UB SDMUB

DDS Program Courses - Third Year

RDN831 Endodontics II
This course is the second phase of the educational program of endodontics. This advanced course is a prerequisite for Part II of the National Dental Board Examination and serves to introduce advanced concepts of clinical endodontics to the predoctoral student. The course provides instruction in topics that facilitate the transition from the preclinical technique courses to the clinic. Clinical topics are presented so that students can diagnose and suggest courses of treatment for more complex forms of endodontic diseases

ODS833 Medical Emergencies
This fall-semester course teaches students (1) how to differentiate systemically "healthy" vs. "non-healthy" patients, thereby preventing medical emergencies through recognition of patients who are most likely to have problems; and (2) the techniques of cardiopulmonary resuscitation (CPR) through lectures, visual aids, and applied practice sessions on mannequins.

ODS836 Oral Mucosal Diseases
This course reviews and reinforces information gained in ODS825 and prepares students to identify and conduct a complete differential diagnosis of mucosal lesions. To accomplish this, the characteristics of the normal mucosa are thoroughly reviewed, followed by in-depth presentations of a wide range of lesions that may appear in or affect the oral mucosa. These range from common (e.g., oral ulcers) to rare, simple to complex, and benign to serious (e.g., oral cancer), including lesions associated with systemic conditions, as well as local factors. At the end of this course, students will have gained a genuine understanding of the taxonomy, diagnostic criteria, diagnostic procedures, etiology, histopathology, and appropriate management of and for oral mucosal lesions.

PMY831 Principles of Pharmacology
While the major emphasis in this course is on drugs commonly used in the practice of dentistry, a survey of other classes of drugs is also included. Of critical importance are the effects of the drugs employed on all organs of the body, as well as possible interactions between drugs used in dental practice and others the patient may be taking. Dentists are clinicians with particular interest in one area of the body. Nevertheless, they are - and have a right to be - recognized as broadly educated health-care professionals. Patients have a right, both for their own safety and for information, to expect their dentist to be familiar with therapeutic drugs in general. Dentists must be prepared to answer patient questions about the medications they prescribe, as well as about those prescribed by other health-care professionals.

CLD831-832 Comprehensive Care Clinic I-II
These courses are the major clinical experience of the third-year integrated clinical program. Students are assigned patients with a broad range of treatment needs. By meeting the treatment needs of their assigned patients, students gain a broad-based clinical experience in operative dentistry, fixed prosthodontics, removable prosthodontics, periodontology, clinical diagnosis and evaluation, and endodontics. Students spend three days per week engaged in some aspect of patient care.

ODS832 Oral Radiology Clinic II and III
These courses encompass a full-academic-year rotation in the Oral Radiology Clinic. During this rotation, students take intraoral and panoramic radiographs of new, reassigned, and emergency clinic patients of the School of Dental Medicine. Students are taught the proper techniques and protocols for using the clinic's radiographic equipment, as well as appropriate quality-assurance methods. By the end of their rotations, students will have learned panoramic radiographic technique utilizing both the panelipse and the orthophor machines, will have been shown how to obtain occlusal films, and will have been introduced to TMJ imaging techniques. The rotations also include mini-seminars utilizing radiographs, slides, and photomicrographs to review normal anatomy, developmental anomalies, and pathology. Such mini-seminars include CPC-type discussions using actual cases to correlate radiographic, clinical, and histopathologic findings. In this way, students learn about the role of, and develop skills in, the utilization of radiographic diagnosis in the overall process of differential diagnosis.

ODS837-838 Clinical Diagnosis I-II
These courses represent that portion of the vertically integrated teaching group clinical activities under the aegis of the Department of Oral Diagnostic Sciences. To gain experience in clinical diagnosis, students participate, under the supervision of faculty from the department, in the comprehensive evaluation of patients who have or may have systemic conditions that could hinder or complicate their dental care. Students learn how to take patient histories; conduct complete regional, extraoral, and intraoral examinations; obtain appropriate diagnostic tests, including radiographs; prepare consultation request letters to physicians; refer for medical advice; and reach conclusions regarding patients' health status. This learning process is reinforced via clinical competency examinations in which students are required to demonstrate their knowledge and skill in clinical diagnosis.

OSU831 Oral Surgery I
This course introduces the basic principles and techniques in oral and maxillofacial surgery. Instrumentation, extraction and biopsy techniques, pre- and post-op patient management, odontogenic infections, and complications are among the topics covered. This course is presented in conjunction with a clinical rotation in oral and maxillofacial surgery.

OSU832 Oral Surgery II
This course is a continuation of OSU831. Patient evaluation is considered in greater depth, as are more complicated areas of oral and maxillofacial surgery. Evaluation and management of traumatic injuries, orthognathic surgery, and reconstructive procedures are among the major presentations. As with OSU831, this course is presented in conjunction with a clinical rotation in oral and maxillofacial surgery.

OSU833-834 Oral Surgery Clinic I-II

These courses provide students with direct experience in performing routine surgical procedures on an outpatient population. Students gain clinical experience in the evaluation of patients requiring oral and maxillofacial surgery and in the performance of minor surgical procedures (e.g., extractions, biopsies, pre-prosthetic surgery). Students review patient charts, perform and obtain consultations, and perform any soft- or hard-tissue procedures a patient may require. In addition, students develop an understanding and appreciation of the instrumentation necessary for the performance of dentoalveolar surgery. Clinical experience is gained under the direct supervision of the oral and maxillofacial surgery residents and attending staff.

PDO831-832 Pediatric Dentistry I-II
These courses, which serve as a basis for the clinical experience of the third and fourth years, consist of a series of lectures introducing numerous aspects of pediatric dental practice and treatment. These include basic child psychology, behavioral management, growth and development, restoration of primary teeth and the young permanent dentition, nutrition, caries control, radiography, pulp therapy, treatment of injuries, and preventive orthodontics. Emphasis is placed on dealing with children and adapting procedures to children's needs.

PDO833-834 Pediatric Dentistry Clinic I-II
These courses in pediatric dentistry consist of clinical rotations. Part of the "core" experience in clinical dentistry, they are an integral part of the total student clinical experience. Third-year students treat patients in the Pediatric Dentistry Clinic of the school and in the dental clinic of Kaleida Health's Children's Hospital of Buffalo. The school clinic provides care for primarily healthy children between the ages of five and sixteen years; the hospital clinic treats children, many of whom are compromised medically, physically, or emotionally, from birth to twenty-one years.

PER831 Periodontology II
This is the second in a series of courses on the topic of periodontal disease. Students are assumed to be knowledgeable of the material presented in the first and second years regarding periodontology. Prior to this course, the periodontology experience primarily involved the differential diagnosis of gingivitis and periodontitis. Lectures focus on nonsurgical periodontal therapy and cover the diagnosis, treatment planning, and nonsurgical treatment of different forms of periodontal disease, including moderate to advanced periodontis. The lectures are scheduled in sequence to parallel the procedures that will be performed in the third-year clinic. It is necessary that students keep current with this material and apply it to clinical therapy.

PER832 Periodontology II
This course, a continuation of PER831, emphasizes different surgical modalities for the treatment of periodontal disease, factors in the restoration of the periodontally compromised dentition, and implant dentistry. Topics are organized in order of the typical sequence of periodontal therapy. Prerequisite: PER831.

PER833-834 Periodontics Clinic I-II
This course is part of the combined third- and fourth-year integrated clinical program. The overall goals, objectives, and methods of evaluation are consistent with those of CLD832. The main purpose of this course is to improve the clinical knowledge, skills, and treatment of patients in the field of periodontology.

RDN833 Fixed Prosthodontics II-III
These courses in fixed prosthodontics support students' initial experience in the discipline. The purpose of these courses is to identify, illustrate, and explain the facts, principles, and procedures that the general practitioner must know, understand, and be able to execute in order to provide competent fixed prosthodontic care for patients.

RDN834 Fixed Prosthodontics Clinic II
This course is part of the combined third- and fourth-year integrated clinical program. Fixed prosthodontics is the dental discipline concerned with the restoration of compromised teeth and replacement of missing teeth using crowns and fixed partial dentures to improve form, function, and appearance of the dentition. The third-year clinical experience in fixed prosthodontics serves as the connection between students' initial exposure to the discipline in the second year and the more independent clinical activity that occurs in the fourth year. The fixed prosthodontics clinic is one of six dental disciplines (operative dentistry, endodontics, periodontics, removable prosthodontics, and oral diagnostic sciences) that operate parallel to the third-year clinical experience to provide student education and patient care. This is accomplished by providing clinical instruction, which emphasizes the understanding and skills needed to execute the major fixed prosthodontic clinical procedures.

RDN835 Operative Dentistry I-II
These courses expand upon the basic principles of operative dentistry presented in the second-year preclinical program. Students are introduced to advanced restorative techniques and in-depth information on indications and contraindications for use of a wide variety of restorative material. Relevant information pertaining to the treatment of patients is provided as increased student-patient contact makes this material meaningful.

RDN836 Operative Clinic I-II
These courses are part of the combined third- and fourth-year integrated clinical program. Under the guidance of faculty, students treat the operative dentistry needs of their assigned patients. Patient evaluation and treatment planning are emphasized throughout this clinical experience. Students experience the use of a wide variety of restorative materials in many different clinical situations. The third-year experience in operative dentistry prepares students for the expanded patient-treatment responsibility of the fourth-year clinic.

RDN838F Removable Prosthodontics III
Using the basic principles taught in the removable partial denture and complete denture technique courses, this course's general purpose is to further discuss, explain, and apply these principles so students may have an understanding of the clinical procedures and applications necessary to properly construct a removable prosthesis, specifically a complete denture from start to finish, and to properly examine a patient, evaluate the findings, and plan treatment with a removable partial denture, which includes the proper design of the partial-denture framework.

RDN838S Removable Prosthodontics IV
Using the basic principles taught in the removable partial denture and complete denture courses, coupled with the beginning first experiences of the clinical program, this course's general purpose is to further discuss, explain, and apply these principles so students may develop an understanding of the clinical procedures and applications necessary to properly construct a removable prosthesis, either partial or complete.

RDN839 Removable Prosthodontics Clinic I-II
These courses, which are part of the third- and fourth-year integrated clinical program, provide students with clinical experience in removable prosthodontics. Building on the basic principles introduced in the removable prosthodontics preclinical laboratory and lecture courses, this course acquaints students with the clinical procedures necessary to restore the loss of several or all of the patient's teeth. The first-semester emphasis is on the demonstration of the clinical procedures for the fabrication of complete or removable partial dentures. Students' initial experience in the proper construction of a complete or removable partial denture is done primarily to increase the knowledge base and promote psychomotor skills. In the spring semester, students gain clinical experience. Emphasis is placed on patient evaluation and critical thinking necessary to solve problems.

RDN832 Endodontics Clinic I-II
These courses represent the initial student experience in clinical endodontics and provide an opportunity for students to apply knowledge gained in the endodontic preclinical experience of the second year. Students examine patients, take dental and medical histories, diagnose endodontic problems, and design a treatment plan accordingly. Students perform root-canal therapy on uncomplicated cases involving incisor and premolar teeth. Through recall appointments, students learn to evaluate teeth that have had previous root-canal therapy.

ODS831 Management of the Medically Complex Patient
This fall-semester course is an extension of ODS824. Its principle purpose, in addition to reinforcing and expanding students' knowledge of the diagnostic criteria and procedures for the most common medical conditions encountered in dental patients, is to learn how these conditions are managed. Such medical conditions may manifest themselves in the oral cavity and/or may make the care of dental patients more difficult. In either case, the dentist must be prepared to manage the increasing number of such patients and to understand when and how to obtain medical consultations or refer them for medical care when necessary.

ODS834 TMD and Orofacial Pain
Temporomandibular disorders (TMD) and other orofacial pain conditions are a significant health problem with a prevalence comparable to other major dental diseases. As such, every dentist is required to know and understand the current state of our knowledge regarding the etiology, pathophysiology, differential diagnosis, and management of these disorders. This course deals with the issues necessary to develop such an understanding. It includes information on the definition and classification of TMD and other orofacial pain conditions. Among the TMDs discussed are degenerative joint disease, arthritis, internal derangements, myofascial pain, myositis, and other problems involving the temporomandibular joints and muscles of mastication. In addition, such orofacial pain conditions as trigeminal neuralgia, temporal arthritis, Eagle's syndrome, headache, atypical orofacial pain, and burning-mouth syndrome are included in this course. The roles that systemic medical conditions and psychological factors play in acute and chronic TMD and orofacial pain are also included. In addition to lectures, the course includes case-based discussions, as well as weekly clinical seminars in which students practice examination procedures and learn to construct an inter-occlusal stabilization appliance.

ODS835 Diagnosis and Management of Orofacial Diseases
This course reinforces and integrates important subject areas covered in such courses as ODS824, ODS825, and ODS836. Important areas of this course include the diagnosis and management of odontogenic and non-odontogenic lesions of the jaws, salivary gland disease, and craniofacial disease related to genetics. The course includes presentations of actual clinical cases and reviews of their evaluation and management. Emphasis is on developing students' abilities to assess concepts of differential diagnosis and treatment as presented in the current medical and dental literature. This ability is necessitated by the constant change in diagnostic modalities and by the rapidly increasing role of dentists in interdisciplinary assessments of patients' conditions and management. Thus, this course focuses on a practical understanding of information previously presented in basic- and clinical science courses, as well as on new knowledge in such areas as genetic diseases, augmentation of the jaws, and important aspects of otolaryngology, neurology, medical radiology, and dermatology.

HSI830 Quality Assurance and Risk Management
This course serves as a bridge between students' introduction to practice management and professionalism in the department's first- and second-year offerings, and the fourth-year course HSI840, which concentrates exclusively on practice management. The course covers several topics, each of which is designed to encourage students to reflect on their first full year of clinical practice and to then extrapolate those reflections to their future practice setting. The topics include getting ready for year five, analysis of clinical-ethical dilemmas, practical approaches to quality assurance and continuous quality improvement in dental-care settings, and selection and preparation for initial employment in a clinical setting.

OSU836 Anesthesia and Pain Control
This course serves as a continuation of training in anesthesia. OSU822 introduced the principles and techniques of pain control in the dental setting by the injection of anesthetic agents. This course expands on the regional anesthesia course by considering the overall management of pain and anxiety in dental practice. It includes management of acute needs in the dental office, as well as posttraumatic needs.

ORT832 Orthodontics
A number of clinical topics are discussed during the orthodontics lectures. To make the lectures more meaningful for students, it is expected that they have a basic understanding of the topic to be discussed prior to the start of a lecture. Students should use the orthodontic textbooks, as well as any lecture notes, that are made available by the Department of Orthodontics.

ORT834 Orthodontic Technique
Indications and procedures for fabricating several types of orthodontic appliances typically used in a general dental practice are presented. Fabrication of these appliances provides experience in the manipulation of orthodontic wire and acrylics, and in the use of soldering and welding equipment.

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