Dent 5805

Operative Dentistry III

Dent 5805
Operative Dentistry III
Course Director
Dr. Ignatius Lee
Office: 8-376b Moos
Email: leexx009umn.edu
Telephone: 612-625-3240
Course Director
Dr. Ignatius Lee
Office: 8-376b Moos
Email: leexx009umn.edu
Telephone: 612-625-3240
ourse Purpose ourse Purpose
To Iacilitate the transition oI students Irom pre-
clinic laboratory to the clinic setting.
To demonstrate competency in the surgical
treatment oI dental caries prior to being certiIied
Ior patient treatment.
Discuss treatment planning in Operative Dentistry;
includes the diagnosis oI dental caries and other
dental abnormalities; and the understanding oI
diIIerent treatment options relating to the
diagnosis.
To Iacilitate the transition oI students Irom pre-
clinic laboratory to the clinic setting.
To demonstrate competency in the surgical
treatment oI dental caries prior to being certiIied
Ior patient treatment.
Discuss treatment planning in Operative Dentistry;
includes the diagnosis oI dental caries and other
dental abnormalities; and the understanding oI
diIIerent treatment options relating to the
diagnosis.
3 omponents 3 omponents
ompetencies - 4th Iloor Simulation Lab
linic: Introduction to clinical Iield
isolation, tissue retraction and matrixing
Lectures
ompetencies - 4th Iloor Simulation Lab
linic: Introduction to clinical Iield
isolation, tissue retraction and matrixing
Lectures
ompetencies Tested ompetencies Tested
lass II amalgam preparation
lass II amalgam condensation and carving
lass IV composite restoration
lass II composite restoration
lass II cast gold onlay preparation
lass II amalgam preparation
lass II amalgam condensation and carving
lass IV composite restoration
lass II composite restoration
lass II cast gold onlay preparation
Other ompetencies Other ompetencies
Rubber dam application on typodont.
Amalgam restoration polish.
Presentation at clinically acceptable level oI 4
rubber dam application and amalgam polish (on
daily assignment) is a requirement Ior
demonstration oI competency.
Rubber dam application and tissue retraction on
partners.
Rubber dam application on typodont.
Amalgam restoration polish.
Presentation at clinically acceptable level oI 4
rubber dam application and amalgam polish (on
daily assignment) is a requirement Ior
demonstration oI competency.
Rubber dam application and tissue retraction on
partners.
rading rading
ompetencies required Ior Oper III
Five testing competencies
Rubber dam application on typodont and amalgam polish
Rubber dam applications and retraction cords on partners
A passing grade will be assigned Ior Oper III
Iollowing the satisIactory completion oI all
competencies.
A passing grade Ior Oper III is a prerequisite Ior
any patient contact in the clinic.
One retake opportunity (without remediation) Ior
any oI the Iive testing competencies.
Failed retake will need remediation beIore you are
allowed to take it again.
ompetencies required Ior Oper III
Five testing competencies
Rubber dam application on typodont and amalgam polish
Rubber dam applications and retraction cords on partners
A passing grade will be assigned Ior Oper III
Iollowing the satisIactory completion oI all
competencies.
A passing grade Ior Oper III is a prerequisite Ior
any patient contact in the clinic.
One retake opportunity (without remediation) Ior
any oI the Iive testing competencies.
Failed retake will need remediation beIore you are
allowed to take it again.
rading rading
Five testing competency (based on score Irom the
Iirst competeny exam; retake competency score
will not be counted towards the Iinal grade) - 70
Score will be calculated based on:
N (ideal) - 2 points
S (deviation Iorm ideal, clinically acceptable) - 1 point
M/E (mod/extensive deviation Irom ideal, clinically unacceptable - 0 point
Lecture: written exam - 30
Five testing competency (based on score Irom the
Iirst competeny exam; retake competency score
will not be counted towards the Iinal grade) - 70
Score will be calculated based on:
N (ideal) - 2 points
S (deviation Iorm ideal, clinically acceptable) - 1 point
M/E (mod/extensive deviation Irom ideal, clinically unacceptable - 0 point
Lecture: written exam - 30
Practice Sessions Practice Sessions
Please come prepared!!!!!! - review all criteria
beIore session (Oper I and II manual) -
UNAEPTABLE to ask your instructor 'How
does it look like??????~~~~\\\
SelI evaluate beIore presenting Ior Iaculty
evaluation.
Attendance is mandatory; unexcused absence will
result in loss oI retake privilege.
PerIormance on daily work will not aIIect your
grade.
Save all evaluation Iorms; it will be part oI the
consideration I use to prescribe remediation
needed beIore retake are given again.
Please come prepared!!!!!! - review all criteria
beIore session (Oper I and II manual) -
UNAEPTABLE to ask your instructor 'How
does it look like??????~~~~\\\
SelI evaluate beIore presenting Ior Iaculty
evaluation.
Attendance is mandatory; unexcused absence will
result in loss oI retake privilege.
PerIormance on daily work will not aIIect your
grade.
Save all evaluation Iorms; it will be part oI the
consideration I use to prescribe remediation
needed beIore retake are given again.
Past Results Past Results
YEAR 1 2 3 4 5 6 7
Total # oI Students 86 81 80 87 86 98 98
lass II Amalgam Prep 21 25 19 23 21 17 32
lass II Amalgam Finish 11 4 22 33 10 3 7
lass III omposite Prep 12 15 11 10 5 9
lass IV omposite Finish 7 5 25 28 19 14 21
ast old Onlay Prep 37 28 46 50 36 37 17
of students failed at least one competency 61 53 67 75 55 51 55
YEAR 1 2 3 4 5 6 7
Total # oI Students 86 81 80 87 86 98 98
lass II Amalgam Prep 21 25 19 23 21 17 32
lass II Amalgam Finish 11 4 22 33 10 3 7
lass III omposite Prep 12 15 11 10 5 9
lass IV omposite Finish 7 5 25 28 19 14 21
ast old Onlay Prep 37 28 46 50 36 37 17
of students failed at least one competency 61 53 67 75 55 51 55
ompetency rading ompetency rading
rading Iormat and criteria - similar to the clinical
competency exam.
Evaluated by one instructor; use oI the same
grading sheet.
N grade - ideal
S grade - deviate Irom ideal but clinically
acceptable
M/E grade - moderate/extensive deviations Irom
ideal; clinically unacceptable
rading Iormat and criteria - similar to the clinical
competency exam.
Evaluated by one instructor; use oI the same
grading sheet.
N grade - ideal
S grade - deviate Irom ideal but clinically
acceptable
M/E grade - moderate/extensive deviations Irom
ideal; clinically unacceptable
Remediation Remediation
Students who Iail any competencies will be
required to complete a remediation program as
prescribed by the course director.
SuccessIul completion oI the prescribed program
is a prerequisite Ior retaking the competency.
All competencies will have to be passed within 1
month Irom the last day oI the spring semester
(5/25/08).
Students who Iail any competencies will be
required to complete a remediation program as
prescribed by the course director.
SuccessIul completion oI the prescribed program
is a prerequisite Ior retaking the competency.
All competencies will have to be passed within 1
month Irom the last day oI the spring semester
(5/25/08).
linical Procedures linical Procedures
ommon clinical procedures that cannot be
simulated in the pre-clinic settings.
Procedures will be perIormed on your classmates.
Isolation procedures - e.g. rubber dam, cotton rolls
etc.
Tissue retraction
Various matrix systems - contour matrix Ior
composite, bitine ring Ior posterior composite,
copper band.
ommon clinical procedures that cannot be
simulated in the pre-clinic settings.
Procedures will be perIormed on your classmates.
Isolation procedures - e.g. rubber dam, cotton rolls
etc.
Tissue retraction
Various matrix systems - contour matrix Ior
composite, bitine ring Ior posterior composite,
copper band.
Lectures Lectures
ompetencies review
Matching tooth color (Dr. T. Larson)
Histopathology oI dental caries (Dr. Hildebrandt)
The stratiIication technique Ior direct anterior
composite (Dr. Perdigao)
linic protocol; FiIty years oI care (Dr. Ziegler)
Diagnosis and treatment planning
Treatment planning in dentistry
Diagnosis oI dental caries and treatment options - pits
and Iissures, smooth surIace, proximal surIace, root
surIace, secondary caries
Evaluation oI existing restoration
ompetencies review
Matching tooth color (Dr. T. Larson)
Histopathology oI dental caries (Dr. Hildebrandt)
The stratiIication technique Ior direct anterior
composite (Dr. Perdigao)
linic protocol; FiIty years oI care (Dr. Ziegler)
Diagnosis and treatment planning
Treatment planning in dentistry
Diagnosis oI dental caries and treatment options - pits
and Iissures, smooth surIace, proximal surIace, root
surIace, secondary caries
Evaluation oI existing restoration
Status oI Treatment Planning in
Private Practice
Status oI Treatment Planning in
Private Practice
n article published in Reader`s Digest (Feb.,
1997) summarized the current status of
treatment planning in dentistry.
The article described how a patient who went to 50
diIIerent dental oIIices in 28 states; came back with
treatment plans ranging Irom no treatment needed to a
quote oI $30,000
n article published in Reader`s Digest (Feb.,
1997) summarized the current status of
treatment planning in dentistry.
The article described how a patient who went to 50
diIIerent dental oIIices in 28 states; came back with
treatment plans ranging Irom no treatment needed to a
quote oI $30,000