RESD 525

Fixed Prosthodontics

Xavier Lepe

3 Credits / Quarter 5 (Autumn, Second Year)

Course Description

This course serves as introduction to the area of restorative dentistry dealing with indirect complete coverage restorations. The discipline of fixed prosthodontics is introduced with lectures and reading references related to the topics of terminology, principles of tooth preparation, clinical procedures relevant to this preclinical course and laboratory technology. Preclinical experience is provided in tooth preparation, provisional restoration, and fabrication of various crown designs. Projects emphasize the various designs of single tooth preparation and restoration.

Educational Objectives

The student will gain knowledge in the principles of fixed prosthodontics for the restoration of damaged tooth surfaces with metal and/or esthetic veneer restorations. The objectives will be for the student to be able to (1) define the procedures for tooth preparation, (2) properly prepare teeth to receive single crowns, (3) define the procedures for fabrication of single crowns, (4) properly perform indirect fabrication of single crowns, and (5) properly fabricate direct single unit provisional crowns.

Course Outline

Lecture topics include: course description; terminology; principles of tooth preparation, ergonomics, tooth preparation for complete veneer gold crowns (CVGCs); clinical examples of CVGCs; impressions and working casts in fixed prosthodontics; tooth preparation for esthetic veneer crowns (EVCs); tooth preparation for complete ceramic crowns (CCCs); working dies; mounting casts; waxing; investing; dental casting procedures; fit and finish of a cast restoration; and single unit provisional restorations.

Assessment of Competency

To successfully meet the requirements of this course, the student is expected to attend lectures and laboratory sessions, complete all laboratory projects and to demonstrate her/his knowledge of the lecture and assigned reading material through quizzes, midterm and final written examinations as well as demonstrate skills through simulated clinical and laboratory projects and practical examinations. Students must pass all tooth preparation practical examinations with 70% or greater. Practical examinations include both faculty and student self evaluations with recognition for closeness between faculty and student marks. Course Requirements:

  • Attend eight, two-hour lectures, read selected references related to each topic and pass a mid-term  and final (multiple-choice format) written examination.
  • Practice preparing dentoform teeth for three different designs of indirect restorations using evaluation criteria for reference, manual instructions, and faculty instruction for guidance; subsequent to the skill development for each preparation design, a timed, clinically simulated, competency practical examination must be successfully completed with a grade of 70% or greater.
  • Attend ten, five-hour laboratory sessions and complete several clinically simulated projects at a satisfactory level.

Effective Winter Quarter 2007, completion of on-line course evaluation is a requirement of this course. Failure to comply will result in an “Incomplete” grade being assigned.

Competencies Addressed

  • UWSOD Competency 2: Communicate the risks and benefits of proposed care and alternative treatment strategies available, then obtain expressed consent for treatment conveyed by a patient or legal guardian.
  • UWSOD Competency 3: Formulate a comprehensive treatment plan based on diagnostic findings, then implement treatment in a safe, properly sequenced and timely manner.
  • UWSOD Competency 5: Recognize the limits of their expertise and seek consultation with other health care providers to facilitate patient care.
  • UWSOD Competency 16: Manage diseases and conditions of the teeth.
  • UWSOD Competency 17: Manage replacement of teeth for the partially or completely edentulous patient.
  • UWSOD Competency 21: Recognize the role of lifelong learning and self-assessment in maintaining competency.
  • UWSOD Competency 22: Utilize critical thinking in assessing technical and scientific information for use in identifying patient needs and treatments.

Assurance of Competencies

Students are judged competent to proceed to the second quarter of preclinical fixed prosthodontics when they have successfully completed the following:

  • two written examinations judging student’s knowledge of fixed prosthodontics, associated disciplines and dental laboratory technology
  • four tooth preparation and one provisional crown competency practical examinations
  • completion of various tooth preparations, individual direct provisional restorations, individual indirect cast restorations at a clinically acceptable level

Media

  • Preclinical Fixed Prosthodontics (Manual)
  • Contemporary Fixed Prosthodontics, Rosenstiel, Land, Fujimoto, 2006 (4th edition)

*last updated: 9/17/2013

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