As expected, Penn does not make things extremely clear but the graduation requirements are straightforward.
Operative: The minimum baseline is 470 units. A one surface amalgam is worth 3 units. A two surface is worth 4 units and anything larger is worth 5 units. Resin restorations are worth the same with a few minor exceptions. Larger inlays and onlays are worth from 15 to 20 units depending upon the size of the restoration. The operative requirement is very easy to attain.
Fixed: The minimum baseline is 625 units. A PFM crown/pontic is worth 20 points total. We prep the tooth and make a provisional and then send the impression to the lab who sends it back for us to ditch. We do a metal try-in for three or more units to verify fit and path of withdraw and then a bisque try in. We do not do our own wax-ups or casting because we do too many crowns for that to be reasonable. A cast post and core is worth 9 units, a prefab post and core is worth 2 points and veneers are worth 12. We each have to restore cosmetic cases including at least one veneer case, two long span bridges, and three implants. Due to our very well respected periodontal program, we restore a large number of implants but each student must do three.
Removable: The minimum baseline is 260 units. An arch is worth 25 units whether it is full or partial (Each student must do four full and four partial arches). We do our own denture set-ups. We do not process them though and they are done in house. Metal frameworks are sent out of house. Rebases are worth 8 points, adjustments or tooth add ons are worth one point and semi or precision attachments are worth 10 points each.
With that all being said, each student must minimally attain 1600 units in the above three areas. This allows students leeway to get the remainder of the 1600 points in any area they choose. Ie, you can do extra fixed or extra removable to attain 1600 points outside the minimums in those areas.
Endo: The minimum number of canals and oh, the minimum is equal to a letter grade of a C which is a 70%. Thus 1600 points in restorative would give you a C overall. Each student will complete a minimum of 22 canals to graduate. Students also have to complete at least a dozen extracted teeth prior to doing in vivo cases. Seven canals will be in anterior teeth and the remainder of the canals must be molar cases.
Ortho: Each student must complete an adjunctive orthodontic case whereby you design, implement, and oversee simple orthodontic movement of teeth, ie, molar uprighting.
OMS: There is no set number of teeth which must be extracted as we do rotations in the OMS clinic and there is no way of keeping it standardized. Each student does a few dozen rotations and performs simple, surgical, and other OMS proceedures including biopsies, ridge contouring, epulius removal, third molar extraction, tuberosity reduction, or tori removal.
Pedo: The minimum number of points reuqired in this clinic is 80. A SSC is worth 5, amalgams and resins are worth 3 to 4, extractions are worth 2, formocresol pupotomy is worth 5, and N2O administration is worth 1 point. Children are not seen in the main clinic and this is a requirement separate from the 1600 needed for restorative.
Radio: Each student must take at least 16 FMX and pass two clinical competencies where you are graded on the quality of your FMX.
Oral Medicine: Each student must finish 6-8 weeks of hospital externship the senior year in an affiliated hospital. Also each student must do case studies and presentations for the faculty.
Preventive: Each student must attain 55 units of preventive credit. A flouride treatment is worth .5 points. Smoking cessation is worth 1, nutritional counseling is worth 1.
Community Health: Each student must spend at minimum 20 documented hours. Eight of which must be on the Dental bus providing wet mouth care. Eight hours must be spent teaching or screening in the schools and the rest may be spent in any community events.
Perio: Minimums are as follows
Type I: 22 cases
Type 2: 12 cases with sc/rp
type 3: 6 cases with sc/rp
8-10 surgical cases
28 recalls
20 quads of sc/rp with re-evals
Perform 2 periodontal surgeries such as hemisectioning, widman flap, free gingival graft, gingivectomy, osseous resectioning or GTR.
Assist in the placement of at least 3 implants
This is as basic as it can get in all honesty, I think I am forgetting a lot too. These requirements are not hard to achieve but it is a lot to keep organized to assure that you are fulfilling ALL the areas. A few students do not graduate each year but that is a rare exception and it usually involves the death of a patient somewhere along the line that caused the loss of a large case or something catastrophic like that. Hope this helps! Keep smiling.