SDS 493 / Comprehensive Clinical Dentistry

Course Name: Comprehensive Clinical Dentistry

Course Number: DEN 493

Credit Hours: 10-Credit Hours

Weekly one Lecture and Four Clinical Sessions (3 hr.) for two Semesters

Sequence: Fifth Year

Course Description:

The course is designed to cover all clinical disciplines in dentistry. It is offered during the

fifth year and consists of one lecture and four clinical sessions per week throughout the academic

year.

This is a conjoint course by the six dental departments where contributors from all dental

disciplines participate in both in the lecture and clinical sessions.

A one-week Cardio-Pulmonary Resuscitation (CPR) course is given by the College of

Medicine.

Course Objectives:

The course is organized to augment the clinical experience of the students, there by,

providing them with an excellent foundation for patient care and clinical management.

By the end of the course:

1. The students should be able to diagnose conditions of the oral cavity and its related

structures, using proper diagnostic tools.

2. The students also should be able to develop a comprehensive treatment plan for the

prevention and treatment of oral conditions so that each patient can be maintained in,

or restored to, a healthy, functioning aesthetic condition.

3. The students should be able to perform competently preventive and therapeutic

procedures which are used by general dentists in the treatment of patients.

4. The students should be able to communicate and interact professionally and

effectively with patients, colleagues and members of the health care team.

5. The students should be able to practice dentistry in the best interest of patients

observing professional standards of oral health and the rules and regulations of the

health care system in Saudi Arabia.

6. The students should be able to apply evidence-based reasoning and practices to

provide comprehensive dental care to patients.

7. The students should be able to illustrate their appreciation to the professional self

development process.

Course Protocols:

1. Students must perform a complete comprehensive treatment for all cases that are assigned

to them by the course coordinator. No student is allowed to pass the course without

completing THREE cases "M, M+ and M++". However, it is not allowed to take more

than these three cases.

Cases which include more than 10 fixed prosthodontic units are not accepted in the

course. Also complete denture cases are not counted as one of the comprehensive

required cases.

The student is not allowed to start any case prior to classification of such a case by the

course coordinators.

It is not allowed to dismiss or transfer patients from this course to another or from a

student to another without the approval of the course coordinators.

One of the completed cases should be selected by the student for a case presentation.

2. A student is allowed to start the treatment procedure only after:

a. The specialized definitive treatment plan is approved and signed in the patient's file

& logbook by the respective specialty clinical instructor supervising the student.

b. The overall comprehensive treatment plane is approved and signed by the course

coordinators.

3. Zero (0) mark is given to the student who fails to fulfill items no. 1 and 2 of the protocols.

4. Zero (0) mark is given to the student who shows improper management of the case,

repeated ignorance to instructions, repeated irreversible damage, improper behavior with

patients and/or clinical instructors.

5. If the student does not finish the clinical work during the allotted clinical time, warning

will be given for the 1st time. More than three warnings, the highest case points will be

completely canceled.

6. The course coordinator is the only one who can implement items no. 3, 4 and 5 of the

protocols.

7. The final evaluation is based on the degree of difficulty of cases, attendance, proper

management of the allotted clinical time, knowledge, performance of clinical procedures

and proper behavior. The unfinished cases will not be considered for the final grading.

8. Discussion and questions about the on-going clinical procedure can be conducted at any

time by the clinical instructor during the regular clinical session.

9. The student should book patient according to the availability of the specialty instructor at

the clinical session. Names of clinical instructors at all clinical sessions are posted on the

clinic's bulletin board.

10. Any clinical procedure that is started under the supervision of a clinical instructor should

be completed under the supervision of the same clinical instructor. Exceptional cases to

this rule are to be arranged only by the course coordinator.

11. Any clinical procedure that is performed by the student should be recorded in the patient's

file. 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.

12. Attendance of students in both lectures and clinic is mandatory. Student's absence at any

clinical session is absolutely not acceptable. Being 5 minutes late to the lecture or 15

minutes late to the clinical session is considered as absence. This will affect the student's

evaluation. However, absence due to emergency or sickness may be accepted provided an

acceptable excuse or a medical report.

When 25% of the lecture or the clinical sessions are missed, the student will be

deprived from taking the final exam according to the university rules and

regulations.

13. Professionalism is expected from students at all times. Coordination with the Booking

Area to bock patients is the responsibility of the students.

14. All procedures of infection control should be followed strictly in the clinics (See the

attached Clinical Manual).

15. Emergency case(s) is/are assigned only by the course coordinator to any student at a

clinical session where no patient is booked.

The OSCE Examination

OSCE is an abbreviation for Objectively Structured Clinical Examination. This examination

format is used to assess the clinical reasoning skills of health professions students (including

medical and dental students). The examination consists of a number of written “stations” each of

which presents a clinical scenario that you would be likely to encounter in a general dental practice.

As you read through the stations, you will encounter a range of “virtual” patients with conditions

and/or treatment needs. You will be expected to provide differential and/or definitive diagnoses at

some of the stations and to recognize and treat/manage dental and medical emergencies at other

stations. At some of the stations you will be expected to make determinations regarding oral health

treatment needs and to develop comprehensive treatment plans.

This year’s OSCE will consist of ten to twelve written stations, some of which have multiple

parts. Each station presents a patient scenario and may contain photographs of a patient,

radiographs, the results of clinical examinations, and study models. You will be asked to respond to

specific questions for each written station regarding oral health care issues for the patient. You may

be asked questions relevant to the treatment/management of these patients. Some stations are testing

communication skills at which you will interview a standardized patient instructor with a specific

oral health problem. Some other stations deal with practice management issues.

Case Presentation:

Each student is required to present one of his clinical cases to the class by the end of the

second semester of the academic year. Students should collect all clinical data, radiographs,

mounted diagnostic casts and clinical photographs of the clinical case at the start, during and at

completion of the dental treatment.

The Case Presentations are designed as a venue for critical thinking. Critical thinking is

more than applying your understanding of dental and medical knowledge to treatment planning and

diagnosis, it involves analyzing, evaluation and creating.

The student must select a patient who will have the proper motivation to continue

throughout the entire treatment. Please note that treatment does not need to be completed before

the day of the presentation.

The quality of presentation, knowledge of student and his response during case discussion

are considered in the evaluation by the attending faculty members.

Grade Distribution:

Clinical evaluation 50 %

Clinical Procedure Points 15 %

Procedure Evaluation: (clinical evaluation X points) 25 %

Clinical Instructor's Evaluation * 10 %

Mid-year Didactic Exam 10 %

Case Presentation 10 %

Final OSCE ** 20 %

Final Didactic Exam 10 %

* Based on Attendance, Behavior and compliance with Instructions, Time management, student

care of patient.

** The final OSCE will be held during the last month of the second semester of the academic

year.

CPR is a compulsory attached course that should be passed by the students.

Reference Textbooks for the 493 DEN Course:

Inter-disciplinary Treatment Planning: principles, design, implementation.

Michael Cohen.

Quintessence publishing co; 1st edition, 2008

Periodontics:

Carranza's Clinical Periodontology

Michael G. Newman, Henry Takei, Fermin A. Carranza, Perry R. Klokkevold.

W.B. Saunders Company; 10th edition, 2006.

Operative Dentistry:

Fundamentals of Operative Dentistry: A Contemporary Approach

James B. Summitt.

Quintessence Publishing; 3ed edition, 2006.

Endodontics:

Pathways of the Pulp

Stephen Cohen, Kenneth M. Hargreaves.

C.V. Mosby; 9th edition, 2005.

Oral Surgery:

Contemporary Oral and Maxillofacial Surgery

Larry J. Peterson, Edward Ellis, James R. Hupp, and Myron R. Tucker,

Mosby; 4th edition, 2003.

Prosthodontics:

Fixed partial denture

Contemporary Fixed Prosthodontics

Stephen F. Rosenstiel, Martin F. Land, Junhei Fujimoto

C.V. Mosby; 4th edition, 2006.

Removable partial denture

Stewart's Clinical Removable Partial Prosthodontics

Rodney D. Phoenix, David R. Cagna, Charles F. DeFreest

Quintessence Publishing; 3rd edition, 2002.

Removable complete denture

Clinical complete denture prosthodontics

Moustafa A. Hassaballa

King Saud University, Academic publishing& pres, 2004