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Portfolio Examination. Indirect Restoration Competency Examiner Training Course. Portfolio Examination.
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Portfolio Examination Indirect Restoration Competency Examiner Training Course
Portfolio Examination Indirect Restoration competency Portfolio examiners are dental school faculty members who are chosen by their school, approved by the Board, and are trained and calibrated to conduct and grade the Board Portfolio Indirect Restoration competency examination.
Portfolio Examination Each Portfolio examiner will undergo training and calibration in the Board’s standardized evaluation system through didactic and experiential methods.
Portfolio Examination Calibration of Portfolio examiners will be conducted at least annually in conjunction with the usual and customary calibration course given to the school’s competency examiners.
Portfolio Examination All Portfolio examiners will be trained and calibrated to use the same rating criteria.
Indirect Restoration Competency The purpose of the Indirect Restoration competency examinations are to assess the candidate’s independent ability to restore teeth requiring an indirect restoration to optimal form, function and esthetics with a full or partial coverage ceramic, metal or metal-ceramic indirect restoration.
Indirect Restoration Competency Seven (7) scoring factors One (1) Indirect Restoration which may be a combination of the following procedures: Ceramic restoration must be onlay or more extensive Partial gold restoration must be onlay or more extensive Metal ceramic restoration (PFM) Full gold crown
Indirect Restoration Competency A case presentation for which the proposed treatment is appropriate for the patient’s medical and dental history, is in appropriate treatment sequence, and treatment consent is obtained. Requires patient management; the examinee must be familiar with the patient’s medical and dental history.
Indirect Restoration Competency Implementation of any treatment modifications needed that are consistent with the patient’s medical history.
Indirect Restoration Competency The indirect restoration competency exam must meet the following criteria: Treatment must be performed in the sequence described in the treatment plan. The tooth must be asymptomatic with no pulpal or periapical pathology. The tooth cannot be in need endodontic treatment. The restoration must include at least one cusp.
Indirect Restoration Competency The tooth must be in occlusal contact with a natural tooth or permanent restoration. Occlusion with a full or partial denture is not acceptable. There must be an adjacent tooth to be able to restore proximal contact; proximal surface of the tooth adjacent to the planned restoration must be either an enamel surface or a permanent restoration; temporary restorations or removable partial dentures are not acceptable adjacent surfaces.
Indirect Restoration Competency The examinee cannot perform any portion of the crown preparation in advance. Direct restorative materials which are placed to contribute to retention and resistance form of the final restoration (buildups) may be completed ahead of time, if needed. Restoration must be completed on the same tooth and the same patient by the same examinee. Validated lab or fabrication error will allow a second delivery attempt starting from a new impression or modification of the existing crown.
Indirect Restoration Competency Scoring: Score of 0 is unacceptable (critical error) Score of 1 is unacceptable (multiple major deviations but correctable) Score of 2 is unacceptable (one major deviation that is correctable) Score of 3 is acceptable (minimum competence) Score of 4 is adequate (less than optimal) Score of 5 is optimal A score of “3” is minimum competency.
Indirect Restoration Competency FACTOR 1: Case Presentation Obtains informed consent Presents a comprehensive review of medical and dental history. Provides rationale for restorative procedure. Proposes initial design of preparation. Provides method for provisionalization. Demonstrates full understanding of the procedure. Sequencing of treatment follows standards of care.
Indirect Restoration Competency FACTOR2: Preparation Meets all accepted criteria for optimal preparation:
Indirect Restoration Competency FACTOR 3: Impression Achieves optimal, clinically acceptable impression in one (1) attempt.
Indirect Restoration Competency FACTOR4: Provisional Meets all accepted criteria for optimal provisional:
Indirect Restoration Competency FACTOR 5: Examinee evaluation of laboratory work Verifies that restoration meets all accepted criteria Verifies errors in restoration and proposes changes, if needed
Indirect Restoration Competency FACTOR 6: Pre-cementation Meets all accepted criteria for pre-cementation:
Indirect Restoration Competency FACTOR 7: Cementation and Finish Meets all accepted criteria for optimal cementation