Bachelor of Dental Surgery Specialities Clinical Logbook

1
SPECIALITIES
CLINICAL LOGBOOK
Assoc. Prof. Dr. KALYAN C GUNDAVARAPU

BDS., MDPH., DDPH.RCS., MBA
ORAL DIAGNOSIS
ORAL RADIOLOGY
ORAL SURGERY
PAEDIATRIC DENTISTRY
ORTHODONTICS
All rights reserved.
Dr. KALYAN C GUNDAVARAPU

Associate Professor in Dental Public Health

Faculty of Dentistry
E-mail: kachy@rediffmail.com
ISBN 9781370620371
PUBLISHER: SMASHWORDS
SPECIALITIES CLINICAL LOGBOOK
September 2016
ACKNOWLEDGEMENTS
I am most grateful to Datuk Prof. Dr. Rohani Ramli and Prof. Frederick
Charles Smales for trusting me and giving this chance to create
Specialities Clinical Logbook for Undergraduate Dental Students. Both of
them have always been a driving force and a source of inspiration.
I express my gratitude to Prof. Margaret Comfort, for her support in
this project. She has done given her valuable opinion and advice.
I would like to thank all my colleagues who have given feedback on the
criteria for each specialty and have also used the book to assess the
Dental undergraduate students.
Dr. KALYAN C GUNDAVARAPU

Associate Professor in Dental Public Health

Faculty of Dentistry
E-mail: kachy@rediffmail.com
PERSONAL DETAILS
Name:
University No.:
Academic year:
Intake date:
Contact number:
TABLE OF CONTENTS
PERSONAL DETAILS ................................................................................................................ 5
FUNCTION ............................................................................................................................. 8
INSTRUCTIONS....................................................................................................................... 9
ASSESSMENT CRITERIA FOR CLINICAL SESSIONS ................................................................... 11
ASSESSMENT CRITERIA FOR OVERALL ASSESSMENT ............................................................. 12
ORAL DIAGNOSIS & RADIOLOGY .......................................................................................... 14
ORAL DIAGNOSIS ..................................................................................................................................... 23
ORAL RADIOLOGY.................................................................................................................................... 24
ORAL SURGERY .................................................................................................................... 25

EXODONTIA ............................................................................................................................................. 33
MINOR ORAL SURGERY ........................................................................................................................... 34
PAEDIATRIC DENTISTRY ....................................................................................................... 35

MI GIC RESTORATION.............................................................................................................................. 51
SILVER AMALGAM RESTORATION ........................................................................................................... 53
SCALING................................................................................................................................................... 54
PULP CAPPING ......................................................................................................................................... 55
PULPECTOMY / APEXIFICATION .............................................................................................................. 56
EXODONTIA ............................................................................................................................................. 58
TOPICAL FLUORIDE APPLICATION ........................................................................................................... 59
TOPICAL FLUORIDE APPLICATION ........................................................................................................... 59
ORTHODONTICS .................................................................................................................. 61
ORTHODONTICS REMOVABLE APPLIANCE .............................................................................................. 71
FUNCTION
This Clinical Logbook is to enable students to record the necessary aspects of their clinical
experience during Years 3-5 of the BDS course.
The Logbook has been designed with these learning situations in mind and should enable all
students to record daily the experience relevant to the work undertaken during the year.
The record of experience has the following functions:
1. It provides students with a personal record of all procedural and other learning
experiences, which are requirements for satisfactory completion of the clinical training
program.
2. It provides students with the basis for completing Clinical Experience Logs at the end of
a module, which are an essential requirement for assessment and subsequent credit.
3. The information will also be used by the clinical staff to monitor the clinical experience
provided for students in the various clinics.
INSTRUCTIONS
1. Fill in your personal details on the first page of your logbook at the beginning of the
academic year and attach a passport-sized photograph.
2. Polyclinic Logbooks are to be kept in an assigned storage area in the Polyclinic and must not
be removed from the clinic under any circumstances. Specialty Logbooks are to be kept in
the Oral Surgery Clinic and may be taken out for use in other clinics but must be returned
promptly at the end of the clinic.
3. When each new patient is assigned to you by your clinical teacher, enter their details in the
patient log (Fig.1) and you must obtain a staff signature. Your clinical teacher will use the
column Note to record details of any patient transfers.
S.No
1.
Reg.No.
123456
Patient Name
Kumar a/l
Sivanes
Contact number
012-3456789
Date
assigned
Staff
sign.
Note
25.7.2011
Fig.1 Patient log

4. During clinic sessions keep your logbook along with the patient folder in the operating bay.
Before starting a procedure fill in the patient details on the appropriate Procedure Sheet
(Fig.2). Each stage on the Procedure Sheet should be graded and signed by your Clinical
Teacher immediately after it has been checked.
Patient Name
Date
Kumar a/l Sivanes
28.07.2011
Registration Number
123456
Sex
Age
28
Fig.2 - Procedure Sheet
Male
Female
5. At the end of each session, fill in the Session Log (Fig.3) to record details of the procedure(s)
undertaken and insert the page number of each Procedure Sheet used as a cross reference.
The Session Log must be graded and signed by your Clinical Teacher before you leave the
clinic
S.No
Date
Reg.No
Procedure
Pg.No
Grade
Staff sign.
1.
21.07.2011
123456
Oral diagnosis
Fig. 3 - Session Log
33
good
6. At the end of each module, complete the Clinical Log Summary (Fig. 3) by filling in the
number of procedures done throughout the module and the number of grades obtained for
each procedure. Then record your overall experience by adding the module totals to the
number of procedures done earlier in the course. Logbooks must then be submitted for
review and assessment.
S.No
1
2
3
Procedure
Oral diagnosis
Extra Oral Radiographs
Intra Oral Radiographs
CLINICAL LOG SUMMARY

GRADES OBTAINED
Module
Total
Poor
Fair
Good
V.Good
2
7
5
2
4
5
2
1
Overall
Total
4
14
11
Fig. 4 - Clinical Log Summary

7. Fill in a single Procedure Sheet if two or more procedures of the same type are carried out
on one patient during a single clinical session. All procedures will be counted separately on
the Clinical Log Summary.
8. Clinical teachers may make suggestions for improvement on the Procedure Sheets. In
addition to covering the areas of knowledge, clinical skills and professional behavior,
comments may be made about three other skills, namely communication, management and
leadership skills. These additional areas will be included in the end of module assessments.
9. Student clinic absences must be recorded in the attendance log (Fig.5). Enter the date of
any approved leave and obtain a signature by your clinical teacher for that session. If a
student is absent without permission , this will be recorded in the attendance log by the
group teacher.
Signature of staff
S.No
Date
Reason
1
25.7.2011
Approved leave
Fig. 5 - Clinical Log Summary

10. Finally make sure that your logbooks are kept up to date and all entries are made
accurately. The two logbooks will be used in determining the fulfillment of clinical
requirements for graduation in Year 5.
10
ASSESSMENT CRITERIA FOR CLINICAL SESSIONS

1. Clinical skills
Very good
Good
Fair
Poor
A satisfactory
performance
achieved with or
without some staff
guidance; worked
mostly in an efficient,
safe, careful and
responsible manner.
An adequate
performance
achieved but with
minor deficiencies
requiring some staff
guidance; worked
frequently in an
efficient, safe, careful
and responsible
manner.
Unsatisfactory
performance with
obvious deficiencies
requiring some staff
intervention; worked
occasionally in an
efficient safe, careful
and responsible
manner.
Good
Displays a
satisfactory level of
knowledge of the
procedure and can
apply this
knowledge
satisfactorily to
most aspects of
clinical situation .
Fair
Displays an
adequate level of
knowledge of the
procedure and can
apply this
knowledge
satisfactorily to
some aspects of the
clinical situation.
Poor
Displays an
inadequate level of
knowledge of the
procedure and is
unable to apply
much knowledge to
the clinical
situation.
3. Professionalism*
Very good
Good
Acts in a
Acts in a
professional
professional
manner all the time. manner most of the
time.
Fair
Acts in a
professional
manner frequently.
Poor
Acts in a
professional
manner
occasionally.
An above average
performance achieved
without staff
guidance; worked
throughout in an
efficient, safe, careful
and responsible
manner.
2. Knowledge
Very good
Displays a deep
level of knowledge
of the procedure
and can easily apply
this knowledge to
all aspects of clinical
situation .
*Includes appearance, demeanour, attitude to patients and staff and compliance with clinic
protocols.
11
ASSESSMENT CRITERIA FOR OVERALL ASSESSMENT

Marks are on a scale of 0-100% in 5% intervals. One mark should be allocated for clinical and
practical skills and, where appropriate, one mark for patient management and professional
conduct.
Mark
Clinical & practical skills
Patient management
& professional conduct
75 100%
The best diagnostic, clinical and/or practical skills that could be

expected at this stage of a students career. Thorough
appreciation of advantages & limitations of available
clinical/practical options. Required no staff assistance. Work
immaculately presented.
High level of diagnostic and/or clinical or practical skill. Clear
understanding of issues and available solutions. Required no
staff assistance. Very well presented.
Diagnostic, clinical and/or practical skill well above average.
Understanding of clinical issues and able to reason through
range of possible solutions. Required only limited staff
assistance. A highly creditable and well presented piece of
work.
A good sound performance. At least average level of diagnostic,
clinical and/or practical skill. Could easily relate basic
information to reason a number of possible solutions. Some
errors but easily corrected. Needed only limited staff
assistance. Competently presented.
Diagnostic, clinical and/or practical skill of satisfactory standard.
Could relate basic information to provide some possible
solutions. Required some staff assistance with clinical situation,
to correct errors or complete work. Adequately presented.
Outstanding professional
attitude, patient management
skills and personal
organisation.
Acceptable level of diagnostic, clinical and/or practical skill.

Adequate knowledge of clinical issues and possible solutions.
Errors present but none serious. Input from staff required to
complete work. Presentation could be improved.
Adequate professional attitude

and communication skills but
room for improvement.
Some deficiencies in diagnostic, clinical and/or practical skill.

Weak understanding of clinical issues or possible solutions to
problems. Work attempted but not completed. Required staff
help or intervention. Work poorly presented.
Communication skills weak

and/or concern about
professional attitude. Not well
organised.
Weak diagnostic, clinical and/or practical skills. Limited

knowledge and awareness of possible solutions to clinical
problems. Considerable staff tuition required to achieve an
acceptable standard of work. Presentation weak.
Unsatisfactory professional
attitude. Weak
communication skills and
organisation.
Evidence that student may be unsafe. Significant deficiencies in

diagnostic, clinical and/or practical skill. Limited work
completed and of unsatisfactory standard. Major gaps in
knowledge. Required considerable staff help. Presentation of
work dismal.
Student clearly unsafe. Little evidence of basic knowledge and
inability to apply it to clinical or practical situation. Staff had to
rescue the work or clinical situation. Very poorly presented
work or no work submitted.
Poor professional attitude and

patient management. Badly
organised.
Outstanding
70%
Excellent
65%
Honours level
60%
Good
55%
Satisfactory
50%
A pass
standard
45%
Marginal fail
40%
Clear fail
35%
Bad fail
0 - 30%
Very poor
12
Excellent professional attitude,

patient management and
personal organisation.
Very good communication
skills and professional attitude.
Good communication skills and

professional attitude. Well
organised.
Satisfactory professional
attitude, communication skills
and personal organisation.
Very poor communication

skills. Unacceptable
professional attitude.
Disorganised.
13
ORAL
DIAGNOSIS &
RADIOLOGY
ATTENDANCE LOG
CLINICAL EXPERIENCE LOG
OVERALL ASSESSMENT
SESSION LOG
ORAL DIAGNOSIS
ORAL RADIOLOGY
14
15
ORALDIAGNOSIS & RADIOLOGY
ATTENDANCE LOG FOR YEAR 3 AND 4

Absence or Approved leave
S.No
Date
Reason
16
Signature of staff
CLINICAL EXPERIENCE LOG OF ORAL DIAGNOSIS RADIOLOGY FOR YEAR 3

S.No
1
2
3
Procedure
Oral Diagnosis
Extra oral radiographs
Intra oral radiographs
Total
Poor
GRADES OBTAINED
Fair
Good
Total number of clinical sessions worked

Total number of patients treated
Total number of absences or leave
Signature of the student
Verified by staff
17
V.Good
OVERALL ASSESSMENT FOR YEAR 3

Clinical skills and Knowledge
Overall grade
Overall quality of clinical work

Appropriate amount of clinical work
Safety of patient
Knowledge underpinning clinical procedures
Knowledge of supporting sciences
Patient management, communication , Professional conduct

Appearance, demeanour
Attitude to patients and staff
Adherence to infection control policy and clinical protocols
Improvement based on reflection of own actions
Overall grade
Communicates well with patient and members of dental team
Prepared for clinical session

organized and work efficiently
Good time management skills
Good team work and leadership as appropriate
Quality of record keeping
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
Grades Outstanding and very poor has to be marked in 5% intervals.

Suggestions for improvement
Signature of 1 clinical staff

18
Date
CLINICAL EXPERIENCE LOG OF ORAL DIAGNOSIS RADIOLOGY FOR YEAR 4

S.No
1
2
3
Procedure
Oral Diagnosis
Extra oral radiographs
Intra oral radiographs
Total
Poor
GRADES OBTAINED
Fair
Good

Verified by staff
19
V.Good

Overall grade

Safety of patient

Overall grade

Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor

20
Date
SESSION LOG FOR ORAL DIAGNOSIS

S.No
Date
Hosp.
No.
Procedure
21
Pg. No.
Grade
Staff
Sign.
SESSION LOG FOR ORAL RADIOLOGY

S.No
Date
Hosp.
No.
Procedure
22
Pg. No.
Grade
Staff
Sign.
Patient Name
Date
Registration Number
Age
Sex
Male
ORAL DIAGNOSIS
Poor
Fair
Good
V.Good
Medical history
Dental history
Head & Neck examination
Oral mucosal tissue examination
Intra oral assessment
Dental charting
Investigations
Diagnosis
Assessment of Oral health status
Preventive advice
Patient review & personal care
Knowledge
Professionalism
Overall grade
Overall difficulty of case
Simple
Intermediate
Difficult
Signature of staff
Date
23
Not
applicable
Female
Patient Name
Date
Registration Number
Age
Sex
Male
Female
Radiograph type
ORAL RADIOLOGY
Poor
Fair
Good
V.Good
Not
applicable
Technique
Interpretation
Knowledge
Professionalism
Overall grade
Signature of staff
Date
Patient Name
Date
Registration Number
Age
Sex
Male
Radiograph type
ORAL RADIOLOGY
Poor
Fair
Good
V.Good
Technique
Interpretation
Knowledge
Professionalism
Overall grade
Signature of staff
Date
24
Not
applicable
Female
ORAL
SURGERY
ATTENDANCE LOG
OVERALL ASSESSMENT
SESSION LOG
EXODONTIA
MINOR ORAL SURGERY
25
26
ORAL SURGERY
ATTENDANCE LOG FOR YEAR 3, 4 AND 5

S.No
Date
Reason
27
Signature of staff
CLINICAL EXPERIENCE LOG FOR ORAL SURGERY FOR YEAR 4

S.No
1
2
Procedure
Exodontia
Minor Oral Surgery
Total
Poor
GRADES OBTAINED
Fair
Good

Verified by staff
28
V.Good

Overall grade

Safety of patient

Overall grade

Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor


29
Date
CLINICAL EXPERIENCE LOG FOR ORAL SURGERY FOR YEAR 5

S.No
1
2
Procedure
Exodontia
Minor Oral Surgery
Total
Poor
GRADES OBTAINED
Fair
Good

Verified by staff
30
V.Good

Overall grade

Safety of patient

Overall grade

Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor

SESSION LOG FOR ORAL SURGERY

31
Date
S.No
Date
Hosp.
No.
Procedure
Patient Name
Pg. No.
Grade
Date
32
Staff
Sign.
Registration Number
Age
Sex
Male
Tooth number
Number of times procedure is done before

Once
First time
Two to four times
Five to nine
More than nine
EXODONTIA
Poor
Fair
Good
V.Good
Not
applicable
Medical history
Local anesthesia administration
Extraction
Suturing
Post operative instructions
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
Patient Name
Date
33
Female
Registration Number
Age
Sex
Male
Tooth number

First time
Once
Two to four times
MINOR ORAL SURGERY

Poor
Fair
Good
V.Good
Medical history
Mucoperiosteal flap
Bone removal
Tooth division and removal
Suturing
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
34
Not
applicable
Female
PAEDIATRIC
DENTISTRY
ATTENDANCE LOG
OVERALL ASSESSMENT
SESSION LOG
COMPOSITE RESTORATION
MI GIC RESTORATION
GIC RESTORATION
SILVER AMALGAM RESTORATION
SCALING
PUPL CAPPING
PULPECTOMY/APEXIFICATION
PULPOTOMY/ APEXOGENESIS
EXODONTIA
TOPICAL FLUORIDE APPLICATION
FISSURE SEALANT
35
36

S.No
Date
Reason
37
Signature of staff
CLINICAL EXPERIENCE LOG FOR PAEDIATRIC DENTISTRY FOR YEAR 3

S.No
1
2
3
4
5
6
7
8
9
10
11
Procedure
Composite restoration
MI GIC restoration
GIC restoration
Silver amalgam restoration
Scaling
Pupl capping
Pulpectomy/apexification
Pulpotomy/ apexogenesis
Exodontia
Topical fluoride application
Fissure sealant
Total
Poor
GRADES OBTAINED
Fair
Good

Verified by staff
38
V.Good

Overall grade

Safety of patient

Overall grade

Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor


39
Date
ORTHODONTICS

S.No
1
2
3
4
5
6
7
8
9
10
11
Procedure
MI GIC restoration
GIC restoration
Scaling
Pupl capping
Exodontia
Fissure sealant
Total
Poor
GRADES OBTAINED
Fair
Good

Verified by staff
40
V.Good
ORTHODONTICS

Overall grade

Safety of patient

Overall grade

Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor

41
Date
ORTHODONTICS

S.No
1
2
3
4
5
6
7
8
9
10
11
Procedure
MI GIC restoration
GIC restoration
Scaling
Pupl capping
Exodontia
Fissure sealant
Total
Poor
GRADES OBTAINED
Fair
Good

Verified by staff
42
V.Good
ORTHODONTICS

Overall grade

Safety of patient

Overall grade

Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor

43
Date
ORTHODONTICS
SESSION LOG FOR PAEDIATRIC DENTISTRY

S.No
Date
Hosp.
No.
Procedure
44
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS

S.No
Date
Hosp.
No.
Procedure
45
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS

S.No
Date
Hosp.
No.
Procedure
46
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS

S.No
Date
Hosp.
No.
Procedure
47
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS

S.No
Date
Hosp.
No.
Procedure
48
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS

S.No
Date
Hosp.
No.
Procedure
49
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
First time
Once
Two to four times
Five to nine
More than nine
COMPOSITE RESTORATION
Poor
Fair
Good
V.Good

Rubber dam application
Cavity preparation
Base / Liner
Filling
Finishing
Knowledge
Professionalism
Behavioral management
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
50
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
First time
Once
Two to four times
Five to nine
More than nine
MI GIC RESTORATION
Poor
Fair
Good
V.Good
Caries excavation
Isolation
Base / Liner
Filling
Finishing
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
51
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
First time
Once
Two to four times
Five to nine
More than nine
GIC RESTORATION
Poor
Fair
Good
V.Good

Cavity preparation
Base / Liner
Filling
Finishing
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
52
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
First time
Once
Two to four times
Five to nine
More than nine
SILVER AMALGAM RESTORATION

Poor
Fair
Good
V.Good

Cavity preparation
Base / Liner
Filling
Finishing
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
53
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male

Once
First time
Two to four times
Five to nine
More than nine
SCALING
Poor
Fair
Good
V.Good
Supra-gingival (Upper jaw)

Supra-gingival (Lower jaw)
Sub-gingival (Upper jaw)
Sub-gingival (Lower jaw)
Polishing
Patient education
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
54
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of restoration

Once
Female
First time
Two to four times
Five to nine
More than nine
PULP CAPPING
Poor
Fair
Good
V.Good

Diagnosis
Rubberdam application
Excavation / cavity prep.
Pulp capping
Liner/ base
Filling
Patient education
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
55
Not applicable
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of restoration

Once
Female
First time
Two to four times
Five to nine
More than nine
PULPECTOMY / APEXIFICATION
Poor
Fair
Good
V.Good
Diagnosis
Access opening
Pulp removal
Working length
Cleaning and shaping
Intra canal medicament/Obturation
Lining
Filling / temporary filling
Patient education
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
56
Not
applicable
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of restoration

Once
Female
First time
Two to four times
Five to nine
More than nine
PULPOTOMY / APEXOGENESIS
Poor
Fair
Good
V.Good
Diagnosis
Access opening
Pulp removal
Pulp treatment
Liner
Filling/ temporary filling
Patient education
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
57
Not
applicable
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity

Once
Female
First time
Two to four times
Five to nine
More than nine
EXODONTIA
Poor
Fair
Good
V.Good
Medical history
Extraction
Suturing
Knowledge
Professionalism
Overall grade
Simple
Intermediate
Difficult
Signature of staff
Date
58
Not
applicable
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Female

Poor
Fair
Good
V.Good
Not
applicable
Caries risk assessment

Tray selection
Isolation
Application
Patient education
Knowledge
Professionalism
Overall grade
Signature of staff
Date
Patient Name
Date
Registration Number
Age
Sex
Male

Poor
Fair
Good
V.Good

Tray selection
Isolation
Application
Patient education
Knowledge
Professionalism
Overall grade
Signature of staff
Date
59
Not
applicable
Female
ORTHODONTICS
Patient Name
Registration Number
Date
Tooth number
Age
Sex
Male
Female
FISSURE SEALANT
Poor
Fair
Good
V.Good
Not
applicable

Isolation
Acid etch, rinse and dry
Sealant application
Occlusion check
Knowledge
Professionalism
Overall grade
Signature of staff
Date
Patient Name
Registration Number
Date
Tooth number
Age
Sex
Male
FISSURE SEALANT
Poor
Fair
Good
V.Good

Isolation
Acid etch, rinse and dry
Sealant application
Occlusion check
Knowledge
Professionalism
Overall grade
Signature of staff
Date
60
Not
applicable
Female
ORTHODONTICS
ORTHODONTICS
ATTENDANCE LOG
OVERALL ASSESSMENT
SESSION LOG
PRE CLINICAL EXERCISES
ORTHODONTICS DIAGNOSIS
ORHTODONTICS REMOVABLE APPLIANCE
61
ORTHODONTICS
62
ORTHODONTICS

S.No
Date
Reason
63
Signature of staff
CLINICAL EXPERIENCE LOG FOR ORTHODONTICS FOR YEAR 4

S.No
1
2
3
Procedure
Preclinical exercises
Diagnosis
Removable appliance
Total
Poor
GRADES OBTAINED
Fair
Good

Verified by staff
64
V.Good

Overall grade

Safety of patient

Overall grade

Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor


65
Date
ORTHODONTICS
CLINICAL EXPERIENCE LOG FOR ORTHODONTICS FOR YEAR 5

S.No
1
2
3
Procedure
Preclinical exercises
Diagnosis
Removable appliance
Total
Poor
GRADES OBTAINED
Fair
Good

Verified by staff
66
V.Good
ORTHODONTICS

Overall grade

Safety of patient

Overall grade

Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor

67
Date
ORTHODONTICS
PRE CLINICAL EXERCISES FOR ORTHODONTICS

S.No
Procedure
Date
68
Grade
Staff
Sign.
ORTHODONTICS
SESSION LOG FOR ORTHODONTICS

S.No
Date
Hosp.
No.
Procedure
69
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Female
ORTHODONTIC DIAGNOSIS
Poor
Fair
Good
V.Good
Not
applicable
Case history
Examination
Model analysis
Cephalometric analysis
Diagnosis
Treatment planning
Knowledge
Professionalism
Overall grade
Signature of staff
Date
Patient Name
Date
Registration Number
Age
Sex
Male
ORTHODONTIC DIAGNOSIS
Poor
Fair
Good
V.Good
Case history
Examination
Model analysis
Cephalometric analysis
Diagnosis
Treatment planning
Knowledge
Professionalism
Overall grade
Signature of staff
Date
70
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Female
ORTHODONTICS REMOVABLE APPLIANCE

Poor
Fair
Good
V.Good
Not
applicable
Date
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
Case history
Diagnosis
Treatment planning
Impression
Fabrication of appliance
Wire bending
Acrylization
Insertion of appliance
Activation of appliance
Follow up
Patient education
Knowledge
Professionalism
Sign.
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
Overall grade
_______

Simple
Intermediate
Difficult
Signature of staff
Date
71

Bachelor of Dental Surgery Specialities Clinical Logbook

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Bachelor of Dental Surgery Specialities Clinical Logbook

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1

Assoc. Prof. Dr. KALYAN C GUNDAVARAPU

All rights reserved.

Dr. KALYAN C GUNDAVARAPU

Associate Professor in Dental Public Health

Dr. KALYAN C GUNDAVARAPU

Associate Professor in Dental Public Health

ORAL SURGERY .................................................................................................................... 25

PAEDIATRIC DENTISTRY ....................................................................................................... 35

Fig.1 Patient log

Kumar a/l Sivanes

Fig. 3 - Session Log

CLINICAL LOG SUMMARY

Fig. 4 - Clinical Log Summary

Fig. 5 - Clinical Log Summary

ASSESSMENT CRITERIA FOR CLINICAL SESSIONS

ASSESSMENT CRITERIA FOR OVERALL ASSESSMENT

Clinical & practical skills

The best diagnostic, clinical and/or practical skills that could be

Acceptable level of diagnostic, clinical and/or practical skill.

Adequate professional attitude

Some deficiencies in diagnostic, clinical and/or practical skill.

Communication skills weak

Weak diagnostic, clinical and/or practical skills. Limited

Evidence that student may be unsafe. Significant deficiencies in

Poor professional attitude and

Excellent professional attitude,

Good communication skills and

Very poor communication

ORALDIAGNOSIS & RADIOLOGY

ATTENDANCE LOG FOR YEAR 3 AND 4

CLINICAL EXPERIENCE LOG OF ORAL DIAGNOSIS RADIOLOGY FOR YEAR 3

CLINICAL LOG SUMMARY

Total number of clinical sessions worked

Signature of the student

OVERALL ASSESSMENT FOR YEAR 3

Overall quality of clinical work

Patient management, communication , Professional conduct

Communicates well with patient and members of dental team

Prepared for clinical session

Grades Outstanding and very poor has to be marked in 5% intervals.

Signature of 1 clinical staff

Signature of 2 clinical staff

ORALDIAGNOSIS & RADIOLOGY

CLINICAL EXPERIENCE LOG OF ORAL DIAGNOSIS RADIOLOGY FOR YEAR 4

CLINICAL LOG SUMMARY

Total number of clinical sessions worked

Signature of the student

ORALDIAGNOSIS & RADIOLOGY

OVERALL ASSESSMENT FOR YEAR 4

Overall quality of clinical work

Patient management, communication , Professional conduct

Communicates well with patient and members of dental team

Prepared for clinical session

Grades Outstanding and very poor has to be marked in 5% intervals.

Signature of 1 clinical staff

Signature of 2 clinical staff

ORALDIAGNOSIS & RADIOLOGY

SESSION LOG FOR ORAL DIAGNOSIS

ORALDIAGNOSIS & RADIOLOGY

SESSION LOG FOR ORAL RADIOLOGY

ORALDIAGNOSIS & RADIOLOGY

Suggestions for improvement