RDN839: Removable Prosthodontics Clinic II 1. Course Directors 2. Administrative Details Dr. Carlos Muñoz Primary Course Designation: Clinical Course Type: Required Department of Restorative Dentistry Year/Semester: D3/1,2 (3 rd year/fall, Spring) 829-2862 Credit Hours: 0.5 (Fall), 1 (Spring) cmunoz@buffalo.edu Office Hours: Monday 1pm-2pm, Tuesday 9am-12pm 3. Participating Faculty Dr. Jane Brewer Dr. Robert Bochiechio Dr. John Buscaglia brewer@buffalo.edu bochiechiodental@aol.com jcbuscagliadds@roadrunner.com Brendon Dowd drrndowd@msn.com Dr. Pat Haberman smilzl@roadrunner.com Dr. Jennifer Froebel kapela@buffalo.edu Dr. Dennis Blair Dr. Paula Flynn Dr. Lata Shenoy 222 Squire Hall 222 Squire Hall Dblair5085@aol.com peflynn@buffalo.edu shenoy@buffalo.edu Dr. Davis Garlapo Dr. Latifa Bairam Hyeong-Il Kim 235 Squire Hall dgarlap@buffalo.edu lrbairam@buffalo.edu hik@buffalo.edu Dr. Seungyee Kim-Pusateri Dr. Jennifer Kuracina Dr. Violet Haraszthy sk37@buffalo.edu kuracin@buffalo.edu vh1@buffalo.edu Dr. Kenneth McHenry Dr. Michael Moore Dr. Jenny Sy 222 Squire Hall 235 Squire Hall 113 Cary Hall krmc@buffalo.edu mgmoore@buffalo.edu jsmunoz@hotmail.com Dr. Christopher Pusateri Dr. Ferdinand Ruocco Dr. Mindy Paticoff-Weinman 222 Squire Hall 235 Squire Hall pusateri@buffalo.edu brokentooth515@adelphia.net toothdocs2@aol.com Dr. Patricia Starring Dr. Eugena Stephan Dr. Ronald Zielin 225F Squire Hall 225 Squire Hall 222 Squire Hall starring@buffalo.edu stepha@buffalo.edu rzielin@buffalo.edu RDN839 Removable Prosthodontics Clinic I / Muñoz Page 1 of 7 June 15, 2010
4. Keywords Complete denture, Partial denture, Treatment planning, Tissue conditioning, Jaw records, Artificial teeth, Denture insertion, Denture adjustments, Partial framework, Abutments, Chief complaint, Esthetics, Ridge form, Phonetics 5. Course Meeting Days, Times & Locations Monday, Wednesday and Fridays, 9:00-4:00 p.m. clinics 6. Course Description This course is part of the combined third and fourth year integrated clinical program. The overall goals, objectives and methods of evaluation are consistent with those of third year Comprehensive Care Clinic courses CLD 831-832. 7. Course Purpose This course is the student's first hands-on clinical experience in the area of removable prosthodontics. Using the basic principles taught in removable prosthodontics preclinical laboratory and lecture courses, this course's general purpose is to acquaint the student with the clinical procedures necessary to restore the loss of several or all of the patient's teeth. The student's initial attempt of the steps necessary to properly construct a complete or removable partial denture is done primarily to increase the knowledge base and promote psychomotor skills. The first clinical experience will involve active instruction including discussion before the procedure, observation with intervention when needed and review at the end of the procedure. As the student has acquired some clinical experience, qualitative judgment will be made as to the student's perception of a given condition and critical thinking necessary to problem-solve the condition. Hands-on interaction and demonstration, as needed, will continue to be provided as the student progresses in the course. 8. Course Goals a. Patient Examination and Treatment Planning: Recognition of the essential elements necessary to formulate a detailed examination of a partially or completely edentulous patient and using this information to diagnose the condition and plan a course of treatment. b. Designing a Removable Partial Denture Framework: The student should be able to develop an acceptable design for a partially edentulous patient that satisfies the biomechanical principles developed from an evaluation of the diagnostic data. c. Tissue Conditioning: The student should develop the knowledge and skills necessary for tissue conditioning of an existing denture thus enabling the patient to achieve an optimal state of health of the denture foundation area tissues. d. Mouth Preparation: The student will be able to modify tooth contours, eliminate interferences, and prepare rest seats on abutment teeth for a patient requiring a removable partial denture. e. Cast Crown Abutments: The student will be able to fabricate a cast crown abutment for a removable partial denture. f. Impression Making: The student shall be able to manage the tissues and materials necessary to make an acceptable complete or removable partial denture impression. g. Jaw Records: The student will develop the knowledge and skills necessary to adequately record the jaw relations of a patient edentulous in at least one arch. h. Arrangement of Artificial Teeth: The student should be able to properly select and arrange anterior and posterior teeth for a completely or partially edentulous patient and be familiar with the various types of teeth available from which to choose. i. Denture Insertion and Adjustments: The student will be able to perform the clinical procedures required to successfully insert a removable prosthesis and provide follow-up adjustments necessary to achieve patient comfort and oral health. RDN839 Removable Prosthodontics Clinic I / Muñoz Page 2 of 7 June 15, 2010
9. Learning Objectives a. Treatment Planning: At the end of the course, the student should be able to examine a partially or complete edentulous patient, gather the proper diagnostic data and formulate a workable treatment outline in proper sequence for that patient. b. Constructing a Complete Denture: At the end of the course, the student should understand and be able to perform the necessary clinical steps taken in the construction of a maxillary and mandibular complete denture. c. Designing Partial Denture Frameworks: At the end of the course, the student should understand the biomechanical principles that underlay framework design and be capable to adequately design a framework for a given partially edentulous state that meets the criteria set forth for such a prosthesis. d. Placement of a Removable Partial Denture: At the end of the course, the student should understand and be able to perform the necessary clinical steps in the design and placement of a removable partial denture. 10. Associated Competencies Learning Objective SDM Competency from Appendix 1 9a 1, 3, 4, 5, 7, 10, 11, 13, 16-24, 27, 28, 32, 33, 34, 37 9b 1, 3, 4, 5, 7, 10, 11, 13, 16, 17, 21, 22, 32-35, 37 9c 1, 3, 4, 5, 7, 10, 11, 13, 16, 17, 27, 33-35, 37 9d 1, 3, 4, 5, 7, 10, 11, 13, 16, 17, 32, 33, 35, 37, 38 11. Student Evaluations Methods You are evaluated in the following major clinic activities: a. Patient Management Skills 1. Preparation and knowledge 2. Time Management b. Clinical and Technical Skills c. Clinical Productivity Grades will be determined by weighing the various clinical activities as follows: Grading Criteria Evaluation Types* % Weight Faculty eval Faculty qualitative evaluation 50% CPU Clinical Productivity Units (CPU) 50% *Evaluation Types (see Appendix 2 for full descriptions) 100% Additional clinical experiences in removable prosthodontics will include: a. Recall Evaluations b. Management of Prosthodontic Emergencies There is no third year Clinical Practical Examinations /CPE in Removable Prosthodontics. Patient management and clinical skills in removable prosthodontics will be assessed on a summative basis at the end of each semester. First semester grades are considered a progress report for student information and will be determined as a satisfactory (S) or unsatisfactory (U). Second semester grades will be based on standard letter grades (A-F) and represent work completed for the entire academic year. RDN839 Removable Prosthodontics Clinic I / Muñoz Page 3 of 7 June 15, 2010
Students who wish to receive a daily (formative) assessment should submit a daily evaluation form to the assigned faculty member at the end of the clinic period. In most cases, a generic criteria form should be utilized. Clinical productivity will be measured by using a clinical productivity unit (CPU) scale. Clinical procedures are assigned a value unit based on the average amount of clinic time needed to complete the procedure. For example, a complete denture has a CPU of 72, and a RPD has a CPU of 60. Other procedures such as immediate and provisional dentures, denture relines or denture repairs have proportionate CPU's. Performance standards will be based on historical data obtained from previous classes production. These standards may require adjustment due to variations in clinic time and the available patient pool. A. Patient Management and Clinical Skills (50%) Faculty within the department of restorative dentistry who has experienced significant student interaction in the completion of removable prosthodontic treatment will be asked to submit student evaluations. This portion of the grade will largely depend on the judgment of the individual faculty member. Qualitative evaluations will carry the following units: Honors 100 Excellent 85 Satisfactory 75 Unsatisfactory 0 The average number of points earned will be determined by dividing the sum of all units by the number of faculty evaluators. Students who display poor patient management skills or poor clinical and/or technical skills, will receive a (0) Unsatisfactory, depending on the interpretation of the course director after consultation with the appropriate faculty member(s). A student's lack of preparedness, poor time management and inability to perform clinical procedures without an undue amount of faculty assistance often are criteria for an unsatisfactory or a failing grade. B. Clinical Productivity (50%) CPU Discipline Minimums Fall Semester 40 Spring Semester 80 Third year total 160 There are no CPE requirements for Removable Prosthodontics for the Junior Year. Clinical productivity represents 50% of your total grade and will be computed using the following scale: CPU total (both semesters) points earned 0 159 0% 160 199 65% 200 249 75% 250 299 85% 300 349 95% 350 above 100% RDN839 Removable Prosthodontics Clinic I / Muñoz Page 4 of 7 June 15, 2010
Grading The final grade will be determined by averaging the clinical productivity points with the qualitative faculty evaluation points. For example, a student who has earned 300 CPUs (95 points) and satisfactory grades (S) from two faculty evaluators (75 points), would receive a B grade (85 points) using the grading scale below: A=100-90 B=89-80 C=79-70 D=69-65 F=below 65 Students who fail to meet the 'low pass' performance standards for qualitative and quantitative accomplishments will fail this course. There is no summer remediation for an F grade. This automatically assumes that an F grade in the second semester warrants repetition of at least one semester in the junior clinic. 12. Learning Resources Primary: McCracken's Removable Partial Prosthodontics Carr, Alan. Publishing House: Elsevier, 2005 Edition Version#: 11 th Primary: Textbook of Complete Dentures Rahn, Arthur Publishing House: BC Becker, 1993 Edition/Version#: 5 th Secondary: Prosthodontic Treatment for Edentulous Patients Zarb, George. Publishing House: Elsevier, 2003 Edition/Version#: 12 th Secondary: Stewart s Clinical Removable Prosthodontics Phoenix, Rodney Publishing House: Quintessence, 2002 Edition/Version#: 3 rd 13. Instructional Media a. Instructional Modes: Verbal auditory 20% Visual 20% Psychomotor/Tactile 60% b. Instructional Tools: Handouts/Manuals, Models, Slideshow (i.e. PowerPoint) c. Instructional Methods: Lecture, Discussion, Case Presentations 14. Course Schedule Schedules for this course are available each semester on the SDM intranet web site. RDN839 Removable Prosthodontics Clinic I / Muñoz Page 5 of 7 June 15, 2010
15. Course Policies & Procedures Policies and procedures of the course are written in accordance with the Faculty Handbook and Academic Policies. Course Policies are written to clarify expectations of the course director regarding attendance, behavior, grading, academic integrity, professionalism, disabilities, remediation, etc. Refer to the student handbook for more detailed information http://intranet.sdm.buffalo.edu/student/handbook/. A. Course Failure and Remediation Students who earn an "F" grade in this course may be given the opportunity to remediate. Remediation will be permitted only at the discretion of the School of Dental Medicine's Executive Council. Resolution of Grades in Removable Prosthodontics If at the end of the fall semester a student does not complete the minimum CPU s, (40) he/she will receive an I (Incomplete) grade. The I grade will be removed at the end of the spring semester; however, the student has to have completed a minimum of 80 CPU s to receive an S (Satisfactory) for the fall grade. If at the end of the spring semester the student has not completed the minimum CPU s (80) a U (Unsatisfactory) will be given for the fall semester and an F will be automatically given for the spring semester. If during the spring extension the student is able to complete the 160 minimum CPU s the F grade will be changed to a D If at the end of the spring semester the student has not completed the minimum 160 CPU s, but has attained at least 80 CPU s, the course Director will give the student an I grade and will give the student until the end of the spring extension to complete the minimum 160 CPU s with the understanding that the best grade that could be given is a C. If the minimum 160 CPU s is not met at the end of the spring extension, the spring semester grade will be changed to an F. If the students receives an U or an F grade, at student dentist s request in consultation with his/her Tier Director, must provide a statement in writing to the discipline monitor that circumstances beyond the student dentist s control prevented him/her from meeting minimal requirements, i.e., lack of patient availability, inappropriate patient pool to meet certain requirements, student illness over an extended period, etc. B. Disabilities This institution supports the goals and requirements of Section 504 of the Rehabilitation Act of 1973, which mandates academic adjustments, commonly called reasonable accommodations, be provided for students with documented disabilities. If you have a disability and may require some type of instructional and/or examination accommodation, please contact me early in the semester so that I can provide or facilitate in providing accommodations you may need. If you have not already done so, you will need to contact the Disability Services office, the designated office on campus to provide services for students with disabilities. The office is located at 25 Capen Hall and the telephone number is (716) 645-2608. C. Attendance Students must be productively engaged in patient care during all scheduled clinics. Attendance is mandatory and appointment levels will be monitored each day. As described in the student handbook, "attendance at scheduled classes, laboratory sessions, clinical assignments and examinations is mandatory. Absence can negatively affect both knowledge and grades. Students are expected to arrive on time to the clinics. Late arrival is disruptive for both students and faculty, and interferes with effective learning. Absences fall into two general categories: planned RDN839 Removable Prosthodontics Clinic I / Muñoz Page 6 of 7 June 15, 2010
and unplanned. Please review the student handbook for how to proceed in these instances, and advise me accordingly, or the Office of Student Affairs 829-2839 if there is an emergency or medical illness. D. Canceled Classes If, for any reason, a scheduled clinic session is not held, the scheduled event will occur at the next session unless otherwise announced. E. Course Evaluation Comprehensive evaluation of this course will be administered online at the end of the course through the Office of Academic Affairs. Eliciting feedback and constructive criticism is important so that Course Directors may take action to improve the course. Students are expected to participate fully in this important process. F. Changes in the Course No changes have occurred in this course since the last time it was offered. G. Distractions in the Classroom/Behavioral Expectations As students in a health professions school, students are expected to display conduct consistent with their status as entering members of the profession. Specifics of expected conduct are listed in both the university "Student Conduct Rules, University Standards and Administrative Regulations" and in the School of Dental Medicine "Student Handbook". In recent years, cell phones, pagers, and other electronic devices have been sources of disruption in classrooms. All electronic devices except those specifically required by the course director or lecturer are not permitted in class. If these devices go off during clinic, the student with the device will be asked to leave. H. Professional Conduct The University has a responsibility to promote academic honesty and integrity and to develop procedures to deal effectively with instances of academic dishonesty. Students are responsible for the honest completion and representation of their work, for the appropriate citation of sources, and for respect for others academic endeavors. By placing their name or student identifier on quizzes and examinations, students certify that the work is theirs and theirs alone. Students may not refer to any material or look at other student's papers during quizzes or examinations. Students observed so doing will receive a grade of zero for that quiz or examination. In addition, such incidents of academic dishonesty will be addressed as described in the university "Student Conduct Rules, University Standards and Administrative Regulations" the complete text of which can be found at http://www.student-affairs.buffalo.edu/judicial and as described in the School of Dental Medicine Student Handbook, the complete text of which can be found at: http://intranet.sdm.buffalo.edu/student/handbook/. RDN839 Removable Prosthodontics Clinic I / Muñoz Page 7 of 7 June 15, 2010