Protocol of practical training Restorative Dentistry III.year

Name and surname:

ID:

Date:

Simulation

                                             Preparace

                                             Kofferdam

                                              Matrice

                                               Výplň

                                              CELKEM

Cavity I.class for composite (16 or 26), rubberdam, filling.






Cavity II. class for composite, MO (14 or 24, rubberdam, filling. Sectional matrix.






Cavity V. class (16 nebo 26) for glassionomer.






Cavity III. class mes. (11 nebo 21) with preservation of vestibular enamel, rubberdam, filling.






Cavity III. class dist. (11 nebo 21) without preservation of vestibular enamel, rubberdam, filling.






Cavity V. class (14 nebo 24) for composite, filling






Imaging methods:  Radiography


Imaging methods:   Diagnocam


Imaging methods:    Intraoral camera


ALTOGETHER








Clinical part

Name and surname:

ID:


                                               Date


                                              Pacient


                                             Diagnosis


                                             Treatment


                                               Code

                                Stamp and signature of the teacher


















































































Asistence A.