The candidate for 1-year training in maxillofacial prosthetics must have satisfactorily completed a 3-year formal training program in prosthodontics.
This program is designed to train the aspiring maxillofacial prosthodontist in the rehabilitation of patients with congenital or acquired head and neck defects. Resultant disabilities may range from minor cosmetic discrepancies to major functional compromises. Candidates will be exposed to a new arena of psychodynamic interactions requiring greater management skills and greater patient sensitivity. Working relationships in the hospital environment and the team approach to rehabilitative services with the other medical specialties will be emphasized. Areas of patient treatment will include acquired defects of the mandible and maxilla, palatopharyngeal function, radiation therapy, chemotherapy, and oculofacial defects.
NPDS 372 Advanced Osseointegration
NPDS 401 Cleft Palate Conference
NPDS 402 Consultant Lectures and Seminars
NPDS 403 Continuing Education Courses and Observerships
NPDS 362 Seminar, Prosthodontics/Oral and Maxillofacial Surgery
NPDS 292 Speech Pathology
NPDS 409 Teaching, Maxillofacial Prosthetics
Orientation, GMT, PRT, etc.
**Course hours will vary depending on availability and type of patients.
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FELLOWSHIP IN OROFACIAL PAIN
Director: Captain John F. Johnson, III
Orofacial pain is the discipline that involves the differential diagnosis and management of pain and dysfunction of the trigeminal nerve system. More specifically, orofacial pain practitioners evaluate and treat pain and dysfunction involving the masticatory system and associated structures throughout the face, head, neck and shoulders that transmit sensory information into the brain via the trigeminal nuclei.
The orofacial pain residency is a two-year program that covers an extensive body of basic medical sciences as related to the study of pain. Because of the inherent diversity of orofacial pain conditions, the residency incorporates clinically relevant information from a wide array of other dental and medical disciplines. The residency curriculum also includes courses that enhance a dental officer’s abilities regarding contingency roles, military leadership and personnel management. Successful completion of the program qualifies the resident to challenge the certification examination by the American Board of Orofacial Pain.
FIRST-YEAR PROGRAM The goal of the first-year program is to provide residents with the foundational knowledge and skills that will enable them to participate in a multi-disciplinary pain practice. The first year program places a concentrated emphasis on acquiring the basic medical science information necessary to develop the theoretical constructs required for clinical practice. Residents are exposed to a broad range of topics through classroom lectures, seminars and guest lectures. All residents are required to initiate a pain related research project. Fifty percent of the first year is devoted to clinical activities in the Orofacial Pain Center.
Oral and Maxillofacial Pathology Continuing Education Course
NPDS 285 Orofacial Pain
NPDS 276 Orofacial Pain Concepts Seminar I
NPDS 278 Orofacial Pain Grand Rounds
NPDS 228 Pharmacotherapeutics in Clinical Dentistry
NPDS 263 Research
NPDS 264 Research Methodology I (Advanced standing)
NPDS 217 Specialty Clinic, Orofacial Pain
NPDS 231 Systemic Disease in Clinical Dentistry
NPDS 206 Topographical Anatomy (hours 13-20)
Orientation, GMT, PRT, etc.
SECOND-YEAR PROGRAM The goal of the second-year program is to refine the resident’s multi-disciplinary diagnostic and pain management skills. Pertinent neuroscience, physiology, pharmacology and psychology topics are reinforced via seminars and guest lecturers. During the later half of the year, residents begin rotating through designated medical and surgical services at the National Naval Medical Center or adjacent medical facilities. Each resident will be required to present a completed research project. Approximately 65 percent of the second year will be devoted to clinical activities in the Orofacial Pain Center and specialty rotations.
HSMP 215 Dentistry and the Law
HSMP 221 Strategic Management in Dentistry
NPDS 321 Basic Life Support (Recertification)
NPDS 383 Orofacial Pain Specialty Rotations II
NPDS 264 Research Methodology II
NPDS 355 Research Project
NPDS 381 Seminar, Current Pain Literature II
NPDS 360 Seminar, Oral Medicine
NPDS 376 Seminar, Orofacial Pain Concepts II
NPDS 382 Seminar, Orofacial Pain Grand Rounds II
NPDS 380 Seminar, Orofacial Pain Guest Lecture Series II
NPDS 340 Specialty Clinic, Orofacial Pain
GMT, PRT, etc.
Back to Contents COURSE DESCRIPTIONS The course descriptions are grouped under the following headings:
Oral Diagnosis, Oral Medicine, and Oral and Maxillofacial Radiology
Oral and Maxillofacial Pathology
Oral and Maxillofacial Surgery
Faculty: LCDR Wilson, Dr. Gradwell, Dr. Walters, Dr. Falkler, Dr. Minah, staff
NPDS 201 Applied Dental Psychology
Emphasis is placed on enhancing the residents’ appreciation of the biopsychosocial complexities of their patients in an effort to demonstrate how these factors impact prevention, diagnosis, treatment, and rehabilitation. Empirical reports and clinical findings will be presented which highlight a variety of psychological issues which are directly related to oral health and oral healthcare delivery. Among the psychological entities discussed are: dental phobia, pain management, depression, anxiety, patient adherence, and practitioner- patient communication. In addition, seminar material will also focus on managing professional stress and burnout.
NPDS 202 Biochemistry
This course will review general biochemical principles and discuss the biochemical basis of current dental topics.
NPDS 203 Immunology
This course will stress basic and advanced immunologic concepts as they relate to the etiology and host defense of infectious dental disease. Information will be provided on current concepts in innate immunity, antigens, the cells involved in innate and acquired immune responses, the complement system, hypersensitivity, autoimmunity, immunodeficiency, and the regulation of the immune response. This information will provide the resident with an understanding and rationale for the treatment of oral health and immune-related diseases.
NPDS 204 Microbiology
Information is presented on the current status of bacterial physiology, growth and genetics of microorganisms, viruses of dental importance, host-parasite relationships, and sterilization and disinfection. Particular emphasis is placed on the microbial flora of the oral cavity and on its relationship to dental plaque and caries, orofacial infections, pulp and periapical infections, and dental plaque and periodontal disease.
NPDS 206 Topographical Anatomy
This is a lecture and laboratory course designed to review the anatomy of the head and neck region. The primary objective is to provide the participants with a knowledge base that strengthens their clinical judgment. Following preparatory lectures, participants will construct in wax on an anatomical skull the ligaments of the temporomandibular joint (TMJ), muscles of mastication, muscles of facial expression, muscles of the soft palate and pharynx, muscles of the floor of the mouth, major salivary glands and selected vascular and neural structures. This exercise should help participants better understand the relationships of various tissue planes, muscle locations, and the interrelationships of the gross anatomy of the head and neck region. The final element of the course involves dissection of fresh anatomic material at the USUHS Anatomical Training Laboratory following the same topics and objectives of the lecture and waxing laboratory segments. Emphasis will be placed on examination and understanding of the temporomandibular joint.
NPDS 377 Immunology Review
The basics of immunology will be presented by lecture and discussion.
Clinical application of all phases of dentistry as practiced in the Navy in an integrated fashion and at a high level of competence.
NPDS 253 Fixed Prosthodontics
Lectures, demonstrations, and laboratory sessions will cover clinical and laboratory phases of fixed prosthodontics. Residents will be exposed to all phases of patient treatment in fixed prosthodontics from diagnosis and treatment planning to cementation.
NPDS 262 Informal Treatment Planning Seminar
Each resident will present two selected cases per year before the comprehensive dentistry staff and fellow residents. In a round table setting, the resident will discuss a diagnosis, proposed treatment plan, and treatment rationale.
NPDS 279 Seminar, Operative Dentistry
Residents prepare abstracts and discuss articles from the operative dentistry literature. NPDS staff members serve as mentors for these seminars. The development of critical thinking is encouraged and developed through structured exercises in scientific and statistical analysis of selected articles.
NPDS 286 Seminar, Diagnosis, Treatment Planning, and Preclinical Occlusion,
This seminar is directed toward demonstrating to the resident the treatment planning formats used in the Comprehensive Dentistry Residency, and to help them develop a logical and systematic approach to diagnosing and treatment planning the patient requiring multi-disciplinary comprehensive dental care. Treatment planning exercises are included to allow immediate practical application of the learned skills."
NPDS 288 General Dentistry Sick Call Rotation
This clinical rotation provides an opportunity for comprehensive dentistry residents to gain expertise and demonstrate competence in the following areas of general dentistry sick call: diagnosis, treatment planning, and definitive treatment for general dentistry sick call patients in the Dental Readiness clinic. The rotation consists of 72 hours for the T-2s and 32 hours for the T-1s. Any definitive treatment provided in the rotation will be staffed by the department head of the readiness clinic.
NPDS 312 Seminar, Orthodontics
Topics in orthodontics, which focus on concepts and mechanics of minor tooth movement, are covered in lectures and literature review seminars.
NPDS 315 Pediatric Dentistry Rotation
This clinical rotation provides an opportunity for comprehensive dentistry residents to gain expertise and demonstrate competence in the following areas of pediatric dentistry: diagnosis and treatment planning for infant and child patients; basic restorative dentistry to include amalgams, composites, stainless steel crowns, and preventive resin restorations; behavior management and patient/parent communication; pulp therapy for the primary and young permanent dentition; space maintenance; current preventive dentistry techniques; and interceptive orthodontics. The rotation includes 5 full days of directly supervised practice in the Pediatric Dentistry Clinic. During the assigned days, comprehensive exams and treatments plans are initiated and it is the resident's responsibility to follow the assigned cases to completion. The goals of the treatment cases are to give the resident a well-rounded experience in the practice of pediatric dentistry. The resident will complete 3 to 5 restorative cases and available interceptive orthodontic/space maintenance cases. Care provided through this rotation will be mentored by the Chairman of the Pediatric Dentistry Department at NPDS.
NPDS 317 Seminar, Occlusion
Residents discuss assigned readings on articulators and the fundamentals of occlusion. The emphasis is on direct clinical applications, and the discussions are supplemented by clinical cases.
NPDS 318 Special Guest Lecturers/Consultant Visits
Various guest lecturers and consultant visits are scheduled throughout the year.
Each resident participates in the teaching program by preparing and presenting various presentations and a table clinic.
NPDS 323 Orofacial Pain Rotation
The comprehensive dentistry residents rotate for 3 AM sessions for a total of 12 hours through the Orofacial Pain department under the direct supervision of an orofacial pain staff mentor. During the assigned days, comprehensive orofacial exams and treatment plans are initiated and it is the resident's responsibility to follow the assigned cases to completion. The goals of the treatment cases are to give the resident a well-rounded experience in the diagnosis and treatment of orofacial pain. The resident will complete two assigned orofacial cases. Care provided through this rotation will be mentored by the Staff of the Orofacial Pain department at NPDS.
NPDS 324 General Dentistry Sick Call Rotation
Continuation of NPDS 288
NPDS 325 Seminar, Periodontics
Residents prepare abstracts and discuss assigned articles from the periodontic literature. NPDS periodontal staff members serve as mentors for these seminars, which are chaired by the residents.
NPDS 353 Treatment Rendered Seminar
Residents prepare and orally present summaries of clinical treatment accomplished, highlighting significant teaching points gained during their residency training. NPDS staff members serve as mentors for these seminars. Seminars are presented in operative dentistry, orthodontics, pediatric dentistry, periodontics, and comprehensive dentistry.
NPDS 358 Seminar, Orofacial Pain
Literature seminars reviewing and discussing the etiology, diagnosis, and conservative nonsurgical management of temporomandibular disorders and orofacial pain.
NPDS 359 Seminar, Prosthodontics
Residents prepare abstracts and discuss assigned articles from the prosthodontic literature. NPDS prosthodontic staff members serve as mentors for these seminars, which are chaired by the residents.
NPDS 365 Seminar, Comprehensive Dentistry
This seminar requires the resident to integrate and apply the didactic material learned to treatment situations. Alternative teaching methods such as demonstrations of techniques by faculty and dental company representatives, lessons leaned, clinical exercises, current literature review, seminars developed by the residents, and presentation of treatment plans will be used.
Three separate examinations given over the 2 year period consist of a written treatment planning exercise, an oral examination, and a written examination. The examination is analogous to the American Board of General Dentistry.
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Faculty: CAPT Tordik, CAPT Weber, CDR Webb
NPDS 208 Endodontics
Classroom and laboratory instruction, as well as clinical experience, in all phases of endodontics. Emphasis on the etiology, prevention, diagnosis, and treatment of diseases and injuries that affect the pulp and the periradicular tissues.
NPDS 207 Laboratory, Surgical Anatomy
A laboratory course in which the first year resident utilizes surgical techniques and performs endodontic surgery under simulated conditions. Dental operating microscope principles, ultrasonic root end preparation techniques and current root end filling materials are emphasized.
NPDS 209 Laboratory, Endodontic Technique
Laboratory course designed to develop proficiency in a variety of endodontic instrumentation and obturation techniques before the resident applies them in the clinical situation.
NPDS 210 Laboratory, Pulp Morphology
Laboratory course designed to acquaint the resident with the many anatomical variations found in the pulp chamber and the root canal system of each type of tooth.
Case presentations of first and second year residents are evaluated by the faculty. Challenging cases in diagnosis, case selection, and treatment are presented, defended, and evaluated. Special reports on endodontics and endodontically related subjects are presented, reviewed, and discussed.
NPDS 212 Seminar, Endodontics Consultant Series
Seminars are designed to familiarize the resident with a variety of endodontic techniques and philosophies. Prominent educators, researchers, and clinicians are invited to participate in these seminars.
NPDS 214 Seminar, Classical Endodontic Literature
Seminars for review and discussion of the literature on endodontics and related subjects. Research findings as well as basic health sciences are correlated with clinical endodontics through extensive discussion.
NPDS 215 Seminar, Endodontics/Related Specialties
Topics of common interest to endodontics and the specialties of prosthodontics, operative dentistry, orthodontics, and periodontics, are assigned to residents, who must develop and lead discussions on the topics.
NPDS 216 Specialty Clinic, Endodontics
Designed to provide extensive clinical experience on a specialty level for residents in endodontics. Emphasis is placed on the application of recent advancements and innovations in clinical endodontics as well as on the treatment of unusual and challenging cases. An introduction to endodontic surgery is initiated, with cases gradually increasing in complexity.
NPDS 265 Seminar, Current Endodontic Literature
A seminar designed to identify trends in endodontic research and clinical practice and to develop skills in evaluating published material. Articles from current journals are read, analyzed, abstracted, and discussed.
NPDS 300 Endodontic Biology Review
This 3 day course, sponsored by Einstein Medical Center, Philadelphia, Pennsylvania, is a review of the biology of endodontics. Areas covered include microbiology, pathology, cell biology, pulpal physiology, odontogenic infections, and applied pharmacology. The lectures are based on classical and current literature.
NPDS 301 Rotation Through Naval Hospital, Bethesda
Rotation through Endocrinology, Infectious Diseases, ENT, and the Orofacial Pain Clinics is designed to increase the endodontic resident’s competency in physical evaluation, diagnosis, and management of patients with medical complications.
NPDS 303 Seminar, Classical Endodontics Literature
Continuation of NPDS 214.
NPDS 304 Seminar, Endodontics/Related Specialties
Continuation of NPDS 215.
NPDS 305 Specialty Clinic, Endodontics
Second year of clinical training in endodontics. Provides a diversity of surgical and nonsurgical clinical experience, with emphasis on the treatment of challenging and unusual cases. Applications of recent developments and innovations in clinical endodontics are also emphasized.
NPDS 306 Seminar, Endodontics Consultant Series
Continuation of NPDS 212.
NPDS 308 Teaching, Endodontics
The resident participates in the endodontic teaching program by presenting lectures and table clinics, leading seminars, and instructing in the clinic and the laboratory.
NPDS 309 Laboratory, Surgical Anatomy
Continuation of NPDS 207. Second year residents assume teaching responsibilities and mentor first year endodontics residents and comprehensive dentistry residents in performing endodontic surgical procedures.
This course covers the diagnosis and management of common medical emergencies, with special emphasis on patient evaluation and history taking to prevent such emergencies in the dental office. Additionally, the residents participate in an American Heart Association Basic Life Support class.
NPDS 221 Naval Operational Management
This course examines various aspects of managing a dental health care facility in the Navy Dental Corps. It includes lectures and field trips designed to familiarize the residents with Navy and Marine Corps force structure and management. Military responsibilities of the dental officer in operational billets are covered.
NPDS 281 Forensic Dentistry
This course will provide an understanding of mass disaster management and methodologies that can assist the examiner rendering dental identification. The course includes formal lectures, a radiographic comparison laboratory, and a mass casualty laboratory. These laboratories provide hands-on participation to test the student’s skill in mass disaster management and identification of human remains.
NPDS 321 Basic Life Support (Recertification)
A review course in CPR for second-year residents. The residents participate in an American Heart Association Basic Life Support class.
NPDS 371 Dental Administrative Management
This course is an introduction to the theory and practice of management as applied to the Navy’s health care delivery system. Lectures and simulated exercises are directed toward improving the dental officer’s management skill and decision-making ability to prepare the officer for increased responsibility.
Faculty: CAPT Miksch
NPDS 224 Occlusion
Clinically oriented presentations will focus on the application of occlusal concepts, principles of articulation, determinants of mandibular movement, and occlusal assessment. Emphasis will be placed on occlusion and the periodontium. Selected course participants will review the theory and use of dental articulators, including hands on familiarization. Indications and principles of occlusal equilibration are discussed and applied in a laboratory exercise. Occlusal assessments/evaluations are conducted on selected patients.
Faculty: CAPT Nordin
NPDS 225 Operative Dentistry
This course is designed to review the art and science of operative dentistry through lectures and hands-on laboratory exercises. Disease prevention and conservation of tooth structure are the basis of our treatment philosophy. The treatment of dental caries as an infectious disease is emphasized through the discussion of state-of-the-art caries prevention and management strategies. Currently available restorative materials are detailed including rationale for selection and manipulation techniques. Treatment planning, conservative restorative methods and the restoration of structurally compromised teeth are discussed. Esthetic/cosmetic dentistry modalities, e.g., bleaching, DBAs (dentinal bonding agents), esthetic posterior restorations, and porcelain veneers/porcelain systems are presented. Our goal is to provide participants with tools to enhance clinical success when restoring the carious, defective, or traumatically injured dentition. This course encourages the development of sound clinical rationales when providing operative dentistry as part of an overall comprehensive treatment plan.
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ORAL DIAGNOSIS, ORAL MEDICINE, AND ORAL AND MAXILLOFACIAL RADIOLOGY
Faculty: CDR Meehan
NPDS 226 Oral Medicine Seminar Series for AEGD/GPR
This course is a review of several important oral medicine and clinical oral pathology topics of
interest to the PGY-1 dental resident. Topics include: radiology troubleshooting, new radiation protection requirements, diagnosis and management of common oral lesions and conditions, oral manifestations of systemic disease, top 50 drugs, pharmacology review, referral and consultations, adjunctive diagnostic procedures, and laboratory medicine in dentistry.
NPDS 227 Advanced Oral Diagnosis
Lectures and clinicopathological conferences designed to examine the skills essential for the collection of diagnostic data in a systematic and logical fashion. Special emphasis will be placed on (1) eliciting medical and dental histories, with a review of the organ systems, (2) physical diagnoses and
head and neck examination, (3) indications for, limitations of, and interpretation of radiographic evaluations, (4) medical consultations, and (5) radiation safety. The resident will learn to synthesize the data obtained and, consequently, establish a diagnosis for the patient's chief complaint, determine the significance of preexisting medical conditions, discover concomitant disease, and formulate a treatment plan based on an accurate determination of the patient's physical and emotional capacity to
tolerate dental care.
NPDS 228 Pharmacotherapeutics in Clinical Dentistry
clinicopathological conferences designed to present the pharmacokinetics and pharmacodynamics of major drug groups, with particular reference to clinical dentistry. Topics of discussion will include (1) pharmacokinetics (absorption, distribution, biotransformation, and excretion) of drugs, (2) sedative and hypnotic agents, (3) minor tranquilizers and centrally acting muscle relaxants, (4) peripherally and centrally-acting analgesics, (5) local anesthetics, (6) antimicrobials, and (7) therapeutic agents recommended for management of common oral diseases. Further emphasis will be placed on the potential interaction of drugs with medications prescribed by other health professionals. Participants will be prepared to prescribe for maximum benefit and to recognize the clinical ramifications of concomitant drug therapy.
NPDS 231 Systemic Disease in Clinical Dentistry
This course is a comprehensive presentation of the dental management of medically compromised
patients. The medical and/or pharmacologic management of systemic disease is discussed, and the basis for modification of dental therapy is highlighted. The resident will acquire knowledge essential for assessing a patient's ability to undergo dental care based on the recorded medical history and the
correlation of significant clinical, laboratory, and radiographic findings. Clinicopathological conferences are designed to review the normal physiology of organ systems, incidence of significant variation, and the pathophysiology of disease states of special interest to the dentist. Emphasis will be directed towards the management of the adult patient.
Clinical practice designed to reinforce diagnostic and patient management skills. Special emphasis will be placed on (1) eliciting a complete medical and dental history, (2) physical examination, (3) radiographic interpretation, (4) ordering appropriate laboratory studies, (5) performing diagnostic tests, (6) synthesizing a differential diagnosis, and (7) developing an effective treatment plan. The resident will develop an appreciation for the relationship between clinical presentation and microscopic appearance and gain experience in the dental management of patients with serious and complex medical problems.
NPDS 360 Seminar, Oral Medicine
Seminars and clinicopathological conferences for residents in specialties other than oral medicine are designed to discuss advanced principles in the diagnosis and management of medically compromised patients. A practical, case-study approach is used to emphasize important principles of comprehensive care required in both general and specialty dental practice.
NPDS 234 Advanced Oral and Maxillofacial Pathology I
Resident functions as an essential member of the Navy Oral Histopathology Service. Learns microscopic techniques, tissue processing, and staining methods. Prepares the gross descriptions of assigned cases, which are reviewed by a staff member and discussed with the resident. Performs the initial screening of cytology specimens. Gains experience in clinical pathology by examining patients.
NPDS 235 Advanced Oral and Maxillofacial Pathology II
Continuation of NPDS 234. The resident participates in lecturing and conducting seminars for specialty residents and prepares microscopic descriptions of assigned biopsy specimens, which are reviewed and discussed with staff members. Participates in review of oral and maxillofacial pathology literature. Advanced cases in head and neck pathology are reviewed on a daily basis.
NPDS 236 Oral and Maxillofacial Pathology
Lecture series covering developmental disturbances of the head and neck, inflammatory diseases of the oral mucosa and jaws, epithelial dysplasia, pulp and periapical pathology, benign and malignant neoplasms, and the oral manifestations of certain metabolic diseases. Emphasis is placed on the clinical manifestations of specific diseases; however, the student is expected to correlate microscopic findings with specific diseases to better understand the clinical behavior, prognosis, and treatment modalities. Guest lecturers are often added to the curriculum.
NPDS 237 Seminar, Special Pathology
Resident participates in the Naval Hospital, Bethesda, Tumor Board conferences, clinicopathologic conferences presented in conjunction with the General Pathology Department, autopsy conferences, and regularly scheduled conferences of the Dermatology, Otorhinolaryngology, and Radiology Services. Participates in review of oral and maxillofacial pathology literature through assigned topics.
NPDS 250 Independent Study in Special Topics
This course is designed to allow residents to direct their study by providing the opportunity for additional emphasis on clinical practice or histopathologic practice. At the discretion of the program director, residents desiring clinical practice would consider adding NPDS 233 Current Concepts in Oral Medicine or NPDS 327 Clinical Oral Diagnosis/Oral Medicine II. Residents interested in histopathology would add additional hours in NPDS 237 Seminar, Special Pathology or NPDS 235 Advanced Oral and Maxillofacial Pathology II. Additional considerations for clinical or histopathology may be arranged with the consent of the program director and the participating department in otolaryngology, oral medicine, dermatology, immunohistochemistry, cytology, hematology, or other fields of interest.
NPDS 274 General Pathology
Lectures and clinicopathological seminars at the F. Edward Hebert School of Medicine, Uniformed
Services University of the Health Sciences. Part I of the course familiarizes the student with general concepts in histopathology. In Part II, the student studies the gross pathology and histopathology of each organ system.
NPDS 275 Immunopathology
This course presents basic immunology concepts and recent advances in immunology as relates to the practice of pathology. It will be presented in a variety of formats, including pretaped lectures, seminars, and laboratory experiences. The laboratory portion of the course will offer experience in immunofluorescence and immunoperoxidase techniques with emphasis on application in the diagnosis of pathologic disease processes.
NPDS 289 Seminar, Special Clinical Oral and Maxillofacial Pathology Topics
This bi-weekly seminar allows the oral pathology resident an opportunity to incorporate into a formal presentation mode the clinical, laboratory, and microscopic aspects of a narrow focus of diseases. During this seminar, the resident will be able to focus on the advanced principles of clinical diagnosis and treatment with the occasional implementation of a problem based approach. During these seminars, the resident will also gain valuable experience by directing a seminar and constructing a formal presentation.
NPDS 290 Introduction to Basic Histopathology Techniques, Special Procedures, and Laboratory Management
This course will provide the oral and maxillofacial pathology resident with experience in basic histopathologic procedures, including the processing, sectioning, and staining of submitted tissue specimens. The resident will become familiar with the basic operation and programming of the tissue processor and use of the embedding station and the microtome. Preparation of staining solutions and theoretical chemical interactions with tissue components will be reviewed. Routine and selected special histochemical stains and several immunohistochemical procedures will be performed. Procedures employed for frozen sections will also be introduced.
A monthly microscopic slide seminar with clinical pathologic correlation at which the resident is responsible for the diagnosis of 5 histopathologic slides and for a detailed discussion of the clinical characteristics, treatment and prognosis of the disease represented by each slide.
NPDS 331 Seminar, Clinical Oral and Maxillofacial Pathology
Weekly conference at which clinical color slides are projected. Residents are provided with pertinent clinical and laboratory data on each case as they request it in order to arrive at a diagnosis.
NPDS 332 Seminar, Surgical Oral and Maxillofacial Pathology
Weekly microscopic slide seminar at which the resident is responsible for the diagnosis of histopathologic slides and for a detailed discussion of the clinical characteristics, treatment, and prognosis of the diseases represented by each slide.
NPDS 361 Seminar, Advanced Surgical Oral and Maxillofacial Pathology
Residents participate in a weekly seminar within the Oral and Maxillofacial Pathology Department during which difficult surgical cases are reviewed and discussed with the staff members. Morphologically challenging cases are drawn from exchange sets from other oral and maxillofacial pathology training programs, from the Registry of Oral and Maxillofacial Pathology, from personal collections, and from other sources.
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ORAL AND MAXILLOFACIAL SURGERY
Faculty: CAPT Paulette
NPDS 239 Oral and Maxillofacial Surgery
This course provides an overview of the specialty of Oral and Maxillofacial Surgery with emphasis on the practical approach to outpatient management. The resident is familiarized with the treatment of maxillofacial pathology, infections, maxillofacial trauma, and reconstructive and preprosthetic surgical procedures. The principles of patient evaluation and minor dentoalveolar surgery are reviewed so that the resident can incorporate these principles into sound treatment planning and clinical practice. Emphasis is placed on the treatment of normal surgical sequela and the prevention and treatment of potential complications. The treatment of maxillofacial trauma is covered including stabilization, fixation, and suturing techniques in hands-on laboratories.
NPDS 314 Oral and Maxillofacial Surgery Rotation
The second-year residents rotate for 12 days in the Oral and Maxillofacial Surgery Department under the direct supervision of an oral and maxillofacial surgeon. During this rotation, they perform minor oral surgical procedures including removal of erupted and nonrestorable teeth, surgical removal of erupted and unerupted teeth, and post-operative care including complications. In addition, the resident may assist the oral and maxillofacial surgeon with biopsy of bony and soft tissue lesions, intravenous sedation, endosseous implant placement, and bone graft surgery. Evaluation and treatment of the medically compromised patient is stressed. The resident may also have the opportunity to participate as a surgical assistant in major oral and maxillofacial surgical procedures (i.e., maxillofacial fractures, orthognathic surgery, preprosthetic surgery, treatment of oral and maxillofacial pathology, and reconstructive oral surgery) carried out in the main operating room.
Faculty: CAPT Branch, CAPT Johnson, CAPT Mazzeo
NPDS 219 Specialty Clinic, Orofacial Pain
Specialty Clinic provides the opportunity for residents to learn how to clinically apply information taught in the classroom. By participating in a variety of patient care experiences through the Orofacial Pain Center, residents will develop expertise in using multidisciplinary protocols to evaluate and manage orofacial pain conditions.
NPDS 273 Current Pain Literature Seminar I
The seminar consists of weekly 1-hour reviews of current basic science and clinical articles relating to pain. Specifically the seminar is designed to provide residents with an appreciation of contemporary topics in pain science and to develop their ability to critically evaluate literature.
NPDS 276 Orofacial Pain Concepts Seminar I
This course consists of a 10-month series of seminars that establish the theoretical basis for contemporary orofacial pain practice. The seminars closely examine the pathophysiologic mechanisms of pain and present clinically relevant principles of pain evaluation, diagnosis and management. The unique considerations of pain involving the trigeminal nerve system are emphasized.
NPDS 278 Orofacial Pain Grand Rounds I
Clinical cases and special reports on pain related topics are presented and reviewed by residents and faculty. Interesting or challenging patient evaluations, diagnoses and management protocols are discussed in a collegial fashion. The seminar is designed to serve as both a resident learning experience and as a performance improvement and evaluation tool.
This advanced course will provide residents with practical guidelines for the assessment, diagnosis, and conservative nonsurgical management of patients with orofacial pain and temporomandibular (TM) disorders. A problem based learning format will be used with lectures, demonstrations, and clinical and laboratory exercises to provide background etiologic, diagnostic, and therapeutic information. Emphasis is placed on understanding the physiologic disturbances that characterize pain, and differentiating between pain and dysfunction caused by muscle disorders, neurophatic diagnoses, and those caused by TM joint pathology or other causes of orofacial pain. Participants will concentrate on how Physical Self-Regulation, intraoral orthotic therapy, pharmacology and psychology are integrated into a comprehensive approach to orofacial pain management. Participants will fabricate and deliver a muscle-relaxation splint and learn the techniques of Physical Self-Regulation.
NPDS 366 Specialty Clinic, Orofacial Pain
Continuation of NPDS 219.
NPDS 376 Orofacial Pain Concepts Seminar II
Continuation of NPDS 276.
NPDS 381 Current Pain Literature Seminar II
Continuation of NPDS 273. Second year residents assume increased roles in presenting and reviewing contemporary pain literature.
NPDS 382 Orofacial Pain Grand Rounds II
Continuation of NPDS 278. Second year residents assume increased roles in presenting and analyzing clinical cases, and in discussing performance improvement and evaluation opportunities within a multi-disciplinary pain practice.
NPDS 383 Orofacial Pain Specialty Rotations
Residents will rotate for a 1-week period through various medical specialty departments at the National Naval Medical Center or adjacent medical institutions. Rotations are designed to broaden the resident’s overall knowledge and clinical experiences, and to increase competency regarding multi-disciplinary patient evaluation, diagnosis and management.
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Faculty: LCDR Winkler, LCDR Stefanos
NPDS 240 Orthodontics
This course is designed to enhance the resident dental officer's knowledge of development of the dentition, normal eruption, developmental problems, and fixed and removable appliance design for minor tooth movement. Didactic presentations and laboratory exercises will provide the background
information that will enable the interested dental officer to diagnose and treat both interceptive and limited minor tooth movement cases, including root extrusion, molar uprighting, and pre-restorative esthetic considerations. A wide variety of clinical cases are assigned for diagnosis and treatment over the course of each resident's program.
Faculty: LCDR Fries
NPDS 222 Pediatric Dentistry
This course is an introduction to the background, current principles, philosophies, and treatment strategies unique to the practice of pediatric dentistry. Emphasis will be directed towards (1) prevention of dental disease; (2) rationale and protocols for both infant and child dental examinations; (3) understanding and effectively managing the behavioral aspects of the dentist-patient-parent triad; (4) pediatric restorative dentistry; (5) implementing appropriate space maintenance therapy, including a laboratory exercise on fabrication of fixed space maintenance appliances; and (6) interceptive orthodontics from a pediatric dentistry perspective.
NPDS 249 Anxiolysis
This course will review the didactic material associated with using nitrous oxide/oxygen inhalation sedation. Following the ADA Guidelines for the teaching of conscious sedation, the participants will review the spectrum of sedation and respiratory anatomy and physiology. With a sound background in the pharmacology, indications, contraindications, and management of complications, the participants will gain hands-on experience using nitrous oxide and oxygen in the clinic. The safety of the work environment for these inhalation agents will also be addressed.
This annual course will provide the didactic and clinical background to become IV sedation certified. A review of the medical history, appropriate sedation monitors, and strategies for pain management will be discussed. Two additional seminars will discuss the management of the sedated patient through case scenarios. Twenty sedation cases will be completed under direct supervision.
NPDS 213 Seminar, Pediatric Dentistry
This seminar, conducted by a trained pediatric dentist, will present information on issues that affect the diagnoses and periodontal treatment of pediatric patients.
NPDS 238 Seminar, Board Case Presentation (Periodontics)
At the end of the school year, each resident submits, presents, and defends one completely documented case report following the current format and requirements set forth by the American Board of Periodontology.
NPDS 241 Periodontics
Lectures, laboratory exercises, and case presentations covering principles of diagnosis, prognosis, and treatment of periodontal disease. This course will enable the resident to diagnose and treat patients with periodontal disease and help prevent disease according to current concepts of scientific principles and knowledge concerning etiology, pathogenesis, patient management, prevention, and systemic implications.
NPDS 242 Mineralized Tissue Biology
This course is designed to review mineralized tissue biology relevant to the dental resident’s appreciation of the bone/dental activity during various clinical therapies.
NPDS 243 Seminar, Current Periodontics Literature
This seminar augments NPDS 245. The periodontics residents review and discuss recently published articles in the periodontics literature.
NPDS 245 Seminar, Periodontal Classic Literature
A weekly 3 hour literature review from August to June on selected topics designed to provide the resident with the ability to critically evaluate the pertinent literature and communicate effectively with dental colleagues and other health professionals. Guest seminarians from other institutions occasionally present lectures or lead discussions in their area of expertise.
NPDS 246 Seminar, Periodontics/Prosthodontics
Clinical case presentation seminars are presented by residents from the Periodontics and Prosthodontics Departments. Therapy rendered by both disciplines is planned and coordinated through group discussions under the guidance of clinically experienced staff members.
NPDS 247 Seminar, Orthodontics
Topics in Orthodontics which cover concepts and mechanics of minor tooth movement and their relationship with the practice of periodontics are covered utilizing lectures, videos, demonstrations, seminars, and laboratory exercises.
NPDS 248 Specialty Clinic, Periodontics
Clinical experience emphasizing all phases of periodontal therapy, including but not limited to, regenerative surgical therapy and dental implants.
NPDS 268 Surgical Anatomy Seminar and Laboratory
Residents and staff review current literature about advanced surgical techniques. Topics primarily include the harvesting of intraoral bone (i.e., ramus/chin harvests) and implant placement (sinus lifts/nerve repositioning). Following this seminar, participants spend 1 1/2 days in the anatomy laboratory of the Uniformed Services University of the Health Sciences performing these techniques on cadaver specimens.
NPDS 270 Grand Rounds
These seminars are specifically intended to be informal. Residents, as well as faculty members, present cases of interest for the purpose of discussion. Participants are encouraged to present cases whose clinical course deviated from the ideal therapeutic outcome.
NPDS 277 Seminar, Current Periodontal Topics
A weekly 3-hour seminar encompassing a variety of topics including ground rounds scenarios, treatment planning exercises, interesting case presentations, surgical bloopers seminar, conscious sedation review, medical emergency scenarios, and written board certification review. This interactive format further develops the resident teaching experience while stimulating group discussions on assigned topics.
NPDS 333 Seminar, Orthodontics
Continuation of NPDS 247.
NPDS 334 Seminar, Current Periodontal Topics
Continuation of NPDS 277
NPDS 335 Seminar, Board Case Presentation (Periodontics)
Continuation of NPDS 238
NPDS 336 Seminar, Current Periodontics Literature
Continuation of NPDS 243.
NPDS 338 Seminar, Periodontics Literature
Continuation of NPDS 245.
NPDS 339 Seminar, Periodontics/Prosthodontics
Continuation of NPDS 246.
NPDS 340 Specialty Clinic, Periodontics
Clinical experience in the treatment of severe periodontal disease. Prerequisite: NPDS 248.
NPDS 341 Teaching, Periodontics
Resident participates in the periodontics teaching program at an advanced level, including the preparation and presentation of seminars and lectures on periodontally related subjects.
NPDS 412 Anesthesia Rotation
Residents participate in a 3-month full-time clinical rotation in anesthesiology at the National Naval Medical Center Bethesda.
This course will introduce participants to basic diagnosis, treatment planning, and delivery of dental implants. Topics covered will include the history of dental implantology, principles of osseointegration, dental radiographic imaging techniques, implant patient selection, and surgical stent design. Surgical technique and armamentarium as well as restoration, design, and fabrication will be presented. The course will emphasize diagnosis, patient selection, surgical and prosthodontic techniques, and follow-up care required for a patient receiving implants. The course will culminate with lectures on treatment complications, hygiene, and patient presentations. The team approach to dental implantology is the most important factor in successful patient treatment. This does not imply merely division of labor but an absolute mutual understanding and respect for the requirements for all participating providers. The participants of this course are expected to learn the role and basic techniques employed by all the disciplines involved in treatment with dental implants.
NPDS 251 Clinic and Laboratory Assignments, Prosthodontics
Clinical patient treatment on a comprehensive basis stressing excellence in fundamental prosthodontic techniques. Diagnosis, treatment planning, treatment sequencing, and fundamental prosthodontic principles are stressed in preparation for management of more complex cases. This also includes clinical cases in fixed partial dentures, removable partial dentures, and complete dentures fabricated by prosthodontics residents to acquaint them with laboratory procedures necessary for the practice of prosthodontics and as a requisite to serve as a laboratory officer.
NPDS 252 Complete Dentures
This course is presented to the first-year prosthodontic and comprehensive dentistry residents. Lectures and laboratory sessions present the fundamental principles of complete denture therapy. The 5-appointment routine is presented and demonstrated, preparing the resident to practice these techniques clinically. Immediate, single, and overdentures are introduced, along with patient management, troubleshooting, and a basic overview of laboratory technique. Lectures and demonstrations are given by Board-Certified prosthodontists.
NPDS 256 Nutrition
This course will be conducted by a trained nutritionist and will emphasize proper nutrition and diet in the medically compromised and geriatric patient.
NPDS 257 Seminar, Prosthodontics/Endodontics
Timely topical seminars and clinical cases are presented by residents from the Endodontics and Prosthodontics Departments. Treatment rendered by both disciplines is planned, coordinated, and evaluated through group discussions under guidance of clinically experienced staff.
NPDS 259 Removable Partial Dentures
Lectures, demonstrations, and laboratory sessions dealing with clinical and laboratory phases of removable partial dentures from diagnosis to completion. Basic philosophies, theories, and current concepts will be investigated and applied, with an emphasis on a pragmatic approach to routine removable prosthodontic treatment. Resident is under the supervision of Diplomates of the American Board of Prosthodontics.
NPDS 260 Advanced Complete Dentures
Designed for residents in prosthodontics, this course begins with a review of the fundamental principles of complete denture therapy and moves on to include advanced clinical and laboratory techniques. Lectures, seminars, and hands-on laboratory exercises are augmented by clinical and laboratory demonstrations on patients.
NPDS 261 Advanced Fixed Prosthodontics
This comprehensive course is designed for the first year prosthodontic resident. It will cover advanced design theories in preparation, FPD frameworks, pontics, all ceramic restorations, and porcelain laminate veneers as well as laboratory exercises related to these theories. The intensive laboratory exposure demands concurrent demonstrations in the use of laboratory equipment. This course is presented in conjunction with NPDS 291 to reinforce the relationship between mandibular movement, articulator mechanics, and the clinical restorations fabricated.
NPDS 266 Prosthodontic Oral Boards I
Written and oral mock boards in the format of the American Board of Prosthodontics will assess the resident's comprehension of the literature and the ability to formulate and defend treatment decisions. Principle focus of the oral board will be on literature seminar material and didactic coursework.
NPDS 271 Advanced Removable Partial Dentures
A select course for first-year prosthodontic residents, not only reviewing basic philosophies, theories, and current concepts, but also introducing advanced removable partial denture design and treatment. Laboratory technology aspects will be emphasized.
NPDS 291 Occlusion (Prosthodontics)
A course designed for first-year prosthodontic residents introducing evolution, development, and accepted current philosophy of occlusion. An introduction to and the use of stereographic and pantographic fully adjustable instruments will be emphasized.
NPDS 292 Speech Pathology
This course is conducted by speech and language therapists from the National Naval Medical Center. It is designed to introduce participants to speech and language development and speech alterations secondary to congenital and acquired maxillofacial defects.
NPDS 342 Advanced Clinic and Laboratory, Prosthodontics
Continuation of NPDS 251. Clinical patient treatment on a comprehensive level involving advanced prosthodontic techniques. Residents are given the opportunity to pursue areas of special interest consistent with combined prosthodontic program requirements. This includes clinical cases at an advanced level involving complex laboratory procedures. Training should lead to a high degree of proficiency.
NPDS 344 Maxillofacial Prosthetics
This course combines practical laboratory exercises, lectures, and seminars to introduce prosthodontics residents to maxillofacial prosthetics. The participants will make facial moulage impressions and fabricate a silicone ear and acrylic ocular prostheses. A laboratory session for designing obturator frameworks using diagnostic casts and a workshop on the psychological impact of head and neck cancer will take place. The course will survey the general and specialty literature, collate available data and clinical experience, and present a rational approach to the evaluation, care, and maintenance of the oral health of patients undergoing head and neck radiation. The lecture/seminar material will also cover management of cleft lip and palate defects, mandibular and maxillary acquired defects, and ocular and oculofacial prostheses. Where possible, there will be clinical presentation of patients with various maxillofacial prosthetic rehabilitations.
Guest seminarians of national stature, with backgrounds in clinical prosthodontics, teaching, and literature contributions, each presenting an all-day program to the prosthodontics residents and staff in a lecture-seminar-discussion modality. In addition, residents may attend programs presented by other guest seminarians at local dental/medical education facilities.
NPDS 349 Cleft Palate Conferences, Diagnosis and Treatment Planning
Conducted by the Plastic Surgery Service, National Naval Medical Center, and Walter Reed Army Medical Center, on diagnosis and treatment planning for the cleft palate patient.
NPDS 351 Seminar, Prosthodontic Literature
Investigation of the literature in greater depth and consideration of its specific application to treatment problems and to justify the basis of treatment in the specialty of prosthodontics. Readings of historical and current prosthodontic literature to introduce the resident to the basis of clinical practice. Emphasis will be placed on papers relating to research and clinical techniques. The readings will augment basic courses to provide the resident with a greater in-depth knowledge in all areas of prosthodontics and enable the resident to justify clinical treatment.
NPDS 352 Seminar, Prosthodontics/Periodontics
Clinical cases and timely topical seminars are presented by residents from the Periodontics and Prosthodontics Departments. Therapy rendered by both disciplines is planned, coordinated, and evaluated through group discussions under the guidance of clinically experienced staff members. Same as NPDS 339.
NPDS 354 Teaching, Prosthodontics
Residents are expected to prepare a table clinic to be presented in their second year. This table clinic should be of a caliber to present at the national meeting of the specialty. Third year residents teach and clinically mentor during the Prosthodontics continuing education course and serve as mentors directing selected seminar topics for the Comprehensive Dentistry Department.
NPDS 356 Seminar, Treatment Planning
Treatment planning patient presentations will be delivered on a scheduled basis. Presentations will be evaluated by the prosthodontic staff and guest specialty consultants. Presentations will follow the format of the American Board of Prosthodontics and be an open forum for discussion of all facets of treatment options.
NPDS 362 Seminar, Prosthodontics/Oral Maxillofacial Surgery
Seminar to review surgical, orthodontic, and prosthodontic treatment of patients requiring orthognathic surgery. Cases will be presented and discussed with respect to diagnosis, treatment planning, interdisciplinary cooperation, treatment sequelae, and prognosis. The purpose is to improve interdisciplinary understanding and cooperation. This is a joint seminar involving Naval Hospital oral and maxillofacial surgical residents and staff, the staff orthodontist, and the prosthodontic residents and staff.
Review of the diagnosis and treatment planning for implant patients being treated during the academic year. One of the three sessions will be a combined conference with the Oral and Maxillofacial Surgery Department.
NPDS 372 Advanced Osseointegration
The course is designed for practitioners with prior surgical or restorative implant experience who desire current information on the advances in implant dentistry. The focus is primarily on the treatment of the partially edentulous patient. Specific areas to be emphasized include advanced treatment planning concepts, guided tissue regeneration, site preparation with grafting materials, and aesthetic single-tooth and multiunit restorations. Additional emphasis will be placed on follow-up care to include management of complications, routine maintenance, and emergency repairs. The course although conducted primarily through seminar format, will include patient presentations and “lessons learned” discussions. Presentations sponsored by a variety of implant manufacturer’s will be used to broaden the scope of the information presented.
NPDS 400 Maxillofacial Clinical Prosthetics
Clinical experience and laboratory instruction in the treatment of maxillofacial deficiencies of a severity and magnitude beyond the scope of prosthodontic training.
NPDS 401 Cleft Palate Conference
Similar to NPDS 349, with participation in treatment planning and staging of all conference cases.
NPDS 402 Consultant Lectures and Seminars
The resident attends lectures and seminars in the area pertaining to maxillofacial prosthetics.
NPDS 403 Continuing Education Course and Observerships
The resident attends continuing education courses and participates in training programs at institutions other than NPDS. Each institution offers a specific program or technique that maxillofacial residents can incorporate as an integral part of their training.
NPDS 404 Head and Neck Surgery Observership
The resident observes a representative variety of the major head and neck surgery performed in the main operating room at the Naval Hospital, Bethesda, and assists the surgeons in the treatment of patients with surgical prostheses. This course will include instruction in surgical scrubbing, gloving, and gowning. The resident will be assigned rotation periods in Oral and Maxillofacial Surgery and Head and Neck Surgery/Otolaryngology.
NPDS 405 Head and Neck Tumor Board
The resident attends weekly Tumor Board conferences and participates along with otolaryngology, oral and maxillofacial surgery, radiation therapy, and chemotherapy personnel of the Naval Hospital, Bethesda, in treatment planning for head and neck cancer patients.
Maxillofacial prosthetic cases are documented and presented to the departmental staff and residents.
NPDS 407 Seminar, Maxillofacial Prosthetics Literature
Continuation of NPDS 351. A comprehensive review of the literature of maxillofacial prosthetics.
NPDS 409 Teaching, Maxillofacial Prosthetics
The resident participates in the prosthodontic teaching program, instructs technicians and prosthodontic residents in laboratory techniques unique to maxillofacial prosthetics, and assists second-year residents in prosthodontics with clinical maxillofacial prosthetic cases.