AEGD - Program Specific Goals and Objectives - Captain James A. Lovell Federal Health Care Center
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Captain James A. Lovell Federal Health Care Center

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AEGD - Program Specific Goals and Objectives

A. PATIENT-FOCUSED PRIMARY ORAL HEALTH CARE

A1. Coordinate, manage and deliver patient-focused oral health care; perform comprehensive dental examination and treatment planning of multidisciplinary patient care, including taking, recording, and interpreting a complete medical and dental history, clinical and radiographic examination, photographs, articulated diagnostic casts, and diagnostic wax-ups as appropriate.

A2. Manage the patient with special needs (medical, physical, psychological or social), including appropriate assessment of health status and incorporation of modifications to dental treatment.

A3. Use multiple diagnostic modalities to appropriately assess and coordinate treatment for patients who present with various dental emergencies including pain, infection and trauma.

A4. Obtain proper informed consent for treatment plans and dental procedures, and understand the indications for obtaining written informed consent.

A5. Function effectively within interdisciplinary health care teams, including consultation and/or referrals.

A6. Direct health promotion and disease prevention activities; develop individualized prevention programs including but not limited to caries risk management, periodontal risk management, and oral cancer risk management.

A7. Appropriately utilize current dental treatment modalities (e.g. CAD/CAM, rotary endodontics and advanced obturation techniques, complex surgical periodontal therapy, etc.).

A8. Be familiar with the recognition, diagnosis and management of medical emergencies that may be encountered in the dental office.

A9. Understand the proper clinical and radiographic evaluation and management of patients who present with oral hard and soft tissue lesions, including oral mucosal diseases.

A10. Understand the indications of and interpretations of laboratory studies and other techniques used in the diagnosis of oral and systemic diseases.

A11. Understand the relationship between oral health care and systemic disease.

A12. Interpret the physical evaluation performed by a physician with an understanding of how it impacts on proposed dental treatment.

B. OPERATIVE DENTISTRY

B1. Diagnose, treatment plan and restore teeth with complex restorative needs (e.g. full or partial coverage complex amalgam restorations, posterior resin composite restorations, restorations using auxiliary retention features, subgingival restorations, etc.) using direct restorative materials (amalgam, resin composite, glass ionomer, resin-modified glass ionomer). Understand the indications and contraindications for each dental material and technique employed.

B2. Diagnose, treatment plan and restore teeth with a variety of treatment options which may include: inlay, onlay, partial and full coverage all-metal (AMR), metal-ceramic (MCR), and all-ceramic restorations (ACR).

B3. Diagnose, treatment plan, and treat patients with esthetic needs using conservative modalities which may include: vital and non-vital bleaching, microabrasion, enameloplasty. Understand the indications / contraindications for conservative esthetic solutions.

B4. Diagnose, treatment plan, and treat patients with esthetic needs using restorative modalities which may include: resin composite, direct composite veneers, porcelain veneers. Understand the indications / contraindications for restorative esthetic solutions.

B5. Restore endodontically treated teeth with direct (amalgam or composite) core restorations (with prefabricated posts as necessary), and with custom cast post & core restorations. Understand the indications and procedures for intraradicular prefabricated posts vs. cast post & cores.

C. PROSTHODONTICS

C1. Diagnose, treatment plan, and manage patients with missing teeth to restore the edentulous space (fixed, removable, or implant prosthodontics) using clinical, radiographic and laboratory data. Understand the ACP classification systems as they relate to prosthodontic treatment planning, treatment and referral.

C2. Understand the role of occlusion in providing prosthodontic care, including occlusal assessment, the proper use of various articulators, selection of occlusal schemes, diagnostic wax-ups and static and functional occlusal records.

C3. Diagnose and manage occlusal disorders / abnormalities using various modalities (e.g. diagnostic wax-ups, restorative dentistry, referral for orthodontic treatment, limited occlusal adjustment, occlusal splints, etc.).

C4. Communicate the prosthodontic case design to the dental laboratory and critically evaluate the resultant prosthesis.

D. PERIODONTICS

D1. Diagnose various periodontal diseases using the AAP classification system and treatment plan periodontal therapy, including implementation of the Navy’s periodontal disease risk management guidelines.

D2. Treat periodontal disease using non-surgical procedures (e.g. scaling/root planing, chemotherapeutics, etc.).

D3. Understand the periodontal / restorative interface including diagnosis of biologic width violation, and incorporate functional and/or esthetic crown lengthening procedures into a comprehensive treatment plan.

D4. Understand the indications for various surgical interventions in the treatment of periodontal disease; perform and/or observe localized periodontal surgery (e.g. flap for debridement, gingivectomy, distal wedge procedures, etc.).

D5. Evaluate the results of periodontal therapy, and establish/monitor a periodontal maintenance program.

E. ENDODONTICS

E1. Perform thorough endodontic evaluation, diagnosis, and treatment planning, properly employing various clinical and radiographic diagnostic modalities and using current AAE diagnostic terminology.

E2. Perform non-surgical root canal therapy on anterior teeth.

E3. Perform non-surgical root canal therapy on posterior teeth.

E4. Perform vital pulp therapy procedures including direct/indirect pulp capping and pulpotomy, and understand the indications/contraindications and techniques for vital pulp therapy.

E5. Understand the proper diagnosis and treatment of non-traumatic and traumatic endodontic emergencies.

E6. Be familiar with the prevention, identification and management of endodontic complications and misadventures.

F. ORAL SURGERY

F1. Perform a thorough pre-operative assessment including appropriate consultations, medical risk assessment, pre-medication, and incorporating various modifications to treatment as necessary.

F2. Diagnose, treatment plan and perform extraction of fully erupted teeth and partially encapsulated third molars not requiring sectioning or bone removal.

F3. Understand the indications, contraindications and procedures for surgical extraction of erupted, partially and fully impacted third molars.

F4. Perform post-surgical follow-up including diagnosis and treatment of post-operative complications (e.g. alveolar osteitis, infection).

F5. Understand the indications and procedures for soft tissue incisional and excisional biopsy, and incorporate findings into a comprehensive treatment plan.

F6. Become familiar with basic suturing indications, materials and techniques.

G. PAIN AND ANXIETY CONTROL

G1. Understand and use various behavioral management techniques to treat patients with dental anxiety.

G2. Understand how to manage and control dental pain and anxiety using various pharmacologic modalities.

H. IMPLANTS

H1. Understand the critical restorative and surgical aspects of treatment planning and treatment of patients with dental implants.

H2. Be familiar with the assessment and diagnosis of patients who present with implant complications, and know how to appropriately manage such cases through treatment or referral.

I. OROFACIAL PAIN / TMD

I1. Develop an understanding of the evaluation, diagnosis, treatment planning and management of patients who present with temporomandibular disorders and orofacial pain.

I2. Fabricate and maintain an occlusal splint (for treatment of orofacial pain or for protection of the dentition from parafunctional habits).

J. PRACTICE MANAGEMENT

J1. Understand management of allied dental professionals and other office personnel and principles of peer management.

J2. Understand principles of quality management, electronic patient reporting system (ePERs), and Lean Six Sigma.

J3. Understand principles of practice management and practice development.

J4. Understand principles of professional ethics, jurisprudence and risk management.

J5. Develop an understanding of information technology, information security, and HIPPA.

For more information on the AEGD Program at Lovell FHCC, please visit:
AEGD Overview
AEGD Didactic Program
AEGD Program Rotation Schedule