Dental school university of maryland, baltimore, maryland


TEMPOROMANDIBULAR DISORDERS



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TEMPOROMANDIBULAR DISORDERS

STANDARDS OF CARE EVALUATION FORM
Resident's Name

Patient's Name

Month Procedure

Acceptable Needs Impr. Unacceptable

1. Patient's Medical & Dental

History & Treatment Plan

2. Diagnostic Casts

3. Jaw Relation Records

4. Laboratory Procedures


a. Casts:
1) Bubbles, dust, voids 2) Periphery trimmed 3) Centric

4) Casts articulated


b. Laboratory Prescription:
1) Patient data

2) Materials

3) Special instructions
5. Occlusion
a. Occlusal Plane

b. Contours

c. Contacts

d. Occlusal Scheme



  1. Polish

6. Delivery

7. Follow-up


8. Patient Management

9. Time Management



Treatment Assessment Performance Standard Assessment
1. Acceptable Resident

2. Needs Improvement Mentor

3. Unacceptable Date

COMMENTS:


MAXILLOFACIAL PROSTHODONTICS

(Standards of Care)


1. Medical-Dental History and Treatment Plan
A thorough and complete medical and dental history is obtained from the patient to include the pathology report and radiation/oncology report where indicated. Any medical or dental conditions such as radiation or chemotherapy are then considered in the treatment plan. The prosthodontic resident should be technically capable of completing the treatment plan with staff supervision. The patient is in agreement with the plan and understands the time required to complete it.
2. Diagnostic Casts
Are accurate, clean, bubble free reproductions of the existing dental and/or facial anatomy. Casts should be properly articulated on an appropriate articulator when indicated.
3. Jaw Relations Records
The resident is capable of performing proper patient jaw manipulations in order to reflect correct relations. Records should be of an appropriate material to allow handling by laboratory personnel without severe distortion.
4. Laboratory Procedures
Working casts should be trimmed, smoothed, and free of all bubbles and voids. Land areas of working casts should be trimmed and rounded.
5. Prescription Forms
All laboratory prescription forms should be completed. All prescription forms going to the lab must be countersigned by the maxillofacial prosthodontist.
6. Devices
All devices should restore the proper function and esthetics of the patient. This may include proper velopharyngeal function, mastication, swallowing, speech, or obturation.
7. Delivery
All prostheses should be smoothed and polished to be irritation free. Prostheses should be retentive with no movement during function, if possible. Residents should provide the patient with instruction as to the nature, usage, and care of all prostheses.

8. Follow-Up


Residents should provide timely post-insertion visits for patients under therapy. All prostheses should be thoroughly inspected and evaluated as to their effectiveness and any needed adjustments made at this time.
9. Patient Management
All patients should be treated in accordance with the highest professional standards.
10. Time Management
Residents should preplan all maxillofacial treatment. Residents should arrive on time, begin treatment promptly, and complete treatment in an expeditious manner. All laboratory procedures should be accomplished to allow the laboratory technicians ample time to meet the delivery date.
11. Standards of Care
All patients will be evaluated utilizing the standard of care forms.

MAXILLOFACIAL PROSTHODONTICS
STANDARDS OF CARE EVALUATION FORM
Resident's Name

Patient's Name

Month Procedure
Acceptable Needs Impr. Unacceptable

1. Patient's Medical & Dental

History & Treatment Plan

2. Diagnostic Casts

3. Final Impressions

4. Jaw Relation Records

5. Laboratory Procedures
a. Casts:


  1. Bubbles, dust, voids

  2. Periphery trimmed

  3. Centric

4) Casts articulated

b. Laboratory Prescription:


1) Patient data

2) Materials 3) Special instructions

6. Occlusion


  1. Occlusal Plane

  2. Contours

  3. Contacts

  4. Occlusal Scheme

  5. Polish

7. Delivery

8. Follow-up

9. Patient Management

10. Time Management



Treatment Assessment Performance Standard Assessment
1. Acceptable Resident

2. Needs Improvement Mentor

3. Unacceptable Date
COMMENTS:



IMPLANT SURGICAL PLACEMENT

(Standards of Care)

1. Review patient's Medical & Dental History and medication Interaction
A thorough medical and dental history is obtained from the patient's dental record to include required medical and/or dental consultations with Periodontics, Endodontics, Oral Surgery, Oral Medicine, Orthodontics.

Review of medical conditions that could make a patient unsuitable for implant treatment or could complicate surgery

Resident should be able to determinate patient’s medication interactions and need for medical consultation.
2. Diagnostic Articulated Casts
Accurate, clean, bubble-free reproductions of the existing dental anatomy and surrounded soft tissue should be fabricated.

Two sets of diagnostic casts, one set as pre-treatment record and a second set for diagnostic wax-up should be accurately articulated at the proposed vertical dimension of occlusion to reveal available mesial-distal, buccal-lingual, and interocclusal space for implant placement.

3. Diagnostic Waxing and Radiographic/surgical Guide
Guides should indicate the desired location and inclination of implants during placement. Radiographic guides will be fabricated for every patient. For overdenture or hybrid prostheses, dentures will be fabricated to the wax stage to determine proper location of implants, type of abutments for stage 2, and ultimately the type of retention mechanism, i.e.: precision attachments, locator, ERA, etc. A surgical guide will be made based on this information. For partially edentulous prostheses, a complete waxing will be completed to determine contours of the final prosthesis, type of prosthesis to be fabricated, i.e.: cemented vs. screw retained, type of abutment for stage 2, etc.: Final position of implants will be based on these decisions. A surgical guide will be fabricated based on this information using conventional guide methods or Nobel Biocare guided surgery methods as needed.

4. Diagnostic imaging

Distortion-free intraoral radiographs should be taken. Appropriate imaging of the mandible and the maxilla, and interpret the findings to inform treatment.

Use of cone beam CT is required and should be read with a help of planning software.

Evaluate surgical anatomy and/or pathological process of the maxilla, the mandible and the surrounding tissues.

Accurately identify location of vital structures: i.e. maxillary sinus, mandibular inferior alveolar canal, mental foramen, incisive canal.

Evaluate quality, quantity and morphology of the bone in possible implant sites.
5. Treatment Plan & Implant selection
Upon presentation of photographs, articulated cast, diagnosis waxing and cone beam CT, a plan based on sound surgical and prosthodontic procedures will be formulated.

Prior to initiating therapy, a comprehensive treatment plan, including caries removal, disease control, periodontics, endodontics, etc. must be formulated. All available treatment options must have been presented to the patient prior to beginning therapy.

Know the principles and process of obtaining patient consent form prior to implant treatment: other treatment options, indications and contraindication, advantages and disadvantages.

At this point selection of surgical sites are made and surgical materials are ordered with 15 working days of anticipation. Please see Dental Implant Prosthetic Order Form and submit form to Mail Box Location-Rm.4453 to Rose Morgan at least 15 working days prior to scheduling the surgical procedure.


6. Surgical Procedure

Perform surgery following effective control of infection and principles of aseptic techniques, proper wear of surgical gowns, mask and sterilized non-latex gloves.

Proper medical management of patient, Blood Pressure must be taken at the beginning of each visit.

Practice appropriate record keeping, treatment plan consent, patient consent on day of treatment, axium notes on day of treatment.

Manage appropriate pharmaceutical agents and know interaction with existing medication/s. Understand prescription of pre-operative and post-operative medications- antibiotics, analgesics, anti-inflammatory, antihistamines/decongestants and anti-microbials, ie. Chlorhexadine gluconate oral rinse.
7. Post-Surgical Period

Understand the healing processes that normally occur following implant surgery- stage 1 vs. stage 2 procedures.

Identify early and late complications and do follow-up treatment as needed: i.e. 1 day after immediate placement, immediate loading, extraction and immediate delivery of prosthesis, 7 days after conventional implant placement.

Cover fixtures or healing abutments should be placed accordingly and if not visible clinically a final radiograph confirming seating of the abutment is needed.

8. Phase 2 – Surgery
Understand need for stage 1 or stage 2 surgical procedures. Transmucosal abutments will be placed at the appropriate time. Understand selection of mucoperiosteal flap, apical reposition flap or tissue punch for stage 2 procedures. Complete seating of the abutments to underlying fixtures must be verified radiographically, if not visible clinically.

9. Home Care Instructions


Instruct patient of surgical care, coe-pack placement, use of reusable insulated cold pack, chlorhexidine rinse. A demonstration of the proper cleaning and care of the interim prosthesis must be given to the patient at the time of insertion. The patient should be given a follow-up appointment to evaluate and reinforce surgical care.
10. Post-Surgical Care
Following insertion of the implant placement, the patient must be seen in 1 day, 7 days or a 2 -week period depending on the type of surgery performed.
11. Standards of Care
All patients will be evaluated utilizing the appropriate standards of care forms.



IMPLANT PROSTHODONTICS

(Standards of Care)

1. Medical-Dental History
A thorough medical and dental history is obtained from the patient's dental record to include required medical and/or dental consultations. Any medical or dental conditions are considered in the treatment plan.
2. Diagnostic Articulated Casts and Radiographs
Accurate, clean, bubble-free reproductions of the existing dental anatomy should be fabricated. Casts should be accurately articulated at the proposed vertical dimension of occlusion to reveal available mesial-distal, buccal-lingual, and interocclusal space for implant placement. Appropriate radiographs will be available. Measuring guides will be used and potential distortions understood.
3. Treatment Plan
A plan based on sound surgical and prosthodontic procedures will be formulated. Upon approval of the mentors, a treatment plan that the resident is technically capable of completing under staff supervision can be initiated.

4. Diagnostic Waxing and Surgical Guide


Guides should indicate the desired location and inclination of implants during Phase I placement. Surgical guides will be fabricated for every patient. For overdenture or hybrid prostheses, dentures will be fabricated to the wax stage to determine proper location of implants, type of abutments for stage 2, and ultimately the type of retention mechanism, i.e.: clips, locator, ERA, etc. A surgical guide will be made based on this information. For partially edentulous prostheses, a complete waxing will be completed to determine contours of the final prosthesis, type of prosthesis to be fabricated, i.e.: cemented vs. screw retained, type of abutment for stage 2, etc.: Final position of implants will be based on these decisions. A surgical guide will be fabricated based on this information.
5. Phase I - Post Surgical Period
Existing removable partial dentures or complete dentures should be relieved, adjusted, and relined with a soft liner to accommodate tissue changes within the surgical area. Functional forces to the implants should be eliminated or minimized during the initial phase of osseointegration.

6. Phase 2 - Surgery/Preliminary Impressions


a. Transmucosal abutments will be placed at the appropriate time. Complete seating of the abutments to underlying fixtures must be verified radiographically, if not visible clinically.

b. Accurate, clean, bubble free impressions with appropriate transfer analogs should be made after abutment connection is verified.


7. Final Impression
The final impression must be an accurate representation of the implant abutments or fixtures and surrounding tissues. A verification jig will be made at the impression appointment or from the master cast to verify the accuracy of the impression on prostheses of more than one tooth.
8. Record Bases
Base plates should be stable and accurate. When completely seated, they should have intimate contact to implant analogs, with no movement. Occlusion rims must be contoured to provide proper support to lips and surrounding tissues.
9. Jaw Relation Records
Jaw relation records should be made in centric relation at the established vertical dimension. For the hybrid prosthesis, there must be at least 12mm between the maxillary incisal/occlusal plane and mandibular edentulous ridge to allow adequate space for artificial tooth placement. A facebow will be used when indicated. Acceptable shades and molds should be selected.

10. Wax Try-In


The correct centric relation position, occlusal vertical dimension, lip support, midline, occlusal plane and phonetics should be verified. The size, shape, shade, and anterior arrangement should be accepted by the patient and doctor. For a hybrid type prosthesis, the mandibular anterior teeth should be above the transmucosal abutment and gold coping connections. The extension of the posterior occlusion beyond the center of the distal abutments should be in accordance with the number, size, location/configuration of the implants.
11. Framework
The casting for the super-structure must be evaluated to verify proper cantilever length and contours. The casting should seat completely, while passive, to all abutments. If not, the framework should be separated and soldered or remade.

In the case of the partially edentulous the framework should be designed as best as possible to duplicate contours of normal anatomy. Adequate metal substructure for proper porcelain application on axial and occlusal surfaces must be present.

12. Insertion
The completed prosthesis must possess a passive, accurate fit to each abutment cylinder. A clinical remount procedure should be accomplished to eliminate occlusal interferences. All resin and metal surfaces should be highly polished without sharp projections. Access openings should be blocked out with suitable resin or composite material following final seating of the prosthesis.
13. Home Care Instructions
A demonstration of the proper cleaning and care of the implant prosthesis must be given to the patient at the time of insertion. The patient should be given a follow-up appointment to evaluate and reinforce home care.
14. Post-Insertion Care
Following insertion of the implant prosthesis, the patient must be seen every three (3) months for the first year and semi-annually thereafter for prophylaxis and recall.
15. Standards of Care
All patients will be evaluated utilizing the appropriate standards of care forms.


IMPLANT PROSTHODONTICS
STANDARDS OF CARE EVALUATION FORM

Resident's Name

Patient's Name

Month Procedure


Acceptable Needs Impr. Unacceptable

1. Patient's Medical & Dental

History

2. Diagnostic Casts

3. Treatment Plan

4. Diagnostic Waxing/Surgical Guide

5. Phase I
Post Surgical Adjustments

6. Phase II


a. Abutment Placement

b. Preliminary Impressions

7. Final Impressions

8. Record Bases

9. Jaw Relation Records

10. Wax Try-In




  1. Vertical Dimension

  2. Centric Relation

  3. Shade and Mold

d. Anterior Arrangement

e. Cantilever length

11. Superstructure Try-In

12. Insertion/Home Care Instr.

13. Post Insertion/POT Protocol

14. Laboratory Procedures


a. Casts

b. Record Bases

c. Tooth Set-up

d. Processed Prosthesis

e. Finished Prosthesis



IMPLANT PROSTHODONTICS (Cont'd)
Acceptable Needs Impr. Unacceptable

f. Laboratory Prescription


1) Patient data

2) Materials

3) Special instructions

15. Patient Management

16. Time Management

Treatment Assessment Performance Standard Assessment
1. Acceptable Resident

2. Needs Improvement Mentor



3. Unacceptable Date
COMMENTS:



IMPLANT PLACEMENT

STANDARDS OF CARE EVALUATION FORM

Resident's Name






Patient's Name






Month :__________

Procedure:_____________



















Sites : ____________






















Implant system : ______________
















Type of surgical guide _____________














































Acceptable

Incomplete/ Need Impr

Not performed

Unacceptable































Pre- surgical Procedure













1

Review patient's medical, dental history

 

 

 

 




and medication Interaction

 

 

 

 

2

Diagnostic casts, diagnostic wax up and

 

 

 

 




radiographic guide




 

 

 

 

3

Case presentation & treatment plan

 

 

 

 

4

Ordering implant / parts in advance

 

 

 

 

5

Surgical guide







 

 

 

 




Surgical Procedure

 

 

 

 

6

Anesthesia







 

 

 

 

7

Flapping







 

 

 

 

8

Osteotomy







 

 

 

 

9

Implant placement




 

 

 

 

10

Suture










 

 

 

 




Post surgical procedure

 

 

 

 

11

Follow up







 

 

 

 

12

Suture removal







 

 

 

 


























































Comments :_________________________________________































ADVANCED SPECIALTY EDUCATIONAL PROGRAM IN PROSTHODONTICS

CONSULTANT EVALUATION
Consultant: Date:

Subject: Hours of Instructions:

Please evaluate the consultant, his presentation and the subject matter according to the following scale.
Outstanding Excellent Satisfactory Marginal Unsatisfactory
Score: 1 2 3 4 5
Consultant:
1. The consultant's objectives for the lecture were clearly

stated.

2. The consultant was well prepared.

3. The consultant summarized and/or emphasized the major

points of the presentation.

4. The consultant made good use of examples and/or

illustrations to help clarify the material

5. The consultant raised challenging questions to

encourage individual thinking.

6. The consultant answered questions clearly and concisely.


Presentation:
1. The material was well organized and presented in a logical

and sequential fashion.

2. The slides and/or demonstrations were effective.

3. The value of supplement materials; handouts, references, etc.



Subject Matter:

1. The level of information presented was appropriate for a

Prosthodontic Residency.

2. The material presented was based on up-to-date professional

information.

3. The subject matter presented related directly to the lecture

objectives.

4. The subject matter presented contributed to my knowledge in

this area.
Overall Evaluation:
The overall value of the consultation, presentation and subject matter.

Additional Comments:
ADVANCED SPECIALTY EDUCATIONAL PROGRAM IN PROSTHODONTICS

RESIDENT EVALUATION - ORAL PRESENTATION

Resident: Date:

Presentation: Evaluator:

During the resident's presentation please rate the following points and return to the Director, Prosthodontic Residency. Your rating will be used in evaluating the performance of the resident in his/her oral presentation and in identifying areas in which he/she excels or needs improvement. Please rate according to the following scale. Keep in mind that the average resident is satisfactory, a score of 3.


Outstanding Excellent Satisfactory Marginal Unsatisfactory
Score: 1 2 3 4 5
1. Appearance: Proper dress, in good condition. Well groomed.

2. Speaking Presence: Good posture. No distracting head or

body movements. Eye contact with the audience. Personality

forceful and authoritative, yet pleasant. Did not read

presentation.

3. Voice Control: Loud enough to be heard. Projected to

audience. Proper inflection, not monotonous. Enunciation

clear and distinct, not mumbled. Neither too fast nor

too slow. Proper pauses without "and-uh's" or "you know".

4. Organization: Material well organized and presented in

logical sequence. One subject led smoothly into the next.

Compatible with allotted time.

5. Audio-Visual Aids: All equipment used was checked and

functioning properly. Visual aids were clear, well thought

out, easy to visualize and understand, not distracting and

added to the presentation.

6. Subject Matter: Speaker projects a thorough knowledge

of the subject, beyond the actual presentation.

7. Audience Reception: Held attention. Related to audience.

Material well received, accepted as factual, interesting

and of value.

8. Question Period: Answers were factual, well organized,

clear and concise.

9. Potential: The residents potential for public speaking

and teaching.
Comments:

ADVANCED SPECIALTY EDUCATIONAL PROGRAM IN PROSTHODONTICS

END OF YEAR PROGRAM CRITIQUE
Please evaluate the following aspects of the residency program. General comments on other aspects of the program are also appropriate, use back of page if necessary.

1. Supplies:

2. Equipment:

3. Facilities:

4. Assistants:

5. Lab Technicians:

6. Mentors:

7. Resident Orientation Courses:

8. Curriculum: Scope, Time - Didactic vs. Clinical/Laboratory, etc.
9. Evaluations: Resident, Written and Oral, Standard of Care, etc.

(Frequency, evaluation criteria, forms used for, etc.)


10. Conferences: Occlusion, Topic Seminar, Literature Review,

Treatment Planning, etc.


11. Consultants: Number, variety, quality.

12. Research Paper:




  1. Resident Oral Presentations:

14. What change, if any, would you make in the overall structure of the program?

15. Additional comments on any aspect of the program.



ADVANCED SPECIALTY EDUCATIONAL PROGRAM IN PROSTHODONTICS

END-OF-PROGRAM CRITIQUE
Use back of page for additional comments.
1. Did the University of Maryland fulfill your expectations for a Prosthodontic Residency?

2. Did the University of Maryland Residency accomplish the stated objectives by producing:


YES NO
a. Knowledgeable and skilled clinicians ____
b. Prosthodontists able to serve as mentors?
d. Prosthodontists qualified and able to be certified

by the American Board of Prosthodontics

3. What changes, if any, would you make in the overall structure of the residency?

4. Were the facilities (clinical, laboratory, lecture) adequate? If not, how could they be improved?

5. Were there sufficient, competent auxiliary personnel? If not, what changes should be made?

6. Were necessary materials, supplies and equipment adequate? If not, what changes should be made?


7. Was there a proper ratio of didactic experience to clinical experience, including laboratory? If not, what changes should be made?

8. What were the residency's strongest areas and why?


9. What were the residency's weakest areas and why?
10. Please comment on any of the following areas.
a. Research Paper:

b. Treatment Planning Conferences:

c. Literature Reviews:


  1. Joint Seminars:

e. Basic Science Courses:


f. Resident Lectures:
g. Visiting Consultants:
h. Practice Management/Administration:
i. Library:

j. Resident Evaluations:

k. Teaching Staff:
l. Director of Residency:

m. Additional comments on any aspect of the residency:



ADVANCED SPECIALTY EDUCATIONAL PROGRAM IN PROSTHODONTICS

POST-GRADUATION CRITIQUE
Use back of page for additional comments.
1. Current Position:
a. Title:

b. Are you teaching or a mentor?

c. Other positions?
2. Clinic Information:
a. Solo or group practice:
b. Owner or associate:
c. Number of chairs you use:
d. Number of hours per week that you practice:
3. Clinical Practice:
a. Approximate percentage of time in:
1) Fixed Prosthodontics
2) Complete Denture Prosthodontics
3) Removable Partial Prosthodontics
4) Maxillofacial Prosthetics
5) Implant Prosthodontics
6) Craniomandibular Disorders
7) Other Clinical
b. Training in your Residency for your present clinical situation was, in your opinion: (Rank the following on a scale of 1 = excessive to 5 = inadequate)
1) Fixed Prosthodontics
2) Removable Prosthodontics
3) Maxillofacial Prosthetics
4) Craniomandibular Dysfunction
5) Implant Prosthodontics

c. Looking back on your Prosthodontics Residency, how would you modify the following:


Maintain Increase Decrease
1) Fixed Prosthodontics

2) Removable Partial Prosthodontics

3) Complete Denture Prosthodontics

4) Maxillofacial Prosthodontics

5) Craniomandibular Disorders

6) Implant Prosthodontics

7) Administration

8) Visiting Consultants

9) Research Paper

10) Resident Lectures

11) Literature Reviews

12) Treatment Planning Conference


13) Topic Seminars

14) Occlusion Seminars


d. Would you delete or eliminate any of the above listed activities? If, yes list the activity and briefly explain why?
5. American Board of Prosthodontics:
a. Have you passed the Phase I written exam?
b. Have you completed any of the other phases?
c. Do you plan to complete the Board Examination?

6. Research Paper:


a. Did you pursue the publication of your paper?
b. Were you successful in having it published?
c. Which journal?
d. Did you have to make many changes in the final draft?
e. What journal did you send it to and what were their comments?
Journal:
Comments:

:





  1. Comments

Please comment on any of the areas listed below. We are sincerely interested in how we did/did not prepare you for your present assignment. We would appreciate any suggestions directed toward improving the Advanced Educational Program in Prosthodontics at the University of Maryland. Use the back of sheet for additional comments.


a. Fixed Prosthodontics:
b. Complete Denture Prosthodontics:
c. Removable Partial Denture Prosthodontics:

d. Maxillofacial Prosthetics:


e. Implant Prosthodontics:

f. Craniomandibular Disorders:


g. Consultants:

h. Basic Science Courses:


I. Interaction with other disciplines: (Endo, Perio, etc.)

j. Literature Reviews:

k. Other:




DENTAL RESIDENT EVALUATION REPORT
Name: Date:
Prosthodontic Resident - year, University of Maryland
RATING PERIOD: 1Oct-31Dec 2014

Rating: 1 - Outstanding 4 - Marginal

2 - Good 5 - Unsatisfactory

3 - Satisfactory
1. ACADEMIC PERFORMANCE 2. CLINICAL PERFORMANCE
a. Oral Communication......... a. Examination/Diagnosis.....

b. Written Communication..... b. Treatment Planning..........

c. Participation...................... c. Treatment Skills................

d. Professional Knowledge... d. Records Management......

e. Logic/Reasoning............... e. Time Management............
3. PERSONAL & PROFESSIONAL ATTRIBUTES
a. Attitude.............................

b. Initiative/Motivation..........

c. Sound Judgment............

d. Interpersonal Relations....

e. Patient-Dentist Relations..

f. Responsibility.....................


4. OVERALL PERFORMANCE RATING.... (Comments required for rating of 1 of 5)

COMMENTS:

I HAVE BEEN COUNSELED REGARDING THIS EVALUATION:
_________________________________

Resident’s Signature Date



Carl F. Driscoll, DMD, Program Director



APPENDIX A
UNIVERSITY OF MARYLAND DENTAL SCHOOL

ADVANCED SPECIALTY EDUCATION PROGRAM IN PROSTHODONTICS

BALTIMORE, MARYLAND

THIRD YEAR RESIDENTS (2013-2016)
Dr. Se Jong Kim (University of Pennsylvania ’13)
Dr. William Wahle (University of Iowa ’13)
SECOND YEAR RESIDENTS (2014-2017)
Dr. Seung Choi (Tufts University ’13)
Dr. Andrey Doroshenko (University of Maryland ’14)
Dr. Naif Sinada ( Midwestern University ’13)

FIRST YEAR RESIDENTS (2015-2018)

Dr. Malek Alshehri (King Saud, Saudi Arabia ’13)

Dr. Robert Choe (University of Pennsylvania ’15)

Dr. Navpreet Khatra (New York University’15)



CLINICAL FACULTY

  • Carl F. Driscoll, DMD, Director, Prosthodontic Residency Program

John Davliakos, DMD




  • Guadalupe Garcia, DDS




  • Peterson Huang, DDS, MS




  • Sarit Kaplan, DMD, MS




  • Joanna Kempler, DDS, MS




  • Penwadee Limkangwalmongkol DDS, MS




  • Radi M. Masri, BDS, MS, PhD



  • Youssef Obeid, DDS




  • Flavio H. Rasetto, BDS, MS




  • Elias Rivera, DDS, MS




  • Michael T. Singer, DMD




  • Michael J. Tabacco, MS, DDS




  • Garima Talwar, DDS, MS




  • Diplomate of the American Board of Prosthodontics


APPENDIX B
RESIDENT ORIENTATION
The first year prosthodontic residents will participate in an orientation program that will introduce them to the residency goals, objectives, administrative procedures, and assignments as well as provide an overview of the clinical and laboratory skills required of the specialty. The new resident kit of supplies and equipment will also be issued. During this orientation period, the following topics are addressed:
a) General Orientation, Issue Course Materials/Kit

b) Oral Photography Seminar

c) Fixed Prosthodontic Exercise

d) Removable Prosthodontic Exercise

e) CPR recertification

f) Implant Introduction

g) Occlusion
CLINICAL PHOTOGRAPHY
1. Objective:


  1. To establish and in-depth knowledge of clinical photography.




  1. To become proficient in taking intra and extra oral photographs.




  1. To develop an in-depth knowledge of what views are required for the American Board of Prosthodontics Examination.

2. Guidelines:


a) This block of instruction/practical exercise will include topics on equipment selection, oral photographic procedures and principles, mirror positioning, and the clinical photo series.
b) Residents will use their own digital camera and participate in a practical exercise on mirror positioning and taking the clinical photo series. One-on-one instruction will insure confidence in their equipment.

FIXED PROSTHODONTIC ORIENTATION
1. Objective:
To acquaint the resident with fixed prosthodontic principles, clinical, and laboratory procedures.
2. Guidelines:
a) A hands-on series is given as a review of Fixed Prosthodontics to all incoming residents.
b) The resident will be guided through the clinical and laboratory steps of diagnostic impression making through insertion of a gold crown and a PFM crown.
c) The fabrication of a complete metal and ceramic crown to include custom tray fabrication, elastomeric impression procedure, and master cast fabrication. Waxing, casting, porcelain application and finishing procedures will also be performed.
REMOVABLE PROSTHODONTIC ORIENTATION
1. Objective:
Acquaint the residents with complete denture prosthodontic principles, clinical and laboratory procedures.
2. Guidelines:
a) In addition to selected lectures, the residents will receive one-on-one demonstrations on clinical procedures for the impression, jaw relation records, wax try-in, and insertion appointments. Also, they will fabricate a set of dentures on a patient and perform the following lab procedures: 1) custom trays, 2) record bases, wax rims, and articulation, 3) complete monoplane and fully balanced set-ups, 4) fully wax-up both sets of trial dentures, 5) flask, pack, and process one set of dentures, 6) deflask and complete a lab remount to check pin opening, 7) deflask, finish, and polish dentures, and 8) deliver dentures to patient.

DIGITAL DENTISTRY ORIENTATION
1. Objective:
Acquaint the residents with clinical applications of digital prosthodontics.
2. Guidelines:


  1. A series of lectures (6 lectures, 1 hour each) on topics that include: Digital impressions, digital manufacturing, digital restorations, digital implant surgery, digital fixed prosthodontics and digital removable prosthodontics.

  2. In addition to the lectures, the residents will receive one-on-one demonstrations on digital impressions, digital restoration design, and digital manufacturing of conventional and implant restorations.





APPENDIX C
SPECIAL DUTIES
RESIDENTS ARE ASSIGNED DUTIES AS FOLLOWS:


  1. Dr. Choi

Literature review assignments (current, classic) and board review questions.


2. Dr. Sinada
Plan social events, such as the end of year roast.
3. Dr. Doroshenko
Caretaker of residents’ library. Book coordinator.
4. Dr. Doroshenko
Birthday cake coordinator
5. Resident of the month duties (rotates amongst all residents):
Responsible for setting up lecture rooms, including supplies, maintenance, equipment, cleaning, and refreshments for consultant lectures.
6. Dr. Choi

Lab Officer



APPENDIX D

University of Maryland

PROSTHODONTICS SCHEDULE/FACULTY COVERAGE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY


8:00am - Patient Tx/ MS courses

Dr. Singer

Dr. Talwar (2x/month)

Dr. Kempler (2x/month)

7:30 am – Lit. Review

10:00am- Patient Tx

Drs. Penwadee /Driscoll


7:15am - Patient Tx/

MSOB courses
Dr. Garcia

Dr. Masri (2x/month)



8:00am - Resident Lecture

9:30am - Tx Planning Conference

10:45am - Board

Questions

Drs. Masri/Driscoll


8:00am - Patient Tx


Drs. Tabacco/

Dr. Kaplan (2X/month)

Dr. Rasetto (2x/month)

12:00 - 1:00 pm


LUNCH

12:00 - 1:00 pm


LUNCH

12:00 - 1:00 pm


LUNCH

12:30 - 1:00 pm


LUNCH

12:00 - 1:00 pm


LUNCH

1:00-5:00 - Patient Tx/ MS courses

Drs. Singer/Davliakos/

Driscoll

1:00-5:00 - Patient Tx

Drs. Penwadee /Driscoll/ Garcia


1:00-7:00pm - Patient Tx


Drs. Obeid/Penwadee/ Rivera/Huang/ Driscoll


Conjoint Seminar

Research time

Drs. Driscoll/Masri


1:00-5:00pm - Occlusion

Seminar

Drs. Tabacco / Driscoll



APPENDIX E

MONTHLY REPORT - PROSTHODONTIC RESIDENT
MONTH/YEAR / NAME


Clinical Procedures

a. Diagnostic

Treatment Plans signed __________________________

Pantographic Tracing or Cadiax


b. Fixed Prosthodontics

Single Fixed Units (All Types including posts and cores)

Fixed Partial Denture Units

Complete Arch Restorations


c. Removable Prosthodontics

Single Complete Dentures

Complete Dentures, Both Arches

Number of Above Units Involving Overdentures ___________________________

Removable Partial Dentures (including interim RPD’s) __________________________

Denture/RPD-Relines/Repairs __________________________


d. Combined Fixed/Removable Partial Prosthodontics

Arches Restored with a combination of fixed and

Removable prostheses
e. Implant Restorations (Complete Description)-include up above __________________________
f. Number of implants placed __________________________
g. Craniomandibular Disorders

Number of Patients Treated


h. Acquired/Congenital Defects

Number of Patients Treated


Laboratory Procedures

Total Hours _______________________







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