Prosthodontics basics lecture

Data

Official data in SubjectManager for the following academic year: 2023-2024

Topic

The aim of the course is to inform students about theoretical and practical aspects of fixed partial dentures. Students will practice these steps during a practical course in the laboratory. The aim for the course is also to demonstrate the odontotechnological aspects and show the possible mistakes and corrections of them.

Lectures

• 1. History of prosthetic dentistry. Topics of prosthetic dentistry, prosthetic appliances. - Dr. Marada Gyula
• 2. Indications for making artificial crowns, classification of crowns. - Dr. Marada Gyula
• 3. Main principles of tooth preparation. - Dr. Marada Gyula
• 4. Rotary instruments in prosthetic work. - Dr. Marada Gyula
• 5. Methods of tooth preparation. Pulp protection. - Dr. Marada Gyula
• 6. Finish line, periodontal aspects of tooth preparation. Biologic width. - Dr. Marada Gyula
• 7. Precision impression methods. - Dr. Marada Gyula
• 8. Procedure of dental impressions. Sulcus enlargement. - Dr. Marada Gyula
• 9. Veneers: clinical and laboratory steps. - Dr. Marada Gyula
• 10. Design and clinical execution of indirect restorations. - Dr. Marada Gyula
• 11. Odontotechnology of fixed dentures - Model preparation methods. - Dr. Rajnics Zsolt
• 12. Odontotechnology of fixed dentures – Sectioned cast, wax patterns. - Dr. Rajnics Zsolt
• 13. First midterm exam - Dr. Rajnics Zsolt
• 14. First midterm exam - Dr. Rajnics Zsolt
• 15. Construction of cast metal crowns, clinical and laboratory steps - Dr. Rajnics Zsolt
• 16. Construction of resin faced and porcelain fused to metal crowns, clinical and laboratory steps. - Dr. Rajnics Zsolt
• 17. Full ceramic systems. - Dr. Marada Gyula
• 18. Construction full ceramic crowns, clinical and laboratory steps. - Dr. Marada Gyula
• 19. Types and classification of post and cores, indications and procession. - Dr. Rajnics Zsolt
• 20. Types and classification of prefabricated posts, indications and procession. - Dr. Rajnics Zsolt
• 21. Interim and definitive cementation of crowns. Removal of cemented crowns and bridges. - Dr. Marada Gyula
• 22. Consequences of tooth loss. Prosthetic value of the teeth. Classification of bridges, indication and planning. Requirements of bridges. - Dr. Marada Gyula
• 23. Requirements of bridges. Procession of bridge construction, clinical and laboratory steps. Special bridges. - Dr. Rajnics Zsolt
• 24. Materials and methods of core buildup. Materials and procession of temporary crowns and bridges. - Dr. Rajnics Zsolt
• 25. Second midterm exam. - Dr. Rajnics Zsolt
• 26. Second midterm exam. - Dr. Rajnics Zsolt
• 27. Consultation, improvement exam. - Dr. Rajnics Zsolt
• 28. Consultation, improvement exam. - Dr. Rajnics Zsolt

Practices

Seminars

Reading material

Obligatory literature

Shillingburg HT, Jacobi R, Brackett SE: Fundamentals of Tooth Preparation. Quintessence, 2nd edition, ISBN 0-86715-157-9
SF Rosenstiel, MF Land, J Fujimoto: Contemporary Fixed Prosthodontics, 2001, 3rd ed., ISBN 0-8151-5559-X

Literature developed by the Department

Lectures will be uploaded in PDF format to the POTEpedia following each lecture.

Notes

https://www.tankonyvtar.hu/hu/tartalom/tamop412A/2011-0095_fogaszat_angol/adatok.html

Recommended literature

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Conditions for acceptance of the semester

Active participation on lectures based on the Study and Exam Regulations of the University (participation will be registered on every lecture).
Acceptance of the semester according to the Study and Exam Regulations of the University and successful completion of both midterm exams, written in week 7 and 13 in time of the lectures.

Mid-term exams

The midterms will take place in week 7 and 13, during the time of the lecture.
If the student fails to come to one of the midterm exams, the result of that exam is considered as unsatisfactory (1).
Unsatisfactory (1) mark needs to be improved during the active time of the semester (only unsatisfactory (1) marks can be improved). This improvement can only be done once per midterm on week 8 and 14. If the student fails to improve the mark or not write the improvement exam, the subject won’t be accepted, the student won’t be able to participate in the oral exam.
During the oral exam, 2 topics will be selected from the exam questions, listed in the course description. In the case of both topics, a minimum satisfactory (2) marks are required to pass the exam.
If the results of both midterm exams are excellent (5), 1 topic will be drawn during the oral exam.
The results of both midterm exams will be considered in the final mark of the oral exam.

Making up for missed classes

No possibility.

Exam topics/questions

I. Topic group
1. Subject of prosthodontics, types of prosthetic appliances.
2. Consequences of tooth loss. The aims of prosthetic rehabilitation.
3. Definition, classifications, indications, and contraindications of crowns.
4. Materials of crowns and their characteristics.
5. Principles, instruments and methods of tooth preparation.
6. Biomechanical principles of tooth preparation.
7. Types, indications, advantages, and disadvantages of different tooth preparations. Place of finish line compared to the marginal gingiva.
8. Dental rotating instruments and their usage.
9. Definition of impression, anatomic, precision impression.
10. Types of impression trays, requirements relating the trays.
11. Classification of impression materials.
12. Materials of anatomic impression and their characteristics.
13. Materials of precision impression and their characteristics
14. Factors influencing the accuracy of the impression, evaluation of the impression.
15. Chemical and prosthetic methods of pulp protection during tooth preparation.
16. Steps and materials of making temporary crowns in the dental laboratory.
17. Types and classification of models and precision models.
18. Materials for making a model and their characteristics.
19. Value of the teeth from prosthetic aspect, their use as abutments.
20. Definition, parts, classification and materials of bridges. Methods of bridge veneering.
21. Functions of a bridge. Statical, functional, esthetical, and biological aspects and requirements of bridges.
22. Indications and contraindications of bridges. Factors influencing the lifespan of bridges.
23. Special bridges (removable bridges, adhesive bridges)
24. Alloys for cast metal crowns and their properties.
25. Alloys for porcelain fused metal crowns and their properties, mechanism of metal and ceramic connection.
26. Systems for full ceramic crowns and their processing.
27. Classification of post retained prosthetic appliances, indications, and contraindications.
II. Topic group
1. Steps of abutment tooth preparation for full metal crowns.
2. Steps of abutment tooth preparation for metal-ceramic crowns.
3. Steps of abutment tooth preparation for full-ceramic crowns.
4. What do you have to check after completion of tooth preparation? What are the typical failures during abutment preparation?
5. Methods of pulp protection during tooth preparation.
6. Core build-up when the abutment tooth is severely damaged. Management of caries lesions on the abutment teeth.
7. Displacement of gingival tissues, sulcus-enlargement: aim, instruments, materials, and methods.
8. Steps of precision impression taking with two-phase, one-time method.
9. Steps of precision impression taking with two-phase, two-time method.
10. Steps and materials of making temporary crowns in the dental practice.
11. Technique of die and cast making in case of fixed partial dentures.
12. Laboratory process of making full metal crowns.
13. Laboratory process of making metal-ceramic crowns.
14. Laboratory process of making full acrylic resin crowns.
15. Laboratory process of making full ceramic crowns.
16. Clinical steps of veneer fabrication, planning, impression, luting.
17. Steps and methods of veneer preparation. Technical aspects of veneer fabrications (materials, methods)
18. Temporary cementation of crowns and bridges: materials and methods.
19. Definitive cementation of crowns and bridges: materials and methods.
20. Removal of crowns and bridges.
21. Process of making cast metal bridges (clinical and laboratory steps).
22. Process of making metal-ceramic bridges (clinical and laboratory steps)
23. Try-in of framework of crowns and bridges in the dental practice.
24. Indirect and direct methods for making a post-and-core.
25. Types and application of prefabricated metal posts.
26. Types and application of prefabricated non-metal posts.
27. Cementation of post-and-core.

Examiners

• Dr. Baumann Petra Henrietta
• Dr. Benke Beáta
• Dr. Marada Gyula
• Dr. Muzsek Zsófia Katalin
• Dr. Rajnics Zsolt

Instructor / tutor of practices and seminars