Clinical fixed

prosthodontics I
Dr. nabeel almaa
MSc. Degree in Fixed Prosthodontics
1433 -1434

COURSE TITLE : Clinical Fixed Prosthodontics I

COURSE CODE : PSD 533
CREDIT HOURS : 4H(1L+4C)
PREREQUISITES: PSD431 +PSD 432 (Introduction to
Fixed Prosthodontics)
Sequence: Fifth year

COURSE OBJECTIVES
At the end of the course, the dental student should:
1. acquire basic concepts necessary for the
diagnosis and treatment planning of simple fixed
prostheses.
2. bring together the knowledge and skills for a
successful management of different clinical fixed
prosthetic cases.
3. acquire experience of performing different types
of tooth preparations of abutments of fixed
prostheses.
4. acquire the knowledge and skills to fabricate a
biologically compatible and esthetically and
functionally acceptable provisional crown.

5. acquire the knowledge and skills to safely

manage soft tissues for making impressions
of prepared tooth/teeth.
6. acquire an experience in performing some
laboratory procedures for fabrication of fixed
prostheses.
7. develop a good dentist-laboratory
technician relationship.
8. properly deliver fixed prostheses.

COURSE TOPICS
1. Introduction and orientation
2. The dynamics of treatment planning and
treatment sequences.
3. Occlusal examination
4. Review of various tooth preparation,
including the extensively damaged vital
tooth, the RPD abutment, The resin bonded
FPD etc.
5. The diagnostic wax-up and provisional
restorations
6. Managing abnormal tooth positions

COURSE TOPICS
7. Tissue management and definitive
impressions
8. All Ceramic Restorations
9. Developments in esthetics in
prosthodontics
10.Esthetics and Shade considerations
11.Luting cements and delivering the final
restoration
12.Prosthodontic failures, prevention and
management
13.Recall examination procedures

Satisfactory completion of this course

requires:
1. Attendance in lecture, and clinic. Twentyfive percent (25%) of absence from the
lecture or clinical sessions will deprive the
student from taking the final examination
(University Rules & Regulations).
2. A minimal passing grade of %60 must be
achieved for the didactic component as well
as the clinical component of the course.
3. A satisfactory completion of the clinical
competency exams.
4. A satisfactory completion of the minimum
clinical requirements.

CLINICAL
REQUIREMENTS:
Each student is required to:
Complete the treatment of a minimum of two
fixed prosthodontic cases of a relatively
simple nature with a minimum of 6 units (2
single crowns, 1 fixed partial denture, post
and core restorations- direct or indirect).

EVALUATION AND ASSESSMENT

In order to receive a passing grade for the
course, the student must pass each of the
didactic and clinical components separately.
Mid-term written examination 15 %

Didactic
Total 50 %

Clinical
Total 50%

Final written examination 35 %

Final clinical and oral examination

20 %
Clinical student work 30%

Clinical student work

6
-

units:
2 single crowns (posterior then anterior)
1 posterior fixed partial denture
post and core restorations (direct or
indirect).

Shillingburg HT, Hobo S, Whitsett LD,

Jacobi R & Brackett SE. Fundamentals
of Fixed Prosthodontics, 3rd ed.
Quintessence PublishingCo, 1997.

RosensTIel SF, Land MF &

Fujimoto J. Contemporary Fixed
Prosthodontics, 4th ed. Mosby
Elsevier, 2006.

Course protocol
The student should be seated on the same location in
the laboratory and the clinic and should handle the
materials, equipments, instruments and other devices
with care and caution.
A student is allowed to start the treatment procedure only
after a definitive treatment plan is approved and signed
in the patient's chart by the clinical instructor
supervising the student.
A case completion form must be signed by the
supervising instructor upon case completion and
submitted with the radiographs.

 Any clinical procedure that is performed by

the student should be recorded in the
patient's chart at each clinical session. The
student should also write clearly his name,
university number and signature. This
should be followed by the signature of the
clinical instructor supervising the student.
Improper management of the case,
repeated ignorance to instructions,
repeated irreversible damage, improper
behavior with patients, dental assistants
and/or clinical instructors will have a
negative impact on the students grade.

 Your evaluation of each step is required;

otherwise 1 point will be subtracted from
each section lacking.
The patient is to arrive 15-20 minutes prior
to the appointed time so that all paperwork
can be completed prior to appointment
without wasting chair utilization time.

Receiving patient with a file

Paperworks, documentation steps and informing the

patient about treatment cost then having him signed on the
consent form

Take 3 preliminary impressions with alginate:

- Two for Upper and lower jaws
- One impression for the jaw with involved tooth

Diagnostic casts

Try-out
preparation Cast

Take a panoramic radiograph for bridge works or

complex oral finidings and a periapical radiograph
for simple single unit.

5
Have your all completed forms and documents
approved and signed by the supervising instructor.

Now you can start

All treatment steps are listed on student works

card

Do not move on quickly in preparation

steps, ask instructors assistance for every
procedure.

At the end of the appointment ask instructor to

sign the performed procedures recorded in the
patient s card and in your own works card.