California Code of Regulations
Title 16 - Professional and Vocational Regulations
Division 10 - Dental Board of California
Chapter 2 - Dentists
Article 3 - Examinations
Section 1032.6 - Portfolio Examination: Removable Prosthodontics
Universal Citation: 16 CA Code of Regs 1032.6
Current through Register 2024 Notice Reg. No. 12, March 22, 2024
(a) The portfolio examination shall contain the following documentation of the minimum removable prosthodontic clinical experiences and documentation of the removable prosthodontic portfolio competency examination:
(1) Evidence of
successful completion of the removable prosthodontic clinical experiences shall
be certified by the director of the school's clinical education program on the
"Portfolio Examination Certification of Clinical Experience Completion" Form
33A-23P (New 08/13), which is hereby incorporated by reference, and shall be
maintained in the candidate's portfolio.
(2) Documentation providing proof of
satisfactory completion of a final assessment in the removable prosthodontic
competency examination. For purpose of this section, satisfactory proof means
the removable prosthodontic competency examination has been approved by the
designated dental school faculty.
(b) Competency Examination Requirements. The candidate shall have the approval of his or her clinical faculty prior to beginning the competency examination. The removable prosthodontic competency examination shall include:
(1) One (1) of the
following prosthetic treatments from start to finish on the same patient:
(A) Denture or overdenture for a single
edentulous arch; or
(B) Cast metal
framework removable partial denture (RPD) for a single Kennedy Class I or Class
II partially edentulous arch.
(2) Scoring factors on prosthetic treatments
for denture or overdenture for a single edentulous arch or scoring factors on
prosthetic treatments for cast metal framework removable partial denture (RPD)
for a single Kennedy Class I or Class II partially endentulous arch, as
follows:
(A) Nine (9) scoring factors on
prosthetic treatments for denture or overdenture for a single edentulous arch,
as follows:
(i) Patient Evaluation and
Diagnosis
(ii) Treatment Plan and
Sequencing
(iii) Preliminary
Impressions
(iv) Border Molding and
Final Impressions
(v) Jaw Relation
Records
(vi) Trial
Dentures
(vii) Insertion of
Removable Prosthesis
(viii)
Post-Insertion
(ix) Laboratory
Services for Prosthesis
(B) Twelve (12) scoring factors on prosthetic
treatments for cast metal framework removable partial denture (RPD) for a
single Kennedy Class I or Class II partially endentulous arch, as follows:
(i) Patient Evaluation and
Diagnosis
(ii) Treatment Plan and
Sequencing
(iii) Preliminary
Impressions
(iv) RPD
Design
(v) Tooth
Modification
(vi) Border Molding
and Final Impressions
(vii)
Framework Try-in
(viii) Jaw
Relation Records
(ix) Trial
Dentures
(x) Insertion of Removable
Prosthesis
(xi)
Post-Insertion
(xii) Laboratory
Services for Prosthesis
(3) Documentation the candidate developed a
diagnosis, determined treatment options and prognosis for the patient to
receive a removable prosthesis. The documentation shall include:
(A) Evidence the candidate obtained a patient
history, (e.g. medical, dental and psychosocial).
(B) Evaluation of the patient's chief
complaint.
(C) Radiographs and
photographs of the patient.
(D)
Evidence the candidate performed a clinical examination, (e.g. hard/soft tissue
charting, endodontic evaluation, occlusal examination, skeletal/jaw
relationship, VDO, DR, MIP).
(E)
Evaluation of existing prosthesis and the patient's concerns.
(F) Evidence the candidate obtained and
mounted a diagnostic cast.
(G)
Evidence the candidate determined the complexity of the case based on ACP
classifications.
(H) Evidence the
patient was presented with treatment plan options and assessment of the
prognosis, (e.g. complete dentures, partial denture, overdenture, implant
options, FPD).
(I) Evidence the
candidate analyzed the patient risks/benefits for the various treatment
options.
(J) Evidence the candidate
exercised critical thinking and made evidence based treatment
decisions.
(4)
Documentation of the candidate's competency to successfully restore edentulous
spaces with removable prosthesis. The documentation shall include:
(A) Evidence the candidate developed a
diagnosis and treatment plan for the removable prosthesis.
(B) Evidence the candidate obtained
diagnostic casts.
(C) Evidence the
candidate performed diagnostic wax-up/survey framework designs.
(D) Evidence the candidate performed an
assessment to determine the need for pre-prosthetic surgery and made the
necessary referral.
(E) Evidence
the candidate performed tooth modifications and/or survey crowns, when
indicated.
(F) Evidence the
candidate obtained master impressions and casts.
(G) Evidence the candidate obtained occlusal
records.
(H) Evidence the candidate
performed a try-in and evaluated the trial dentures.
(I) Evidence the candidate inserted the
prosthesis and provided the patient with post-insertion care.
(J) Documentation the candidate followed
established standards of care in the restoration of the edentulous spaces, (e.
g. informed consent, and infection control).
(5) Documentation of the candidate's
competency to manage tooth loss transitions with immediate or transitional
prostheses. The documentation shall include:
(A) Evidence the candidate developed a
diagnosis and treatment plan that identified teeth that could be salvaged and
or teeth that needed extraction.
(B) Evidence the candidate educated the
patient regarding the healing process, denture experience, and future treatment
need.
(C) Evidence the candidate
developed prosthetic phases which included surgical plans.
(D) Evidence the candidate obtained casts
(preliminary and final impressions).
(E) Evidence the candidate obtained the
occlusal records.
(F) Evidence the
candidate did try-ins and evaluated trial dentures.
(G) Evidence the candidate competently
managed and coordinated the surgical phase.
(H) Evidence the candidate provided the
patient post insertion care including adjustment, relines and patient
counseling within the established standards of care.
(I) Documentation the candidate followed
established standards of care in the restoration of the edentulous spaces, (e.
g. informed consent, and infection control).
(6) Documentation of the candidate's
competency to manage prosthetic problems. The documentation shall include:
(A) Evidence the candidate competently
managed real or perceived patient problems.
(B) Evidence the candidate evaluated existing
prosthesis.
(C) Evidence the
candidate performed uncomplicated repairs, relines, re-base, re-set or re-do,
if needed.
(D) Evidence the
candidate made a determination if specialty referral was necessary.
(E) Evidence the candidate obtained
impressions/records/information for laboratory use.
(F) Evidence the candidate competently
communicated needed prosthetic procedure to laboratory technician.
(G) Evidence the candidate inserted the
prosthesis and provided the patient follow-up care.
(H) Evidence the candidate performed
in-office maintenance, (e.g. prosthesis cleaning, clasp tightening and occlusal
adjustments).
(7)
Documentation the candidate directed and evaluated the laboratory services for
the prosthesis. The documentation shall include:
(A) Complete laboratory prescriptions sent to
the dental technician.
(B) Copies
of all communications with the laboratory technicians.
(C) Evaluations of the laboratory work
product, (e.g. frameworks, processed dentures).
(8) Prosthetic treatment for the examination
shall include an immediate or interim denture.
(9) Patients shall not be shared or split
between examination candidates.
(10) Patient Management. The candidate shall
be familiar with the patient's medical and dental history.
(11) Implementation of any treatment
modifications needed that are consistent with the patient's medical
history.
(12) Case complexity shall
not exceed the American College of Prosthodontics Class II for partially
edentulous patients.
(c) Acceptable Criteria for Removable Prosthodontics Examination. Prosthetic procedures shall be performed on patients with supported soft tissue, implants, or natural tooth retained overdentures.
(d) Competency Examination Scoring. The scoring system used for the removable prosthodontics competency examination is defined as follows:
(1) A score of 1 is
unacceptable with gross errors
(2)
A score of 2 is unacceptable with major errors
(3) A score of 3 is minimum competence with
moderate errors that do not compromise outcome
(4) A score of 4 is acceptable with minor
errors that do not compromise outcome
(5) A score of 5 is optimal with no errors
evident
A score rating of "3" shall be deemed the minimum competence level of performance.
1. New section filed 11-5-2014; operative 11-5-2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 45). For prior history, see Register 99, No. 35.
Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1630, 1632, and 1632.1, Business and Professions Code.
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