Goals and Objectives

The following is a summary of what we would expect residents to have accomplished at the conclusion of our one year program.

 

A.   Patient Assessment and Diagnosis:

  • The resident can properly collect and organize data to diagnose the patient’s medical, dental, and psychosocial status, employing techniques learned during off-service rotations and departmental clinical and didactic instruction.
  • The resident employs the information collected from the patient interview and medical history, as well as from other health-care professionals concomitantly caring for the patient, to assess the patient’s status with regard to the above-mentioned parameters.
  • The resident can then formulate a diagnosis for which an appropriate plan of therapy can be synthesized.

B.   Planning and providing comprehensive multidisciplinary care:

  • The resident, as the primary oral health care professional, can develop an appropriate treatment plan which integrates the expertise of any of the other necessary dental and medical disciplines.
  • The resident educates the patient as to his/her diagnosis, treatment cost, time-line for the therapy recommended, and prospective outcomes.  Implementation of the treatment plan will result in the potential for optimum oral esthetics and function.
  • Residents can perform most of the required treatment and can coordinate dental and medical specialty care when needed to fulfill the goal of optimum oral health. 

C.    Obtaining informed consent:

  • The resident understands the importance of obtaining informed consent prior to initiating procedures for a patient.
  • The resident can select the appropriate informed consent document(s) and explain, in layman’s language, any risks or consequences that may occur as a result of their procedure.
  • Residents can also advise patients of alternative therapy, or, if appropriate, of the option to not have any treatment at all.

D.    Promoting oral and systemic health and disease prevention:

  • The resident can identify conditions predisposing patients to oral and systemic diseases and provide them with information in areas such as nutrition and oral hygiene, in both the clinic and health-fair setting.
  • The resident provides appropriate referrals for consultation to other dentists and physicians as required by the data accumulated during their examination.

E.    Sedation, pain control, andanxiety

  • The resident understands and can perform, where applicable, various methods of pain and anxiety control.
  • The resident has acquired knowledge of medications and modalities used to relieve anxiety and stress and produce sedation, amnesia, and analgesia.
  • The resident understands hospital operating room protocols and has observed or performed venipuncture and intubation.
  • The resident can administer nitrous oxide-oxygen analgesia and prescribe oral medication in order to allay patient’s anxiety, and is capable of recognizing and managing any complications these agents may give rise to.

F.    Restoration of teeth:

  • The resident can examine dentition and based on the information provided by the medical history, determine the optimum methods and materials to restore the teeth with regard to both function and esthetics.
  • The resident is knowledgeable about treatment options and is able to execute a patient- appropriate treatment plan.

G.   Replacement of teeth using fixed and removable appliances:

  • The resident is able to diagnose patient needs and implement a treatment plan involving all phases of fixed, removable, and implant supported restorations.
  • The resident effectively communicates via prescription his prosthetic requisitions and is familiar with the resources afforded by the dental laboratory technician.
  • The resident can evaluate potential implant sites with regard to osseous considerations, occlusion, and patient’s physical status, and proceed to select, template, insert, and restore dental implants in an orderly sequential manner, and be knowledgeable about management options for ailing and failing fixtures.

H.   Periodontal Therapy:

  • The resident understands methods of diagnosing PD, determining the periodontal and prosthetic prognosis of the dentition, and is able to develop an appropriate periodontal and prosthetic treatment plan with surgical, non-surgical, and pharmacological components.
  • The resident will implement an individualized concomitant protocol for follow-up, recall, patient home care instruction, and treatment protocols for cases recalcitrant to therapy, being aware of the systemic connection.

I.    Pulpal Therapy:

  • The resident understands pulp anatomy and the effects of disease on the pulpal tissue.
  • The resident will understand canal sterilization and obturationtechniques and be able to perform endodontic diagnosis employing a variety of conventional and electronic tools, perform endodontic therapy employing rotary titanium file instrumentation, and recognize and manage post-operative endodontic sequelae.

J.    Hard and Soft Tissue Surgery:

  • The resident can perform various surgical procedures including surgical exodontia, removal of impacted third molars, mucogingival periodontal procedures, biopsy, anterior periapical surgery, implant placement, and site augmentation procedures.
  • The resident understands indications for and techniques for pre-prosthetic surgery and can perform emergency procedures required for management of post-operative complications following surgical procedures.

K.   Treatment of medical and dental emergencies:

  • The resident can diagnose and treat dental emergencies presenting in both the hospital emergency room and the dental operatory venues.
  • The resident can diagnose and begin emergency treatment for medical emergencies that occur in the dental operatory setting, and can make appropriate referrals for consultation and treatment of these emergency conditions as necessary.

L.    Medical risk assessment:

  • The resident is able to evaluate and make correct judgment concerning the level of risk involved before finalizing a treatment plan and initiating therapy.
  • The resident has the ability to recognize significant deviations from normal health status, which impact dental management.
  • The resident can make informed judgments on the level of risk of dental procedures for both in and out-patients, and will be able to seek appropriate consultation and make referrals as is appropriate.
  • The resident can appropriately classify the A.S.A. status of the patient.

    LAST UPDATED: January 1, 2012
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