Universitat Internacional de Catalunya
Clinical Prosthodontics I
Other languages of instruction: Catalan, Spanish,
Teaching staff
Please contact us to arrange an appointment and time: akramali@uic.es
Introduction
This subject will develop the clinical care activity of a professional oral rehabilitator in the field of oral esthetics and functionality. The training program will enable students to achieve the technical skills that a professional in restorative dentistry should have. A level of anamnesis, oral examination and complementary explorations of advanced and multidisciplinary character will be required; it will be recommended to perform some minimum treatments that will be distributed throughout the four semesters of the International Master's Degree in Oral Surgery. These treatments will be single and partial implant-supported prostheses. In this subject the student will also learn, through theoretical classes, the diagnosis and management of oral parafunctions and temporomandibular joint disorders and the procedures for making occlusal splints.
Pre-course requirements
Oral anatomy. Knowledge of the pathophysiology of oral diseases. Technique in relation to dental therapeutics and implant prosthesis.
Objectives
The objective of this course is to provide students with advanced multidisciplinary knowledge related to clinical practice in the field of esthetic and functional restorative dentistry and to provide them with scientific training in the field of esthetic and functional restorative dentistry in single and partial implant restorations. This subject will be developed during the three courses of the Master's training program.
Competences/Learning outcomes of the degree programme
CE1 - Carry out a correct analysis and extraoral diagnosis, and highlight the aesthetic and functional aspects of the teeth and soft parts of the lower third of the face as well as the analysis and clinical and laboratory diagnostics, through diagnostic and therapeutic wax-ups on models and digital to achieve rehabilitate those dental absences through the use of dental implants.
CE2 - Be able to practice as a clinical professional and / or researcher in the field of restorative dentistry and act as a true specialist or expert in the field; and know how to diagnose, treat, prevent and investigate oral disorders and keep abreast of diagnostic and therapeutic advances that arise in the course of professional life.
CE3 - Know how to make articular and occlusal protection splints in cases where there is a pathology that requires it.
CG1 - Have the ability to communicate with patients in order to explain, with scientific criteria, but accessible language, the diagnosis, treatment plan and prognosis.
GC2 - Have the autonomy to make anamnesis and oral explorations to the patients and to fill in the clinical history and clinical course with language and scientific terminology appropriate to a professional of restorative dentistry.
CG3 - Know how to apply the protocols established in the University Clinic of Dentistry in relation to diagnosis, complementary examinations and treatment of patients, as well as treatment planning, taking into account that the patients to whom they are addressed present pathologies with average profiles.
Learning outcomes of the subject
- To be able to correctly use the scientific terminology related to temporomandibular dysfunction and esthetic and functional restorative dentistry, making a correct extraoral analysis and diagnosis of the lower third of the patients' face, highlighting the esthetic and functional aspects of the teeth and soft parts of the mouth in this analysis. Know how to perform also a correct intraoral examination and diagnosis of the masticatory apparatus of the patients.
- To be able to identify and reproduce the criteria of dental macrostesthetics and microstesthetics, also in the hard and soft tissues of the mouth.
- Communicate with patients in order to explain, with scientific criteria but with an understandable language, the diagnosis, the treatment plan and the prognosis, in relation to the scientific evidence. This "rehabilitator-patient" relationship should allow the patient to choose between the different types of stomatological prostheses proposed with the most reliable prognosis possible.
- To carry out oral preparations on mucosa, on teeth and on implants (cuttings, impressions, tests of the structures, occlusal examinations...) to make stomatological prostheses in patients presenting oral disorders of medium complexity.
- Have a clear and advanced knowledge of concepts such as osseointegration, passive adaptation, torque, implant connection, implant surface, types of prosthetic abutment, types of impressions to make, transfer of functional and aesthetic occlusal parameters ... They should also choose, in a personalized way for each patient, the different implantological attachments and make the different tests and checks of the prosthetic components during the process of making the oral prostheses, and manage to control this process at all times so that the finished stomatological prostheses meet the functional and aesthetic objectives set at the beginning.
- To install the stomatological (implantological) prostheses in the patient's mouth, instructing the patient in their proper use and maintenance. Likewise, to follow up the adaptation that patients must make to the new prosthesis, with the necessary prosthetic modifications in each specific case.
- Have scientific knowledge to choose the type of material with which the rehabilitation that is installed in the patient is made.
- To be able to perform clinical and laboratory analysis and diagnosis of dental occlusion and mandibular dynamics and to perform diagnostic and therapeutic wax-ups on plaster or virtual models of patients' mouths in order to rehabilitate dental occlusion and the balance between esthetics and articular and occlusal functions, taking into account multidisciplinary factors of the masticatory apparatus.
- Make selective cuts of the teeth to achieve a balance between mandibular dynamics and dental occlusion.
- Make splints for articular and occlusal protection.
Syllabus
The content of the master is the treatment of multidisciplinary clinical cases developed by the students. The cases are carried out in combination with the different programs of the Master of Esthetic Rehabilitation, Orthodontics, and Endodontics, mainly.
Teaching and learning activities
In person
Methodology:
Hands-on-clinical tutored learning.
Guided learning in small groups
Problem solving in the dental workshop
Evaluation systems and criteria
In person
The evaluation of this subject will be done through different procedures. Continuous evaluation will be the basic principle to be achieved. For this evaluation different grades will be obtained, throughout the three academic years, of the formative activities.
In the CUO training activity (clinical practice) the direct and personal participation of the student in the development of this activity will be evaluated (keeping the clinical history and clinical course updated, following the existing clinical work protocols in the University Clinic of Dentistry, carrying out the corresponding timing of the treatment plan determined for each patient...). The evaluations of the students, in this subject, will emphasize the level of acquisition of knowledge and clinical, manual and technological skills that a rehabilitation dentist must have (for example, it will be taken into account whether or not there is a photographic sequence of the preparation of the oral rehabilitation, the repetitions or not of different phases of the treatments, the occurrence or not of operative complications, the search for simplicity or complexity in the techniques used, the level of their subjective assessment during diagnosis and treatment .... ...), as well as in the theoretical knowledge related to the specific pathology of each patient. All this without losing sight of the fact that it is a training activity that is carried out clinically; the relationship established between the dentist and the patient will also be evaluated and the student's communication skills will be assessed.
In the LAB (laboratory) training activity, the direct and personal participation of the student in the development of this activity will be evaluated. Student evaluations in this subject will emphasize the level of acquisition of knowledge and technological skills that a rehabilitation dentist should have in the dental laboratory field and related to esthetic and functional restorative dentistry (oral scanning, virtual design, model casting, articulator set-ups, making diagnostic wax-ups, silicone keys, duplicates, base plates, splints of different types, provisional prostheses, prosthetic repairs, etc.), as well as in the acquisition of knowledge and technological skills that a rehabilitation dentist should have in the dental laboratory field and related to esthetic and functional restorative dentistry (oral scanning, virtual design, model casting, articulator set-ups, making of diagnostic wax-ups, silicone keys, duplicates, base plates, splints of different types, provisional prostheses, prosthetic repairs, etc.), as well as in the evaluation of the student's communication skills. ...), as well as on the level of scientific knowledge related to the pathology of each patient.
Direct and personal participation: 20%.
Acquisition of clinical, manual and technical skills: 40%.
Scientific knowledge of the patient's pathology: 30%.
Dentist-patient communication: 10%
Bibliography and resources
Journals:
- Journal 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