4th Year Student’s Manual
Preclinical Fixed Prosthodontics
Syllabus Manual
Academic Year 2013/2014
Course Code: OMR 434
Credit Hours: 6
Course
Director
E-mail
Office Hours
Prof. Souna Youssef
Phone
23257
drsouna@yahoo.com
Office
Bld. 9 room G/935
Tuesday afternoon
Description of subject content:
Welcome Note
This course is designed to combine basic science with practical work to introduce
students to fixed prosthodontics. The main goal is to provide a basis for the steps involved
in providing and constructing crowns, starting from treatment planning and the decision
making process and ending with crown cementation and review with special emphasis
on developing student's technical skills. A secondary goal is tointroduce students to the
clinical and technical concepts involved in providing and constructingthree-unit bridges
and post and core, with special emphasis on developing student's technical skills.
Suggested references, lectures and discussions will provide a base of knowledge that
students can apply in practical work.
All fixed prosthodontic restorations should relieve patients from pain and discomfort, as
well as restore health, function and aesthetics. This outcome depends on the initial state
of the involved dentition, edentulous areas and surrounding structures. Treatment is not
1
expected to restore structures to their original pre-disease state and all treatment
outcomes are dependent on patient compliance.
Code of Conduct:
All students are held to standards of the Code of Conduct described in the King Abdul
Aziz University policies (Student Hand Book) and is represented by a set of principles of
professional conduct and rules by which dental students must aim to fulfill their duties to
their patients, the public, the profession, the faculty, and to their fellow students. with
special emphasis on the moral conduct within the meaning of Islamic values.
Attendance policy
Class attendance and participation are mandatory for all lectures, labs and sessions.
Exceeding the maximum permissible absences (10% or more) may deprive the student
from attending the final exams.
 Anti-plagiarism Policy
Cheating in the examination, attempting to cheat, or opposing the regulations of
examinations, will lead to a disciplinary action according to the students’ disciplinary
regulations issued by the University Council. In addition, It is essential for students to
carefully consider the legitimacy and authenticity of the work they submit by providing
appropriate acknowledgements in the form of clear referencing to avoid plagiarism and
to encourage honest work. Allegations of plagiarism against staff members should be
reported to Vice Dean of Academic Affairs.
 Examination Policy
All examinations must be taken on the date scheduled. Students have to be there on
time. The students will not be allowed to enter any examination after half an hour from
the beginning of the exam; and will not be allowed to leave before half an hour from the
start of the exam.
 Professional Attire
Appropriate student dress and grooming are important factors in the safety and orderly
operation of the school clinics and labs and student's appearance should reflect a
positive image of the school. Students should wear a uniform scrub suit and a white coat.
Failure to comply with school dress code policy may result in disciplinary action, which
may include prohibition from the clinic.
2
 Other Policies
Our division instructs students to be in direct communication either via the course leaders
or personally. They are free to report difficulties to the course director at anytime. All staff
members are available during their office hours to assist any student.
Course Description:
The course represents the orientation phase to the discipline of fixed Prosthodontics. It
provides a structured framework for students to learn the scientific basis and the
fundamental principles of fixed Prosthodontics. It prepares students for the practice of
sound clinical fixed Prosthodontics through a pre-clinical phase of mechanical and
technical procedures.
Course Objectives and Learning Outcome:
At the completion of the course, students should be able to:
1. Identify the basic principles of Fixed Prosthodontic procedures and recognize the
instruments and dental materials required.
2. Apply practical skills of different types of tooth preparations on phantom head.
3. Utilize laboratory procedures of fabrication of fixed partial denture until finishing and
polishing.
This course will adequately provide students with a solid foundation for clinical practice
next year.
3
Timetable:
Course Schedule (Full Academic Year: First and Second Semesters):
Topic:
Lecture Title
Week
Date
1.
M
9-92013
Terminology
&classification
W
11-92013
Principles of tooth
preparation. l
2.
Lecturer
Assess
ment
(Quiz/
Assign
ments)
Prof
Souna
Youssef
Prof
BadawyAb
oelmahase
n
M
16-92013
Principles of tooth
preparation II
Prof
BadawyAb
oelmahase
n
W
18-92013
1ry impression &
related procedures
Prof
SalmaBah
4
Reference
(Page
numbers of
the main
text or
resource)
Practical/Clinical
Sessions
CFP 4 ed.
P: 3-41
Models presentation
(U/L typodont
+Diagnostic casts)
CFP 4 ed.
P:209- 257.
Duplication of
diagnostic casts
CFP 4 ed.
P:209- 257.
Preparation: external
surface form
CFP 4 ed.
P:42-45
Demo custom tray
fabrication
Supervisors
annan
3.
4.
5.
M
23-92013
National day
W
25-92013
M
30-92013
Occlusion and interocclusal records
W
2-102013
Articulators and
mounting
Dr
LulwaAltur
ki
------
---
M
7-102013
W
9-102013
Full metal veneer
crown (FMVC) prep
Provisional restorations
Dr.
Moh’d
Adel
Prof
Souna
Youssef
Practice custom tray
fabrication
----
CFP 4 ed.
P:258-271
Demo & practice on
FMVC preparation #
36 or # 46
CFP 4th ed.
P:111-144
1. Demo mounting
&diagnostic wax up.
2. Practice custom
tray fabrication.
Practice on FMVC
Preparation # 36 or #
46.
------CFP 4 ed.
P:466-503
Dr.
sajaMann
aa
Demoprovisional
restoration.
(prefabricated #11,
custom made# 36)
Hajj Holiday
6.
M
21-102013
One
prep
Practice on FMVC
Preparation # 36 or
#46.
5
W
23-102013
M
28-102013
7.
QUIZ 1
Impression techniques
Prof
HananNag
uib
W
30-102013
M
4-112013
8.
W
6-112013
M
11-112013
9.
10
Practice custom made
provisional restorations.
CFP 4 ed.
P: 440-445
Continue practice
custom made
provisional restorations.
Practice on FMVC
Preparation #16 or
#26.
One
prep
Working cast & dies
Metal ceramiccrown
(MCC) preparations
Practice on FMVC
Preparation # 16 or
#26.
Prof.
HannanNa
guib
Dr.
Mohamed
Awad
CFP 4 ed.
P: 526-554
CFP 4 ed.
P:272-285
W
13-112013
M
18-112013
Demo and
practiceDie
fabrication.
DemoMCC
preparation # 36 or
#46.
Continue practice
Die fabrication.
Demo &practice
MCC preparation #36
or # 46.
6
11.
12.
13.
W
20-112013
M
25-112013
W
27-112013
M
2-122013
Continue practice
Die fabrication.
Continue practice
MCC preparation #36
or # 46.
Revision
Demo and practice
mounting mandibular
working cast
Continue practice
MCC preparation #36
or # 46.
Revision
W
4-122013
M
9-122013
Practice mounting
mandibular working
cast.
1. Posterior FMVC CE.
2. Posterior MCC CE.
Competency exam
(CE)
W
11-123013
15.
16.
M
16-122013
Sun22-
-------------
------------
-----------
7
--------------
1. Provisional
restoration CE.
2. Special tray CE.
---------------------------------
--------------
122013
Midyear
Course Schedule (Second Semesters):
1
2
M
27-12014
W
29-12014
M
3-2-2014
Demo and practice
MCC preparation # 11
or# 21.
Wax pattern
Dr.
Moh’dAwa
d
CFP 4th ed.
P: 555- 588
Continue practice
MCC preparation # 11
or # 21.
W
5-2-2014
3
M
10-22014
Demo & practice wax
pattern.
Continue practice wax
pattern.
Pontics
Prof
Souna
Youssef
CFP 4th ed.
P: 616-649.
W
12-2-
Continue practice
MCC preparation # 11
or # 21.
Continue practice
Wax-pattern.
8
2014
4
5
6
M
17-22014
W
19-22014
M
24-22014
W
26-22014
M
3-3-2014
Continue practice
MCCpreparation #
11or# 21.
Solder joints & other
connectors
Prof
MustafaAb
osaud
CFP 4th ed.
P:843-869
Continue practice
MCC preparation #
11or# 21.
Spruing& investing
All-ceramic crown
(ACC) preparation
Dr.
AymanJoh
ar
Prof.
IhabMosle
h
W
5-3-2014
7
M
10-3-2014
Continue practice wax
pattern.
CFP 4th ed.
P:681-694.
Demo & practice
spruing& investing.
CFP 4th ed.
P:681-694.
Demo &practice
ACC preparation # 11
or # 21.
Continue practice
spruing& investing wax
pattern of one-unitcast
restoration.
(Quiz 2)
Continue practice
ACC preparation # 11
or # 21.
W
12-3-
Continue practice
spruing& investing.
9
2014
8
9
10
11
12
M
17-32014
W
19-32014
M
24-32014
W
26-32014
M
31-32014
W
2-4-2014
Partial veneer
restoration
Prof. Eman
Salah
Continue practice
ACC preparation # 11
or # 21.
Burnout & casting
Prof.Moh’d
Adel
Restoration of
endodontically treated
teeth
Prof.
IhabMosle
h
CFP 4th ed.
Page 336-378.
Demo & practice cast
post& core.
Finishing & polishing
Prof.
SounaYuss
ef
CFP 4th ed.
P: 870-883.
Demo & practice
finishing & polishing.
Practice burnout &
casting.
Continue practice cast
post& core.
Practicefinishing &
polishing.
M
7-4-2014
W
9-4-2014
M
14-42014
CFP 4th ed.
P 286-321.
FFP 4th ed.
P 165- 194.
CFP 4th ed.
P:694-705
Revision
10
W
16-42014
13
14
15
M
21-42014
W
23-42014
28-42014
Revision
Competency Exam
(CE)
1. Posterior FMVC CE.
2. Posterior MCC CE.
Wax-up CE
Revision
30-42014
5-5-2014
Final Exam
Contemporary Fixed Prosthodontics: Rosenstiel –Land- Fujimoto; Mosby, Inc, 4th edition 2006, = CFP.
Fundamentals of Fixed Prosthodontics: Shillingburg –Hobo- Whitsett, Jacobi- Brackett; Quintessence PublishingCo, Inc, 4th edition
2012 = FFP.
11
Lectures’ Intended Learning Outcomes (ILOs):
Lectures
Title
Reference
ILOs
Terminology, CFP
and
4thed.
classification P: 3-41
of
fixed
prosthesis
At the end of the lecture the student should be able to:
1. Explain scope of fixed prosthodontics.
2. Define terminology and types of restorations for single
tooth.
3. Recognize crown indications, classifications and types.
4. Identify fixed partial denture and its components.
5. Recognize indications, types and materials of fixed
partial dentures.
6. Discuss types of restorations:
 Intra coronal restoration.
 Extra coronal restoration.
 Intra-radicular restoration.
7. State the effects of tooth loss.
8. List basic steps for the fabrication of a cast restoration.
Principles of CFP
tooth
4thed.
preparation
P: 3-41
The student should be able to:
1. Recognize biologic, mechanical and esthetic
considerations.
2. Discuss principles of parallelism.
3. Identify retention and resistance.
4. Recognize structural durability.
5. Recognize marginal integrity as affected by finish line
configuration.
6. Identify the role of margin placement and thickness
on success of restorations.
7. Describe the role of optimum reduction on theesthetic
outcome.
Primary
CFP
impression
4thed.
and related P:42-45
procedures
1. List different types of elastic impression materials.
2. Understand the mouth preparation prior to beginning
of definitive fixed prosthodontic treatment.
3. Understand
indications,
contraindications,
advantages, and disadvantages of alginate
impression material.
4. Recognize the principles of pouring alginate
impression to construct diagnostic casts and fabricate
custom-made tray.
12
5. Differentiate
between
acceptable
acceptable custom-made tray.
and
un-
Full
metal CFP
veneer
4thed.
crown
P:258-271
Preparation
1. Lists Indications, contraindications, advantages and
disadvantages.
2. Describe steps of tooth preparations
3. Identify types of finish line.
4. Explain principles of tooth preparation of complete
cast crown.
Occlusion
and
interocclusal
records
CFP 4thed.
P:111-144
1. Identify components of stomatognathic system and
their interdependent relationship.
2. Define Occlusion as a static and dynamic conditions
3. Recognize jaw relations and border movement of the
mandible.
4. Identify determinants of occlusion and their effects.
5. Describe occlusal schemes.
6. Recognize ideal occlusion and pathologic occlusion.
7. Distinguish the difference between records needed to
mount diagnostic cast and definitive cast.
8. Describe techniques used in locating centric relation.
9. Describe technique used to record maximal
intercuspation.
10. Describe technique used to record lateral
interocclusal relationship.
Articulators
&Mounting
CFP
4thed.
P:45-70
The student should be able to:
1. Define the articulator.
2. Identify the different types of articulators.
3. Describe the mechanism of each type.
4. List needed armamentarium (Face bow and
equipment) for each type.
5. Recognize the mechanism and application of each
articulator and face bow.
6. State the type of records necessary for each type
7. Compare between the different types from diagnostic
prospective.
Provisional
Restoration
CFP
4thed.
P:466-503
By the end of the lecture the student should be able to:
1. Discuss requirementsof ideal provisional restorations.
2. Recognize types of provisional restorations.
3. Explain techniques and materials needed for custom
13
provisional restorations.
Impression
techniques
CFP
4thed.
P:440-445
1. Identify the prerequisites to successful and predictable
impression making with elastomeric impression
materials.
2. Recognize different techniques of gingival tissue
displacement.
3. Review different impression materials used for final
impression, with emphasis on advantages and
disadvantages of each.
4. Explain different impression techniques.
5. Recognize correct final impression.
6. Explain causes of defective final impression.
Porcelain
CFP
fused
to 4thed.
metal crown P:272-285
preparation
By the end of the lecture the student should be able to:
1. Understand
components
of
metal
ceramic
restorations & required amounts of reduction.
2. List indications, contraindications, advantages and
disadvantages of metal ceramic restorations.
3. Identify armamentarium used for preparing anterior
and posterior metal ceramic restorations.
4. Describe steps of posterior and anterior teeth
preparations.
Working cast CFP
and dies
4thed.
P: 526-554
By the end of the lecture, the student should be able to:
1. List criteria of acceptable working cast.
2. Identify differences between types of casts
3. Classify different techniquesof dies construction
4. Recognize the steps of die preparation.
Wax pattern
CFP 4thed.
P: 555- 588
1. Identify techniques for fabricating wax pattern,
advantages and disadvantages of each technique.
2. List requirements of good inlay wax.
3. Describe steps of wax pattern fabrication.
4. Compare cusp-marginal ridge relation versus cuspfossa relation.
5. Recognize margin finishing and its discrepancies.
Pontics
CFP 4thed.
P: 616-649.
1. Identify
types,
function,
requirements,
classification of pontic.
2. List different pontic designs.
3. Recognize pontic modification.
4. Clarify design considerations.
14
and
5. Describe pontic fabrication.
6. Clarify post insertion hygiene.
Solder Joints CFP 4thed.
and
other P:843-869
Connectors
1.
2.
3.
4.
5.
6.
7.
Recognize types of connectors.
Identify casting, welding and soldering procedures.
Explain applications of soldering.
List ideal requirements of dental solder alloy.
Describe soldering flux and antiflux.
Describe solder technique.
Recognize pre and post veneer metal ceramic alloy
soldering.
8. Identify
laser
welding
(uses,advantages
and
disadvantages).
Spruing and CFP 4thed.
investing
P: 681-694.
1. Know the types of sprue systems, their indications and
uses.
2. Recognize the requirement and the methods to
create and apply an optimum sprue system.
3. Identify the types of investment material and their
properties.
4. Know the heat distribution in the investment and waxup and how does that affect the final dental casting.
5. Describe the investment techniques and the burn out
cycles to produce proper casting.
All-ceramic
crown
Preparation
CFP 4thed.
P: 681-694.
1. List the advantages and disadvantages of all ceramic
restorations versus metal ceramic.
2. Explain the deciding factors of selection and potential
requirements for the success of all ceramic restoration.
3. Describe the recommended preparation design, and
sequence for tooth preparation for an all ceramic
restoration.
4. Indicate the ideal preparation features and explain
their contribution to biologic, mechanical and esthetic
principles of tooth preparation.
Partial
veneer
crown
preparation
CFP 4thed.
P 286-321.
FFP
4thed.
P 165- 194.
1. Define Partial veneer restorations.
2. Classify the different types of partial veneer
restorations.
3. Recognize
the
indications,
contraindications,
advantages and disadvantages of different types of
partial veneer restorations.
15
4. Describe different preparatory steps of 3/4 crown with
its related modifications.
5. Distinguish the differences in preparation design of 3/4
crown in maxillary and mandibular, anterior and
posterior teeth.
6. Label the features of the partial coverage restoration
preparation and the functions served by each.
Burn out
Casting
CFP 4thed.
P:694-705
Restoration
of
endodontica
lly treated
teeth
CFP 4thed.
1. Identify remaining tooth condition and the possible
treatment interventions.
Page 3362. Clarify the principles of lost tooth structure substitution.
378.
3. Recognize consideration affected the needed
modifications for damaged vital teeth.
4. Indicate the rational for the use of post in restoring
endodontically treated teeth.
5. Classify the different types of posts and cores
recognize the factors affecting the selection of each
type.
6. Explain the principles of tooth preparation.
7. Describe
the
technique
for
fabrication
of
prefabricated post and core.
8. Describe the fabrication of custom cast post and core
with direct or indirect technique.
Finishing and CFP 4thed.
polishing
P: 870-883.
1.
2.
3.
4.
5.
6.
Define burnout and casting.
Identify burnout techniques.
Describe casting machines and technique.
Recognize types of torches and different flame layers.
Recognize accelerated casting method.
Identify proper casting and possible failures.
1. Understand the significance of finishing and polishing
cast restorations.
2. Understand air abrasion and pickling.
3. Recognize the different abrasives and polishing
materials used.
4. Describe procedures of preliminary finishing and
polishing of metal restorations.
Contemporary Fixed Prosthodontics: Rosenstiel –Land- Fujimoto ; Mosby, Inc, 4th edition
2006, = CFP 4th ed.
Fundamentals of Fixed Prosthodontics: Shillingburg –Hobo- Whitsett, Jacobi- Brackett;
Quintessence PublishingCo, , Inc, 4th edition 2012 = FFP.
16
Practical/Clinical Sessions’ Intended Learning Outcomes (ILOs):
Practical/Clinical
Session Title
Introduction
terminology
ILOs
& The student should be acquainted with the course-needed tools.
Model presentation
1. Be sure that each student had received both diagnostic and
definitive casts.
2. Be aware of proper chair position during working with
phantom model for each jaw quadrant.
Full crown
preparation
1. Demonstrate different preparatory steps of full crown
restoration for single tooth.
2. The student should be able to perform one full metal crown
preparation in a pre-defined time at the phantom head.
Metal-ceramic
preparations
1. Demonstrate the preparatory steps of metal-ceramic
restoration for single Tooth.
2. The student should be able to perform one PFM preparation in
definite time at the phantom head.
ALL-ceramic
preparations
1. Demonstrate different preparatory steps of all-ceramic
restoration for single tooth.
2. The student should be able to perform one all-ceramic
preparationin definite time at the phantom head.
Cast post
&
core
1. Demonstrate different preparatory steps on remaining tooth
structure.
2. Demonstrate different preparatory steps of root canal
preparation.
3. Demonstrate direct technique of custom post and core.
1ry impression & 1. Demonstrate of the different preparatory steps of special tray.
related procedures
2. The student should be able to construct special tray following
the selected criteria.
17
Provisional
restorations
1. Demonstration of different preparatory steps to construct
indirect acrylic one-unit temporary crown.
2. Demonstrate the use of different prefabricated temporary
crowns.
3. Students should be able to use different prefabricated
temporary crowns.
Working cast & dies
1. Demonstrate the preparation of removable die using Pindex
system.
2. Demonstrate die preparation including; sawing, die trimming
and ditching, finish line high light, application of die
hardening and die spacer.
3. Students should be able to prepare definitive cast with
removable dies using the Pindex system.
4. Students should be able to ditch, high light finish line of
removable dies followed by applying die hardener and die
spacer.
Articulators
&mounting
1. Demonstrate mounting the prepared definitive casts on a
semi-adjustable articulator.
2. Students should be able to articulate casts using face bow
and semi-adjustable articulator.
Wax pattern
1.
2.
3.
4.
Spruing& investing
1. Student should be able to perform indirect spruing&investing
of one-unit wax pattern.
Burnout & casting
1. Demonstrate selected burnout technique.
2. Describe selected casting technique.
3. Students should be able to recognize the various techniques;
materials and steps involved in investingand spruing a oneunit wax pattern.
Identify uses of wax armamentarium kit.
Demonstrate different steps of wax pattern fabrication.
Demonstrate wax pattern margin refining and finishing.
Student should be able to construct a one-unit wax pattern
following the instructed criteria.
18
Finishing &polishing
1 Students should be able to finish & polish a one-unit cast
restoration.
19
Assessment
Task
(Including
Quizzes,
Exams,
Assignments,
Pts, MPEs, CEs)
Midterm
assessment
Midterm
assessment
Midyear
examination
Week
Due
Evaluation Form Title
First semester (Written)
6
Second semester (Written)
7
MCQs and essays in the form of short essay
16
20
Feedback
Mechanism/Time
Students have their marks,
and discuss performance
with staff during office
hours.
Students have their marks,
and discuss performance
with staff during office
hours.
Students have their marks,
and discuss performance
with staff during office
hours.
Grade
Proportion of Final
Assessment
Requirements, Assessment Schedule, and Course Grading:
5
Marks
5%
5
Marks
5%
10
Marks
10%
Competency
examination
14
1. Full metal veneer crown preparation.
2. Posterior
metal
ceramic
crown
preparation.
3. Special tray.
4. Provisional restoration.
5. Wax pattern.
Students have their marks,
and discuss performance
with staff during office
hours.
20
Marks
20%
35
Marks
35%
Minimum
procedure
experiences
(MPE)
Throughout the year
Clinical:
1. Full
veneer
metal
crown
preparation.
2. Posterior MC crown preparation.
3. Anterior MC crown preparation.
4. Anterior
all-ceramic
crown All MPE are self-assessed
preparation.
and evaluated by
instructors.
5. Cast post and core.
Laboratory:
1. Special tray.
2. Provisional restoration.
3. Wax-pattern.
Final
exam
written
At the
end of
the year
1. MCQ and essay.
2. Stations.
Students are given their
final marks.
21
20
Marks
20%
Total Marks
Throughout the
year
Attendance and
professional
conduct
Attendance sheets are distributed at the
beginning of lectures and laboratory
sessions.
Code of conduct is explained in
students handbook.
------------------------------
22
Students discuss relevant
issues with staff members
during office hours.
5
Marks
5%
-----------------
100
Marks
100%
Preclinical fixed prosthodontics MPEs:
Numbers
required
(rough
estimate)
MPE
1. Full metal veneer crown preparation:
 Mandibular 1st or 2nd molar.
 Maxillary 1st or 2nd molar.
2. Metal ceramic posterior crown
preparation:
 Mandibular premolar.
 Maxillary premolar.
 Mandibular 1st molar.
 Maxillary 1st molar.
3. MC anterior crown preparation:
 Maxillary central incisor
4. Anterior all-ceramic crown preparation:
 Maxillary central incisor
Custom tray on study model
Provisional restoration
Resin pattern post and core
Relevant forms
2
2
1M and1R
1
2
1
2
2aM and 2aR
2bM and 2bR
1
3M and 3R
2
1
1
1
4M and 4R
5M and 5R
9bM and 9R
M: MPE forms and R: Rubric forms
Resources/References:
Required Text(s)
1.
Contemporary Fixed Prosthodontics,
Rosenstiel et al, 4th ed. 2006, Mosby Inc.
2. Fundamental of Fixed Prosthodontics,
Shillingburg et al., 1997, Quintessence
Publishing Co., Chicago.
Study Guide or Manual
Lecturer handout
Essential References
1. Contemporary Fixed Prosthodontics,
Rosenstiel et al, 4th ed. 2006, Mosby Inc.
Recommended Books and Reference Lectures
Material
Electronic Material (URL), Websites etc
1. Computer
systems
for
email
communication, desktop applications,
Internet access and research and digital
23
library.
PubMed Database for researching the
dental & biomedical literature.
ODUS
Other Learning Material
1.
2.
24
King Abdulaziz University
Electronic Services.
University Library.
Fundamentals of tooth preparation,
Shillingburg et al., 1992, Quintessence
Publishing Co.,Chicago.
King Abdulaziz University
Oral & Maxillofacial Rehabilitation Dept
Faculty of Dentistry
Fixed Prosthodontics Division
2013-2014