Protocol of practical training

                                 Restorative Dentistry V. Practice

Simulated part

Name and surname:

UCO:

Date:



Postendodontic restoration

Cavity and filling class III.


Cavity and filling Class IV.


Cavity, base,matrix and filling class II. for Ag


Cavity,matrix and filling class II. for composite, slot preparation.


Cavity,matrix and filling class II. for composite, conventional preparation.

Cavity,filling class V. for composite,glassionomer


Rubberdam placement 1x









Clinical part

Name and surname

UCO:


                                               Date


                                              Pacient


                                             Diagnosis


                                             Treatment


                                               Code

                                    Signature of the supervisor