Universitat Internacional de Catalunya

Orthodontics 4

Orthodontics 4
3
10465
5
First semester
OB
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff


Dra. Montserrat Artés Ribas

Thursdays from 10:30 a.m. to 11:30 a.m.

martes@uic.es 

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.


Orthodontics and dentofacial orthopaedics is the area of dentistry involving the supervision, guiding and correction of the growth and maturity of dentofacial structures. This includes scenarios requiring the movement of teeth or the correction of altered or abnormal skeletal relations through the application of force and/or the stimuli and direction of the functional forces of the craniofacial complex. The main responsibilities of orthodontic practice are the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and the associated abnormalities of the bones and soft tissues; the design, application and control of functional and corrective appliances; and the guiding of dentition and its support structures to achieve and maintain optimum relations between the face and cranial structures in physiological and cosmetic harmony. Due to its basic and essential nature as part of Dental training, Orthodontics is justifiably incorporated as a core subject taught over three clinical courses in the Undergraduate Degree in Dentistry.

In Orthodontics 4, students are given a multidisciplinary Orthodontics perspective in light of its relationship with other dental specialist areas such as periodontics, prosthesis, the pathology of the temporomandibular joint and orthognathic surgery. This subject also covers the stability of treatment and procedures to prevent the recurrence of the treatment, the iatrogeny of orthodontic treatment and the handling of emergencies that could arise during orthodontic treatment.

 

Pre-course requirements

Through the training received during the third and four years of the degree programme, in Orthodontics 1, 2 and 3, students will have acquired skills in the diagnosis of orthodontic problems and in the use of the appliances used to treat malocclusions. This knowledge shall allow students to be introduced to more complex and multidisciplinary treatments where the orthodontist works alongside other specialists to ensure the oral rehabilitation of the patient.

 

Objectives

-  To learn about the characteristics of adult orthodontic treatment

- To learn about the contribution of orthodontic treatment in patients requiring prosthetic treatment with fixed prostheses and implant-supported teeth

- To learn about the influence of gum disease on orthodontic treatment

- To learn about the relationship between orthodontic treatment and temporomandibular joint dysfunction

- To learn about the iatrogeny that can occur as a result of orthodontic treatment

- To learn about the most common emergencies pertaining to orthodontic treatment

- To learn about the causes of relapse involving orthodontic treatment and stabilisation appliances.

- To know how to prevent a malocclusion when possible

 

Competences/Learning outcomes of the degree programme

  • 01 - Being aware of the essential elements of the dental profession, including the ethical principles and legal responsibilities it involves.
  • 03 - Knowing how to identify the concerns and expectations of patients, as well as how to communicate effectively and clearly, both orally and in writing, with patients, family members, the media and other professionals.
  • 04 - Understanding and recognising the social and psychological aspects that are relevant in terms of treating patients.
  • 05 - Knowing how to apply the correct principles to control anxiety and stress in oneself, in patients and in other memebers of the dentistry team.
  • 07 - Promoting new knowledge and techniques being acquired through autonomous learning, as well as the motivation to achieve quality.
  • 08 - Knowing how to share information with other healthcare professionals and how to work as part of a team.
  • 09 - Understanding the importance of keeping and using patient files in order to subsequently analyse them, while ensuring patient confidentiality is maintained.
  • 10 - Knowing and being able to identify the psychological and physical problems derived from gender violence in order to train students in the prevention, early detection of, care for and rehabilitation of the victims of this type of violence.
  • 11 - Understanding the basic biomedical science Dentistry is based on in order to ensure that adequate dental healthcare is provided.
  • 12 - Understanding and recognising the structure and normal function of the stomatognathic apparatus, at a molecular, cellular, tissue and organic level, during the various stages of life.
  • 13 - Understanding and recognising the science behind the essential bio-materials involved in dental practice as well as immediately managing potential allergies to these.
  • 14 - Being aware of the general processes of the illness, including infection, inflammation, alterations in the immune system, degeneration, neoplasm, metabolic alterations and genetic disorders.
  • 15 - Being familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.
  • 17 - Understanding and recognising the principles of ergonomics and safety at work (including the control of cross infection, radiation protection and occupational and biological diseases).
  • 18 - Being aware of, critically evaluating and knowing how to use sources of clinical and biomedical infomation in order to obtain, organise, interpret and communicate scientific and healthcare-related information.
  • 19 - Being aware of scientific methods and having the critical ability to evaluate established knowledge and innovative information. Being able to formulate hypotheses, collect and critically evaluate information in order to resolve problems, in accordance with scientific methods.
  • 20 - Obtaining and creating a medical record containing all the relevant information.
  • 21 - Knowing how to undertake a full dental exam, including the necessary X-ray and complementary exploratory tests, as well as obtaining suitable clinical references.
  • 22 - Having the ability to make an initial diagnostic judgement and establish a reasonable diagnostic strategy, as well as being competent in recognising situations that require urgent dental treatment.
  • 26 - Knowing how to plan and undertake multidisciplinary, sequential and comprehensive dental treatment of limited complexity for patients of all ages and conditions and for patients who require special care.
  • 27 - Outlining and proposing suitable preventative measures for each clinical situation.
  • 32 - Knowing the biomedical science on which Dentistry is based in order to ensure adequate oral and dental care. This science must include material on: (a). Embryology, anatomy, histology and the physiology of the human body (b). Genetics, Biochemistry, Cell and Molecular Biology and (c). Microbiology and immunology.
  • 33 - Knowing the morphology and function of the stomatognathic apparatus, including material on embriology, anatomy, histology and specific physiology
  • 36 - Knowing the danger of ionising radiation and its impact on biological tissue, as well as the legislation that regulates its use. Knowing how to manage dental radiodiagnostic facilities
  • 37 - Undertaking the x-rays that are necessary in dental practice, interpreting the images obtained and learning about other important image-based diagnosis techniques
  • 40 - Identifying the main reason for the consultation and the history of the current disease. Creating a general medical record and a clinical record which accurately reflect the patient's notes
  • 59 - Knowing the oral manifestations of systemic diseases
  • 62 - Conocer y manejar las emergencias y urgencias médicas más frecuentes en la práctica odontológica y en las técnicas de reanimación cardiorrespiratoria básica
  • 64 - Undertaking basic oral and dental pathology treatments for patients of all ages. The treatment procedures should be minimally invasive and based on a comprehensive and integrated approach to oral and dental treatment
  • 69 - Identifying patients who require special care, recognising the characteristics and peculiarities of such cases
  • 72 - Appropriate medical prescriptions, while being aware of their guidelines and warnings, systemic effects and repercussions on other organs
  • 75 - Identifying, evaluating and attending to medical emergencies which may arise during clinical practice and apply cardiopulmonary recuscitation techniques; manage severe infections, including pharmaceutical prescriptions and simple surgical aspects
  • 76 - Identifying and dealing with any dental emergencies
  • 79 - Treating dento-alveolar trauma in temporary and permanent dentitions
  • 88 - To undertake non-surgical treatment for temporo-mandibular disorders and oro-facial pain
  • 89 - To undertake bucco-dental treatment on young patients and recognise its characteristics and peculiarities
  • 91 - To plan and determine the specific characteristics of the design, records, prescription, clinical trails, placement and clinical adjustment for fitting removable and fixed space-maintainers and interceptive orthodontic techniques as well as extractable active elements destined to reposition teeth or correct an overbite

Learning outcomes of the subject

  • 4.108 - Consult with the necessary specialists for a comprehensive treatment
  • 4.131 - Know the general principles of the orthodontic and interdisciplinary treatments in children and adolescents
  • 4.132 - Know the general principles of interdisciplinary treatment in adults
  • 4.133 - Acquire the discipline to focus interdisciplinary treatments

Syllabus

- Retention and recurrence /  Adult orthodontics

- Emergencies / Orthodontics and pathology of TMJ

- Bone anchorage /Preprosthetic orthodontics

- Orthodontics – periodontics

- Orthodontics - orthognathic surgery

- Congenital syndromes / Alterations of teeth eruption, DAPs

- Iatrogenesis

Teaching and learning activities

In blended



      

Any lesson may be teached in one of the three officially UIC languages, catalan, spanish or english.

The hole academic year will be  onsite   and online

Three groups will be formed M1,M2 and M3 to be able to do all the teaching activities , onsite and online.

All the teaching  burden will be in this  blended fomat due to the fact that we can´t do it onsite as we usually do.

1. Theoretical lessons: basic knowledge will be teached.References necessary for the study of the subject will be included.Some students will attend onsite and others , the ones that are not present at the University that day online.

2. Seminars : a theoretical review with a more practical part. which allows an easier aproach teacher-student.-They will be done during the practical part(CUO).They may be online.

3.Tutorials (volunteers): follow up and individualized help for the student, specially those who have learning problems or have failed exam. 

Evaluation systems and criteria

In blended



Theoretical exam  (onsite or online)

Questions can be in english if the lesson has been done in that language.

The exam of ordinary examination calls can be a  multiple choice test or a short answer exam.

Multiple choice test has only one valid answer and each incorrrect answer substracts 0,20 points.

A minimun of 5 is needed to pass the exam ,once the incorrect answers are counted.

If Academic Secretary indicates, a student can have a different kind of exam ,oral one ( in person or online) to
defend in front of a  tribunal  with at least two  professors.


CUO practices

Cuo practices at Orthodontic master are compulsory.
The evaluation will consider the attitude, the participation on the treatment of the resident's patients, and the
presentation of clinical case seen at the CUO.this work will be posted at moodle and the contents of the
presentation are:clinical history, introral examination,facial analysis, cast analysis, panoramic analysis, Steiner
cephalometric analysis and a problem list ,treatment objectives and treatment plan.


Final mark
The final mark will consit of theoritical exam (70%)and practice mark (30%).

To establish the mean , theoretical and practice parts need to be passed.

Exam review

Exam review will be hold (onsite or online) day and hour indicated by the UIC Secretary.

Class representatives will be set up to review the exam( onsite or online) ,their doubts  will be discussed and if
mistakes are found , changes can be done.

Those students that want to review the exam (onsite or online) should ask their class prepresentative. No admission to review will be accepted if it isn't been informed previoulsy to the representative.We won't review the questions one by one because it has been done previously with the class representatives, although we will listen and help the student.

Bibliography and resources

  1. Proffit W R, Fields H W. Contemporary Orthodontics. 6ª ed. Mosby 2019.
  2. Canut J A. Ortodoncia Clínica. 2ª ed. Masson 2000.
  3. Bravo L A. Manual de Ortodoncia. Síntesis 2003.

Depending on the specific topic, an additional recommended literature list will be provided.

Evaluation period

E: exam date | R: revision date | 1: first session | 2: second session:
  • E1 22/12/2020 A22 08:00h
  • E1 22/12/2020 A21 08:00h
  • E1 22/12/2020 A01 08:00h
  • R1 19/01/2021 A11 12:00h
  • E2 29/06/2021 A02 10:30h
  • E2 29/06/2021 A01 10:30h
  • E2 29/06/2021 A03 10:30h
  • R2 06/07/2021 A22 09:00h