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Course Objectives 

Upon completion of this program the resident will: 

 

Medical/Patient Management: 

  • Manage patients who possess a high degree of fear and anxiety and become familiar with oral premed procedures and pharmacologic sedation. 
  • To be able to maintain concise patient records that are accurate, comprehensive, current, legible, and fully documented. 
  • Become knowledgeable in current infection control procedures for the protection of patients, auxiliaries, and themselves, and maintain appropriate documentation concerning infection control and hazardous materials. 
  • Be knowledgeable in pharmacological therapeutics and skilled in writing prescriptions as necessary for patient care. 
  • Initiate appropriate medical consultation or referral to clarify any question(s) related to the patient’s systemic health. 
  • Recognize the risk for medical problems through medical history and clinical examination and take appropriate preventive actions. 
  • Create a patient database and obtain a complete and accurate patient history from patients or their legal representatives (including, but not limited to, demographic data; systemic, psychosocial, and oral health history; and chief complaint). 
  • Discuss findings, diagnosis, prognosis, risks and benefits, sequence of treatment, time requirements, estimated fees and payment responsibilities of each treatment option with the patient, parent or legal guardian. 
  • Obtain written informed consent for all presented treatment plans, optimum or alternative(s), and all dental procedures accepted or denied by the patient prior to the delivery of dental treatment. 
  • Select treatment options that recognize cultural differences and are sensitive to patients’ goals, values and expectations, compatible with contemporary therapeutics, and congruent with patient-centered, comprehensive oral health care. 
  • Evaluate the outcomes of treatment on an ongoing basis and modify treatment plans as appropriate. 
  • Recognize patient discomfort and/or anxiety that may affect oral health or interfere with the delivery of care. 
  • Use local anesthesia techniques in clinical procedures for control of pain and anxiety. 
  • Provide comprehensive care to patients with more advanced needs than those performed during their PG-1 year. 
  • Feel comfortable in managing comprehensive care in the medically complex patient to include: persons with developmental disabilities, such as autism or cerebral palsy; acquired disabilities, such as traumatic brain or spinal cord injuries and stroke; mental illness and behavioral management challenges; complex medical conditions or compromised medical status; significant physical or mobility limitations; and frail elderly. 

 

 Treatment Planning: 

  • Have increased knowledge in oral diagnosis, oral pathology, oral radiology, and oral medicine. 
  • Be able to treatment plan cases more advanced than those found in the undergraduate curriculum and properly assess treatment outcomes. 
  • Increase efficiency in treatment sequencing of patients requiring multiple procedures at one appointment. 
  • Be competent in utilizing appropriate methods for the assessment, diagnosis, treatment    planning, and application of digital technologies for the restoration and rehabilitation of dentate, partially edentulous, and completely edentulous patients. Including single unit restorations, removable prosthesis, and surgical guides. 
  • Recognize the normal range of clinical findings and establish a differential diagnosis for significant deviations from normal. 
  • Understand the options available to replace missing teeth. Be able to explain appropriate options to the patient. 

 

 Preventative/Restorative Dentistry: 

  • Increase efficiency in the management and treatment of complex restorative cases. 
  • Be skilled in the application of preventive dentistry. 
  • Perform a clinical examination including a limited physical examination, and intraoral and extra oral soft tissue examination. 
  • Order, obtain and interpret radiographic information appropriate for the patient. 
  • Based upon all diagnostic data, develop treatment plans (comprehensive optimal and alternative, emergency and treatment plan to health) that are properly phased and sequenced, appropriate to address patient’s needs, goals, values and concerns. 
  • Prescribe and use different caries prevention strategies including fluoride application, tooth brushing, flossing, nutrition counseling and early caries detection. 
  • Educate patients and/or caregivers concerning patients’ risk factors and risk reduction strategies needed to prevent oral disease, as well as provide patients with instruction on individualized self-care methods and dietary counseling to maximize oral health. 
  • Understand the role of and determine when to restore carious dental lesions verses applying minimally invasive techniques and perform conservative, biomechanically sound tooth preparations. 
  • Select, manipulate and place restorative materials to establish anatomical form, function and esthetics. 
  • Monitor the dental status of assigned patients to insure the preservation of oral health and the prevention of future dental caries. 

 

Periodontology: 

  • Be knowledgeable and experienced in the diagnosis and treatment of periodontal diseases, to include scaling and curettage, and periodontal surgery. 
  • Diagnose and determine the need for non-surgical and surgical periodontal treatment. 
  • Perform non-surgical and surgical periodontal treatment under supervision and follow-up. 
  • Perform surgical procedures, demonstrating understanding of the concept of tissue management. 
  • Diagnose various periodontal diseases using the AAP classification system and treatment plan periodontal therapy. 
  • Understand the periodontal / restorative interface including diagnosis of biologic width violation and incorporate functional and/or esthetic crown lengthening procedures into a comprehensive treatment plan. 
  • Understand the indications for various surgical interventions in the treatment of periodontal disease; perform and/or observe localized periodontal surgery (e.g. flap for debridement, gingivectomy, distal wedge procedures, etc.). 
  • Evaluate the results of periodontal therapy, and establish/monitor a periodontal maintenance program 

 

 Endodontics: 

  • Perform thorough endodontic evaluation, diagnosis, and treatment planning, properly employing various clinical and radiographic diagnostic modalities and using current AAE diagnostic terminology. 
  • Perform non-surgical root canal therapy on anterior teeth.  
  • Perform non-surgical root canal therapy on premolar teeth.  
  • Perform non-surgical root canal therapy on molar teeth. 
  • Perform vital pulp therapy procedures including direct/indirect pulp capping, pulpotomy and pulpectomy, and understand the indications/contraindications and techniques for vital pulp therapy. 
  • Understand the proper diagnosis and treatment of non-traumatic and traumatic endodontic emergencies.  
  • Be familiar with surgical endodontic procedures such as apicoectomies, salvage endodontics, and intentional reimplantation. 
  • Be familiar with the prevention, identification and management of endodontic complications and misadventures. 
  • Provide or be exposed to quality patient care using state-of-the-art technology (e.g., rotary endodontics, dental operating microscope, digital radiography, cone-beam CT) to include anterior, premolar, and molar dentition. 
  • Have the option to perform surgical endodontic treatment, i.e., apicoectomy and root amputation. 

 

Prosthodontics: 

  • Understand the ACP classification systems as they relate to prosthodontic treatment planning, treatment and referral. 
  • Understand the role of occlusion in providing prosthodontic care, including occlusal assessment, the proper use of various articulators, selection of occlusal schemes, diagnostic wax-ups and static and functional occlusal records 
  • Diagnose and manage occlusal disorders / abnormalities using various modalities (e.g. diagnostic wax-ups, restorative dentistry, referral for orthodontic treatment, limited occlusal adjustment, occlusal splints, etc.). 
  • Communicate the prosthodontic case design to the dental laboratory and critically evaluate the resultant prosthesis. 
  • Perform the procedures using the proper sequence of steps needed to fabricate an acceptable prosthesis. 
  • Understand and perform all the steps including impressions, jaw relations and bite registration, teeth selection, try-in, insertion and follow-up. Diagnose, treatment plan, and manage patients with missing teeth to restore the edentulous space (fixed, removable, or implant prosthodontics) using clinical, radiographic and laboratory data. 

 

Pediatric Dentistry: 

  • Have advanced knowledge and skills in treating the pediatric dental patient. 

 

Implantology: 

  • Become familiar with and apply the surgical and restorative procedures of endosseous oral implantology. 
  • Diagnose and determine the need for implant placement. 
  • Gather all the necessary diagnostic tools for implant placements. 
  • Restore implants using different techniques based on implant types, locations and type of restorations.

Oral Surgery: 

  • Perform a thorough pre-operative assessment including appropriate consultations, medical risk assessment, pre-medication, and incorporating various modifications to treatment, as necessary. 
  • Understand the indications, contraindications, and procedures for surgical extraction of erupted, partially, and fully impacted third molars. 
  • Become confident in routine and complicated extractions, and familiar with osseous recontouring, biopsy and treatment aspects of trauma. 
  • Perform post-surgical follow-up including diagnosis and treatment of post-operative complications. 
  • Become familiar with basic suturing indications, materials and techniques. Gain insight into the residents own surgical abilities and limitations allowing him/her to distinguish cases within his/her capabilities and those requiring specialty referral. 
  • Manage the surgical extraction of erupted teeth and retained root fragments. 
  • Understand the indications for removal and manage the extraction of impacted teeth. 
  • Utilize sound surgical principles, appropriate suturing techniques.   
  • Understand indications and manage minor pre-prosthodontic surgery such as tori removal, tuberosity reduction, and alveoloplasty. 
  • Provide sound postsurgical management and effectively evaluate and treat post-operative complications. 
  • Evaluation and early management of minor dentoalveolar trauma.  

 

 

Oral Medicine/TMD: 

  • Recognize the presence and/or oral manifestations of systemic diseases and how these conditions and their treatments may affect the delivery of dental care. 
  • Develop an understanding of the evaluation, diagnosis, treatment planning and management of patients who present with temporomandibular disorders and orofacial pain. 
  • Fabricate and maintain an occlusal splint (for treatment of orofacial pain or for protection of the dentition from parafunctional habits). 

Practice Management: 

  • Be familiar with practice management procedures, patient appointment control, and the basic business skills of the everyday operation necessary to run a solo or small group dental practice. 
  • Be able to direct and work with dental auxiliary personnel in a comprehensive preventive dentistry program. 
  • Be able to communicate effectively with dental lab personnel. 
  • Understand management of allied dental professionals and other office personnel and principles of peer management. 
  • Understand principles of professional ethics, jurisprudence and risk management. 
  • Develop an understanding of information technology, information security, and HIPPA. 

 

Research 

  • Have opportunities to participate in and conduct current research. 
  • Develop and complete a research project. 

 

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