Mansoura University
Faculty of Dentistry
Department of Conservative Dentistry
COURSE
SPECIFICATION
4th Year Clinical Operative Dentistry
Professor Dr Salah Hasab Mahmoud, Chairman of
Conservative Dentistry Department
2012/2013
1
Mansoura University
Faculty of Dentistry
Conservative Dentistry Department
Division of Operative Dentistry
Academic Year 2012/2013
Year 3
Course Purpose
The overall purpose of the course is to facilitate the transition of students from
the pre-clinic laboratory to the clinic setting. Students are expected to
demonstrate competency in the surgical treatment of dental caries prior to being
certified ready for patient treatment. Treatment planning in Operative Dentistry
will be discussed, which includes the diagnosis of dental caries and other dental
abnormalities; and the understanding of different treatment options relating to
the diagnosis
Aim
To achieve competency in the clinical skills of conservative dentistry: the
diagnosis, management, treatment planning and treatment of caries by amalgam
restorations.
Objectives in years 3
I. Treatment planning in Dentistry
a. To introduce to the student the current status of treatment planning in private
practice.
b. To provide the student with reasons for the variation in treatment planning
among general dentists.
c. To introduce to the student the concept of utilizing evidence based dentistry in
treatment planning.
d. To introduce to the student the problem oriented model in treatment planning.
e. To introduce to the student the importance of 2 other factors (patient’s
preference and caries risk assessment) in formulating treatment options.
II. Diagnosis of dental caries and treatment options
2
a. To introduce to the students the current method in diagnosing pits and fissures
caries lesions; and the available treatment options.
b. To introduce to the students the current method in diagnosing smooth surface
caries lesions; and the available treatment options.
c. To introduce to the students the current method in diagnosing proximal
surface caries lesions; and the available treatment options.
d. To introduce to the students the current method in diagnosing root surface
caries lesions; and the available treatment options.
e. To introduce to the students the current method in diagnosing secondary
caries lesions; and the available treatment options.
IV. Competency in the surgical treatment of dental caries in a
simulated clinical setting
a. To test for student competency in Class I amalgam preparation and restoration.
b. To test for student competency in Class II amalgam preparation and
restoration.
d. To introduce to the student various matrixing methods used.
VI. Introduction to Operative Dentistry Clinic
a. To introduce to the student rules and regulations in the Operative Dentistry
Clinic
b. To introduce to the student the evaluation system used in the Operative
Dentistry Clinic
c. To introduce to the student the proper operator and patient positioning in the
dental chair.
Clinical course, progress and development
 Activity
Sunday, Monday Tuesday Wednesday Thursday









3
Names of Demonstrators
Mohamed Samer
Weahm Abd El-Latef
Nashat Magdy
Tamer El-shahwy
Radwaa Elmorsy
Rabab Elaraby
Huda Abed El-haliem
Eman Sobh
The aim of year 3 is to ensure that you have completed most of the requirements
for finals which are:
(a) Number of Class I amalgam restorations
15
(b) Number of Class II amalgam restorations
10
 Competency test
By the end of year 3 you will be expected to complete a competency test in
operative dentistry. The assessment will be undertaken by the Professors of the
filed on the clinic not your usual timetabled teacher. Failure to pass the test by
the end of year 3 may hinder your progression into year 4.
 Attendance
You are expected to attend all clinical sessions. When patients fail to attend or
you cannot get a chair booked you are still expected to attend. A register will be
kept of student attendance. During the following periods your demonstrator will
assess your progress. There will be no patient treatment during this period.
 Student assessment of staff
Towards the end of the year 3 you will have the opportunity to comment
confidentially on various aspects of your demonstrator’s teaching. The
demonstrator and the departmental year co-ordinator will review this. These
forms are anonymous. If there are major difficulties then students will be invited
to speak directly to the departmental co-ordinator or the head of division to
attempt to resolve them. Do not feel inhibited to ask for help and guidance at any
time. Please do not be afraid to ask for help as this is much better than ignoring a
problem that can multiply and become much more difficult to sort out later.
Lecture programme year 3 and Intended learning
Outcome

Assessment of Dental Patient
This lecture addresses the rationale and method for gathering relevant medical
and dental information (including the examination of the patient) and the use of
this information for dental treatment.
After the lecture a student should be able to:
4
Perform and document patient assessment procedures which are vital to the
practice of dental hygiene—a complete and accurate assessment is the starting
point to providing thorough patient care.

Caries Diagnosis
Diagnosis, prevention, and treatment of dental caries must be the foremost
objectives of operative dentistry. As the aim of this lecture is to develop
scientifically based recommendations that can be applied by dentists, it is
important that the “everyday” fundamentals of clinical caries diagnosis are
addressed clearly and objectively. Clinical caries diagnosis represents the
foundation on which the answers to most of the consensus questions will be
based, either through providing information on caries detection (or acting as the
benchmark from which other methods must be judged), being part of risk
assessments, being used in the assessment of both primary and secondary
preventive strategies, or playing a key role in informing clinical decision making.
After completing the lecture, you'll be able to:
1.
2.
3.
Understand the basics of cariology, specifically diagnose caries more
effectively especially in its early stages
Learn more about the new methods in caries diagnosis
Distinguish between different types of dental caries
 Treatment Planning
This lecture provides essential knowledge for creating treatment plans for adult
dental patients. Treatment planning strategies are presented to help with
balancing the ideal with the practical, with emphasis placed on the central role of
the patient - whose needs should drive the treatment planning process. The focus
is on planning of treatment, not on the comprehensive details of every treatment
modality in dentistry
 Selection of Restorative Materials
This lecture covers the followings:



5
Biological considerations of the tooth while selecting the restorative
materials.
Physical and clinical properties of the restorative materials.
General factors considered while selecting restorative material
After the lecture a student should be able to: select the restorative material
appropriate for every patient.
 Biological Considerations of Operative Procedures
This lecture covers the physical, chemical and thermal irritation of the restorative
procedures on the soft and hard dental tissues.
After the lecture a student should be able to: recognize the biological considerations
during tooth cutting and restoration with different restorative material.
 Pain Control & Postoperative Sensitivity
This lecture covers the causes of pain occurred during operative procedures and
postoperative sensitivity (causes, theories, management).
After the lecture a student should be able to:
1. Control of pain occurred during operative procedures.
2. Deal and mange the postoperative sensitivity.

Temporary Restoration
This lecture covers types and advantages of temporary fillings.
After the lecture a student should be able to select and place the ideal temporary filling
for each specific case.
 Management of Non- Carious Lesions
This lecture covers the types of non-carious lesions which include abrasion,
erosion and attrition of teeth.
After the lecture a student should be able to diagnose and treat non-carious tooth
defects.
 Management of Mild & Moderate Carious Lesions
This lecture will address the followings:
1. Mild and moderate carious lesions.
2. Past, present, and future treatment modalities.
After the lecture a student should be able to select non invasive strategies and new
treatment modalities for treatment of these lesions.

Operative Management of Deep Carious Lesions and Pulp Protection
To understand the principles of when to treat deep dental caries. This lecture
addresses the new developments in concepts behind the carious process and
handling of the deep carious lesions.
6
After the lecture the student will be able to:
1. Describe the structure of carious dentin.
2. Differentiate between affected and infected dentin.
3. To give students a broad understanding of the alternative methods available
for removing carious dentin, with advantages and disadvantages.
Current concepts of adhesion to dental hard tissues
Hard tissue anatomy, requirements for adhesion and different adhesive systems
will be covered.
After the lecture a student should be able to:
1. Explain the relevance of tooth structure for adhesion
2. Describe the effects of surface preparation prior to bonding
3. Describe the concepts of resin hybridization
4. Discuss the differences between resin based and glass ionomer adhesion
5. Explain the concept of shrinkage stress and its effect on bonding


Direct Posterior Composite Restorations
This lecture addresses the followings:
1. Indications for direct posterior composite
2. Choosing posterior composite
3. Clinical stages for restorations using direct posterior composite
After the lecture a student should be able to prepare and restore a posterior tooth with
direct posterior composite material.
Reading list
The reading list given in the second year should be consulted. Tutors may give
students supplemental references relating to tutorial topics. It is expected that
students will use the reading list as a basis for undertaking literature searches.
The last editions of the following books are useful.
 Hugh Devlin, Operative Dentistry A Practical Guide to Recent Innovations,
Springer-Verlag Berlin Heidelberg
 B Kidd, EAM, Pickards Manual of Operative Dentistry. Oxford Medical
Publications
 AJE Qualtrough, JD Satterthwaite, LA Morrow, PA Brunton, Principles of
Operative Dentistry, Blackwell Publishing
 Robert G. Craig, John M. Powers, Restorative Dental Materials, Mosby,
Inc.
7
 James Summitt, J Williams Robbins, Richard Schwartz, Jose dos Santos,
Fundamentals of Operative Dentistry A Contemporary Approach,
Quintessence Publishing Co, Inc
 Theodore M. Robersons, Sturdevant's Art & Science of Operative
Dentistry, Mosby, Inc.
Course Director
Course director: Dr. Nadia Zaghloul, Associate Professor of Operative
Dentistry
Chairman of the Department
Dr. Salah Hasab Mahmoud, Professor of Operative Dentistry
8