Operative Dentistry (NAVEDTRA 13146-C) Original Release 2020/Expires 2023
Course Editor: Captain Richard Adcook, DC, USN; DDS, Indiana University School of Dentistry; MSD,
Indiana University School of Dentistry; Certificate in Operative Dentistry, Indiana University School of
Dentistry; Certificate in Preventative Dentistry, Indiana University School of Dentistry; Certified,
American Board of Operative Dentistry. Captain Adcook has no relevant financial relationships to
disclose.
5 Assignments. The US Navy Dental Corps designates this activity for 30 continuing education credits.
Text: is Fundamentals of Operative Dentistry, by James B. Summitt, et al., Fourth edition, published by
Quintessence Publishing Company, Inc., 2013.
The discipline of operative dentistry has undergone many changes in recent years because of such things
as improved dental material and equipment, increased emphasis on prevention, advanced concepts of
preparation design, and more exacting histological research. Keeping current in the discipline requires
study and dedication. However, the advantages derived by you and patients justify the time and effort
spent on continuing education. This course provides you with an opportunity to enhance your skills in all
areas of operative dentistry, including prevention, interception, preservation, and restoration.
Upon completion of this course, you should be able to:
understand the structure and differences of the components that comprise a tooth discuss caries as a
disease and be familiar with risk factors associated with caries.
learn how to establish a problem list and treatment plan to successfully manage the patients dental
disease
understand the classification of caries and tooth preparations
understand Black’s steps in cavity preparation
understand the nomenclature for hand and rotary instruments
list the options for operative field isolation. Discuss the advantages and disadvantages of each.
describe Class 1 and 2 preparations
describe retention and resistance methods identify matrix systems and their applications
describe the process of the placement and carving of amalgam
discuss the diagnosis and treatment of root caries, specifically, prevalence and incidence, risk factors
and assessment, diagnosis, and preventive, chemotherapeutic and restorative treatment options
list the fluoride releasing materials
understand the following characteristics of fluoride:
- fluoride recharging
- antibacterial effects of fluoride
- do fluoride releasing materials inhibit caries?
understand advantages of indirect resin inlay/onlay over direct resin composite restorations.
understand the indications for ceramic versus resin indirect inlay/onlay restoration in terms of
microleakage, bonding, wear, and occlusal stability.
understand the basic preparation designs for CAD/CAM esthetic inlay and onlay compared with
indirect laboratory fabricated restorations.
understand the advantages of cast gold restoration over direct restorative materials.
understand marginal placement and finishing in terms of gingival health.