Subject

Prosthodontics 1

  • code 09243
  • course 3
  • term Semester 1
  • type OB
  • credits 6

Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff

Head instructor

Dr. Magí BRUFAU - magib@uic.es

Office hours

Wednesdays at 3 p.m. (by appointment)

Dr. Magí Brufau (magib@uic.es)

Loaction: teachers "Restauradora" room area

Introduction

Dental prosthesis is the part of dentistry that deals with the modification of natural teeth due to pathology and the restitution of lost teeth, as well as the prevention of future diseases.

The course will address the study of removable complete prosthodontics and removable partial dentures through functional methods for rehabilitating the masticatory system of partially or fully edentulous patients.

Pre-course requirements

Oral and dental anatomy. Knowledge of the pathophysiology of partially or fully edentulous patients.

Objectives

The aim of this subject is for students to acquire the basic knowledge and skills in relation to the manufacture of removable dentures (full and partial) and the adaptive control that patients should be taught for the proper use and maintenance of these types of prostheses.


Competences / Learning outcomes of the degree programme

  • 65 - Diagnosing, planning and undertaking, at a general level, multidisciplinary, sequential and integrated treatment of limited complexity for patients of all ages and conditions and patients with special needs (diabetes, hypertension, oncological diseases, transplants, immune-depression, anti-clotting, etc.) or disabilities. Specifically the dentist should be competent in establishing a diagnosis, a prognosis and developing a suitable treatment plan, particularly in terms of orofacial pain, temporo-mandibular disorders, bruxism and other parafunctions; dental and periapical pathology; oral and dental trauma; periodontal and peri-implanted tissue pathologies; pathology of the mandibular bone, of soft oral tissue and annex glands; states of partial or total edentation and planning rehabilitation treatment via dento-muco supported prostheses, or dental impants, dental malpositions or malocculusions and other anatomical or functional alterations of the face or the stomatognathic system and their potential orthodontic, orthopaedic or surgical corrections
  • 68 - Determining and identifying the aesthetic requirements of patients and the possibility of resolving their concerns
  • 70 - Evaluating motor and sensory oral, mandibular and annex function
  • 82 - Designing, preparing teeth, prescribing, recording, doing clinical tests, fitting and putting indirect restorations into service: incrustations, veneers or aesthetic laminate veneers and unitary crowns
  • 85 - Undertaking conventional aesthetic procedures from a multidisciplinary perspective
  • 86 - To treat both partial and full edentulism, including the biological design (specific design characteristics), dental preparation, obtaining record, clinical trials and adapting partial and full removable prostheses to patients, simple dental-supported bridges and simple prostheses on top of implants, both removable and fixed, including
  • 87 - To write up prescriptions to measure for healthcare products such as «dental prostheses» and «orthodontic and dento-facial orthopaedic apparatus»

Learning outcomes of the subject

 

Being able to evaluate the patient as a toothless oral disabled, with extraoral and intraoral dental changes occurred after the loss.

  • Being able to identify the components of a complete denture tissue-
  • Being able to define the concept of biological parameter and understand their classification.
  • Able to understand the need for a clinical technique of making a complete tissue-borne prosthesis for predicting prognosis and functionality.
  • Being able to define the D.V.O., D.V.R. and free space of rest; and know their clinical references find a toothless mouth; taking into account the relationship of muscle tone (position, stress) and DVR
  • Be able to describe the effects of D.V.O. Incorrect
  • Being able to define and seek medical references Incisal line in the frontal plane (upper lip, lower lip, lip corners, bibupilar line) for aesthetic and phonetic balance
  • Being able to define and find clinical references a toothless mouth to the occlusal plane, describing the relationship of the PO with the development of the masticatory system and taking into account the orofacial muscle biomechanics (P Camper, P Frankfurt, bilateral pupil line, retromolar trigone, corners of lips, tongue, residual alveolar ridges)
  • Neutral Space be able to define the Prosthetic (ENP), seeking to determine their references in the upstream and downstream sectors of the mouth.
  • Be able to describe the anatomy and features of the edentulous alveolar ridge (hard and soft tissues) relating them to the ends of the bearing surface of the prosthesis, understanding the need for peripheral seal and its relationship to the anatomy of attached mucosa and keratinized and free and mobile mucosa
  • or able to define their own biological parameters of natural teeth color, shape, size, angle cusp material
  • Be able to describe the parameters that are not in complete denture mucosuportada but necessary for occlusion, and know their techniques, relating with the other biological parameters
  • Being able to define the biological parameters linking together artificial teeth (occlusal relationship, incisal guidance, compensation and subsequent curves arch length) and its relationship with other biological parameters.
  • Understand the concept of Removable Prosthetics.
  • Knowing the nomenclature of the elements that make up a PPR and define the general and specific objectives that are intended to produce it
  • Understand the concept of removable partial dentures "and tissue-tooth supported"
  • Know the signs of PPR.
  • Knowing the aspects of history with impact on the drafting of a PPR.
  • Knowing the pretreatments required before conducting a PPR.
  • Namely to develop a diagnosis and a treatment plan coordinated PPR.
  • Meet records necessary to make a study of PPR
  • Apply the concepts of mechanical dynamics PPR
  • Knowing the forces generated by the PPR as rated by Kennedy and functional classification
  • Knowing the fulcrums that originate in 3 axes of space and its consequences
  • Meet global requirements for a successful PPR
  • Knowing the role of older connectors, and features, designs and indications
  • Knowing the role of minor connectors, types and design
  • Knowing the role of occlusal rests in PPR, their types and their design, and their impact on the forces transmitted to the pillars and bases
  • Understand the concept of plane and guide function, understanding the mechanism by which the guide plane helps maintain reciprocity in the forces applied by the hooks
  • Understand the concept and function of the bases, types, design
  • Understand the concept of direct and indirect retainer and functions, given its location and flexibility.
  • Describe the types of direct retainers depending on the material and design, relating to the indications of the different types of direct retainers
  • Conceptualize the biomechanical functioning of the hook Ackers
  • Conceptualize the biomechanical functioning of the hook RPI
  • Knowing the types and designs of indirect retainers
  • Knowing the surveyor, their functions and their components; learning their methods of use.
  • To evaluate the influence of occlusion in the design process of the PPR.
  • Understanding the importance of the insertion axis in the design process
  • Understand the concept of tripodización and techniques to position the model in space
  • Learn the techniques of dental remodeled to develop PPR
  • Learn the techniques of tooth-supported printing and dentomucosoportadas
  • Knowing the technique facebow record in dentosoportados and dentomucoportados
  • Knowing the records required in dentosoportados interrelationship jaw and dentomucosoportados. Downtown or intercuspal relationship?
  • Knowing how to transmit the prescription and lab designs
  • Knowing the types of metals and their application in PPR
  • Understanding the need for duplicate laboratory.
  • Knowing the laboratory technique for making PPR
  • Knowing the aspects to check in tests of the metal structure, aesthetics tooth test and delivery of the prosthesis
  • Knowing the causes of failure and complications in PPR
  • Knowing how to maintain the PPR and situations that make necessary adjustments to the RPP.
  • Understand the concept of overshoot, techniques and materials.
  • Understand and interrelate the sequence of steps and content to develop in each to develop a PPR
  • Knowing what is the most appropriate occlusal complete denture tissue-pattern.
  • Knowing what is the most appropriate occlusal pattern in PPR.
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  • 4.013 - Perform limited occlusal adjustments under supervision
  • 4.015 - Identify the anatomic and dental structures in panoramic radiographs, periapical and bitewing
  • 4.019 - Conduct prophylaxis and demonstrations of proper oral hygiene adapted to the patient's age
  • 4.030 - Know how to derive, when necessary, to other professionals or centers, complex treatments or medically compromised patients.
  • 4.031 - Differentiate pain according to location
  • 4.032 - Differentiate pain according to origin
  • 4.033 - Differentiate pain according to duration
  • 4.034 - Differentiate pain according to the characteristic of the pain
  • 4.076 - Communicate with the laboratory to indicate the guidelines for the preparation of a restoration
  • 4.089 - Perform a proper medical history to assess the state of the pulp
  • 4.108 - Consult with the necessary specialists for a comprehensive treatment
  • 4.110 - Know the function of the stomatognathic system and especially of the occlusion
  • 4.111 - Know the basic principles of the ideal occlusion
  • 4.115 - Have the ability to diagnose dental malocclusions in the three plans of space
  • 4.116 - Know and recognize the etiology of malocclusions
  • 4.117 - Know how to make a proper patient history
  • 4.118 - Know how to make a proper oral and practical examination of the patient
  • 4.119 - Know how to make a correct facial examination of the patient
  • 4.120 - Have the ability to diagnose the patient facial typology
  • 4.121 - Know how to make a correct analysis of study models
  • 4.122 - Know how to make a correct analysis of the plaster models
  • 4.123 - Recognize normal and pathological anatomical structures in a panoramic, periapical and occlusal radiography
  • 4.124 - Recognize anatomical structures in the lateral skull radiography
  • 4.126 - Know how to make a list of diagnostic problems and structure it properly
  • 4.127 - Know the biological basis of dental treatment, its mechanical and biomechanical principles
  • 4.132 - Know the general principles of interdisciplinary treatment in adults
  • 4.133 - Acquire the discipline to focus interdisciplinary treatments
  • 4.134 - Know the characteristics of each type of dental prostheses (complete prostheses, removable partial dentures, overdentures teeth fixed prosthesis, joint prosthesis, maxillofacial prosthesis, prosthetic and implant, prostheses sealing); as well as different designs of each one, the nomenclature of the elements that constitute it and the objectives to be achieved with their implementation.
  • 4.135 - Know the indications and contraindications of each type of dental prosthesis
  • 4.136 - - Assess the patient candidate for a dental prosthesis by performing a medical history, a study of models and complementary explorations that correspond in each specific case; and from this information identify the patient's aesthetic and functional demands and establish a diagnosis, prognosis and develop a treatment plan
  • 4.137 - Identify patients requiring a multidisciplinary treatment to achieve therapeutic goals, and be able to work on the treatment.
  • 4.138 - Determine the different biological parameters necessaries to perform an oral rehabilitation
  • -
  • 4.140 - Apply the biomechanical concepts that govern each type of dental prosthesis.
  • 4.141 - Get the right occlusive fit for each patient and each type of dental prosthesis.
  • 4.142 - Apply, when indicated, the technique of selective grinding in the patient
  • 4.143 - Perform the waxing of full and partial prosthesis.
  • 4.145 - Determine in the edentulous patient or partially edentulous, the biological parameters that characterize artificial teeth and locate the in the space. In the case of complete and partial denture, will also be able to determine the parameters that characterize the base of the prosthesis.
  • 4.146 - Manage the paralleling to design a removable partial prosthesis, decide the insertion axis, the Ecuador, retention and transmit the spatial position of the model.
  • 4.147 - Perform dental preparations necessary for making a removable partial prosthesis and an overdenture.
  • 4.150 - Perform minor repairs of removable prosthesis and of prosthesis where ceramic use is needed.
  • 4.152 - Perform the party mold technique.
  • 4.153 - Take appropriate impressions for each of the types of dental prostheses; functional in removable partial prosthesis, in closed and open bucket, in implant prosthesis, and the associated techniques.
  • 4.155 - Carry out various prosthesis tests and color that are made during the preparation of the different prostheses.
  • 4.156 - Know the different materials used to make dental prosthesis and be able to indicate the most appropriate for each case.
  • 4.157 - Inform the patient on the most appropriate maintenance measures for each type of dental prosthesis.
  • 4.158 - Carry out the appropriate controls for each type of prosthesis in order to detect and prevent the most frequent complications.
  • 4.159 - Assess the need for adjustment of removable prosthesis,
  • 4.160 - Perform the appropriate requirements in the dental laboratory for each type of prosthesis.

Syllabus

FULL MUCOSA-SUPPORTED PROSTHESES

UNIT 1.  INTRODUCTION TO TOOTHLESS PATIENTS AND FULL MUCOSA-SUPPORTED PROSTHESES

UNIT 1.1.  INTRODUCTION TO TOOTHLESS PATIENTS                 

  • What disabilities do toothless people have?
  • What can be assessed “a priori” in the treatment results for a toothless patient?
  • What is the epidemiology of toothless patients?
  • What oral functions can be restored with full mucosa-supported dentures, and with how much efficiency?

UNIT 1.2. INTRODUCTION TO FULL MUCOSA-SUPPORTED DENTURES AND THE BIOLOGICAL PARAMETERS

  • What components do full mucosa-supported dentures have?
  • What is the function of the biological parameters, and how are they classified?
  • Are there other types of treatments to offer fully toothless patients?

 
UNIT 2. BIOLOGICAL PARAMETERS THAT POSITION THE TEETH IN PLACE (VERTICAL DIMENSION, INCISOR LINE, OCCLUSAL PLANE AND PROSTHETIC NEUTRAL ZONE).

UNIT 2.1. VERTICAL DIMENSION IN FULL DENTURES.

  • How is the vertical dimension of the occlusion defined for patients who do not have teeth contacts?
  • What is the purpose of the free rest space?
  • In which cranium position should the vertical dimension of rest of edentulous patients be registered?
  • What is the relationship between the vertical dimension of rest and stress?
  • Do vowel phonemes serve to determine the vertical dimension of the occlusion and/or the vertical dimension of rest?
  • How is swallowing used to determine the vertical dimension?
  • Do “high or low” mucosa-supported dentures with vertical dimension of the occlusion display specific and differentiated clinical symptoms?

UNIT 2.2. INCISOR LINE. OCCLUSAL PLANE.

  • What are we referring to when talking about an upper incisor line?
  • What clinical references serve to properly position the incisor line in the space?
  • Is Christensen’s phenomenon related to the incisor line condition?
  • Which vowel phonemes can be used to perform clinical checks of the incisor line condition in toothless patients?
  • How is the occlusal plane defined?
  • What clinical references are required to accurately orientate the occlusal plane?
  • Are there any clinical consequences of having an incorrectly orientated occlusal plane when using full mucosa-supported dentures?

UNIT 2.3. PROSTHETIC NEUTRAL ZONE.

  • For toothless patients using dentures, how do the oral muscles affect the dentures?
  • Are horizontal forces important in the natural and artificial dental equilibration?
  • What and where are the boundaries of the horizontal forces equilibration zone?
  • What changes take place in the soft tissues after dental loss?
  • Which bone changes occur after dental loss?
  • What factors must be taken into consideration when reabsorbing alveolar bone?
  • What is the most important anatomic factor for determining the lingual limit of the prosthetic neutral zone in the posterior inferior sector of an edentulous patient for whom dentures are being prepared?

UNIT 3. BIOLOGICAL PARAMETERS OF THE PROSTHETIC BASE (FORM, ENDS, DESIGN AND MATERIAL OF THE DENTURES).

UNIT 3.1. FORM AND ENDS OF THE PROSTHETIC BASE.

  • How can the anatomy of toothless jaws be reproduced?
  • In the anatomy of toothless jaws, are there zones of greater importance when assessing the clamping of the prosthetic bases?
  • What are the mechanisms for retaining and achieving negative pressure under full mucosa-supported dentures?
  • Where is the “limit of action” situated?
  • What does the internal and external impression surface consist of? What does the impression formwork consist of?

UNIT 3.2. DESIGN (PROSTHETIC NEUTRAL ZONE) AND MATERIAL OF THE PROSTHETIC BASE.

  • For toothless patients using dentures, how do the oral muscles affect the dentures?
  • Are horizontal forces important in the natural and artificial dental equilibration?
  • What and where are the boundaries of the horizontal forces equilibration zone?
  • For which patients and when is it necessary to determine the design of the bases for full dentures?
  • Should the dentures be made with a specific material?
  • What implications does the type of material have on the dentures?

UNIT 4. BIOLOGICAL PARAMETERS OF FALSE TEETH.

UNIT 4.1. BIOLOGICAL PARAMETERS OF FALSE TEETH.

  • For toothless patients, how should false teeth be customised for making full dentures?
  • In addition to the colour of the teeth, what other factors should be taken into consideration?
  • In relation to the choice of the size of the false teeth to be positioned in full mucosa-supported dentures, what must be known in order to choose these?
  • Are false teeth all the same in terms of the material and the occlusal anatomy?

UNIT 5. BIOLOGICAL PARAMETERS THAT ARE NOT PART OF THE DENTURES BUT ARE NECESSARY FOR THE OCCLUSION.

UNIT 5.1. BIOLOGICAL PARAMETERS THAT ARE NOT PART OF THE DENTURES BUT ARE NECESSARY FOR THE OCCLUSION.

  • Are the factors leading the dynamic condylar important or not when preparing full mucosa-supported dentures?
  • Is it necessary to be highly specific in these parameters when the dentures are removable?
  • What other biological parameters are related? What type of relationship does the vertical dimension of the occlusion and the prosthetic neutral zone have with the dentures?

UNIT 6. BIOLOGICAL PARAMETERS THAT ARE RELATED TO THE FALSE TEETH.
UNIT 6.1. BIOLOGICAL PARAMETERS THAT ARE RELATED TO THE FALSE TEETH.

  • What is the best occlusal relationship for full mucosa-supported dentures?
  • Does the amount of overhang or overbite that may exist between the upper and lower false teeth have a relationship with the joint anatomy?
  • What is the purpose of the compensating curves of natural teething? And should these also be present in full mucosa-supported dentures?
  • Is the rear length of a dental arch a clinical or workshop parameter?

UNIT 7. CLINICAL SEQUENCE FOR MAKING A FULL MUCOSA-SUPPORTED DENTURE (THE CLINICAL AND WORKSHOP PHASES).

UNIT 7.1. 1st CLINICAL PHASE, 1st WORKSHOP PHASE, 2nd CLINICAL PHASE.

  • How can a vertical dimension of rest be registered for a toothless patient during the different clinical sessions, and how can this be compared after treatment with the completed dentures?
  • Is it possible to know if full mucosa-supported dentures will be stable before completing them?
  • Can the patient see the end result of the treatment without having completed the prosthesis?

UNIT 7.2. 2nd WORKSHOP PHASE, 3rd CLINICAL PHASE (TESTING DENTURES) AND FINISHING THE PROSTHESIS

  • How can a vertical dimension of rest be registered for a toothless patient during the different clinical sessions, and how can this be compared after treatment with the completed dentures?
  • Is it possible to know if full mucosa-supported dentures will be stable before completing them?
  • Can the patient see the end result of the treatment without having completed the prosthesis?

REMOVABLE PARTIAL DENTURE

UNIT 8. INTRODUCTION TO THE REMOVABLE DENTURE UNIT 8.1. GENERAL CONCEPTS.

  • What is a removable denture?
  • What components make up a removable partial denture?
  • What are “implant-supported” and “mucosa-supported” dentures?
  • Describe the cases where the use of removable partial dentures is indicated.
  • Describe the objectives for each case.

UNIT 9. DIAGNOSIS AND TREATMENT PLAN.

UNIT 9.1. DIAGNOSIS AND TREATMENT PLAN.

  • What is the significance of the anamnesis when implementing removable partial dentures?
  • What is the importance of exploration inside and outside the mouth?
  • Why are the supplementary tests important?
  • Which records must be taken for a removable partial denture study?
  • What are pads used for? How are pad records prepared?
  • Know how to classify the arches pursuant to the Kennedy-Applegate classification.
  • Know how to classify the arches pursuant to functional classification.
  • Know how to take a facial bow.
  • Know how to empty and base study models.
  • Know how to assemble the models on an articulator.

UNIT 9.2 BIOMECHANICS.

  • What type of “machinery” is used for removable dentures?
  • What types of levers are used for removable partial dentures?
  • What relationship exists between the resistance and retention arms? What types of movements are transmitted to the pillars pursuant to the Kennedy classification?
  • What types of movements are transmitted to the pillars in accordance with the presence or absence of dentures?
  • What types of movements are transmitted to the edentulous jaw pursuant to the Kennedy classification?
  • What types of movements are transmitted to the edentulous mucosa in accordance with the presence or absence of dentures?
  • What variables influence the transferral of forces to abutment teeth in removable partial dentures, and how is the transferral influenced?

UNIT 10. ELEMENTS OF REMOVABLE PARTIAL DENTURES. DESIGN.
UNIT 10.1. MAJOR CONNECTORS.

  • Know how to select and design a maxillary major connector.
  • Know how to select and design a mandibular major connector.

UNIT 10.2. MINOR CONNECTORS. SUPPORTS.

  • What are the minor connectors?
  • What functions do they have?
  • Which parts of the removable partial dentures can be joined to the minor connectors?
  • Where are these ideally located?
  • What preparation characteristics should the minor connectors have?
  • What are the supports?
  • What is the proper design for these?
  • What implications does the type of support have on the pillars and the bases?

UNIT 10.3. GUIDE PLANE. BASES.

  • What is a guide plane? Where are these ideally located?
  • What functions do they have?
  • How do guide planes help to maintain the reciprocity of the forces?
  • How can these act on abutment teeth to shape a guide plane that favours the reciprocity of forces when inserting/removing the clasps?
  • What must guide planes be like for implant supports? And for dental mucosa supports?
  • What is the function of the bases?
  • What types of bases can we design? What are the design characteristics of these?

UNIT 10.4. DIRECT AND INDIRECT RETAINERS.

  • What is a direct retainer and what is it made up of?
  • What are its functions?
  • What functional characteristics must a retainer have?
  • What variables can be amended to increase the retention of a direct retainer, and in what sense?
  • How can a retainer be selected pursuant to the Kennedy classification, and how is the position of the retention pillar chosen?
  • What type of retainer can be chosen depending on the material?
  • What are the advantages of each material when selecting a retainer?
  • What relationship must there be between the indirect retainer and the fulcrum line situation in the axis of rotation of the removable partial denture?
  • What is the correct positioning of an indirect retainer?

UNIT 10.5. PARALLELISATION OF THE MODELS.

  • Handle the paralleling equipment and use the different devices.
  • Position the model on the paralleling device.
  • How is the axis of insertion chosen?
  • How is the dental equator determined?
  • How are the guide planes determined?
  • How are the gauges for calculating the retention handled?
  • How are the necessary changes to the axis of insertion made in order to modify the retention?
  • How are the necessary changes to the abutment teeth made in order to modify the retention?
  • What purpose does the ‘tripodisation’ serve? How is this performed?
  • How is the design transferred from one model to the other?

UNIT 11. PROCEDURES AND MATERIALS.

UNIT 11.1. PREPARATIONS. IMPRESSIONS.

  • How can the morphology of a pillar be modified to favour the design of a removable partial denture?
  • When, and to what extent, can the occlusal plane be modified?
  • How should the mouth be prepared for a proximal or lingual guide plane?
  • How should the dental equator be modified to correct the retaining zone?
  • How should the bed be prepared for support? How should the minor connector be prepared?
  • Know how to take a denture impression.
  • Know how to take functional impressions.
  • Know how to prepare pad records and functional impressions.
  • Know how to take “drag” impressions.
  • Know how to take facial bows and bite registration records.

UNIT 11.2. ASSEMBLY. MATERIALS.

  • Know how to empty, set and assemble the definitive models on the articulator.
  • Know how to draft and fill out the prescription form for the laboratory.
  • What printing material is used for denture impressions? What printing material is used for mucosa-supported impressions?
  • Perform the assembly with models.

UNIT 12. LABORATORY.
UNIT 12.1. WORK ORDER. DISINFECTION.

  • Know how to perform the disinfection of the different types and impression materials used in the removable partial dentures.
  • Prescription sheet. How is this filled out?

UNIT 12.2. LABORATORY TECHNIQUES.

  • To understand the laboratory work sequence and the purpose of each step.

UNIT 13. TESTS. DELIVERY. MAINTENANCE. FIXTURES.

UNIT 13.1. TESTS. DELIVERY.

  • How is the metal adjusted? Resistance to disinsertion/insertion.
  • How is the occlusion adjusted? How are the retainers adjusted? Ways to correct the imperfections.
  • How and when is the colour of the teeth recorded?

UNIT 13.2. MAINTENANCE. FIXTURES.

  • Know how to explain the maintenance needs to the patient.
  • How is a functional rebase performed?
  • How is a base reconstructed?
  • How is a resin fracture repaired?
  • How is a tooth repaired or replaced?
  • How is a natural tooth replaced with a false tooth, adding it to the removable partial denture?
  • How is a removable partial denture adapted to a pillar where a crown has been installed?
  • What hygienic care is required for removable dentures?

UNIT 14. CLINICAL GUIDELINES.
UNIT 14. 1. CLINICAL GUIDELINES.

  • What is the structured description of the steps involved in the preparation of removable partial dentures?

OCCLUSION

UNIT 15. OCCLUSION AND REMOVABLE DENTURES.

UNIT 15.1. OCCLUSAL CONSIDERATIONS FOR REMOVABLE DENTURES.

  • What is the most appropriate bite registration block for full mucosa-supported dentures?
  • How can the most appropriate bite registration block be attained for full mucosa-supported dentures?
  • What is the most appropriate bite registration block for full removable partial dentures?
  • How can the most appropriate bite registration block be attained for removable partial dentures?

Preclinical practical sessions:

  • FULL MUCOSA-SUPPORTED DENTURE PRACTICES.
  • Impressions and the emptying of models.
  • Registration of the vertical dimension and preparation of silicone bite registration material.
  • Preparation of the upper and lower trays (Formatray).
  • Preparation of the upper pad (Formatray).
  • Preparation of the lower pad (Formatray).
  • Assembly of the lower teeth.
  • Assembly of the upper teeth.
  • Obtaining a balanced occlusion.
  • REMOVABLE PARTIAL DENTURE PRACTICAL SESSIONS
  • Removable partial denture design (resin). Preparation of edentulous models. Trays.
  • Partial dentures with light-curing resin.
  • Removable partial denture design (skeletal). Paralleling device demonstration. Analysis of models.
  • Design of removable partial denture components.

Teaching and learning activities

In person

-    Masterly classes (1 group) related to the theoretical contents of the subject.

-    Pre–clinical workshop practice classes (distributed in different practice groups).

-    During the programming of the pre–clinical practical classes, according to the academic calendar published at the beginning of each academic year when more than 2 justified absences are produced.

-    The student will not be able to apply for the qualification of this part of the subject.

-    The teaching material provided by the teachers via the University network should be regarded as an aid for students in their learning process, but in no case the result evaluations will exclusively be established based on them.

-    C.U.O. practices: Clinical activity related to the contents of the subject PROSTHODONTICS

Evaluation systems and criteria

In person

The teaching materials provided by the teachers through the University network should be considered as an aid to students in the learning process, but in no case the evaluation of the results will be set based exclusively on them, but with the contents that teachers have explained during the theoretical and practical classes and/or the recommended biography.

The final grade for the prosthodontics subject will be determined by the final mark of the theory part (40%), the final mark of the pre-clinical practical workshop (30%) and he marks of the practices C.U.O (30%).

To pass the subject, students must pass the theory, the workshop pre-clinical practices and the C.U.O practices separately. Once individually passed, the referred percentages will be applied.

                      

EVALUATION OF THE THEORETICAL PART OF THE SUBJECT

 

The theory part of the subject PROSTHODONTICS 1 will be evaluated by a written test. The content of the questions in this test can refer to any of the subjects studied in the topics full dentures and of removable partial dentures, taking into account that all this content considering that all the contents are required for the patient clinical performance.

 

The written test can be of two types:

-       Twenty (20) short–answer questions

-       Fifty (50) multiple-choice questions with five answers/options and only one correct.

 

In the event that the written test of the theoretical part is twenty (20) short–answer questions, each answer will be evaluated according to the following scale: 0.25, 0.5, 0.75, 1; up to  a maximum of twenty (20) points (=10/10 points).

In this form of written test, the test is considered passed if the grade obtained by the student is equal to or greater than 12/12  (=5/10 points).

In the event that the written test of the theoretical part is fifty (50) multiple-choice questions, with five (5) answers/options for each question, and one of them correct, the valuation will be as follow:

-   Question answered correctly: +1 point

-   Question answered incorrectly: -0.20 point

-   Maximum rating 50 points (=10/10 points)

-   The written test is considered passed in multiple-choice format if the rating is equal or superior to 25/50  (= 0.5/10 points).

-   In anticipation of possible objections/cancellations of questions by the student in this written test method, in the form of the written test there will be three or five (3 ó 5) added questions (also with five (5) options and only one correct), which will count in case of acceptance of the appeal. During the completion of the written test; the students can propose the objection/cancellation of the question by writing a note on the answer sheet, which will specify the question number and the reason for the request. The objection/cancellations of the questions will only be resolved by the teacher of the given subject.

-   The students will have to complete a double answer sheet, one of  them is to be given to the teachers at the end of the test to proceed with the evaluation, along with the questionnaire; and the other will be used by the students to make their own self–evaluation comparing it with the correct answer sheets which will be published once the written test is over.

It exists the possibility of requesting the completion of a written work in relation to the content of the subject.

Possibility of conducting an oral examination in special cases according to specific students needs prior acceptance of the extraordinary situation by the teacher concerned and the academic secretary.

EVALUATION OF THE ACTIVITY PRE–CLINICAL PRACTICE COURSE

The final criterion for evaluating the clinical practice is the subject of on going assessment. For this reason, each pre–clinical practice will be evaluated according to the acquisition and application of knowledge, skills and attitudes (including punctuality). When the program of practical classes comes to an end, a final assessment of this part will be done in order to obtain a grade where students are aware of expressing their knowledge and skills demanded from them. 

The sum of all grades during the pre–clinical practical classes, including the final test, will eventually settle the final grade of the practice.

t will be the responsibility of each student that the faculty can carry out the continuous evaluation in the acquisition and application of the skills and technical knowledge, presenting their preclinical personal works to evaluation.

 

 

 

 

EVALUATION OF THE SUBJECT PRACTICAL ACTIVITY OF C.U.O

The final criterion for evaluating the practical part of the subject is C.U.O continuous assessment. For this reason, each C.U.O practice will be evaluated according to the acquisition and application of scientific knowledge, relationship with the patients, their surgical skills and attitudes (including punctuality).

REVIEW OF THE WRITTEN TEST

To be able to get a review of the written test of the theoretical part you must make an appointment by e-mail or any other channel indicated by the teacher concerned during the written test. Any request not suited by the indicated way or after the deadline period, will not be accepted.

Bibliography and resources

    • Passamonti, G. Atlas de prótesis completas. 1983. Espaxs.
    • Cortada, M. Prótesis completa. Apuntes Practicas. Editorial Gráficas Signo S.A. Barcelona. 1986
    • Zarb, GB. Prostodoncia total e Boucher. 1994. Interamericana. McGraw-Hill.
    • Morrow, RM. Procedimientos en el laboratorio dental. Protesis completas. 1988. Salvat.
    • Sharry, J.: “Prostodoncia dental completa”. Ediciones Toray. Barcelona. 1977.
    • Llena Plasencia, J.M.: “Prótesis Completa”. Editorial Labor. Barcelona. 1988.
    • Schreinemakers, J.: “Prótesis Completa”. Artes Gráficas Soler. Valencia. 1965.
    • Sangiuolo, R. et al.: “Les édentations totales bimaxillares”. Julien Prélat, Editeur. Paris. 1980.
    • Fish, W.: “Principles of Full Denture Prosthesis”. Staples Press. London. 1964.
    • Berensin, V.; Schiesser, F.: “The neutral zone in complete and partial dentures”. The Mosby Company. Saint Louis. 1978.
    • Gross, M.: “La Oclusión en odontología restauradora. Técnica y teoría.” Editoral Labor S.A. Barcelona. 1986.
    • Okeson, J.P.: Oclusión y afecciones temporomandibulares. St. Louis. 2003. Mosby.
    • Alonso, AA; Albertini, JS; Bechelli, AH.: Oclusión y diagnóstico en rehabilitación oral. Buenos Aires.1999. Editorial Médica Panamericana.
    • Borel JC. Schittly J.: Manual de prótesis parcial removible. Masson 1985
    • Kratochvil. Parcial removable prosthodontics. De. Saunders. en castellano versión anterior Interamericana, 1989
    • Mallat, E.: Prótesis parcial removible. Clínica y laboratorio
    • Mccracken. Prótesis parcial removible. De. Panamericana.
    • Stewart. Clinical removible partial prostodontics. E. Mosby
    • Glossary of Prosthodontic terms. Mosby. Ultima edición
    • Niell Marc: Science and practice de l¦occlusion. Quintessence
    • Chimenos, E; Ribera, M; López, J. “Gerodontología”. Sociedad Española de Gerodontología. Santiago de Compostela. 2012

Evaluation period

E: exam date | R: revision date | 1: first session | 2: second session:

  • E1 15/01/2020 10:00h A02
  • E1 15/01/2020 10:00h A01
  • E1 15/01/2020 10:00h A03
  • R1 22/01/2020 08:00h A04
  • E2 17/06/2020 10:30h A21
  • R2 01/07/2020 10:00h A21
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