Pierce College Dental Hygiene Syllabus Campus-Lakewood, WA and Port Angeles, WA Quarter Winter 2012 Course Title Course Credits DHYG 217, Fundamentals of Restorative Dentistry VI Pre-requisites Course Description Locations Days and Times Instructors Office Hours and Room Contact Information Required Texts 1 (10 hours of lecture/lab equivalent) Enrollment in the Dental Hygiene Program and successful completion of DHYG 207 (formerly 234). Sixth in a series of seven courses, Fundamentals of Restorative Dentistry I-VI, facilitating the growth of competent skills in the placement, carving and polishing of dental amalgam restorations on the adult dentition and primary dentition and the placement, finishing and polishing of composite restorations on the adult dentition in a pre-clinical setting, as well as treatment planning for the restorative patient. Lecture: Cascade 125 Pierce Lab: Cascade (Clinic) Lecture: Fridays 11-1(occasionally shortened or extended to accommodate materials needing to be covered in lecture and labs) Lab: as needed per topic combined with lecture from 11-1 Lecture: Sheila Norton BS, RDH Pierce Lab: Sheila Norton BS, RDH Monday’s 1-3 or arranged Friday’s 10-11 am and 4-5 pm C-122 Email: snorton@pierce.ctc.edu Emergency phone # 360-790-1915 REQUIRED TEXTS 1 Clinical Aspects of Dental Materials by Gladwin – Bagby (CADM) 2nd addition 2 The Dental Assistant by Anderson, Pendleton, 7th Edition (DA) 3 Course Handouts OPTIONAL TEXT Dental Instruments: A Pocket Guide by Linda R. Bartolomucci Boyd DHYG 217-2012 Page 1 1. 1.5 Hours: Describe and demonstrate techniques for multiple adjacent restorations. (E,F) 2. 2 Hours: Demonstrate shade selection and layering for the best esthetic appearance of composite restorations. (A,E) 3. 2 Hours: Demonstrate techniques for Class IV composite restorations using corner forms and free-hand techniques to an acceptable level. (E,F) 4. 2 Hours: Identify and indicate the use of composite veneers as related to diastima or other defect/disease. Describe in detail the placement techniques for composite veneers and diastema closure procedures. (F) 5. .5 hours: Describe when cusp build-ups are appropriate and which materials are indicated. (A,F) 6. 1 Hour: Identify pins and posts in dentistry and on radiographic films and describe their function.(A,F) 7. 1 Hour: Discuss treatment planning, prioritizing and phasing treatment. (F) Course Outcomes Continuing Skills Development in conjunction with set outcomes ________________________________________________________ 1. Continued development of the course outcomes in DHYG 107, 117, 127, 167, and 207 with ever increasing level of complexity in restorations and variations of techniques. (A,D,E) 2. Demonstrate and further develop competent skills in placing, carving and polishing complex amalgam restorations and placing, finishing, and polishing complex composite restorations to an acceptable level. (A, B, D,Z) 3. Identify the standards for evaluating and self-evaluate Class II amalgam and composite restorations according to the Western Regional Exam Board (WREB). (A,B,C,D,Z) ASSESSMENT TOOLS: A. B. C. D. E. F. Z. Course Objectives Instructor observation Formal assessment Self-evaluation Student proficiency Clinical demonstration Written essay Clinical AIS Evaluation Criteria and/or Pierce College Global Rubrics Lesson 1: Restoring adjacent proximal restorations 1.5 Hours: Describe and demonstrate techniques for multiple adjacent restorations. (E,F) 1.1 When placing back to back restorations identify which restoration to be done first. 1.2 Identify how to evaluate when there is proper contour of the proximal of the initially placed restoration. 1.3 Know what an undercontoured and overcontoured matrix band will produce for the 2nd placed restoration. 1.4 Identify how to remedy the resulting errors for band contour prior to placing the 2nd restoration. ________________________________________________________________ Lesson 2: Composite layering and shade selection: 2 Hours: Demonstrate shade selection and layering for the best esthetic appearance of composite restorations. (A,E) 2.1 Identify techniques to determine proper base shades. 2.2 Demonstrate how to use the Filtex shade wheel to determine multiple shades when layering. 2.3 Know the difference between B, D and E shades of composite and when DHYG 217-2012 Page 2 2.4 to use them. Understand the terminology of hue, chroma and value and how these concepts apply to shade selection. ________________________________________________________________ Lesson 3: Class IV composite restorations: 2 Hours: Demonstrate techniques for Class IV composite restorations using corner forms and free-hand techniques to an acceptable level. (E,F) 3.1 Demonstrate knowledge of the corner form technique and the free hand technique for placement of Class IV restorations. 3.2 Determine the best technique for individual situations. 3.3 Show knowledge of the shade layering concept and its use in Class IV restorations. __________________________________________________________________ Lesson 4: Composite veneers and Diastima closures 2 Hours: Identify and indicate the use of composite veneers as related to diastima or other defect/disease. Describe in detail the placement techniques for composite veneers and diastema closure procedures. (F) 4.1 Understand the rationale for placing composite veneers. 4.2 Explain the use of composite veneers for restoring peg laterals. 4.3 Explain the techniques used by Dr. Fahl for diastima closure and how you could incorporate them into your clinical use. __________________________________________________________________ Lesson 5: Cusp buildups: .5 hours: Describe when cusp build-ups are appropriate and which materials are indicated. (A,F) 5.1 Identify when cusp buildups would be appropriate treatment for a patient. 5.2 Determine which restorative material would be best for a particular cusp build up and why. __________________________________________________________________ Lesson 6: Pins and Posts: 1 Hour: Identify pins and posts in dentistry and on radiographic films and describe their function.(A,F) 6.1 Differentiate between a pin and a post in dentistry and on radiographs. 6.2 Identify when pins and posts are used in today’s dentistry. ____________________________________________________________________ Lesson 7: Restorative treatment planning: 1 Hour: Discuss treatment planning, prioritizing and phasing treatment. (F) 7.1 Differentiate between ideal, practical and essential dentistry. 7.2 Explain the concept of “standard of care” and how this applies to current treatment planning 7.3 Determine the appropriate use of crowns, onlays and inlays (according to Dr. Karzowski’s information). 7.4 Identify when a crown is need by the amount of restorative material or decay is present. Teaching Methodologies Student Conduct Policy In class lectures and discussions regarding topics pertinent to course of study. Final paper covering lecture and required reading/materials Please refer directly to the Pierce College Student Code of Conduct and the Pierce College Dental Hygiene Program Student Handbook for the general guidelines of the conduct within and related to this class. Please remember that you signed and agreed to all of the rules, policies etc. set forth in the handbook. Please review for use of cell phones in classroom and clinic. A grade of 2.0 must be achieved to pass this course and continue in the restorative dentistry series. Final grades below a 2.0 will be subject to academic review. DHYG 217-2012 Page 3 No work is accepted late. Course Evaluation/ Requirements Course Evaluation Attendance, Professionalism and Participation Lab activities Mock Board Final Paper 30% 20% 25% 25% Course Requirements 1. Attendance and participation in lecture and discussions Grade based on attendance and participation in group discussions and interest in subject matter. Quality of journal synopsis will also be included. 2. Lab activities a. Completed corner restorations #8 and #24 b. Completed back to back restorations #18MO/#19DO 3. Mock board score Mock board and lab restoration pairs graded as follows: A/A 4.0 A/I 3.0 I/I 2.0 S/A,I 1.0 An A/A score will be applied to the “passes WREB” totals 5 –A/A pairs are required for Director’s signature for applying to take early restorative WREB exam. Disclaimer Security Final paper: Write a paper with a synopsis of each topic discussed in lectures in “Advanced Restorative Techniques” and how they are applied to your future employment as dental hygienist. (2 typed pages min, 12 fount, 1 ½ spaced). Grading rubric provided below. Please submit a hard copy with a copy of the rubric on top on the final day of class. This syllabus may be altered, as deemed necessary by instructor, any time during the course. Changes, requiring a time alteration, will be given with sufficient notice for students to accommodate. Emergencies are the exception. Emergency Procedures for Classrooms Call 911 and then Campus Safety in response to an imminent threat to persons or property. In the event of an evacuation (intermittent horns & strobes), gather all personal belongings and leave the building using the nearest available safe exit. Be prepared to be outside for one hour and stay a minimum of 200 feet from any building or structure. So long as it is safe to do so students are expected to stay on campus and return to class after evacuations that last less then 15 minutes. Do not attempt to re-enter the building until instructed by an Evacuation Director (identified by orange vests) or by three horn blasts or bell rings. Please notify the nearest Campus Safety Officer or Evacuation Director of any one left in the building or in need of assistance. Fort Steilacoom Campus Safety (253) 964-6751 COURSE SCHEDULE Please note that class is not held each week. DHYG 217-2012 Page 4 Date Lessons Topic Preparation and/or Prereading assignment 1/9/12 Lecture 89:30 Lab 9:45-12 Lesson 1- Restoring Adjacent Proximal Restorations (Class II and III) Lesson 2- Composite layering and Shade Selection Lesson 3-Class IV Composite restorations *Course review and lecture (Rm 125) *Restoring adjacent proximal restorations *Composite layering and shade selection ~units set for dentoform #18MO and 19DO *units set for dentoforms Remainder of pairs done during restorative clinic 1/30 Lecture 8-10 Lesson 4 –Composite Veneers and Diastima Closure MB#3 10:30-12 Mock Board following lecture 2/13 Lecture and DVD’s 8-12 Lesson 5-Cusp Buildups Lesson 6-Pins and Posts, Lesson 7-Treatment Planning 3/5/12 Final Papers Due (no class) DHYG 217-2012 Class IV composite restorations -corner form and free form tech. #8-MILusing corner forms tech and #24 MIL using free form tech and composite layering techniques #8 MIFL placed for corner form technique (units set for Dentoforms) #24 done during restorative clinic *DVD Composite veneers & Diastima closures –Dr. Faul Articles-Composite veneers *Cusp buildups-pins and posts *Restorative treatment planning – DVD-Dr. Kurzowski (cusp build-up restoration done in spring) This is your final exam! Be complete and include details. Articles (no lab) ~units set for Dentoforms Turn in with rubric below attached on top Page 5 DHYG 217 Topic Review Grade Sheet Name______________ Student #____________ Criteria for 217 Topic Review paper Evidence of knowledge of each subject Points Possible Score 35 (What did you learn from the session?) Relating materials to how you might use them Compare/Contrast Coverage each topic 35 Spelling and grammar/ overall paper structure 9 Total Points DHYG 217-2012 21 100 /100 Page 6