Section 1032.6 - Portfolio Examination: Removable Prosthodontics(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(vii) Insertion of Removable Prosthesis(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(vi) Border Molding and Final Impressions(viii) Jaw Relation Records(x) Insertion of Removable Prosthesis(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.
Cal. Code Regs. Tit. 16, § 1032.6
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.
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.