UH MAUI COMMUNITY COLLEGE Dental Assisting Program DENT 154 Course Outline Course Title: DENT 154 Dental Materials Number of Credits:: One credit (1) Course Description: Physical and chemical properties of dental materials, characteristics and manipulation of impression materials, gypsum products, investments, waxes, cements, resins, metallic and non metallic restorative materials. Contact Hours Per Week: Two (2) Lecture/Lab Prerequisites: Co requisites: DENT 151 with grade of C or batter DENT 165, DENT 155, DENT 177, DENT 90V General Course Objectives 1 Identify the various materials used in the practice of dentistry and the structure, composition, 2 Uses, manipulations and properties of these materials. 3 Demonstrate competency in manipulation of dental amalgam and commonly used impression materials. Specific Course Objectives, Competencies and Student Learning Outcomes Upon successful completion of DENT 154, the student should be able to: Classroom Learning Outcomes Introduction to Dental Materials Explain the important of the study and understanding the uses of dental materials for the dental assistant List the general uses and categories of dental materials. List and describe the 18 properties of dental materials outlined, including considerations of their use in dentistry. Describe the use, necessity, rationale, and components of universal (standard precautions and personal protective equipment (PPE) when peforming invasive dental procedures or working with dental materials and when performing related laboratory procedures. Relate the importance of communication with the commercial dental laboratory, maintaining a case tracking system, handling of impressions, prothesis, and appliances before and after patient treatment. Describe the role of the dental assistant relevant to dental supply and materials ordering, inventory control, and shelf life. List the qualities of the oral environment that make it challenging for long term clinical performance of dental materials. Define stress strain and ultimate strength. Describe the effects of moisture and acidity on dental materials Define thermal conductivity and thermal expansion and contraction Describe the process used to achieve mechanical, chemical and bonding retention Describe microleakage and how the results of this process can lead to recurrent decay and postoperative sensitivity Defne biocompatibility Principles of Bonding Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, and application of acid etch and bonding agents. Discuss the effects of acid etching on enamel and dentin. Describe the basic steps of bonding Describe the agents used for bonding. Discuss factors that interfere with good bonding. Describe the amalgam bonding technique. Explain differences in bonding to enamel, dentin, metal, and porcelain. List the factors that contribute to tooth sensitivity after bonding. Direct and Indirect Esthetic and Restorative Materials Describe the various types of composite resin restorative materials Discuss the uses, advantages and disadvantages of each type of composite resin Discuss the procedural differences between direct and indirect composite restorations Describe the composition of glass ionomer restoratives and their uses, advantages, and disadvantages Explain the effect of fluoride releasing, resin-modified glass inomer restorations on prevention of recurrent decay. Fluoride & Sealants in Prevention Describe the use of fluoride in prevention. Explain how fluoride protects teeth from caries. Discuss the various methods for fluoride delivery. Discuss the use of sealants for prevention of pit and fissure caries. Amalgam and Composite Materials Discuss the general types of restorative materials used in dentistry and their specific applications. Describe the role and duties of the dental assistant in the use, instrumentaion, manipulation, application, and clean-up procedures required when placing amalgam restorations. Describe the role and duties of the dental assistant in safe handling of mercury, the principles of mercury hygiene, and the necessary steps required to safely clean up a mercury spill. Discuss the safety of amalgam as a restorative material. List the main components in dental amalgam. Define creep, corrosion, and tarnish. Describe the different types of metals used for dental implants. Explain the purpose of a post. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application., and clean-up procedures required when placing composite restorations. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application., and clean-up procedures required when placing glass ionomer restorations. Finishing and Polishing Define and discuss abrasion, finishing, polishing, and cleansing. Describe the abrasives used and procedure for finishing and polishing metals, composite, and porcelain. Dental Cement Discuss the uses of cements in dentistry for pulpal protection, luting, restorations, and surgical dressing. Describe the properties of cement and how these properties affect selection of a cement for a dental procedure. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application, and clean-up procedures required when using zinc phosphate cement. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application, and clean-up procedures required when using zinc oxide eugenol. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application, and clean-up procedures required when using polycarboxylate cement. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application, and clean-up procedures required when using glass ionomer cement. Discuss the mixing technique for temporary Cement (Temp Bond). Impression Materials Describe the general types of impression materials used in dentistry and their specific applications Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application., and clean-up procedures required when working with hydrocolloid impression (irreversible and reversible) materials. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application., and clean-up procedures required when working with polysulfide elastomeric impression materials. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application., and clean-up procedures required when working with condensation silicone and addition polysiloxane/ polyvinyl elastomeric impression materials. Describe the role and duties of the dental assistant in the use, instrumentation, manipulation, application., and clean-up procedures required when working with polyether impression materials. Describe the role and duties of the dental assistant in disinfection of various dental impression materials. Describe the role and duties of the dental assistant in procedures required when working with bite registration paste. Dental Wax Ientify the common components of dental waxes. Identify the properties of waxes. Describe the role and duties of the dental assistant in the care, storage, and handling of dental waxes. Describe specific disinfection procedures as they relate to waxes used in dental procedures. Differentiate between direct and indirect waxings. Gypsum Products Describe the role of the dental assistant in the use, composition, and properties of plaster and stone (gypsum materials) used in dentistry. Describe the steps required for the dental assistant to pour and trim study models for diagnostic purposes. Differentiate between negative and positive reproduction. Differentiate between diagnostic casts, working casts, and dies. Polymers for Prosthetic Denistry Describe the formation of long-chain polymers from monomers. Describe the stages of addition polymerization. List the important properties of acrylic resins. Explain the difference between hard and soft liners Describe the advantages and disadvantages of chairside and laboratory hard liners. Describe the home care regimen for complete and partial dentures that patients should follow. Dental Resins and Provisional Restoration State the purpose of the provisional restoration. List examples of circumstances that may require provisional coverage. List the advantages and disadvantages of preformed and custom crowns. Describe the role of the dental assistant in fabricating temporary (provisional) acrylic restorations. Bleaching Materials Describe the methods used to bleach teeth. Discuss the similarities and differences among the materials used to bleach teeth. Explain the differences between professionally supervised home bleaching and over-the-counter systems. Describe the role of the dental assistant in fabricating self-curing custom resin trays, light cured custom resin trays, vacuum formed custom trays, thermoplastic custom trays. Clinical Student Learning Outcomes Upon successful completion of DENT 154 lab the student will be able to: Impression Materials Demonstrate various mixing techniques and manipulation for dental materials. Demonstrate how to take an alginate impression suitable for diagnostic casts. Demonstrate tray selection for an alginate impression. Demonstrate mixing alginate, loading and seating the tray, and removing the impression. Demonstrate proper handling of alginate impression. Demonstrate tray selection for an edentulous impression. Bonding Demonstrate procedures for bonding to enamel and dentin. Direct and Indirect Esthetic and Restorative Materials Demonstrate how to place a composite resin restoration in a tooth set in stone Demonstrate steps to be taken to ensure proper conditions for shade taking. Demonstrate how to apply sealants to a tooth mounted in stone. Amalgam and Composite Materials Demonstrate how to properly mix and place amalgam in a tooth mounted in stone. Finishing and Polishing Finish and polish a preexisting amalgam restoration. Polish a preexisting composite restoration. Dental Cements Apply the mixing technique ZOE. Apply the mixing technique for Glass Ionomer Lining Cement Apply the mixing technique for Glass Ionomer Cement (Ketac-Cem) Apply the mixing technique for Calcium Hydroxide Liner (Dycal) Apply the mixing technique for mixing Temporary Cement (Temp Bond) Apply the mixing technique for Zinc Phosphate Additional Impression Materials Apply the mixing technique Polyether Impression Material Apply the mixing technique Vinyl Polysiloxane Impression Material Apply the mixing technique Polysulfide Impression Material Apply the mixing technique Vinyl Siloxane Impression Material (Express or Extrude) using Putty-Wash Technique Dental Wax Demonstrate obtaining wax bite registration. Gypsum Products Obtain and pour and trim study models for diagnostic purposes. Demonstrate differences between negative and positive reproductions Polymers for Prosthetic Dentistry Perform a denture repair and polish acrylic. Fabricate a custom tray from an edentulous cast. Mount upper model on a articulator Dental Resins and Provisional Restoration Fabricate a custom provisional crown Bleaching Materials Fabricate custom bleaching trays from stone casts using thermoplastic vinyl material. Fabricate a sports mouth guard. Grading Quizzes & Weekly Proficiencies Midterm Final exam Final Lab OSCE Attendance, and preparation 20% 15% 25% 25% 15% Reading assignments are to be read before the class. Make-up for lecture, quiz, and lab will be allowed only for excused absence. Methods Of Instruction Lecture Group discussion Supervised laboratory practice OSCE Text and Materials Hatrick, Carol, Eakle, W., Birk, William, Dental materials, Saunders, 2003. Dietz-Bourguignon, Ellen, Materials and procedures for today’s dental assistant, Delmar Learning, 2006.