Protocol of practical training

Simulating part

Name and surname í:

ID:

Week  from
to:

Simulating part


Task

Cavity

Base

Matrix

Filling

Altogether

 Signature of the teacher

Class II. MOD mandib. Molar amalgam







Clas III.



x








Class I. composite



x





Class II. composite







Class V. Kavita V. composite


x





Class V.

glassionomer


x





Rubberdam









Clinical part

 Name and surname

ID:


                                               Date


                                              Patient


                                             Diagnosis


                                            Performance


                                               Code

                                 Name and signature of the teacher


















































































Assistance- write A to the performance