A New Paradigm in Simulation Clinic Practical Examinations: A Design to Stimulate Critical Thinking

Critical Thinking-1.docx

This document presents case-based questions that assess students’ understanding of restorative procedures, particularly bonding protocols in deeper-than-ideal preparations using self-etch systems. Learners are prompted to evaluate clinical photographs and radiographs to identify causes of postoperative sensitivity related to operative technique. The material emphasizes diagnostic reasoning tied to isolation quality, liner placement, dentinal sealing, and curing protocols.

Critical Thinking-1 Fall.docx

This activity evaluates foundational knowledge in radiation safety and composite resin placement techniques in operative dentistry. Students are asked to identify appropriate clinical precautions, degree of composite conversion, and causes of inadequate polymerization in restorative procedures. The document also requires learners to outline essential components of a comprehensive patient evaluation prior to treatment.

Critical Thinking-1 Spring.docx

This resource focuses on pediatric patient management through behavior assessment and anticipatory guidance. Students are prompted to develop appropriate screening questions regarding a child’s prior medical experiences and expected behavioral responses in the dental setting. The exercise also incorporates evaluation of parental anxiety and its impact on patient care planning.

Critical Thinking-1 Winter.docx

This document presents clinical scenarios requiring students to determine correct bonding sequences in deep preparations using self-etch adhesive systems with glass ionomer liners. Learners must interpret radiographic and photographic findings to identify potential sources of postoperative sensitivity. Emphasis is placed on technique sensitivity including moisture control, liner placement, and adequate curing protocols.

Critical Thinking-2.docx

This activity uses esthetic restorative scenarios to guide decision-making regarding crown selection and material choice for tetracycline-stained anterior teeth. Students must integrate developmental timelines of hard tissue formation into treatment planning considerations. The exercise reinforces knowledge of structural anomalies and their relevance to prosthodontic outcomes.

Critical Thinking-2 Fall.docx

This document presents emergency management and restorative preparation scenarios within a clinical dentistry context. Learners are required to identify appropriate sequential treatment steps for anaphylaxis and determine necessary medication administration. Additional questions assess understanding of provisional restoration bonding techniques and preparation depth considerations.

Critical Thinking-2 Spring.docx

This resource evaluates students’ pharmacologic knowledge related to antibiotic prophylaxis and management of medication allergies. Students must distinguish reversible pulpitis from other pulpal conditions based on symptom presentation. The activity also requires learners to generate appropriate alternative prescriptions in patients with penicillin hypersensitivity.

Critical Thinking-2 Winter.docx

This activity requires students to determine optimal restorative materials for anterior teeth affected by tetracycline staining. Learners must apply knowledge of dental development stages and crown formation timelines in clinical decision-making. The exercise supports integration of developmental biology with prosthetic treatment planning.

Critical Thinking-3 Fall Part 1.docx

This case-based exercise focuses on esthetic treatment planning for anterior maxillary dentition. Students must address patient concerns related to tooth color, shape, and length while considering compatibility with existing restorations. The scenario also incorporates material selection constraints related to documented metal allergies.

Critical Thinking-3 Fall Part 2.docx

This document examines medical risk management in restorative treatment planning for patients taking cardiac medications such as digitalis. Students are asked to identify contraindications for epinephrine use and appropriate modifications to local anesthetic selection. Emphasis is placed on physician consultation and treatment limitations in medically complex patients.

Critical Thinking-3 Winter.docx

This activity presents a failed amalgam restoration scenario involving cusp fracture. Learners must analyze occlusal discrepancies and opposing anatomical features contributing to restoration failure. The exercise reinforces biomechanical considerations in operative dentistry.

Critical Thinking-4 Winter.docx

This resource focuses on cementation techniques and restoration seating for lithium disilicate inlays. Students must outline proper internal surface treatment protocols prior to placement. The exercise also addresses complications related to excessive cement film thickness and margin finishing.

Guide for Students.docx

This guide outlines expectations for the practical examination, including a written critical thinking component and a clinical case scenario. Students are instructed to interpret radiographs and photographs to determine appropriate treatment plans. The document emphasizes diagnostic accuracy in identifying affected teeth and required restorative procedures.

Instructors Guide.docx

This instructor resource describes the structure and implementation of the practical examination’s two components: critical thinking questions and clinical case scenarios. It details the use of PowerPoint-based radiographic and photographic materials displayed during the assessment. The document also specifies learning objectives related to examination design and student decision-making.

Case Scenario-2 Fall.pptx

This presentation provides a simulated clinical trauma scenario involving a pediatric patient. Dialogue and radiographic findings guide students through diagnosis and restorative treatment planning considerations. The scenario highlights the potential for pulpal necrosis following dental trauma and associated patient communication strategies.

Target Learners

• Predoctoral dental students (typically D2–D3 level)

• Learners enrolled in operative dentistry or comprehensive care simulation courses

• Students preparing for clinical competency or practical examinations in restorative dentistry

Equipment Needed

• Computer with presentation software (e.g., PowerPoint-compatible system)

• Digital projector or large display monitor

• Clinical photographs and radiographic images (provided in case scenario slides)

• Printed or digital copies of critical thinking question documents

• Writing materials or an electronic response platform for student answers

• Classroom, simulation laboratory, or examination environment with audiovisual capability