The Duggan Dental Studies
Fundamental Restorative Techniques in house and/ Online Course
The World's First hands-on course that includes on-line learning!
This is the first online-hands-on course that we have assembled and it is possibly unique in the dental educational community. It offers as much of a learning experience as possible, while not leaving the comfort of your own home! At DDS we have always pushed back the frontiers to provide the best possible programs for our students. We have over 3500 dentists in California who have experienced our hands-on programs, which have always offered much more than competing courses for much less expense. For our FRT hands-on program at our offices, we continue to offer a uniquely effective experience, for the intense and concentrated continuous nine-day course, and for the weekend and 18 day programs.
We recorded a complete FRT program, not only the lecture presentations, but also the demonstrations and many hours of working with students on various dental preparations. For the close-up work, Dr. Duggan recorded using the Point-of-view camera system that was developed by him. It shows students in the class exactly what he sees while working on a preparation, even through the mirror – and it can do the same for you!
This online program is designed to better prepare students for our in-house course and offers guidance after the course while preparing at home. There are five Segments to the program, where each Segment comprises both Learning and Practical parts. For example, during Segment I, the Orientation and Class II Segment, many video clips will be studied where Dr. Duggan describes aspects of the course and of competitive dental exams, and then the fundamental principles of design AND execution of class II preparations, both for amalgam and composite. He then demonstrates the preparations with the POV camera, and then spends considerable time working on preparations with each student in the class, all of it recorded. The Practical part of Segment I is where YOU do preparations at home, following Dr. Duggan’s guidelines. You are given a specific assignment of seven or eight preparations to do, preferably using a manikin.
To restate the homework philosophy more completely: every preparation you send in would, ideally, be one where you see nothing wrong. If you have reached the point where your hands can do what your head directs, then we can see what is “in your head”, and if there are errors in understanding the principles and concepts. These errors are relatively easy to correct. It should take at least five or ten preparations on ONE tooth before you start to be able to control the handpiece, bur, and VIEW well enough to be satisfied with your work. The view is especially important, and is emphasized throughout the program and in the manual as well. For every step of every prep there is a specific direction that you should look for optimal results. This is not (Dr. Duggan concludes after working with thousands of students) common sense. You must understand the principle behind viewing direction and logically decide what makes the most sense and then see good results. After a while it will become habit on the manikin, and also it will be automatic in patients as the most valuable result!
In order to perform work at home (or in a friends dental office) you should have something to hold the typodont so you can hold the handpiece and mirror. Most entrance exams and ALL patients are like this! A complete manikin with universal joint, fixation rods and head cost more than $500 – but you may be able to set something up from the hardware store for considerably less, if you put some work into it. We will help guide you on this if you desire. Also, we have available relatively low cost silent compressors, even useful in apartments. If you have a house, you can buy a noisy compressor but still need a pedal and hoses. And, your typodont should be reasonably well equilibrated – proximal and occlusal contacts adjusted where necessary. When you sign up for the course – one of the first modules you watch will show Dr. Duggan explaining equilibration methods you can use – for both Kilgore and Columbia typodonts.
When you want to practice with this FRT program before you arrive, you will need to have enough typodont teeth and burs and instruments to allow practicing adequately on all of the preparations assigned. Every preparation for homework will require at least 5 and maybe 10 attempts before you get to the point where it should be sent in. Can you do the preparation 10 times and learn to make one that you think is perfect? Maybe not, but it should improve with every attempt and the result after 5 or 10 preparations should be satisfactory to you, at least. Order forms are provided upon request so that you can specify exactly what you want. You will need to be familiar with the Columbia 860 typodont, the Kilgore S-200 typodont, or both, depending on what examinations you expect to take. Generally, we start with the Columbia, since most schools use this, but, after you complete the program, it may be advisable to repeat many preparations on the Kilgore, after we go over what aspects of this typodont make it more difficult to achieve ideal preparations.
The Outline for this program is as follows:
Segment I – Class II restorations
Segment I Learning Modules (Each Module 6 - 12 minutes long):
Orientation:
1. Welcome to the Course – Part I
2. Welcome to the Course – Part II
3. What you see is what you look for
4. Competition, manikins and mirrors
5. Seeing Skills, Technique and Homework
6. A word about loupes
7. Course Outline
8. Exam Considerations
9. Exam Preparations
Class II Amalgam:
1. Class II Amalgam preparations for maxillary molars - parts 1, 2 and 3
2. Class II Amalgam preparations for mandibular teeth - parts 1 and 2
3. Class II Amalgam Slot preparations
4. Class II Amalgam Demonstration Parts 1 and 2
Class II Amalgam Student critiques - Parts 1 through 14
Class II Composite:
1. Class II Composite Preparations - Parts 1 through 5
Class II Composite Student Critiques - Parts 1 through 11
Each part is a separate module. There are 47 separate Learning Modules in this Segmenty.
Segment I Practical Module (Homework assignment to be completed and sent in):
#3 MO amalgam
#5 DO amalgam
#13 MO composite
#14 DO amalgam
#19 MO amalgam
#20 MO composite
#29 DO amalgam – occlusal outline only
#31 MO amalgam
Once these preparations are all done to your satisfaction you send the typodont to Dr. Duggan and he will return it with a DVD that has a detailed high-magnification critique of each of your preparations, with suggestions about how you went wrong in different areas and what you might do to avoid the problem in the future!
Segment II – Partial veneer gold casting preparations
Segment II Learning Modules:
Occlusal reduction for molars:
1. Occlusal reduction of mandibular molars - Parts 1 through 5
2. Occlusal reduction of maxillary molars - Parts 1 and 2
3. Occlusal reduction demonstrations - Parts 1 through 5
Occlusal Reduction of Mandibular and Maxillary Molars - Student Critiques
1. Critiques and refinement mandibular molars - Parts 1 through 5
2. Critiques and refinement maxillary molars - Parts 1 through 3
Lingual axial reduction for maxillary and mandibular molars:
1. Lingual axial reduction maxillary molars - demonstrations Parts 1 and 2
2. Lingual axial reduction mandibular molars - demonstrations Parts 1 and 2
Retention placement for ¾ crown preparations, and completion of preparation:
1. Discussion of theory of 3/4 crown retention Parts 1 through 6
2. Student questions for 3/4 crown theory
3. Student critique and refinement for 3/4 crown preparations - Parts 1 through 14
Total of 45 Learning Modules in this Segment
Segment II Practical Module:
#3 occlusal, lingual, proximal reduction for ¾ crown
#5 occlusal, lingual, proximal reduction for ¾ crown
#12 DO amalgam
#18 MO amalgam
#20 DO composite
#15 ¾ crown
#31 ¾ crown
Once these preparations are all done to your satisfaction you send the typodont to Dr. Duggan and he will return it with a DVD that has a detailed high-magnification critique of each of your preparations, with suggestions about how you went wrong in different areas and what you might do to avoid the problem in the future!
Segment III – Ceramometal crowns – the PFM
Segment III Learning Modules:
1. Diamond Burs
2. Ceramometal crowns - the PFM Discussion - parts 1 through 10
3. Ceramometal crowns - PFM Demonstration Parts 1 through 3
4. Ceramometal Crowns - the PFM - Student Critique and refinement - Parts 1 through 17
Total of 30 learning modules in this Segment
Segment III Practical Module:
#3 Full Gold Crown
#6 PFM
#9 PFM
#12 PFM
#19 ¾ crown
#28 PFM
#30 PFM with shoulder bevel margin
Once these preparations are all done to your satisfaction you send the typodont to Dr. Duggan and he will return it with a DVD that has a detailed high-magnification critique of each of your preparations, with suggestions about how you went wrong in different areas and what you might do to avoid the problem in the future!
Segment IV – Class III Composite and Full Ceramic Crown
Segment IV Learning Modules
Class III Composite:
1. Class III Composite Preparations - Discussion - Parts 1 to 3
2. Class III Composite Preparations - Student Critique and refinement - Parts 1 through 7
Full Ceramic Crown:
1. Full Ceramic Crown Demonstration - Parts 1 and 2
There are 12 Learning Modules in this segment.
Segment IV Practical Module
#3 PFM – Shoulder bevel
#5 DO amalgam
#7 ML
#8 ML
#9 DL
#11 FCC
#19 FGC
#30 MO composite
Once these preparations are all done to your satisfaction you send the typodont to Dr. Duggan and he will return it with a DVD that has a detailed high-magnification critique of each of your preparations, with suggestions about how you went wrong in different areas and what you might do to avoid the problem in the future!
Segment V – Review and Gold Onlay
Segment V Learning Modules
Gold Onlay Preparation:
1. Gold onlay preparation discussion - Parts 1 through 6
2. Gold onlay demonstrations - Parts 1 and 2
3. Gold onlay student critique and refinement
Additional review and refinements
1. #20 DO Amalgam Student Critique and modification
2. #20 DO Slot and #29 DO Student critique and viewing direction comments
There are 11 Learning Modules in this Segment.
Segment V Practical Module
#3 MO amalgam
#4 MO composite
#12 DO amalgam
#14 MOD gold onlay
#19 MO amalgam
#20 MO amalgam
#30 MOD gold onlay
Once these preparations are all done to your satisfaction you are incouraged to bring your typodont to Dr. Duggan at the begining of the in house class and he will critique each of your preparations, with suggestions about how you went wrong in different areas and what you might do to avoid the problem in the future!
*Check with the office for the current schedules and course pricing.