Dental Residency Goals and Objectives

PCHC Dental Residency Program offers an educational experience for graduate dentists to refine and enhance their clinical skills while they provide comprehensive oral health care to patients in our dental health care facility.  In addition, we prepare the resident to deliver dental care in a variety of models, including our school-based and homeless shelter settings.

Throughout our dental residency program, we provide a foundation for the role of the dentist as a member of a multi-disciplinary health care team and enhance interactions with both medical and dental colleagues to facilitate and improve total health.

The PCHC Dental Residency program also prepares our residents to individualize the delivery of oral health care through our emphasis on diagnosis and treatment planning.  We consider the entire patient as a whole and integrate our management of oral disease with a patient’s medical and social determinants of health.

The dental residents receive training and experience at a level of skill and complexity beyond that accomplished in pre-doctoral training in each of the required clinical disciplines in the following ways:

Operative

  • Understand the indications and placement techniques of contemporary restorative materials.
  • Improve accuracy of clinical and radiographic diagnosis.
  • Gain experience with the diagnosis and management of occlusal disease, and emphasize the role of occlusal stability on restorative success.

Restoration of Edentulous Space

  • Develop advanced skills in the diagnosis and treatment of tooth loss with removable and fixed appliances.
  • Increase the resident’s knowledge base regarding dental materials.
  • Increase the resident’s experience with communicating with lab technicians.
  • Advance resident’s knowledge and/or understanding of implant restoration.
  • Introduce and/or broaden residents knowledge regarding the indications and limitations of pre-prosthetic surgery (eg. Tori removal, exostosis reduction, ridge preservation surgery).

Periodontal Therapy

 

  • Learn the indications for free gingival grafts and gain experience performing graft surgery.
  • Gain proficiency in various suture techniques.
  • Increase proficiency in differentiating and treating acute and chronic periodontal lesions.
  • Advance the resident’s fundamental knowledge and proficiency for crown lengthening surgery.
  • Differentiate cases which may require specialist collaboration or referral for definitive treatment.

Endodontic Therapy

  • Broaden the resident’s knowledge regarding diagnosis and treatment of endodontically involved teeth.
  • Gain proficiency with anterior, premolar, and molar endodontics.
  • Learn methods for advanced endodontic techniques and materials, such as apicoectomy surgery and Bioceramics.
  • Differentiate cases which may require specialist collaboration or referral for definitive treatment.

Oral Surgery

  • Gain proficiency in routine and surgical exodontia procedures.
  • Gain exposure to advanced surgical procedures, such as I&D, soft tissue biopsy, sinus perforation repairs, and large tori removal.
  • Evaluate, diagnose, and treat chronic and acute dental abnormalities.
  • Advance the resident’s knowledge of dental implant placement.
  • Gain exposure to the utilization of inhalation sedation under the supervision of the Oral Surgery faculty.
  • Differentiate cases which may require specialist collaboration or referral for definitive treatment.

Evaluation and Treatment of Dental Emergencies

  • Diagnose and treat trauma, infection, and pain associated with the oromaxillofacial complex and its associated anatomical structures.
  • Manage emergent situations in special needs or medically complex patients.
  • Recognize predisposing conditions that might lead to systemic emergencies during routine dental treatment.
  • Differentiate cases which may require specialist collaboration or referral for definitive treatment.

Pain and Anxiety Control Utilizing Behavioral and/or Pharmacological Techniques

  • Improve proficiency with behavior management techniques.
  • Gain exposure to pharmacological agents used as anxiolytics and pain obtundents.
  • Gain exposure to the utilization of inhalation sedation under the supervision of Oral Surgery faculty.
  • Become knowledgeable about Maine’s Prescription Drug Monitoring requirements and utilization.

–Dental Prosthetics

  • Develop advanced skills in the diagnosis and treatment of tooth loss with removable and fixed appliances.
  • Gain experience with restoratively-driven implant placement, including treatment planning, restoration, and maintenance of implant prosthetics.
  • Increase the resident’s knowledge base regarding dental prosthetic materials.
  • Enhance experience with dental laboratory collaboration and communication.
  • Broaden the resident’s knowledge regarding the indications and limitations of pre-prosthetic surgery, such as removal of exostoses and ridge preservation surgery.
  • Differentiate cases which may require specialist collaboration or referral for definitive treatment.