OPTICAL SCANNER AS AN INNOVATIVE TEACHING TOOL IN RESTORATIVE CURRICULUM Outline Introduction and efforts to enhance learning by implementing technology Dincer Gurun, DDS, DMD Optical scanning overview Mohamed Mansour, BDS, DDS, MSD Pre-clinical curriculum and research opportunities Ahmad Fard, DDS, MS Clinical curriculum and outcomes/demo Eliana Sanchez, DDS 1
Disclaimer Presenters has received no compensation from any company mentioned as part of this presentation however UDM, as an academic institution, has received product grant and preferential pricing to permit the placement of their equipment in the academic setting. Teaching Activity 2
Curriculum and Instruction Methods Curriculum and Instruction Methods Evidence Based Foundational Knowledge and Simulation Laboratory 3
Curriculum and Instruction Methods Curriculum and Instruction Methods 4
Restorative Curriculum Calendar Class Aug Sept Oct Nov Dec Jan Feb Mar April May June July DS 1 Intro to Oper Dent Aug 22 Oct 17 (Simlab, 3-4 hr, M/W) Basic Restorative Sciences Module Dental Materials Aug 22 Oct 10 (Class, 1 hr, W) Dental Anatomy Aug 21 Oct 18 (Class, 1.5 hr, T/TH) Occlusion Oct 22 Dec 10 (Simlab, 3-4 hr, M/W) Christmas Break Dec 24 Jan 2 Diseased Tooth Module Direct Restorations (Amalgam/Composite) Jan 7 April 22 (Simlab, 3-4 hr, M/W) Indirect Restorations (Single Crown, Inlay, Onaly) April 24 June 17 (Simlab, 3-4 hr, M/W) DS 2 Three-Unit FPD Aug 20 Oct 24 (Simlab, 3-4 hr, T/TH) Partial Edentulism Module Removable Partial Dentures Oct 29 Dec 12 (Simlab, 3-4 hr, T/TH) Christmas Break Dec 24 Jan 2 Implants Jan 7 Jan 23 (Simlab, 3-4 hr, T/TH) Complete Edentulism Module Conventional CD Jan 28 April 3 (Simlab, 3-4 hr, T/TH) Implant CD April 8 April 10 (Simlab, 3-4 hr, T/TH) Curriculum Enhancement and Technology Traditional All Digital / Laboratory CAD/CAM All Digital / Chairside 5
Curriculum Integration Our vision was to utilize optical scanners as a teaching tool to improve communication between faculty and students. It was mid-2009 when we first purchased our three COS units which marked us the first Department in North American embracing this technology to integrate into pre-doctoral dental curriculum. We organized our first official faculty training in December 2009. For the last two academic years we have been utilizing the digital impression technique in our DS2 simulation courses, Fixed Prosthodontics Techniques I and II. Optical Scanner/Digital Impression As educators, we value optical scanners more than a digital impression unit but a great teaching tool. 6
Teaching Tools Teaching Tools These units are excellent in communicating with our students efficiently whenever they need to improve their preparations. We can magnify up to 50x or move images around. It assists us in standardization efforts among faculty. 7
Analyzing preparation Inspect Before Scanning Review the Model Carefully Inspect the Field All Begins with Faculty Training Two day CE session scheduled for faculty members on Digital Impression Techniques. DS3/DS4 clinics is closed to allow clinical faculty to attend and CE credits were provided by the Hands-on rigorous schedule A week long in-service for the faculty in optical impressions. Approximately 10-16 faculty per day participation with a chance to do practical exercises with the units. Multiple levels 8
A New Skill To Learn Dec 2009, faculty training session. Follow-up 9
Facts # of days since training Total # of cases scanned since training Doctor with the highest # of cases scanned *Data taken on 3/12/10 Curriculum Prepare students with the necessary foundational skills at competency level. Exposure to technology, materials and techniques CODA Standard Standard 2-23 Intent: Graduates should be able to evaluate, assess, and apply current and emerging science and technology. 10
Three Year Curriculum in digital impression and CAD/CAM dentistry DS2 Didactic Training Simulation Lab DS3 Advanced Course in Fixed Prosthodontics Clinical Cases DS4 Elective Sessions Clinical Cases Clinical Coordinator We have a clinical coordinator named for digital workflow who oversees the activities, supervises students with the procedures and assists other faculty to become more comfortable with teaching the technique. Initially introduced a new form for student to use in the clinics for better tracking and checking-in to receive additional credit when they use optical scanners. Clinical manual and resources 11
Distribution Cases LAVA COS CAD/CAM CONVENTIONAL Student Evaluations The most positive aspects of this course was definitely just being in the sim lab and learning the proper techniques. I especially like working with COS. It was awesome for us to get a chance to use this technology before the clinic and see how technical it is and what it can provide us and our patients as clinicians. I loved having the opportunity to work the two oral scanners, however the time constraints need to be dealt with. I enjoyed the technology aspect of the course, incorporating the digital technology into the curriculum. Working with digital scanning and learning the concepts of crown preps and to learn about the new technology which is out there were the most positive aspects. 12
Challenges Our main challenge is still the faculty as they are very busy on the clinic floor with multiple difficult restorative procedures. Setting up takes time as the units/tubs have to be checked out. The number of faculty that are very comfortable with the system are increasing but still limited. It is more challenging to integrate this technique in a dental curriculum environment than a private practice. Changing technology Cost/Number of machines Support IT Com pany Administ ration Faculty 13
Summary- Advantages Exposure to technology. It allows us to teach our students digital workflow as part of our patient care activities. In the long run we may be able to increase our clinical efficiency and decrease our remake rates with predictable restorations. Patient comfort and satisfaction is also very important for us to maintain the reputation of our dental clinics. Effective feedback. Landscape of Learning We believe that our students should be exposed to certain technology. Optical scanners can be used as a teaching instrument and enhance learning. Optical scanning is the future in impression taking and this minimal experience to cutting edge technology in restorative dentistry will definitely give tomorrow s graduates a competitive advantage in private practice. 14