Universitat Internacional de Catalunya

Surgery I

Surgery I
2
13279
1
Annual
OB
Main language of instruction: English

Other languages of instruction: Catalan, Spanish

Teaching staff


Mrs. LÁZARO ABDULKARIM, Aida - a.lazaro@uic.es

Introduction

Seminars are a very important part of the IMOS program. The debate format promotes discussion between students and teachers and allows the development of argumentation and public speaking skills. All oral surgery and dental implantology courses and seminars are carefully planned to provide our students with a solid foundation in oral surgery and provide them with the latest surgical and diagnostic techniques. The program is created by expert professors in the different fields of oral and maxillofacial surgery and dental implantology.

Objectives

Provide students with solid knowledge in oral surgery and implantology and highlight the importance of pathology in the oral and maxillofacial area and its consequences. The seminars will follow the theoretical program of the EAO (European Association for Osseointegration).

Competences/Learning outcomes of the degree programme

Residents will know:
  • Be able to distinguish surgical instruments and their use in oral surgery. 
  • Learn the principles on how to establish a sterile surgical field in oral surgery. 
  • Understand how important informed consent is and how to fill it out correctly. 
  • Know the different radiological tests and their clinical interpretation. 
  • Have an excellent knowledge of oral pathology. 
  • Being able to apply new technologies in oral surgery. 
  • Know how to approach the extraction of included teeth. 
  • Know which are the most common complications in oral surgery and learn how to treat them in each case. 
  • Develop skills that allow them to work effectively in a team with other students. 
  • Being able to carry out a treatment plan together with other departments and carry out multidisciplinary treatments. 
  • Know basic statistics principles for the realization of a TFM. 
  • Know different macrodesigns and microdesigns of implants and their characteristics. 
  • Know the principles for immediate implants and alveolar crestal preservation.
  • Know the principles of guided surgery for implant placement. 
  • Know different biomaterials for regeneration and their use. 
  • Know advanced techniques in surgery such as the Khoury technique, block grafts and sausage technique. 
  • Know the principles of mucogingival surgery around teeth and implants. 
  • Know the main treatments against peri-implantitis.
  • Know the technique of atraumatic sinus elevation and sinus elevation through a lateral window. 
  • Know the different types of resorbable and non-resorbable membranes for guided bone regeneration. 
  • Know the clinical protocol in special patients with chronic diseases or treatments. 
  • Know the principles for the placement of pterygoid and zygomatic implants. 
  • Know the basic principles of CPR. 
  • Know the BOPT technique on teeth and implants. 
  • Know principles of orthognathic surgery and treatments for APNEA. 
  • Know immediate loading protocols on implants. 
  • Know the examination of a cancer patient

Learning outcomes of the subject

Residents must be able to: 
  • Visit the patient and carry out a correct anamnesis, exploration and differential diagnosis. 
  • Read the radiological examinations. 
  • Perform surgical planning with and without 3D software. 
  • Fill out the Informed Consent. 
  • Treat the patient.

Syllabus

THEORETICAL PART:
  1. Mandible and Maxilla Anatomy: Historical Summary and Surgical Anatomy of the Mandible and Maxillary Bone Peculiarities. 
  2. The sterile field in oral surgery (CO), surgical instruments in CO. 
  3. Preparation of the patient, anamnesis and oral examination in OC, complementary tests. Legal aspects and informed consent. 
  4. Radiological exploration in CO. Anesthetic techniques in CO. 
  5. Biopsy in CO. Sutures in the oral cavity. Homeostasis in the oral cavity. Special patients. New technologies in CO (CO2 laser, Piezo-Scalpel, Microscope, applied computing). 
  6. Extraction indications, complicated extractions, post extraction complications. Alveolitis: concept, epidemiology and generalities. Clinical and radiological diagnosis inclusion of the third molar, anatomical considerations, signs, symptoms and diagnosis, extraction indications, surgical techniques, post extraction recovery, complications during and after extraction, other inclusions. Odontogenic infection, clinical sequence, risk factors and severity in odontogenic infections. 
  7. Dental traumatology. Soft tissue injuries: treatment. Alveolar-dental trauma, epidemiology, classification and complications, diagnosis, signs and symptoms, types. 
  8. Periapical surgery and differences between periapical cyst and granuloma, odontogenic cellulitis, cavernous sinus thrombosis. 
  9. Fistula or oro-sinus communication. Surgical pathology of the salivary glands: sialolithiasis, mucocele, ranula.
  10. Cysts: concept, etiology, signs and symptoms, classification. Main cysts, Pseudocysts. Treatment of maxillary and mandibular cysts: Partsch I or cystotomy, Partsch II or cystectomy, decompression. 
  11. Benign and malignant tumors: Surgical treatment of hyperplasias and benign tumors: types and classification of hyperplasias, types of benign tumors. Surgical treatment of odontogenic tumors, classification of odontogenic tumors. surgical treatment. 
  12. Historical summary in implantology, concept of osseointegration, types of dental implants and types of surfaces, indications for dental implants, diagnosis and treatment planning in implantology, risk factors in implantology. 
  13. Surgical technique of dental implants. Conventional and immediate loading concept. Know immediate loading protocols on implants. 
  14. Surgical techniques in dental implantology: alveolar crest preservation, post-extraction implant: immediate, early, late. 
  15. Static and dynamic guided surgery, software used. 
  16. Bone grafts: donor areas and types. Alveoloplasty, alveolar bone remodeling, mandibular/palatal torus, treatment of bone hypertrophy. 
  17. Advanced regeneration techniques: Khoury technique, sausage technique, use of titanium mesh, use of PTFE membrane to gain height and width. 
  18. Soft tissue grafts: types, indications and surgical techniques. Biological space concept. Frenulum surgery. Treatment of fibrous hyperplasia. Vestibuloplasty. 
  19. Introduction to peri-implantitis. Definition, causes, diagnosis and non-surgical and surgical treatment. 
  20. Maxillary sinus lift techniques. Atraumatic technique with osteotomes and sinus elevation with lateral window. 
  21. Odontogenic sinusitis, odontogenic fistula, odontogenic infection treatment. 
  22. Failure and complications in dental implantology. Zygomatic and pterygoid implants. 
  23. Management and updating CPR. 
  24. Bimaxillary orthognathic surgery, SARPE, MARPE. Sleep apnea treatment. 
  25. Basic principles of statistics.
PRACTICAL PART: There are usually 4 practical workshops during the course. Previously, the teacher in charge explains related topics and later the practice is carried out. The practices are carried out on pig heads. Normally they are carried out in laboratory 7. On the days that the workshop is carried out, the hours are from 10:00 a.m. to 2:00 p.m.

 

Teaching and learning activities

In person



In each session, the IMOS 1 or IMOS 2 student presents a topic for 30-45 minutes. The teacher concludes the class with a comment/discussion during the remaining time (15-30 minutes). In cases where the word "masterclass" appears on the calendar, the teacher will give a two-hour master class. In the cases that appear ¨implant cases sessions ¨they will be 2-hour sessions given by Dr. Albert Barroso where operated cases will be presented or doubts about cases to be operated will be discussed. The activity is held on Thursdays from 10:00 a.m. to 11:00 a.m. for IMOS 1 and from 11:00 a.m. to 12:00 p.m. for IMOS 2. The 2022-2023 calendar is attached. In the event that the class coincides with a national or international congress, said seminar will be cancelled.

Evaluation systems and criteria

In person



There are two exams (in January and in June) throughout the academic year that consist of short answer essay questions. The grade to pass will be 7. If this grade is not reached, the student will not be able to operate for the next two weeks. The resident's participation in each seminar will also be evaluated.

Bibliography and resources

  • Peterson's Principles of Oral and Maxillofacial Surgery, Michael Miloro, Ed BC Decker.
  • Oral and Maxillofacial Pathology, Neville, Ed Saunders.
  • Oral Surgery for the General Dentist, Sailer, Pajarola. Ed Thieme.
  • Contemporary Implant Dentistry. Misch. Ed. Mosby.
  • Periodontal Surgery. N.Sato. Ed Quintessence books.
  • International scientific articles such as peridontology 2000, JCP, JOMI, COIR, IJOMS, IJPRD, JPR, Journal of Oral Pathology and Medicine, European Journal of Oral Implantology, Journal of cranio-maxillofacial surgery, Oral surgery, oral medicine, oral pathology and oral radiology etc…

 

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