Mastertrack Protocol Assignments

Following are the Protocol Assignments in reverse chronological order, most recent first.
If you plan on reporting, please notify Dr. Wachtenheim at least one week prior to presentation at tzaner2@gmail.com or 847-858-1927


 September 2017- Orofacial Pain; The Un-Holy Trinity of Function; Dr. J. Horowitz:

To earn additional participation credits, participants should follow the following protocol for case presentation:
Each case should include the following;
1) A pre-treatment risk assessment for each patient in each of the five diagnostic areas along with an explanation as to why the level of risk was assumed, as well as a prognosis assuming no treatment. Emphasis should be placed in the functional category. Explanations as to how the others may overlap with Function should be addressed.

A) Medical B) Dentofacial (Aesthetic) C) Function- D) Biomechanical- E) Periodontal

2) A detailed functional analysis with differential diagnosis based on the following,

A) Subjective Symptoms and answers to dental history questions.
B) Objective symptoms based on Facial analysis, Skeleton and Airway
C) Objective Symptoms based occlusal and muscle exam
D) Objective Symptoms based on the joint examination
E) Objective Symptoms based on Kois Dentofacial Analyzer and Panadent Articulation (If Utilized)

3) A functional Treatment plan based on the differential functional diagnosis and risk
as discussed in the “Functional Risk Determination” slides in the program. It is ok in all scenarios to suggest a referral to a practitioner with advanced training in Sleep or TMJ dysfunction to rule out any suspected conditions as part of the treatment plan.

4) A comparative evaluation of functional risk and prognosis assuming the patient follows the functional recommendations

 

May 2017 – Implant Dentistry for General Dentists to Incorporate into their Everyday Practice Protocol Case Assignment:

Document three implant cases including some of the techniques demonstrated in the course. One case may be a single implant, the other two must include multiple implants. Also, one case must be in the anterior and one case in the posterior of the mouth. You may include the surgical aspect of the case in your presentation if you placed the implants. If you don’t place implants, please be able to support your choice of implant type, size, and your discussions with the surgeon on the positioning of the implant. You can of course document the surgical aspect of the implant placement if you are present when the specialist places the implant as well.
Include the following in your presentation:
• Evaluation of Health history and the impact on the patient’s case
• Clinical Assessment to include but not limited to:
• Pre and Post-op radiographs
• Pre, intra, and post-op photographs
• CBCT if done
• For the anterior case include assessments of lip support, smile line, tissue architecture and gingival biotype, gingival recession, bite relationship, and bone sounding. Discuss cosmetic considerations that impacted the patient’s case.
Support your choice of:
• implant type and size
• immediate or delayed placement
• immediate or delayed loading
• temporization technique
• impression materials and technique
• abutement selection
• cementation materials and protocol

October 2016-Composite Artistry Protocol Case Assignment:

Please see the IL/WI AGD Reporting Protocol & Protocol Presentation FAQ’s for the complete Protocol requirements.

Each presenter will:
1. Do a direct resin veneer in the upper anterior using the composite layering technique
2. Do 2 additional anterior resins; Use a silicone putty matrix with at least one of the restorations
3. Do 3 Class II posterior resins
4. Do 3 indirect or direct pulp capping procedures
For each of these procedures include:

For each of these procedures include:
a. Pre-operative & Post-operative photographs and radiographs; For the posterior resins include a pre-operative & post-operative bite-wing x-rays
b. Intra-operative photographs including caries removal and prep design
c. An detailed explanation of the adhesive bonding protocols along with a rationale for the material choices
d. Explanation of composite material choices for each restoration
e. A detailed explanation of the finishing & polishing protocols
f. For the anterior resins include an explanation of the shade matching procedure including photography
g. Isolation procedures

September 2016 – Oral Surgery Protocol Case Requirements:

Each presenter should do 4 different cases out of the 7 types of cases listed below.

Assignment: Case #1: Use a Luxator or similar instrument to remove a root fractured or decayed near the crestal bone level using the 10 steps reviewed in the course.

Case #2: After consulting with a physician’s office, do 3-5 simple extractions in a patient on Coumadin, Plavix, or another anticoagulant in an atraumatic manner. Use one or more “local measures” as a described in the course to assure bleeding control.

Case #3 Do some multiple extractions, removing all infection, performing alveoplasty, and closing with continuous-lock sutures.

Case #4: Remove one or more partial or complete bony impactions on a patient with recommended flap design, bone removal, tooth sectioning, and closure.

Case #5: After extracting a tooth, do a socket bone graft. Since primary closure will likely not be obtainable, place a barrier membrane. If it is a non-resorbable membrane, remove it in one month.

Case #6: Perform an excisional biopsy of an oral lesion and submit for histological examination by an oral pathology laboratory. Tell what the lesion was.

Case #7: If such a case is available, perform an I&D according to proper protocol and administer appropriate antibiotic coverage.
1. Prior to Treatment:
a. Patient evaluation-hard & soft tissue
b. Occlusal Evaluation if relevant to the case
c. Indications for treatment
d. Pre-op records including radiographs and photographs
e. Radiographs for area to be treated.
f. Preoperative clinical photographs.

2. During treatment:
a. Treatment rationale.
b. Explanation and documentation (including photographs and radiographs) of surgery, treatment, and complications, if any.

3. Upon completion of treatment and follow up:
a. Post op hard tissue and soft tissue evaluation.
b. Occlusion evaluation if relevant to the case
c. Post op digital photographs. (same as prior to treatment)
d. Documentation of successes and failures.

4. Post-treatment summary with documentation
Utilizing records developed during treatment, each participant will make a complete case presentation of approximately 15 minutes to the group. This should include the rationale for treatment and any outcome whether good or bad. Following the presentation, the group will be allowed to ask questions of the presenter.
The course director/instructor will critique each presentation and award credit per the presentation review. The course director and clinician will determine whether full credits are given.


 

May 2016-Henry Schein, Elmhurst. Dr. Nader Sharifi-Removable Prosthondontics

One Removable Partial Denture and one Overdenture case following the requirements below is the assignment.

Fabricate and document a removable partial denture using some of the techniques demonstrated during this course. This must include the following:
I. A case with at least one free-end saddle.
II. A case that is classified as ACP Class III or IV
A. Support your classification
III. A case that may or may not include C&B with attachments or implants
IV. Describe your framework design and support your decision.
A. Support your major connector selection.
B. Identify your framework’s support areas and stabilizing areas.
C. Identify your framework’s retention – be it clasps or attachments.
D. Identify your framework’s fulcrum line for saddle displacement.
E. Identify the indirect retainer(s).
V. The framework impression can be made with any impression material, but fabricated with three times the normal relief to allow for the next requirement.
VI. Deliver the case with a laboratory processed reline (not a chairside reline) rather than an altered cast impression.
A. The lab reline impression can be made with any impression material, but preference is given to the functional impression technique described.
VII. The teeth should be set-up and delivered in a “lingualized” occlusion.
A. No buccal contacts in centric or eccentric movements.
B. Balancing side contacts exist in eccentric movements.
VIII. Discuss the post-operative follow-up that was required for this case.
A. How many adjustments – occlusal or acrylic?
B. How much chairtime was necessary?
C. Describe your patient’s reaction to the restoration.
IX. Compare and contrast to other participants who delivered with alternative reline impression materials and their impact on patient comfort and satisfaction.

Fabricate and document an overdenture using some of the techniques demonstrated during this course. This must include the following:
I. An Overdenture with natural tooth or implant retention
A. Outline the locations used for the natural tooth roots or implants.
B. Describe your Overdenture as Implant Retained or Supported.
C. Identify the Attachments as Resilient or Rotational (both if a bar).
D. Identify your overdenture’s fulcrum line for mucosal support.
II. Outline the impression technique used for the final impression of the denture base. Describe the challenges encountered with this choice.
A. Explain the technique for picking up the attachments in your case.
III. The teeth should be set-up & delivered in one of the occlusions we discussed.
A. Describe the occlusal scheme you selected and explain why.
B. Identify the buccal contacts in centric or eccentric movements.
C. Describe the balancing side contacts in eccentric movements.
IV. Discuss the post-operative follow-up that was required for this case.
A. How many adjustments – occlusal or acrylic?
B. How much chairtime was necessary?
C. Describe your patient’s reaction to the restoration.
V. Compare and contrast to other participants who delivered with alternative reline impression materials, implant locations, attachment types and their impact on patient comfort and satisfaction.


April 2016- Henry Schein, Elmhurst. Dr. Carla Cohn-Pediatric Dentistry for the GP

Choose 4 of the following procedures discussed at the course to do for your protocol assignment.
• Glass Ionomer restoration
• Posterior Composite Restoration
• Esthetic crown restoration: PYSSC and/or Zirconia
• MTA Pulpotomy
• Sealents: Resin and/or Glass ionomer
• Admira Fusion ceramic resin
• Resin Infiltration

• Also please do a Theracal pulp cap on one of the restorations above.


October 2015- Henry Schein, Elmhurst. Dr. Jun Lim – Periodontics
1. Short video of Oral Hygiene Instruction in your office.
2. Document 3 periodontal surgical procedures, with no more than 2 being the same type of procedure. Scaling & root planning may be 1 of those procedures. Pre-op, Intra-op and Post-op photos to be included. Specify types of incisions & justifications for the procedures.

September 2015- Henry Schein, Elmhurst. Dr. Neil Warshawsky – Orthodontics
1. Plan, design & build an Essix retainer.
2. Fabricate a HIT retainer to close a diastema between anterior teeth
3. Create a digital pontic to hide edentulous sites after implant placement.
4. Treat a simple malocclusion with a clear aligner.
Choose any 3 of these options for your protocol assignment.

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