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  2. 2. Updated: May 12, 2009 Riyadh Colleges of Dentistry & Pharmacy Postgraduate Dental Studies PROSTHODONTICS/IMPLANT GRADUATE PROGRAM DR. MOHAMMAD RAYYAN Asst. Professor & Senior Registrar of Prosthodontics Program Director of Prosthodontics/Implant E-mail Address: Curriculum & Clinical Requirements The following courses are shared with other clinical specialties and they have beendescribed elsewhere.A • Applied Anatomy & PhysiologyB • Oral Biology • Advanced Oral Maxillofacial Radiology • Dental Biomaterials • Applied Pharmacology in Dental PracticeC • Applied Biostatistics • Research Methods & Scientific Writing • Communication Skills & Teaching Methods.D Specialty Courses Prosthodontics/Implant Specialty Seminars (Years 1, 2, 3) Many subject areas will be covered in these seminars which are offered every semester. Since all prosthodontics and prosthodontics-related subjects or courses cannot be separately accorded scheduled time, the prosthodontics seminar serves to bring the covered include but are not limited to Perio-prosthodontics cases, multidisciplinary treatments, biomechanics, in-depth literature reviews, esthetics and alternate prosthodontics treatment plans, occlusion, geriodontics classic and current literature in Prosthodontics. 2
  3. 3. Updated: May 12, 2009Prosthodontics/Implant Specialty Clinics (Years 1, 2, 3) The continuous clinical sessions from year one through year three providestructured opportunity for advanced clinical training and hands-on experiences in fixed,removable, implant and maxillofacial prosthodontics. Adequate number of cases will bearranged to assure that the student acquires adequate training in these areas ofprosthodontics. As the student advances in training more complicated cases will beassigned for treatment. The clinical sessions are the means of meeting the prescribedclinical requirements of the graduate students. A strong component of the clinical sessionis the “Log Book” in which the details of a comprehensive prosthodontic care must beentered and be open or accessible for evaluation by the teaching staff.Advanced Treatment Planning (Year 1, 2, & 3) The format of this seminar is mixed – lecture/ seminar/ guided readingassignment. The topics covered are varied – indications and contraindications forcomplex and not-so-complex cases of fixed and removable prosthodontics, implantology,immediate dentures and overdentures, precision attachments, use of periodontalprostheses and TMJ management. Students may be asked to present guided readingassignment or treatment planning and may also be requested to present “cases” they havemanaged.Advanced Fixed Prosthodontics (Year 1) The course aims at providing the students with solid advanced knowledge in thefield of fixed prosthodontics to ensure higher competence in both general and specialareas of this field. The course prepares a candidate to make the correct, scientifically based andclinically oriented, clinical decisions, diagnosis and treatment planning. The course alsoprovides in depth knowledge of the biomechanical principles of tooth preparation and itsrelation to success of prosthetic treatment, adhesive dentistry, esthetic rehabilitation, allceramic technology and their application, the latest advances in the management ofendodontically treated teeth, using metal and metal free systems, planning for full mouthrehabilitation and understand the concept of occlusal rearrangement. Moreover, thecourse will provide students with adequate knowledge of the success and failure of fixedprostheses and the management of failed restorations Course topics includes: - Making clinical decisions, diagnosis and treatment planning. - Management of endodontically treated teeth - Biomechanical aspects of tooth preparation and marginal finish design - Soft tissue management and impression making - Provisional restorations - Applied practical knowledge in occlusion related to simple and advanced restorative dentistry - Management of severly worn dentition and full mouth rehabilitation - Adhesive techniques including resin-bonded fixed partial dentures, inlays, onlays and porcalain laminbate veneers. - The aesthstic considerations involoved in fixed prothodontics - Advanced knowledge in updated treatment modalities, types of fixed partial dentures and new techniques - The all ceramic technology and CAD/CAM technology 3
  4. 4. Updated: May 12, 2009 - Biomechanics of single tooth implants and fixed partial denture retained by implants - Causes and management of failed fixed prosthesesAdvanced Removable Prosthodontics (Year 1) This is a theoretical advanced prosthodontics course where students are providedwith extensive theoretical background in the form of 2 hours seminar once a week.Evidence based information will be provided in different fields of removableprosthodontics to ensure that all students acquire the knowledge necessary to becompetent for the practical work. The course will provide the students with theoretical background needed tounderstand the concepts and principles of construction and planning of the removablepartial and complete denture treatment and other removable devices. Students shouldunderstand concepts and principles of removable prosthodontics as they relate tomanagement of patients and manage the concept of total patient care (full mouthrehabilitation) with respect to partially edentulous patients. Course topics include: The concepts of removable Prosthodontics - Treatment planning and evaluation of patients in removable Prosthodontics. - The general and specific principles of RPD design - Concepts of impression making for removable Prosthodontics including special and advanced techniques required in certain cases; altered cast tech, Neutral zone technique and flappy ridge impressions - Concepts of jaw relation and registration and types of occlusal schemes - Principles of teeth setting and the trial step - The principles of delivering the removable prosthesis and post operative instructions and the maintenance procedure. - The effects of dentures on the tissues and the problems that associate the removable prostheses. - Principles of management using Immediate, copy and single dentures & special dentures. Indications and contraindication and special situations. - Principles of management using maxillofacial prosthodontics. Types, indications and contraindication and special situations. - Principles of management using attachments and overdentures. Types, indications and contraindication and special situations. - Principles of Occlusal management using Occlusal splints. Types, indications and contraindication and special situations. - Management of Sleeping dyspnoea using removable prosthodontics.Occlusion (Year 2) Lectures of this course are set to cover the various topics of applied occlusion andtheir clinical implication. This course deals with: - anatomy of skeletal, dental, muscular components of the stomatognathic system - functional anatomy of the TMJ, neuromuscular control of oral functions, and mandibular positions and movement - diagnosis and management of pathophysiological conditions of the system 4
  5. 5. Updated: May 12, 2009 Course topics includes - anatomy of the stomatognathic system - Intermaxillary relation - Mandibular movements - Occlusal harmony & interferences - Articulators & their use - Facebows & interocclusal records - Occlusion in restorative dentistry - Temporomandibular joint dysfunction - Occlusal therapy and occlusal splints - Occlusal adjustments Implant Prosthodontics (Year 1) This course covers the principles of osseointegration, indications, treatment planning, clinical and laboratory procedures of implant prosthesis Course topics include - Introduction and Historical Review - Biological, clinical and Surgical aspects of oral implants - Science of osseointegration - Diagnosis and treatment planning - Radiological interpretation for selection of fixtures - Splints for guidance for surgical placement of fixtures. - Guided bone and Tissue generation consideration for implants fixture. - Implants supported prosthesis for complete edentulism and partial edentulism - Occlusion for implant supported prosthesis. - Peri-implant tissue and Management. - Maintenance and after care - Management of failed restoration Literature Review in Prosthodontics Topics I to VI (Years 1,2 & 3) These courses are offered as 3-hour seminars weekly for reviewing the literature in Prosthodontics clinical dentistry. List of published papers will be given to students in the beginning of each semester. Students will be required to read, summarize and present for class discussion, the literature assigned by the course director. It is aimed to review previous publications on different topics in Prosthodontics dentistry. In addition, updated literature will also be included to increase the knowledge of the students. Cardiopulmonary Resuscitation (CPR) (Years 1, 2 & 3) This will be offer to the residents as part of RCDP policies. The CPR will come from two levels, the basic and advanced, each resident must be certified according to the rules and regulations at the Kingdom of Saudi Arabia.E Research/ Thesis (Year 3) The common compulsory care course of “Research Methods and Scientific Writing” prepares the graduate student for a novel and meaningful research on a chosen and approved topic which will culminate in a Thesis to be presented and defended in an examination by a panel of examiners. After a student has an approved research topic, with guidance, the student is expected to be able to carry on the research relatively 5
  6. 6. Updated: May 12, 2009 independently. In carrying out the research, the student should demonstrate satisfactorily, critical thinking, ability to execute the research as approved, honesty, thoroughness, intellectual curiosity and the desire to add to “knowledge” in the chosen area of research.F Clinical Requirements The minimum clinical requirements which will be well document in student’s clinical Log Books are as follows. • Removable Partial Denture (mixed varieties) 25 units • Complete Dentures (mixed varieties) 30 units • Fixed Prosthodontics 180 units (Single crowns, fixed partial dentures porcelain veneers, cast and cores, all of these in prescribed numbers) • Implants 10 units (single crowns, FPD, implant-retained overdentures) • Comprehensive full-mouth rehabilitation 3 cases (mixed complexity) • TMD (occlusal appliances) 2 • Maxillofacial Prosthetics 1 Without a satisfactory completion of these minimum requirements, a graduate student may not be issued a certificate of clinical Competency in Prosthodontics. 6