Universitat Internacional de Catalunya
Multidisciplinary Restorative Treatment. Clinic I
Other languages of instruction: Catalan, English
If the student is enrolled for the English track then classes for that subject will be taught in the same language.
Teaching staff
Introduction
Restorative dentistry is the area of dentistry responsible for restoring the occlusal and masticatory function, anatomy, language articulation and altered aesthetics of the oral cavity. It can also resolve the conditions caused by decay, periodontal disease or trauma, through fixed or removable prostheses or by adhesive dentistry methods and techniques.
Pre-course requirements
Advanced knowledge of oral anatomy and an extensive knowledge of the pathophysiology of oral diseases is required in order to be able to make a correct diagnosis and to apply the appropriate surgical and prosthetic techniques.
Objectives
The aim of this subject is to enable students to acquire advanced multidisciplinary knowledge through clinical practice and scientific and surgical training as an expert in aesthetic restorative dentistry. The pathological processes of patients will, in many cases, require modifications of the different occlusal and/ or aesthetic standards (for instance, vertical dimension, occlusal plane, interdental positions, modifications, lip support, etc.).
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.
- CE4 - To acquire the ability to make oral preparations on mucosa, teeth, and dental implants, to build dental prostheses in patients with advanced oral and multidisciplinary disorders; as well as identify and undertake the procedures and various checks for the prosthetic components during construction.
- 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 properly use the scientific terminology regarding temporomandibular dysfunction and restorative aesthetic dentistry, making a correct analysis and extra-oral diagnosis of the lower third of a patient’s face, highlighting the aesthetic and functional aspects of the teeth and soft tissues of the mouth in this analysis. They can also correctly carry out an intra-oral examination and diagnosis of the patient’s masticatory apparatus.
- The student is able to identify and reproduce the criteria of macro- and micro-dental aesthetics, both in the hard and soft tissues of the mouth.
- The student communicates with patients to explain to them, using scientific criteria and accessible language, the diagnosis, treatment plan and prognosis regarding/ based on scientific evidence. As part of this rehabilitator-patient relationship, they will give the patient the choice of different types of stomatological prosthesis options.
- The student works on the mucous membranes, teeth and implants (carvings, prints, evidence of the structures, occlusal examinations, etc.) to fit stomatological prostheses in patients suffering from complex oral disorders and within a multidisciplinary professional environment.
- Students have a clear and advanced knowledge of concepts such as osseo integration, passive adaptation, implant connection, implant surface, type of prosthetic abutment, types of prints to be made, transfer of the occlusal, functional and aesthetic parameters of the mouth to the laboratory. They can also carry out an individual selection for each patient of, different implantology attachments and carry out various tests and checks of prosthetic components during the process of manufacture of the oral prosthesis, controlling the process at all times so that the finished stomatological prostheses achieve the functional and aesthetic goals set at the start of treatment.
- The student will place stomatological prostheses (removable, fixed on teeth or implants, mixed and maxillofacial) in patients, instructing and motivating the patient for their proper use and maintenance. The student will also monitor and control the adaptation/installation of new prostheses, making the necessary modifications if required.
- The student will have the scientific knowledge to choose the type of material for the prostheses.
- The student will be able to carry out the analysis and clinical and laboratory diagnosis of the dental occlusion and mandibular dynamics, creating diagnostic wax and plaster models of patients’ mouths, to rehabilitate the dental function and thus achieve a balance between aesthetics and articular and occlusal functions, taking into account all the complex aspects of the masticatory system.
- The student will carry out selective carving of the teeth in order to attain a mandibular dynamics and dental occlusion.
- The student will make occlusal splints for joint protection.
Syllabus
The subject consists of the treatment by the student of multidisciplinary clinical cases, starting with the simplest and progressing to highly complex cases, to complete their training.
Teaching and learning activities
In person
Methodology:
Theoretical classes and via WebEx
Practical and clinical mentored learning
Small group training
Trouble-shooting in the dental laboratory
Training activities:
CM
CUO
LAB
Evaluation systems and criteria
In person
· Direct and personal participation 20%
· Acquisition of clinical techniques and surgical skills 35%
· Scientific knowledge of patient pathology 35%
· Dentist-patient communication 10%
This assessment will be recorded by the teachers responsible for the subject, who will inform the students’ teachers-tutors and the coordinator of the assessment.
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
Revistas científicas:
- Jornal of Dental Research
- Clinical Oral Implants Research
- Dental Materials
- Clinical Oral Investigations
- International Journal of oral and maxillofacial Implants
- Journal of prosthetic dentistry
- Journal of oral rehabilitation
- The International Journal of Esthetic Dentistry