Year Two Courses – D.M.D. Program

Fall

Winter

Summer

Anesthesiology

  • Course Number: 870                        
  • Credits (Weight): 1.0         
  • Predoctoral Year: Year 2
  • Semester:  Fall (Sept-Dec)                                                     

Course Goals and Objectives

The objectives of this course in the second year are to provide the predoctoral student with a review and the clinical application of:

  • overview of spectrum of pain and anxiety control in dentistry
  • head and neck anatomy
  • pharmacology of local anesthetics and vasoconstrictors
  • physiology of nerve conduction
  • local anesthetic armamentarium
  • specific injection techniques
  • complications
    • local
    • systemic
    • Other forms of intra-oral anesthesia

The goals of this course are for the predoctoral student to become familiar with the spectrum of pain and anxiety control in dentistry, to safely and effectively administer routine intra-oral mandibular and maxillary local anesthetic injections, understand the pharmacological basis of local anesthetics and vasoconstrictors, and be able to recognize and manage emergencies which may arise as a consequence of treatment. Injection techniques for the production of local anesthesia for dental procedures are covered didactically, through videotape and CD-ROM demonstrations, and a clinical laboratory in which students perform selected nerve block injections on each other if they desire.

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Epidemiology

  • Course Number: 884
  • Credits (Weight): 1.0
  • Predoctoral Year:  Year 2
  • Semester: Fall (Oct-Dec)                                                       

Course Goals and Objectives

Introduce the student to the basic principles and methods of epidemiology and demonstrate their applicability to dentistry. Enable the student to begin to critically interpret literature relevant to dental professionals as well as provide a structured method for evaluating data and conclusions.

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Fixed Prosthodontics – Patient Simulation

  • Course Number: 895
  • Credits (Weight): 2.0 (Practical), 1.0 (Theory), 1.0 (Project)
  • Predoctoral Year: Year 2
  • Semester: Fall/Winter (Sep-Apr)

Course Goals and Objectives

  • To introduce the students to the theoretical and technical aspects of fixed prosthodontics in order to prepare the students for the complex task of performing fixed prosthodontic procedures on a clinical level.
  • To aid the students in their preparation for national and regional board examinations.

At the end of this course the student will understand the principles and demonstrate knowledge of the instruments and dental biomaterials required to perform fixed prosthodontic procedures.  Understand and be familiar with dental terminology used in the practice of fixed prosthodontics. Perform basic procedures in fixed prosthodontics proficiently.

Make alginate impressions, pour and trim the stone casts.  Mount the study casts on a semi-adjustable articulator using the facebow and an interocclusal bite registration.  Fabricate a diagnostic wax up, which incorporates proper form, function and esthetics.  Prepare abutment teeth for a posterior fixed partial denture consisting of two abutments and a single pontic for a porcelain to metal bridge.  Fabricate an acrylic provisional/temporary fixed partial denture. Fabricate a master cast with removable dies and mount it on a semi- adjustable articulator.  Prepare prescriptions for a dental laboratory and be able to assess laboratory procedures completed bt a laboratory technician for fixed partial denture(s).  Prepare an endodontically treated tooth for a cast post and core and fabricate a direct resin pattern for a post and core.  Prepare a posterior multirooted endodontically treated tooth for a parapost and amalgam core; cement paraposts in the prepared tooth.  Prepare an anterior tooth and a posterior for an all-ceramic (porcelain) restoration. Wax-up an anterior restoration. Understand the principles of crown preparation and design and be able to apply this knowledge in other situations in the clinic. Treatment plan, prepare and temporize for anterior veneers. Get familiar with the digital scanning and fabrication of CAD/ CAM restorations with the E4D machines Identify and properly deal with hazardous situations, devices, and situations encountered in restorative dental practice.

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Infectious Diseases

  • Course Number: 871
  • Credits (Weight): 1.0
  • Predoctoral Year: Year 2
  • Semester: Fall (Sep-Oct)                                                       

Course Goals and Objectives

The primary goal of the Infectious Disease course is to familiarize students with common oral diseases and to teach them the basic mechanisms of pathogenesis so that they will understand how pathogens cause disease. Learning and understanding this information allows the students to appreciate the importance of employing proper protective and prophylactic procedures to protect both the patient and themselves. Understanding basic mechanisms of pathogenesis gives students the ability to make important judgments about practices used to prevent infections by currently recognized pathogens and to make rational decisions about the potential for serious problems caused by new diseases that arise in the future. The course in Infectious Disease emphasizes how a variety of pathogens gain entrance to the body through the oro-facial complex and how to recognize a group of diseases that are often initially present in the oral cavity. Examples of lectures covering this topic are those on pyogenic cocci, sexually transmitted diseases, central nervous system diseases, infections in and from the gut, viral diseases, and respiratory diseases including tuberculosis. For example, for microbial and viral pathogens that can be found in the oral cavity the students are taught a framework for analyzing host pathogen interactions and then given a specific example of an infectious disease. The framework consists of explaining the importance of understanding the following principles in infectious disease: Encounter, Entry, Spread, Multiplication, Disease, Damage, and Outcome.

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Medicine II

  • Course Number: 412
  • Credits: 3.0
  • Predoctoral Year: Year 2
  • Semester: Fall/Winter (Sept-Apr)

Course Goals and Objectives

The student should be able to evaluate systemic health conditions, medications plus associated problems and appropriately apply the knowledge towards patient care, in a future clinical setting.

Objectives:

  • To recognize the clinical presentation of common systemic conditions and frequently occurring medical emergencies.
  • To understand the physical evaluation and medical therapeutics for treatment of common systemic conditions.
  • To recognize and interpret common clinical laboratory tests used to evaluate specific disease states and to identify the need for further investigation.
  • To appreciate concepts of medical management and suggested modifications during dentistry.
  • Participate in clinical case study analysis of the medically compromised dental patient presenting with, laboratory tests, medications and specific physical findings. The student will learn how to modifying the clinical management of these cases in the dental setting for optimal outcome.
  • To ultimately empower the student with appropriate clinical knowledge for successful transition from the preclinical to the clinical setting.

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Oral & Maxillofacial Pathology                                                                                         

  • Course Number: 32
  • Credits (Weight): 3.0
  • Predoctoral Year: Year 2
  • Semester: Fall/Winter (Sep-Mar)                                                     

Course Overview

Oral and maxillofacial pathology is one of the nine ADA-recognized specialties of dentistry; it deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes and effects of these diseases. The practice of oral and maxillofacial pathology includes research, diagnosis of diseases using clinical, radiographic, microscopic, biochemical or other examinations, and management of patients.

This course will build upon the foundational pathology concepts and information given in the Basic Human Pathology courses as well as integrate, expand, and correlate with other biomedical science courses and the concomitant clinical sciences taught in the preclinical educational phase.  Specifically, the course will describe the etiology, pathogenesis, clinical features, radiographic features (if applicable), treatment and prognosis of the traditional disease categories of oral and maxillofacial pathology.

The course will also introduce and strengthen the dental students ability to create a  differential diagnosis for soft and hard tissue lesions. The information, concepts, and differential skills developed during this course will prepare the student for determining a provisional diagnosis of their patients’ mucosal and intrabony pathology seen in the clinics.

Course Objectives and Goals

  • The student dentist will be able to describe the etiology, pathogenesis, clinical features, treatment and prognosis of common oral and maxillofacial soft tissue lesions.
  • The student dentist will be able to describe the etiology, pathogenesis, clinical features, radiographic features, treatment and prognosis of common oral and maxillofacial hard tissue lesions.
  • The student dentist will know the site, color and morphology of soft tissue lesions and the radiographic pattern(s) of hard tissue lesions.
  • The student will know the basic descriptive terminology of soft and hard tissue lesions.
  • The student dentist will be able to form a differential diagnosis list of a minimum of 3 lesions when given the site, morphology, and color of a soft lesion combined with its size, sign and symptoms, and duration. Furthermore, the student will determine a provisional diagnosis and state the reason for it.
  • The student dentist will be able to form a differential diagnosis list of a minimum of 3 lesions when given the site, radiograph image, signs and symptoms and duration of a hard tissue lesion. Furthermore, the student will determine a provisional diagnosis and state the reason for it.

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Oral & Maxillofacial Radiology

  • Course Number: 869
  • Credits (Weight): 2.0
  • Predoctoral Year: Year 2
  • Semester: Fall/Winter (Sep-Mar)                                                        

Course Goals and Objectives

This course is designed to provide basic knowledge in oral and maxillofacial radiology to the second year dental students. The structure of this course introduces the student to radiation physics, biology and protection and various commonly utilized imaging modalities in dentistry with their clinical applications. It covers principles of radiographic interpretation by starting with recognition of normal anatomic presentation. This is followed by recognition of radiographic abnormalities, radiographic description of the same, categorization of the abnormality and finally arriving at the differential diagnosis. This course will introduce the student in trouble shooting technical errors in radiographs, prescribe the necessary radiographs in patients, interpret radiographs in a systematic manner and make decisions on follow up.  Specific Course Objectives include:

  • Understand the basic principles of radiation production, list and identify factors necessary for the production and control of ionizing radiation in dentistry.
  • Understand the basic principles of radiation biology
  • Understand and List methods of radiation protection as it involves the Operator, Patient and the Public.
  • Understand the concept of production of radiographic images
  • Understand the radiographic characteristics of density, contrast, resolution, geometric unsharpness, magnification and distortion
  • Understand the Principles of Shadow Casting , paralleling and bisecting-angle intraoral techniques
  • Understand and diagnose errors in radiographic technique and discuss corrective measures
  • Understand basic principles of digital radiography and discuss advantages and disadvantages of various digital radiography
  • Understand principles of tomography and panoramic radiography
  • Understand errors in panoramic radiography and discussion of corrective measures
  • Identify and list various Extraoral and TMJ imaging modalities in Dentistry
  • Identify and Discuss various advanced imaging modalities available in dentistry and their clinical application
  • Understand legal implications and quality assurance for use of radiography in dentistry
  • Understand patient selection criteria for prescription of dental radiographs
  • Recognize and identify normal anatomic structures of teeth, jaws, restorative materials and associated structures in intra-oral and panoramic radiographs
  • Recognize and identify common dental pathology such as caries, periapical and periodontal pathologies
  • Understand and use radiographic descriptive terminology in describing radiographic appearance of pathology, generate a lesional category (developmental, benign, malignant, systemic/metabolic, trauma and inflammation) and differential diagnoses.

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Oral Diagnosis/Treatment Planning

  • Course Number: 901
  • Credits: 0.5
  • Predoctoral Year: Year 2
  • Semester: Fall/Winter (Sept-Apr)

Course Goals and Objectives

Students are presented the foundations of proper record keeping and documentation. The process of Oral Diagnosis is introduced emphasizing the documentation of findings, diagnosis and treatment planning. Radiographs are reviewed in order for students begin to differentiate between normal and abnormal findings. Students should come away from this course with a basic understanding of radiographic interpretation, record keeping and treatment planning skills. Students will develop the necessary skills to succeed in our dental clinic and subsequently in their careers as dental practitioners.

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Periodontology I Course

  • Course Number: 906
  • Credits (Weight): 2.0
  • Predoctoral Year: Year 2
  • Semester: Fall/Winter (Sep-Apr)                                                        

Course Goals and Objectives

The Department of Periodontology offers 26 lectures which cover the following topics:

  • Normal gingival and periodontal anatomy
  • Pathogenesis of Gingivitis, Periodontitis, Aggressive Periodontitis, Pregnancy Gingivitis
  • Immunology of Periodontal Infections
  • Systemic Consequences of Periodontal Infections

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Endodontics – Patient Simulation                                                                                       

  • Course Number: 896
  • Credits (Weight): 1.0 (Practical), 1.0 (Theory)
  • Predoctoral Year:  Year 2
  • Semester: Winter (Jan-Apr)                                                 

Course Goals and Objectives

Goals: The endodontics course prepares the student to: diagnose conditions of the pulp and periapical tissues; identify and determine etiological factors responsible for pulpal and periapical diseases; identify and use appropriate measures to prevent diseases of the pulp and periapical tissues; identify factors which may affect the proposed treatment; demonstrate sound clinical judgment in the selection of cases for treatment or referral; provide a standard of care consistent with the Quality Assurance Guidelines for Endodontics; identify need for appropriate adjunctive procedures to endodontic treatment; determine a prognosis for cases selected for treatment; evaluate completed endodontic procedures; determine the endodontic needs of the patient in relationship to the overall treatment plan; identify special requirements in the restoration of endodontically treated teeth.

Objective: The objective of this course is to enable the student to understand the scope and basic principles of endodontics and their clinical application in order to be able to diagnose and treat most teeth with diseases of pulpal or periapical origin on a biological basis, with confidence, and with a high percentage of success.  In addition, the student must be able to recognize the variables present which may necessitate consultation with other disciplines and referral of some patients to endodontic specialists.

Objectives, Preclinical Endodontic Laboratory:  With the basic knowledge from the didactic course and text, you are expected to use this manual to provide additional assistance in realizing proficiency in the mechanical aspects of endodontics. You will acquire additional knowledge of the morphology of teeth including the size, shape and course of the pulp chamber and canals, becoming more cognizant of anatomical variations; gain skill and dexterity in opening, enlarging and debridement of the root canal; develop the tactile sense necessary in the handling of endodontic instruments and materials; correlate radiographic information with tactile sense;  be able to effectively fill the prepared canal.

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Pediatric Dentistry Patient Simulation

  • Course Number: 387
  • Credits (Weight): 1.8 (Theory), 0.2 (Project)
  • Predoctoral Year: Year 2
  • Semester: Winter (Jan-Mar)

Course Goals and Objectives:

The aim of the Pediatric predoctoral program is to introduce students to basic principles of pediatric dental care and teachings through lectures, workshops, and clinical rotations. Pediatric instructions are offered in the 2nd, 3rd and 4th years as a dental student.

The Goal of the Pediatric Dentistry course is to introduce the second year student to the basic concepts of dental care for the child patient through lectures and workshops.

At the end of the course students should acquire adequate knowledge of the specialty of Pediatric dentistry. This information is obtained in lectures by faculty or invited guests, and required textbooks and lecture notes. This material should give the students confidence in preparing themselves for the preclinical and clinical section of pediatric dentistry.

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Removable Prosthodontics – Complete Dentures

  • Course Number: 910
  • Credits (Weight): 0.8 (Practical), 1.0 (Theory), 0.2 (Project)
  • Predoctoral Year: Year 2
  • Semester: Winter (Jan-Apr)

Course Goals and Objectives

The goal of the course is to introduce the dental students to all of the clinical techniques and laboratory procedures which are required for the treatment of an edentulous patient. The course begins with teaching the fundamental T.U.S.D.M. complete denture system and then expands into all of the associated procedures which they will encounter during their professional careers. These include immediate denture techniques, tissue conditioning procedures and denture relining. Applicable dental materials, laboratory techniques, denture repairs, denture care and alternative denture systems are also taught.

These goals are accomplished through guidelines, manuals, lectures, digital format presentations, videos, demonstrations, and visual aids.

Students enrolled in this course will be required to:

  1. Review and understand the PowerPoints and guidelines assigned to them before each class. They must be prepared to ask or answer questions about these materials
  2. Attend all of the scheduled lectures and demonstrations.
  3. Complete all of the laboratory projects in an acceptable and timely manner.
  4. Achieve passing grades in the didactic, project and competency (practical) sections of the course.
  5. Be prepared for each laboratory session by having the proper instruments and materials with them.

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Geriatric Dentistry

  • Course Number: 848
  • Credits: 0.5
  • Predoctoral Year: Year 2
  • Semester: Summer (May-July)

Course Goals and Objectives

To render comprehensive oral health care and teach prevention to a dynamic, diverse and rapidly growing elderly population. Since chronology does not always equal physiology, younger patients with significant medical, physical, mental disabilities and sensory deficits are eligible for treatment in Geriatric Dentistry.

Third year students will learn the complexity of aging, patient management and the importance of dentistry in total patient care. The dentist is a key member of the health delivery team. Oral health can be maintained and restored throughout life; a unique contribution of dentistry to the quality of life, and extension of the Health Span.

During the clinic sessions, students evaluate their patients holistically, which includes medical history, nutritional assessment, medications, diagnostic radiographs, and prevention. A comprehensive treatment plan is developed; treatment is started and is to be completed in the general practice clinics.

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Implant Dentistry – Patient Simulation

  • Course Number:                  1293
  • Credits:                                  2.0
  • Predoctoral Year:                Year 2
  • Semester:                             Summer (May-July)

Course Goals

The goal of this course is to teach the second year predoctoral dental students: an understanding of the history of implant dentistry and scientific basis of implant-­‐host relations and interactions; implant risk assessment. identify the level of difficulty of implant treatment, which might need care of a specialist; how to include implants in diagnosis and treatment planning; basic surgical implant placement techniques; basic fixed and removable prosthodontic techniques for implant supported/retained prostheses, including single tooth crowns, splinted multiple unit fixed partial dentures and mandibular implant overdentures; complications associated with dental implant treatments; techniques to provide prosthetic implant services in the predoctoral clinics.

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Oral & Maxillofacial Surgery

  • Course Number: 903
  • Credits:  This course continues in Year 3 as Course Number 1141, Credit is applied to the Year 3 Course
  • Predoctoral Year: Year 2
  • Semester: Summer (May-July)

Lecture Objective

Introduction & Organization of Course: Students are introduced to the definition & scope of the specialty, and informed of the organization, grading system, quizzes, tests, CE, Oral/Written presentations, and reading requirements of the course

Perioperative Management: Classification of diabetes; effects of diabetes on systemic function, medication used in treatment of diabetes‑modes of action, peak, duration, complications; differential diagnosis: diabetic coma vs. insulin shock; the gravid patient‑hormonal and cardiovascular changes; factors in guiding treatment schedule; drug effects on fetus.  Physical and laboratory evaluation of medically compromised patients with liver, adrenal or thyroid disease; effects of steroids on systemic function; patient management.

Definition of hypertension and review of etiologies, laboratory test for evaluation; review of drug therapy used in management; considerations in treatment of cardiac patients‑angina pectoris. Clinical evaluation and management of patient with arrhythmias; interpretation of EKGs and pulses associated with arrhythmias; antiarrhythmic drugs.

Obstructive and restrictive pulmonary diseases and treatment considerations; Rheumatic fever‑etiology, criteria for diagnosis, pathology, treatment; prevention of bacterial endocarditis‑prophylaxis regimens; dental management of patients on anticoagulation therapy‑heparin vs. Coumadin; laboratory evaluation; drug interactions.

Wound Classifications and Sterile Techniques: Wound Classifications, concern of infections, and sterile techniques used in surgery.

Surgical Instruments and Suture materials: Instruments used in outpatient oral and maxillofacial surgery practice; suture materials‑absorbable vs. non-absorbable; consideration for selection.

Flap Design in Oral Surgery: Principles of flap design and types of flaps; anatomical considerations; indications for flap procedures.

Exodontia Techniques: Review of fundamental techniques used in exodontia practice; cardinal forces, hand and chair position, use of elevators, surgical extractions.

Surgical Removal of Impacted Teeth: Classification of impacted teeth ‑mandibular vs. maxillary; theories in regard to etiology and frequency of occurrence; indications for removal of impacted teeth and review of factors indicating non-removal.  Case presentations of surgical removal of impacted teeth‑Interpretation of radiographs, surgical approaches; management of pericoronitis prior to surgery.

Complications Following Odontectomies & Exodontia: Management of complications associated with exodontia‑including hemorrhage swelling and pain; review of routine postoperative care and instructions.  Management of complications following odontectomies‑swelling, infection, delayed healing (dry socket), trismus, altered sensation, displacement of teeth into spaces, sinus or canal fractures.

Management of Infection & Antibiotics in Infection: Case presentations‑management of facial infection involving major facial spaces; Ludwig’s angina and cavernous sinus thrombosis; signs and symptoms, pathways of infection spread, treatment. Review of antibiotics used in the management of facial infections; antibiotic classification, dosage, spectrum, mode of action, side effects; culture and staining techniques; bacterial identification and sensitivities.

Facial Space Infections-Criteria for Hospitalization of Infections: Review of anatomy of fascial spaces, involvement by odontogenic infections, and criteria for specialist referral and hospitalization.

Care of the Hospitalized Patient: Justifications for admission to hospital; types of admissions, hospital notes and orders, consultations‑coordination of specialty services in the management of a traumatized, compromised patient.  . Review of analgesics‑prescription writing, classification, side effects, narcotics and NSAIDs.

Maxillary Sinus: Anatomy, bacteriology and histology of maxillary sinus, clinical and radiographic evaluation of sinusitis; removal of pathology from sinus; patient management and drug therapy; closure of oroantral fistula.

Endodontic Surgery: Indications for apicoectomies; surgical techniques; postoperative management; case presentations.

Pre-prosthetic Surgery: Clinical evaluation of edentulous ridges‑reasons for alveoplasty; instrumentation and surgical techniques; types ‑interradicular, simple, radical; case presentation. Clinical evaluation of patients for preprosthetic surgery; surgical techniques in performing tuberosity and tori reductions; anatomical considerations.  Indications for vestibuloplasty; surgical principles in performing vestibuloplasty‑maxillary vs. mandibular; grafting procedures; postoperative management; case presentation.

Implant Surgery-Anatomic Considerations: Review of residual ridge classifications, bone densities, implant systems and designs, components. Esthetic considerations.

Pre-implant alveolar reconstruction & Bone Grafting Considerations: Bone grafting biology; Bone graft materials: Bone grafting procedures: block grafting, external & internal sinus lift, ridge augmentation, ridge split, distraction osteogenesis and other advanced techniques.

Radiographic considerations in Implant & Reconstructive Surgery: Anatomical limitation in implant surgery, evaluation of bony anatomy using radiographic studies with emphasis on computed tomographic examinations and interactive CT treatment planning. CT-guided implant surgery

Care of the Traumatized Patient: Considerations in initial treatment of the traumatized patient with multiple facial injuries‑airway management, monitoring, vital signs, laboratory test, fluid replacement, radiographs, physical examination; case presentation.

Facial Fractures: Principles in management of facial fractures –dentoalveolar and mandibular fractures; diagnosis,classifications, methods of stabilization‑unfavorable vs. favorable, edentulous vs. dentulous; case presentations.Maxillary, Le Fort, Zygomaticomaxillary complex, nasal, frontal, NOE fractures and management techniques.Surgical Correction of Dento-Facial Deformities I – Diagnosis and Treatment Planning: Diagnosis and treatment planning in determination of specific skeletal deficiencies for surgical correction of facial deformities‑interpretation of cephalometric x-ray and model surgery.

Surgical Correction of Dento-Facial Deformities II – Mandibular/Maxillary Considerations: Mandibular considerations in surgical correction of facial deformities; case presentation of surgical techniques‑vertical oblique, sagittal and horizontal osteotomies.  Maxillary considerations in surgical correction of facial deformities‑case presentation of surgical techniques‑Le Fort procedures, midfacial augmentation.

Facial Neuralgia and Paralysis: Signs, symptoms and therapy of facial neuralgias‑tic douloureux, glossopharyngeal, sphenopalatine and atypical neuralgias; Bell’s palsy‑etiology, signs, symptoms, management.

Temporomandibular Joint Surgical Aspects: Anatomy of temporomandibular joint‑review of muscles of mastication; evaluation of function‑radiographic techniques and interpretation ‑tomography, CT scan, conservative therapy. Temporomandibular joint pathology ‑ankylosis, internal derangement, arthritis‑degenerative joint disease‑surgical management of TMJ disorders; case presentation.

Cosmetic Maxillofacial surgery: Facial aging. Surgical procedures: blepharoplasty; rhinoplasty; rhytidectomy; malar, gonial, chin augmentation; neck liposuction. More emphasis on non-invasive procedures: Chemical denervation, facial fillers, laser resurfacing, chemical peels.

Salivary Gland Diseases: Review of salivary gland diseases with emphasis of those that require surgical management.

Emergency Management: Management of medical and surgical emergency cases in the office.

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Orthodontics – Patient Simulation

  • Course Number: 904
  • Credits: 1.6
  • Predoctoral Year: Year 2
  • Semester: Summer (May-Jun)

Course Goals and Objectives

The graduate of the D.M.D. program must be skilled in the recognition, diagnosis, and management of dentofacial abnormalities in the primary, mixed and permanent dentitions.  These skills should include, but not be limited to the following.

  • Ability to develop a differential diagnosis using accepted clinical and radiographic procedures.
  • Ability to think critically and to problem solve in relation to the orthodontic care of the patient.
  • Diagnose and recognize normal and abnormal problems during development of the dentofacial complex including conditions that interfere with the patients’ ability to function.
  • Recognize esthetic deficiencies and understand their relationship to the overall management of the orthodontic patient.
  • Recognize complex orthodontic problems that are beyond his/her ability to treat and know when to refer a patient to an orthodontic specialist.
  • Develop sufficient knowledge to evaluate treatment rendered by an orthodontic specialist.
  • Be able to monitor therapeutic outcomes of treatment rendered.
  • Be able to communicate with the orthodontist and understand the nature of the treatment being rendered.
  • Be able to develop a comprehensive and properly sequenced treatment plan for the adult patient.
  • Understand the relationship among different dental specialists and be able to assume the role of  primary treatment coordinator in integrating a multi-disciplinary approach to the care of the adult patient.
  • Be able to analyze and treat minor orthodontic problems.
  • Be able to fabricate and use removable appliances such as space maintainers and lingual arches when indicated.
  • Be able to recognize predisposing conditions and recognize which of those conditions require intervention and/ or active treatment to prevent disease.

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Removable Prosthodontics – Removable Partial Dentures (RPD)

  • Course Number: 1249
  • Credits: 0.8 (Practical), 1.0 (Theory), 0.2 (Project)
  • Predoctoral Year: Year 2
  • Semester: Summer (May/July)

Course Goals and Objectives

This course is designed to expose second year dental students to the wonderful world of dentures. The course will teach the students the basic T.U.S.D.M. removable partial denture techniques. In addition, all of the accessory procedures which are required in order to treat the partially edentulous patient will be presented. The course prepares the student for the clinical experience of treating partially edentulous patients.

Students enrolled in this course will be required to read and understand the textbooks and view the many teaching aids, which are provided for the students, prior to each class; attend all scheduled lectures and demonstrations; complete all laboratory projects in an acceptable and timely manner; achieve passing grades in the didactic, project and competency (practical) sections of the course; be prepared for each laboratory session by having the proper instruments and materials with them.

The goal of the course is to familiarize the dental student with all of the clinical steps and laboratory procedures which are required during the treatment of patients who will receive removable partial dentures. Removable partial denture diagnosis, treatment planning, design and common techniques are presented to the students. Applicable dental materials, laboratory techniques, denture repairs and denture care are also taught.

Upon completion of this course, the student will be able to classify the partial edentulous dentition (Kennedy classification); Diagnose and design a partial denture in accordance with proper surveying technique; demonstrate a level of familiarity in diagnosis and treatment planning for partially edentulous patients; deal with the complexity of cases involving a complete denture or fixed and removable partial denture combination case; have a basic understanding of edentulous and partially edentulous oral anatomy, technology and terminology; have an understanding of the basic Removable Partial Denture principals as developed and taught at Tufts University School of Dental Medicine; communicate with a dental laboratory and know how to perform laboratory procedures professionally, cleanly, and safely.

The student will be competent to:

  • properly use and maintain applicable materials and equipment,
  • make accurate impressions,
  • produce properly contoured casts,
  • fabricate custom impression trays,
  • fabricate record bases and occlusion rims neatly,
  • articulate partial denture casts properly,
  • set up denture teeth properly,
  • complete a try-in wax-up for a partially edentulous case,
  • make adjustments, provide patient education and provide a recare system for removable partial denture patients.

Removable Prosthodontics: That branch of Prosthodontics concerned with the replacement of teeth and contiguous structures for edentulous or partially edentulous patients by artificial substitutes that are removable from the mouth.

Types of Removable Prosthodontics

Complete denture: a removable dental prosthesis that replaces the entire dentition and associated structures of the maxillae or mandible.

Partial denture: a dental prosthesis that restores one or more but not all of the natural teeth and/or associated parts and that is supported in part by natural teeth, dental implant supported crowns, abutments, or other fixed partial dentures and/or the mucosa; usage: a partial denture should be described as a fixed partial denture or removable partial denture based on the patient’s capability to remove or not remove the prosthesis.

Introduction to RPD: Removable partial denture design is one of the most challenging areas in all of dentistry. The many varying concepts in removable partial denture design are not supported by scientifically sound principles. Nonetheless, there are a number of fundamental concepts in removable partial denture design, which provide an excellent rationale upon which to make decisions. An understanding of these concepts enables you to select materials, techniques, and the design of the removable partial denture. We will then be able to meet the functional and esthetic requirements of the patient. Improved oral health and the ongoing development of dental implants have resulted in a decreased need for removable partial dentures and a corresponding decrease in its emphasis in our dental schools. There are still, however, many situations where a removable partial denture satisfies the bio-mechanically, functionally, esthetically and financially needs of our patients and should be the treatment of choice for them. These patients present cases that are more challenging than those in the past due to partial denture design.

This course consists of two sections; the first section will provide the student with the basic concepts for diagnosis, treatment planning, RPD design, materials, and techniques that are commonly used in RPD treatment. The second section will involve laboratory procedures. The student’s laboratory work experience and the patient simulation cases will help them understand the basics of RPD design, diagnosis and treatment planning.

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