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DA0027: Restorative COMPOSITE Expanded Functions Dental Assistant Course

 
Date: 1/06/2020 - 1/10/2020
Course Status: Completed
Facility: Tsehootsooi Medical Center
Location: Ft. Defiance, AZ
Level: Advanced
Audience: Assistants
Quota: 2 - 2 students
Tuition: $360.00
Hours: 36.00 (Total CDE); 18.00 (DANB Clinical); 18.00 (DANB Non-Clinical)
Joint Sponsorship: No
Lecture icon Question and Answer icon Hands on icon
Summary:

The basic and advanced expanded function dental assistant courses are NOT required to take this course.

The purpose of this course is to introduce the dental assistant to the placement and finishing of composite [and glass ionomer] restorative materials in IHS, tribal, and IHS-funded urban dental programs.

Course Overview: This course will combine concepts taught in the restorative EFDA basic and advanced courses but will focus on composite resin restorations. Background information will be provided in cavity classification and dental anatomy. Anterior composites will include both Class III and Class IV restorations taught in didactic and laboratory settings. Posterior composites will include Class I, Class II, and Class V restorations taught in didactic and laboratory settings. This one-week course is designed to provide basic skills to perform these restorations.
Prerequisites: The dental program director and dental assistant supervisor are responsible for ensuring the dental assistant is adequately prepared the course. Completion of the restorative EFDA basic and/or advanced courses [which teach amalgams and composites but exclude Class I and II composites] is not a prerequisite requirement to take the composite course. However, the prospective EFDA must complete DA0004, the Restorative Expanded Functions Basic Prerequisite Course, and this must be completed at least two weeks in advance of the course. If the dental assistant fails to meet this deadline, he/she will be unenrolled from the restorative EFDA composite course regardless of whether tuition has been paid or not and travel has been arranged or not. The Restorative Expanded Functions Basic Prerequisite Course consists of four online modules: [1] dental anatomy, [2] tofflemire matrix band and wedge [which isn’t used in composites but nevertheless teaches fundamentals], [3] dental dam, and [4] operative setup. It is also the dental program director’s and DA supervisor’s responsibility to provide some training prior to the course, specifically to help the DA understand the operative setup for composites at the clinic, instruments used for composites, etc.
Course Curriculum: The Restorative EFDA – Composite Course will consist of 32.0 hours of continuing dental education taught over five days by a skilled and calibrated instructor using a standard training curriculum as listed below. The dental assistant must attend all five days to receive CDE credit and to move on to the post-course portion of certification; no partial credit is given. In addition, the dental assistant must successfully pass both the written and practical tests. Failure to pass the tests, as determined by the instructor[s] and course director, will result in failure of the entire course and the dental assistant will need to remediate the course at a future date.

•   Monday [Day 1]
o    8:00 a.m. – 12:00 p.m.      Travel, preparation time
o   12:00 p.m. – 1:00 p.m.      Lunch on your own
o    1:00 p.m. – 1:15 p.m.      Welcome, introductions, expectations
o    1:15 p.m. – 2:00 p.m.      Cavity Classification and Nomenclature [Slide Deck 1]
o    2:00 p.m. – 2:30 p.m.      Quality Evaluation Criteria [Slide Deck 2], Q & A
o    2:30 p.m. – 3:15 p.m.      Composite Materials & Dental Adhesives [Slide Deck 3]
o    3:15 p.m. – 3:45 p.m.      Curing Lights and Polymerization [Slide Deck 4]
o    3:45 p.m. – 4:00 p.m.      Cavity Liners [Slide Deck 5]
o    4:00 p.m. – 5:00 p.m.      Anatomy [anatomy, premolars, molars [Slide Deck 6 & 7]
o    5:00 p.m. – 5:30 p.m.      Quiz 1 [All course content from Day 1 Anatomy]

•   Tuesday [Day 2]
o    8:00 a.m. – 9:00 a.m.      Class V Posterior Composite [Slide Deck 8]
o    9:00 a.m. – 10:30 a.m.      Hands-on laboratory practice, Class V
o   10:30 a.m. – 11:30 a.m.      Class I Posterior Composite [Slide Deck 9]
o   11:30 a.m. – 12:00 p.m.      Hands-on laboratory practice, Class I
o   12:00 p.m. – 1:00 p.m.      Lunch on your own
o    1:00 p.m. – 2:00 p.m.      Class II Posterior Composite [Slide Deck 10]
o    2:00 p.m. – 3:00 p.m.      Review of Class I, II, and V, Q & A
o    3:00 p.m. – 4:00 p.m.      Quiz 2 [Class I, II and V]
o    4:00 p.m. – 5:00 p.m.      Practical 1: Class V Posterior Composite
•   Wednesday [Day 3]
o    8:00 a.m. – 9:00 a.m.      Remediation training for those who failed quiz 1 or 2               or practical 1, others hands-on practice, Class I
o    9:00 a.m. – 10:00 a.m.      Anterior Anatomy [Slide Deck 11]
o   10:00 a.m. – 11:00 a.m.      Class III Anterior Composite [Slide Deck 1]
o   11:00 a.m. – 12:00 p.m.      Hands-on laboratory practice, Class III
o   11:00 a.m. – 12:00 p.m.      Re-take Quiz 1, 2, and/or Practical 1 as needed
o   12:00 p.m. – 1:00 p.m.      Lunch on your own
o    1:00 p.m. – 2:00 p.m.      Practical 2: Class I Posterior Composite
o    2:00 p.m. – 3:00 p.m.       Practical 3: Class II Posterior Composite
o    3:00 p.m. – 4:00 p.m.      Review of Class III, Q & A
o    4:00 p.m. – 5:00 p.m.      Quiz 3 [Class III]
•   Thursday [Day 4]
o    8:00 a.m. – 9:00 a.m.      Remediation training for those who failed quiz 3, or
practicals 2 or 3, others hands-on practice Class III
o    9:00 a.m. – 10:00 a.m.      Class IV Anterior Composite [Slide Deck 13]
o   10:00 a.m. – 12:00 p.m.      Hands-on laboratory practice, Class III & IV
o   11:00 a.m. – 12:00 p.m.      Re-take Practical 2 or 3 as needed
o   12:00 p.m. – 1:00 p.m.      Lunch on your own
o    1:00 p.m. – 2:00 p.m.      Practical 4: Class III Anterior Composite
o    2:00 p.m. – 3:00 p.m.       Review of Class IV, Q & A
o    3:00 p.m. – 4:00 p.m.      Quiz 4 [Class IV]
o    4:00 p.m. – 5:00 p.m.      Practical 5: Class IV Anterior Composite
•   Friday [Day 5]
o    8:00 a.m. – 9:00 a.m.      Remediation training for those who failed quiz 4 or
practicals 4 or 5
o    9:00 a.m. – 10:00 a.m.      Review of course materials, Q & A
o   10:00 a.m. – 11:00 a.m.      Final Written Exam [no remediation]
o   11:00 a.m. – 12:00 p.m.      Certification, Post-Course Requirements [Slide Deck 14]
o   12:00 p.m. – 1:00 p.m.      Course evaluation
o    1:00 p.m.          Travel to home duty station

Post-Course Responsibilities: It is important to remember that this one-week course is designed to provide the basic information and skills for a dental assistant to successfully place anterior and posterior composite restorations. Since the dental assistants will work under the license of a supervising dentist, it is that dentist’s responsibility to ensure that the dental assistant is competent to provide the service to the patient. The supervising dentist incurs all responsibility of the services provided to patients by the dental assistant. Consequently, we recommend that the supervising dentist[s] continue to provide training of restorative expanded function dental assistants as needed. Similarly, as a measure of quality of care, we encourage all dental assistants successfully completing the Restorative EFDA – Composite Course to become certified [read below on this process]. Supervising dentists should carefully grade restorations using the quality criteria sent by the course director in the post-course letter.
Certification: Dental assistants must complete the following composite restorations within a six-month period in order to obtain EFDA certification: 40 total restorations, of which at least 10 are Class I or Class V restorations, at least 10 are Class III or Class IV restorations, and at least 10 are Class II restorations.
Once the dental assistant has successfully completed 40 restorations [graded as “A” or “B”], the dental assistant supervising dentist [not DA supervisor, but supervising dentist] should e-mail the IHS CDE Coordinator with the following statement:
“___________ [name of DA] has successfully completely 40 composite restorations that include at least 10 Class I or V restorations, at least 10 Class III or IV restorations, and at least 10 Class II restorations. ______ [name of DA] completed the Restorative EFDA – Composite Course held at _________ [location] on ___________ [dates]. A copy of the evaluation record will be maintained on file at this clinic. Please issue instructions for certification.”
The dental assistant’s supervising dentist[s] may consult with the DA’s instructor if they have questions about the quality evaluation criteria. However, it is the supervising dentist’s responsibility to ensure that the dental assistant successfully meets the certification criteria [again, the DA will be working under that dentist’s license in performing the procedures].

Learning Objectives:

Upon completion of this course, participants will be able to:
1. Have an understanding of the basic concepts of occlusion as they apply to restorative dentistry;
2. Be able to place and finish composite restorations - Class I, II, III, IV, and V;
3. Have an understanding of composite materials, dental adhesives, curing lights, and cavity liners; and
4. Have the ability to discriminate between acceptable and unacceptable restorations.

Speaker / Presenter:

Clayton Carpenter — Personal Description / Biography not available. For follow-up questions, please contact the speaker at Clayton.Carpenter@ihs.gov.

Jeannie Yoon — Personal Description / Biography not available. For follow-up questions, please contact the speaker at jeannie.yoon@ihs.gov.

Jason Price — Chief of Dental Services For follow-up questions, please contact the speaker at jason.price@fdihb.org.

Disclosure Policy:

It is the policy of the Indian Health Service, Division of Oral Health, that faculty/planners disclose any financial or other relationships with commercial companies whose products may be discussed in the educational activity. The Indian Health Service, Division of Oral Health, also requires that faculty disclose any unlabeled or investigative use of pharmaceutical products and medical devices. Images that have been falsified or manipulated to misrepresent treatment outcomes are prohibited.

None of the faculty/planners for this activity has a conflict of interest, and there is no use of unlabeled or investigative pharmaceutical products or medical devices. No images have been falsified or manipulated to misrepresent treatment outcomes.The educational objectives, content, and selection of educational methods and instructors are conducted independent of any commercial entity.

Accreditation:
The IHS Division of Oral Health is an ADA CERP Recognized Provider

The IHS Division of Oral Health is an accredited sponsor of continuing education under the American Dental Association Continuing Education Recognition Program (CERP). ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the IHS at IHS CDE Coordinator or to the Commission for Continuing Education Provider Recognition at CCEPR.ada.org

Prerequisites:

The dental program director and dental assistant supervisor are responsible for ensuring the dental assistant is adequately prepared the course. Completion of the restorative EFDA basic and/or advanced courses [which teach amalgams and composites but exclude Class I and II composites] is not a prerequisite requirement to take the composite course. However, the prospective EFDA must complete DA0004, the Restorative Expanded Functions Basic Prerequisite Course, and this must be completed at least two weeks in advance of the course. If the dental assistant fails to meet this deadline, he/she will be unenrolled from the restorative EFDA composite course regardless of whether tuition has been paid or not and travel has been arranged or not. The Restorative Expanded Functions Basic Prerequisite Course consists of four online modules: [1] dental anatomy, [2] tofflemire matrix band and wedge [which isn’t used in composites but nevertheless teaches fundamentals], [3] dental dam, and [4] operative setup. It is also the dental program director’s and DA supervisor’s responsibility to provide some training prior to the course, specifically to help the DA understand the operative setup for composites at the clinic, instruments used for composites, etc.

Tuition Payment Information:

NA

Tuition Policy:

Tuition must be paid in full 8 weeks prior to the start date of any course. Request for refunds must be received in writing at least two weeks before the course begins. For each refund request, there will be an administrative charge of $100. No refunds will be made to registrants who fail to attend a course. If IHS CDE program cancels a course, then 100% of the tuition will be refunded.