Carrying out clinical practice on patients under the supervision of one of the Master’s teaching staff. In order to take part in these practical sessions, students must previously have passed the minimum objectives for both theory and laboratory practical sessions. Student progression to clinical practice will be on an individual basis, in accordance with the knowledge shown in theoretical sessions and seminars, and the skills each student shows in preclinical practical sessions.

Students will carry out multidisciplinary cosmetic oral rehabilitation treatments, starting with simple cases and moving on to more complex cases.

While planning these cases, students will consult with students from other Master’s programmes (Master’s in Orthodontics, Master's in Periodontics, Master's in Endodontics, Master's in Surgery and Master’s in Craniomandibular Dysfunction). 

Students will propose different treatment options, and once an agreement has been reached with the tutor-professor, the most appropriate treatment will be chosen.

The following are the main objectives:

1. To be able to apply the protocols laid down at the University Dental Clinic (CUO) regarding the diagnosis, the complementary explorations and the treatment of patients, and the planning, taking into account that the patients to whom they are aimed present pathologies with advanced or multidisciplinary profiles.
2. To acquire the scientific criteria to choose the type of material with which the stomatological prosthesis to be placed in the patient is made, and to learn to update constantly the knowledge about the dental biomaterials used in the field of restorative aesthetic dentistry, being acquainted with the handling, properties, indications, biocompatibilities, toxicity and environmental impact.
3. To recognise and interpret the specialised imaging and diagnostic techniques that may be relevant in research, and to be able to apply biocomputing and the new technologies in the field of restorative aesthetic dentistry, and implantoprosthesis.
4. Direct and personal participation of the student in the development of this activity (up-to-date maintenance of the clinical record and clinical progress, following of the protocols of clinical work existing at the University Dental Clinic (CUO), elaboration of the relevant time-line of the specific treatment plan for each patient, interest in the use of the new technologies and/or materials…). In this subject, student evaluations will focus on the level of acquisition of knowledge and the clinical, technological and surgical skills that a restorer dentist should possess. The evaluation will take into account, for instance, whether there exists a photographic sequence of the elaboration of the oral rehabilitation or whether there does not; whether the different phases of the treatment were repeated or whether they were not; whether there appeared operating complications or whether there did not; the search of simplicity or complexity in the techniques used; the degree of their subjective assessment during the use of the new technologies and/or materials with respect to the techniques and/or more classic materials, and so on. The evaluation will further focus on the scientific knowledge related to the specific pathology of each patient, while not forgetting that this is a training activity that is carried out in a clinical fashion, and that the relationship established between the dentist and the patient should also be evaluated – a relationship in which the student’s communication ability will be assessed.
5. To possess the ability to communicate with one’s patients so as to be able to explain, with scientific criteria but understandable language, the diagnosis, the treatment plan and prognosis in pathologies that will normally have an advanced or multidisciplinary profile.
6. To have autonomy to carry out the anamnesis and the oral explorations in patients with pathologies that could be of an advanced or multidisciplinary nature; filling in the clinical record and its clinical progress with the scientific language and terminology expected from a professional in restorative aesthetic dentistry.
7. To be able to apply the protocols laid down at the University Dental Clinic (CUO) regarding the diagnosis, the complementary explorations and the treatment of patients, as well as the planning, taking into account that the patients to whom they are aimed present pathologies with advanced or multidisciplinary profiles.
8. To conduct a correct extraoral analysis and diagnosis, underlining those aesthetic and functional aspects of the teeth and soft tissues of the lower third of the face, as well as the clinical and laboratory analyses and diagnoses, carrying out diagnostic and therapeutic wax-ups on models, in order to obtain the rehabilitation of their dental occlusion in a functional and aesthetic balance, taking into account multidisciplinary factors of the masticatory apparatus.
9. To be competent to discharge one’s duty as a clinical professional and/or researcher in the field of restorative aesthetic dentistry, acting as a true specialist or expert in the field; to be able to diagnose, treat, prevent and research into oral disorders and to keep up to date with diagnostic and therapeutic advances that may develop throughout one’s professional career.
10. To carry out selective grinding of teeth in order to obtain a balance between the mandibular dynamics and the dental occlusion, and to make splints for articular and occlusal protection in cases where the pathology may require it.
11. To acquire the skills to make oral preparations over mucosas, over teeth and over dental implants, in order to make stomatological prostheses in patients who present advanced and multidisciplinary oral disorders; and to identify and carry out the procedures and the different checks on the prosthetic components during its whole elaboration process.
12. To be able to make public presentations about own clinical cases based on scientific literature, correctly using the scientific terminology related to the temporomandibular dysfunction and the restorative aesthetic dentistry.
13. To recognise and interpret the specialised imaging and diagnostic techniques that may be relevant in research, and to be able to apply biocomputing and the new technologies in the field of restorative aesthetic dentistry, and implantoprosthesis.

External clinical practical work is mandatory. Throughout it the protocols of prevention, diagnosis and clinical treatment, and of research, will be applied. This external clinical practical work is carried out at the University Dental Clinic’s rooms destined to patient clinical care.

Subjects linked to clinical practice:

• In module I: New Technologies in Restorative Aesthetic Dentistry I and II.
• In module II: Multidisciplinary Rehabilitating Therapy I and II.

During the period of practical experience, students shall comply with the norms and regulations that govern the operation of the University Dental Clinic (CUO):

1. They will wear their standard uniform (scrub), a uniform that will be provided to them at the beginning of the first year. The scrub shall be clean and complete at all times.
2. During the time devoted to clinical practice, students will be at the CUO premises, independently from the presence or absence of the patient who had an appointment. In the absence of a programmed patient, students may help out their companions, pre-degree students or non-programmed patients, following the indications of the lecturer in charge.
3. They will at all times wear work gloves, face masks covering nose and mouth, and protection glasses.
4. Before carrying out the treatment, they will get acquainted with the clinical record and the details of the treatment to be conducted.
5. They will collect the necessary materials and instruments to carry out the programmed treatment from the storeroom.
6. They will notify reception desk of their arrival to the clinic, they will accompany patients from reception when they arrive and back to reception when treatment is finished.
7. During the time set to carry out clinical practical work, students shall accept the decisions of the lecturer concerning what patient to attend, what treatment to apply to each patient and how to carry it out. An essential objective of the programme is the development of a specific clinical criterion in each student. Nevertheless, for the correct operation of the clinic – essential for the development of the programme – the criterion of the lecturer in charge shall prevail in the event of a disagreement between student and professor. This will not prevent a later discussion of the specific situation and case during the clinical sessions.
8. Before seeing out the patient, the student shall enter in the record the treatment carried out, the necessary considerations, and what treatment needs to be followed. In the event of requiring more visits with the same student or area, more appointments will be programmed in order to facilitate the organisation at reception. If patients need to be referred to another area or returned to the pre-degree clinic, they will be informed about it, also in writing, at reception.
9. Never, under any circumstances, may students retain any documents from the clinical record once the treatment session has finished. In the event of requiring access to any piece of information, they will write a duplicate with the authorisation of lecturer in charge.
10. When treatment has been completed, the materials and instruments shall be returned in the condition specified for each case.
11. In the event of breakdown of an instrument or equipment of the clinic, the person responsible shall be informed of it before the end of the practice.
12. When students are unable to attend clinical practice, they will notify it to the lecturer in charge and to the clinic’s reception desk three weeks in advance. Moreover they will have to justify – before if possible, and in any case afterwards – the motives of their non-attendance.
13. Generally speaking, they shall comply with any norms set out by the management of the CUO throughout the training period.

Failure to comply with the CUO’s operating norms may imply the prohibition of access to it and prevent the carrying out the clinical practices, which are essential for the completion of the programme.

• Normativa reguladora de las prácticas externas
• Operation Protocol CUO

At the beginning of the course, students must have the following equipment:

Examination set:

• 1 Periodontal probe
• 3 Sickle probe
• 3  Intraoral mirror
• 3 Pliers
• 1 Facial Mirror

Diverse material:

• 2 Small spoon excavator
• 1 Bone trimmer
• Composite spatula. Style Italiano ®
• Mechanical Pencil 0,2mm
• Crown gauge
• Straight Pair of Scissors
• Scalpel handle/holder
• Osteotrimer
• Mosquito forceps - straight
• Mosquito forceps - curved
• Teflon tape
• 1 Anesthesia Uniject syringe
• Cutter
• Plier  Miller
• Digital caliper
• 4 Rx PLANMECA dental X-Ray series compatible with the system of the University Dental Clinic (CUO)
• Kit Ipd®  Set of screwdrivers and ratchet screwdrivers compatible with CUO implants
• Plaster Cup and spatula
• Alginate Cup and spatula

Insulation material:

• 1 clamp forceps
• 1 Young’s arch
• 1 Rubber dam punch
• 2 Clamp nº 1 Ivory ®
• 4 Clamp w8a Ivory ®
• 2 Clamp 212 

Drills:

• Set of drills UIC for Conservative Dentistry and Prosthesis
• Incrustation drills
• Preparation drills BOPT
• Drills and polishing materials for temporaries BOPT
• Ceramic Veneers System 

Rotatory material:

• Turbine or red contra-angle
• Connection
• Contra-angle blue
• Micromotor
• Straight hand piece

Photographic material:

• Intraoral mirrors
• Contraster
• Camera reflex
• Twin flash 
• Lens  minimum Macro 100 

Wax material:

• Easy waxer (Yeti)
• Wax brush (Yeti)
• Thowax wax colour grey (70 g) (Yeti)
• Wax spatula Art-Line Nr. 9 (Yeti)
• Thowax wax colour blue or beige (70 g) (Yeti)
• 1 Lecron spatula / carver
• 1 PKT instrument set 

Magnification material:

Magnifying Loupes min 3,5 x

Computing Material:

Laptop. Recommendation: PC gamer o a powerful Mac (MacBook Pro high-end) with a large hard disc to make a partition for Windows.

Other material:

Artex Type CR or CP Articulator (semi-adjustable)

To access the CUO, the student must bring:

• Personal protection face screen
• Full protection glasses, except in the case of wearing corrective glasses or magnifying glasses. In this case the full protection glasses are not necessary. All other material of special protection will be provided by the clinic.