- Upon completion of the educational program, the resident will demonstrate competence in the various clinical disciplines integral to the practice of general dentistry in private sector and community-based service The resident will act as a primary care provider for individuals and groups of patients. This includes: providing emergency and multidisciplinary comprehensive oral care, patient focused care coordinated by the general practitioner, directing health promotion and disease prevention and using advanced dental treatment modalities.
- The resident will be competent to fully evaluate the systemic and oral health of a wide variety of patients, including those with special needs, to plan and provide multidisciplinary oral health care based upon a well-planned and sequenced treatment
- The resident will be competent to rationally judge the complexity of proposed care, elect specialty referral when indicated and manage the delivery of care by applying concepts of patient and practice management and quality improvement that are responsive to a dynamic health care environment.
- The resident will be competent to take complete responsibility for the patient’s comprehensive dental needs and coordinate treatment when other medical or dental health-care providers are involved by functioning effectively in multiple health care environments within the interdisciplinary health care
- The resident will be competent to apply scientific principles to learning and oral health This includes evidence or outcomes-based clinical decision making and technology-based information retrieval systems.
- The resident will be competent to enter the dental profession, having a sound appreciation of dental professional ethics, lifelong learning, patient centered care, adaptability in professional practice, needs of the community and the importance of community
- The resident will be competent in the area of practice management/administration, with insight into personnel issues, contracts for service, third party payment, business plans, staff development, and office management.
Specific Program Goals and Objectives
Graduates of the University of Florida Advanced Education in General Dentistry program at Hialeah will:
Anxiety, Sedation and Pain Control from OMFS 1
1. Evaluate/identify apprehensive patients requiring behavioral, sedative and/or analgesic intervention
2. Select appropriate anesthetic drugs
3. Perform anesthetic techniques by appropriate routes
4. Identify complications secondary to anesthesia
5. Monitor vital signs
6. Be knowledgeable of the pharmacology of drugs selected for administration
7. Manage emergency drugs and equipment
Clinical Performance
8. Increase understanding and competence in diagnosing and managing dental disease.
9. Broaden knowledge, skills and experience in a wide variety of clinical disciplines and contemporary techniques.
10. Increase competence and confidence in the provision of independent practice in all dental disciplines.
Emergency Dentistry (from OMFS 2)
11. Appropriately respond to dental emergency patients that present to the dental clinic
12. Evaluate the course of the patient’s chief complaint
13. Prescribe and/or carry out the definitive procedures necessary to relieve the patient’s chief complaint
14. Consult with dental specialists, attending dentists, as needed
15. Refer the patient for proper follow-up care
Endodontics
16. Diagnose pulpal and periradicular pathology
17. Utilize contemporary techniques for treating pulpal pathology
18. Treatment plan and treat simple to complex endodontic cases
19. Restore the endodontically treated tooth
20. Understand endodontic access, instrumentation and obturation techniques using current armamentarium
Year Two Advanced Topics in Endodontics
21. Treat failing Root Canal Therapy either non-surgically or surgically
22. Gain expertise in treating geriatric and pediatric patients with advanced endodontic needs
23. Provide the opportunity to plan, treat and restore increasingly complex endodontic cases
24. Understand concepts of Apexogenesis & Apexification
Implant Dentistry
25. Understand patient selection criteria for the placement of dental implants
26. Complete implant pre-surgical diagnostics and treatment planning
27. Place and recover dental implants
28. Provide prosthodontic restorations for dental implants
29. Understand and manage complications that may arise during and after treatment
30. Understand special consideration in treatment planning
31. Facilitate communication between members of the implant team
Year Two Advanced Topics in Implant Dentistry
32. Understand treatment planning, radiographic or CBCT analysis, patient selection, medical considerations, independent surgical techniques, and patient case presentations for placement and restoration of single and multiple dental implants. Presentations will be made to peers and private practitioners attending the course.
Literature Seminars – Evidence Based Dentistry from the six-semester course Advanced Clinical Sciences
33. Critically review, analyze and evaluate the current dental literature
Medical Risk Assessment (from OMFS 2)
34. Understand major medical disorders that may impact oral health care
35. Understand the process in making informed judgments and clinical decisions regarding the potential risk and management of the medically involved or medically compromised patient during operative and surgical dental procedures
Occlusion
36. Record accurate impressions and fabricate satisfactory diagnostic casts
37. Record an accurate centric registration and correctly mount study casts on the articulator
38. Diagnose occlusal disharmony and determine if it relates to either signs or symptoms.
39. Gain knowledge about the anterior envelope of function
40. Adjust occlusion on mounted models to determine if intraoral adjustment is practical
41. Be aware of the mandibular position when reconstructing the occlusion (maximum intercuspation or centric relations)
42. Diagnose the need for an occlusal splint and fabricate a splint and create a proper occlusal pattern on the splint
Oral & Maxillofacial Surgery
43. Perform the comprehensive patient history and physical examination; evaluate the physical diagnosis and medical risk assessment of each patient
44. Provide routine outpatient oral surgery, deal with complications, manage biopsies
45. Treat more complex oral surgery and other surgical cases within the scope of experience and training
46. Identify complications, pathology, injuries and other complex cases requiring referral to the specialist
Year Two
Advanced Topics in Oral & Maxillofacial Surgery
47. Be prepared and competent in the use of emergency equipment and able to respond to emergencies
48. The resident demonstrates proficiency in the use of Nitrous Oxide and emergency equipment and is capable of directing clinic emergency protocol
Oral Medicine
49. Understand all systemic diseases with oral manifestations
50. Recognize oral diseases and aware of the therapy recommended
51. Recognize all oral diseases that may have systemic manifestations
52. Recognize the oral manifestations, signs and symptoms that can occur from medications
Oral Pathology – Distance Learning
53. Demonstrate written proficiency in differential diagnosis when provided with clinical cases and histories requiring such decision making
54. Demonstrate appropriate knowledge of accepted therapy for oral ulcerations and vesiculobullous conditions
55. Demonstrate appropriate knowledge and understanding of the mechanisms that explain the clinical appearance of oral pathologic processes
56. Demonstrate appropriate knowledge of salivary gland diseases discussed
57. Demonstrate appropriate knowledge relative to the etiology, pathogenesis and diagnosis of oral cancer
58. Demonstrate appropriate knowledge concerning the oral manifestations of systemic diseases
59. Demonstrate appropriate knowledge and understanding of pathologic processes common to jaws
60. Identify and diagnose abnormalities and pathological conditions of the oral cavity
Oral Photography (from Restorative Dentistry)
61. Understand standardized oral photographic techniques
62. Use intraoral and extraoral devices, as well as digital photography
63. Present cases using intraoral photographs
Orofacial Pain
64. Understand basic pain mechanisms and pathways in the head and neck
65. Understand commonly occurring pain referral patterns in the orofacial region
66. Understand the rationale and protocol for obtaining a comprehensive history from the orofacial pain patient
67. Recognize essential differences between acute and chronic pain
68. Be able to perform a detailed examination of the temporomandibular joint
69. Identify various subgroups of intracapsular disorders
70. Be able to perform a detailed examination of the masticatory and cervical musculature.
71. Identify various subgroups of extracapsular disorders
72. Understand the role of occlusal factors in TMD
73. Understand the rationale for multidisciplinary evaluation and management of TMD/Orofacial Pain
74. Recognize non-TMD orofacial pain conditions of neurologic, salivary gland, vascular, anatomic, systemic disease origin
75. Know the indications for an occlusal orthosis
76. Be able to determine the need for physical therapy
Orthodontics
77. Develop a working knowledge of common occlusal/orthodontic problems
78. Develop a logical, sequential procedure for diagnosis and analysis of orthodontic problems
79. Gain familiarity with orthodontic treatment goals
80. Teach the resident technical methods for treating minor orthodontic problems
Pediatric Dentistry
81. Familiarize the resident with how the anatomic and emotional differences between the pediatric, adolescent, and adult patients impact on treatment
82. Refine behavioral management skills necessary to effectively treat the pediatric patient
83. Provide the resident the opportunity to provide comprehensive pediatric dental care in the general practice setting
Periodontology
84. Increase the resident’s diagnostic acumen, ability to treatment plan, and clinically manage and maintain patients with periodontal diseases
85. Diagnose periodontal defects and know accepted corrective measures
86. Understand and apply emerging clinical concepts in the treatment of periodontal defects and disease
87. Recognize and understand when and what clinical skills need to be applied for the treatment of periodontal disease and recognize when to refer as needed
Year Two – Advanced Topics in Periodontics
88. Develop independent diagnostic and clinical skills in the management of mild, moderate and severe periodontitis
89. Understand, apply and utilize clinical concepts and traditional and/or emerging armamentarium in the treatment of periodontal defects and disease
90. Understand the possible interaction of periodontal disease with other diseases and special precautions in patient management necessitated by systemic conditions
Practice Management
91. Understand business and management issues in dental practice associated with business plans, insurance, practice acquisition and development, management of personnel, dental records, informed consent, quality assurance, peer-review, dental ethics, medico-legal concerns
92. Be familiar with the daily business and management issues associated with dental practice with emphasis on business plans, practice development, personnel, quality records, and quality assurance
93. Understand the function of a variety of dental settings, including routine solo and group clinical practices. Graduates will develop interpersonal skills to successfully interact with patients, staff, suppliers, insurance companies, and the business community
Radiology & Interpretation
94. Describe advanced imaging techniques appropriate for the diagnosis of complex conditions including techniques as computed tomography and magnetic resonance imaging
95. Discuss the principles of panoramic imaging and its role in dental practice
96. Describe the options of radiographic examination of dental implant sites and cross sectional anatomy of the mandible and maxilla
97. Be familiar with the fundamentals of digital imaging and its integration into the practice of dentistry
98. Understand the basic principles of radiologic interpretation
Restorative Dentistry
Operative, Fixed, Removable, Comprehensive Prosthodontics courses
100. Be given the opportunity to integrate various disciplines of dentistry, enabling the resident to provide the patient with comprehensive, well sequenced care
101. Reach sound decisions regarding appropriate referral
102. Be able to restore teeth to health and function and to understand alternative methods of accomplishing treatment objectives
103. Have the opportunity to use and evaluate new operative techniques and dental materials
104. Integrate a variety of therapy with the dental therapeutic needs for the patient
105. Choose the appropriate design and material to meet the requirements of the patient
106. Provide treatment options for patients
107. Evaluate and use impression material selection and techniques
108. Evaluate and select methods of provisional restorations
109. Utilize effective communication with the dental laboratory
110. Be introduced to the restoration of osseo-integrated implants
111. Be aware of abused tissue and intervention; surgical, conditioners, relines, rebases
112. Understand the integration of complex prosthodontic therapy with other dental treatment
Subset: Operative Dentistry (from Restorative Dentistry)
Amalgam:
113. Recognize both active and inactive carious processes and initiate appropriate treatment for each
114. Design and develop the appropriate tooth preparation with respect to both the tooth and the materials used to restore it
115. Be proficient at patient management for operative dentistry including adequate isolation techniques
116. Select the appropriate restorative material for restoration of a tooth to best restore form, function and esthetics
117. Provide adequate pulpal protection from recurrent development of caries and thermal changes
118. Develop functional occlusal anatomy to preserve the intermaxillary arch relationships
119. Understand the need for recall and dental maintenance procedures
Composite:
120. Understand the need for direct esthetic restorations to restore defects secondary to dental caries, developmental disturbances and regressive alterations that may occur
121. Diagnose and deliver direct esthetic procedures such as diastema closures, direct veneers, anterior and posterior esthetic restoratives
122. Understand dental biomaterials and properties of composites and dentin bonding materials
123. Apply isolation techniques, including rubber dam and other contemporary devices
Subset: Fixed Prosthodontics (from Restorative Dentistry)
124. Understand proper case selection and pre-treatment requirements for fixed prosthodontics
125. Complete an adequate case analysis for treatment
126. Complete appropriate tooth preparations to provide esthetics, function, retention and resistance form
127. Select appropriate type of retainers
128. Complete proper impression techniques to capture maxillo-mandibular relationships
129. Understand articulation and functional development of the prostheses
130. Understand shade selection and contouring of the restoration
131. Seat the restoration and teach proper care and maintenance
Subset: Removable Prosthodontics (from Restorative Dentistry)
132. Understand the diagnosis and treatment planning procedures for edentulous or partially edentulous patients
133. Perform the techniques for fabrication of complete dentures and partially edentulous removable prostheses
134. Understand the need to manage the psycho-social problems of the patient
135. Understand the multidisciplinary team approach in the laboratory component for the fabrication of complete dentures and partially edentulous prostheses
Subset: Comprehensive Prosthodontics (from Restorative Dentistry)
Year One
136. Perform a comprehensive oral exam and collect the necessary clinical data to form a basic prosthodontic/restorative treatment plans
137. Form a phased and sequenced treatment plan for a basic prosthodontic/restorative patient
138. Evaluate a patient’s occlusion and diagnosing the potential etiology of some common causes for prosthodontic/restorative needs
139. Prepare the patient’s mouth for future prosthodontic/restorative treatment
140. Understand the principles of mouth/tooth preparation for cast metal, porcelain fused to metal and all ceramic crowns
141. Understand the principles of tooth preparation for a veneer crown, an inlay, and an onlay
142. Understand the principles of restoring the endodontically treated tooth
143. Understand the basic technique of restoring an implant with a prosthodontic/restorative prosthesis
144. Understand the technique of fabricating an interim prosthodontic/restorative prosthesis
145. Communicate with the dental laboratory on fabricating basic prosthodontic/restorative prostheses
Year One
146. Evaluate the prosthodontic/restorative laboratory work fabricated by the dental technician
147. Understand the basic philosophy behind framework and pontic design for the prosthodontic/restorative prosthesis
148. Understand the evaluation of the abutment tooth for a fixed or removable partial denture
149. Understand the sequence of fabricating a complete or removable prosthesis
150. Understand the technique of shade selection, and replicating color in a prosthodontic/restorative prosthesis
151. Understand the technique of delivering and finishing the previously stated restorations
152. Understand the maintenance of a prosthodontic/restorative dental prosthesis
Year Two
Advanced Topics in Restorative Dentistry
153. Discuss the science of Prosthodontics – Restorative Dentistry
154. Develop strategies to diagnose and treatment plan complex edentulous patients for complete, implant and partial dentures
155. Gain competency in CAD/CAM and laser treatments
156. Be exposed to differing philosophies of occlusion
157. Discuss the etiology of the worn dentition
158. Develop strategies to sequence complex treatment plans
159. Discuss the 7 most common errors in implant placement
160. Examine parameters of beauty when considering esthetic dentistry
161. Develop a system of diagnosis, patient education and steps to provide esthetic excellence to patients
162. Discuss the importance of dental materials and material selection
163. Understand laboratory communication: from the diagnostic wax-up, to shade selection, to completion of the restoration.
Clinical Protocol
Safety, Infection Control, Biohazardous Waste
164. Gain familiarity with Health and Rehabilitative Services and OSHA (CDC) guidelines as they pertain to safety, infection control, biohazardous waste and hazardous communication
165. Increase awareness of the avenues available by which to prepare, implement and train employees in programs related to safety, infection control, biohazardous waste and hazardous communication programs
Special Care Dentistry (from OMFS Year 2)
166. Diagnose and treatment plan patients with special needs specifically: head and neck cancer patients, geriatric patients, patients with developmental and acquired problems, and the medically compromise and mentally challenged patients
167. Examine and triage a patient for oral cancer, refer the patient for definitive treatment and manage the dental needs of the patient.
168. Understand the rationale behind the treatment planning and treatments available for the patient with special needs.
169. Be acquainted with the ability to treat patients in the hospital and the dental care appropriate to the operating room.
170. Understand the need to manage the psycho-social problems of the special needs patient.
171. Understand the multidisciplinary team approach to treatment of the special needs patient specifically cancer and medically compromised patients.
172. Understand the role of dental care in the overall management of the special needs patient.
173. Understand the principles and pharmacology of sedation dentistry and the use of medical positioning devices in the treatment of patients with special needs.
Treatment Planning and Diagnosis (from the six-semester course Advanced Clinical Sciences)
174. Comprehensively plan all cases in a logical and economically sound manner
175. Sequence dental care to meet the patient’s recognized needs while maximizing health and function.
176. Design alternative plans to address patient’s needs so they make informed decisions about their dental care.
177. Develop comprehensive, sequenced treatment plans for routine and complex dental cases.
Dental Ethics
178. Residents will understand the basis for health care ethics
179. Residents will identify the mission and values of the profession of dentistry and understand how the ADA determined its code of ethics
Clinical Protocol
180. Residents will understand the basis for the use of published guidelines in health care
The Gainful Employment Disclosure contains important information about the educational debt, earnings, and completion rates of students who attended the 2-year Advanced Education in General Dentistry (AEGD-Hialeah) program. This information is provided in accordance with U.S. Department of Education regulations.