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This document is a student evaluation sheet for a primary molar stainless steel crown proficiency. It lists the procedures and skills to be evaluated, including pre-op occlusion evaluation, crown preparation, caries removal, base application if needed, stainless steel crown selection and adaptation, cementation and finishing, and final evaluation. Students must perform independently and any unsatisfactory procedure results in an unsatisfactory final evaluation, referring to critical errors like inadequate preparation or remaining caries.
This document is a student evaluation sheet for a primary molar stainless steel crown proficiency. It lists the procedures and skills to be evaluated, including pre-op occlusion evaluation, crown preparation, caries removal, base application if needed, stainless steel crown selection and adaptation, cementation and finishing, and final evaluation. Students must perform independently and any unsatisfactory procedure results in an unsatisfactory final evaluation, referring to critical errors like inadequate preparation or remaining caries.
Copyright:
Attribution Non-Commercial (BY-NC)
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Als DOC, PDF, TXT herunterladen oder online auf Scribd lesen
This document is a student evaluation sheet for a primary molar stainless steel crown proficiency. It lists the procedures and skills to be evaluated, including pre-op occlusion evaluation, crown preparation, caries removal, base application if needed, stainless steel crown selection and adaptation, cementation and finishing, and final evaluation. Students must perform independently and any unsatisfactory procedure results in an unsatisfactory final evaluation, referring to critical errors like inadequate preparation or remaining caries.
Copyright:
Attribution Non-Commercial (BY-NC)
Verfügbare Formate
Als DOC, PDF, TXT herunterladen oder online auf Scribd lesen
PATIENT NAME: ____________________________________ FILE NO: __________________________________________ CLASS OF 20_____DATE: ____________________________ INSTRUCTOR INITIAL: _______________________________
Circle Appropriate Grade
TOOTH NUMBER GRADE COMMENTS
EVALUATE PRE-OP OCCLUSION U S ______________________________________________________________ CROWN PREPARATION:
(a) Occlusal reduction U S ______________________________________________________________
(b) Interproximal reduction U S ______________________________________________________________ (c) Assess need for buccal lingual U S ______________________________________________________________ reduction
(d) Functional cusp bevel and U S ______________________________________________________________
rounding of line angles
ACCESS & REMOVAL OF CARIES U S ______________________________________________________________
BASE APPLICATION (if required) U S ______________________________________________________________
SSC SELECTION & ADAPTATION U S ______________________________________________________________ SSC CEMENTATION, FINISH, POLISH & OCCLUSION CHECK U S ______________________________________________________________ FINAL EVALUATION U S ______________________________________________________________ ________________________________________________________________________________________________________ _ NOTE: 1. Students must perform independently. FOR INSTRUCTOR USE ONLY: 2. If any procedure is unsatisfactory, the final evaluation is unsatisfactory. 3. Unsatisfactory refers to a critical error that can lead to failure such as: Next RECALL DUE:______________________ (i) poor/inadequate preparation OR overpreparation (ii) caries remaining or failure to recognize that pulpotomy is required (mmm/yy) (iii) unnecessary damage to surrounding and/or adjacent tissues (iv) poor/incorrect SSC selection/fit/occlusion or cementation
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