Universitat Internacional de Catalunya

Prosthodontics 3

Prosthodontics 3
6
10007
4
First semester
OB
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff


Dr. COSTA PALAU, Santiago - scosta@uic.es

Wednesday at 17 pm by appointment

Introduction

Dental prosthesis or Prosthodontics is that part of Dentistry that deals with the modification of pathological natural teeth and the restitution of lost teeth, as well as the prevention of future pathologies. This subject will include the study of the different systems of dental prostheses and different techniques to functionally rehabilitate the masticatory system of patients.

Pre-course requirements

Oral and dental anatomy. Knowledge of the pathophysiology of partially or fully edentulous patients

Objectives

The aim of this course is to make students acquire the basic knowledge and skills in relation to the manufacture of prostheses  knowledge of the components of the joint prosthesis, the use of maxillofacial prosthesis and implant and adaptive control that patients should make for the proper use of these types of prosthetic stomatology and maintenance

Also basic knowledge of sports dentistry and digital dentistry will be given

Competences/Learning outcomes of the degree programme

  • 23 - Establishing a diagnosis, prognosis and suitable treatment planning for all the different clinical areas of Dentistry, being competent in terms of the diagnosis, prognosis and writing up the dental care plan for patients who require special care, including medically compromised patients (such as diabetics, those with hypertension, a depressed immune system or are anticoagulated, etc) and patients with disabilities.
  • 26 - Knowing how to plan and undertake multidisciplinary, sequential and comprehensive dental treatment of limited complexity for patients of all ages and conditions and for patients who require special care.
  • 42 - Handling, distinguishing and selecting the tools and materials that are suitable for dentistry
  • 54 - Knowing the role of the dentist within the healthcare professions and working with other healthcare professionals and other members of the dentistry team
  • 64 - Undertaking basic oral and dental pathology treatments for patients of all ages. The treatment procedures should be minimally invasive and based on a comprehensive and integrated approach to oral and dental treatment
  • 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

  • An understanding of what rehabilitation is. 
  • An understanding of the generic steps of rehabilitation. 
  • Establishment of a treatment plan. 
  • An understanding of the aesthetic parameters of the masticatory system. 
  • An understanding of how to assess the aesthetic parameters. 
  • An understanding of the means for achieving an aesthetic outcome.
  • An understanding of the rehabilitation steps with a complete prosthesis in different clinical cases: from the general to a specific case. 
  • An understanding of the rehabilitation steps with a partial prosthesis in different clinical cases: from the general to a specific case. 
  • Definition of the maxillofacial patient as a multidisciplinary patient.
  • Assessment of the maxillofacial patient as orally handicapped.
  • Assessment of the extraoral changes occurring in the maxillofacial patient.
  • Assessment of the intraoral changes occurring in the maxillofacial patient.
  • Identification of the anatomy of the oral cavity.
  • Identification of the anatomy of the nasal cavity.
  • Identification of the anatomy of the pharynx.
  • Identification of the components of a filling prosthesis.
  • Classification of the filling prostheses.
  • Definition of the different maxillofacial prostheses.
  • Description of the alterations of the bone anatomy and of the soft tissues.
  • Assessment of the causes for the loss of the maxillofacial anatomy.
  • Identification of changes caused by tissue loss.
  • An understanding of the need for restoring an anatomical loss.
  • Definition of the oral cancer population.
  • Assessment of most frequent localisations in the oral cavity.
  • Identification of the treatments carried out for oral cancer.
  • Definition of oral brachytherapy.
  • An understanding of the complications entailed by oral brachytherapy.
  • An understanding of the main complication of oral brachytherapy: osteo-radionecrosis.
  • An understanding of the importance of osteo-radionecrosis prophylaxis.
  • Assessment of the need for using protective prostheses during radiotherapy.
  • Knowledge of the use of protective prostheses for reducing the complications of radiotherapy.
  • Classification of the materials used for protective prostheses.
  • Knowledge of the most appropriate filling pattern for the different types of mixed and maxillofacial prosthesis.
  • Knowledge of how to achieve the most appropriate filling pattern for the different types of mixed and maxillofacial prosthesis.
  • Knowledge of the CAD CAM terminology.
  • Knowledge of the different types of prostheses to be prepared.
  • Knowledge of how to carry out patient anamnesis and screening.
  • An understanding of the usefulness of study models.
  • Knowledge and justification of the most widely used additional tests.
  • Knowledge of the extraoral aesthetic parameters.
  • Knowledge of the intraoral aesthetic parameters.
  • Assessment of the current state in order to make a prognosis and design a treatment plan.
  • Knowledge of absolute and relative indications and contraindications.
  • An understanding of the importance of a correct diagnosis and its applications.
  • 4.013 - Perform limited occlusal adjustments under supervision
  • 4.015 - Identify the anatomic and dental structures in panoramic radiographs, periapical and bitewing
  • 4.026 - Perform both medical and surgical treatment of common diseases of the oral soft tissues
  • 4.028 - Diagnose, plan and carry out a surgical treatment of limited complexity in patients of all ages and conditions
  • 4.030 - Know how to derive, when necessary, to other professionals or centers, complex treatments or medically compromised patients.
  • 4.068 - Establish an indication of an indirect restoration
  • 4.069 - Choose the right material for an indirect restoration
  • 4.076 - Communicate with the laboratory to indicate the guidelines for the preparation of a restoration
  • 4.103 - Reconstruct with direct materials an endodontic tooth
  • 4.104 - Reconstruct with an indirect technique, an endodontic tooth
  • 4.108 - Consult with the necessary specialists for a comprehensive treatment
  • 4.110 - Know the function of the stomatognathic system and especially of the occlusion
  • 4.111 - Know the basic principles of the ideal occlusion
  • 4.117 - Know how to make a proper patient history
  • 4.118 - Know how to make a proper oral and practical examination of the patient
  • 4.119 - Know how to make a correct facial examination of the patient
  • 4.120 - Have the ability to diagnose the patient facial typology
  • 4.121 - Know how to make a correct analysis of study models
  • 4.122 - Know how to make a correct analysis of the plaster models
  • 4.123 - Recognize normal and pathological anatomical structures in a panoramic, periapical and occlusal radiography
  • 4.126 - Know how to make a list of diagnostic problems and structure it properly
  • 4.132 - Know the general principles of interdisciplinary treatment in adults
  • 4.133 - Acquire the discipline to focus interdisciplinary treatments
  • 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
  • 4.136 - - Assess the patient candidate for a dental prosthesis by performing a medical history, a study of models and complementary explorations that correspond in each specific case; and from this information identify the patient's aesthetic and functional demands and establish a diagnosis, prognosis and develop a treatment plan
  • 4.137 - Identify patients requiring a multidisciplinary treatment to achieve therapeutic goals, and be able to work on the treatment.
  • 4.138 - Determine the different biological parameters necessaries to perform an oral rehabilitation
  • 4.140 - Apply the biomechanical concepts that govern each type of dental prosthesis.
  • 4.141 - Get the right occlusive fit for each patient and each type of dental prosthesis.
  • 4.142 - Apply, when indicated, the technique of selective grinding in the patient
  • 4.145 - Determine in the edentulous patient or partially edentulous, the biological parameters that characterize artificial teeth and locate the in the space. In the case of complete and partial denture, will also be able to determine the parameters that characterize the base of the prosthesis.
  • 4.147 - Perform dental preparations necessary for making a removable partial prosthesis and an overdenture.
  • 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.
  • 4.152 - 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.
  • 4.154 - Make the right cemented of the fixed prosthesis.
  • 4.155 - Carry out various prosthesis tests and color that are made during the preparation of the different prostheses.
  • 4.156 - Know the different materials used to make dental prosthesis and be able to indicate the most appropriate for each case.
  • 4.157 - Inform the patient on the most appropriate maintenance measures for each type of dental prosthesis.
  • 4.158 - Carry out the appropriate controls for each type of prosthesis in order to detect and prevent the most frequent complications.
  • 4.159 - Assess the need for adjustment of removable prosthesis,
  • 4.160 - Perform the appropriate requirements in the dental laboratory for each type of prosthesis.
  • -

Syllabus


REHABILITATION IN PROSTHESIS


TOPIC 1: MAXILLOFACIAL PROSTHESIS

Unit 1.1: Patient Evaluation Characteristics in Maxillofacial

  • What professionals care for maxillofacial patients?
  • What type of maxillofacial prosthesis will we study?

Unit 1.2: Obturator prosthesis

  • How do we classify an obturator prosthesis?
  • What functions do obturator prostheses have?
  • What material is used to construct an obturator prosthesis?
  • What characteristics should an obturator prosthesis have?
  • What designs and retentions are used for obturator prostheses?
  • How an obturator prosthesis is made

TOPIC 2: Maxillofacial prosthesis

  • What types of maxillofacial prostheses exist?
  • How are maxillofacial prostheses retained?
  • What causes have led to the loss of facial anatomy?
  • What are the basic concepts of the manufacture of a maxillofacial prosthesis?


TOPIC 3 Radiotherapy PROTECTIVE PROSTHESIS

Unit 3.1: Introduction to Radiotherapy PROTECTIVE PROSTHESIS

  • What are the different percentages of cancer within the oral cavity?
  • What are the treatments for oral cancer?
  • What is oral brachytherapy?
  • What are the complications of brachytherapy?
  • Why does Osteoradionecrosis occur?
  • What is the prevention of Osteoradionecrosis?
  • What should a protective prosthesis be like and what characteristics should it have?
  • How does radiation decrease in tissues depending on the protective prosthesis?
  • What materials are used to make a protective prosthesis?


TOPIC 4: SPORTS DENTISTRY

  • Figure of the sports dentist
  • Barodontology
  • Dental traumatology and mouth guards

TOPIC 5: REMOVABLE PROSTHESIS

  • Components of the removable prosthesis
  • Type of removable prosthesis
  • Removable prosthesis design

TOPIC 6: MIXED PROSTHESIS


TOPIC 7: FIXED PROSTHESIS AND MATERIALS

Unit 7.1: Planning in fixed prosthesis

  • What is rehabilitation?
  • What are the steps in rehabilitation?
  • How is a treatment plan established?

Unit 7.2: Aesthetic analysis in rehabilitation

  • Aesthetic parameters of the masticatory system?
  • How are aesthetic parameters evaluated?

Unit 7.3: Fixed rehabilitation and materials

  • Factors to consider when planning a rehabilitation
  • Choice of materials in a fixed rehabilitation

TOPIC 8: ADHESIVE REHABILITATION

Unit 8.1 Diagnosis and classification of dental wear

Unit 8.2 Planning an adhesive rehabilitation-Ferrule

Unit 8.3 Materials in adhesive prosthesis

Unit 8.4 Adhesive technique


TOPIC 9: OCCLUSION

Unit 9.1: Occlusive considerations in prostheses

  • What is the most appropriate occlusive pattern for the different types of prostheses that serve different designs?
  • How to achieve the most appropriate occlusive pattern for prostheses based on different designs

TOPIC 10: BOPT

TOPIC 11: DIGITAL FLOW IN PROSTHESIS

Teaching and learning activities

In person



Lectures, seminars and clinical practices (CUO)

Evaluation systems and criteria

In person



THEORETICAL EXAMINATION:

The theoretical examination shall consist of 50 multiple choice . Each answer will be assessed according to the following scale: 0, , 1. To pass the exam, a minimum mark of 25 points will be required.

CLINICAL PRACTICAL SESSIONS ( the grade depends to the CUO )

Each practical session will be assessed according to the acquisition and application of knowledge, skills and attitude (including timeliness). Attendance of practical sessions is mandatory.

At the end of the practical sessions, there will be a practical examination. 

Evaluation will be in accordance with the following percentages:

- Theoretical examination........................................................ 60%

- Practical sessions ................................................ 40%

Possibility of an oral examination in cases of particular hardship of the student, upon acceptance of the situation by the teacher and academic secretary

Bibliography and resources

Trigo JC. Prosthetics Restorative Surgery, Barcelona 1973 Toray
Branemark, Cranio-Facial Prostheses, Berlin, 1997, Quintessence
Morris A., The general practice specialties, Barcelona, 1987, Labor.
Branemark / Zarb / Alberktsson, prosthesis direction integrated in dentistry osseointegration Clínica.Berlin, Quintessence, 1987
Besimo, Chistian, Removable partial dentures on osseointegrated implants, quintessence publishing, 1998
Misch, P. Contemporary Implantology. Madrid 1994, Mosby-Doyma
Shillingburg H., Fundamentals of fixed prosthesis essential. Barcelona: Editorial quintessence, SL 2000
Spiekermann, H. Atlas of Implantology, Barcelona, 1995, Masson, SA

FLUJO DE TRABAJO DIGITAL EN PRÓTESIS DENTAL Y ODONTOLOGÍA: Sistemas CAD/CAM y Materiales Dentales.Ediciones Especializadas Europeas,S.L., 2016

Las claves de la prótesis fija en cerámica.Ernest Mallat Lisermen editorial. 2017

Protocolo clínico protésico de la tecnica BOPT . Ruben Agustin y Cesar Chust . Ediciones especializadas Europeas. 2017

Maxillofacial Rehabilitation . Beumer . Quintessence books 

Evaluation period

E: exam date | R: revision date | 1: first session | 2: second session:
  • E1 20/12/2023 A15 10:15h
  • E1 20/12/2023 A01 10:15h
  • E1 20/12/2023 A03 10:15h
  • R1 24/01/2024 A03 13:00h
  • E2 12/06/2024 A03 08:00h
Print version