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Preventive and Restorative Dentistry (PRD)

Course Descriptions

Predoctoral Courses

PRD 125. Integrated Preclinical Professional Development I. 3 Units.

As a component of the Integrated Preclinical Reconstructive Dentistry curriculum, this course includes the continual formative evaluation of students’ professionalism as well as assessments aimed to measure their critical evaluation and thought processes. Students are evaluated on a multitude of professional traits for the duration of the course including professional behavior, preparedness and organization, communication, self-assessment, critical thinking, time-management, teamwork and rapport, response to feedback, and engagement in learning. Students’ strengths and weaknesses are evaluated frequently and reported to them in the form of a rubric by faculty who work closely with them in the laboratory environment. Students are expected to grow and show improvement in areas in which they are weak. Their critical thinking ability and growth is measured using assessments in both the laboratory and didactic sessions that allow students to showcase these integrated skills and thought processes such as OSCE’s, oral examinations, portfolios and multidisciplinary capstone experiences. (Quarters 1-3.).

PRD 131. Integrated Preclinical Concepts I: Direct Restorative. 4 Units.

This course teaches direct restorative preparation design, cariology, dental materials, and enamel and dentin bonding. Student knowledge will be evaluated with quizzes and exams. (Quarters 1-3).

PRD 132. Integrated Preclinical Concepts I: Indirect Restorative. 5 Units.

As a component of the Integrated Preclinical Preventive and Restorative Dentistry, students will learn the concepts and technique necessary for beginning clinical practice of Indirect Restorative (Fixed Prosthodontics). At the end of the course, the student should understand the following concepts. Caries Risk Assessment and the ADA Classification of Dental Caries. Diagnosis and treatment planning for patients requiring indirect restorative dentistry. Treatment planning of Indirect Restorations within the Pacific Dugoni Axium Dental Software Program. Rationale and criteria for each restoration used at the University of the Pacific Arthur A. Dugoni School of Dentistry. Fabrication of articulated diagnostic casts from preliminary alginate impressions. Arbitrary as well as the Kois Dento-facial Analyzer mounting techniques will be taught. Color and Indirect Restoration shade selection. Restoration of damaged teeth with fillers and/or post placement in endodontically treated teeth prior to the fabrication of an indirect restoration. Preparation design and execution of the following crown preparations under clinically simulated conditions; Full Veneer, Monolithic (Full) zirconia, Lithium Disilicate, Porcelain-fused-to-metal, and Porcelain-fused-to-zirconia Restorations. Design and preparation of abutment teeth for anterior and posterior fixed dental prostheses (bridges), based on knowledge of principles of treatment planning, path of insertion, resistance and retention forms. Fabrication of provisional (temporary) restorations utilizing direct and indirect techniques for single crowns and provisional fixed dental prostheses under clinically simulated conditions. Knowledge and manipulation of the various materials and technical procedures necessary to impress, fabricate, fit, finish, polish and deliver indirect restorations under clinically simulated conditions. The CIMOE process: Contacts, Internal, Margins, Occlusion, Esthetics. Contouring, staining and glazing porcelain. Digital and CADCAM fabrication of indirect restorations. Pediatric Restorative preparations, materials and techniques. Information will be provided regarding Laboratory communication, quality discrimination for each step of treatment and long-term maintenance for patients with Indirect (Fixed Prosthodontic) restorations. (Quarters 1-3).

PRD 137. Local Anesthesia. 2 Units.

Students review basic anesthesia delivery techniques and apply them to a clinical situation. Students will learn new injection technique and how to overcome difficulties in mandibular anesthesia. In the self-study component, students will conduct independent research and summarize their findings in writing. (Quarter 4).

PRD 138. Advanced Restorative Technique. 2 Units.

This hands-on course, referred to as “A.R.T” block, utilizes extracted human teeth to simulate a multitude of clinical procedures. Students will perform advanced techniques focused on adhesive dentistry and digital dentistry. (Quarter 4.).

PRD 139. Clinical Transitions. 1 Unit.

A hands-on course focused on caries detection evaluation and removal techniques in extracted human teeth. Students will also participate in seminars that highlight Dugoni’s clinical process and procedures relating to reconstructive dentistry. (Quarter 4.).

PRD 146. Integrated Preclinical Technique I: Direct Restorative. 9 Units.

This course teaches students to prepare teeth for Class I, II, III, IV, and V cavity preparations for filling with amalgam and composite restorative materials. Students are taught a range of techniques depending on the extent of caries, from minimally invasive preps to traditional amalgam preps. Other subjects include the use of liners, matricing systems, and buildup materials. Students work in the Simulation Lab on plastic typodont teeth in a mannekin and are evaluated with practical exams. (Quarters 1-3).

PRD 147. Integrated Preclinical Technique I: Indirect Restorative. 10 Units.

As a component of the Integrated Preclinical Reconstructive Dentistry curriculum, students will be evaluated on their mastery of laboratory skills and simulation of reconstructive dentistry procedures as they relate to a “family" of patient cases presented in the course. Starting with all-ceramic preparations and progressing through PFM, gold and partial coverage restorations, an emphasis on conservation of tooth structure and maintaining or enhancing esthetics is woven through all projects. Students learn single tooth and multiple tooth rehabilitation. Projects increase in complexity throughout the year and treatment planning accompanies all projects. Ample time is spent on the adhesive protocols for cementation. Related topics included in this component are post and core placement, laboratory skills, and general dental procedures such as impression taking and model work. (Quarters 1-3).

PRD 151. Integrated Preclinical Concepts I: Capstone. 2 Units.

As a component of the Integrated Preclinical Preventive and Restorative Dentistry curriculum, students learn how to treat an integrated Posterior Restorative case and an Anterior Restorative case. Students are introduced to the concepts of a Smile Design, Esthetic wax-up, Core build-up, Lithium Disilicate crown prep, provisional and a final impression of each case. All-ceramic restorations are emphasized in later weeks with an emphasis on conservation of tooth structure and maintaining or enhancing esthetics is woven through all projects. Cases increase in complexity throughout the quarter and treatment planning accompanies all projects. Ample time is spent on the adhesive protocols for Restoration Cementation. Related topics included in this component are Post and Core placement, laboratory skills, general dental procedures such as Impression-taking and model work and shade selection in Restorative Dentistry. Lithium-Disilicate veneer preps and provisional restorations are also taught during this course. Finally, an integrated OSCE-type multiple-choice exam is given to help evaluate student competency in the concepts of Preventive and Restorative Dentistry. (Quarter 4).

PRD 155. Integrated Preclinical Technique I: Capstone. 3 Units.

As a component of the Integrated Preclinical Preventive and Restorative Dentistry curriculum, students will be evaluated on their mastery of laboratory skills and simulation of Restorative Procedures presented in this course. Cases increase in complexity throughout the quarter and treatment planning accompanies all projects. Students simulate the treatment of an integrated Posterior and Anterior case utilizing the principles and techniques taught in the Dental Anatomy, Direct and Indirect Restorative Dentistry courses in Quarter One through Three. Students perform a Smile Design on their simulated patient, prepare teeth #6-11 for Lithium Disilicate Porcelain Veneers and create Provisional (temporary) Restorations. An All-ceramic Onlay preparation and Provisional are also fabricated. A Restoration shade exercise is completed. During the last week of this course, the students remove the dental material Gutta-Percha, from an endodontically-treated tooth, create a post space and cement a Fiber Post utilizing the Prelude Bonding System and Rock-core build-up material. (Quarter 4).

PRD 173. Integrated Preclinical Concepts I: Direct and Indirect Restorative. 7 Units.

This course introduces students to operative dentistry, dental anatomy, occlusion, and fixed prosthodontics in a comprehensive, integrated format with an emphasis on clinical applications. Foundational knowledge of direct and indirect restorative materials is presented. Indications and principles of preparations for restoring teeth with amalgam and composite resins, including techniques for placement of these direct restorations are introduced. Additionally, correct ergonomics for a dental practitioner, hand piece techniques, rubber dam application and tooth morphology are covered. Sequencing treatment is incorporated through the use of simulated clinical patient cases. Clinical photography with a hands-on training session is taught. The rationale and criteria for full cast gold and ceramic crowns, including the preparation designs for individual teeth and fixed partial dentures is introduced. Traditional and digital impression techniques and provisional fabrications are also taught. Emphasis is placed on the development of hand skills and self-evaluation of the student’s own work. Development of critical thinking skills is achieved through a literature review project. (IDS Quarters 1 & 2.).

PRD 174. Integrated Preclinical Concepts I: Advanced Direct and Indirect Restorative. 2 Units.

The second course of the series continues with the integration of the disciplines of operative dentistry, fixed prosthodontics, and removable prosthodontics. Advanced restorative procedures, direct and indirect esthetic posterior restorations, and anterior esthetic reconstruction by creating a smile design and fabricating indirect porcelain veneers are covered. Advanced concepts in occlusion are introduced using wax up projects. Complex multi-disciplinary simulated cases are introduced where treatment planning and sequencing is reinforced. Digital dentistry advanced concepts such as CAD/CAM and Lasers are introduced to the students, which includes hands-on training sessions. Placement of fiber posts on an endodontically treated tooth is covered. Emphasis is placed on the student’s ability to apply principles taught in the first two quarters to simulated clinical situations. (IDS Quarter 3.).

PRD 175. Integrated Preclinical Technique I: Direct and Indirect Restorative. 8 Units.

This course introduces students to operative dentistry, dental anatomy, occlusion, and fixed prosthodontics in a comprehensive, integrated format with an emphasis on clinical applications. Foundational knowledge of direct and indirect restorative materials is presented. Indications and principles of preparations for restoring teeth with amalgam and composite resins, including techniques for placement of these direct restorations are introduced. Additionally, correct ergonomics for a dental practitioner, hand piece techniques, rubber dam application and tooth morphology are covered. Sequencing treatment is incorporated through the use of simulated clinical patient cases. Clinical photography with a hands-on training session is taught. The rationale and criteria for full cast gold and ceramic crowns, including the preparation designs for individual teeth and fixed partial dentures is introduced. Traditional and digital impression techniques and provisional fabrications are also taught. Emphasis is placed on the development of hand skills and self-evaluation of the student’s own work. (IDS Quarters 1 & 2.).

PRD 176. Integrated Preclinical Technique I: Advanced Direct and Indirect Restorative. 6 Units.

The second course of the series continues with the integration of the disciplines of operative dentistry, fixed prosthodontics, and removable prosthodontics. Advanced restorative procedures, direct and indirect esthetic posterior restorations, and anterior esthetic reconstruction by creating a smile design and fabricating indirect porcelain veneers are covered. Advanced concepts in occlusion are introduced using wax up projects. Complex multi-disciplinary simulated cases are introduced where treatment planning and sequencing is reinforced. Digital dentistry advanced concepts such as CAD/CAM and Lasers are introduced to the students, which includes hands-on training sessions. Placement of fiber posts on an endodontically treated tooth is covered. Emphasis is placed on the student’s ability to apply principles taught in the first two quarters to simulated clinical situations. (IDS Quarter 3.).

PRD 230. Integrated Preclinical Concepts II: Removable Prosthodontics. 3 Units.

This didactic course provides students with the foundational knowledge in removable prosthodontics needed to build a strong foundation for critical assessment, evidence-based practice, and lifelong learning in the dental profession. Formative and summative assessment will be used frequently to appraise students’ grasp of principles related to the partially edentulous and fully edentulous patient. Course material includes the full scope of removable prosthodontic treatment for partially and completely edentulous patients, including patho-physiology of tooth loss; diagnosis and treatment planning for transitional and definitive removable dentures; fabrication of partial and complete dentures; follow-up, recall, and problem- solving for patients with removable dentures. (Quarters 5 & 6, IDS Quarters 1 & 2).

PRD 231. Integrated Preclinical Concepts II:: Occlusion. 1-2 Units.

This course is part of the Integrated Preclinical Transition for second year DDS students and provides a broad overview of occlusion combined with an occlusion philosophy for the students to utilize as “safe beginners” in the student clinic and upon graduation. The curriculum is designed to develop the students’ occlusal awareness and for students to know when to refer more complex occlusal problems. The concept of “optimal occlusion” is taught as a model to utilize when designing new restorations and larger restorative cases. Topics include temporomandibular joint and muscle anatomy, anterior guidance, occlusal exam and TMJ analysis, inter-occlusal records, centric relation and taking a centric relation record, VPS final impression, marking media, mandibular movements, red flags, parafunction and levers, splint types, esthetic and functional wax-up, posterior wax-up, the smile design process, custom incisal guide table and occlusal equilibration. (Quarter 5).

PRD 232. Integrated Preclinical Concepts II: Implant Dentistry. 1 Unit.

The concepts part of the pre-clinical Implant Dentistry course will focus on introducing implant dentistry in a streamlined fashion to the pre-doctoral students. Lecture topics will include Introduction to Implants, Diagnostic Regimen, Biomechanics of Loading, Virtual Imaging, Soft Tissue and Hard tissue grafting for esthetics, Restorative Armamentaria, Implant Delivery and Maintenance, Implant Complications and Implants for Edentulous patients. The OSCE will facilitate critical thinking and integrate content from Occlusion. (Quarter 6, IDS Quarter 2).

PRD 233. Integrated Preclinical Concepts II: Comprehensive Principles in Dentistry. 3 Units.

The Concepts part of this pre-clinical course is a blend of established routine dental procedures concerned with Adhesive Dentistry, Veneer Preparation and Cementation, Ceramic Design for Inlay/Onlay Preparation, Erosion Etiology and Treatment. This is combined with an understanding of Basic Sleep principles, etiology and treatment. Block rotations are presented covering Dental Lasers, Laboratory Questions/Answers and Restorability of Teeth. Finally, the students are introduced to CAD CAM Dental Technology, CAD CAM case selection, materials, workflow of CAD CAM Restorations, including design, mill, stain/glaze and cementation of a full ceramic restoration. The students will participate in Evidence Based Research in a seminar format and present to their peers. (Quarter 7).

PRD 235. Integrated Preclinical Technique II: Removable Prosthodontics. 5 Units.

In this course, students develop laboratory and clinical skills as related to removable prosthodontics. In the partially edentulous patient, students will gain technical experience with tooth replacement with a removable prosthesis. Students will apply biomechanical principles and fundamentals of survey and prosthesis design, including base, clasp, rest, minor connector, and major connector designs. For edentulous patients and those patients with hopeless dentition, students will learn the basic clinical and laboratory phases of complete denture fabrication including diagnosis, pre-prosthetic surgery, tissue conditioning, impression, cast fabrication, record base/rim, occlusal records, chair-side esthetic arrangement, articulator mounting, anterior artificial tooth arrangement, trial denture try-in, denture processing and finishing, denture insertion, prosthetic home care patient education, and prosthetic follow-up and recall, including reline/repair and laboratory communication. Students will prescribe optimal clinical materials to be used in prosthesis fabrication and diagnose biomechanical problems from simulated case scenarios. (Quarters 5 & 6, IDS Quarters 1 & 2).

PRD 236. Integrated Preclinical Technique II: Occlusion. 1 Unit.

This course is part of the Integrated Preclinical Transition for second year DDS students and provides the laboratory and clinic technique knowledge, supporting the concepts learned in PRD 231. This course focuses on treatment of the dentate patient. Students gain clinical experience working on a partner in occlusal exam and TMJ analysis, centric relation record, PVS final impression and the Kois Dento-Facial Analyzer record. The students will gain knowledge in centric relation vs maximum intercuspation theories. Other learned techniques include the rehearsal of a smile design, a custom incisive guide table, and an occlusal adjustment from CR to MI. (Quarter 5).

PRD 237. Integrated Preclinical Technique II: Implant Dentistry. 1 Unit.

The technique part of the course will focus on lab exercises that will train the students to be competent in treating implant patients on the clinic floor. They will learn to surgically place an anterior and a posterior implant on a plastic model, learn the significance of a surgical stent and fabricate a surgical stent, learn to take closed and open tray impressions for implants, learn to fabricate a screw retained implant temporary crown and learn to convert a lower complete denture into an Overdenture. The students will learn the format for the Implant Seminar for single and multiple teeth. The quizzes are embedded in clinical videos to improve students’ understanding of application of implant concepts in patient care. (Quarter 6, IDS Quarter 2).

PRD 238. Integrated Preclinical Technique II: Comprehensive Principles in Dentistry. 3 Units.

The Technique part of this course will focus on the following laboratory experiences: Understanding the basic laser concepts and safety protocol in using the instrument to cut various materials. Hands-on experience of a CAD CAM system to scan, design and mill a full ceramic restoration. Experience firing and customizing with principles of esthetics of custom staining and glazing a full ceramic restoration. Cementation/Bonding of a final full ceramic restoration Design and prepare a partial ceramic restoration. Hands on Veneer Preparations and methods of Cementation. Experience the sectioning of Crown Removal and Porcelain Repairs. Students will diagnose and restore patient’s models following an approved treatment plan exhibiting an ideal mode of form and function. (Quarter 7).

PRD 239. Integrated Preclinical Technique II: Clinical Occlusion. 2 Units.

This course is about the occlusion of the natural teeth. The course will also include comparisons between the Occlusion of the natural teeth with the occlusion of implant-supported teeth and the occlusion of removable dental prosthodontics. Lectures in concepts will cover principles of occlusion and describe clinical and laboratory technique. In the technique component, students will be evaluated on their mastery of clinical and laboratory skills. Technique will include two parts. The first is the occlusal aspects of treating a typodont patient needing anterior esthetic restorations. The second involves the records, fabrication and delivery of an occlusal stabilization splint to a class-mate “patient”. The course provides a broad overview of occlusion combined with an occlusion philosophy for students to utilize as “safe beginners”. The curriculum is designed to develop the students’ occlusal awareness and for students to know when to refer more complex occlusal problems. The concept of “optimal occlusion” is taught as a model to utilize when designing new restorations and larger restorative cases. (IDS Quarter 3).

PRD 245. Integrated Preclinical Technique II: Applied Occlusion. 1 Unit.

This Course is about the Occlusion of the natural teeth and is the continuation of PRD236. The course will also include comparisons between the Occlusion of the natural teeth with the Occlusion of implant-supported teeth and the Occlusion of Removable Dental Prosthodontics. In this technique course, students will be evaluated on their mastery of clinical and laboratory skills. The course focuses on treatment of the dentate patient. In the previous quarter, the students gained clinical experience in occlusal principals working and record collection on student partners. During this course, each student will participate in the clinical delivery of an occlusal stabilization splint. The splint project began in the previous quarter PRD236 and will now be completed due to the time needed by the lab to process the splints. (Quarter 6).

PRD 277. Local Anesthesia. 1 Unit.

Students review basic anesthesia delivery techniques and apply them to a clinical situation. Students will learn new injection technique and how to overcome difficulties in mandibular anesthesia. In the self-study component, students will conduct independent research and summarize their findings in writing. (2 hours lecture, 6 hours clinical rotation, 10 hours self-study. Quarters 5-7.).

PRD 279. Clinical Restorative Dentistry I. 4-6 Units.

Study of diagnosis, treatment planning, and intracoronal dental therapy, including preparation for and restoration of teeth with cast gold and porcelain inlays and onlays, composite resins, laminates, and amalgam in comprehensive clinical dental practice. Requirements include practice of operative dentistry procedures under simulated state board examination conditions. These courses also cover the diagnosis, treatment planning, and delivery of fixed prosthodontic treatment that addresses the patient's esthetic dental needs; stabilizes, improves, and protects the patients' gnathostomatic system in a comprehensive clinical dental practice. Students participate in quality assessment at clinical impression stage and at prosthesis delivery. Lab Services coordinates student dental laboratory prescriptions with private outsource laboratories. Test cases determine student competency by evaluating their ability to independently prepare a single tooth crown preparation in a specified time period. (Quarters 5-8.).

PRD 281. Dental Implants. 1 Unit.

The study of modern implant dentistry with emphasis on history, the physiology of osseous integration, treatment planning, implant surgery, fabrication of single and multiple tooth fixed implant restorations and implant-supported removable overdentures, laboratory steps, maintenance and implant problems. Hard and soft tissue augmentation procedures will be studied along with esthetic concerns. (10 hours lecture and laboratory. Quarter 8.).

PRD 378. Clinical Restorative Dentistry II. 11 Units.

Study of diagnosis, treatment planning, and intracoronal dental therapy, including preparation for and restoration of teeth with cast gold and porcelain inlays and onlays, composite resins, laminates, and amalgam in comprehensive clinical dental practice. Requirements include practice of operative dentistry procedures under simulated state board examination conditions. These courses also cover the diagnosis, treatment planning, and delivery of fixed prosthodontic treatment that addresses the patient's esthetic dental needs; stabilizes, improves, and protects the patients' gnathostomatic system in a comprehensive clinical dental practice. Students participate in quality assessment at clinical impression stage and at prosthesis delivery. Lab Services coordinates student dental laboratory prescriptions with private outsource laboratories. Test cases determine student competency by evaluating their ability to independently prepare a single tooth crown preparation in a specified time period. (Quarters 9-10.).

PRD 379. Clinical Restorative Dentistry III. 12 Units.

Study of diagnosis, treatment planning, and intracoronal dental therapy, including preparation for and restoration of teeth with cast gold and porcelain inlays and onlays, composite resins, laminates, and amalgam in comprehensive clinical dental practice. Requirements include practice of operative dentistry procedures under simulated state board examination conditions. These courses also cover the diagnosis, treatment planning, and delivery of fixed prosthodontic treatment that addresses the patient's esthetic dental needs; stabilizes, improves, and protects the patients' gnathostomatic system in a comprehensive clinical dental practice. Students participate in quality assessment at clinical impression stage and at prosthesis delivery. Lab Services coordinates student dental laboratory prescriptions with private outsource laboratories. Test cases determine student competency by evaluating their ability to independently prepare a single tooth crown preparation in a specified time period. (Quarters 11-12.).

PRD 396. Clinical Removable Prosthodontics. 12 Units.

The study of diagnosis, treatment planning, and removable prosthodontic treatment that restores masticatory function and phonetics, preserves underlying structures, results in patient comfort, and is esthetically pleasing. Course includes practice for state board removable prosthodontic procedures and simulated examination conditions. (Quarters 9-12.).

Graduate Courses

PRD 484. Biomaterials I. 1 Unit.

This class focuses on restorative materials such as bonding systems, buildup composites and materials for crown and bridge fabrication. It also introduces new developments in biomaterial sciences. Basic material testing principles are discussed and the material properties for NiTi alloy used in endodontics are included. (Quarter 2.).