Universitat Internacional de Catalunya

Reconstruction of the Endodontic Tooth

Reconstruction of the Endodontic Tooth
7
12284
3
Annual
OB
Main language of instruction: English

Other languages of instruction: Catalan, Spanish,

Teaching staff

Introduction

This course aims to provide students of the Master in Endodontics with knowledge of the reconstruction of endodontically treated teeth.

Pre-course requirements

No pre-requisites required.

Objectives

The aim of this subject is to provide students with the practical skills of performing reconstruction on endodontically treated teeth through knowledge of the following concepts:

Biomechanics and characteristics of endodontically treated teeth.

Concepts in dental adhesion.

The ferrule effect.

Direct technique and indirect technique.

Concepts of posts for endodontically treated teeth.

Cusp coatings: Inlays and crowns. Minimally invasive restorations.

Reconstruction materials.

Treatment plan for the posterior section.

Treatment plan for the anterior sector.

Provisional restorations.

Crown lengthening vs. orthodontic extrusion.

Competences/Learning outcomes of the degree programme

Students will be expected to:

Argue and defend their own scientific ideas as well as to listen, analyse, evaluate and respond to the ideas of others.

Acquire learning skills that allow the student to continue studying in a self-directed and autonomous manner.

Understand how to provide a basis or opportunity for originality in developing and/or applying ideas in a research context.

Apply acquired knowledge and develop a problem-solving ability in new environments within broader (or multidisciplinary) contexts related to the field of study in question.

Acquire the ability to apply scientific methods, and apply the knowledge acquired to resolving problems in a scientific field. They should learn how to develop research projects both in vitro and in vivo, within the fields of mechanics, biology and microbiology applied to prosthetic and restorative dentistry and dental implants.

Know how to communicate their conclusions and the essential concepts that support them to specialised and non-specialised audiences in a clear and unambiguous way.

Acquire the ability to make oral preparations on mucosa, teeth, and dental implants, to build dental prostheses for patients with advanced oral and multidisciplinary disorders; as well as identify and undertake the procedures and various checks for the prosthetic components during construction.

Know how to apply the appropriate diagnostic techniques and correctly interpret the results derived from them.

Be familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.

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.

Know how to apply the correct principles to control anxiety and stress in themselves, in patients and in other members of the dentistry team.

Make a correct analysis and an extraoral diagnosis, highlighting the aesthetic and functional aspects of the teeth and the soft areas of the lower part of the face as well as performing clinical and lab-based analysis and 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.

Be autonomous in terms of developing and applying new technologies to aesthetic restorative dentistry and searching for new scientific information, as well as acquiring the ability to evaluate and undertake the research and development projects the industry offers in an ethical way, and manage the financial and human resources, as well as be aware of the strategic basis for the transfer of new knowledge to the industry.

Work as a clinical professional and/or researcher in the field of aesthetic restorative dentistry, and act as a genuine specialist or expert in the field; as well as knowing 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 lives.

Give public presentations on their own clinical cases based on the scientific literature, and to use the scientific terminology related to temporomandibular dysfunction and aesthetic restorative dentistry correctly.

Acquire the ability to make scientifically informed judgements for choosing the type of material to use when fitting a patient with a dental prosthesis, as well as being aware of how to continuously update their knowledge of the dental biomaterials used in the field of aesthetic restorative dentistry, how to manipulate it, and know about its properties, indications, biocompatibilities, toxicity and environmental impact.

Search for, organise and analyse, with a critical eye, and using biomedical sources of information, the scientific literature on issues related to temporomandibular dysfunction and aesthetic restorative dentistry, in order to pursue continuing education in a self-directed and autonomous manner.

Know how to apply epistemological, ethical, legislative and humanitarian factors to research and the disclosure of scientific data in the field of aesthetic restorative dentistry.

Recognise and interpret images and specialised diagnostic techniques that are relevant to research, as well as knowing how to apply bioinformatic tools and new technologies to the fields of prosthetic and restorative dentistry.

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; completing their medical record and other clinical paperwork using scientific language and terminology that is suited to an aesthetic restorative dentistry professional.

Understand and recognise the principles of ergonomics and safety at work (including the control of cross infection, radiation protection and occupational and biological diseases).

Know how to apply protocols for the use of equipment in the dental laboratory-workshop to the point of undertaking the necessary procedures that help in oral rehabilitation or treatments that are common for a restorative dentist to perform.

Know 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.

Learning outcomes of the subject

Students will be expected to:

Know the indications, advantages and limitations of the different techniques of direct and indirect restoration.

Isolate the operative field correctly.

Prepare a class I, class II and MOD restoration, using both the direct and indirect technique, fulfilling the criteria of functionality and aesthetics.

Know the technique for fitting posts.

Perform reconstructions of the inlay, onlay, overlay and endocrown types using both direct and indirect techniques (CAD CAM).

Demonstrate the ability to put all knowledge acquired into clinical practice.

Syllabus

Concepts in dental adhesion

Concept of immediate dentin sealing.

Classification of composites

Class I and II restorations

Direct operative technique for Classes I and II

Reconstruction of endodontically treated teeth

Prognosis following the reconstruction of endodontically treated teeth

Instructions for fitting posts. Metallic vs. fibre

The ferrule effect

Cementing materials. Materials for reconstructing endodontically treated teeth

Inlay onlay, overlay and endocrown.

Single crowns.

CAD CAM systems.

Cosmetic treatment of inlays.

Teaching and learning activities

In person



Theoretical and practical classes and seminars where articles suggested by the teacher will be discussed.

Evaluation systems and criteria

In person



1. Written work: Individual work relating to the themes covered in the theoretical classes.
2. Practical work: Presentation of five clinical cases at the end of the course.

Bibliography and resources

- Cohen - Pulp Pathways. Edicion.
- Non-metallic adhesive restorations. Didier Dietschi. Roberto Spreafico. Ed Masson.
- Porcelain and composite Inlays and Onlays. Garber. Quintessence books.
- Aesthetic-adhesive indirect restorations in partial posterior areas. Cerutti. Ed. Amolca
- Robbins 2002 – Restoration of the endodontically treated tooth.
- Dietschi 2007 – part I: Biomechanical considerations for the restoration of endodontically treated tooth. - Dietschi 2008 – part II: Biomechanical considerations for the restoration of endodontically treated tooth.