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2021/22 Undergraduate Module Catalogue

DSUR3310 Complex Adult Dentistry

35 creditsClass Size: 96

Module manager: Paul Hyde/Sean Dillon
Email: T.P.Hyde@leeds.ac.uk/s.dillon@leeds.ac.uk

Taught: Semesters 1 & 2 (Sep to Jun) View Timetable

Year running 2021/22

Pre-requisites

DSUR3014Undergraduate Projects
DSUR3015Clinical Skills B
DSUR3019Child Centred Dentistry 1
DSUR3210Illness and Well-being
DSUR3240Clinical Practice 3
DSUR3250Personal Professional Development 3

Co-requisites

DSUR3301Clinical Medical Sciences 1
DSUR3330Child Centred Dentistry 2
DSUR5046MPPD4
DSUR5050MClinical Practice 4

This module is not approved as a discovery module

Module summary

This course brings together several areas of complex adult dentistry. Factors that influence the patient's facial appearance and methods of restoring their smile will be evaluated. Techniques for preserving the patient's teeth, including methods of dealing with failed endodontics will be detailed. Various methods of replacing missing teeth including dental implants will be discussed. This will include a comparison of success rates of the various restorative options for replacing missing teeth. Students will develop an understanding of the indications for more complex intervention. The principles behind more advanced alveolar surgery to preserve, repair or removed diseased tissue within the oral cavity will be outlined. The diagnosis, management and treatment of the edentulous patient will culminate in a detailed understanding of the construction of complete dentures. The influence of dentures on the oral environment will be explored.

Objectives

On completion of this course, students should:

- build upon the knowledge gained in CSB for the options for replacing missing teeth;
- understand the implications of wearing complete dentures on oral function, oral health, personality and behavioural responses, facial appearance and facial ageing;
- have the clinical skills necessary to provide complete dentures for the edentulous patient with moderately resorbed ridges;
- have an awareness of the technical skills required in the fabrication of complete dentures;
- be able to prescribe accurately to a dental technician the work required for each stage in complete denture fabrication, and be able to adequately evaluate returned work as satisfactory for clinical use;
- understand the importance of communication skills and working within a dental team;
- have developed the skills necessary to alter wax try-ins and modify dentures;
- understand the concept of occlusion as it relates to the complete denture wearer;
- be aware of the principals of dental implant usage as one of the options for missing teeth including the patient assessment, principals behind osseointegration and subsequent restorative management;
- build upon their existing knowledge of extracoronal restorations incorporating the ability to plan for and prepare veneers and dentine bonded crowns, as well as being able to discuss the theory and clinical techniques of vital bleaching to treat a range of problems more associated with aesthetic issues that a patient may have;
- be able to discuss the ethical issues surrounding treatment of aesthetic problems;
- build upon exisiting knowledge of Nicket-titanium root canal preparation and be able to describe how to and safely carry out root canal preparation using rotary nickel-titanium instruments;
- be able to describe what constitutes success and failure of endodontics;
- be aware of the indications for and procedural stages involved in apical surgery and root canal retreatment and repair of perforations, including the limitations of their own practice and what would constitute an appropriate referral;
- diagnose disorders of the teeth, jaws, face and neck, for which surgical treatment may be appropriate;
- plan dentoalveolar surgery for buried teeth and roots, to assist restorative procedures or for jaw deformity;
- describe the implications of those disorders and possible treatments;
- distinguish those conditions which are appropriate to treat and know to whom and with what urgency others should be referred;
- anticipate problems and complications associated with those disorders and their treatment and take avoiding or remedial action.

Learning outcomes
By the end of this course students should be able to:
- have practical experience of preparing teeth for ceramic veneers and dentine bonded crowns;
- be able to discuss the various options for aesthetically compromised teeth including the procedural stages, advantages and disadvantages of veneers, dentine bonded crowns and night-guard vital tooth whitening;
- have an understanding of the various methods of replacing missing teeth and their success rates;
- have a basic understanding of the concepts of osseointegration, planning and maintenance of dental implants;
- be able to recognise and plan appropriate treatment of failed endodontics;
- diagnose oral disorders which need surgical treatment;
- plan dentoalveolar surgery, and know when to refer;
- aware of common complications and how to manage them;
- be aware of the implications of complete denture wearing;
- have sufficient clinical skills to begin to treat the edentulous patient;
- have a broad understanding of the technical concepts involved in complete denture construction;
- accurately prescribe to technicians;
- understand the importance of teamwork, communication skills and constructive criticism;
- modify dentures at chairside;
- understand complete denture occlusal concepts;
- deal with common post insertion problems.


Syllabus

Aesthetics - Series of 3 seminar / practical sessions in the clinical skills lab that will cover:
- What constitutes aesthetics
- Preparation for Veneers, dentine bonded crowns
- The effectiveness and procedures for night-guard vital whitening
- Aesthetic reconstruction of a fractured incisor tooth using characterised composite

Dental Implantology - full day symposium aiming to cover:
- Historical perspectives
- Components
- Planning as an alternative method of replacing missing teeth
- Advantages and disadvantages compared to dentures and bridges
- Maintenance

Toothwear - 4 seminar / pracatical sessions in the clinical skills labs
- Aetiology
- Principals of conformative and reorganised management
- Practical experience of composite build ups using palatal silicone splints

Endodontics - 4 sessions in the clinical skills lab combining tutorials and practicals
- Use of rotary Protaper in plastic blocks and a molar tooth
- Retreatment using retreatment files and solvents
- Management of failure

Oral surgery
- Diagnosis of disorders requiring surgical management
- Basic surgical techniques

Prosthetics
- Assessment and construction of complete dentures culiminating in the students producing a wax try in articulated and set up by themselves
- Clinical aspects and laboratory techniques for relines, repairs and additions will becovered
- Immediate dentures

Periodontology

Teaching methods

Due to COVID-19, teaching and assessment activities are being kept under review - see module enrolment pages for information

Delivery typeNumberLength hoursStudent hours
Mini Conference14.004.00
Mini Conference18.008.00
Lecture201.0020.00
Practical13.503.50
Practical27.0014.00
Practical43.5014.00
Practical103.5035.00
Practical123.5042.00
Seminar13.503.50
Private study hours206.00
Total Contact hours144.00
Total hours (100hr per 10 credits)350.00

Private study

Reading for lectures
Preparing for tutorials / seminars

Opportunities for Formative Feedback

Contribution to seminars.
Direct feedback within the teaching laboratory from Instructors and Clinical Tutors.

Methods of assessment

Due to COVID-19, teaching and assessment activities are being kept under review - see module enrolment pages for information


Coursework
Assessment typeNotes% of formal assessment
VivaProsthetics Viva - formative0.00
PracticalPractical assessment of C/C set-up (progressional)0.00
PracticalContinuous assessment of practical skills (formative)0.00
Total percentage (Assessment Coursework)0.00

Normally resits will be assessed by the same methodology as the first attempt, unless otherwise stated


Exams
Exam typeExam duration% of formal assessment
Online Time-Limited assessment1 hr 30 mins50.00
Practical Exam / OSCE1 hr 30 mins50.00
Total percentage (Assessment Exams)100.00

Online time limited assessment with a duration of 48 hours. Spotter - the format of this assessment may be subject to change as a result of restrictions imposed as a result of the Covid-19 epidemic but the learning outcomes will remain unchanged.

Reading list

The reading list is available from the Library website

Last updated: 06/10/2021

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