DENT 344: REMOVABLE PROSTHODONTICS 2 (4 credit hours: 1 theory, 3 practical)Jordan University of Science and TechnologyFaculty of DentistryDepartment of ProsthodonticsSecond SemesterCourse Syllabus

Course Information

Course TitleRemovable Prosthodontics – II (Removable Partial Dentures)

Course Code Dent 344Prerequisites N-A

Course Websitehttp://elearning.just.edu.jo REMOVABLE PROSTHODONTICS (2) (1)

Instructor Dr. Esam Alem

Office LocationSecond Floor, Dental Teaching Clinics (10G), JUST Campus

Office Phone 23944Office Hours N-A

E-mailesamalem@yahoo.com

Teaching Assistant(s) esamalem@yahoo.com

Course DescriptionThis pre-clinical course will introduce the students to theoretical background of managing partially edentulous patients and the laboratory steps for removable partial denture production. It will also introduce the students to the classification of edentulous ridges and partial denture types and designs. It also provides hand on training on the various steps involved in the fabrication of removable partial dentures.

Text BookTitle Stewart's Clinical Removable Partial Prosthodontics

Author(s)Rodney D. Phoenix, David R. Cagna, Charles F. DeFreest

Publisher Quintessence Publishing Co IncYear 2008Edition 4th edition Book Website N-AReferences Required Text Book

Removable Partial Denture Design - Outline SyllabusArthur J. Krol, Theodore E. Jacobson, Frederick C. FinzenIndent

1999 / FifthReferenceMcCracken’s Removable Partial ProsthodonticsAlan B. Carr, Glen P. McGivney, David T. Brown

Elsevier Mosby2005 / Eleventh (New edition: June, 2010 – Twelfth

Ed.)Reference

Removable Prosthodontics Techniques- Dental Laboratory Technology ManualsJohn B. Sowter (Editor: Roger E. Barton)The University of North Carolina Press

1986 / Second (Revised)Additional References

)1 (J.U.S.T. Removable Partial Denture Manual,)2 (Lecture Handouts

Assessment Policy

Assessment Type

Contin. assessment points:100 points

- Practical work = 80 points- Unannounced quizzes + assignments = 20 points

Contin. assess grade: 15% weight =

Continuous assessment points:100 pointsdivided by (6.67)

Midterm First Exam Midterm Theory/Pract Exam = 25%Second Exam N-A

Final Exam

Final Practical Lab Exam = 15 %(lab examination)Final Theory & Practical “Spot”Exam = 45 %(online examination)

Assignments N-AAttendance N-AParticipation N-A

Course Objectives Weights The theoretical course provides the platform of

basic knowledge of dental procedures and stepwise methodologies leading to the construction of a successful partial denture

Relevance and evidence of each methodology is introduced along with alternative current practices.

The lab provides hands-on training to develop basic skills of laboratory procedures which are incorporated in the denture design.

The hands-on experience produces various outcomes related to students’ limited abilities. These faulty procedures are used as an education tool to construct critical assessment

skills and relate them to clinical complaints and patient managements.

Students are introduced to the e-Learning course which follows the progress of student and allows for a customised learning path based on students’ abilities.

e-Learning based quizzes and assignments will help introduce students to the clinical situations by simulations designed to be used as self learning material.

Teaching & Learning Methods Class lectures, handouts and presentations are designed to achieve

the course objectives Laboratory sessions are essential part of the course Demonstrations performed by the teaching assistant are main

component of the teaching methods E-learning program will be activated concurrently with presented

courses to provide activities and template questions to increase proficiency of students in relevant subjects.

Learning Outcomes: Upon successful completion of this course, students will be able toRelated Objective(s) Reference

Understand the consequences of edentulousness and treatment options to rehabilitate themBe familiar with the RPD terminology and componentsUnderstand the classification of edentulous archesUnderstand the different major connectors for maxillary and mandibular archesKnow the functions, form and location of minor connectorsKnow the shape and form of occlusal, incisal and cingulum rests.Understand the different types of direct retainersUnderstand the basic principles of clasp designKnow the different functions and forms of indirect retainers

Understand the basic principle of RPD design

Understand the basic procedure of cast surveying

Know the necessary tooth preparation procedures for RPDs.Understand the difference between tooth supported and tooth-tissue supported RPD

Be familiar with the principles and theories of impression for partial dentures

Know the different materials that can be used to fabricate RPDsKnow the denture base considerations for RPD

Know all the clinical steps involved in the management of a partially dentate patient with a RPDBe familiar with the principles and techniques of mouth preparations for partial dentures

Understand all the different laboratory procedures and steps involved in the fabrication of RPD Perform all the laboratory procedures and steps involved in the fabrication of transitional RPD:Wire bending, baseplate fabrication, setting of teeth, waxing, flasking and acrylic packing.Perform or watch a demonstration on all the laboratory procedures and steps involved in the fabrication of a definitive RPD:Drawing, surveying, blocking out of undercuts, duplication, hardening, waxing, casting, divesting, finishing and polishing of metal frameworks,.Write a correct work authorization for the dental technician

Useful Resources

Clinical Dental Prosthetics, lecture handouts, laboratory training and notes

Course Content

Week TopicsChapter in text (Stewart's)

1Introduction to removable partial denture (RPD) course & Treatment options for partially edentulous patients

1

2 Classification of partially edentulous arches 13 Provisional RPDs 19

4Components of metal framework RPDs &Introduction to surveying

7

5 Major and minor connectors 2

6 Rests and rest seats 27 Direct retainers, bracing and reciprocation 38 Biomechanics of RPDs & Indirect retention 3, 4

9Midterm Theory Examination

10 Surveying 7

11 Basic principles of RPD design 7

12 Mouth preparation for RPDs 10

13Fitting the metal frameworks & The altered cast technique

12, 13

14 Laboratory procedures overview 11

15 RPD materials and denture bases 3

16 Final Examinations

Laboratory CalendarWk Dates Clin Lab Procedure Notes1 27,29/09/2009

and 1/10/2009- Lab orientation- Group assignments- Overview of practical procedures in complete denture fabrication

2 04 , 06 and08/10/2009

11

- Primary impression (demo)- Pour primary cast (demo)

3 11 , 13 and 15/10/2009

1 - Fabrication of U + L custom trays Grade/10

4 18 , 20 and22/10/2009

2 - Border moulding - Final (secondary) impression

Grade/2.5

2 - Boxing final impression (demo)- Pouring final (secondary) cast

Grade/2.5

5 25 , 27 and29/10/2009

2 - Fabrication of U + L record blocks- (Base plates)

Grade/10

6 01 , 03 and05/11/2009

2 - Fabrication of U + L record blocks- (Attachment of occlusal rims)

Grade/10

7 08 ,10 and12/11/2009

3

3

- Jaw relationship records (demo)- Mounting U + L record blocks and secondary casts on articulator Grade

/108 15 , 17 and

19/11/20093 - Setting of anterior teeth

9 22 , 24, and 26/11/2009

4

3 - Setting of posterior teeth- Waxing of soft tissue contours- Wax try-in (demo)

10 29/11/2009 &01/12/2009

Eid Al-Adha Holiday

10 03/12/2009

4

- Setting of posterior teeth- Waxing of soft tissue contours- Wax try-in (demo)

Grade/20

11 06 , 08 and10/12/2009

4 Denture processing (group):Flasking, Dewaxing, Packing, Curing, Deflasking

12 13 , 15 and17/12/2009

4 Denture processing (group):Flasking, Dewaxing, Packing, Curing, Deflasking

13 20 , 22 and24/12/2009

4 Finishing and polishing Grade/10

14 27 , 29 and31/12/2009

5 Denture insertion (demo)Review

15 Specific practical exam dates announced later

Additional NotesLaboratory regulations

Benches must be kept clean. Each student’s work area will be assessed at the end of each lab and students with untidy benches will loose marks.

Only lab materials and instruments are allowed on bench tops. All personal items, coats and bags are to placed under benches or on window benches.

A clean and tidy laboratory white coat must be worn and buttoned every session.

Name badge must be worn during every laboratory session.

No loose or dangerous jewelry, chains, bracelets, etc. Protective masks and glasses worn according to

instructor’s instructions. Long hair must be kept tied back safely. No food or drink of any kind is allowed in the laboratory.

(Keep in bags or lockers). Mobile phones are not permitted. (Kept silent/turned

off in bags or lockers). Radios/portable audio player-earphones are not

permitted. Students are responsible for the equipment they are

assigned and will be required to replace lost/damaged equipment

Laboratory armamentarium

This list will be checked during the introductory laboratory session.

Please write/carve your name/university ID on your instruments.

Wax knife (long) Le Cron wax carver Loop-forming pliers* Wire cutter* Rubber bowl (large) Plaster spatula Plaster Knife Surgical scalpel handle* Hot plate (paint scraper – approx.10 cm wide) Gas lighter/ matches Brush flame / micro torch (optional) Fine/Ultra fine point permanent marker (blue/black)* Color Pencils* Pencil / pencil sharpener Protective glasses Ruler (10 cm) Tooth brush (old) Acrylic burs: Large pear-shaped, thin fissured, medium

round Sandpaper mandrel

) *These instruments were not required in the First Semester(

Professionalism Professions tend to be autonomous and self-sufficient which means having a high degree of control of own affairs while having freedom to exercise professional judgment/

As it is a trait, which can be easily enhanced, it is thus subject to self-interest and a continuous process of critical evaluation of ethics and procedure/

As the students have been part of the university for some considerable time, they would be familiar with general principles about its beliefs on matters such as quality studentship within this environment/ We thus expect our students to develop their professionalism even further together with a high Morality/ Dentistry is a profession based on such Ethical codes/

Gross violations of these formal codes are governed by University laws, which delineate the procedures to determine whether a violation of the code of ethics occurred and, if so, what remedies should be imposed/

This does not mean the list is complete/ We encourage students to abide with the more sensitive approach to this by allowing the practice of a high Morality (or proper behavior), which defines right and wrong by the society, philosophy, religion, and individual conscience/

Students and their instructors often make ethical choices reflexively/ But ethically sensitive situations, where time, emotions and marks are pressured, it

becomes all too easy to be blind-sided by temptation/ The best antidote to ethical lapses is to commit in advance to a set of ethical principles - your personal ethical code that follows or grows to it/

Any difficulty or concern during the course should be passed directly to the course coordinator

Labwork The working models should be marked with the students name and university number

Student ID labels are confirmed by assigned lab supervisor

The Lab work should be finished during the lab sessions, not allowed to finish your work at home

Completed work is handed in the assigned area in the lab

Marks are returned within one week of the assignment Undelivered work will not be marked All the instruments you need should be brought as

soon as possible/ A list of that will be provided/ You should leave your worktop as clean as possible –

Marks are counted towards continuous assessment Each student should set at the designated area/ The

names will be mounted on each bench Cooperation and professionalism in the lab time are

very helpful and encouraged to facilitate your progress in the course

Makeup Exams It is applicable when an acceptable and valid excuse is presented at the applicable time

Drop Date N/ACheating It is unethical and illegal by any means

JUST regulations will be applicable The work should be your own, otherwise it will

scored zero Attendance It is mandatory for all lectures and laboratory sessions

Every students will be allocated to seat according to group assignments in the lab

Attendance is encouraged at all times on time

Absenteeism To receive course credit, a student should attend a minimum of 90% of the contact hours of the class; meaning losing only one and a half lecture/

ABSENCES FROM CLASS ARE COUNTED FROM THE DAY THE CLASS MEETS OFFICIALLY FOR THE FIRST TIME - NOT FROM WHEN THE STUDENT OFFICIALLY ENTERS THE CLASS/

Students who are absent for the lecture must contact the course coordinator prior to the class/

If absent from lectures, then the course coordinator will refer to related guidelines set by the university/

Any student who is absent on a test day, will have to demonstrate an acceptable medical or social statement

explaining the illness or personal crisis as instructed by their faculty/

Individual instructors may accommodate by arrangements for a make-up test only when a written request is sent to and approved by the Dean/

Students with Special needs

Any student who feels that s/he may need accommodation for any type of disability is encouraged to contact the course coordinator who will be happy to help in any way/

Accommodations to the course plan can be tailored to the needs of specific individuals after consultations with the dean/

Graded Exams MCQs will be computer based and the answers will be discussed in the class/ Written answers will take short-essay, definition, enumeration and matching questions/

Participation All students are highly encouraged to participate in the classes and laboratory session

Quizzes and brain storming will be essential part of the course

Individual conferencing

and consultations

The course coordinator is always available to talk with the student when problems arise/

If you have any problems that require the attention of an instructor, do not wait until the problem is insurmountable/

If a student must talk with the course coordinator after office hours, an appointment can be made for that time/

Do not allow tension to build-up to unsolvable proportions/

Course changes Information contained in this course outline is correct at the time of publication/

Content of the courses is revised on an ongoing basis to ensure relevance to changing educational, employment needs/

The course coordinator reserves the right to add or delete material from courses and will endeavor to provide notice of changes to students as soon as possible/

The timetable may also be revised accommodating to holidays and unexpected off days/