V. Clinical Objectives and Guidelines

Fixed Partial Denture Prosthodontics

1. Objectives:
   1. Provide an in-depth knowledge of all aspects for the practice of fixed prosthodontics.
   2. Develop Competency in clinical and laboratory practice for a wide variety of fixed prosthodontic treatment situations.
   3. Develop an in depth level of knowledge and skill in the use of instruments, equipment, and materials related to fixed prosthodontics.
   4. Develop a working knowledge of the inter-relationship of fixed prosthodontics with other clinical specialties and laboratory technicians.
2. Guidelines:
   1. In-depth knowledge of fixed prosthodontics will be accomplished through formal lectures (staff, resident, visiting consultant), practical exercises/demonstrations, national and local meetings, and topic seminars. Textbook and current literature assignments will supplement the instruction.
   2. Clinical Competency will be developed through the practical application of didactic knowledge to a wide variety of patient treatment situations. Patients are assigned with increasingly more complex requirements and a practical problem solving approach is emphasized. Laboratory competency will be developed through practical exercises and demonstrations by the staff and laboratory technicians. First year residents will perform all related laboratory procedures until competency has been demonstrated to the teaching staff. A variety of articulators will be utilized.
   3. Knowledge and skill in the use of instruments, equipment and materials will be developed through practical exercises/demonstrations, topic seminars, and their use in clinical and laboratory patient treatment exercises.
   4. Interaction with other clinical specialties will be accomplished through scheduled joint treatment planning seminars, formal lectures, and the day-to-day referral of each resident's patients.

Removable Partial Denture Prosthodontics

1. Objectives:
   1. Establish an in-depth understanding and knowledge of all aspects of Removable Partial Denture Prosthodontics.
   2. Develop advanced clinical capability in treatment planning, preparation, and placement of a wide variety of removable partial dentures.
   3. Develop an understanding and capability to analyze and design partial denture frameworks based on accepted rationales. Instruct in the transference of design criteria to the dental laboratory technician for fabrication of the prosthesis.
   4. Develop a thorough working knowledge of all laboratory procedures related to removable partial denture prosthodontics.
   5. Develop a working knowledge of the relationship between other clinical specialties and removable partial denture prosthodontics.
2. Guidelines:
   1. In-depth knowledge of removable partial denture prosthodontics will be accomplished with lecture presentations (staff, resident, visiting consultants) and through practical exercises/demonstrations, national meetings, and literature reviews.
   2. Staff and laboratory personnel will coordinate practical exercises and demonstrations to develop Competency in laboratory technique. The residents will accomplish all related laboratory procedures in conjunction with patient care until satisfactory Competency is demonstrated.
   3. The accomplishment of advanced levels of clinical practice in a range of clinical situations will be emphasized, with didactic knowledge providing a foundation for rational treatment.
   4. Joint treatment planning sessions will be structured to provide interaction between clinical specialties.

Complete Denture Prosthodontics

1. Objectives:
   1. Establish an in-depth knowledge of all aspects of complete denture prosthodontics.
   2. Develop clinical expertise in patient care at a specialty level of Competency.
   3. Develop a thorough knowledge of all aspects of patient referral to allied specialties.
   4. Become proficient in the fabrication of implant supported prostheses both fixed and removable.
2. Guidelines:
   1. In-depth knowledge of complete denture prosthodontics will be established through lecture presentations (staff, resident, consultant), practical / exercise/ demonstrations, and by literature reviews.
   2. Practical exercises and demonstrations will be utilized to develop expertise in all phases of clinical and laboratory fabrication of complete dentures. First year residents will perform all related laboratory tasks until Competency is demonstrated.
   3. The clinical practice of advanced complete denture prosthodontics will include experience in overdenture fabrication, fabrication of single complete dentures, immediate dentures (including all surgical phases), and opposing complete dentures. A variety of denture occlusions will be utilized to allow for rational selection of occlusal schemes based on individual clinical situations.
   4. Interaction with other clinical specialties will be accomplished through scheduled joint treatment planning sessions related to pre-prosthetic surgery, implant surgery, maintenance, and other clinical specialties as appropriate.

Maxillofacial Prosthetics

1. Objectives:
   1. To have an Understanding of the cancer disease process and cancer treatment modalities.
   2. To understand the importance of a multidisciplinary approach to treatment of patients with maxillofacial defects.
   3. To have experiences in the treatment of acquired maxillary and mandibular defects.
2. Guidelines:
   1. Completion of a maxillofacial prosthetic course during the 2nd or 3rd year of the program.
   2. To treat a maxillofacial patient.

Maxillofacial Prosthodontics

Fall 2016

Tuesday 10:00-12:00

Room 9106 (unless otherwise indicated)

This course is given in the Fall of even number years

Implant Prosthodontics

1. Objectives:
   1. Provide an in-depth knowledge of all aspects of the practice of implant prosthodontics.
   2. Develop competency in clinical and laboratory practice for a variety of implant prosthodontic treatment situations.
   3. Develop a high level of knowledge and skill in the use of instruments, equipment, and materials.
   4. Develop a working knowledge of the interrelationship of implant prosthodontics with other dental specialties.
   5. Experience implant placement as a prosthodontic procedure.
2. Guidelines:
   1. In-depth knowledge of implant prosthodontics will be accomplished through formal lectures (staff, resident, visiting consultants), practical exercises/ demonstrations and topic seminars. Textbook and current literature assignments will supplement the instruction.
   2. Clinical Competency will be developed through the practical application of didactic knowledge to a variety of edentulous and partially edentulous patient treatment situations. Residents will also attend the Prosthodontic/Periodontic/OMFS Conferences. Laboratory competency will be developed through practical exercises and demonstrations by the staff and laboratory technicians. Residents will perform all related laboratory procedures until competency has been demonstrated to the teaching staff.
   3. Knowledge and skill in the use of instruments, equipment and materials will be developed through clinical and laboratory patient treatment exercises.
   4. The prosthodontic resident will design and fabricate a surgical guide for all cases. The resident will coordinate stage 1 surgery with the surgeon and provide them with the surgical guide prior to surgery. In addition, the resident will place implants on selected patients.
   5. Interaction with other clinical specialties will be accomplished through scheduled joint treatment planning seminars, formal lectures and the day-to-day referral of each resident's patients.

Implant Surgical Placement

1. Objectives:
   1. Develop competency to clinically assess a patient’s suitability for implant therapy. To assess any physical, systemic or medical limitation that could complicate implant surgical placement.
   2. Develop a strong background in implant treatment planning in order to provide the partially edentulous and edentulous patient with the best standard of care. This will include the use of digital technology.
   3. Develop a comprehensive treatment plan. All available treatment options must be presented to the patient prior to initiating therapy. To ensure the patient is fully informed about other treatment options, indications, contra-indications, advantages and disadvantages of using implant therapy.
   4. Develop competency in evaluating and interpreting radiographic imaging of the mandible and the maxilla. Determine pre-surgical anatomical and prosthodontic considerations prior to implant placement.
   5. Develop a competency level to perform implant surgery using aseptic surgical techniques including: socket preservation, raising mucoperiosteal flaps, guided bone regeneration and suture placement
   6. Develop a competency level to use appropriate implant selection, grafting materials, barriers, pharmaceutical agents and pre-operative and post-operative medications following implant surgery.
   7. Develop competency in managing possible surgical complications
2. Guidelines:
   1. In-depth knowledge of implant placement will be accomplished through formal lectures (staff, resident, visiting consultants), practical hands-on exercises, demonstrations, national meetings, and topic seminars. Textbook and current literature review assignments will supplement the instruction.
   2. Clinical Competency in pre-surgical and post-surgical care will be developed through the practical application of didactic knowledge to a variety of cases.
   3. Knowledge and skill in the use of instruments, equipment, implant systems, implant planning software and guided bone regeneration materials will be developed through clinical patient treatment exercises. Digital technology will be utilized to help diagnosis, plan, and fabricate surgical guides (including bone reduction guides) to better treat their patients. Residents will be expected to use the latest technology on all their patients.
   4. Interaction with other clinical specialties will be accomplished through scheduled joint treatment planning seminars with periodontics, orthodontics and OMFS and day-to-day referrals from the various dental clinics.

Treatment Planning Conference

This treatment planning conference is held for patients with unusual, multi- disciplinary or complex treatment situations. They are presented for evaluation and review.

1. Objectives:
   1. To develop an understanding of the orderly, detailed and comprehensive evaluation of a patient and the development of an accurate diagnosis and logical treatment plan.
   2. Provide a vehicle for interaction with the major dental specialties in the treatment planning process.
   3. Develop concepts of alternative treatment and appropriate application of a variety of treatment concepts and techniques.
   4. Provide a format for formal treatment plan presentation.
2. Guidelines:
   1. Comprehensive treatment plans will be developed based on clinical and radiographic examination, articulated diagnostic casts, scans, and pertinent laboratory tests.
   2. Formal oral presentations will be made to the combined prosthodontic and specialty staff, as needed. The presentation will include clinical photos, history, clinical exam, articulated diagnostic casts (pre-op and diagnostic waxing), and a primary and alternative treatment plan.
   3. A consensus treatment plan will be formulated by the staff and residents. This treatment plan will be documented and presented to the patient by the resident.
   4. Follow-up care will be coordinated and monitored by the resident who formally presented the patient for evaluation.

Conjoint Seminar

1. Objectives:
   1. Develop a thorough Understanding with the clinical specialties of Periodontics, Endodontics, and Orthodontics.
   2. Establish a protocol for professional referral of patients for other therapies in conjunction with prosthodontic treatment.
   3. Maintain current awareness of techniques in other specialties as they relate to prosthodontic treatment.
2. Guidelines:
   1. Understanding with the other clinical specialties will be accomplished by formal lectures by the various clinical specialty staff.
   2. Interaction with the other specialties will be provided by joint conferences, treatment planning sessions, and combined dental treatment.
   3. Selected current scientific journal articles will be assigned and reviewed to maintain an awareness of techniques and trends in other specialties.