Protocol of practical training Restorative Dentistry V. year

Simulation

Name and surname:

ID:

Date:





Task

                                                                                                     Cavity

                                                                                                          Rubberdam

                                                                                                                    Matrix

                                                                                                                          Filling

Cavity II. class MO for composite, maxillary molar





Cavity  II. class for composite MOD, mandibulary molar





Cavity II. class for composite OD, mandibulary premolar





Cavity  III.class  M





Cavity III. class D










Cavity V. class for composite





Cavity V. class for glassionomer












Clinical part

Name and surname

ID:


                                               Date


                                              Patient


                                             Diagnosis


                                             Treatment


                                               Code

                                Stamp and signature of the teacher