Dental school university of maryland, baltimore, maryland



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Complete Denture Discussion Areas:
1. Diagnosis and Treatment Planning
2. Impressions
3. Centric Relation Records
4. Vertical Dimension
5. Denture Occlusion
6. Anterior Tooth Selection and Esthetics
7. Overdentures
8. Immediate Dentures
9. Miscellaneous

Maxillofacial Discussion Areas:
1. Management of the Irradiated Head and Neck and Oncologic Patient
2. Prosthodontic Rehabilitation of Acquired Maxillary and Mandibular Defects
3. Prosthodontic Rehabilitation of Congenital and Developmental Defects
4. Palatopharyngeal Function, Disabilities, Speech Therapy and Speech Aids

Implants:
1. History
2. Diagnosis
3. Treatment Planning/Options
4. Materials
Temporomandibular Dysfunction:
1. Anatomy
2. Diagnosis
3. Treatment
Other related topics:
1. Periodontics
2. Endodontics
3. Oral and Maxillofacial Surgery
4. Orthodontics
5. Esthetics

RESIDENT LECTURE SEMINARS
1. Objectives:
a) Provide formal instruction in a variety of topic areas relative to prosthodontics and related basic sciences. This presentation will include a Power Point presentation and a written handout.
b) Establish familiarity with skills necessary in lecture preparation and presentation. Emphasis is on communicative ability development and subject content.
c) Disseminate information pertinent to the training of specialists in prosthodontics.

2. Guidelines:


a) Residents will be assigned topics for presentation each academic year.
b) Residents will lecture in rotation, one lecture during the first year, two in the second, and two or three in the final year.
c) Each presentation will be evaluated by a member of the teaching staff.


STAFF LECTURE SEMINARS
1. Objectives:
a) Provide formal instruction on a variety of prosthodontic subject areas.
b) Disseminate information pertinent to the training of specialists in prosthodontics.
2. Guidelines:
a) Each mentor will select topics in their specialty for presentation to the residents.
b) All lectures will include the latest advances in their specialty area.
PROSTHODONTIC LECTURES: 2015 – 2016
THURSDAYS 7:30 – 9:30AM
Room 9106


2015

Title

Lecturer



AUG

6

Dental Implants

Dr. Penwadee




13

American Board of Prosthodontics

Dr. Driscoll




20

Principles of Tooth Preparation

Dr. Masri




27

Anterior Guidance vs Group Function

Dr. Kim



SEP

3

Attachments

Dr. Driscoll




10

Cadiax vs Pantographic Tracings vs Quick Analyzers

Dr. Wahle




17

Utilization of Guided Surgery Technology in Implant Prosthodontics

Dr. Rivera




24

Treatment of the Missing Lateral Incisor

Dr. Choi



OCT

1

Functionally Generated Path Techniques and Applications

Dr. Doroshenko




8

Northeast PG Implant Symposium

Maryland




15

Endodontic Success Rates

Dr. Fouad




22

ACP Meeting Orlando







29

Allergies in Prosthodontics

Dr. Sinada



NOV

5

Scenario Exam

Dr. E. Taylor




12

Restoration of the Class II Removable Patient

Dr. Kim




19

Restoration of the Class II Fixed Patient

Dr. Wahle




26

Thanksgiving






DEC

3

Esthetics in Periodontics

Dr. Shiau




10

Mock Boards







17

Porcelain Repairs

Dr. Strassler




24

Winter Break






2016

Title

Lecturer



JAN

7

Articulator Classifications and Limitations

Dr. Alshehri




14

Metals in Prosthodontics

Dr. Choe




21

Distraction Osteogenesis

Dr, Khatra




28

Biologic Width – Teeth and Implant Considerations

Dr. Choi



FEB

4

Zirconia

Dr. Sinada




11

Bone Grafting: Clinical and Research

Dr. Homaryounfar




18

Prosthodontic Diagnostic Indicator

Dr. Alakkad




25

AAFP-Chicago






MAR

3

Dental Waxes

Dr. Alghamdi




10

Chemotherapy as it Relates to Dentistry

Dr. Alquarni




17

Local Anesthetics

Dr. Alsaloum




24

CAMBRA

Dr. Doroshenko



APR

7

Overdentures

Dr. Brennan




14

TBA







21

Point - Counterpoint







28

TBA






MAY

5

Site Development for Anterior Esthetics

Dr. Garcia




12

Immediate Placement

Dr. Garcia




19

TBA




BIOMATERIAL SCIENCE
Biomaterial subjects are emphasized throughout the didactic and clinical phases of the residency and are integral to an understanding of prosthodontics.
1. Objectives:
a) To develop an understanding of biomaterial science with emphasis on the clinical application of materials utilized in restorative dentistry and prosthodontics.
b) Provide current information pertaining to the development of new materials/techniques in prosthodontics.
2. Guidelines:
a) Formal presentations in dental materials and statistics are given by members of dental school.
b) Residents are assigned material topics for presentation and discussion throughout the year as part of the Lecture Seminar and Board Question Review.
c) A wide range of materials will be utilized by the residents in the clinical practice of prosthodontics.
d) Supplemental knowledge will be provided by literature reviews, consultants and textbook assignments.
BIOMEDICAL SCIENCE SEMINAR:
1. Objectives:
a) To provide the resident with sufficient knowledge of the basic sciences for appropriate application to prosthodontic principles and techniques.
b) To prepare the resident for the written and oral portions of the American Board of Prosthodontics specialty certification exam in applied basic science.
c) To encourage supplemental reading in scientific journals and basic science texts to provide a broader base for patient care.

2. Guidelines:


a) Residents are assigned representative questions in the basic sciences taken from past Mock American Board of Prosthodontics written questions. Topic areas include: head and neck anatomy, growth and development, embryology, oral pathology, histology, biochemistry, pharmacology, microbiology, immunology, wound healing, and physiology.
b) The questions are thoroughly researched and answered in a written format for reference by the staff and residents. The presentation will include a comprehensive discussion of the topic area as well as the specified answer to the question.


  1. Seminar material will be supplemented by resident and staff lectures, consultants, and formal courses.

d) Formal courses in Statistics and Research, Microbiology, Head and Neck Anatomy, Pain Mechanisms, Oral Pathology, and Oral Motor Skills are provided by their representative specialist from the dental school.



OCCLUSION SEMINARS
A two-year occlusion curriculum consisting of four semesters will be required. The seminars are on Fridays from 1:00 PM to 5:00 PM.
Module 1 - Basic Principles of Occlusion

Module 2 - Theories of Occlusion

Module 3 - Articulation and Instrumentation

Module 4 - Occlusal Analysis, Equilibration: Advanced

Topics and Craniomandibular Disorders


1. Objectives:
a) Module 1 - Develop an in-depth knowledge of the anatomy, physiology, and function of the masticatory system.
b) Module 2 - Develop a thorough understanding of the different theories and philosophies of occlusion, and of past and current literature.
c) Module 3 - Establish a thorough working knowledge of a wide range of articulator systems and associated devices. Critically evaluate articulator systems and their practical selection for specific clinical situations.
d) Module 4 - To develop knowledge in the area of occlusal analysis, advanced occlusion topics and TMD.
2. Guidelines:
a) The residents are assigned subject matter for research and presentation.
b) Literature reviews will be assigned and all theories of occlusion researched and defended by the residents.
c) Residents will be assigned articulator systems for presentation to the staff and other residents. The presentation/handout will include a discussion of the history, classification, and comparison with other instruments, features, limitations, accuracy/error, methods of adjustment/records used and indications for use.
d) The presentations will consist of a lecture with slides, or a practical exercise/demonstration and a comprehensive handout.


LITERATURE REVIEW SEMINARS
1. Current Literature - Weekly
Each resident will be assigned articles for review and discussion. The articles will be from the most recent issues of the Journal of Prosthetic Dentistry (JPD), Journal of Prosthodontics (JP), International Journal of Prosthodontics (IJP), International Journal of Oral and Maxillofacial Implants (JOMI), and selected articles from other major journals.
2. Classic Literature - Weekly
Each resident will be assigned articles for review and discussion. The articles will be grouped by subject and arranged in notebooks so as to better understand the why of prosthodontics.
3. Objectives:
a) To maintain a current level of knowledge and understanding relating to recent advances in prosthodontic techniques and materials.
b) To develop skills to critically evaluate scientific literature.
c) Establish an awareness of research techniques and analysis.

4. Guidelines:


a) Each resident is responsible for presenting a summary of the selected articles from the above prosthodontic journals. Supplemental articles from other journals are also reviewed throughout the year.
b) The presentation will include a statement of purpose, materials and methods, and summary of the results. The discussion will include a review of the statistical methods and relevance to the specialty of prosthodontics.
c) The Prosthodontic staff will provide overall guidance in review and discussion and clarify technical/theoretical areas.

PRACTICE MANAGEMENT/ETHICS/ADMINISTRATION
1. Objectives:


  1. Provide information on the administrative methods and requirements related to the practice of prosthodontics.




  1. To expose residents to the process of entering private practice.




  1. To expose residents to the process of becoming involved in an academic career.

2. Guidelines:




  1. Topics will be presented to include finding the right practice situation, patient management, workload reporting, assistant and laboratory management, and supply acquisition.

b.) Seminars will be presented by private practitioners and academicians, who will discuss the how’s and why’s of entering that facet of prosthodontics.



VISITING CONSULTANTS AND GUEST LECTURERS
Residents are required to attend presentations by visiting consultants and guest lecturers. Residents will also have the opportunity to attend selected consultant presentations at the Prosthodontic Program and at The National Naval Dental Center, Bethesda, MD. Residents will be assigned specific duties to support consultant’s visits.

BASIC LIFE SUPPORT/MEDICAL EMERGENCIES
The staff and residents must remain current in basic life support techniques. Classes leading to certification and renewal are provided by the Dental School.
RESEARCH PROJECT
Each resident will be required to engage in an investigative project and complete a manuscript for publication as a requirement for graduation. Residents will coordinate the project with a mentor of the teaching staff and the research advisor.
1. Objectives:
a) To provide knowledge and understanding of scientific methodology, statistics, research design, and scientific writing.
b) To create an atmosphere for better interpretation of scientific literature and a desire for continual study.

2. Guidelines:


a) Research may take the form of a clinical or laboratory investigation.
b) Residents will adhere to the listed time schedule in preparation of the research paper.
c) The completed paper must be in a format acceptable for publication by the specified journal prior to graduation from the program.


TABLE CLINICS
Residents will develop a technique or item of interest suitable for table clinic presentation twice during the program and present at a local or national meeting.
STANDARDS OF CARE EXAMINATION
The Standards of Care examinations are formal evaluations of clinical performance for a specific series of patient treatment situations and are conducted on all patients throughout the program. Residents are graded on reference based procedure steps acceptable, as needing improvement, or unacceptable standards of care. The standards are an outcome assessment measure designed to evaluate teaching methods and the student’s clinical performance and understanding of a comprehensive treatment procedure.
The areas of evaluation include:
a) Fixed Prosthodontics
b) Removable Prosthodontics
c) Implant supported Prosthodontics Prostheses
d) Temporomandibular Disorders
e) Maxillofacial Prosthodontics

WRITTEN EXAMINATIONS
Written examinations, patterned after the American Board of Prosthodontics Section A exam are given two times a year. They are primarily designed to allow the resident to identify weak areas in recall and understanding of the material. As an outcome assessment measure, they also give the teaching staff important information on resident comprehension and allow for reinforcement in these selected areas. Third year residents, who successfully pass Section A of the American Board of Prosthodontics Certification Examination are exempt from this requirement.

ORAL EXAMINATION
Two, one hour oral examinations are given twice a year and are patterned after Section B of the American Board of Prosthodontics exam. The exam is designed to assess the resident’s knowledge and comprehension in the broad field of Prosthodontics and to help better prepare the resident to challenge the American Board of Prosthodontics examination. Each resident is required to take all three oral exams of Section B prior to graduation.

RESIDENT TEACHING
The opportunity for organized teaching experience exists throughout the program. The resident lecture presentations, demonstrations and "mentoring" of the new residents prepare them well for future teaching responsibilities. The table clinic presentation at a State or National level provides good exposure and experience to large audiences. Third year residents will teach one half day a week in the undergraduate clinic, provided that they are eligible for licensure in the State of Maryland. The third year residents will also present to the Maryland Section of the American College of Prosthodontists.

V. CLINICAL OBJECTIVES AND GUIDELINES
FIXED PARTIAL DENTURE PROSTHODONTICS
1. Objectives:
a) Provide an in-depth knowledge of all aspects for the practice of fixed prosthodontics.
b) Develop Competency in clinical and laboratory practice for a wide variety of fixed prosthodontic treatment situations.
c) Develop a high level of knowledge and skill in the use of instruments, equipment, and materials related to fixed prosthodontics.
d) Develop a working knowledge of the inter-relationship of fixed prosthodontics with other clinical specialties and laboratory technicians.
2. Guidelines:
a) In-depth knowledge of fixed prosthodontics will be accomplished through formal lectures (staff, resident, visiting consultant), practical exercises/demonstrations and topic seminars. Textbook and current literature assignments will supplement the instruction.
b) 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.
c) 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.
d) 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:
a) Establish an in-depth understanding and knowledge of all aspects of Removable Partial Denture Prosthodontics.
b) Develop advanced clinical capability in treatment planning, preparation, and placement of a wide variety of removable partial dentures.
c) 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.
d) Develop a thorough working knowledge of all laboratory procedures related to removable partial denture prosthodontics.
e) Develop a working knowledge of the relationship between other clinical specialties and removable partial denture prosthodontics.
2. Guidelines:
a) In-depth knowledge of removable partial denture prosthodontics will be accomplished with lecture presentations (staff, resident, visiting consultants) and through practical exercises/demonstrations, and literature reviews.
b) 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.
c) 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.
d) Joint treatment planning sessions will be structured to provide interaction between clinical specialties.

COMPLETE DENTURE PROSTHODONTICS
1. Objectives:
a) Establish an in-depth knowledge of all aspects of complete denture prosthodontics.
b) Develop clinical expertise in patient care at a specialty level of Competency.
c) Develop a thorough knowledge of all aspects of patient referral to allied specialties.
d) Become proficient in the fabrication of implant supported prostheses both fixed and removable.
2. Guidelines:
a) In-depth knowledge of complete denture prosthodontics will be established through lecture presentations (staff, resident, consultant), practical / exercise/ demonstrations, and by literature reviews.
b) 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.
c) 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.
d) 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:
a) To have a familiarity of the cancer disease process and cancer treatment modalities.
b) To understand the importance of a multidisciplinary approach to treatment of patients with maxillofacial defects.
c) To have been exposed to the treatment of acquired maxillary and mandibular defects.
e) To be familiar with a variety of prosthetic aids for patient treatment.
2. Guidelines:


  1. Completion of a maxillofacial prosthetic course during the 2nd or 3rd year of the program.




  1. To treat a maxillofacial patient.



IMPLANT PROSTHODONTICS
1. Objectives:
a) Provide an in-depth knowledge of all aspects of the practice of implant prosthodontics.
b) Develop competency in clinical and laboratory practice for a variety of implant prosthodontic treatment situations.
c) Develop a high level of knowledge and skill in the use of instruments, equipment, and materials.
d) Develop a working knowledge of the interrelationship of implant prosthodontics with other dental specialties.
e) Experience implant placement as a prosthodontic procedure.

2. Guidelines:


a) 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.
b) 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.
c) Knowledge and skill in the use of instruments, equipment and materials will be developed through clinical and laboratory patient treatment exercises.
d) 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.
e) 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.

  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:


a) In-depth knowledge of implant placement will be accomplished through formal lectures (staff, resident, visiting consultants), practical hands-on exercises, demonstrations and topic seminars. Textbook and current literature review assignments will supplement the instruction.
b) Clinical proficiency in pre-surgical and post-surgical care will be developed through the practical application of didactic knowledge to a variety of cases.
c) 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.
d) 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:
a) 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.
b) Provide a vehicle for interaction with the major dental specialties in the treatment planning process.
c) Develop concepts of alternative treatment and appropriate application of a variety of treatment concepts and techniques.
d) Provide a format for formal treatment plan presentation.
2. Guidelines:
a) Comprehensive treatment plans will be developed based on clinical and radiographic examination, articulated diagnostic casts, and pertinent laboratory tests.
b) 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.
c) 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.
d) Follow-up care will be coordinated and monitored by the resident who formally presented the patient for evaluation.
CONJOINT SEMINAR
1. Objectives:
a) Develop a thorough familiarity with the clinical specialties of Periodontics, Endodontics, Oral Surgery and Orthodontics.
b) Establish a protocol for professional referral of patients for other therapies in conjunction with prosthodontic treatment.
c) Maintain current awareness of techniques in other specialties as they relate to prosthodontic treatment.

2. Guidelines:


a) Familiarity with the other clinical specialties will be accomplished by formal lectures by the various clinical specialty staff.
b) Interaction with the other specialties will be provided by joint conferences, treatment planning sessions, and combined dental treatment.
c) Selected current scientific journal articles will be assigned and reviewed to maintain an awareness of techniques and trends in other specialties.
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