Fundamentals of Restorative Dentistry VI Restorative DHYG 217 Winter 2017

Transcription

1 Fundamentals of Restorative Dentistry VI Restorative Winter 2017 Course Credits 1 (10 hours of lecture/lab equivalent) Pre-requisites Enrollment in the Dental Hygiene Program and successful completion of DHYG 207 BASDH Course Equivalency Course Description DHYG 407: Continued development of advanced techniques in the placement, carving and polishing of dental amalgam restorations and composite restorations on the adult dentition. Introduction of dental restorative theories related to advanced techniques and procedures of modern dental materials. A basic overview of endodontics and vitality testing included as part of assessing a patient's pain complaint. Sixth in a series of seven courses, Fundamentals of Restorative Dentistry I-VI, facilitating the growth of competent skills in the placement, carving and polishing of dental amalgam restorations on the adult dentition and primary dentition and the placement, finishing and polishing of composite restorations on the adult dentition in a pre-clinical setting, as well as treatment planning for the restorative patient. Equitable prerequisite for DHYG 417 Locations Lecture: Cascade 125 Pierce Lab: Cascade (Clinic) Days and Times Professor Office Hours Contact Information Required Texts Lecture: See schedule below (occasionally shortened or extended to accommodate materials needing to be covered in lecture and labs) Lab: as needed per topic combined with lecture Lecture: Sheila Norton BS, RDH Pierce Lab: Sheila Norton BS, RDH Monday s 1-3 or arranged Friday s 4-5 pm C snorton@pierce.ctc.edu Emergency phone # REQUIRED TEXTS 1 Clinical Aspects of Dental Materials by Gladwin Bagby (CADM) 2 nd addition 2 The Dental Assistant by Anderson, Pendleton, 7th Edition (DA) 3 Course Handouts OPTIONAL TEXT Dental Instruments: A Pocket Guide by Linda R. Bartolomucci Boyd Course Topics/Content a.amalgam and composite restorations - WREB mock board testing b.advanced composite restorations including Class IV, composite veneers and diastema closure techniques c.advanced placement of multiple amalgam and/or composite restorations d.advanced restorative treatment planning e.pins and posts in dentistry f.composite shade layering and shade selection 1

2 Course/Student Outcomes Course Objectives 1. Continued development of the course outcomes in DHYG 107, 117, 127, 167, and 207 with ever increasing level of complexity in restorations and variations of techniques. (A,D,E) 2. Demonstrate and further develop competent skills in placing, carving and polishing complex amalgam restorations and placing, finishing, and polishing complex composite restorations to an acceptable level. (A, B, C,D,Z) 3. Identify the standards for evaluating and self-evaluate Class II amalgam and composite restorations according to the Western Regional Exam Board (WREB). (A,B,C,D,Z) 4. Describe and demonstrate techniques for multiple adjacent restorations. (E,F,Z) 5. Demonstrate techniques for Class IV composite restorations using corner forms and free-hand Techniques to an acceptable level. (E,F) 6. Identify and indicate the use of composite veneers as related to diastemas or other defect/disease.(f) 7.Describe in detail the placement techniques for composite veneers and diastema closure procedures. (F) 8.Demonstrate shade selection and layering for the best esthetic appearance of composite restorations. (A,E) 9. Identify in radiographic films and describe the function of pins and posts in dentistry. (A,B,F) Lesson 1: Restoring adjacent proximal restorations 1.5 Hours: Describe and demonstrate techniques for multiple adjacent restorations. (E,F) 1.1 When placing back to back restorations identify which restoration to be done first. 1.2 Identify how to evaluate when there is proper contour of the proximal of the initially placed restoration. 1.3 Know what an undercontoured and overcontoured matrix band will produce for the 2 nd placed restoration. 1.4 Identify how to remedy the resulting errors for band contour prior to placing the 2 nd restoration. Lesson 2: Composite layering and shade selection: 2 Hours: Demonstrate shade selection and layering for the best esthetic appearance of composite restorations. (A,E) 2.1 Identify techniques to determine proper base shades. 2.2 Demonstrate how to use the Filtex shade wheel to determine multiple shades when layering. 2.3 Know the difference between B, D and E shades of composite and when to use them. 2.4 Understand the terminology of hue, chroma and value and how these concepts apply to shade selection. Lesson 3: Class IV composite restorations: 2 Hours: Demonstrate techniques for Class IV composite restorations using corner forms and free-hand techniques to an acceptable level. (E,F) 3.1 Demonstrate knowledge of the corner form technique and the free hand technique for placement of Class IV restorations. 3.2 Determine the best technique for individual situations. 3.3 Show knowledge of the shade layering concept and its use in Class IV restorations. 2

3 Lesson 4: Composite veneers and Diastima closures 2 Hours: Identify and indicate the use of composite veneers as related to diastima or other defect/disease. Describe in detail the placement techniques for composite veneers and diastema closure procedures. (F) 4.1 Understand the rationale for placing composite veneers. 4.2 Explain the use of composite veneers for restoring peg laterals. 4.3 Explain the techniques used by Dr. Fahl for diastima closure and how you could incorporate them into your clinical use. Lesson 5: Cusp buildups:.5 hours: Describe when cusp build-ups are appropriate and which materials are indicated. (A,F) 5.1 Identify when cusp buildups would be appropriate treatment for a patient. 5.2 Determine which restorative material would be best for a particular cusp build up and why. Lesson 6: Pins and Posts: 1 Hour: Identify pins and posts in dentistry and on radiographic films and describe their function.(a,f) 6.1 Differentiate between a pin and a post in dentistry and on radiographs. 6.2 Identify when pins and posts are used in today s dentistry. Lesson 7: Restorative treatment planning: 1 Hour: Discuss treatment planning, prioritizing and phasing treatment. (F) 7.1 Differentiate between ideal, practical and essential dentistry. 7.2 Explain the concept of standard of care and how this applies to current treatment planning 7.3 Determine the appropriate use of crowns, onlays and inlays (according to Dr. Karzowski s information). 7.4 Identify when a crown is need by the amount of restorative material or decay is present. Methods of Instruction Student Conduct Policy Course Requirements Assignments/Activities In class lectures and discussions regarding topics pertinent to course of study. Final paper covering lecture and required reading/materials Please refer directly to the Pierce College Student Code of Conduct and the Pierce College Dental Hygiene Program Student Handbook for the general guidelines of the conduct within and related to this class. Please remember that you signed and agreed to all of the rules, policies etc. set forth in the handbook. Please review for use of cell phones in classroom and clinic. Attendance, Professionalism and Participation 30% Lab activities 10% Mock Board #4 30% Final Paper 30% 100% 1. Attendance and participation in lecture and discussions Grade based on attendance and participation in group discussions and interest in subject matter. 2. Lab activities a. Completed corner restorations #8 and #24 b. Completed back to back restorations #18MO/#19DO 3. Mock board #4 4. Final paper: Write a synopsis paper of each topic discussed in lectures and lab in Advanced Restorative Techniques. Indicate evidence of knowledge and how you will apply them to your future clinical practice as dental hygienist. Use proper paper structure, 2 typed pages min, 12 font, 1 ½ spaced). Grading rubric provided below. Please submit a copy to Canvas by specified date and time. 3

4 No work is accepted late. Assessment Tools Evaluation Criteria & Procedures Failed Assessment Process Syllabus Disclaimer Campus Safety & Security ADA Disclaimer A. Instructor observation B. Formal assessment C. Self-evaluation D. Student proficiency E. Clinical demonstration F. Written essay Z. Clinical AIS Evaluation Criteria and/or Pierce College Global Rubrics A grade of 2.0 must be achieved to pass this course and continue in the restorative dentistry series. Final grades below a 2.0 will be subject to academic review. Mock board and lab restoration pairs graded as follows: A/A 4.0 A/I 3.0 I/I 2.0 S/A,I 1.0 An A/A score will be applied to the passes WREB totals Five A/A pairs are required for Director s signature for applying to take early restorative WREB exam. Students who do not receive a passing score on an assignment or exam will be contacted by the course professor to schedule a conference within one week time of the non-passing grade. During this conference, the student and instructor will review the assignment or examination results and determine what, if any, next steps are necessary to support the student s future academic success in the course. This syllabus may be altered, as deemed necessary by instructor, any time during the course. Changes, requiring a time alteration, will be given with sufficient notice for students to accommodate. Emergencies are the exception. Dial for emergency. For escort or other non-emergent needs: Cascade Building, C311, Office: (253) Your experience in this class is important to me, and it is the policy and practice of Pierce College to create inclusive and accessible learning environments consistent with federal and state law. If you experience barriers based on disability, please seek a meeting with the Access and Disability Services (ADS) manager to discuss and address them. If you have already established accommodations with the ADS manager, please bring your approved accommodations (green sheet) to me at your earliest convenience so we can discuss your needs in this course. ADS offers resources and coordinates reasonable accommodations for students with disabilities. Reasonable accommodations are established through an interactive process between you and the ADS manager, and I am available to help facilitate them in this class. If you have not yet established services through ADS, but have a temporary or permanent disability that requires accommodations (this can include but not be limited to; mental health, attention-related, learning, vision, hearing, physical or health impacts), you are encouraged to contact ADS at (Fort Steilacoom) 4

5 COURSE SCHEDULE Please note that class is not held each week and time for each session is posted below. Date Lessons Topic Preparation and/or Pre-reading assignment 1/6/17 Monday Class 11-3:30 Lesson 1- Restoring Adjacent Proximal Restorations (Class II and III) Lesson 2- Composite layering and Shade Selection Lesson 3-Class IV Composite restorations *Course review and lecture (Rm 125) *Restoring adjacent proximal restorations *Composite layering and shade selection *Class IV composite restorations - corner form and free form tech. Lab component 1-3:30 #8-MILusing corner forms tech and #24 MIL using free form tech and composite layering techniques (units set for dentoform) #18MO and 19DO *units set for dentoforms LAB #8 MIFL placed for corner form technique 1/20 Friday Class TIME: 11-2:30 1/20 1-2:30 Lesson 4 Composite Veneers and Diastima Closure Mock Board #4 *DVD Composite veneers & Diastima closures Dr. Newton Faul Articles-Composite veneers Grading to be done following in Lab 2/3 TIME: 11-1 Lesson 5-Cusp Build-ups Lesson 6-Pins and Posts, Lesson 7-Treatment Planning *Cusp buildups-pins and posts *Restorative treatment planning DVD-Dr. Kurzowski (cusp build-up restoration done in spring) Articles 2/24/17 Friday 10PM Final Papers Due- Canvas upload NO Class Rubric on Canvas 5