Study programme and subjects 2019-2020
|Subjects in course||Type||Term||ECTS|
|Anatomical Dissection Practicum||OB||Anual||1,00|
|Conscious Sedation + Basic Support for AEDs (Crossdisciplinary)||OB||Anual||1,00|
|Surgical Techniques Clinical Practise||OB||Anual||15,00|
|Surgical Techniques Theoretical Session||OB||Anual||8,00|
- ECTS: European Credit Transfer System
- Term: calendar term
- Introduction to the topographic and surgical anatomy of the oral cavity. The most important anatomical structures will be reviewed in relation to the upper jaw and mandible, as well as their muscle-tendinous, vascular, nervous and related glandular structures.
- On a practical level, an approach to the upper jaw will be performed to perform the most common techniques in oral, dentoalveolar and preprosthetic surgery, such as the approach to the maxillary sinus and the floor of the nasal fossa, as well as the dissection of the adipose ball. of Bichat.
- Likewise, an intraoral approach to the jaw will be performed, identifying the structures of the mental nerve, inferior alveolar nerve and lingual nerve. A dissection of the floor of the mouth, and the glandular structures of the sublingual gland and Warthon's duct will be performed, identifying the lingual nerve.
- María Luisa Augé
- Ramón Sieira
- Carlos Pogliafito
- Marc Alguero
- Albert Perez Bellmunt
- Rodrigo José Pallas Albiac
Module I: Basic Principles of surgical techniques in the oral cavity
Case history and clinical examination
- CUO case history.
- Physical and maxillofacial examination.
- Diagnostic imaging and other complementary examinations.
- Surgical equipment, instruments and materials.
- Sterilisation and asepsis.
- CUO guidelines.
- Ergonomics in surgery.
- The operative field.
- Local anaesthetics.
- Locoregional anaesthetic techniques: handling anaesthetic instruments and materials.
Incisions and sutures (knots and stitches)
- Surgical technique: types of incision and suture and ligation techniques.
Module II: Exodontias
- Indications and contraindications.
- Exodontia instruments.
- Guidelines and prior procedures.
- Exodontia times.
- Extraction of permanent teeth from the upper and lower jaws.
- Use of elevators and forceps.
- Extraction of temporary teeth.
- Surgical extraction: root remnants, complex exodontias, odontosection.
- Multiple exodontias.
- Tooth extraction in the ectopic position.
- Alveoloplasty and remodelling of the alveolar process.
Complications of exodontia
- Immediate complications: dental, bone-related, soft tissue, nerve tissue.
- Mediate complications.
Module III: Dental Inclusions
- Concept of the included and impacted tooth. Causes.
- Therapeutic options.
Included wisdom teeth
- Clinical manifestations.
- Clinical and radiological diagnosis.
- Treatment: upper and lower wisdom teeth.
- Post-operative complications.
- Clinical signs of included canines.
- Clinical/radiological study.
- Surgical treatment.
- Other included teeth: clinical signs, diagnosis and treatment.
- Supernumerary teeth.
- Included temporary teeth.
Surgical/orthodontic treatment of retained teeth
- Treatment alternatives.
- Canal alveolectomy.
- Tooth transplant.
Module IV: Pre-prosthetic surgery
- Evaluating the patient.
- Labial and lingual frenula.
- Banded scar tissue.
- Vestibular and maxillary tuberosity hyperplasias.
Bone tissue techniques
- Exodontia and alveoloplasty.
- Acute protuberances and crests.
- Palatine and mandibulary torus.
- Augmentation plasties (free bone grafts).
- Post-exodontia or cystectomy filling techniques.
Module V: Odontogenic Infections
Concept and aetiopathogeny
- Periodontitis, cellulitis and abscess.
- Cervicofacial anatomical spaces.
- Clinical stages of infection.
- Circumscribed infection, disseminated infection.
- Medical treatment.
- Surgical treatment (debridement).
- Clinical signs.
- Diagnosis and treatment.
- Treatment of accidental perforation.
Module VI: Periapical Disease
- Periapical lesions.
- Aetiopathogeny, clinical signs and diagnosis. Indications and limitations. Contraindications.
- Technique. Retrograde filling.
- Postoperative care.
Module VII: Cystic Disease
- Classification: odontogenic and non-odontogenic cysts and pseudocysts.
Diagnosis and treatment
- Diagnostic methods.
- Dental and surgical treatment.
- Complications and relapse.
Module VIII: Tumoral Disease
- Classification: odontogenic and non-odontogenic tumours. Soft-tissue hyperplasias and benign tumours.
- Pre-malignant lesions of the oral cavity.
Diagnosis and treatment
- Biopsy. Concept.
- Types according to time: Pre-operative, peri-operative and post-operative.
- Types according to technique: Incisional, excisional, punch and FNAP (fine needle aspiration
- Therapeutic options. Surgical treatment. Reconstruction. Complications.
- Introduction to CT indications and interpretation.
- Post-surgical emergencies.
- Traumatological dental emergencies.
- Crown lengthening.
- Special patients.
- Intraoral bone grafts.
During these sessions, students will attend patients from the Clínica Universitaria Odontológica under the supervision of the responsible lecturers, performing the most appropriate diagnostic and therapeutic procedures depending on the diseases presented.
These practical sessions have a purely teaching rather than medical/dental care basis, and their main aim is to help students acquire basic theoretical/practical expertise in the surgical techniques applied to the oral cavity without affecting the quality of patient care provided by the Clínica Universitaria Odontológica.
- Dra. Mª Luisa Augé
- Dr. Carlos Pogliafito
- Dr. Ramón Sieira,
- Dr. Marc Algueró
The clinical residency is based around theoretical classes, seminars and case methods and clinical practicals as a working methodology that allows students to become competent in the objectives established for this course.
- Continuous assessment by teaching staff of the theoretical understanding and clinical practicals undertaken by students.
- Attendance and presentation of work at selected scientific events.
- Evaluation of the reading of scientific books and articles presented by students.
- Evaluation of students' activity in the dental clinic.
- Evaluation of the clinical cases managed by students, prior presentation and completion of the clinical case.