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Prosthetic Dentistry - Clinic
Study Course Description
Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:27.06.2024 14:24:21
| Study Course Information | |||||||||
| Course Code: | ZPK_028 | LQF level: | Level 7 | ||||||
| Credit Points: | 4.00 | ECTS: | 6.00 | ||||||
| Branch of Science: | Clinical Medicine; Oral Medicine | Target Audience: | Dentistry | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Sintija Miļuna-Meldere | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Prosthetic Dentistry | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 20 Dzirciema Street, zpk rsu[pnkts]lv, +371 67456043 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 15 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 60 | ||||
| Total Contact Hours | 60 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 15 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 60 | ||||
| Total Contact Hours | 60 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Successfully completed study course Preclinical Course in Prosthetic Dentistry IV (ZPK_025). Successfully completed study course Prosthetic Dentistry - Clinic ZPK_028 (4.7.) Successfully completed study course Dental anatomy, craniofacial aspects of physics and bio-materials, medical emergency, radiology, normal physiology, oral pathology diagnosis, clinical pharmacology, prosthodontics clinic dental technical laboratory. | ||||||||
| Objective: | Develop students' skills in the clinic by diagnosing oral cavity pathologies in patients using modern and up-to-date technologies. Create a treatment plan for a real patient in dental prosthetics, thereby developing skills and competence in clinical work, as well as understanding the theoretical rationale for the chosen prosthetic treatment plans. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Internal regulations, work organization in clinic (15-30 min). Basics of photography (30 min). Working in pairs (filling clinical chart, alginate impressions, photographies) (120 min) | Classes | 1.00 | clinical base | |||||
| 2 | Patient examination: dental and medical information, status, X-rays, alginate impressions, etc. First, one student of the pair examines the patient (90 minutes), then the other student examines the patient (90 minutes). Prepare a presentation about the patient, including the treatment plan (following the given treatment plan guidelines), and upload it to e-studies 3 days before the next class. | Classes | 1.00 | clinical base | |||||
| 3 | 1. Seminar (60 minutes): Students present the treatment plans for the patients they received during the previous class. Discussion about mistakes. 2. Patient examination in pairs (120 minutes, 60 minutes per student). | Classes | 1.00 | clinical base | |||||
| 4 | 1. Seminar (60 minutes): The homework for the class is to create presentations on the clinical and laboratory stages for the following topics and present them in the seminar: - Complete dentures - Plastic partial removable dentures - Metal partial removable dentures - Crowns/bridges on teeth 2.Clinical work with patients (120 minutes, 60 minutes per student in the pair). | Classes | 1.00 | clinical base | |||||
| 5 | 1) Seminar 60 min: create a presentation on the given topics and present it during the seminar: - Denture cleaning agents, cleaning, and storage. - Advantages and disadvantages of partial dentures made of plastic and metal (when to choose one over the other, etc.) - Comparison of metal-ceramic fixed dental prostheses with zirconia fixed dental prostheses. - Comparison of conventional complete dentures with implant-supported overdentures. 2)Clinical work 120 min (60 min each for a pair). | Classes | 1.00 | clinical base | |||||
| 6 | Colloquium (60 min); patient treatment (120 min) | Classes | 1.00 | clinical base | |||||
| 7 | Discussion about mistakes of the colloquium (30 min); patient treatment (120 min) | Classes | 1.00 | clinical base | |||||
| 8 | 1)Seminar 60 min: Discussion on treatment plan no. 1. Responses must be posted on the website below at least 3 days before the class (tooth prognosis, treatment for each tooth, optimal and alternative treatment plans). 2)Clinical work with patients 120 min (60 min for each student). | Classes | 1.00 | clinical base | |||||
| 9 | 1) Seminar 60 min: Discussion on treatment plan no. 2. Responses must be posted on the website below at least 3 days before the class (tooth prognosis, treatment for each tooth, optimal and alternative treatment plans). 2) Clinical work with patients 120 min (60 min for each student). | Classes | 1.00 | clinical base | |||||
| 10 | 1) Colloquium (90 min): Treatment planning (tooth prognosis, treatment for each tooth, optimal and alternative treatment plans). 2) Clinical work with patients 90 min (45 min for each student). | Classes | 1.00 | clinical base | |||||
| 11 | 1) Seminar 15 minutes: Discussion about the colloquium. 2) Seminar 45 minutes: Presentations on the given topics. 3) Clinical work with patients 120 minutes (60 minutes for each pair of students). | Classes | 1.00 | clinical base | |||||
| 12 | 1) Seminar 60 min: Discussion on treatment plan no. 3. Responses must be posted on the website below at least 3 days before the class (tooth prognosis, treatment for each tooth, optimal and alternative treatment plans). 2) Patient examination 120 min (60 min for each student). | Classes | 1.00 | clinical base | |||||
| 13 | 1) Seminar 60 min: Discussion on treatment plan no. 4. Responses must be posted on the website below at least 3 days before the class (tooth prognosis, treatment for each tooth, optimal and alternative treatment plans). 2) Clinical work with patients 120 min (60 min for each student). | Classes | 1.00 | clinical base | |||||
| 14 | 1) Colloquium (90 min): Treatment planning (tooth prognosis, treatment for each tooth, optimal and alternative treatment plans). 2) Clinical work with patients 90 min (45 min for each student). | Classes | 1.00 | clinical base | |||||
| 15 | 1) Seminar 30 min: Discussion about the mistakes made in the colloquium. 2)Clinical work with patients , handing over and completion of work. 3) A completed treatment plan with photographs of completed prosthetic work must be added (within 1 week after the last session). | Classes | 1.00 | clinical base | |||||
| 16 | Acquaintance with the semester requirements, assessment and exam requirements 30 min; Patient treatment 120 min | Classes | 1.00 | clinical base | |||||
| 17 | Class Topic:Options for anterior tooth restoration. Homework for the class: Read the provided scientific articles and prepare for the test. - Online test on the e-learning platform (10-15 min). The test must be completed during the session, and there is only 1 attempt allowed. - Discussion on the articles, addressing unclear questions (15 min). - Clinical work with patients (120 min). - Cleanup of workstations (30 min). | Classes | 1.00 | clinical base | |||||
| 18 | Class Topic: Treatment planning and options for edentulous patients. Homework for the class: Familiarize yourself with the provided treatment plan and prepare optimal and alternative treatment plans (3 GB), which must be submitted to the e-learning system before the class (this assignment will be graded). - Discussion on the homework treatment plans and mistakes (60 min). - Clinical work with patients (90 min). - Cleanup of workstation (30 min) | Classes | 1.00 | clinical base | |||||
| 19 | Colloquium (90 min); Patient treatment (60 min) | Classes | 1.00 | clinical base | |||||
| 20 | Discussion of Colloquium mistakes (30 min); Patient treatment (120 min) | Classes | 1.00 | clinical base | |||||
| 21 | Class Topic: Treatment planning for patients with medical limitations. Homework for the class: Review the provided treatment plan and prepare optimal and alternative treatment plans (3 versions of treatment), which must be submitted in PDF format on the e-learning platform before the session (will receive graded / ungraded evaluation). Discussion on the optimal and alternative plans from the homework assignment (60 min). Clinical work with patients (120 min). Cleanup of workstations (30 min) | Classes | 1.00 | clinical base | |||||
| 22 | Class Topic: Options for premolar restoration. Homework for the class: Familiarize yourself with the provided scientific articles and prepare for the test. Online test on the e-learning platform about the scientific articles (10-15 min). Discussion on the articles read (15 min). Clinical work with patients (120 min). Cleanup of workstations (30 min). | Classes | 1.00 | clinical base | |||||
| 23 | Class Topic: Treatment planning for a patient with tooth wear. Homework for the class: Familiarize yourself with the provided treatment plan and prepare optimal and alternative treatment plans (3 versions of treatment), which must be submitted in PDF format on Turnitin before the class. Discussion on the optimal and alternative treatment plans from the homework assignment (60 min). Clinical work with patients (90 min). Cleanup of workstation (30 min) | Classes | 1.00 | clinical base | |||||
| 24 | COLLOQUIUM (Mistake Detection in Treatment Plans) (90 min) Patient examination (120 min) Cleanup of workstations (30 min) | Classes | 1.00 | clinical base | |||||
| 25 | Discussion on the colloquium answers, discussion (30 min) Clinical work with patients (120 min) Cleanup of workstations (30 min) | Classes | 1.00 | clinical base | |||||
| 26 | Class Topic: Treatment planning for the patient. Homework for the class: Review the provided treatment plan and prepare optimal and alternative treatment plans (3 versions of treatment), which must be submitted in PDF format on the e-learning platform before the class (will receive a graded / ungraded evaluation). Discussion on the homework treatment plan (60 min). Clinical work with patients (90 min). Cleanup of workstations (30 min). | Classes | 1.00 | clinical base | |||||
| 27 | Class Topic: Options for molar restoration. Homework for the class: Read the attached scientific articles and prepare for the test. Online test on the e-learning platform (10-15 min). Discussion on unclear questions, discussion about the scientific articles (15 min). Clinical work with patients (120 min). Cleanup of workstations (30 min). | Classes | 1.00 | clinical base | |||||
| 28 | Class Topic: Treatment planning for the patient. Homework for the class: Review the provided treatment plan and prepare optimal and alternative treatment plans (3 versions of treatment), which must be submitted in PDF format on the e-learning platform before the class (will receive a graded / ungraded evaluation). Discussion on the homework treatment plan (60 min). Clinical work with patients (120 min). Cleanup of workstations (30 min). | Classes | 1.00 | clinical base | |||||
| 29 | COLLOQUIUM (Theory on all semester topics (scientific articles, presentations, discussed topics during sessions)) (90 min): Five questions will be given, which must be answered in writing. Clinical work with patients (60 min) Cleanup of workstations (30 min) | Classes | 1.00 | clinical base | |||||
| 30 | Discussion of colloquium answers and unclear questions (30 min) Clinical work with patients (120 min) Cleanup of workstations (30 min) Submission of completed treatment plan (for semester evaluation) | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Part 1 1. Communicate independently with the patient to obtain their medical history, problems, and desires. Then, independently create a treatment plan including tooth assessment (prognosis), scientific justification for tooth extractions/restorations, and offer the patient 3-4 treatment plans, one of which is the optimal treatment plan. 2. Independently prepare for the day's clinical work with the patient before the session (knowing which materials and instruments to use; how to perform manipulations that were taught in previous courses), and be aware of the materials/instruments needed for the next class/stage. 3. Independently complete homework assignments: creating presentations, developing treatment plans, reading scientific articles, etc. 4. Independently scan 2-3 teeth of any person (either a patient or another student), and perform the preparation of these teeth on a MOOG simulator, independently, during self-selected free time outside of classes (in consultation with the MOOG supervisor). Part 2 1. Communicate independently with the patient to obtain their medical history, problems, and desires. Then, independently create a treatment plan including tooth assessment (prognosis), scientific justification for tooth extractions/restorations, and offer the patient 3-4 treatment plans, one of which is the optimal treatment plan. 2. Independently prepare for the day's clinical work with the patient before the session (knowing which materials and instruments to use; how to perform manipulations that were taught in previous courses), and be aware of the materials/instruments needed for the next class/stage. 3. Independently complete homework assignments: creating presentations, developing treatment plans, reading scientific articles, etc. To evaluate the overall quality of the study course, the student must fill out the course evaluation questionnaire on the Student Portal. | ||||||||
| Assessment Criteria: | 1st Part Active participation in practical classes, ability to independently prepare all necessary instrumentation and materials in order to perform the planned work stage and ability to perform the particular stage of clinical work. Eligible treatment plans or other homeworks submitted electronically to the group tutor in timely manner. Passed all 3 colloquiums (1 theroterical colloquium, 2 treatment planning colloquium). Attended/ active interaction in discussion during seminars/ submitted or presented presentations in 8 seminars. At the end of the semester at least 1 prosthetic unit should be done (fixed or removable). 2nd Part Active participation in practical classes, ability to independently prepare all necessary instrumentation and materials in order to perform the planned work stage and ability to perform the particular stage of clinical work. Eligible treatment plans or other homeworks submitted electronically to the group tutor in timely manner. Passed all 3 tests. Submitted 5 treatment plans/homeworks on e-studies; active interaction in discussion during seminars. Passed all 3 colloquiums. At the end of the semester at least 1 fixed prosthetic unit and 1 removable prosthetic unit should be done. At the end of the course- writing exam (finding mistakes in the treatment plan, treatment planning, theoretical questions). | ||||||||
| Final Examination (Full-Time): | Exam (Written) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | As a result of successfully completing the study course, students will be able to define patient problems and outline treatment plans for dental prosthetics in clinical situations. Students will be able to describe the treatment stages, applicable treatment technologies, and the materials and instruments used in dental prosthetics, including the fabrication of removable and fixed dental prostheses. They will use knowledge about the use of digital technologies in dental prosthetics. | ||||||||
| Skills: | As a result of successfully completing the study course, students will be able to develop treatment plans for dental prosthetics in clinical situations and carry out prosthetics with both fixed and removable dental prostheses. They will be able to perform clinical work stages in practical clinical situations and use intraoral scanners. | ||||||||
| Competencies: | When creating a treatment plan, students will be able to correctly organize, process, and interpret the information obtained from clinical examinations. In clinical work with patients, students will be able to independently solve various problem situations while performing dental prosthetics in simple clinical cases. Students will be able to evaluate the necessity of using intraoral scanners in different clinical situations. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Pjetursson, B.E., Sailer, I., Merino-Higuera, E., et all. 2023. Systematic review evaluating the influence of the prosthetic material and prosthetic design on the clinical outcomes of implant-supported multi-unit fixed dental prosthesis in the posterior area. Clin Oral Implants Res. 2023 Sep;34 Suppl 26:86-103. doi: 10.1111/clr.14103. PMID: 37750526. | ||||||||
| 2 | Sailer I., Karasan D., Todorovic A., et all. Prosthetic failures in dental implant therapy. Periodontol 2000. 2022 Feb;88(1):130-144. doi: 10.1111/prd.12416. PMID: 35103329; PMCID: PMC9305548. | ||||||||
| 3 | Pjetursson B.E., Sailer I., Latyshev A., et all. A systematic review and meta-analysis evaluating the survival, the failure, and the complication rates of veneered and monolithic all-ceramic implant-supported single crowns. Clin Oral Implants Res. 2021 Oct;32 Suppl 21(Suppl 21):254-288. doi: 10.1111/clr.13863. Erratum in: Clin Oral Implants Res. 2021 Dec;32(12):1507. PMID: 34642991; PMCID: PMC9293296. | ||||||||
| 4 | Jokstad A., Pjetursson B.E., Mühlemann S., Wismeijer D., et all. Fabrication, workflow and delivery of reconstruction: Summary and consensus statements of group 4. The 6th EAO Consensus Conference 2021. Clin Oral Implants Res. 2021 Oct;32 Suppl 21:336-341. doi: 10.1111/clr.13797. PMID: 34145922. | ||||||||
| 5 | Pjetursson B.E., Valente N.A., Strasding M., et all. A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic single crowns. Clin Oral Implants Res. 2018 Oct;29 Suppl 16:199-214. doi: 10.1111/clr.13306. PMID: 30328190. | ||||||||
| 6 | Sailer I., Strasding M., Valente N.A., et all. A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic multiple-unit fixed dental prostheses. Clin Oral Implants Res. 2018 Oct;29 Suppl 16:184-198. doi: 10.1111/clr.13277. PMID: 30328185. | ||||||||
| 7 | John Beumer III, Robert F. Faulkner, Kumar C. Shah, Peter K. Moy. Fundamentals of Implant Dentistry Volume 1: Prosthodontic Principles. 1st edition, Quintessence Pub 2015. (2024.gadā akceptējams izdevums). | ||||||||
| 8 | Craig's Restorative Dental Materials. 13th edition; Ronald Sakaguchi John Powers. Mosby; 2019. | ||||||||
| 9 | Radi Masri, Carl F. Driscoll. Clinical Applications of Digital Dental Technology. Wiley Online Library, 2015. (2024.gadā akceptējams izdevums). | ||||||||
| 10 | Abduo J, Lyons KM. Interdisciplinary interface between fixed prosthodontics and periodontics. Periodontol 2000. 2017 Jun; 74(1):40-62 | ||||||||
| 11 | Armitage G.C., Xenoudi P. Post-treatment supportive care for the natural dentition and dental implants. Periodontol 2000. 2016 Jun; 71(1):164-84. | ||||||||
| 12 | Felton D., Cooper L., Duqum I., Minsley G., et all. American College of Prosthodontists. Evidence-based guidelines for the care and maintenance of complete dentures: a publication of the American College of Prosthodontists | ||||||||
| 13 | Chu, Stephen J., Paravina, Rade D., Sailer, Irena, Mieleszko, Adam J. Colour in Dentistry: A Clinical Guide to Predictable Esthetics. International Quintessence Publishing Group. 2017 | ||||||||
| 14 | Hohmann, Arnold, Hielscher, Werner. Principles of Design and Fabrication in Prosthodontics. Quintessence Pub 2016 | ||||||||
| Additional Reading | |||||||||
| 1 | The Art of Complete Denture Therapy for the General Practitioner. Kevin D. Huff / Douglas Benting. 1st edition, 2022 Quintessence Pub | ||||||||
| 2 | 3D printing in dentistry. Irfan Ahmad / Fahad Al-Harbi. 1st edition, Quintessence Pub 2019 | ||||||||
| 3 | Michael P. Waliszewski. Brudvik's Advanced Removable Partial Dentures. 2nd edition. Quintessence Pub 2022 | ||||||||
| 4 | Ting-Ling Chang, Daniela Orellana, John Beumer III. Kratochvil's Fundamentals of Removable Partial Dentures. 1st edition 2019, Quintessence Pub 2019 | ||||||||
| Other Information Sources | |||||||||
| 1 | The International Journal of Prosthodontics ISSN: 0893-2174 | ||||||||
| 2 | The Journal of Prosthetic Dentistry. ISSN:0022-3913 | ||||||||
| 3 | Clinical Oral Implants Research. ISSN:0905-7161 | ||||||||
| 4 | European Journal of Oral Sciences. ISSN:0909-8836 | ||||||||
