Universitat Internacional de Catalunya
Prosthodontics 2
Other languages of instruction: Catalan, English
Teaching staff
Sandra Fernández Villar: sandrafernandez@uic.es
Wednesday from 8-14 hours, request an appointment via e-mail
Introduction
Dental prostheses or prosthodontics is that part of dentistry that deals with the modification of pathological and natural teeth restoration of missing teeth and the prevention of future diseases.
This subject will address the study of Fixed Prostheses, which explain the different types of treatments that involve fixed prosthesis and how they should perform the dental preparations for getting good functional and aesthetic results.
Pre-course requirements
Oral and dental anatomy. Knowledge of the pathophysiology of patients partially dentate or dentate. Knowledge of the anatomy and function of dental structures. Knowledge of conducting a medical and dental history.
Objectives
The aim of this subject is to enable students acquire the basic knowledge and skills in relation to different types of restorations involving the fixed prosthesis and mixed prosthesis and the preparations to be carried out to achieve good results.
Competences/Learning outcomes of the degree programme
- 65 - Diagnosing, planning and undertaking, at a general level, multidisciplinary, sequential and integrated treatment of limited complexity for patients of all ages and conditions and patients with special needs (diabetes, hypertension, oncological diseases, transplants, immune-depression, anti-clotting, etc.) or disabilities. Specifically the dentist should be competent in establishing a diagnosis, a prognosis and developing a suitable treatment plan, particularly in terms of orofacial pain, temporo-mandibular disorders, bruxism and other parafunctions; dental and periapical pathology; oral and dental trauma; periodontal and peri-implanted tissue pathologies; pathology of the mandibular bone, of soft oral tissue and annex glands; states of partial or total edentation and planning rehabilitation treatment via dento-muco supported prostheses, or dental impants, dental malpositions or malocculusions and other anatomical or functional alterations of the face or the stomatognathic system and their potential orthodontic, orthopaedic or surgical corrections
- 68 - Determining and identifying the aesthetic requirements of patients and the possibility of resolving their concerns
- 70 - Evaluating motor and sensory oral, mandibular and annex function
- 82 - Designing, preparing teeth, prescribing, recording, doing clinical tests, fitting and putting indirect restorations into service: incrustations, veneers or aesthetic laminate veneers and unitary crowns
- 85 - Undertaking conventional aesthetic procedures from a multidisciplinary perspective
- 86 - To treat both partial and full edentulism, including the biological design (specific design characteristics), dental preparation, obtaining record, clinical trials and adapting partial and full removable prostheses to patients, simple dental-supported bridges and simple prostheses on top of implants, both removable and fixed, including
- 87 - To write up prescriptions to measure for healthcare products such as «dental prostheses» and «orthodontic and dento-facial orthopaedic apparatus»
Learning outcomes of the subject
o Be able to evaluate the patient with altered or dental absences need to be restored.
o Be able to identify different types of fixed prostheses that can be done to the patient.
o Be able to diagnose and establish a treatment plan.
o Know the definition of fixed prosthesis and the different types of fixed prostheses exist.
or know how to do an assessment of the teeth to be abutments of fixed prosthesis.
o Be able to know the major clinical references for a dental preparation.
o Recognize the different types of edges for different preparations.
o Be able to understand the different steps in the reduction of a metal crown and understand when indicated these restorations.
o Be able to understand the different steps in the reduction of a metal-resin crowns and metal-ceramic crown and understand when indicated these types of crowns.
o Be able to understand the different steps in the reduction of all-ceramic crown and both anterior and posterior understand when indicated.
o Be able to understand the steps necessary to reduce before making a veneer.
o Know the indications and limitations of the veneers
o Recognize the characteristics and the sequence in the preparation of onlays-overlays.
o Know understand the need for the use of temporaries prostheses and their functions and preparation techniques.
o Be able to understand the need for the use of provisional fixed partial prostheses
o Be able to identify the different types of impresion techniques that exist in fixed prosthesis and understand the procedure to carry out.
o Be able to know the different types of gingival retraction systems with available technical and application know.
o Be able to know as they prepare plaster models prior to the completion of the fixed prosthesis.
o Be able to recognize the different types of systems for removable models.
o Be able to know the ideal characteristics of pontics and connectors.
o Be able to identify different types of welds.
o Be able to identify dental aesthetic parameters
o Be able to know the different criteria for choosing the color of the dental future.
or know the concept, characteristics and usefulness of a wax-up
o Know the different manufacturing techniques of internal structure of the fixed prosthesis: cast, cad-cam.
or know the different techniques to restore severely damaged teeth.
or know the concept of casting cores and prefabricated posts.
o Know the different parameters evaluated in the completion of the fixed prosthesis.
o Know the different types of cements and indications given in fixed prosthesis.
o Know the different types of adhesive fixed partial dentures can be made and their indications.
o Know the different systems performing fixed prosthesis in a computerized way.
o Know how you should carry out the repair of a ceramic fracture
or know the concept mixed prostheses.
o Know the different components of mixed prosthesis and indications
- 4.068 - Establish an indication of an indirect restoration
- 4.069 - Choose the right material for an indirect restoration
- 4.070 - Carve a cavity for indirect restorations inlay type
- 4.071 - Carve a cavity for an indirect restoration on lay
- 4.072 - Carve a cavity for indirect restoration overlay type
- 4.073 - Carve a cavity for an indirect restoration, crown type
- 4.074 - Make a temporary restoration for a cavity for indirect reconstruction
- 4.075 - Take records for an indirect restoration
- 4.077 - Prepare properly the internal surfaces of the restorations according to the type of material
- 4.078 - Prepare the tooth surfaces for receiving an indirect restoration
- 4.134 - Know the characteristics of each type of dental prostheses (complete prostheses, removable partial dentures, overdentures teeth fixed prosthesis, joint prosthesis, maxillofacial prosthesis, prosthetic and implant, prostheses sealing); as well as different designs of each one, the nomenclature of the elements that constitute it and the objectives to be achieved with their implementation.
- 4.135 - Know the indications and contraindications of each type of dental prosthesis
- 4.148 - Perform dental preparations necessary for making a fixed prosthesis tooth-supported (preparation margin, axial reduction and occlusal / incisal) and confer the specific characteristics for different types of fixed prosthesis: crowns of partial or total coating, veneers, inlays and adhesive prosthesis.
- 4.149 - Make fixed tooth supported provisional prosthesis
- 4.150 - Perform minor repairs of removable prosthesis and of prosthesis where ceramic use is needed.
- 4.151 - Perform the reconstruction of severely damaged teeth by prefabricated bolts or casted stumps.
- 4.152 - Perform the party mold technique.
- 4.153 - Take appropriate impressions for each of the types of dental prostheses; functional in removable partial prosthesis, in closed and open bucket, in implant prosthesis, and the associated techniques.
- 4.155 - Carry out various prosthesis tests and color that are made during the preparation of the different prostheses.
- 4.160 - Perform the appropriate requirements in the dental laboratory for each type of prosthesis.
Syllabus
Contents:
FIXED PROSTHESIS
THEME 1: Terminology in fixed prostheses
UNIT 1.1: DIAGNOSIS AND TREATMENT PLAN. BIOMECHANICS in fixed prostheses.
o What is the fixed prosthesis?
o What is a fixed partial denture, and what are its components?
o What are the indications and contraindications for fixed prosthesis?
UNIT 1.2: Biomechanical considerations in fixed prostheses
o What assessment is made of the abutment teeth?
o What are the characteristics of the abutment and retainer secondary to the primary?
o How intermediary pillars affect the performance of a fixed prosthesis?
o What are considerations in assessing the performance of pontics in catilever?
THEME 2: PRINCIPLES OF DENTAL PREPARATIONS
UNIT: 2.1: Principles of tooth preparation.
o fixed prosthesis is considered traumatic treatment?
o How does the parallelism in retention?
o What are considered the best teeth in fixed prostheses?
o What are the most common mistakes?
UNIT: 2.2: Margins fixed prosthesis.
o What are the indications of the different types of margins?
UNIT: 2.3: Partial crown preparation
o What are the different types of partial crowns that can be done?
o What are the indications of each type of partial crown?
THEME 3: PREPARATIONS FOR FULL CROWNS
UNIT: 3.1: Full metal crown preparation
o What is the sequence of reduction?
o How does the functional cusp bevel?
o How does the margin of the preparation?
or Why does the settlement groove?
UNIT 3.2: PREPARING FOR FULL METAL CROWN-RESIN AND METAL-CERAMICS.
o What is the sequence of incisal reduction?
o What is the process of labial reduction?
o What is the sequence of incisal reduction?
o What is the process of labial reduction?
o What is the sequence of reduction palate?
o How does the margin of the preparation?
THEME 4: PREPARATIONS FOR FULL CERAMIC CROWNS
UNIT: 4.1: PREPARATIONS FOR FULL CERAMIC CROWNS
o What is the sequence of incisal reduction?
o What is the process of labial reduction?
o What is the sequence of palatal reduction?
o How does the margin of the preparation?
o What is the process of occlusal reduction?
o What are the materials that allow us to make these types of restorations?
UNIT 5: VENEERS.
UNIT 5.1: PREPARATIONS FOR DENTAL VENEERS.
o What are the advantages that can provide veneers?
o What are the contraindications for veneers?
o What is the vestibular reduction procedure and what types of burs are available?
or Why is it important to mantain the point of contact?
THEME 6: INLAY-ONLAY:
UNIT 6.1: PREPARATIONS FOR CERAMICS AND NO CERAMIC INLAY-ONLAY.
o What is the classification of the inlays,onlays?
o What will be the restoration most appropriate for our patient?
o When would be more appropriate placing a post?
o What are the indications and contraindications of the inlays-onlays?
o What are the principles of its preparation and clinical sequence?
o Which materials can we use?
ITEM 7: TEMPORARY RESTORATIONS
UNIT 7.1. Temporary crown.
o What are the functions of the interim?
o What materials can be used to make temporary?
or What is the direct technique of making interim?
or What is the indirect fabrication of provisional?
o What can we use cement to cement temporary restorations?
UNIT 7.2: Temporary fixed partial denture.
o What are the functions of the provisional fixed partial denture?
o What materials can be used to make provisional fixed partial denture?
or What is the direct technique of making provisional fixed partial denture?
or What is the indirect fabrication of provisional partial dentures?
ITEM 8: IMNPRESIONES:
UNIT 8.1. IMPRESSIONS IN FIXED PROSTHESIS
o What are the materials for making impressions in fixed prostheses?
o What are the different techniques to make an impression?
o What are the indications of the different types of trays?
or What is the technique in two steps?
UNIT 8.2: RETRACTION SYSTEMS
o What are the considerations that we have in mind before making the retraction?
o Which retraction methods we have?
o What are the characteristics of retraction cord?
ITEM 9: PREPARATION OF CASTS
UNIT 9.1. PREPARATION OF CASTS.
How is empty or a model?
What systems of powered are available?
o What is the systematic powered?
UNIT 9.2. REMOVABLE ABUTMENT .
o What are the removable dies and what are they?
o how we can do removable dies?
o What systems are available for removable dies?
ITEM 10: PONTIC, CONNECTORS AND WELDING.
UNIT 10.1. Pontic DESIGNS AND CONNECTORS.
o How do you design a pontic and connector?
o What are the materials we can manufacture the pontics, and connectors?
o How can we get through the provisional pontics aesthetic?
UNIT 10.2. Welds in fixed prostheses.
o What types of welding have?
o When a weld is required?
or How do welds fixed prosthesis?
ITEM 11: AESTHETIC PRINCIPLES. MAKING COLOR.
UNIT 11.1. Esthetic principles in fixed prostheses.
o What parameters must know in order to achieve excellent aesthetics?
o Describe the key features that govern the various parameters.
UNIT 11.2. MAKING COLOR.
o How to get to get the color of the fixed prosthesis and that situations can alter the perception of color?
ITEM 12: CASTING WAX AND TECHNIQUES.
UNIT 12.1. WAXING.
o How is a laboratory waxing?
o How can we apply the wax to the clinic?
UNIT 12.2. CASTING.
o What are the basic steps of casting?
o Components involved in conventional casting?
ITEM 13: RECONSTRUCTION OF DESTROYED Teeth.
UNIT 13.1. Teeth RECONSTRUCTION OF DESTROYED.
o What we need to consider parameters to rebuild a heavily damaged tooth?
What systems or have to rebuild severely damaged teeth?
o When we use a prefabricated post and when a custom?
o What is a cast core?
UNIT 13.2. Abutment cast and prefabricated post
o When we use a prefabricated post?
o When should use a cast core?
o What prefabricated systems are available?
ITEM 14: CLINICAL TRIALS, AND CEMENT FINISH.
UNIT 14.1. CLINICAL TRIALS.
o What are clinical trials necessary for a fixed prosthesis?
o What we need to evaluate the test of metal?
o What we need to evaluate the test of ?
UNIT 14.2. FINISHING AND CEMENT.
o What should be done on the finish of the prosthesis?
o What types of cement are available?
o What steps we take to make cement?
ITEM 15. ADHESIVE fixed partial dentures (-bonding).
UNIT 15.1. ADHESIVE fixed partial dentures.
o What are adhesives bridges?
o When are they indicated?
o What type of preparation required?
ITEM 16: Fixed Prosthodontics computerized system.
UNIT 16.1. Computerized system fixed prosthesis.
o How is the operation of computer systems in fixed prosthodontics?
o To what cases can be applied computer systems?
o What needs to be followed to apply these systems?
ITEM 17: REPAIRS CERAMIC RESTORATIONS
UNIT 17.1. REPAIRS ceramic restorations.
o What repairs can be performed?
o What systems are available for repairs?
o How do the repairs?
MIXED PROSTHESIS
ITEM 18 :MIXED PROSTHESIS.
UNIT 18.1. Definitions and indicators of mixed prostheses.
o What do we mean by mixed prostheses?
o When the performance would be an indication of a mixed prosthetic ?
ITEM 19: MIXED PROSTHESIS
UNIT 19.1. I COMPONENT SYSTEMS MIXED PROSTHESIS
o What are the different components that make up the system of mixed prostheses?
o That attachments systems available today to make a mixed prostheses?
ITEM 20: MIXED PROSTHESIS.
UNIT 20.1. SEQUENCE AND MAINTENANCE IN MIXED PROSTHESIS.
o What clinical and laboratory phases protocol consists of the mixed prosthesis confection?
o What should we do in the maintenance phases of this type of prosthesis?
LABORATORY
1. Articulator models
2. Preparation of molars teeth by unitary full coverage crown.
3. Preparation of premolar teeth by unitary full coverage crown
4. Preparation incisive teeth for unitary full coverage crown
5. Preparation of canine teeth for unitary full coverage crown.
6. Fixed partial prosthesis preparation
7. Confection of provisional prosthetics with direct technique
8. Digital systems in fixed prosthesis on teeth (Dental Smile Design)
9. Preparation for overlays and veneers
10. Assessment of practical classes
- UNIT 1.1: DIAGNOSIS AND TREATMENT PLAN. BIOMECHANICS IN FIXED PROSTHESIS
- UNIT 1.2: Biomechanical considerations in fixed prostheses
- UNIT: 2.1: Principles of tooth preparation.
- UNIT: 2.2: Margins in fixed prosthesis
- UNIT: 2.3: PREPARATION OF PARTIAL CROWNS
- UNIT: 3.1: Full metal crown preparation
- UNIT 3.2: PREPARATION FOR FULL METAL CROWN-RESIN AND METAL-CERAMICS.
- UNIT: 4.1: PREPARATIONS FOR FULL CERAMIC CROWNS
- UNIT 5.1: DENTAL VENNERS PREPARATIONS
- UNITAT 6.1: PREPARACIONS PER A INCRUSTACIONS NO CERÀMICAS I CERÀMIQUES.
- UNIT 7.1:TEMPORARY CROWNS
- UNIT 7.2: FIXED PARTIAL TEMPORARY PROSTHESES
- FIXED PROSTHESES IMPRESSIONS
- RETRACTION TECHNICHES
- MODELS PREPARATIONS
- RETIRABLES ABUTMENTS
- PONTIC AND CONECTOR DESING
- WELDINGS IN FIXED PROSTHESES
- Article: Kimmich 2013. Intraoral treatment of veneering porcelain chipping of fixed dental restorations
- Blum. 2011. Defective dental restorations. To repair or not to repair. Part 2 All ceramics and porcelain fused to metal systems
- DEFINITION AND INDICATIONS OF MIXED PROSTHESIS
Teaching and learning activities
In person
Lectures, preclinical practices and clinical practice.
Evaluation systems and criteria
In person
THEORY TEST:
Consist of fifty short questions, multiple choice. Each correct response is evaluated with 1 point. To pass the test you must obtain a minimum score of 25 points.
PRE-CLINIC PRACTICES: 25%
Will be evaluated each of their practices in response to the acquisition and application of knowledge, skills and attitudes (including timeliness). Attendance at practices is mandatory.
At the end of practice will be a practical assessment.
CLINICAL PRACTICE: 15%
Will be evaluated each of their practices in response to the acquisition and application of knowledge, skills and attitudes (including timeliness). Attendance at practices is mandatory.
At the end of practice will be a practical assessment.
The evaluation will be according to the following percentages:
- Theory test ............................................... ...... 60%
- Practices ................................................ ............. 40%
To pass the course must pass the theory, practice and written work separately. Once passed, the percentages were applied individually referred.
The possibility of an oral examination in cases of particular hardship student, upon acceptance of the situation by the teacher and academic secretariat was contemplated.
Bibliography and resources
. Clovis Pagani. Tooth Preparations. Quintessence Publishing.
. Cadafalch E., Cadafalch J. “Manual clínico de prótesis fija” Harcourt Brace.
. Shillingburg, Jacobi, Brackett. “ Principios básicos en las preparaciones dentarias para restauraciones de metal colado y de ceràmica” Quintessence Books.
. Shillingburg H., Hobo S. “Fundamentos de prótesis fija” Quintessence books.
. MaloneW., Koth D. “Tylman´s. Teoria y pràctica en prostodoncia fija” Actualidades medico odontológicas latinoamerica
. Lang N., Guldener B. “Atlas de prótesis de coronas y puentes” Masson-Salvat Odontología
. Gross, M,: “La Oclusión en odontología restauradora. Técnica y teoría.” Editoral Labor S.A.
. Okeson, J. “Oclusión y afecciones temporomandibulares”. Mosby/Doyma Libros
. Mallat E., Mallat E. “Fundamentos de la estética bucal en el grupo anterior” Quintessence Books
. Mallat E. “Prótesis fija estética. Un enfoque clínico e interdisciplinario” Elsevier
. Chiche G., Pinault A. “ Prótesis fija estética en dientes anteriores” Editorial Masson
. Magne P., Belser U. “Restauraciones de porcelana adherida en los dientes aneriores” Quintessence Books
. Fradeani M. “Rehabilitación estética en prótesis fija- Anàlisis estético- Volumen 1. Quintessence Books
Garber David A.. Quintessence books Porcelain & composit inlays & onlays. Esthetic posterior restaurations.
Dietschi Didier Ed. Masson Restauraciones adhesivas no metalicas. Conceptos actuales para el tratamiento estetico de los dientes posteriores.
Coro LM, Ziebert GJ: “Accuracy and comparative stability of three removable die systems”. J. Prosthet. Dent.
Richardson DW, Sánchez RA. “ Positional accuracy of four die tray systems”: J. Prosthet. Dent.
Fischer H, Weber M, Marx R. “ Lifetime prediction of all-ceramic bridge by computational methods”. J. Dent. Res
Isaac L, Shety P. “ Finite element análisis of the three unit fixed parcial denture cast with nickel-chromium alloy”. Indian J. Dent. Rest.
Pospiech P, Rammelsberg P. “All-ceramic resin-bonded bridge. A 3-dimensional finite element análisis study”. Eur. J. Oral sci.
.
Alonso, AA; Albertini, JS; Bechelli, AH. Oclusión y diagnóstico en rehabilitación oral. Buenos Aires.1999. Editorial Médica Panamericana.
Borel JC. Schittly J. Manual de prótesis parcial removible. Masson 1985
Kratochvil. Parcial removable prosthodontics. De. Saunders. en castellano versión anterior Interamericana, 1989
Mallat, E. Prótesis parcial removible. Clínica y laboratorio
Mccracken. Prótesis parcial removible. De. Panamericana.
Stewart. Clinical removible partial prostodontics. E. Mosby
Glossary of Prosthodontic terms. Mosby. Ultima edición
Niell Marc. Science and practice de l¦occlusion. Quintessence
Evaluation period
- E1 11/05/2022 A21 12:00h
- E1 11/05/2022 A02 12:00h
- E1 11/05/2022 A16 12:00h
- R1 01/06/2022 A02 09:00h
- E2 22/06/2022 A16 12:30h
- R2 06/07/2022 A16 10:00h