Clinical Prosthodontics Year 2

URL study guide

https://studiegids.vu.nl/en/courses/2024-2025/T_2ICPROST2

Course Objective

The goal of this course modules is to provide the student with the appropriate skills to plan and execute prosthodontic treatments. In this second year the focus is on executing more advanced prosthodontic treatment treatments with both fixed and removable appliances in partial edentulous patients. He/She must recognize and diagnose the prosthetic problems involved with loss of teeth and periodontal structures, be able to provide an adequate treatment plan and be able to fully perform the proposed treatment. He/she must recognize the limitations of Oral Implants and Prosthodontics and be able to provide alternative treatment plans if indicated. Al necessary pre-implant treatment skills must be achieved and the student must have the ability to provide the planned Implant supported superstructure. The student must show proficient skills in the field of treatment planning, the execution of the treatment and be able to communicate the plan and the treatment results with the referring dentist. In the second year this is for the treatment of partial edentulous patients and patients needed more extensive crown and bridgework. Competence area 1: Dental professional conduct 1.1(5); 1.2(5); 1.3(5); 1.4(5); 1.5 (5); 1.6 (4); 1.7(4); 1.8(4); 1.1.9(5); 1.10 (5);1.11(5); 1.12(4); 1.13(5); 1.14(5); 1.15(5); 1.16(4); 1.17(5); 1.18(5); 1.19 (5); 1.20(4) 1.22(5);1.23 (4); 1.24(4);1.25(4); 1.30-1.34(5); 1.35(4) 1.36-1.40 (5); 1.42-1.48(5); 1.49(4); 1.50 (4); 1.41(4); 1.51(5) Competence area 2: Communication 1.1-1.8 (5) Competence area 3: Collaboration 1.1-1.9 (5) Competence area 4: Knowledge and research 4.2 (4); 4.3(5); 4.4(5); 4.6 (5); 4.7 (5); 4.8 (5); 4.9(4); 4.10 (4). Competence area 5: Socially responsible conduct 5.1-5.7 (5) Competence area 6: organising care 6.1(5); 6.2(5); 6.4(4); 6.5(5); 6.6(5); 6.7(5); 6.9-6.13(5) Competence area 7: professionalism and quality 7.1(5); 7.2(5) 7.4-7.6 (5); 7.8(5); 7.9(5); 7.12-7.15(5) For a statement of competencies, see the OER

Course Content

During the second year of this three-year course, the focus is on getting more profound knowledge in the field of materials, treatment modalities and clinical procedures and their backgrounds, to be able to plan and perform extensive and complex prosthetic treatments. Careful holistic treatment planning is central to obtain optimal treatment results. The theory of the different direct and indirect restorative treatments, including the relevant materials science aspects, will be discussed in the course Basics of Prosthodontics. In the clinic the focus is on implementing the theoretical knowledge in clinical situations. The student learns to make extensive treatment plans and executes them in the clinic. The student has teaching tasks as part of the study program, mainly guiding undergraduate dentistry students and first year fellow students. The student learns
• Making extensive treatment plans and phasing them.
• Working with fully digital work flows
• Performing extensive treatments with fixed and removable treatment modalities.
• Specific applications of materials and techniques to achieve an optimal result. The clinical practicum In the reconstructive and restorative dentistry clinic, the student receives 50 percent surgical treatment time and 50 percent restorative treatment time. The focus is on developing prosthodontic skills, organizing care and fulfilling the role of specialist. In addition, interprofessional collaboration is important. The supervision level and difficulty of the case depend, among other things, on the student's skills and the available case. A staff member supervises the treatment planning, the subsequent treatments. If necessary, (pre)clinical practicums are offered to teach and train basic skills. Treatment planning During these sessions, attention is given to developing the holistic view necessary to create a complete customized rehabilitation plan. The student learns to create a prosthetic-driven implant treatment plan and learns to prepare the corresponding surgical treatment plan. The diagnostic process is central to this process. In the working group, treatment plan presentations are presented and discussed using a predefined presentation template. The fellow students and staff give feedback on the proposed plan. By discussing choices with each other and substantiating them with guidelines and/or scientific literature, a relationship is established between theory, science and practice. In the second year more independency in treatment planning is expected. Literature review During the literature review, first-, second
- and third-year students give presentations on a selection of articles. Together, under the guidance of the staff, they analyze recent and fundamental scientific articles, with diverse topics within the field of prosthodontics. The goal is to be able to assess the quality and content of the different studies and relate them to theory and practice.

Teaching Methods

clinic, discussion groups, oral presentations, literature sessions

Method of Assessment

Supervision / Intervision All treatment plans are discussed with the personal supervisor prior to any treatment execution. All the treatment interventions are carried out under the supervision of a staff member of the department of Oral Implantology and Prosthetic Dentistry. Every treatment is registered and the students are provided with feedback directly during and after treatments. Twice per year als supervisors fill out 360 degree feedback forms to help the student develop towards expert level. Clinical skills are assessed using the Entrustable Professional Activities (EPAs) systematics. EPAs are related professional activities that together form the core of the Dentistry profession. When working according to the EPA systematics the gradual working towards independence is central. EPA forms are gathered in the students portfolio (Scorion). At the start of the educational program, the student conducts an interview with the teacher. In this conversation, the learning objectives for the student are determined on the basis of a case presentation from his or her own practice and the results of a pre-clinical test and a knowledge test. At the mid-term evaluation (strictly formative), the student must demonstrate his/her progress on the three educational components. The student must conduct a case presentation and an article presentation. This is followed by a criterion based interview. The interview is all about reflecting on the students development and supposed to help to define new learning goals. At the end of the educational program the final summative assessment takes place. This is intrinsically identical to the midterm evaluation, however now there will be a summative assessment instead of a formative evaluation. In addition, the following conditions apply: 1. A minimum of 4 EPA forms must be completed per EPA area. 2. There are no outstanding reports of unprofessional behavior. Establishment of final judgment: All criteria should be at level in order to PASS the second year. The first and second year must be successfully completed before entering the 3rd year clinic program.

Literature

Required
- Biomimetic Restorative Dentistry (Magne & Belser)
- Contemporary implant dentistry (Misch) Recommended
- Introduction to Dental Materials 4e (Van Noort)
- Contemporary Fixed Prosthodontics 4e (Rosentiel, Land and Fujimoto)
- Functional Occlusion in Restorative Dentistry and Prosthodontics (Iven Klineberg, Steven Eckert)
- Removable Partial Dentures; A Practitioners’ Manual (Olcay Şakar)
- Complete Denture Prosthodontics; Planning and Decision-Making (Yasemin K. Özkan)

Entry Requirements

The students must have passed the first year.