Orthodontic Curriculum Proposal for Dental Students.doc
Curriculum Proposal for OrthodonticsI. OVERVIEW OF ORTHODONTICS DEPARTMENT CURRICULUM INNOVATIONPLANS FOR 2006-2007GOALTo develop a curriculum that prepares the new dental practitioner torecognize orthodontic problems, to distinguish between limited andcomplex cases and to be capable of discussing treatment options withpatients and other health care providers. The orthodontic curriculumproposal incorporates the use of technology that will allow for self pacedlearning and support diverse learning styles.II. DEPARTMENTAL KEY INNOVATIONS 1. Didactic Coursework – The initial core didactic component will provide the basic knowledge required for understanding the development of dental and skeletal malocclusions and orthodontic diagnosis and treatment planning. The curriculum will allow for an earlier start of the clinical experience as diagnosis and treatment planning content will be provided in earlier courses. The core didactic content will also include an introduction to treatment methods for limited and comprehensive cases that will be offered later in the curriculum. Emphasis will be given to small group seminars, case based seminars and innovative approaches for delivering course material (e-lessons, video, web-based material). The vertical integration model will be used in the didactic core courses. Post-doctoral students will act as facilitators of the small group seminars and will actively participate in teaching diagnosis and treatment planning skills with faculty. The use of an Orthodontic Case Development web- site will be implemented to allow multiple diagnosis and treatment planning sessions showing a variety of cases prior to the students’ clinic start. Also, a web-based orthodontic and treatment planning competency will be established so the students will be better prepared for their clinic rotations. These competencies will also support self paced learning allowing fast learners to start the clinic rotation earlier. The orthodontic curriculum will also provide interaction with the Pediatric Dentistry Division –Department of Health Promotion and Policy in a multidisciplinary course that will include diagnosis and treatment planning for the child and adolescent patient. Elective orthodontic courses including treatment planning of more comprehensive cases will be available for students with special
interest in orthodontics. A minor tooth movement simulation laboratory course aimed at gaining skills in appliance fabrication will also be available as an elective. 2. Clinical Training - The clinical portion will focus on orthodontic diagnosis and treatment planning and their relationship to other dental disciplines. Pre-doctoral students will perform comprehensive clinical exams on patients in a block rotation system, supervised by a graduate student and faculty member. These patients are referred to the Orthodontic Clinic for screening. The block rotations will allow for more efficient screening of orthodontic patients and will increase opportunities for students to see a variety of orthodontic problems. The vertical integration model will also allow for pre-doctoral students to participate in delivery of comprehensive treatment. The orthodontic clinical competency will be accomplished by screening a patient as opposed to the present model where students pair up to complete the orthodontic competency. The pre-doctoral student will participate in vertical team in all stages of treatment. The opportunity to manage simple orthodontic cases will be offered to outstanding students with special interest in orthodontics.III. RELATIONSHIP OF DEPARTMENTAL PLANS TO CURRICULUM INNOVATIONGOALSThe new curriculum will: 1. Include different modalities for delivering content (small group seminars, e-lessons, web-based cases) 2. Provide diagnosis and treatment planning core content early in the curriculum to allow for early clinic experiences 3. Incorporate vertical integration in clinic and didactic courses 4. Provide multidisciplinary interaction
Didactic Curriculum Growth and Development and its E-lessons Application to Orthodontic Diagnosis Small group discussions Cephalometrics laboratory exercise Foundation for the Evaluation and E-lessons, videos Management of the Child and Simulation exercisesCore Clinic time, Bench work Adolescent Group discussions- traditional Comprehensive Orthodontic E-lessons, Management and Treatment Group discussions - traditional Case development web site Orthodontic Case Presentation Group discussions of casesElective Minor Tooth Movement Bench work Simulation Simulation exercises (laboratory or clinic)Clinical Curriculum Block rotations -screenings Competency exam - Clinical Core Examination and diagnosis Clinical Orthodontics Participate in comprehensive care with post-doctoral studentsSelective Orthodontic Case Management Management of a Simple Orthodontic case
Orthodontic Curriculum Sequence Growth and Development and Foundation for the Evaluation its and Management of the Application to Child and Adolescent Orthodontic Diagnosis Comprehensive Orthodontic Management and Treatment Clinical Orthodontics Orthodontic Case Management Orthodontic Case Presentation Minor Tooth Movement Simulation
IV. DIDACTIC CURRICULUM – CORE COURSESGrowth and Development and its Application to Orthodontic Diagnosis1. Basic Knowledge Required - Anatomy - Embryology and Histology - Genetics - Dental Anatomy/Occlusion2. This course is primarily intended for - Year 2 dental students or end of year 13. Course DescriptionThis course will provide information about the basic principles of prenataland post-natal growth of the craniofacial region, development of theocclusion and diagnosis of different types of malocclusion. Emphasis willbe aimed at integrating basic concepts of growth and development withthe diagnosis and analysis of dental and skeletal malocclusions. Thiscourse will prepare students for the clinical foundation course and theorthodontic treatment course. This course will provide a series of self-instructional materials. The small group seminars will facilitate aninteractive discussion to review the material in the classroom. The coursewill include topics such as: The development of the craniofacial complex,theories of craniofacial growth, development of the dentition, occlusion andmalocclusion, facial form analysis, cephalometric analysis4. Objectives - To describe the major sites of growth and types of bone growth in the cranial base, nasomaxillary complex, and mandible. - To discuss the developmental growth mechanisms that influence variability in facial characteristics (size, shape, proportions). - To describe the developmental changes that occur in the mandible and maxilla during the development of the occlusion - To identify the factors in normal growth that influence the development of the dental arches and occlusion - To describe the Angle system of classification of malocclusion and to recognize the characteristics of each classification. - To identify the general and specific factors that may contribute to the development of a malocclusion - To describe the normal eruption of teeth and identify abnormal eruption sequences
- To describe the various factors involved in the etiology of malocclusion - To differentiate skeletal and dental components of developmental problems - To trace and analyze a lateral cephalogram5. Course Format - e-lessons: Computer Teaching Programs (CTP) for Levels I-IV Growth and Development produced by the University of North Carolina - School of Dentistry. These computer programs consist of comprehensive educational modules developed by Dr. William R. Proffit author of “Contemporary Orthodontics”, the textbook we are currently using for teaching dental students. - Small Group Discussions: The class will be divided in small groups. A faculty member and/or a graduate student will support the learning process with discussions of the material covered - Laboratory or classroom: Tracing of a lateral cephalogram. Each student will need a view box. The class will be divided in small groups.6. Grading Guidelines - Computer self test: From the Growth and Development teaching modules - Short written examination: At the small group discussions to corroborate that the material covered by e-lessons was understood - Final Examination: Comprehensive final examination7. Estimated Contact Hours - 30 contacts hours (include time for e-lessons and discussion)
Foundation for the Evaluation and Management of the Child andAdolescent PatientDepartment of Health Promotion and Policy- Division of Pediatric DentistryDepartment of Orthodontics1. Basic Knowledge Required - Growth and Development (GROW521) - Primary dentition anatomy (Restorative 511)2. This course is primarily intended for - Year 2 dental students3. Course DescriptionThis course introduces the dental student into the field of pediatric andadolescent dentistry. The course includes lectures on caries prevention,patient examination, and data collection in the clinic, rubber damplacement, restorations, principles of tooth movement, space analysisand management and principles of removable and fixed appliances. Alaboratory component includes preparations in primary teeth foramalgam and composite restorations and stainless steel crowns, spaceanalysis, removable and fixed appliances design, and banding andbonding exercises.4. ObjectivesAfter successfully completing this course, the students will be able to: - Conduct an oral examination of a child or adolescent patient - Obtain accurate radiographs and diagnostic models - Make a correct preparation for amalgam, composite, or stainless steel crown in primary teeth - Place dental sealants using a rubber dam - Identify and manage space problems - Design, construct and adjust selected removable and fixed orthodontic appliances - Recognize clinical indications and limitations of orthodontic appliances
5. Course Format - Live lectures: Traditional class in a lecture hall and case presentation based lectures. - e-lessons: Computer Teaching Programs (CTP) for Levels I-IV Growth and Development produced by the University of North Carolina - School of Dentistry. - Video: International Training Institute (ITI) videos showing different clinical procedures (alginate impressions, model trimming) - Laboratory Practices: Primary teeth preparations for amalgam and composite restorations and for stainless steel crowns. - Clinical Experience: Students will pair to obtain study models, apply sealants using rubber dam and fluoride varnish on each other. - Case Development: The students will have access to common orthodontic situations from a web-site. This site will provide all the information necessary to develop a preliminary problem list.6. Grading Guidelines - Practical Competency Pediatric dentistry practical competency: Preparation for restorations in primary teeth. Students must pass each competency in two attempts. - Web Based Case Development Orthodontic Competency: A case will be assigned to each student to develop a diagnosis and preliminary problem list. - Self tests: Provided by the CTP after completion of some modules - Final Examination: Comprehensive final examination7. Estimated Contact Hours - 25 laboratory/clinical hours (hands on exercises and case development exercises) - 19 didactic contact hours
Comprehensive Orthodontic Management and Treatment1. Basic Knowledge Required - Orthodontic Core Courses2. This course is primarily intended for - Year 3 dental students3. Course DescriptionThis course will review diagnosis and treatment planning for the child andadult patient. This course will give students the necessary background torecognize a variety of orthodontic problems and to discuss the differenttreatment options available. Emphasis will focus in differentiating thosepatients that can be treated by a general practitioner from patients thatrequire specialty care. The course will include examples of treatmentmodalities for early treatment, functional appliances and comprehensiveorthodontic treatment.4. Objectives - To discuss the indications and contraindications for different appliances - To understand concepts of early vs. late orthodontic treatment - To understand the use of orthodontics as an adjunctive treatment - To understand the indications and contraindications of orthognathic surgery - To discuss the advantages and disadvantages of different retention procedures - To recognize the characteristics of the most common craniofacial anomalies - To understand the importance of informed consent and its application in orthodontic treatment5. Course Format - e-lessons: Computer Teaching Programs (CTP) for Levels I-IV Growth and Development produced by the University of North Carolina - School of Dentistry.
6. Grading Guidelines - On-line quizzes - Self tests: Provided by the CTP after completion of some modules - Final Examination: Comprehensive final examination7. Estimated Contact Hours - 1 ½ hour sessions - 23 contact hours
V. DIDACTIC CURRICULUM – ELECTIVE COURSESOrthodontic Case Presentation1. Basic Knowledge Required - Didactic Orthodontic Core Courses2. This course is primarily intended for - Year 3 and or 4 dental students3. Course DescriptionThis course will allow each student the opportunity to be exposed to avariety of clinical conditions on adult and child patients.4. Objectives - To participate in discussions about orthodontic diagnosis and treatment planning - To analyze orthodontic records - To select appropriate treatment options5. Course Format - Group Case Presentations: Students will work in groups to develop a case from records available from the orthodontic data-base (in progress) and present it to the class. The class will be divided in groups and each group will have a faculty member or graduate student to lead the discussion. - Individual Case Development: The students will have access to more complex cases from a web-site. This site will provide all the information necessary to develop a problem list and a treatment plan. This approach will enable the students to get exposed to a larger selection of cases.6. Grading Guidelines Case presentations - Students will be graded from a case presented to a small group (students could work in groups developing a case presentation) Case development competency from records available on the web - Students will be assigned a case from the web-site and will require to: - Make a diagnosis of the case - Develop an orthodontic problem list - List different treatment options - This information will be submitted on-line to the instructor
Minor Tooth Movement Simulation1. Basic Knowledge Required - Orthodontics Didactic Core Courses2. This course is primarily intended for - Beginning of year 3 dental students3. Course DescriptionThis course is designed to provide additional hands on experience tostudents with special interest in orthodontics. The student will completebanding and bonding exercises, simulation of minor tooth movements on atypodont and design and construct selected orthodontic appliances.4. Objectives - To describe the appropriate use of orthodontic appliances - To design, construct and adjust selected removable and fixed appliances - To recognize clinical indications and limitations of orthodontic appliances - To acquire clinical skills to manage fixed appliances5. Course Format - Laboratory Exercises : The student will construct selected orthodontic appliances - Simulation Exercises: Using a typodont the student will be able to simulate minor tooth movement.6. Grading Guidelines - The final grade will be determined on the basis of the student’scompletion of each exercise.7. Estimated Contact Hours - 14 contact hours
VI. CLINICAL CURRICULUM- CORE COURSEClinical Orthodontics1. Basic Knowledge Required - Orthodontics Core Courses2. This course is primarily intended for - Year 3 dental students - Could extend to year 43. Course DescriptionThis course is designed to provide direct clinical application of principles oforthodontic diagnosis and treatment planning. The student will performpatient clinical examinations and/or assist graduate orthodontic students inpatient care.4. Objectives - To complete an orthodontic examination - To analyze and plan limited orthodontic treatment - To recognize the need to refer complex cases to the specialist - To understand different treatment options and be able to discuss them with patients - To acquire clinical experience in orthodontic procedures5. Course Format - Block rotations: 6-8 (half day) block rotations in the orthodontic clinic. Patients will be scheduled for orthodontic screening and the student will perform a clinical exam develop a problem list and discuss treatment options with the supervision of a graduate student and faculty members.6. Grading Guidelines Clinical Competency - Perform a clinical examination on a patient - Develop an orthodontic preliminary problem list - Discuss different treatment options
VII. CLINICAL CURRICULUM- SELECTIVE COURSEOrthodontic Case Management (Limited Cases)1. Basic Knowledge Required - All orthodontics didactic courses and clinical courses2. This course is primarily intended for - Year 4 dental students with special interest in orthodontics after the completion of orthodontic competencies. (Could include year 3 dental students)3. Course DescriptionThis course will allow each student the opportunity to manage simpleorthodontic cases. This course is designed to help students understand theprinciples of orthodontic diagnosis, treatment planning, biomechanics andpatient management. This experience will provide direct contact withpatients who have limited orthodontic needs and/or will involve students inthe management of more complex cases that require comprehensiveorthodontic care.4. Objectives - To perform a comprehensive clinical evaluation - To select the appropriate diagnostic records - To develop an orthodontic problem list - To develop an adequate treatment plan integrated with other aspects of dental care when appropriate - To manage an orthodontic case - To provide the patient with accurate information about their orthodontic needs5. Course FormatThe student must complete treatment for a patient requiring active toothmovement. The patient should have a fully documented record of thetreatment including pre and post treatment study casts. The student shouldmaintain an acceptable standard of patient care throughout treatment.6. Grading GuidelinesThe final grade will be determined on the basis of the student’s casepreparation, case management, and case presentation.The students must prepare to participate in clinical treatment including caseanalysis and treatment planning. The student is required to review ofmaterial they have received in previous didactic and laboratory courses.