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Lab Steps CD 1534751961

The document outlines the BDS course in Prosthodontics and Crown and Bridge, detailing various topics such as preparation of primary casts, beading impressions, boxing impressions, and fabrication of record bases. Each section includes intended learning outcomes, specific learning outcomes, and checklists for practical exercises to ensure students can apply their knowledge effectively. The course is led by Dr. Vibha Shetty and is designed for the 2015 batch, focusing on the rehabilitation of edentulous patients with empathy and a multidisciplinary approach.

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Devi Pesala
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0% found this document useful (0 votes)
9 views25 pages

Lab Steps CD 1534751961

The document outlines the BDS course in Prosthodontics and Crown and Bridge, detailing various topics such as preparation of primary casts, beading impressions, boxing impressions, and fabrication of record bases. Each section includes intended learning outcomes, specific learning outcomes, and checklists for practical exercises to ensure students can apply their knowledge effectively. The course is led by Dr. Vibha Shetty and is designed for the 2015 batch, focusing on the rehabilitation of edentulous patients with empathy and a multidisciplinary approach.

Uploaded by

Devi Pesala
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Faculty Dental Sciences

Programme BDS
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr. Ravishankar
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Preparation of dentulous maxillary and mandibular primary
casts
Session Duration 4 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation
Specific Learning Outcomes:
At the end of this session, the students should be able to:
1. Relate water powder ratio for manipulation of gypsum.
2. Demonstrate mixing time, working time, setting time including initial and final setting
time.
3. Fabrication of a maxillary edentulous cast using type II gypsum

1
Checklist for exercise: Preparation of dentulous maxillary and mandibular primary casts
Sl.NO. Average Good Excellent
1. Outline drawn on the impression to
define the overextensions
2. Correct water: powder ratio
3. Surface of cast should be hard,
dense and free of any grinding
sludge
4. The side walls of a cast should be
vertical or slightly tapered out.
5. The tongue space on the mandibular
cast should be flat smooth.
6. The base of the cast should not be
less than 15-16mm from the
thinnest portion.

Faculty Dental Sciences

2
Programme BDS
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Beading The Maxillary and Mandibular Primary
Impression
Session Duration 2 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:
1. Relate the beading procedure to preserving the borders of the impression and
formation of land area on the cast
2. Demonstrate the type of wax used for beading and also attach the same to the
borders of the maxillary impression

3
Checklist for exercise:

Maxillary Primary Impression


SL. Average Good Excellent
No.
1. Beading wax should be 4mm wide.

2. Seal the beading wax 3-4mm below the


impression.
3. Angulation of beading should be 450
In a maxillary impression the beading at the
4. posterior palatal seal area should be at the
same level.

Mandibular Primary Impression


SL. Average Good Excellent
No.
1. Beading wax should be 4mm wide.

2. Seal the beading wax 3-4mm below the


impression.
3. Angulation of beading should be 450
4. In mandibular impression beading should be
high in the heel area
5. In mandibular impression the beading of tongue
area should be flat and at 900 to the heel area

4
Faculty Dental Sciences
Programme BDS
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Boxing of Maxillary and Mandibular edentulous impression
Session Duration 2 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:
1. Relate boxing procedure to preserving the borders of the impression and formation
of land area on the cast

2. Demonstrate the type of wax used for boxing and also attaching the same to the
borders of the beaded maxillary impression.

5
Checklist for exercise: Boxing of Maxillary and Mandibular edentulous impression Maxillary:
Sl.No Average Good Excellent
1. The beaded impression is positioned on the
table and the boxing should be perpendicular
to the beading.
2. The length of the boxing wax should be 15mm
above the highest point in the impression.
3. The boxing wax and beading wax should be
sealed properly to avoid leakage of water.

Mandibular:
Sl.No Average Good Excellent
1. The beaded impression is positioned on the
table and the boxing should be perpendicular
to the beading.
2. The length of the boxing wax should be 15mm
above the highest point in the impression.
3. The boxing wax and beading wax should be
sealed properly to avoid leakage of water.

6
Faculty Dental Sciences
Programme BDS
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Pouring of beaded impression by inversion method
Session Duration 2 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to

1. Describe biomechanics of rehabilitation of the edentulous patients


2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:

1. Relate water powder ratio for manipulation of dental plaster.


2. Demonstrate mixing time, working time, setting time including initial and final setting
time.
3. Pour the maxillary and mandibular primary impression with dental plaster.

7
Checklist for exercise:

Maxill Average Good Excellent.


a SL.
No.
1. The width of the land area should be 4mm.
2. The sulcus depth is to be recoded properly.
3. The sides of the cast should be vertical and
perpendicular to base.
4. The tongue space in the mandibular cast should
be flat and smooth.
5. The cast should not have any voids.
6. The cast should be smooth and glossy.
Checklist for exercise:
Mandible.
Sl. Average Good Excellent
No.
1. Cast should be perpendicular to base

2. Sides of the cast should be perpendicular to base

3. Accurate height and width of the borders of the cast


should be maintained
4. Accurate height of the cast should be maintained
(13-15mm)

Faculty Dental Sciences


Programme BDS
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali

8
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Spacer design for maxillary and mandibular edentulous ridges
Session Duration 1 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:
1. Demonstrate the manipulation of modelling wax
2. Demonstrate adaptation of wax to fabricate full spacer to a maxillary edentulous cast
3. Spacer design for different clinical conditions

Checklist for exercise: Spacer design for maxillary and mandibular edentulous ridges

9
Sl.No Average Good Excellent
1. Uniform thickness of the spacer of 2mm.
2. Accurate dimensions of tissue stoppers for given
situations.
3. Proper extensions of the spacer based on various
principles of impression making.

Faculty Dental Sciences


Programme BDS
Course Title Prosthodontics And Crown and Bridge

10
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Fabrication of maxillary and mandibular record base by dough
method
Session Duration 2 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:

1. Identify the limiting and supporting structures of the maxillary denture bearing area
on the cast.
2. Describe the uses of auto polymerizing acrylic denture bases.
3. Demonstrate the fabrication of closely adapted polymerizing acrylic denture base
using template method
4. Analyse the polymerizing acrylic denture base fabricated

11
Checklist for exercise: Fabrication of maxillary and mandibular record base by dough method
Sl.NO Average Good Excellent
1. The record base should be well adapted to the
cast.
2. The record base should have uniform thickness.
3. It should be free of voids and porosities and should
not rock.

4. The borders should be rounded and smooth.


5. It should be easy to remove from the cast
without breaking

6. The borders should not chip and break

Faculty Dental Sciences


Programme BDS

12
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Fabrication of maxillary and manbibular occlusal rims
Session Duration 2 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to

1. Describe biomechanics of rehabilitation of the edentulous patients


2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:
1. Fabricate rims on maxillary and mandibular rims

2. Apply guidelines specified for each rim fabrication.

13
Checklist for exercise: Fabrication of maxillary and mandibular occlusal rims
Sl.No. Average Good Excellent
1. The edentulous cast should have the reference
lines marked.
2. The occlusal rims should not have any folds
and entrapment of air.
3. The dimension of the rims should be accurate
4. Curvature of the occlusal rim should be
corresponding to the curvature of the
respective arch.
5. Anterior portion of the maxillary occlusal rim
should have a 150 inclination.
6. Anterior portion of the mandibular occlusal
rim should be straight.

Faculty Dental Sciences


Programme BDS

14
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Articulation
Session Duration 2 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:
1. Demonstrate the use the articulator for accurate mounting of upper and lower cast
2. Relate the plane of the occlusal rim to the plane of the articulator

Checklist for exercise: Articulation


Sl.NO. Average Good Excellent

15
1. The anterior plane should be at the level of the
central pin
2. The posterior plane should be in line with
posterior reference rod
3. Plane of occlusion should coincide with plane
of articulator
4. The vertical rod should touch the incisal table
5. The centre of the cast should coincide with the
centre of the articulator
6. The mixed plaster should be contoured
according to the sides of the cast

Faculty Dental Sciences

16
Programme BDS
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Arrangement of maxillary and mandibular anterior teeth
Session Duration 4 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:

1. Differentiate between right and left, Maxillary and Mandibular anterior teeth.
2. Determine type of arch form
3. Apply guidelines for anterior teeth arrangement
4. Demonstrate the arrangement of maxillary and mandibular central, lateral incisors
and canine in all three planes.
5. Demonstrate the vertical and horizontal overlap between the maxillary and
mandibular anterior teeth.
6. Demonstrate the canine key of occlusion.
7. Demonstrate the coinciding of the upper and lower midline

Checklist for Exercises:


Anterior teeth arrangement
17
Session-I

Sl. Average Good Excellent


No.
1. The inclinations and positioning of both the central
and lateral incisors should be accurate.

2. The incisal edge relation of incisors and canines


should follow the principles of arrangement

3 The positioning of canine should be proper.

4 The incisal edge of the maxillary central incisors


should coincide with the incisal pin of articulator.
5 The arrangement of the anterior teeth should relate
to the arch form.

6 The vertical and horizontal overlap of the anterior


teeth should be uniform throughout and of accurate
dimension

Session-II
Sl. Average Good Excellent
No.
1. The inclinations and positioning of both the central
and lateral incisors should be accurate.
2. The incisal edge relation of incisors and canines
should follow the principles of arrangement.

3 The positioning of canine should be proper.

4 The incisal edge of the maxillary central incisors


should coincide with the incisal pin of articulator.

5 The arrangement of the anterior teeth should relate


to the arch form.

6 The vertical and horizontal overlap of the anterior


teeth should be uniform throughout and of accurate
dimension

18
Session-III
Sl. Average Good Excellent
No.
1. The inclinations and positioning of both the central
and lateral incisors should be accurate.

2. The incisal edge relation of incisors and canines


should follow the principles of arrangement

3 The positioning of canine should be proper.

4 The incisal edge of the maxillary central incisors


should coincide with the incisal pin of articulator.

5 The arrangement of the anterior teeth should relate


to the arch form.

6 The vertical and horizontal overlap of the anterior


teeth should be uniform throughout and of accurate
dimension

Faculty Dental Sciences


Programme BDS
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali

19
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Arrangement of maxillary and mandibular posterior teeth
Session Duration 4 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:

1. Differentiate between right and left Maxillary and Mandibular posterior teeth.
2. Determine type of arch form
3. Apply guidelines for posterior teeth arrangement
4. Demonstrate the arrangement of maxillary and mandibular pre-molars and molars in
all three planes.
5. Demonstrate the molar key of occlusion.
Checklist for Exercises: Posterior teeth arrangement
Sl.No. Average Good Excellent
1. The inclination and positioning of maxillary
posterior teeth should be accurate
2. The glass slab relation and the thread relation of
the articulator should coincide

20
3. The cusp fossa relation should be accurate in both
buccal and lingual view
4. The cusp and the groove position should be correct.

5. The upper and lower molars should be in Session 1


molar occlusion.
6. The molar and canine key of occlusion should be
accurate

Faculty Dental Sciences


Programme BDS
Course Title Prosthodontics And Crown and Bridge

21
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Waxing and Carving of Arrangements
Session Duration 4 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:
1. Demonstrate the sealing of denture base and application of wax on the teeth.
2. Apply guidelines of waxing and carving.
3. Demonstrate the waxing and carving of maxillary teeth.
4. Demonstrate the contouring of gingival papilla.
5. Demonstrate the contouring of root prominence and canine eminence in the anterior
region.

Checklist for Exercise: Waxing and Carving of Arrangements


Sl. Average Good Excellent

22
No.
1. Wax - up
2. Cervical carving

3 Polishing

4. Fusing of denture base to cast

23
Faculty Dental Sciences
Programme BDS
Course Title Prosthodontics And Crown and Bridge
Course Leader Dr.Vibha Shetty
Course Moderator Dr.Vaishali
Head of the Department Dr.Suma
Batch 2015
Course Code BDSDEN112
Topic Acrylization, finishing and polishing of complete dentures
Session Duration 8 hr

Intended Module Learning Outcomes (ILO)


By the end of this term, the student will be able to
1. Describe biomechanics of rehabilitation of the edentulous patients
2. Analyze treatment options for the edentulous patient with tooth/implant
supported restoration
3. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
partially edentulous patient with a removable/fixed prosthesis with empathy and
compassion
4. Diagnose, develop a treatment plan, and execute the same for rehabilitation of the
completely edentulous patient with a removable prosthesis with empathy and
compassion
5. Diagnose and recommend esthetic prosthetic restorative procedures for
rehabilitation of the maxillofacial and aesthetically compromised patient
6. Integrate multidisciplinary approach in treatment planning for optimum
prosthodontic rehabilitation

Specific Learning Outcomes:


At the end of this session, the students should be able to:

1. Demonstrate the steps in acrylization of complete denture


2. Evaluate the finished complete denture

24
Checklist for exercise: Acrylization, finishing and polishing of complete dentures
Sl.No. Average Good Excellent
1. Acrylized denture should be free
of stone particles
2. The denture should have a
smooth surface at finish lines
3. The denture base resin should be
trimmed and contoured
4. Denture should be well polished
and free of nodules and
scratches.
5. The finished denture should fit
accurately on the master cast

25

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