Advanced Clinical Restorative Dentistry
Dr. Ricardo Schwedhelm
3 Credits Per Quarter, 9 Credits Total / Quarters 13-15 (Autumn-Spring, Fourth Year)
Clinical training in restorative dentistry procedures, including diagnostic, treatment planning, therapeutic aspects of operative dentistry, bleaching procedures, fixed prosthodontics, occlusal analysis and treatment emphasizing multidisciplinary coordination, and writing appropriate Rx’s for commercial laboratories.
Students will treat all assigned patients comprehensively, with the expectation that they manage all modalities of patient care, to include restorative dentistry. The student will gain knowledge, skills, experience, and ethical values in the restoration of diseased teeth, defective and failing restorations, and missing teeth. The objectives are for the student to be able to: (1) diagnose dental caries and to determine that which constitutes a failing restoration requiring replacement, (2) design comprehensive treatment plans to address the restorative needs and desires of the dental patient in conjunction with their overall dental health needs, (3) prepare teeth for appropriate operative procedures and restoration with appropriate materials, (4) prepare teeth, take impressions, communicate with commercial dental laboratories, and place appropriate fixed prosthodontic restorations, (5) diagnose occlusal discrepancies and be able to perform appropriate occlusal treatment, (7) provide elective esthetic procedures to include bleaching, (8) be familiar with the diagnostic and clinical procedures necessary for the restoration of a dental implant.
Students are blocked into restorative clinic at various times during the week and have the opportunity to request additional sessions when there is available time.
To successfully meet the requirements of this course, the student must attend at least 180 clinical sessions for the combined 3rd and 4th years. There are no required number of specific procedures, but it is suggested as a goal that students prepare and insert at least 140 combined surfaces. 2 inlay/onlays, 28 total crown and bridge units. Completion of 3 Clinical Competency Examinations: amalgam, composite, and single unit crown. Competency is evaluated by daily faculty grading of all procedures accomplished during a clinic session. Clinical competency examinations may commence during Spring Quarter of the 3rd year, but successful completion is not required until graduation. Grades are formulated on the basis of:
- 30% for Attendance
- 30% for Restorative points (quantitative)
- 30% for Daily faculty grades(qualitative)
- 10% by Course Director
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 4: Provide patient education in the prevention of oral diseases to promote oral and general health.
- 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 10: Prescribe and administer pharmacological agents for patient care.
- UWSOD Competency 11: Diagnose and manage hard and soft tissue lesions and diseases of the orofacial complex.
- UWSOD Competency 13: Assess the dentition to determine the need for orthodontic treatment.
- UWSOD Competency 14: Manage periodontal diseases.
- UWSOD Competency 15: Assess the teeth and supporting structures and provide preventive services.
- 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.
- UWSOD Competency 23: Apply the principles of behavioral science that pertain to patient-centered oral health care.
- 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.
- RD 620 Syllabus – R. Swedhelm (Summer 2001 Ed) “Comprehensive Dental Treatment Planning”
- RD 630/631 Syllabus – D. Verhoef (Fall 2001 Ed) “Fixed Prosthodontic Clinical Syllabus”
- RD 630/640 – M. Warnick (Fall 2001 Ed) “Laboratory utilization and Communication Manual”
- RD 630/640 – G Johnson (Fall 2001 Ed) “Restorative Clinical Reference”
- Clinical Procedures Manual (Revised January 2001) “School of Dentistry”
*last updated: 11/7/2011