Prosthodontics: Basics

Data

Official data in SubjectManager for the following academic year: 2024-2025

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. - Marada Gyula
• 2. Indications for making artificial crowns, classification of crowns. - Marada Gyula
• 3. Main principles of tooth preparation. - Marada Gyula
• 4. Rotary instruments in prosthetic work. - Marada Gyula
• 5. Methods of tooth preparation. Pulp protection. - Marada Gyula
• 6. Finish line, periodontal aspects of tooth preparation. Biologic width. - Marada Gyula
• 7. Precision impression methods. - Marada Gyula
• 8. Procedure of dental impressions. Sulcus enlargement. - Marada Gyula
• 9. Model preparation methods I. - Rajnics Zsolt
• 10. Model preparation methods II. - Rajnics Zsolt
• 11. Partial metal crowns. Preparation of 3/4 and 4/5 crown. Veneer preparation. - Rajnics Zsolt
• 12. Build up of destroyed tooth, materials and methods. - Rajnics Zsolt
• 13. Provisional restorations, materials and methods. - Rajnics Zsolt
• 14. WRITTEN TEST - Rajnics Zsolt
• 15. Construction of cast metal crowns, clinical and laboratory steps I. - Rajnics Zsolt
• 16. Construction of cast metal crowns, clinical and laboratory steps II. - Rajnics Zsolt
• 17. Construction of resin faced and acrylic crowns, clinical and laboratory steps. - Radnai Márta Mária
• 18. Construction of porcelain fused to metal crowns, clinical and laboratory steps. - Radnai Márta Mária
• 19. Full ceramic systems. - Marada Gyula
• 20. Construction full ceramic crowns, clinical and laboratory steps. - Marada Gyula
• 21. Post and cores, indications, conditions, preparation. Types of post and cores, classification. - Rajnics Zsolt
• 22. Prefabricated posts, types, indications. - Rajnics Zsolt
• 23. Interim and definitive cementation of crowns. Removal of cemented crowns and bridges. - Marada Gyula
• 24. WRITTEN TEST - Rajnics Zsolt
• 25. Consequences of tooth loss. Prosthetic value of the teeth. Classification of bridges, indication, planning. - Marada Gyula
• 26. Requirements of bridges. - Rajnics Zsolt
• 27. Procession of bridge construction, clinical and laboratory steps. Special bridges. - Rajnics Zsolt
• 28. Infection control in prosthodontics. Shade selection. - Rajnics Zsolt

Practices

• 1. Practising the handling of burs.
• 2. Preparation of a lower molar tooth for full metal crown.
• 3. Preparation of a lower premolar and molar tooth for a metal-ceramic crown.
• 4. Preparation of an upper incisor for a full ceramic crown.
• 5. Preparation of an upper canine and premolar tooth for a full ceramic and metal-ceramic crown.
• 6. Making a precision impression of the jaw and alginate antagonist impression of the upper arch. Fabricating a temporary bridge and crown.
• 7. Mounting the sectioned and antagonist model to the articulator. Making the wax pattern for a lower metal-ceramic bridge.
• 8. Making the wax pattern for a lower metal-ceramic bridge.
• 9. Students take a lower and upper anatomical impression and bite registration from each other. Making anatomical models and mount them to the articulator.
• ...

  10. Students take a lower and upper anatomical impression and bite registration from each other. Making anatomical models and mount them to the articulator.

  11. Students take a lower and upper anatomical impression and bite registration from each other. Making anatomical models and mount them to the articulator.
• 12. Students take a lower and upper anatomical impression and bite registration from each other. Making anatomical models and mount them to the articulator.
• 13. Making anatomical models and mount them to the articulator. Demonstration and practise of using a facebow.
• 14. Demonstration and practise of using a facebow. Practising the tooth preparation.

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, 3rd ed., 2001, ISBN 0-8151-5559-X

Literature developed by the Department

Lectures

Notes

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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.

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. The results of both midterm exams will be considered in the final mark of the oral exam.

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. This improvement can only be done once per midterm.

If the students can’t improve any unsatisfactory (1) mark, the course will not be accepted and students won’t be allowed to take an exam.

Mid-term exams

Two mid-term tests

Making up for missed classes

No possibility.

Exam topics/questions

1. 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. Definition, classifications, indications and contraindications of partial crowns.

5. Materials of crowns and their characteristics.

6. Principles, instruments and methods of tooth preparation.

7. Biomechanical principles of tooth preparation.

8. Types, indications, advantages and disadvantages of different tooth preparations. Place of finish line compared to the marginal gingiva.

9. Dental rotating instruments and their usage.

10. Steps of abutment tooth preparation for metal-ceramic crowns.

11. Steps of abutment tooth preparation for full-ceramic crowns.

12. Steps of abutment tooth preparation for partial metal crowns.

13. What do you have to check after completion of tooth preparation? What are the typical failures during abutment preparation?

14. Methods of pulp protection during tooth preparation.

15. Core build-up when the abutment tooth is severely damaged. Management of caries lesions on the abutment teeth.

16. Definition of impression, anatomic, precision impression.

17. Types of impression trays, requirements relating the trays.

18. Classification of impression materials.

19. Materials of anatomic impression and there characteristics.

20. Materials of precision impression and their characteristics.

21. Displacement of gingival tissues, sulcus-enlargement: aim, instruments, materials and methods.

22. Steps of precision impression taking with two phase, one time method.

23. Steps of precision impression taking with two phase, two time method.

24. Factors influencing the accuracy of the impression, evaluation of the impression.

25. Chemical and prosthetic methods of pulp protection during tooth preparation.

26. Steps and materials of making temporary crowns in the dental practice.

27. Steps and materials of making temporary crowns in the dental laboratory.

28. Classification of models.

29. Definition of the model, precision model.

30. Materials for making a model and their characteristics.

31. Technique of die and cast making in case of fixed partial dentures.

32. Dental technical process of making full metal crowns.

33. Dental technical process of making metal crowns with acrylic resin coverage.

34. Dental technical process of making metal-ceramic crowns.

35. Dental technical process of making Jacket crowns (acrylic resin).

36. Dental technical process of making full ceramic crown with platinum-foil method.

37. Porcelain laminate veneers, definition, indication, tooth preparation.

38. Shade selection, theory and practice.

39. Temporary cementation of crowns and bridges: materials and methods.

40. Definitive cementation of crowns and bridges: materials and methods.

41. Removal of crowns and bridges.

42. Value of the teeth from prosthetic aspect, their use as abutments.

43. Definition, parts, classification and materials of bridges. Methods of bridge veneering.

44. Functions of a bridge. Statical, functional, esthetical and biological aspects and requirements of bridges.

45. Indications and contraindications of bridges. Factors influencing the lifespan of bridges.

46. Process of making cast metal bridges (clinical and dental technical steps).

47. Process of making metal-ceramic bridges (clinical and dental technical steps)

48. Try-in of framework of crowns and bridges in the dental practice.

49. Procedure of investing and casting.

50. Special bridges (removable bridges, adhesive bridges)

51. Alloys for cast metal crowns and their properties.

52. Alloys for porcelain fused to metal crowns and their properties.

53. Systems for full ceramic crowns and their processing.

54. Classification of post retained prosthetic appliances, indications and contraindications.

55. Indirect and direct methods for making a post-and-core.

56. Types and application of prefabricated metal posts.

57. Types and application of prefabricated non-metal posts.

58. Cementation of post-and-core.

Examiners

• Marada Gyula
• Muzsek Zsófia Katalin
• Rajnics Zsolt

Instructor / tutor of practices and seminars

• Benke Beáta
• Marada Gyula
• Muzsek Zsófia Katalin
• Rajnics Zsolt