Universitat Internacional de Catalunya
Multidisciplinary Clinical Planning. Discussion of Clinical Cases I
Other languages of instruction: Catalan, Spanish
Teaching staff
Contact:
Coordinator: Dr Luis Jané ljane@uic.es
Dr Akram Ali akramali@uic.es
Introduction
In this subject, students will make presentations of the clinical cases of the patients they dealt with during their external practice carried out at the University Dental Clinic. The clinical cases will be presented by the students themselves, including the details of the patient history, the results of the intra and extra oral exploration and the complementary explorations carried out. The patient’s clinical documentation will be handled in compliance with data protection laws.
Students will take a diagnostic approach to each clinical case and suggest a possible treatment plan. This must be supported by relevant bibliographic reviews related to the pathology and/ or suggested treatment.
These clinical plans will be presented to the tutor and an audience of professionals from various fields (periodontics, oral surgery, orthodontics...). Students must be able to respond to queries and issues that arise in the discussion. The clinical cases will be highly complex and/or multidisciplinary. In addition, students will carry out bibliographic reviews on specific scientific topics, in order to deliver comprehensive theoretical training in the field of aesthetic restorative dentistry.
Pre-course requirements
Dental Anatomy. Knowledge of pathophysiology of oral diseases. Surgical technique in relation to dental therapeutics and dental prosthesis. Software knowledge related to text processing, presentations and spreadsheets.
Objectives
This subject will be given over the two academic years of the Master’s Degree programme.
Competences/Learning outcomes of the degree programme
- CB6 - Students should have and understand knowledge that provides the basis for or opportunity to be original in terms of the development and application of ideas, often within a research context.
- CB7 - Students should know how to apply the knowledge they have acquired and be able to resolve problems in new or little known environments within a broader (or multidiciplinary) context, related to their area of study.
- CB8 - Students should be able to incorporate knowledge and tackle the complexity of making judgements based on information which, being incomplete or limited, includes reflections on the social and ethical responsibility linked to the application of their knowledge and judgement
- CE1 - Students should be able to undertake a proper analysis and an extraoral diagnosis, and underline the aesthetic and functional aspects of the teeth and the soft areas of the lower part of the face as well as a analysis and clinical and lab-based diagnosis, using diagnostic and therapeutic wax models, in order to rehabilitate dental occlusion with good functional and aesthetic balance, while taking into account multidisciplinary factors related to the masticating apparatus.
- CE2 - Students should be able to work as a clinical professional and/or researcher in the field of aesthetic restorative dentistry, and act as a real specialist or expert in the material; as well as know how to diagnose, treat, prevent and research oral disorders and have updated knowledge of the diagnostic and treatment-related advances which continue to arise throughout their professional life.
- CE3 - To undertake the selective drilling of teeth to balance the jaw and dental occlusion, as well as make splints for articular and occlusal protection in cases where there is a pathology that requires this.
- CE5 - To be able to give public presentations on your own clinical cases based on the scientific literature, and correctly use the scientific terminology related to temporomandibular dysfunction and aesthetic restorative dentistry.
- CE9 - To recognise and interpret images and specialised diagnostic techniques that are significant in research, as well as know how to apply bioinformatic tools and new technologies to the fields of prosthetic and restorative dentistry and dental implants.
- CG1 - To have the ability to communicate with patients with the aim of explaining, based on scientific criteria but in accessible language, their diagnosis, treatment plan and prognosis, in the case of pathologies that tend to be either advanced or multidisciplinary in nature.
- CG2 - To be autonomous in terms of obtaining a patient's anamnesis and oral explorations in patients with pathologies that might be either advanced or multidisciplinary in nature; and fill in their medical record and other clinical paperwork using scientific language and terminology that is suited to an aesthetic restorative dentistry professional.
- CG3 - To know how to apply the protocols established in the University Dental Clinic in relation to diagnosis, complementary explorations and treatment for patients, as well as treatment plans, taking into account the fact that the patients being addressed have pathologies that are either advanced or multidisciplinary in nature.
Learning outcomes of the subject
- The student is able to correctly use the scientific terminology related to temporomandibular dysfunction and restorative aesthetics dentistry, making a correct analysis and extra oral diagnosis of the lower third of the face, highlighting the aesthetic and functional aspects of the teeth and soft tissue of the mouth in this analysis. They shall also be able to make a correct examination and intra oral diagnosis of the patients’ masticatory apparatus.
- The student is able to identify and reproduce the macro aesthetic and micro aesthetic dental criteria, including in the hard and soft tissues of the mouth.
- The student is able to make public presentations of clinical cases, with all the diagnostic details and additional examinations required, making suggestions for treatment plans referenced in the scientific literature.
- The student has a clear and advanced knowledge of concepts such as osseo integration, passive adaptation, torque, implant connection, implant surface, type of prosthetic abutment, types of prints to make, transfer of functional and aesthetic occlusal parameters, etc. They can choose, individually for each patient, different implantology attachments and perform several tests and controls of prosthetic components during manufacturing process of the oral prosthesis, managing to control the process all the time so that the finished stomatological prosthesis meet the functional and aesthetic objectives initially established.
- The student has the scientific knowledge to choose a ready-made material to install in the patient for rehabilitation.
- The student has the resources to independently keep up to date with changes in the field. They can adapt their clinical practice and technological equipment to the advances and changes that may occur throughout their career.
Syllabus
The content of the course is eminently theoretical and multidisciplinary, initially planning simple cases and progressing to dealing with highly complex cases. The student will deal with multidisciplinary cases, interacting with teaching staff and students from the Master’s Degrees in Periodontics, Surgery, Implantology, Orthodontics and others. In some very complex cases there is multidisciplinary discussion of cases across the different areas of the faculty, also involving the students and teachers of the various Master’s Degree programmes.
Teaching and learning activities
In person
Methodology:
Study of clinical cases
Resolution of clinical cases
Learning focused on pathologies
Evaluation systems and criteria
In person
There will be various types of assessment for this subject. The majority will be continuous assessment, for which different marks will be obtained in the training activities over the two academic years.
In the CM training activity (Case method for the analysis and resolution of clinical cases) assessments will be based on direct individual participation in the activity (knowledge of the patients’ schedule, order and proper use of clinical documentation, contributions and support to other colleagues, etc.). Scientific, technical and clinical knowledge related to the pathology of the patient will be valued (the use of an appropriate scientific terminology, the ability to solve problems in diagnostic or therapeutic stages that may not be fully defined, proper analysis of the data of the clinical history, application and interpretation of complementary explorations, etc.); and the presentation of the case (communication skills, oral and body language, use of bibliographic databases and computer resources, etc.). The presentations of clinical cases will be made in computer files (such as Microsoft Office PowerPoint or Keynote) and will be part of the clinical documentation of each patient (in compliance with data protection regulation), and may be consulted at any time by the tutor.
In the SEM training activity (seminars) assessments will be based on direct individual participation in the activity (assessing the skills of synthesis and problem resolution in situations that are not entirely predictable. The methodology of the scientific paper reviews submitted will also be assessed by the tutor or tutors of the training activity. These reviews will be in the form of computer files (such as Microsoft Office PowerPoint or Keynote). If the tutor deems it necessary, written tests may be held to evaluate the theoretical knowledge acquired in the course.
• Direct individual participation 20%
• Scientific, technical, clinical, and pathological knowledge of the patient 40%
• Case presentation 20%
• Methodology of the review of scientific literature 20%
Bibliography and resources
Michael Cohen; Interdisciplinary Treatment Planning, Volume I: Principles, Design, Implementation
Rafi Romano; The Art of Treatment Planning: Dental and Medical Approaches to the Face and Smile
Rafi Romano; The Art of the Smile: Integrating Prosthodontics, Orthodontics, Periodontics, Dental Technology, and Plastic Surgery in Esthetic Dental Treatment
Rafi Romano; The Art of Detailing: Philosophical Foundations
Michael Cohen; Interdisciplinary Treatment Planning, Volume II: Comprehensive Case Studies
Fradeani M. “Rehabilitación estética en prótesis fija- Anàlisis estético- Volumen 1. Quintessence Books