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DENTAL/STOMATOLOGY COURSE

A REFERENCE BOOK IS FOR STUDENT
FROM STUDY OF EDUCATIONAL DISCIPLINE
”PROPEDEUTIC OF ORTHOPEDIC DENTAL/STOMATOLOGY ”

(structure, aims, maintenance of discipline, evaluation principles
control questions)

«Recommended»
on meeting of department
propedeutic of orthopedic stomatology
Head of department
professor________________M.D.Korol
«______» _______________2010

Poltava- 2010

1. Entry.
Propedeutic of orthopedic dental/stomatology is a common course of orthopedic dental/stomatology which enables to capture knowledges of functional anatomy of masticatory system, biomaterials which include: impression materials, plastics, ceramic masses, alloys of metals, abrasives. Also propedeutic of orthopedic dental/stomatology includes an acquaintance with basic technologies of fixed and removable dentures.

Feature of study of propedeutic of orthopedic stomatology in that with it the study of «Orthopaedic dental/stomatology»is begun. Propedeutic of orthopedic dental/stomatology is not only entering into orthopedic stomatology,but an interlink between theoretical and practical disciplines

Amount of educational hours – 135 (4,5 credits of ECTS) from them:
– lectures – 6 hours

– practical studies – 74 hours;
– independent work of students – 55 hours.

Studied on a ІІ course during the third and fourth semesters.
The table of contents of discipline is structured on a 1 module and 3 thematic modules.

2. The structure of educational discipline

”Propedeutic of orthopedic  dental/stomatology ” and an extra charge of marks for current educational activity (converting of traditional estimations in marks; an estimation in marks for implementation of individual tasks).

№ module, hours,
credits

ECTS    Thematic modules
their numbers    practical

employ-
ments which are estimated    Converting in points

traditional estimations    Points for execution
ІСРС    The least of points

3. Ultimate goals of study of discipline in accordance with the program
Educationally professional program (OPP):

•    to analyse the анатомо-функціональніfeatures of organs of the зубощелепноїsystem;

•    to determine composition, properties and applications of basic and auxiliary materials for making of dentures;

•    to demonstrate the technological stages of making of unremovable and removable constructions of dentures on phantoms;

•    to explain positive and negative properties of unremovable and removable constructions of dentures.

4. Description of the modules of discipline «Propedeutic of orthopedic dental/stomatology».

Module 1. Propedeutic orthopedic dental/stomatology.

4.1. Thematic plan of lectures.


theme    hours
1    Acquaintance with an object «Orthopedic dental/stomatology»: stages of development, sections, tasks, general principles, problems.    2

2    Functional anatomy of masticatory system. Articulation, occlusion. Bite: kinds and description.    2

3    Biomaterials in orthopedic dental/stomatology.    2

4.2.Thematic plan of practical studies.


theme    hours

1    Organizational principles of work in orthopedic clinic. Equipment of clinic and dental laboratory. Acquaintance with the working place of prosthodontist and dental technician.    2

2    Functional anatomy of  upper and lower jaw. General lines and differences of their development and structure.     2

3    Innervation of masticatory system/ masticatory muscles.    2

4    Features of structure and function of the temporomandibular joint.    2

5    Teeth, dental arches. Articulation and oclusion. Types of bites.    2

6    Control of mastering of the thematic module 1.    2

7    Classifications and requirements of impresion materials.    2

8     Impression materials which are crystallized.    2

9    Thermoplastic  impression materials .    2

10    Alginate impression materials.    2

11     Silicon impression materials.    2

12    Materials for duplication of models and making of heat-resistant models.    2

13     Designings materials.    2

14     Plastics.    2

15     Ceramic masses.    2

16    Alloys of metals.    2

17    Materials for finishing and polishing of dentures.    2

18    Control of mastering of the thematic module 2.    2

19    Technology of inlays making.    2

20    Technology of pressed crown making : impression making, models making, metallic stamps making.    2

21    Technology of pressed crown making: punching and treatment of crown.    2

22    Technology of the Belkinin’ combined crown making .    2

23    Technology of plastic crown making.    2

24    Technology of  post core restoration.    2

25    Technology of pressed-soldered bridge making.    2

26    Technology of cast bridge making.    2

27    Technology  of casting.    2

28    Technology of metal plastic bridge making.    2

29    Technology of ceramic bridge making .    2

30    Technology of of partial removable denture: impression obtaining.    2

31    Technology of of partial removable denture: making of occlusal rims, centric oclusion registration.    2

32    Technology of of partial removable denture: fixation and stabilization. Clasps.    2

33    Technology of of partial removable denture: arrangement of artificial teeth.    2

34    Technology of of partial removable denture: substituting of beeswax on  a plastic. Finishing and polishing of partial removable denture.    2

35    Reasons of breakages and methods of repaires of partial removable dentures.      2

36    Control of mastering of the thematic module 3.    2

37    Final control of mastering of the module 1.    2

Together    74

4.3. Types of independent work of student.

THEME    hours    Type of control

1    Preparation to practical studies is theoretical preparation and working of practical skills.    36    Current control is on practical employments

2    Preparation to control of mastering of the thematic modules is theoretical preparation and working of practical skills.    6    Current control is on practical employments

3    Independent working of themes which are not included in the plan of audience employments:

Technology of making of dentures is from composite materials.    2    Final module control

Technology of making and setting of temporal crowns.    2    Final module control

Features of determination of color of natural teeth at making of aesthetical constructions of dentures.    2    Final module control

Technology of removable dentures making with a metallic base.    3    Final module control

4    Preparation to to

final control of mastering of the module 1    4    Final module control

TOGETHER    55

4.4. List of individual tasks.

1. Preparation for review of scientific literature from themes which are studied.

2. Writing of abstracts on themes:

•    Types and classification of fixed dentures.

•    Types and classification of removable dentures.

•    Features of preparing of teeth for the different types of artificial crowns.

•    Cements for fixed dentures fixing.

•    Classifications of defects of crowns.

•    Classifications of defects of dental arches.

•    Types of retention of partial removable dentures and their description.

•    Methods of arrangement of artificial teeth  in removable dentures.

4.5. Evaluation of educational activity of student.

Evaluation of current educational activity.

At mastering of every theme for current educational activity estimations on a 4-ball (traditional) scale, which are then converted in points depending on the amount of themes in the module.

№ module,  hours,

credits

ECTS    Thematic modules

studies which are estimated    Points which are counted for students    Least points which give admitting to drafting of final modul control.

Points

for executionІСРС

At an estimation on lesson

«5»

«4»

«3»

«2»

Module 1.

74/4,5 cr.    3    36

Practical classes – 33

Control of mastering of the thematic modules – 3

3
4
2
3
1
2
0
0    39
9

The least of points, which a student can get at the study of the module is an admitting criterion to final module control from this module and settles accounts by the increase of the least of marks which answer the estimation of «3»on the amount of the estimated themes of the module, namely – 39 marks (1х33+2х3=39).

The maximal amount of points settles accounts by the increase of maximal amount of points which answer the estimation of «5», on the amount of the estimated themes of the module and by

addition 9 points for individual ISW, namely – 120 points (3х33+4х3+9=120).

Estimations:

•    «fine» (3 points for practical studies and 4 points for control of mastering of the thematic module) – a student which to a full degree owns theoretical educational material from a theme gets, can

utillize the got knowledges for an answer for a question, grounds the answer; mastered practical skills, foreseen the theme of employment; decides the test of task from a theme and explains motion

of their decision.

•    «good» (2 points for practical studies and 3 points for control of mastering of the semantic module) –  a student which to a full degree owns theoretical educational material from a theme gets,

can utillize the got knowledges for an answer for a question, but with some difficulties grounds the answer; mastered practical skills, foreseen the proper employment; can decide the test of task from

a theme, explains motion of their decision.

•    «satisfactorily» – (a 1 point is for practical studies and 2 points for control of mastering of the semantic module) a student which not enough owns theoretical educational material from a theme

gets, with difficulty utillizes the got knowledges, can not ground the answer; mastered not enough practical skills, foreseen the proper employment; with difficulty decides the test of task from a

theme.

•    «unsatisfactorily» (0 point) – a student which does not own theoretical educational material from a theme gets, can not utillize the got knowledges for an answer for a question and to ground

the answer; did not master all of practical skills, foreseen the proper employment; can not untie and explain the decision of test tasks from a theme.

Final module control.

Task 1.

1. to Execute one of tasks of the practical works foreseen a list to final control of the module – 1х20=20 points.

Task 2.

To give a complete and exhaustive answer for 2 theoretical questions (for 5 points) – 2х5=10 points.

Task 3.

To decide 50 test tasks (on a 1 point) – 50х1=50 points.

Evaluation of discipline.

Final module control is carried out on completion of study of all of themes of the module on the last control studies from the module. Before final module control students, which visited all

foreseen an on-line tutorial from discipline audience lessons and at the study of the module collected the amount of points, not less than than minimum, are assumed. Final module control is set off a

student, if he collected the least  – 50 points during his leadthrough. A maximal amount of the got points can be – 80.

An estimation for the module is determined as a sum of marks of current control and final ball estimation with addition of marks for individual work.

An estimation from discipline is proposed only for students which are passed the module. The amount of points, which was collected by a student from discipline, answers the amount of points

for the module. Encouraging marks for the publications of the advanced studies, receipt of prize places on olympiads of discipline can be added to the amount of points, which a student collected.

4.6. List of theoretical questions to final control of the module 1. Propedeutic of orthopedic dental/stomatology.

Thematic module 1. Functional anatomy of masticatory system.

1.    Subject «Orthopedic dental/stomatology» is sections, purpose, task. Scientists which took part in development of domestic orthopaedic dental/stomatology.

2.    Organizational principles of orthopedic clinic and dental laboratory.

3.    Equipment of clinic and dental laboratory.

4.   Functional anatomy of upper and lower jaw. General lines and differences are in their development and structure.

5.    Structure to the temporomandibular joint.

6.    Intercommunication of structure and function to the temporomandibular joint.

7.   Masticatory muscules and its function.

8.    Mimic muscules and its functions.

9.   Teeth, dental arches.

10. Determination of concepts of „articulation” and „occlusion”. Types of  occlusion.

11. Signs of centric occlusion.

12. Description of orthognatic bite.

13. Physiology variants of orthognatic bite, their description.

14. Patho-occlusions.

Thematic module 2. Biomaterials in orthopedic stomatology.

1. Impressions, their classification.

2. Impression trays, their description.

3. Stages of impression making .

4. Classification of impression materials.

5. Requirements for impression materials.

6. Complications are possible at impression making and their warning.

7. Impression materials, which are crystallized. Physical and chemical properties of gypsum.

8. Zink-oxide eugenol impression materials.. Physical and chemical properties.

9. Thermoplastic impression materials. Physical and chemical properties.

10. Alginate impression  materials. Physical and chemical properties.

11. Silicon impressin materials.

12. Materials are for duplication of models.

13. Designings materials. Classification. Requirements to designings materials.

14. Ceramic the masses.

15. Alloys of metals.

16. Physical and chemical properties of plastics.

17. Materials for finishing and polishing of dentures.

18. Basic and auxiliary materials which are used for  inlays making.

19.  Basic and auxiliary materials which are used for artificial crowns making.

20. Basic and auxiliary materials which are used for post core restoration making .

21.  Basic and auxiliary materials which are used for bridge making.

22. Basic and auxiliary materials which are used for partial removable dentures making.

Thematic module 3. Basic technologies of dentures making.

1. Classifications of fixed dentures.

2. Inlays. Indication.

3. Clincal and laboratory stages of inlays making.

4. Artificial crowns. Classification.

5. Indication and requirements to making of artificial crowns.

6. Clincal and laboratory stages of  the pressed crowns making.

7. Clincal and laboratory stages of  the combined crowns making.

8. Clincal and laboratory stages of  the plastic crowns making.

9. Clincal and laboratory stages of  the post core restoration making.

10.Classifications of defects of dental arches by A.I. Betel’man, Kennedi.

11. Bridges. Classification.

12. Indication and requirements to the bridges making.

13. Clinical and laboratory stages of the pressed-soldered bridges making .

14. Clinical and laboratory stages of the cfst bridges making.

15. Clinical and laboratory stages of the plastic bridges making.

16. Clinical and laboratory stages of the ceramic bridges making.

17. Technology of metal casting .

18. Positive and negative properties of fixed constructions of dentures.

19. Partial plate removable dentures. Indication.

20. Clincal and laboratory stages of  the partial plate removable dentures making.

21. Four types of complications (by A.I. Betel’man) for determination

Centric occlusion.

22. Determination of centric occlusion in I and II groups by Betel’man.

23. Determination of centric occlusion in III group by Betel’man.

24. A method of fixing of models  in оccludator.

25. Methods of retention of partial plate removable dentures.

26. Methods of arrangement of  artificial teeth in partial removable dentures.

27. Clasps. Classification.

28. Methods of  flasking.

29. Reasons of breakages of partial plate removable  dentures.

30. Methods of repaires of partial plate removable  dentures.

31. Advantages and disadvantages of partial plate removable  dentures.

4.7 Alist of practical tasks and works to final control

module 1. Propedeutic of orthopedic stomatology.

On the phantoms of jaws:

•    To select impression trays on upper and lower jaws and get complete anatomical impression with gypsum.

•    To select impression trays on upper and lower jaws and get complete anatomical impression with compaunds .

•    To select impression trays on upper and lower jaws and get complete anatomical impression whith alginate impression material.

•    To select impression trays on upper and lower jaws and get complete anatomical impression whith silicone impression material.

To make:

•    Model  of the upper jaw from gypsum impression.
•    Model  of the upper jaw from impression with thermoplastic mass.
•    Model  of the upper jaw from impression with elastic mass.
•    Model  of the upper jaw from impression with silicon mass.
•    Model  of the lower jaw from gypsum impression.
•    Model  of the lower jaw from impression with thermoplastic mass.
•    Model  of the lower jaw from impression with elastic mass.
•    Model  of the lower jaw from impression with silicon mass.
•    Counterstamp by a rubber ring.

On the gipseous models of jaws:
– to designe by a beeswax anatomic form of a 11 tooth.
– to designe by a beeswax anatomic form of a 12 tooth.
– to designe by a beeswax anatomic form of a 13 tooth.
– to designe by a beeswax anatomic form of a 14 tooth.
– to designe by a beeswax anatomic form of a 15 tooth.
– to designe by a beeswax anatomic form of a 16 tooth.
– to designe by a beeswax anatomic form of a 17 tooth.
– to designe by a beeswax anatomic form of a 21 tooth.
– to designe by a beeswax anatomic form of 22 teeth.
– to designe by a beeswax anatomic form of 23 teeth.
– to designe by a beeswax anatomic form of 24 teeth.
– to designe by a beeswax anatomic form of a 25 tooth.
– to designe by a beeswax anatomic form of a 26 tooth.
– to designe by a beeswax anatomic form of a 27 tooth.
– to designe by a beeswax anatomic form of a 31 tooth.
– to designe by a beeswax anatomic form of 32 teeth.
– to designe by a beeswax anatomic form of 33 teeth.
– to designe by a beeswax anatomic form of 34 teeth.
– to designe by a beeswax anatomic form of a 35 tooth.
– to designe by a beeswax anatomic form of a 36 tooth.
– to designe by a beeswax anatomic form of a 37 tooth.
– to designe by a beeswax anatomic form of a 41 tooth.
– to designe by a beeswax anatomic form of 42 teeth.
– to designe by a beeswax anatomic form of 43 teeth.
– to designe by a beeswax anatomic form of 44 teeth.
– to designe by a beeswax anatomic form of a 45 tooth.
– to designe by a beeswax anatomic form of a 46 tooth.
– to designe by a beeswax anatomic form of a 47 tooth.
– to designe by a beeswax intermediate part of bridge on a  upper jaw.
– to designe by a beeswax intermediate part of  bridge on  a lower jaw.
– to draw the borders of partial plate removable denture on a upper jaw.
– to draw the borders of partial plate removable denture on a lower jaw.
– To make a waxen base with occlusal rims on a upper jaw.
– To make a waxen base with occlusal rims on a lower jaw.
– To make bent wire clasp.

To make:

– fixing of models in occludator.
– flasking by a direct method.
– flasking  by a reverse  method.
– flasking by the combined method.

4.8. Literature is recommended to order to discipline «Propedeutic of orthopedic stomatology».

Literature for propedeutics.

1.    M.D. Korol. Propedeutics of orthopedic  stomatology.-Vinnitsya-NOVA KNIGA-2009- 200 p.

2.    W.J.OʼBrion. Dental Materials and Their Selection. –Quintess. -2002-395 p.

3.    Kurlyandsky V. Orthopaedic Stomatology.-M., MIR Publ.-1977-588 p.

4.    Shillinburg  H.T., Jacobs R., Brackett S.E. Fundamentals of Teeth Preparation. –Quintess.-1998-390 p.

5.    4. Shillingburg H.T., Hobo S., Whisett L.D. , Jacobi R., Brackett S.E. Fundamentals of Fixed Prosthodontics. -Third Ed., -Quintess.Publ.-1997- p.1-119.

6.    6.Woelfel J.B.,Scheid R.C. Dental Anatomy. Its relevance to dentistry.-W&W-1997-421.

Literature for V term.

1.Kurlyandsky V. Orthopaedic Stomatology.-M., MIR Publ.-1977-588 p.

2. 3.The Art and Science of Operative Dentistry. Ed. by: Sturdevant C.M.,Roberson T,M.,Heymann H.O., Sturdevant J.R.- Mosby-1995-p.10-59; 168-205.

4. Shillingburg H.T., Hobo S., Whisett L.D. , Jacobi R., Brackett S.E. Fundamentals of Fixed Prosthodontics. -Third Ed., -Quintess.Publ.-1997- p.1-119.

5.S.F.Rosenstiel, M.F.Land, J.Fujimoto. Contemporary Fixed Prosthodontics. 3 ed.- Mosby,-2004,-830p.

9. W.J.OʼBrion. Dental Materials and Their Selection. –Quintess. -2002-395 p.

10.Pasler F A. Color Atlas of Dental Medicine. Radiology.- Thieme- 2006.

Literature for VI term.

1.    Grant A.A., Johnson W. An Introduction to Removal Denture Prosthetics.-Ch. Livingston, 1983.

2.    Kurliandsky W. Orthopaedic Stomathology.-Moskow, 1977.

3.    Phoenix R. D.,  Cagna D.R.,  DeFreest C.F. Stewart’s clinical removable partial prosthodontics.-Quintessence,-2008.

4.    McGivney G.P., Carr A.B. McCrackens Removable Partial Prosthodontics,-Mosby, 2001.

5.    J.OʼBrion. Dental Materials and Their Selection. –Quintess. -2002-395 p.

Literature for VII term.

1.    Bernard Levin,Glenn D. Richardson. Complete Denture Prosthodontics: A Manual For Clinical Procedures. 17th Edition.- University Of Southern California School Of Dentistry. -2002.-172p

2.    Complete Dentures by M.G.Swenson, Mosby,1953.

3.    Hayakawa.  Principles and Practices of Complete Dentures. Quintessence.-2002.

4.    Ivoclar Manual for Denture Fabrication.

5.    Kurlyandsky V. Orthopaedic Stomatology.-M., MIR Publ.-1977-588 p.

6.    The complete dentures: Clinical pathway. Michael I.MacEntee.- Quintess.Publ.-1999- p.2-124.

7.    Anusavice K J . PhillipsʼScience of Dental Materials. 11ed. – Elsevier -2007- 805 p.

Literature for VIII term.

1.Kurlyandsky V. Orthopaedic Stomatology.-M., MIR Publ.-1977-588 p.

2.Oral and Maxillofacial Surgery. An objective-based textbook. Ed. by J.Pedlar, J.W.Frame.-Elsevier-2004

3.Orofacial Trauma  and Emergency Care.  Chogle S.M.A., Ferretti G.A.-2006-153 p.

4.Retersonʼs Principles of Oral and Maxillofacial Surgery .  Ed. by M.Miloro.-6 ed.-BC Decker Inc.-1447 p.

5.Yi-min Zhao, Cao, Jian Cao, Yan-pu Liu, De-lin Lei and Lei Wang, Jian –Hua Wei, Li-sheng He, Meng. Emergency Response. How Dental Professionals Can Contribute to Sustained in the 2008

Earthguake in China: Dentistʼs Role in Treating Facial Injuries. JADA 2009;140;543-549.

6.Anusavice K J . PhillipsʼScience of Dental Materials. 11ed. – Elsevier -2007- 805 p.

7.Pasler F A. Color Atlas of Dental Medicine. Radiology.- Thieme- 2006.

Literature for IX term.

1Carranza’s Clinical periodontology. Ed. by Michael G. Newman et al.

9th edition, 2002, 1033p.

2.Jacobsen P. Restorative Dentistry. An integrated approach.-Wright.-1998- 290 p.

3.Kurlyandsky V. Orthopaedic Stomatology.-M., MIR Publ.-1977-588 p.

4.McGivney and Carr: McCracken’s Removable Partial Prosthodontics. The CV Mosby Co.,St. Louis, 2003.

5.Rodney D. Phoenix , David R. Cagna , Charles F. Defreest , Kenneth L. Stewart Clinical Removable Partial Prosthodontics-  Quintessence Publishing (IL); 3 edition .-January 2003.-525 pages ,

6.Shillingburg H.T., Hobo S., Whisett L.D. , Jacobi R., Brackett S.E. Fundamentals of Fixed Prosthodontics. -Third Ed., -Quintess.Publ.-1997.

7.Shillingburg H.T., Wilson E.L., Morrison J.T. Guide to Occlusal Waxing.-Third Ed., -Quintess.Publ.-2000- 58 p.

8.The Art and Science of Operative Dentistry. Ed. by: Sturdevant C.M.,Roberson T,M.,Heymann H.O., Sturdevant J.R.- Mosby-1995-p.10-59; 168-205.

9.Woelfel J.B.,Scheid R.C. Dental Anatomy. Its relevance to dentistry.-W&W-1997-421.

10. 11.Okeson JP. Management of Temporomandibular Disorders and Occlusion, 5th edition. St Louis: CV Mosby, 2003.

11.Heartwell and Rahn: Textbook of Complete Dentures, 5th ed., Williams and Wilkins Co.,1993.

12.Temporomandibular disorders. An Evidence-Based Approach to diagnosis and Treatment. Ed. by: Laskin D.M., Greene C.S., Hylander W.L.- Quintess.Publ.-2006.

13.The Glossary of Prosthodontic Terms. // The journal of Prosthetic Dentistry- 2005-v.94-1- 10-93.

14.Rosentiel S.I., Land J., Fujimoto J. Contemporary Fixed Prosthodontics. 4 ed.- Mosby- 2006- 1152 p.

15.Naylor N.P. Introduction to Metal-Ceramic  technology.- Quintess.-2009- 793 p.

16. Misch C.E. Contemporary Implant Dentistry.-Mosby-2008- 795 p.

17.Proffit W R. Contemporary Orthodontics. –Mosby-2000-742p.

18. BDJ Books: Ibbetson R., Ader A. Tooth Surface Loss. The authoritative reference for dental practitioner and students.-2002-76 p.

19.Pasler F A. Color Atlas of Dental Medicine. Radiology.- Thieme- 2006.