Following are the Protocol Assignments in reverse chronological order, most recent first.
If you plan on reporting, please notify Dr. Jessica Gibbs at least one week prior to presentation at [email protected]
September 27-28, 2024 – IL MasterTrack Protocol
So You Want To Be A Forensic Dentist: Forensic Odontology: The Basics and Beyond / Identifying the Victims of a Mass Disaster
Presented by Dr. Howard Cooper, Dr. Stuart Alexander & Dr. Gary Berman
1. According to the ADA, “Dentists shall be obliged to become familiar with the signs of abuse and neglect and to report suspected cases to the proper authorities, consistent with state laws.”
If the need were to arise, it is important to know where you would go to file such a report and what information is needed. For your state, find the report and save a draft (screenshot or print to pdf, etc.) and fill out a scenario for a made-up patient that would warrant reporting. Do you have any personal experience with making reports of this type and if so, how have you done it and what were the outcomes?
2. Gather the radiographs for three patients who are in mixed dentition. Using only their radiographs discuss what information could be used to help determine their possible age, sex, ancestry, area of origin or residence, habits, behavior, past or present disease or socio-economic status.
3. Lookup and report how many years you are required in your state to retain patient records.
4. Does your town, county or state have an unidentified persons page? If not, use NamUS. Look up three people in that database and describe them. Pick one person from the ones discussed and explain how dental records could help identify them.
5. Does your town, county or state have a missing persons page? If not, use NamUS. Look up three people in that database and describe them. Pick one person from the ones discussed and explain how dental records could help identify them.
May 17 – 18, 2024 – IL & WI MasterTrack Protocol
Drs. John Olsen & George Zehak
Oral, Head, and Neck Pathology for the General Dentist & Pathology Photography
1) Take five photos of lesions/findings on patients. Describe finds with diagnostic terminology. Write a sample referral if you were to refer for evaluation. For protocol, also show photo of lesion, relevant patient information.
2) Treat a patient who has a fungal infection. Show before and after photos. Describe treatment used, suspected diagnosis and patient factors (relevant medical and dental history).
3) Take a shade photo to send to the lab for a crown. Show before and after photos and discuss what techniques worked well or, if you were not happy with the results, what you will try at the next appointment.
March 22 & 23, 2024 – IL & WI MasterTrack Protocol
Dr. Arthur Jeske and Rick Ritt
Comprehensive; Evidence-Based Update on Dental Pharmacology &
Clinical Characteristics of Basic Emergency & Non-Intravenous Drugs
According to the Illinois Dental Practice Act:
Sec. 44.5. Emergency medical plan; AED.
(a) Each dental office in this State must develop and implement a written emergency
medical plan, which shall include staff responsibilities and office protocol for emergency
procedures.
From the ADA website:
The components of a sound medical emergency plan for the dental office should include:
– Medical emergency prevention
– Development of an action plan
– Recognizing a patient’s distress and management of medical emergencies
– Emergency drugs and equipment
The ADA website has many helpful links to help design your office’s emergency medical plan.
Assignment: Design a written emergency medical plan for your office, including staff
responsibilities and office protocols for emergency procedures. If you currently have an
emergency medical plan, share and discuss your plan and if you have made any changes since
attending this Mastertrack event.
Your presentation should be approximately 15 minutes long with a question/answer session to
follow.
October 20-21, 2023 IL & WI MasterTrack Protocol
Josh Austin, DDS, MAGD
Mastertrack Presents: Expedited Excellence: Increase Your Efficiency & Predictability with Direct & Indirect Restorations
Assignment: Each presenter needs to complete three out of the four case options below. Your PowerPoint should be approximately 15 minutes long with a question/answer session to follow.
Please see Mastertrack Protocol Reporting Guidelines for advice to structure your protocol
1. Restoration using stamp technique – Include a pre-op photo and radiograph, and photograph of the final restoration
2. Restoration using developmental lobe technique – Use the selective etch technique and bond with a universal bonding agent. – Build each lobe up using a bulk fill paste composite so that the primary anatomy is built into the restoration as the restoration is placed.
– Include a pre-op photo and radiograph, photograph of the final restoration
– Take photos as you place the lobes.
3. Crown using reverse crown prep technique
– Break contacts using a 55 bur
– Use an 801.018 bur for a zirconia finish line
– Use depth cutting burs
– Include a pre-op photo, radiograph, photograph of the final preparation scan or impression and a radiograph of final seated crown
4. Provisional using clear PVS as a matrix
– Include a pre-op photo, radiograph, photograph of the final preparation scan or impression and a radiograph of final seated provisional crown
September 8-9, 2023 IL & WI MasterTrack Protocol
Dr. George Zehak & Dr. Ryan Vahdani
Mastertrack Presents: Advanced Dental Technology Including AI (Artificial Intelligence) & Real Time Navigation (RTA) For Oral Diagnosis, Implants & Endodontics
Assignment: Each presenter needs to treatment plan two implants and endodontically treat 12 canals. Your PowerPoint should be approximately 15 minutes long with a question/answer session to follow.
Treatment plan two implant cases (implant placement not required)
Implant location can be anterior or posterior, multiple or single tooth replacement. You do not need to place an implant to complete protocol assignment. Requirements per case:
1. Patient’s chief complaint
2. Medical, dental and social history
3. Pre-operative dental and periodontal charting
4. Hard and soft tissue findings that would be relevant to implant prognosis
5. Diagnosis
6. Prognosis
7. Treatment plan (including objective and rationale for treatment)
8. Photographs, radiographs and models (if applicable)
9. Challenges in planning the implant
10. Discuss if the site requires site preservation. If so, what your preservation plan would be.
Treat 12 canals of teeth (example: 12 single canal teeth, three molars with four canals, etc.)
1. Per canal (or tooth if multi-canal)
a. All radiographs including pre and post-op
b. Files that were used (hand and/or rotary files)
c. The sequence the files were used
d. All medicaments
e. Technique that was used to obturate
2. For each patient treated include:
a. Patient chief complaint
b. Medical/ Dental/Social history
c. Pre-operative dental charting.
d. Established need for treatment: Diagnosis(s)
e. Prognosis
f. Treatment plan with objectives & rationale for treatment provided
g. Photographs, radiographs, and models (if applicable) of the case prior to starting treatment.
h. Photographs, radiographs, and models as the case progresses
i. What went right; what went wrong.
j. Post treatment photographs, radiographs, and documentation.
k. What was learned from this case? What would you do differently next time?
l. Discuss all rationale for all the instruments and materials used during the procedures.
April 2023 – Laser Dentistry with Dr. Robert Convissar:
Document 4 cases that demonstrate the use of a laser for a dental procedure that utilizes the information you learned in the April 2023 Mastertrack course with Dr. Convissar. Possible procedures that can be performed are listed below:
Laser assisted periodontal therapy/surgical periodontics
• Gingivectomy
• Frenectomy
• Crown lengthening
• Laser depigmentation
Laser enhanced removable prosthetic reconstruction
• Excision of Epulis Fissurata
• Vestibuloplasty
Laser enhanced prosthetic, cosmetic & restorative dentistry
• Soft tissue troughing
• Crown-lengthening
• Ovate pontic design
• Troughing/Coagulation for crown & bridge
• Caries removal & cavity preparation
• Uncovering implants
Lasers in pediatric dentistry
• Caries removal
• Maxillary or mandibular frenum revisions
• Lingual frenum revisions
• Treatment of pericoronal pain or infection
• Treatment of aphthous ulcers
Lasers in orthodontics
• Gingivectomy
Lasers in endodontics
• Pulpotomy
• Pulp Cappin
Lasers in oral and maxillofacial surgery
• Incision/excision procedures
• Biopsies
• Treatment aphthous ulcers
With each case, discuss:
• Your choice of laser
• The settings chosen for the laser as well as the spot size, Hz setting, and the amount and type of tissue cooling used.
• The effects of the color of the tissue, and the tissue vascularity and chemical composition on the laser treatment
• In contact or non-contact with the tissue and why
• The duration of time the laser beam was allowed to strike the target tissue-discuss your hand speed and whether you used continuous or pulsed-laser emission mode
• Record Keeping
Your Power Point Presentation should contain dental photographs & patient information on each case presented. This is a recommended outline to follow:
1. Title to describe what the presentation is about
2. Patient chief complaint
3. Medical/Dental/Social history
4. Pre-operative dental charting.
5. Established need for treatment: Diagnosis(s)
6. Prognosis
7. Treatment plan with objectives & rationale for treatment provided
8. Photographs, radiographs, and models (if applicable) of the case prior to starting treatment.
9. Photographs, radiographs, and models as the case progresses
10. What went right; what went wrong.
11. Post treatment photographs, radiographs, and documentation.
12. What was learned from this case? What would you do differently next time?
13. Did it work or not work
October 28-29, 2022 IL & WI MasterTrack Protocol
Dr. Karl Koerner & Dr. Xerxez Calilung
Oral Surgery for the General Dentist: Faster and More Efficient Surgical Extractions with Less Bone Removal & Stem Cells, Exosomes, and Biologics
Next Protocol Reporting Sessions are April 6, 2023 and May 4, 2023 via Zoom at 5:30pm
Assignment: Each presenter needs to perform the required case and then chose 3 cases out of the 8 cases listed. Your PowerPoint should be approximately 15 minutes long with a question/answer session to follow.
For each case/patient, dental photographs & patient information needed is listed as followed:
1. Title to describe what the presentation is about
2. Patient chief complaint
3. Medical/ Dental/Social history
4. Pre-operative dental charting.
5. Established need for treatment: Diagnosis(s)
6. Prognosis
7. Treatment plan with objectives & rationale for treatment provided
8. Photographs, radiographs, and models (if applicable) of the case prior to
starting treatment.
9. Photographs, radiographs, and models as the case progresses
10. What went right; what went wrong.
11. Post treatment photographs, radiographs, and documentation.
12. What was learned from this case? What would you do differently next time?
13. Discuss all rationale for all the instruments and materials used during the procedures.
Required case: Identify a patient who would benefit from stem cell, exosome or alpha-lipoic acid treatment. Discuss precautions that need to be considered prior to treatment. Discuss suspected outcome of treatment and what follow-up would be needed to reach your desired outcome.
Case #1: Remove a fractured or decayed root near the crestal bone level using the steps reviewed in the course.
Case #2: Perform a case with multiple extractions, removing all infection(s) in the sockets and the tissue, performing alveoloplasty if needed, and closing with continuous-lock sutures.
Case #3: Remove one or more partial or complete bony impactions on a patient. Discuss rational for flap design, bone removal, tooth sectioning, and closure.
Case #4: After extracting a tooth, do a socket bone graft with a barrier membrane. Discuss flap design and closure technique.
Case #5: Perform extraction that requires sectioning the tooth. Discuss flap design, removal process including sectioning pattern, alveoloplasty and suture technique.
Case #6: Remove root tip via buccal window. Discuss flap design, removal process, and closure technique.
Case #7: Identify patient requiring alveoloplasty and perform treatment. Describe technique, instruments, flap design and suturing techniques used.
Case #8: Perform a frenectomy with a blade. Demonstrate cutting and suturing technique.
June 3-4, 2022 Mastertrack: Adult Geriatric Special Needs Care
Presented by Larry Williams, DDS, MPH, MAGD
A. Select two new geriatric patients and develop 2-3 treatment plans for each patient. Please choose cases that involve levels of complexity such as: The presence of complex systemic disease treated with multiple medications, physical disabilities, and/or cognitive disorders. Cases should also include dental complexity such as: Malocclusion, missing teeth, periodontal disease, a high caries rate, dental infections, dental trauma, and/or esthetic issues.
Include:
1. Patient’s chief complaint, sign/symptoms, and concerns
2. Medical/ Dental/Social history and impact on the alternative treatment plans
3. Pre-operative dental and periodontal exam and charting.
4. Occlusal/Functional exam
5. Pre-operative unedited photographs
6. Pre-operative radiographs and CBCT as appropriate
7. Established need for treatment: Problem list and Diagnosis(s)
8. Treatment plans with objectives & rationale and considering function, restorative and biology and esthetics as appropriate. List advantages and disadvantages of the treatment plans; risks involved with each alternative plan.
9. Discuss strategies for effectively dealing with the patient’s special needs-medical, dental, physical and cognitive.
10. Prognosis for each treatment plan
11. Discuss your preferred treatment plan and patient’s/caretakers choice of treatment
B. Present:
2 Glass ionomer restorations
2 SDF restorations
Pre-operative:
Title to describe what the presentation is about
Patient chief complaint;
Pre-operative medical/ dental/social history
Pre-operative dental charting
Pre-operative unedited photographs
Pre-operative unedited radiographs
Pre-operative diagnosis & or problem list and prognosis
Treatment plan with objectives & rationale for treatment provided
During treatment, records will be kept demonstrating:
Treatment rendered; explanation of materials, methods, etc.
Photographs and radiographs as the case progresses
Upon completion of treatment
Unedited photographs of completed treatment
Post-operative unedited radiographs, if indicated
What went right and what went wrong; what would you do differently next time? What did you learn from this case?
Discuss management of techniques and treatment modifications used for the procedure to help accommodate patient’s special needs.
April 1-2, 2022 Mastertrack: A Clear Approach to Clear Aligner Therapy, Go Digital or Go Home by Dr. Neil Warshawsky
Protocol Assignment
Construct clear aligners to correct simple malocclusions for 3 separate patients. Demonstrate in detail how the clear aligners were used to move the teeth. One of the three cases may be construction of an aligner with a pontic for an implant case or a missing tooth.
Include:
1. Patient chief complaint
2. Medical/ Dental/Social history
3. Pre-operative dental charting.
4. Established need for treatment: Diagnosis(s)
5. Prognosis
6. Treatment plan with objectives & rationale for treatment provided
7. Photographs, radiographs, and models of the case prior to starting treatment.
8. Photographs, radiographs, and models as the case progresses
9. Post treatment photographs, radiographs, and documentation.
10. What went right? What went wrong?
11. What did you learn from each case? What would you do differently next time?
Patrick Nolan, the Dentsply Representative, has offered to supply 25 free sheets of plastic to doctors who are doing this protocol and he will come out to your office with the Drufomat Scan Pressure Machine to assist you with your case. His phone is 847-354-5993 and his email is [email protected].
October 29-30, 2021, Modern Oral Medicine for Today’s General Oral Practitioner by Dr. John Olsen
Please see the ILAGD Protocol Reporting Introduction and FAQ flyers for more information on how to do a Protocol assignment. Please keep your Protocol Report to 20 min or less.
Do #1 and #2 below and choose one from #3,4,5 to report on for the Protocol Presentation on this program. Your PowerPoint (or equivalent) should be approximately 15 minutes long with a question/answer session to follow.
- Socket grafting and suturing-required
- Indication, how procedure was performed, post-operative care
- Discuss kind of graft materials used and why
- Discuss any additives to the graft and explain their use and indications-antibiotics, L-PRF,
- PRF Procedure-discuss what it is and the purpose
- How blood was collected (venipuncture) and prepared to collect the L-PRF
- Discuss type of suture material and suturing technique
- Suck down treatment appliance-Fluoride Carrier, Miracle Mixture or Bruxism Guard-required
- Discuss indication, how the appliance was fabricated, post-op care and follow-up: were treatment objectives met
Choose one from the three below to report on along with #1 and #2 above:
- Discuss two patients on medications (at least 2 medications per patient)
- Discuss the indication for the medications, basic pharmacology, interactions, dental side effects and considerations for dental treatment
- Discuss treatment of one of the oral conditions discussed in the lecture:
- Fungal infections: Candidiasis & Angular Cheilitis, Burning mouth disorder, Herpetic Gingivostomatitis, Recurrent Herpes Simples, Lichen Planus, Pt’s on antineoplastic agents and Radiation Therapy, Recurrent aphthous stomatitis, Use of Corticosteroids in dental treatment, Xerostomia
- Botox-use as a dental treatment in a patient
- Discuss indication for your patient, dosing, how the Botox was administered, post op care, side effects and health risks
Outline to Follow for your presentation as appropriate for the procedure:
- Title to describe what the presentation is about
- Patient chief complaint
- Medical/ Dental/Social history
- Pre-operative dental charting.
- Established need for treatment: Diagnosis(s)
- Prognosis
- Treatment plan with objectives & rationale for treatment provided
- Photographs, radiographs, and models (if applicable) of the case prior to starting treatment.
- Photographs, radiographs, and models as the case progresses
- What went right; what went wrong.
- Post treatment photographs, radiographs, and documentation.
- What was learned from this case? What would you do differently next time?
Any questions please contact Dr. Cheryl Mora at [email protected] or 847-638-7223.
The next Protocol Reporting Session will be Thursday, March 31, 2022 via Zoom at 5pm. RSVP’s are due by Thursday, March 24, 2022.
September 24-25, 2021 Clinical Treatment Planning and Problem Solving Dr. Robert Lowe Protocol Assignment
Please see the ILAGD Protocol Reporting Introduction and FAQ flyers for more information on how to do a Protocol assignment. Please keep your Protocol Report to 20 min or less.
Protocol Assignment
Select three new patients and develop 2-3 treatment plans for each patient. Please choose cases that involve levels of complexity such as a malocclusion, missing teeth, periodontal disease, a high caries rate, dental infections, dental trauma, and/or esthetic issues. Include:
1. Patient’s chief complaint, sign/symptoms, and concerns
2. Medical/ Dental/Social history and impact on the alternative treatment plans
3. Pre-operative dental and periodontal exam and charting.
4. Occlusal/Functional exam
5. For anterior cases include assessments of lip support, smile line, tissue architecture and gingival biotype, gingival recession, bite relationship, and bone sounding. Discuss cosmetic considerations that impact the patient’s case.
6. Pre-operative unedited photographs
7. Pre-operative radiographs and CBCT as appropriate; Facebow or equivalent and mounted models as appropriate.
8. Established need for treatment: Problem list and Diagnosis(s)
9. Treatment plans with objectives & rationale and considering esthetics, function, restorative and biology. List advantages and disadvantages of the treatment plans; risks involved with each alternative plan
10. Prognosis for each treatment plan
11. Discuss your preferred treatment plan and patient’s choice of treatment
Thank-you,
Dr. Cheryl Mora
Cheryl Mora, DDS, MAGD
Director, ILAGD Mastertrack Program
Co-Chair, ILAGD Membership Committee
Cell: 847-638-7223
Office: 847-821-7222
[email protected]
May 22-23, 2021 Endodontics for the General Practitioner: and Efficiency through Simplicity ~ Dr. David Landwehr Protocol Assignment:
Diagnose & treat three endodontic cases including one molar tooth. Document with photos & radiograph’s all stages of treatment from presentation to post-op.
Include the following details:
• Patient signs/symptoms
• Clinical Evaluation
• Extra-oral findings
• Intra-oral findings including types of tests performed
• Radiographic findings
• Pulpal and apical diagnosis
• Access preparation
• Include details on the endo instruments/system – you do not have to use the same system as in the course
• The filing technique
• The obturation technique and materials
• Post treatment instructions
• Pain management before and after treatment
Follow this outline summary
PRE-OPERATIVE TREATMENT PHASE
• Title [describe the topic of your presentation]
• Patient Chief Complaint, Signs & Symptoms + Dental/Medical history
• Pre-operative clinical photographs + radiographs of initial situation. Include
o Clinical Evaluation
o Extra-oral findings
o Intra-oral findings including types of tests performed
• Pre-operative pulpal and apical diagnosis & or problem list and prognosis
• Treatment planning options / considerations and rationale
TREATMENT PHASE
• Photographs of materials + techniques
• Pain management (Pre-op medications, local anesthesia, nitrous oxide, anti-anxiety medications;
Detailed explanation of chairside protocols followed
• Isolation
• Access preparation
• File System
• Orifice Opening and Glide Path Creation
• Creating Working Length
• Final Shaping
• Irrigation
• Obturation
• Post treatment Instructions
• Pain Management
List of challenges encountered
POST-OPERATIVE TREATMENT PHASE
• Final photographs/radiographs of the final treatment side-by-side with initial situation (before and after images).
• Plans for final restoration
AFTER ACTION REPORT (AAR):
• Were the patient’s expectations met?
• Were the clinician’s expectations met?
• How could the case have been improved or performed differently?
April 10-11, 2021 MasterTrack: Implant Assisted Prosthodontics: Fixed and Removable by Dr. Miles Cone
Protocol Assignment
Implant Assisted Prosthodontics: Fixed and Removable
Protocol Assignment
Select two of the following procedures from the Implant MasterTrack Program to complete for your Protocol Assignment.
1. Final impression of R-Tx Locators
2. Pick-up impression with Chairside of R-Tx housings
3. Final impression using open-tray technique of implant crown
4. Fabrication of single-unit provisional implant crown
5. Characterization of denture teeth or provisional restoration with Optiglaze
Follow this outline summary
PRE-OPERATIVE TREATMENT PHASE
• Title [describe the topic of your presentation]
• Patient Chief Complaint + dental/medical history
• Pre-operative clinical photographs + radiographs of initial situation
• Pre-operative diagnosis & or problem list and prognois
• Treatment planning options / considerations and rationale
TREATMENT PHASE
• Photographs of materials + techniques
• Detailed explanation of chairside + laboratory protocols followed
• List of challenges encountered
POST-OPERATIVE TREATMENT PHASE
• Final photographs/radiographs of the final restorations side-by-side with initial situation (before and after images)
• After Action Report (AAR): were the patient’s expectations met? Were the clinician’s expectations met? How could the case have been improved or performed differently?
October 31-November 1, 2020 Mastertrack: Pediatric & Special Patient Care Dentistry for the General Practitioner by Dr. Carla Cohn
Protocol Assignment
Choose 4 of the following procedures discussed at the course to do for your protocol assignment.
- Glass ionomer and SDF restoration
Posterior Composite Restoration-bulk fill - Posterior Composite Restoration-snow plow or base layer technique
- Posterior stainless steel with cementation technique
- Anterior Esthetic crown restoration with cementation technique
- Posterior Esthetic crown restoration with cementation technique
Pulpotomy with MTA or Theracal PT - Ionic Resin Modified Glass Ionomer-bulk or incremental fill
- Resin Modified Glass Ionomer
This is an outline to follow:
Pre-operative:
- Title to describe what the presentation is about
- Patient chief complaint;
- Pre-operative medical/ dental/social history
- Pre-operative dental charting
- Pre-operative unedited photographs
- Pre-operative unedited radiographs
- Pre-operative diagnosis & or problem list and prognosis
- Treatment plan with objectives & rationale for treatment provided
During treatment, records will be kept demonstrating:
- Treatment rendered; explanation of materials, methods, etc.
- Photographs and radiographs as the case progresses
Upon completion of treatment
- Unedited photographs of completed treatment
- Post-operative unedited radiographs, if indicated
- What went right and what went wrong; what would you do differently next time? What did you learn from this case?
- Discuss behavior management techniques used for the procedure.
- If you have the opportunity to treat a special needs patient, please discuss your strategies and treatment modifications needed to complete the patient’s treatment.
September 11-12, 2020 Protocol Assignment
Occlusion in Everyday Dentistry & The Art of Treatment Planning by Dr. Lee Ann Brady
Complete a case presentation on a patient: Please choose an appropriate case that involves elements of anterior esthetics and functional and occlusal issues. The presentation should be 15-20 minutes long.
Case Presentation:
- Presenting complaint(s)
- Medical history
- Dental history
- Social history
- Extra-oral examination & Intra-oral Examination. Include a completed Functional Exam, Dentofacial Evaluation and Exam 1- handouts from the course.
- Exam findings/ Problem List/ Diagnoses
- Possible Treatment plans: Consider Aesthetics, Function, Restorative and Biology. Include the Treatment Planning Worksheet handout.
- Final Treatment plan & Treatment Sequence
- Completed treatment
- Prognosis; Discussion of what went well and problems that occurred during the case. What did you learn from the case and what would you do differently in hindsight?
- Include:
- Occlusion mounted models, appropriate radiographs, photographs, and periodontal charting
- Functional Plan and rationale-what type of occlusion, CR, MI, Group function, Canine Guidance, OJ/OB issues?
- Obtain a Centric Relation Record on the patient and document and explain the steps and rationale
- Obtain a Facebow or Dental-Facial Analyzer record on the patient and document and explain the steps and rationale
- Do a JAMSS evaluation on a patient. Document, photograph and explain the examination
October 2019 Mastertrack Protocol Dr. Jun Lim Periodontics
Pick 2 from the following categories. You may do two cases from the same category.
- Diagnose and treat a Stage III or Stage IV Periodontal Case (You may do two perio cases)
- Surgical procedures (You may do two surgeries)
- Treatment of a peri-implantitis case
Treat a stage III or IV periodontitis case. Include a medical, social, dental and a comprehensive periodontal exam including radiographs. Indicate the periodontal diagnosis based on the 2017 Classification of Periodontitis. Include a prognosis and patient status after treatment. Discuss oral hygiene instructions given to the patient. Include in your exam:
Periodontal exam
▪ Gingival inflammation: swelling, redness, plaque
▪ Probing depths and furcation involvement and clinical attachment level before and after treatment and at re-evaluation
▪ Recession-discuss possible etiologic factors
▪ Bleeding on probing before and after treatment and at re-evaluation
▪ Attached gingiva: present, absent, thin, thick
▪ Radiographic exam: present a FMX and discuss the radiographic findings and all the contributing factors to the diagnosis.
▪ Mobility
▪ Occlusal wear facets
Secondary factors to note in exam
▪ Tooth morphology
▪ Grooves and depressions on crowns and roots
▪ Enamel projections into furcation
▪ Tooth position: rotation, tilt, root proximity to adj. teeth
▪ Proximal contact/plunger cusp
▪ Restorations
▪ Overhanging margins
▪ Deep margins
▪ Visual gingival inflammation and plaque
▪ Color and shape changes
▪ Subjective findings
▪ Redness
▪ Swelling
▪ Inflammation and it’s correlation with +/- plaque
Treatment:
Include Initial therapies that may be needed
▪ Oral hygiene instruction
▪ Scaling and root planning
▪ Removal of caries and correction of faulty restorations
▪ Correction of other local factors
▪ Occlusal adjustment, nightguard
▪ Provisional splinting and prosthesis (esthetic and functional)
▪ Extractions
▪ Endodontic and orthodontic therapy
Re-evaluation & Maintenance. Discuss and evaluate the effectiveness of the treatment.
- Surgical Procedures
- Discuss the purpose, indication, contraindications of the surgical procedures.
- What type of flap and incisions that were used and why?
- Suturing
- Type & Indication
- Post-op Care & Instructions for the surgical procedures
Surgical Procedures to choose from:
- Maxillary distal wedge on max tuberosity
- Mandibular retromolar pad distal wedge
- CLP with mesial wedge
- Crown lengthening
- Esthetic gingivectomy
- Gingival Graft-Gingival Augmentation- Discuss Recession: Type, Rationale. Miller Class Recession
- Free Gingival Graft with donor site
- Coronally replaced flap
- Lateral pedicle graft
- Connective tissue graft-harvested donor site or decellularized dermis
- Bone Grafting
- Periodontal bone grafting
- Apical 3-wall defect
- Socket grafting – ridge preservation
- Bone Graft Material used and why
- Discuss membrane if used
- Flap or flapless
- Implant placement
- Treatment of peri-implantitis case
- Comprehensive Periodontal exam as per above in section number one
- Discuss risk factors that may contribute to peri-implantitis.
- Discuss treatment of the case including surgery, medications, prognosis and maintenance.
September 2019 Mastertrack Protocol
Dr. Karl Koerner
Oral Surgery for the General Dentist: Faster, Easier, And More Predictable
Each presenter should do 4 different cases out of the 8 types of cases listed below.
Assignment:
Case #1: Use a Luxator or similar instrument and a skinny bur to remove a root fractured or decayed near the crestal bone level using the steps reviewed in the course.
Case #2: After consulting with a physician’s office, do 1-3 simple extractions on 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 multiple extractions, removing all infection in the socket and the tissue, 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 with a barrier membrane.
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.
Case #8 Perform a frenectomy with a blade.
Please discuss all rationale for all the instruments and materials used during the procedures.
Utilizing records developed during treatment, each participant will make a complete Powerpoint case presentation of approximately 15 minutes to the Mastertrack Committee 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 2019 Mastertrack: Pediatric & Special Patient Care Dentistry for the General Practitioner by Dr. Carla Cohn
Protocol Assignment
Choose 4 of the following procedures discussed at the course to do for your protocol assignment.
• Glass Ionomer restoration
• Posterior Composite Restoration
• Stainless Steel or Esthetic crown restoration
• Pulpotomy with MTA or Theracal LC or PT
• Sealants: Resin and/or Glass ionomer
• Admira Fusion ceramic resin
• Resin Infiltration
For each of these procedures include:
a. Pre-operative & Post-operative photographs and radiographs
b. Intra-operative photographs including caries removal and prep design
c. Explanation of material choices for each restoration
d. Isolation procedures
• Discuss behavior management techniques used for the procedures
• If you have the opportunity to treat a special needs patient please discuss your strategies and treatment modifications needed to complete the patient’s treatment.
April 2019 Mastertrack: A Clear Approach to Clear Aligner Therapy, Go Digital or Go Home by Dr. Neil Warshawsky
Protocol Assignment
Construct clear aligners to correct simple malocclusions for 3 separate patients. Demonstrate in detail how the clear aligners were used to move the teeth. One of the three cases may be construction of an aligner with a pontic for an implant case.
Include:
1. Patient chief complaint
2. Medical/ Dental/Social history
3. Pre-operative dental charting.
4. Established need for treatment: Diagnosis(s)
5. Prognosis
6. Treatment plan with objectives & rationale for treatment provided
7. Photographs, radiographs, and models of the case prior to starting treatment.
8. Photographs, radiographs, and models as the case progresses
9. What went right; what went wrong.
10. Post treatment photographs, radiographs, and documentation.
11. What was learned from this case? What would you do differently next time?
September 2018 Mastertack: Occlusion by Dr. Robert Lowe
Protocol Assignment
1.Do a posterior direct Class 2 composite using a bulk fill flowable as a dentin replacement. Discuss the advantages and disadvantages of this technique. Discuss using a bulk fill technique with and without an occlusal capping layer.
2.Discuss “Bioactive“materials and the theory behind bioactivity and discuss product examples.
3.Do three prosthetic cases: posterior and an anterior Crown & Bridge case. Using a facebow mount the case. Do pre-op, prep, and provisional restoration with morphology & with occlusal marks from articulation paper based on concepts discussed in the course. Show occlusal marks from articulating paper during placement and final restoration with photos of marks from articulating paper. Discuss the determinants of occlusal morphology. Describe steps in fabricating and polishing the temporary restorations and any staining procedures done to color match.
May 2018 Root Canal Treatment on the Cutting Edge: Simplicity and Efficiency ~ Dr. David Landwehr Protocol Assignment:
Diagnose & treat the next 3 consecutive Endo cases that present to your treatment room.
Document with photos & radiograhs all stages of treatment from presentation to post-op.
Include the following details:
- Patient signs/symptoms
- Clinical Evaluation
- Extra-oral findings
- Intra-oral findings including types of tests performed
- Radiographic findings
- Pulpal and apical diagnosis
- Access preparation
- Include details on the endo instruments/system they use
- The filing technique
- The obturation technique and materials
April 2018 Anesthesia/Sedation Concepts; Intravenous & Airway Skills For the General Dentist – Dr. Schwartz Protocol Assignment:
- Discuss integration of a body-systems-based health history into your dental and medical history assessment.
- Discuss how one or more of the sixteen tough patients have been differently treated in your practice.
- Discuss how dental office emergency protocols have been utilized in your practice on a patient.
- Discuss how office training for the dentist and office personnel have been integrated into your office meetings.
- Discuss ways that non-mechanical assessment of patient vital signs has been utilized while you are providing treatment of a patient.
November 2017 Dental Materials Dr. Sam Halabo Protocol Assignment:
Each Presenter will do these restorations utilizing techniques discussed in the course:
A direct resin veneer
Class II Composite with layering technique
Class II Composite with Bulk Fill Technique
2 Crown/Bridge procedures that includes a crown build-up procedure-discuss materials used for the preparation, bite registration, crown build-up, hemostasis, impression taking, temporization and cementation as well as the choice of material for the final restoration. Utilize different materials, instruments and equipment for the 2 procedures and discuss the advantages and disadvantages of each. For example, for hemostasis use gingival retraction cord for one procedure and/or a hemostatic paste or a laser for the other procedure and discuss the advantages and disadvantages of each.
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 of each procedure-discuss choice of camera used.
c. A 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 and rationale for material choices
f. For the anterior resins and crown & bridge procedure include an explanation of the shade matching procedure including photography
g. Isolation procedures-including a rationale for the choice of product used to isolate for each procedure.
h. Discuss how you may have improved your ergonomics after this course.
October 2017 – Laser Dentistry with Dr. Robert Convissar:
Document 4 cases that demonstrate the use of a laser for a dental procedure that utilize the information you learned in the October 2017 MT class on Laser Dentistry with Dr. Robert Convissar. Procedures may come from, but are not limited to any of these areas.
Laser assisted periodontal therapy
Lasers in surgical periodontics
• Gingivectomy
• Frenectomy
• Crown lengthening
• Laser depigmentation
Laser enhanced Removable Prosthetic reconstruction
• Excision of Epulis Fissurata
• Vestibuloplasty
Laser in Prosthetic, Cosmetic &Restorative Dentistry
• Soft tissue troughing
• Crown-lengthening
• Ovate pontic design
• Troughing/Coagulation Crown & Bridge
• Caries removal & Cavity preparation
• Uncovering Implants
Lasers in Pediatric Dentistry
• Caries removal
• Maxillary frenum revisions
• Mandibular frenum revisions
• Lingual frenum revisions
• Treatement of pericoronal pain or infection
• Treatment aphthous ulcers
Lasers in Orthodontics
• Gingivectomy
Lasers in endodontics
• Pulpotomy
• Pulp Capping
Lasers in oral and maxillofacial surgery
• Incision/excision procedures
• Biopsies
• Treatment aphthous ulcers
With each case, discuss
• Your choice of laser
• The settings chosen for the laser as well as the spot size, Hz setting, and the amount and type of tissue cooling used.
• The effects of the color of the tissue, and the tissue vascularity and chemical composition on the laser treatment
• In contact or non-contact with the tissue and why
• The duration of time the laser beam was allowed to strike the target tissue-discuss your handspeed and whether you used continuous or pulsed-laser emission mode
• Record Keeping
Your Power Point Presentation should contain dental photographs & patient information on each case presented. This is a recommended outline to follow:
1. Title to describe what the presentation is about
2. Patient chief complaint
3. Medical/ Dental/Social history
4. Pre-operative dental charting.
5. Established need for treatment: Diagnosis(s)
6. Prognosis
7. Treatment plan with objectives & rationale for treatment provided
8. Photographs, radiographs, and models (if applicable) of the case prior to starting treatment.
9. Photographs, radiographs, and models as the case progresses
10. What went right; what went wrong.
11. Post treatment photographs, radiographs, and documentation.
12. What was learned from this case? What would you do differently next time?
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.