Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.P.4.00

Description Period: 2025./26 academic year pavasara semestris

Study Course Accepted: -

Study Course Description

Prosthetic Dentistry - Clinic

Main Study Course Information

Course Code
ZPK_015
Branch of Science
Clinical medicine; Dentistry
ECTS
7.50
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Sintija Miļuna-Meldere
Structure Unit Manager
Gundega Jākobsone
Structural Unit
Department of general dentistry
Contacts

Riga, 20 Dzirciema Street, zpk@rsu.lv, +371 67456043

About Study Course

Objective

To develop students' skills in the clinic, diagnosing oral cavity pathology in a patient, using modern technologies, making a simple dental treatment plan for a real patient; to develop skills and abilities in clinical work by performing dentures on patients.

Preliminary Knowledge

Successfully completed study course Preclinical Course in Prosthetic Dentistry IV (ZPK_025). Successfully completed study course Prosthetic Dentistry - Clinic ZPK_015 (4.7.) Successfully completed study course Dental anatomy, craniofacial aspects of physics and bio-materials, medical emergency, radiology, normal physiology, oral pathology diagnosis, clinical pharmacology, prosthodontics clinic dental technical laboratory.

Learning Outcomes

Knowledge

1.Investigate a real patient (dental statuss, X-rays, diagnostic impressions, intraoral and extraoral photography) and prepare an independent treatment plan for the individual patient. Knowledge of dental prognosis, the need for treatment for each tooth will be used in the preparation of the treatment plan, as well as the proposed plans in the basics of science-based research. Describe treatment stages, treatment technologies and materials to be used, instruments for dental prosthetics in the manufacture of removable and non-removable dentures. Use knowledge of the use of digital technologies in dental prosthetics.

Skills

1.As a result of successful completion of the study course, students will be able to develop a treatment plan for dental prosthetics for clinical situations and prosthesis with non-removable and removable dentures, practically performing stages of clinical work in clinical situations. Will be able to name and use specific materials, technologies, tools to different dental prosthetic treatment plans and stages. Will be able to use intraoral scanners.

Competences

1.When drawing up a treatment plan, students will be able to correctly arrange, process and interpret the information obtained from the clinical investigation. In clinical work with patients, students will be able to constantly address various problem situations by performing dental prosthetics in clinical situations. Students will be able to expand the need for intraoral scanning in different clinical situations.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
Test

1) Continuous performance of homework according to the e-studies plan.

2) Treatment plan for clinical patient. Know and name/display all necessary materials and instruments for the desired prosthetic step.

3) Preparing teeth on SIMODONT Moog clinical simulators for your patient’s teeth (from oral sound) during the semester ZPK_015 1st part.

Examination

Title
% from total grade
Grade
1.

Examination
-
10 points

ZPK_015 part 1 (4.7 semester):

  • 3 colloquium: theory (1GB, 1.5 h), treatment planning (2GB, 1.5 h). Graded in a 10-grade system.
  • Homework: 5GB. Graded passed/failed.
  • Assessment of practical work by criteria: passed / failed.

Criteria by which a student obtains a “passed” assessment for a specific practical class:

  1. the student has prepared for the lesson (know, name and display specific materials, tools required for a specific manipulation/step. Able to explain to the teaching staff step by step the clinical stages and the order of manipulation for the specific clinical case (i.e. student patient).
  2. student has done homework and submitted homework at the specified time and place in e-studies.
  3. student cleans the workplace, assists the other student (assistant job), has made entries in the patient’s medical documents at the end of the lesson, informs the patient about the next lesson.
  4. student is treating patient, asisstant, other students, supervisor and other people if they are present in the practical classes with kindness.
  5. student listens for instructions of the supervisor.
  6. student arrives on time for the practical class (15 min delay allowed) and ends the class on time (including cleaning the workplace and carrying out documentation).
  7. in cases where the student patient has not arrived, the student must listen to the instructions of the teaching staff regarding another type of learning for the particular class (for example, intraoral scans, plastic teeth preparation, analysis of the treatment plan, etc.).

If one of the above mentioned criteria does not meet, the supervisor is entitled to place the assessment “failed” for the written class in the student.

To get a semester pass: all colloquiums must be successfully passed and at least 8 practicall classes should have "passed".

ZPK_015 part 2 (4.8 semester):

  • 3 colloquium: theory (1GB, 1.5 h), treatment planning (2GB, 1.5 h). Graded in a 10-grade system.
  • Homework: 5GB. Graded passed/failed.
  • Assessment of practical work by criteria: passed / failed. The criteria are the same as above mentoned in part1. If one of the above mentioned criteria does not meet, the supervisor is entitled to place the assessment “failed” for the written class in the student.

To obtain admission to the study course exam: all colloquiums must be successfully passed and at least 8 practicall classes should have "passed".

At the end of the study course: a written exam (clinical case of treatment planning, questions of theory, finding errors in a given treatment plan).

Study Course Theme Plan

FULL-TIME
Part 1

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

ZPK_015 part 1 Familiarisation with the materials available at the clinic, organisation of patients and work. Photography training, alginate impression in pairs.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar about tooth prognosis. Acceptance and examination of patients.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar about tooth prognosis. Acceptance and examination of patients.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar about treatment plans. Patient acceptance and examination.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Seminar - Colloquium mistake discussion. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar about treatment plans. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar about combined works. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Seminar. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Seminar - Colloquium mistake discussion. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Seminar - Colloquium mistake discussion. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient acceptance and clinical examination.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

ZPK_015 part 1 Familiarisation with the materials available at the clinic, organisation of patients and work. Photography training, alginate impression in pairs.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient acceptance and clinical examination.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

1st colloquium - theoretical questions (previously written list of questions). Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Homework. Seminar about tooth prognosis. Acceptance and examination of patients.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Homework. Seminar about tooth prognosis. Acceptance and examination of patients.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Homework. Seminar about treatment plans. Patient acceptance and examination.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

2nd colloquium- treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Seminar - Colloquium mistake discussion. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Homework. Seminar about treatment plans. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Homework. Seminar about combined works. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Seminar. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

3rd colloquium - treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Seminar - Colloquium mistake discussion. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient acceptance.

  1. Test

Modality
Location
Contact hours
On site
Specialized room
2

Topics

1st colloquium - theoretical questions (previously written list of questions). Patient acceptance.

  1. Test

Modality
Location
Contact hours
On site
Specialized room
2

Topics

2nd colloquium- treatment plan. Patient acceptance.

  1. Test

Modality
Location
Contact hours
On site
Specialized room
2

Topics

3rd colloquium - treatment plan. Patient acceptance.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar about tooth prognosis. Acceptance and examination of patients.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar about tooth prognosis. Acceptance and examination of patients.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar about treatment plans. Patient acceptance and examination.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar about treatment plans. Patient acceptance.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar about combined works. Patient acceptance.
Total ECTS (Creditpoints):
4.50
Contact hours:
48 Academic Hours
Final Examination:
Test (Semester)
Part 2

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Discussion about mistakes in the colloquium. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Discussion about mistakes of colloquium. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Discussion about mistakes of colloquium. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

ZPK_015 part 2. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

1st colloquium. Treatment plan. Patients acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Discussion about mistakes in the colloquium. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

2nd colloquium - treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Discussion about mistakes of colloquium. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

3rd Colloquium - treatment plan. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Discussion about mistakes of colloquium. Patient acceptance.

  1. Placement

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Patient acceptance.

  1. Test

Modality
Location
Contact hours
On site
Specialized room
2

Topics

1st colloquium. Treatment plan. Patients acceptance.

  1. Test

Modality
Location
Contact hours
On site
Specialized room
2

Topics

2nd colloquium - treatment plan. Patient acceptance.

  1. Test

Modality
Location
Contact hours
On site
Specialized room
2

Topics

3rd Colloquium - treatment plan. Patient acceptance.

  1. Test

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Exam.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar - treatment plan. Patient acceptance.

  1. Unaided Work

Modality
Location
Contact hours
On site
Specialized room
1

Topics

Homework. Seminar - treatment plan. Patient acceptance.
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Stewart's Clinical Removable Partial Prosthodontics. R. D. Phoentix, D. R. Cagna, C.F. Defreest, Quintessence Pub Co, 2008. (akceptējams izdevums)Suitable for English stream

2.

Fundamentals of Fixed Prosthodontics. H.T. Schillingburg. Quintessence Publishing Co., 2012. (akceptējams izdevums)Suitable for English stream

3.

Craig's Restorative Dental Materials. 13th Edition; Ronald Sakaguchi John Powers. Mosby; 2018.Suitable for English stream

4.

Goracci C, Ferrari M. Current perspectives on post systems: a literature review. Aust Dent J. 2011 Jun; 56 Suppl 1:77-83 (akceptējams izdevums)Suitable for English stream

5.

Marchionatti AME, Wandscher VF, Rippe MP, Kaizer OB, Valandro LF. Clinical performance and failure modes of pulpless teeth restored with posts: a systematicreview. Braz Oral Res. 2017 Jul 3;31:e64Suitable for English stream

6.

Raj V. Esthetic paradigms in the interdisciplinary management of maxillary anterior dentition-a review. J Esthet Restor Dent. 2013 Oct; 25(5):295-304Suitable for English stream

7.

Abduo J, Lyons KM. Interdisciplinary interface between fixed prosthodontics and periodontics. Periodontol 2000. 2017 Jun; 74(1):40-62Suitable for English stream

8.

Müller F. Interventions for edentate elders-what is the evidence? Gerodontology. 2014 Feb; 31 Suppl 1:44-51

9.

Emami E, Michaud PL, Sallaleh I, Feine JS. Implant - assisted complete prostheses.Periodontol 2000. 2014 Oct; 66(1):119-31

10.

Wittneben JG, Millen C, Brägger U. Clinical performance of screw- versus cement-retained fixed implant-supported reconstructions--a systematic review. Int J Oral Maxillofac Implants. 2014; 29 Suppl:84-98

11.

Armitage GC, Xenoudi P. Post-treatment supportive care for the natural dentition and dental implants. Periodontol 2000. 2016 Jun; 71(1):164-84.

12.

Mericske-Stern R, Worni A. Optimal number of oral implants for fixed reconstructions: a review of the literature. Eur J Oral Implantol. 2014 Summer; 7 Suppl 2:S133-53

13.

Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs). Dent Mater. 2015 Jun;31(6)

14.

Pjetursson BE, Sailer I, Makarov NA, Zwahlen M, Thoma DS. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part II: Multiple-unit FDPs. Dent Mater. 2015 Jun;31(6)

15.

Samet N, et al. Classification and prognosis evaluation of individual teeth--a comprehensive approach. Quintessence Int. 2009, May;40(5):377-87. (akceptējams izdevums)

16.

Zitzmann NU, Krastl G, Hecker H, Walter C, Waltimo T, Weiger R. Strategic considerations in treatment planning: deciding when to treat, extract, or replace a questionable tooth. J Prosthet Dent. 2010 Aug;104(2):80-91. (akceptējams izdevums)

17.

Hill EE, Lott J. A clinically focused discussion of luting materials. Aust Dent J. 2011 Jun; 56 Suppl 1:67-76 (akceptējams izdevums)

18.

Ng YL, Mann V, Gulabivala K. Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J. 2010 Mar;43(3):171-89 (akceptējams izdevums)

19.

McCord JF, Grant AA. Identification of complete denture problems: a summary. Br Dent J. 2000 Aug 12;189(3):128-34. (akceptējams izdevums)

20.

Ilze Maldupa, Sergio Uribe. Ko nozīmē uz pierādījumiem balstīta zobārtniecība. Zobārstniecības raksti. 2014. 1. 35-41.lpp

21.

Clinical Applications of Digital Dental Technology. Radi Masri, Carl F. Driscoll. Wiley Online Library, 2015

22.

S S, Ma VS, Mi VS, F HG, M H. Gingival Retraction Methods for Fabrication of Fixed Partial Denture: Literature Review. J Dent Biomater. 2016 Jun;3(2):205-213

23.

Bidra AS. Evidence-based prosthodontics: fundamental considerations, limitations, and guidelines.Dent Clin North Am. 2014 Jan;58(1):1-17.

24.

Brignardello-Petersen R, Carrasco-Labra A, Booth HA, et.al. A practical approach to evidence-based dentistry: How to search for evidence to inform clinicaldecisions. J Am Dent Assoc. 2014 Dec;145(12):1262-7

25.

Carrasco-Labra A, Brignardello-Petersen R, et.al. A practical approach to evidence-based dentistry: VI: How to use a systematic review. J Am Dent Assoc. 2015 Apr;146(4):255-65

26.

Carrasco-Labra A, Brignardello-Petersen R, et.al. A practical approach to evidence-based dentistry: VII: How to use patient management recommendations from clinical practice guidelines. J Am Dent Assoc. 2015 May

27.

Degidi M, Iezzi G, Perrotti V, Piattelli A. Comparative analysis of immediate functional loading and immediate nonfunctional loading to traditional healing periods: a 5-year follow-up of 550 dental implants. Clin Implant Dent Relat Res. 2009 Dec;11(4 (akceptējams izdevums)Suitable for English stream

28.

Felton D, Cooper L, Duqum I, Minsley G, et.al. American College of Prosthodontists. Evidence-based guidelines for the care and maintenance of complete dentures: a publication of the American College of Prosthodontists

29.

Ng YL, Mann V, Gulabivala K. Outcome of secondary root canal treatment: a systematic review of the literature. Int Endod J. 2008 Dec;41(12):1026-46. (akceptējams izdevums)

30.

Ting-Shu S, Jian S. Intraoral Digital Impression Technique: A Review.J Prosthodont. 2015 Jun;24(4):313-21

31.

Pietrobon N, Malament KA. Team approach between prosthodontics and dental technology. Eur J Esthet Dent. 2007 Spring;2(1):58-79. Review. (akceptējams izdevums)

32.

McLaren EA, Figueira J. Updating Classifications of Ceramic Dental Materials: A Guide to Material Selection. Compend Contin Educ Dent. 2015 Jun;36(6):400-5; quiz 406, 416.

Additional Reading

1.

Interdisciplinary Treatment Planning: Principles, Design, Implementation M. Cohen, Quintessence Pub Co 2008Suitable for English stream

2.

Dental Materials: Properties and Manipulation. J. M. Powers, J. C. Wataha, Mosby, 2016Suitable for English stream

3.

Contemporary Fixed Prosthodontics. S.F. Rosenstiel, M.F. Land, J. Fujimoto, Mosby, 2015Suitable for English stream

4.

Prosthodontic Treatment for Edentulous Patients: Complete Dentures and Implant-Supported Prostheses. G.A. Zarb, C.L. Bolender, S.E. Eckert, A.H. Fenton, Mosby, 2013Suitable for English stream

Other Information Sources

1.

The International Journal of ProsthodonticsSuitable for English stream

2.

The Journal of Prosthetic Dentistry.Suitable for English stream

3.

Clinical Oral Implants Research.Suitable for English stream

4.

European Journal of Oral Sciences.Suitable for English stream