AEGD - Elective Rotatons

Extended Community Dentistry Rotation
The residents participate in a rotation in the Community Dentistry Department (offsite) at University of Rochester Eastman Dental Center. It is a 4-26 week rotation x 1/2 day per week, or a two-week fulltime experience. They receive additional instruction through dental department seminars, literature reviews, case presentations, general practice presentations, and orientation lectures. Residents also participate in a formal course; Advanced Pediatric Dentistry.

Objectives:

1. To allow residents with a special interest in community dentistry to develop a more in depth understanding of this field and enhance their skills.
2. To have an increased administrative understanding of management of underserved patients from a public health standpoint.
   

Extended Geriatric Dentistry Rotation
UREDC residents rotate to a nursing home (Monroe Community Hospital or Jewish Home) for a minimum of 1/2 day per week for 2 months. Residents work under the supervision of UREDC faculty who supervise their provision of care and evaluate their performance.

Objectives:

1. To develop skills and an in-depth understanding in management of the geriatric patient.
2. When necessary, work with other dental and medical geriatric health care team members to carry out treatment protocols specialized for ill elderly patients including use of oral sedation and use of special equipment including wheelchair lift and headrest.
3. Develop preventive oral care plans which accommodate for reduced capabilities and increased dependence of geriatric nursing home residents.

Orthodontic Rotation
Each resident has the opportunity to spend one day per week for 1-3 months in the Orthodontic program. The AEGD resident will assist the orthodontic resident clinically and participate in the placement of brackets and in performing adjustments.

Objectives:

1. To participate in a diagnostic work-up for a patient in need of minor orthodontic treatment.
2. Under direct supervision and instruction of the orthodontic resident and faculty, appropriately place brackets, bands, and wires on patients needing minor orthodontic care.
3. Under direct supervision and instruction of the orthodontic resident and faculty, to properly adjust wires.
4. To have a clear understanding of what type of malocclusions are correctable with orthodontic treatment, and the approximate time for treatment as well as alternative treatments.

Orthodontic Rotation II
The second year residents can elect to have a rotation for one semester (one-half day per week) in the Orthodontic program. Additional instruction is received through dental department seminars, literature reviews, case presentations, general practice presentations, and a formal course; Orthodontics for the General Dentist.

Objectives:

1. To develop skills in consulting with specialists in orthodontics.
2. To understand the possibilities and limitations of orthodontic tooth movement.
3. To develop skills, knowledge, and the ability to collect the data necessary to
   analyze orthodontic records.
4. To have a clear understanding of orthodontic examination protocols and
   procedures.
5. To understand the basic diagnosis, treatment planning and therapy on
   orthodontics.

Extended Pediatric Dentistry Rotation
The residents participate in a rotation in the Pediatric Department at University of Rochester Eastman Dental Center. It is a 4-52 week rotation x 1/2 day per week. Additional instruction is received through dental department seminars, literature reviews, case presentations, general practice presentations, and orientation lectures. Residents will participate in a formal course; Advanced Pediatric Dentistry.

Objectives:

1. The resident is expected to develop good skills and an in-depth knowledge in the management and treatment of dental conditions as presented in a pediatric patient.
2. To become familiar with behavioral management and sedation techniques of
   the pediatric patient.

Prosthodontic Laboratory Rotation - Fixed and Removable
Residents will participate in 4-1/2 day sessions in the General Dentistry Laboratory. Instruction is received through literature review, demonstration, practical exercises on mannequin teeth, and laboratory exercises. Resident’s progress and skill level will be directly critiqued on an ongoing basis by the course director.

Objectives:

1. Review/know the principles of tooth preparation for porcelain-metal restorations.
2. Review/know the principles of complete denture fabrication.
3. Obtain first-hand knowledge of laboratory fabrication procedures for PFM crowns and complete dentures, and other topics as requested.

Prosthodontic Rotaton
Each resident will have the opportunity to spend ½ day per week for one to three months in the Prosthodontic residents program.

Objectives:

1. To increase knowledge regarding management of complex prosthodontic care.
2. To increase knowledge and skills in treatment planning of patients with complex prosthodontic needs.

Salivary Dysfunction Rotation
Each resident will spend a half day per week on Friday morning for six weeks treating patients under the supervision of faculty in the Salivary Dysfunction Center at Strong Memorial Hospital Department. On completion of the six week period the student will be expected to do a case presentation of a patient seen in the center to the Salivary Dysfunction Case Conference which will take place once every six weeks.

Objectives:

1. Complete a comprehensive work-up on patients who present to the Salivary Dysfunction Center. this work-up will include history taking, extra and intra-oral examinations, specific examination of the salivary glands and salivary sampling.
2. Perform salivary sampling including the following: whole saliva sampling, parotid stimulated and unstimulated sampling and submandibular stimulated and unstimulated sampling.
3. Develop a diagnosis and treatment plan for patients who present to the Salivary Dysfunction Center.
4. Understand and utilize special diagnostic tests used in the treatment of these patients including blood chemistry, immunological profiles, technethium scans, and other salivary imaging techniques.
5. Make treatment recommendations for these patients including special attention to diet, caries control, and use of saliva substitutions and systematic therapy.

Research Rotation
This is an elective for those residents in the 1 year program. After completion of the Research Workshop, residents obtain 4 hours per week for 3 months to develop a research protocol. The protocol will be presented and discussed in the Research Seminar series. Upon completion and approval of the research protocol, residents obtain 8 hours per week to work on their research project for the remainder of their program, i.e. until the time of their results presentation. The selection of a research area is only limited by the availability of a research mentor. The execution of the project is supervised by the selected research mentor and progress is also monitored by an assigned research facilitator.

Objectives:

1. Select a research topic and formulate a research question.
2. Provide background and rationale for the project and design a research method.
3. Write a research protocol.
4. Execute and complete the research project.
5. Summarize and present results.

Extended Periodontology
In the periodontology program, residents have an opportunity to further expand their knowledge and skills in periodontology by completing 2 to 12 more sessions in the Periodontology program.

Objectives:

1. To gain significant skills in properly diagnosing and managing periodontal
   disease.
2. To develop advanced surgical skills and techniques in managing periodontal
   disease.

Extended Implantology Rotation
In the periodontology program, residents have an opportunity to further expand their knowledge and skills in periodontology by completing 2 to 12 more sessions in the Implant clinic.

Objectives:

1. To gain significant skills in properly diagnosing and managing periodontal disease.
2. To develop advanced surgical skills and techniques in managing periodontal disease.

Extended Oral Surgery Rotation at SMH
The residents have the opportunity to have a two week or one day per week for two months rotation in the oral surgery program at SMH.

Objectives:

1. To increase understanding of Oral Surgery procedures performed at the Hospital.
2. To increase understanding of Hospital procedures and policies.
3. To enhance skills and/or knowledge in regard to treatment planning, soft tissue management and clinical technique when performing Oral Surgery procedures.

Operating Room in the Hospital
Each resident may complete two sessions in the operating room at SMH, when dental care is provided to developmentally disabled patients.

Objectives:

1. To enhance the residents understanding of operating room procedures and policies.
2. To enhance understanding of how proper airway is established for operating room procedures.
3. To enhance understanding of how to maintain anesthesia in the operating room.
4. To enhance understanding of how general dentistry is performed in the operating room under general anesthesia.

Oak Orchard Community Health Center
Each resident has an opportunity to sign-up for a rotation to Oak Orchard Community Health Center. This new integrated Medical and Dental Health Center will accommodate residents for 3-12 months rotations for one or two days each per week. It has brand new dental equipment and a large patient pool. The residents have their own dental assistant. This rotation simulates a private practice environment in a rural community. Residents would have the opportunity to learn about the community Health Center's outreach programs in a rural community.

Objectives:

1. Increased understanding of how a community health center functions in the rural community.
2. Increased skills in interacting with other health professionals.

Private Practice Rotation
Each resident has an opportunity to spend four half days in a private practice.

Objectives:
1. To better understand the management of private practice.
2. To be able to understand different systems and properly utilize staff in a private practice.

Dental Laboratory Rotation
Each resident has an opportunity to spend 4 ½ days at a commercial dental laboratory of their choice.

Objectives:

1. To enhance understanding how to communicate and work with a commercial dental laboratory.
2. To increase knowledge in modern techniques of fixed and removable laboratory work.