| CODE | DNS4110 | ||||||||||||||||||
| TITLE | Restorative Dentistry 4 | ||||||||||||||||||
| UM LEVEL | 09 - Years 4, 5 in Non-Modular Undergraduate Course | ||||||||||||||||||
| MQF LEVEL | Not Applicable | ||||||||||||||||||
| ECTS CREDITS | Not Applicable | ||||||||||||||||||
| DEPARTMENT | Restorative Dentistry | ||||||||||||||||||
| DESCRIPTION | In this study-unit the student should consolidate what has been taught in the previous study units and concentrate on acquiring full competence in the clinical practice of the various clinical skills, techniques and procedures pertaining to restorative dentistry within the concept of total health care. This study-unit contains an element of revision but the main emphasis is on maximal clinical exposure in order to prepare the student for the Final Examination. Learning Outcomes: The student will be: 1. Competent in decision-making, clinical reasoning and judgement in order to develop a differential, provisional or definitive diagnosis by interpreting and correlating findings from the history, clinical and radiographic examination and other diagnostic tests, taking into account the social and cultural background of the individual. 2. Competent to form a diagnosis and treatment plan for patients of all ages (needs and demands), but should recognise those treatments that are beyond his/her skills and need to be referred to a specialist. Specifically, the student must: • Be competent to obtain informed consent, e.g for operative procedures; • Be competent to recognise the presence of systemic disease and know how the disease and its treatment affects the delivery of dental care; • Be competent to identify the location, extent and degree of activity of dental caries and tooth wear; • Be competent to diagnose abnormalities in dental or periodontal anatomic form that compromise periodontal health, function or aesthetics and identify conditions, which require management; • Be competent to distinguish the difference between pulpal health and disease and identify conditions that require management; • Be competent to determine a patient’s aesthetic requirements and determine the degree to which those requirements can be met; • Be familiar with the diagnosis of temporomandibular joint disorders; • Be competent in when, how and where to refer a patient for sedation and general anaesthesia and in making other appropriate referrals based on clinical assessment; • Be competent to manage patients from different social and ethnic backgrounds. 3. The student should also be competent to restore carious, defective and/or missing teeth to acceptable form, function and aesthetics in patients of all ages. Specifically, the student must: • Be competent in the operative procedures necessary for and the designing of effective direct and indirect restorations, anterior and posterior crowns, post crowns, simple bridges, complete and partial dentures and occlusal splints; • Have knowledge and experience of the design and laboratory procedure used in the production of crowns, bridges, partial and complete dentures and be able to make appropriate chairside adjustment to these restorations; • Be competent in describing for patients the principles and techniques of aesthetic treatments including differences between patient expectations and achievable results; • Be competent in describing for patients the principles and techniques involved in the use of osseointegrated implants for restorations; • Be familiar with the potential and limitations (risks and benefits) of dental technological procedures and the handling of dental materials in restoring the dentition. Reading List: Dental Materials Applied Dental Materials by J F McCabe & A W G Walls. ISBN 0632042087. Operative/Conservative Dentistry Pickard’s Manual of Operative Dentistry Eighth Edition by Edwina A M Kidd, Bernard G N Smith, and Timothy F Watson. ISBN 0198509286. Essentials of Dental Caries The disease and its management by Edwina Kidd. ISBN 0198529783 Restoration of Teeth by T R Pitt Ford. ISBN 0632032529. Endodontics Harty’s Endodontics in Clinical Practice by F J Harty & T R Pitt-Ford. ISBN 0723610207 Publisher: Wright. Principles and Practice of Endodontics by Richard E. Walton, Mahmoud Torabinejad. Prosthetics Removable Partial Dentures. Manual compiled by Dr N Attard and Dr G Zarb. Prosthodontic Treatment For Partially Edentulous Patients. Zarb, Bergman, Clayton and Mc Kay. Mosby 1984. (out of print, found in library). Textbook of Occlusion. Zarb et al. Quintessence 1988. |
||||||||||||||||||
| RULES/CONDITIONS | Before TAKING THIS UNIT YOU MUST TAKE DNS2001 AND TAKE DNS3001 AND TAKE DNS4001 | ||||||||||||||||||
| ADDITIONAL NOTES | The case report will not be assessed per se but will form the basis for the viva voce discussion. By the end of this study-unit the student must present proof that he/she has satisfactorily carried out the following procedures before being allowed to sit for the Final Examination. Work completed by the student in previous study-units is admissible. 1. Prosthodontics: a) Removable Prosthodontics Treatment must include Prosthetic treatment of at least 28 patients: (a) Full Dentures – 3 F/F dentures in fifth year, 10 F/F dentures in total. (b) Partial Dentures - 2 patients requiring Chrome-Cobalt dentures 12 patients requiring Acrylic dentures (c) Immediate Dentures – 2 patients requiring one or more dentures (d) Overdentures – 2 patients requiring one or more dentures Assessment of these cases includes: Diagnosis and treatment planning, impressions, jaw registration, tryin stages, insertion and post-insertion stages. Assessment of the stages by clinical instructors assigned to prosthetic sessions. b) Fixed Prosthodontics: Crown and Bridgework: 12 retainers (that is pontic units are excluded) The 12 units are to be divided between phantom head and clinical patients as follows: The phantom head units consist of: 1. 2 anterior teeth- preparations for all ceramic crown and one for porcelain fused to metal (PFM) (teeth 11 and 21) 2. 1 premolar unit for PFM crown (tooth 35) 3. 2 molars- one for PFM and one for all gold (teeth 16 and 37) 4. 1 bridge with abutment teeth 24 and 26. Tooth 24 prepared for PFM and tooth 26 for gold crown NB assessments are on tooth preparation, impressions, and articulated models of final preparations and temporary crowns. The 5 clinical units will depend on the patient cases available. A minimum of 2 posterior teeth units and one bridge are required. In the case of the clinical cases, assessments are on diagnosis and treatment planning, tooth preparation, impressions, temporary crown/s, articulated models of final preparation/s, metal or ceramic core try-in, porcelain biscuit stage and cemented unit/s. Assessment of the stages by clinical instructors assigned to prosthetic sessions. 2. Conservation: (a) Amalgam and Composite Restorations - 150 Minimum: 50 posterior composites Assessment of the stages by clinical instructors assigned to conservation sessions. (b) Root Canal treatment: A minimum of 10 teeth of which 5 – must be 2/3 rooted teeth and with rotary instrumentation Assessment of these 10 cases includes: diagnosis and treatment planning, proper canal/s preparation/s and obturation. Assessment of the stages by didactic instructors assigned to endodontics. (c) Minimum: 2 post and core units. Assessment of the stages by prosthetic and endontics instructors. 3. Periodontology: 8 cases in fifth year, 30 cases in total. 4. Presentation case for Final Examination. IMPORTANT Students who do not attend at least 92% of the scheduled clinical or phantom head sessions will not be allowed to sit for any of the assessment components. Note: The Yearly Clinical Performance mark is an average of all the clinical work completed throughout the year. |
||||||||||||||||||
| STUDY-UNIT TYPE | Clinical Practice, Lecture and Tutorial | ||||||||||||||||||
| METHOD OF ASSESSMENT |
|
||||||||||||||||||
| LECTURER/S | Nikolai Attard Peter Paul Borg Adrienne Busuttil Matthew John Cachia Monique Cutajar Jan Christopher Bernard Anton Degiorgio Elizabeth Martinelli David Paul Mifsud Edward Sammut |
||||||||||||||||||
|
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints. Units not attracting a sufficient number of registrations may be withdrawn without notice. It should be noted that all the information in the description above applies to study-units available during the academic year 2025/6. It may be subject to change in subsequent years. |
|||||||||||||||||||