Dr. Ricardo Schwedhelm
2 Credits Per Quarter, 4 Credits Total / Quarters 9-10 (Autumn-Winter, Third Year)
A two-quarter lecture series related to clinical restorative dentistry (RESD 630, 635, 640) presenting clinical application of restorative dentistry principles and supporting material. Emphasis will be placed on the clinical application of fixed partial dentures and multiple unit crown cases. Clinic rules and protocols are described. Preparation for Clinical Competency Examinations is explained.
The student will gain evidence-based clinical knowledge in the concepts, preparation and delivery of clinical operative dentistry and fixed prosthodontic restorations. The objectives will be for the student to understand (1) treatment planning decisions, including the design and placement of fixed partial dentures, (2) rational and ethical decision making to include providing patient treatment options based upon existing conditions, patient desires, financial resources, cultural diversity, and long-term prognosis, (3) periodontal considerations as they relate to restorative dentistry, (4) preparation design variations, including complications such as occlusal discrepancies, tipped teeth and path of insertion, (5) provisional restoration of multiple units, (6) impression procedures, (7) occlusal records, (8) recognition of clinical errors and adjustments, (9) cementation and maintenance of crowns and bridges, (10) written and oral communication with commercial dental laboratories, (11)the clinical selection and application of restorative dental materials, (12) clinical shade matching.
Lecture topics include: general sequence of procedure for posterior crown operations; periodontal considerations in fixed prosthodontic treatment; clinical examination and charting of occlusion; general clinical procedures; treatment planning posterior crowns; foundation build-up procedures; posterior and anterior crown preparation; temporary protection for crown preparations; retraction/deflection of gingival tissue for impressions; impression procedures; centric inter-occlusal records and mounting procedures; pre-clinical and clinical fitting and adjusting procedures; and cementation of crowns and bridges. Further topics include: clinical management of posterior bridges; treatment simulation by diagnostic waxing; abutment, retainer and pontic design; draw and path of insertion considerations; complications of tipped and supra-erupted teeth; vital bleaching of teeth; restoration of endodontically treated teeth; RPD surveyed crowns and bridges; cantilevers, non-rigid connectors and double-abutments; indexing and soldering bridge units; and commercial dental laboratory utilization.
Attendance is expected as clearly stated in “The Academic Regulations Manual of the School of Dentistry ”. If class attendance becomes consistently poor (<10%), the class will be warned and will be subject to attendance sign-ins and/or pop-quizzes. All students are expected to read all chapters of the course syllabus related to weekly lectures. Additional study materials will be distributed as handouts prior to lecture sessions. Attendance at the Clinical Shade Matching Exercise is required.
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.
- UWSOD Competency 1: Examine a patient using contemporary diagnostic methods to evaluate the head and neck region and to reach a diagnosis of the patient’s oral and craniofacial health status.
- 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 7: Manage pulpal and periradicular disease.
- UWSOD Competency 13: Assess the dentition to determine the need for orthodontic treatment.
- UWSOD Competency 14: Manage periodontal diseases.
- 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 25: Manage a diverse patient population and have the interpersonal and communication skills to function successfully in a multicultural work environment.
- UWSOD Competency 26: Evaluate the outcomes of treatment.
- Fixed Prosthodontics Clinical Syllabus
- Clinical Fixed Prosthodontic Commercial Dental Laboratory Utilization and Communication Manual
- Restorative Dentistry Clinical Reference
*last updated: 11/7/2011