SEMESTER I

MODUL 1. KONSERVASI

Requirement Ujian
Restorasi klas I : 1, 2, 3, 4, 5 Mini CEX diagnosa dan renana
perawatan dental karies
Restorasi klas II : 1, 2, 3 Mini CEX diagnosa dan renana
perawatan penyakit pulpa
Restorasi klas III : 1, 2, 3 CBD, CSS
Restorasi klas VI : 1, 2, 3 Dops Restorasi Resin Komposit
Restorasi klas V : 1, 2, 3 DOPS perawatn saluran akar
Restorasi Uplay
Perawatan Pulp Capping : 1, 2
Perawatan Pulpektomi Devital : 1
Perawatan Pulpektomi Vital : 1
Perwatan Saluran Akar
Journal Reading
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MODUL 5. PAEDODONTI

Requirement Ujian
Oral Diagnosa : 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, Mini CEX dental karies
13, 14, 15
Restorasi GIC kls : I, (II Ujian), III, VI, V DOPS restorasi klas II GIC
Restorasi RK kls : I, II, III, VI, V DOPS ekstraksi infiltrasi
Pulpotomi Mini EX gigi sulung
Mortal Pulpotomi DOPS BAP (pulpotomi gigi sulung)
SSC CSS
SM
Pulp Capping
Pit Fissure Sealant
Topikal Anastesi : 1, 2, 3, 4, 5
Infiltrasi Anastesi : 1, 2, (3 Ujian)
Topikal Flour
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 MODUL 3. ILMU PENYAKIT MULUT

Requirement Ujian
Kasus manifestasi sistemik di ronga mulut Mini CEX salah satu lesi jaringan
lunak mulut
Kasus degeneratif Mini CEX salah satu lesi jaringan
lunak mulut
Kasus sederhana (Etiologi local) CBD
DOPS melakukan pemeriksaan dan
terapi lesi jaringan lunak rongga
mulut
Case report
CSS
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SEMESTER II

MODUL 4. PROSTHODONTI

NO JENIS GIGI TIRUAN kasus jumlah

1 Removable prosthodontics 1. Gigi tiruan lengkap/ gigi 1
Gigi tiruan lepasan tiruan penuh sederhana
(GTSL/GTL) 2. Gigi tiruan sebagian dengan 1
ujung bebas dengan atau
tanpa kunci oklusi. Anasir
gigi yang diganti minimal 4
gigi
2 Fixed Prosthodontics (GTC) 1. Dowel cast crown / mahkota 1
pasak tuang pada gigi
anterior
2. Bridge / Gigi tiruan 1
jembatan anterior atau
posterior 3 unit
3 CBD 1

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 MODUL 2. PERIODONTI

NO JENIS PEKERJAAN JUMLAH

1 Scalling manual 1,2,3,4,5,6
2 Scalling electrick 1,2,3,4,5,6,7,8,9,10
3 Gingivitis 1
4 Periodontitis 1
5 Kuret 1
6 Splinting 1
7 Ginggivektomi 1
8 CBD 1
9 CSS 1
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MODUL 6. ORTHODONTI

NO JENIS PEKERJAAN JUMLAH

1 Pasien 1 1
2 Pasien 2 1
3 CSS 1
4 CBD 1
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SEMESTER III
MODUL 8. DPH

NO JENIS PEKERJAAN JUMLAH

1 KIE (Komunikasi Informasi Edukasi) KIE prostho
KIE ortho
KIE konser
KIE perio
KIE paedo
KIE os
KIE OM

2 PUSKESMAS 1
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MODUL 7. ORAL SURGERY

NO JENIS PEKERJAAN JUMLAH

1. Premedikasi 1,2,3
2. Ekstraksi Radiks 1,2,3,4,5
3. Ekstraksi gigi akar tunggal 1,2,3,4,5
4. Ekstraksi gigi akar jamak 1,2,3,4,5,6
5. Asistant bedah minor 1,2
6. Odontektomi 1
7. Alveolektomi / Frenektomi 1
8. Seminar kasus 1,2,3,4,5,6,7,8,9,10
9. Pencabutan dengan separasi fraktur tertutup 1

10. CSS 1
11. CBD 1
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