1. COURSE DESCRIPTION
   • This course provides didactic instruction for advanced operative procedures. It is taken in conjunction with EFDA 212 Expanded Function Laboratory. This course is offered in summer session only.
   • Prerequisite: EFDA 200 Dental Anatomy The course may be taken by Certified Dental Assistants and Registered Dental Hygienists.
   • 105 hours of lecture.
2. COURSE PHILOSOPHY
   The philosophy of the EFDA program is to prepare motivated individuals to become competent and knowledgeable expanded functions dental assistants. This course teaches the EFDA student all the skills necessary to make the transition from chairside assistant to expanded functions dental assistant. The student learns the material needed to develop competence in expanded functions laboratory (EFDA 212). After laboratory competence is reached, the student then practices these skills in clinic (satellite offices) until clinical competency is achieved.
3. COURSE OBJECTIVE
   Upon completion of the course, the EFDA student will:
   • Understand placement of dental sealants for the prevention of tooth decay.
   • Demonstrate professionalism in patient, assistant, and operator interactions.
   • Review impression materials and learn impression taking techniques.
   • Describe the importance of taking vital signs and a medical history of a patient.
   • Know the principles of body positioning and instrument use in restorative dentistry.
   • Learn the various isolation methods for restorative dentistry.
   • Learn how to place bases and liners.
   • Learn to properly assemble and place matrices and wedges.
   • Learn after reviewing components and properties of amalgam, how to place Class I, II, and V amalgams.
   • Understand different classes of cavity design.
   • Learn, after reviewing components and properties, how to place Class I, II, III, IV, and V composite resins.
   • Learn how to place a temporary restoration.
   • Learn different methods for fabricating temporary crowns and bridges.
   • Learn the duties auxiliary may perform with regard to endodontics, periodontics, orthodontics and oral surgery and new technology and advancements.
   • Learn to perform routine maintenance on operatory equipment.
   • Identify the infection control practices of a dental office to include standard precautions and blood borne pathogen standards.
4. COURSE OUTLINE
   Unit 1 - Preliminary Procedures
   Unit 2 - Amalgam
   Unit 3 - Composite
   Unit 4 - Temporary Restorations and Custom Matrices
   Unit 5 - Prosthetics
   Unit 6 - Specialties
5. SPECIFIC COURSE OBJECTIVES
   Unit 1 - Preliminary Procedures
   The student will:
   • Explain the ethical and legal responsibilities for the EFDA.
   • Recognize the importance of reviewing a medical/dental history prior to performing an oral inspection.
   • State why obtaining patient's vital signs is an essential procedure in a dental practice.
   • Identify correct operator, patient and assistant positioning.
   • List the steps of performing an intra-and extra-oral inspection.
   • Explain how to classify findings as normal or abnormal.
   • Identify the six classes of cavity design.
   • Label the floors and walls of a cavity preparation on a diagram.
   • Define the principles of occlusion as related to restorative dentistry.
   • List the steps for taking alginate impressions, pouring study models.
   • Explain the procedures for sealant placement.
   • Describe proper isolation methods for performing restorative dentistry.
   • Explain infection control practices in a dental office.
   • Describe Standard Precautions and the Blood Borne Pathogen Standard.
   Unit 2 - Amalgam
   The student will:
   • Discuss the indications and contraindications for each type of base and liner material in restorative dentistry.
   • Identify materials used for varnishes, liners, and bases and state their function(s).
   • Name the components of dental amalgam and state the function of each.
   • Describe the dimensional changes amalgam goes through when subjected to contamination, improper trituration time or improper condensation pressure.
   • Distinguish between adequately and inadequately prepared restorative materials.
   • Explain the advantages and disadvantages of amalgam as a restorative material.
   • Explain the criteria for acceptable matrix and wedge placement for amalgam restorations.
   • Explain the procedure for placing and condensing amalgam.
   • State the criteria for adequately placed and condensed amalgam.
   • List and explain the steps for carving amalgam for each cavity classification.
   • Recognize causes of amalgam failure (poor condensation, improper marginal ridge height, etc.)
   • Explain principles of functional occlusion.
   • Explain infection control practices in a dental office.
   Unit 3 - Composite
   The student will:
   • Explain the principles of cavity preparation for composite restorations.
   • Explain the chemical composition and physical characteristics of composite type materials.
   • Recognize the differences between different brands of composite-type materials.
   • Explain the advantages and disadvantages of each type of composite-type material.
   • List and explain indications and contraindications of each type of base and liner material placed under composite restorations.
   • Explain the criteria for acceptable matrix and wedge placement for composite restorations.
   • Recognize the necessary precautions that must be exercised when placing a composite restoration.
   • Explain the procedure for selecting a shade of composite resin comparable to the tooth.
   • Describe the procedure for placing composite-type material into each type of cavity preparation, including etching and bonding, anterior and posterior placement.
   • Describe finishing and polishing procedures for each type of composite-type material.
   • Explain the criteria for adequately polished composite restorations.
   • Explain infection control practices in a dental office.
   Unit 4 - Temporary Restorations and Custom Matrices
   The student will:
   • Explain the principles of cavity preparation for composite restorations.
   • State the indications for placing a temporary restoration.
   • Review the properties and manipulation of materials used for placing temporary restorations.
   • Describe the procedure for placing each type of temporary restoration.
   • List and explain the criteria for an adequate temporary restoration placement.
   • State the indications and techniques for placing a matrice and wedge.
   • Explain infection control practices in a dental office.
   Unit 5 - Prosthetics
   The student will:
   • Identify EFDA responsibilities in the specialty of crown and bridge.
   • List and describe the types of commonly used temporary crowns.
   • Explain the composition and physical characteristics of each type of temporary crown.
   • List and explain indications for, and functions of, temporary crowns.
   • Describe the procedure for selecting and preparing each type of temporary crown.
   • Explain criteria for an acceptable temporary crown.
   • Recall impression materials and techniques.
   • Explain infection control practices in a dental office.
   Unit 6 - Specialties
   The student will:
   • Identify EFDA responsibilities in the specialty of crown and bridge.
   • Identify EFDA responsibilities in the fields of periodontics, oral surgery, endodontics and orthodontics.
   • Describe hard and soft tissues of the periodontium and their functions.
   • List and explain uses of periodontal dressings and describe the procedure for preparing selected dressing materials, and explain criteria for determining properly mixed materials.
   • Describe the technique for placement and removal of periodontal dressing.
   • Explain the rationale for placing sutures and indicate various procedures where the need for sutures is common.
   • Explain differences in suturing techniques and describe their appearances.
   • List and explain steps in removing sutures.
   • Explain the procedures an EFDA can perform in orthodontics.
   • Identify EFDA responsibilities in the endodontic specialty.
   • Describe the steps of a routine endodontic procedure and identify endodontic terms.
   • Identify the various diagnostic tests that should be performed to indicate if endodontics is necessary and describe the procedure of pulp testing a tooth.
   • Explain the irrigating and drying portion of an endodontic procedure with regard to expanded functions.
   • Discuss the function of each of the endodontic medications that may be placed in the tooth between visits.
   • Explain infection control practices in a dental office.
6. Course Schedule
   There are 30 class meetings which coincide with 30 laboratory meetings. Classes meet for four hours per day, five days a week throughout the six week semester.
7. REQUIRED TEXT
   DENTISTRY for the RESTORATIVE EXPANDED FUNCTIONS DENTAL ASSISTANT by Hottel and Ruggiero 2nd Edition
8. METHOD OF PRESENTATION
   Lecture/ Guest Speakers
   Discussion
   Audio-visual
   Handouts
9. METHOD OF EVALUATION
The student's final grade will be based on the following criteria:
Test results - the average of unit tests 20%
Assignments 10%
Midterm Examination 30%
Final Examination 40%
92-100% = A
85-91% = B
78-84% = C
70-77% = D
Below 69% = F
10. ATTENDANCE POLICY
    Attendance is required for all classes.
11. ATTENDANCE POLICY
    Attendance is required for all classes.

1. SKILLS - CRITERIA SCORING SYSTEM
   1. Excellent - met expectations
      Criteria performed with perfection. Skills needed to perform task were excellent.
   2. Good - some improvement needed
      Criteria performed were of adequate skill, but did not demonstrate an excellent quality of perfection.
   3. Below average - much improvement needed
      Criteria performed needed instructor's assistance to achieve clinically acceptable results.
   4. Unacceptable
      Criteria performed were unacceptable or may require an instructor to take over and complete.
2. KNOWLEDGE - CRITERIA SCORING SYSTEM
   1. Excellent - met expectations
      Has complete understanding and knowledge of required criteria.
   2. Good - some improvement needed
      Does not completely demonstrate acceptable knowledge of procedure.
   3. Below average - much improvement needed
      Demonstrates limited knowledge or ability to reason purpose of skill or material utilized in criteria.
   4. Unacceptable
      Demonstrate insufficient knowledge or purpose of skill or material utilized in criteria.

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