials

General Information

Date(s):    4/13/2001
Faculty:    Seghi, Robert
 

004 Smile Design

General Information

Date(s):    4/27/2001
Faculty:    Rosenstiel, Steve F.
Guest:    Dr. Ward
 

005 Polymers and Casting Alloys

General Information

Date(s):    5/4/2001
Faculty:    Johnston, William
 

Content Outline

Reading Assignment:    O`Brien, pp. 79-113, 215-233

006 Casting Alloys, Gypsum and Investments

General Information

Date(s):    5/11/2001
Faculty:    Johnston, William
 

Content Outline

Reading Assignment: O`Brien, pp 225-235, 237-257

007 Intra-oral & Extra-oral Maxillofacial Prostheses

General Information

Date(s):    5/18/2001
Faculty:    Carr, Alan B.
 

008 Restoration of the Worn Dentition

General Information

Date(s):    5/25/2001
Faculty:    Rosenstiel, Steve F.
 

009 FINAL EXAMINATION   MONDAY 9:30-10:20AM    Room 1183

General Information

Date(s):    6/4/2001
Faculty:    Rosenstiel, Steve F.
 

Learning Resources

  1. Dental Materials and Their Selection

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    O`Brien, W.J.
        Publishing House:    Quintessence Books
        Edition/Version#:    2nd

Evaluation Methods Overview

    100 %    Final (Written) Exam

Final written examination:  40-50 multiple choice questions

Grading:      
    100% - 90% = A
    89% - 80% = B
    79% - 65% = C
less than 65% = E


Attendance is required and is recorded 10 minutes after the course is scheduled to begin; two unexcused absences will result in lowering of the earned course grade one letter (a grade of "D" can be given in such instances but an "E" grade will not be given because of two unexcused absences).  However, a grade of E will be issued to any student accumulating four or more unexcused absences regardless of examination scores.




 

Policy and Procedures

Course failures are to be remedied the following quarter; after consultation with the course instructor, remediation is scheduled, the student is re-enrolled and a final oral examination date is set.

All grade appeals are to be discussed with the course instructor.  Students are allowed to review their examinations, along with the answer key, prior to formal discussion of performance outcome.


ACADEMIC MISCONDUCT:

Students are expected to maintain standards of professionalism in regard to their academic performance and are expected to protect the integrity of their work at all times during the course, whether in the classroom, laboratory or clinic.   Students should report any  alleged  misconduct by another student to the Course Director and during examinations to the Course Director and/or proctor immediately.

By way of example only and not by limitation, the following would constitute academic misconduct in Dentistry 634:  Plagiarism of another classmate`s work for any class assignment or examination or communicating with another student by any means during an examination.  For further examples and further information students should refer to the  Student Reference Book, and The  Code of Student Conduct.

The Course Director will report cases of alleged academic misconduct to the Associate Dean of Academic Affairs who may refer the matter to the  Professionalism Committee.

Students are encouraged to seek discussion with the Course Director if they have any doubt about approaches and procedures that might result in charges of academic misconduct against them.

638 Pre-Doctoral Implant Dentistry

638 Pre-Doctoral Implant Dentistry

General Information

Course Director: Ed McGlumphy, DDS, MS
Office/Phone: 3016 Postle Hall / 292-3830
Office Hours: by appointment
Quarter/Year: Autumn / 2001 Dent IIII
Location: 1187 Postle Hall
Class Time: 9:30 - 10:30am, Thursdays
Credit Hours: 1

Purpose

    Dental Implants have become one of the most exciting, rewarding, and challenging aspects of contemporary dentistry.  As such, it is necessary and important that the contemporary restorative dentist be well versed in this area in order to incorporate implant treatment into his/her practice, as well as assume a leadership role in dispersing information on this topic.
    This course is designed to provide the basic information necessary to enable the participant to utilize the team approach for restoring the dentition with contemporary two-stage osseointegrated implant systems.  In addition, the student will become familiar with the literature as it pertains to the scientific basis for dental implant therapy and to current controversies in dental implantology.
    Phase I of this course, Dent 638 will be in a standard lecture format.  The greatest benefit to the participant will be realized by reading the assigned literature and participating in the small group discussions.

Outcomes

  1. Implants as a Treatment Modality: Recognize the need to include the use of implants as a treatment modality for that segment of the population requiring restoration and maintenance of oral function, appearance and health.
  2. Trends in Implant Dentistry: Discuss the current status and trends in implant dentistry.
  3. Types of Implant Modalities & Options: Identify different types of implant modalities and options.
  4. Anatomic Considerations and Limitations: Describe the maxillary and mandibular anatomic considerations and limitations in relation to implant placement.
  5. Imaging and Diagnostic Procedures: Recognize the need for imaging and other diagnostic procedures for implant therapy.
  6. Sequential Treatment Planning: Describe the sequential treatment planning for implant therapy and alternative therapies.
  7. Patient Education and Preparation: Describe a protocol for patient education and preparation for dental implant therapy to include informed consent, financial considerations, and duration of care.
  8. Laboratory and Clinical Prosthodontic Procedures: Describe the various laboratory and clinical prosthodontic procedures for implant supported and/or retained prostheses, including provisional prostheses when indicated.
  9. Maintenance Procedures: Describe maintenance procedures following completion of implant treatment.
  10. Complications With Implant Treatment: Identify complications involved with implant treatment and describe interceptive techniques for treating these problems.

Sessions

001 Course Overview     Implant Restorative Options

General Information

Date(s):    9/27/2001
Faculty:    McGlumphy, Edwin
 

Content Outline

Reading Assignment:     Peterson, Chapter 15, pp. 365-373
                                                            Worthington, Chapter 5
 

002 History & Scientific Basis for Implant Therapy

General Information

Date(s):    10/4/2001
Faculty:    Larsen, Peter
 

Content Outline

Reading Assignment:    Peterson, Chapter 15, pp. 355-365
Worthington, Chapter 1 and 2
 

003 Implant Restorative Options

General Information

Date(s):    10/11/2001
Faculty:    McGlumphy, Edwin
 

Content Outline

Reading Assignment:     Peterson, Chapter 15, pp. 365-373
                                                            Worthington, Chapter 5

004 Basic Implant Surgery

General Information

Date(s):    10/18/2001
Faculty:    Larsen, Peter
 

Content Outline

Quiz I (10%)
Reading Assignment:    Peterson, Chapter 15, pp. 374-389
Worthington, Chapter 8
 

005 Implant Component Parts

General Information

Date(s):    10/25/2001
Faculty:    Miller, R. Bruce
 

Content Outline

Reading Assignment:    Rosenstiel, Chapter 12, pp. 279-288

006 Implant Treatment Planning & Surgical Templates

General Information

Date(s):    11/1/2001
Faculty:    McGlumphy, Edwin
 

Content Outline


Reading Assignment:    Worthington, Chapter 7

007 Implant Restorations for the Partially-Edentulous Patient

General Information

Date(s):    11/8/2001
Faculty:    Miller, R. Bruce
 

Content Outline

QUIZ II  (10%)
Reading Assignment: Rosenstiel, Chapter 12, pp. 288-300

008 Techniques for the Completely Edentulous Patient

General Information

Date(s):    11/15/2001
Faculty:    McGlumphy, Edwin
 

Content Outline

Implant Restroative Techniques for the Completely Edentulous Patient
Complictions, Biomechanics and Failure
Reading Assignment:    Worthington, Chapter 9, Chapter 11

009 Implant Maintenance & Soft Tissue Management

General Information

Date(s):    11/29/2001
Faculty:    Mariotti, Angelo
 

Content Outline

Reading Assignment:    Worthington, Chapter 10

010 FINAL EXAM   7:30am       Room 1187

General Information

Date(s):    12/6/2001
Faculty:    McGlumphy, Edwin
 

Learning Resources

  1. Osseointegration in Dentistry: An Introduction

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Worthington
        Secondary Author:    Lang
        Publishing House:    Quintessence
        Year Published:    1994
  2. Contemporary Oral and Maxillofacial Surgery

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Peterson
        Secondary Author:    et al.
        Publishing House:    Mosby
        Edition/Version#:    3rd
        Year Published:    1997
  3. Contemporary Fixed Prosthodontics

        (Primary Resource)
        Resource Type:    Book
        Primary Author:    Rosenstiel
        Secondary Author:    Land
        Publishing House:    Mosby
        Edition/Version#:    2nd
        Year Published:    1994

Evaluation Methods Overview

    80 %    Final (Written) Exam
    20 %    Other (Written) Exam

Student knowledge of the course objectives will be evaluated with a written final examination.  Information sources are lectures, reading assignments, and the laboratory manual.  Often an examination question will require interpretation and application of assigned material.  Where possible examination questions will be aimed at evaluating the student`s understanding of the objectives rather than an ability to commit words to memory.  Examination format will most likely consist of a sentence or phrase followed by numbered items, each requiring a true or false response.  As always, the course director retains the right to change the format of the examination, if unusual circumstances warrant it.  Every attempt will be made to inform the class of any such changes at the soonest possible time.  Evaluation of the examinations is based on a relative scale.  One hundred per cent will be awarded to the student or students earning the highest exam score.  Other students will be graded from the quotient of their exam score divided by the highest exam score, then multiplied by 100.  Any student below 65% will receive a non-passing grade.

Final Course Grades
     The final (80%) and quiz I (10%), quiz II (10%) percentages will be combined to yield the course percentage.  Final course letter grades will be awarded as follows:
`A`    90%
`B`    80%;  < 90%
`C`    65%;  < 80%
`E`    Those receiving a `non-passing` grade: < 65% in the didactic examinations.

639 Clinical Implant Dentistry  

639 Clinical Implant Dentistry

General Information

Course Director: Ed McGlumphy, DDS, MS
Office/Phone: 3016 Postle Hall / 292-3830
Office Hours: by appointment
Quarter/Year: Winter, Spring / 2002 Dent IIII
Location: Implant Clinic
Class Time: As Assigned through Master Schedule
Credit Hours: 1


 

Purpose

    Dental Implants have become one of the most exciting, rewarding, and challenging aspects of contemporary dentistry.  As such, it is necessary and important that the contemporary restorative dentist be well versed in this area in order to incorporate implant treatment into his/her practice, as well as assume a leadership role in dispersing information on this topic.
    This course is designed to rpovide the basic information necessary to enable the participant to utilize the team approach for restoring the dentition with contemporary two-stage osseointegrated implant systems.
    Phase II, Dent 639, will include a rotation through the implant research clinic for a hands-on component, part demonstration and observation of implant surgery and restorative patients.
    The greatest benefit to the participant will be realized by reading the assigned literature and participating in the small group discussions.
 

Evaluation Methods Overview

During spring and winter quarters of the Dent III year, each student will be scheduled for a two-day rotation through the implant restorative clinic.  This rotation will be graded either pass (s) or fail (u) based on attendance and successful completion of the assigned laboratory projects.

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Copyright, Copyleft but  please no Copytheft  © 2001 Alexandru Petre
Ultima actualizare: 23-02-2002
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