Universitat Internacional de Catalunya

Clinical Oral Implantology

Clinical Oral Implantology
4
12252
2
Annual
OB
Main language of instruction: English

Other languages of instruction: Catalan, Spanish,

Teaching staff


Dra. Àngels Pujol Garcia (angels@santvidental.com

Dra. Kyrenia Medina Machuca (kyrenia@gmail.com)

Pre-course requirements

DDS in dentistry and students of Master en Periodoncia (UIC)

Knowledge of English language.

Competencies

Majo Competence:

Being competent to cross the fundamentals of Oral Implantology.

Be able to demonstrate knowledge and understanding of the basics of oral implantology as diagnosis, prognosis and different stages of oral implant treatment.

responsibilities:

Students should be able to:

Determining the evolution over the years about the use of dental implants.
Learn basic terminology, met the criteria for success and failure of a dental implant.
Oseointegration describe the stages of healing and bone around dental implants
Set all the structures surrounding the dental implant macroscopically and microscopically.
Described species of microbes that exist around the implants and compared with human teeth.
Learn different implant systems, surface treatment and different implant designs and their relationship to biomechanics.

Learning outcomes

There will be three exams during the academic year for students to develop questions or multiple choice. The note is approved by at least 7 out of 10. If not pass the exam the student has a period of one week to appear again. If the student does not approve the second call, it will be suspended from clinical activity in CUO to pass the exam.

Syllabus

1)    Anatomy and characteristics of maxillary bones: features, physiologic and biomechanical differences between maxilla and mandible

  1. Classification
  2. Anatomy, physiology, bone healing
  3. Biomechanics of the bone (how to stimulate bone regeneration)

 

2)    Gingival tissues: the architecture of the periodontal barriers. Tooth morphology and the periodontum surrounding it to understand the limitations when being substituted by an implant

  1. Clinical description
  2. Gingival tissue
  3. Supragingival apparatus (collagen fibers)

                                              i.     Blood supply

                                            ii.     Sulcus

                                          iii.     Long junctional epithelium

                                            iv.     Connective tissue and the inflammatory response

       d.  Periodontal ligament and biomechanical function

       e.   Alveolar bone

 

3)    Tooth extraction I: anesthesia techniques

  1. Anatomy of V cranial nerve: ophthalmic nerve, maxillary nerve, mandibular nerve
  2. Local anesthesia: introduction

                                              i.     Types: amino esters and amino amides

                                            ii.     Vasoconstrictor

                                          iii.     Pharmacologic interactions

                                            iv.     Metabolism and excretion

                                              v.     Applying local anesthesia

  1. Instruments
  2. Pre-anesthesia
  3. Topical anesthesia
  4. Infiltration
  5. Block
  6. Complications
  7. Conventional and atraumatic techniques I: biologic, anatomic and esthetic consequences

                                              i.     Remodeling post-extractions: anterior and posterior sector

                                            ii.     Technique for atraumatic extraction

4)    Tooth extraction II: when to extract

  1. Conventional and atraumatic techniques II
  2. Bone formation and remodeling, differences between anterior and posterior sector

5)    Ridge preservation I

  1. Soft tissues, use or not of sutures, second intention healing
  2. Xeno-allografts

6)    Ridge preservation II

  1. Bone grafting: osteoinduction, osteogenesis, osteoconduction

7)    Grafts:

  1. Autogenous bone grafts

                                              i.     Endochondral and mesenchymal grafts

                                            ii.     Donor sites:

  1. Intraoral: chin, ramus, tuberosity,
  2. Extraoral: iliac crest, tibia, calvarian
  3. Heterogeneours bone grafts

                                              i.     Iliac cadaver

                                            ii.     DFDBA

                                          iii.     Xeno-allografts

                                            iv.     Bovines derived    

                                              v.     Calcium phosphate

  1. alloplastic grafts

                                              i.     Polymers

                                            ii.     Bioceramics

                                          iii.     Calcium triphosphate

                                            iv.     Hydroxyapatite

                                              v.     Bioactive crystals

8)    Membranes: introduction

  1. Non resorbable
  2. Resorbable
  3. Use in horizontal and vertical defects

9)    Growth factors:

  1. PRP: obtaining and physiology
  2. PDFG
  3. PRF
  4. BMP
  5. Mechanism of action
  6. Carries
  7. Clinical uses: vertical augmentation, periimplantitis, functional load, sinus grafting

10)  Types of implants I: implant characteristics, their influence on surgical protocol and indications

  1. Implant parts
  2. Implant design: straight, tapered
  3. Classification: one piece, two piece, platform switch

11)  Types of implant II: platform switching, biologic width, consequences in BIC

12)  Types of implants III: surfaces

  1. Macrostructure
  2. Microstructure
  3. Chemical treatment

13)  Pre-operative study: implant guided by prostheses

  1. Diagnostic wax up
  2. Radiological and surgical guide

14)   Pre-operative study II:

  1. Digital x-ray
  2. Guided surgery

15)  Implant surgery I

  1. Seven essentials
  2. Surgery preparation

                                              i.     Patient dressing and position

                                            ii.     Surgeon and auxiliary personnel position

                                          iii.     Instruments

16)  Implant surgery II: flap design

  1. Maxilla and mandible totally edentulous patients
  2. Partially edentulous patients
  3. Esthetic flap design, design for single implants
  4. Punch technique

17)  Implant surgery III: drilling sequence, basic technique and possible   modifications. Second stage

  1. Drilling and irrigation for tapered and parallel wall implants
  2. Insertion torque
  3. Position of interphase
  4. Placement in two times,. Branemark Protocol

18)  Second Stage

  1. Wound healing. First and second intention healing
  2.  Techniques

19)  Periimplant tissues I: soft and hard tissue physiology from implant placement to functional loading

  1. osseointegration: pre-requisites, 
  2. primary stability, phases: fibroreticular bone and lamellar bone subjected to loading. Bone modeling and remodeling. Histology of osseointegration cortical and spongy bone. Curve of osseointegration

20)  Periimplant tissues II: biologic width, soft tissue architecture, the interphase, biologic dimensions, purpose of soft tissue

  1. Disruption of tissues and bone remodeling after abutment retrieval and functional load
  2. Maintenance and periimplantitis

21)  Atraumatic second stage: gingival remodeling technique

22) Immediate vs delayed loading: benefits for soft and hard tissue

23) Prosthesis I

  1. Materials
  2. Impression taking
  3. Metal casting

24)  Prosthesis II: fixed implant prosthesis

  1. Types: screw retained, cement retained
  2. Maintenance

                                              i.     Instruments, techniques

                                            ii.     Prosthesis retrieval,

                                          iii.     Timing, recall system

25)  Prosthesis III: single unit prosthesis

  1. Cemented

                                              i.     Abutments: ucla, completely castable, prefabricated, temporary

                                            ii.     Gold, base metal,

                                          iii.     Importance of fit and cement space

                                            iv.     Complications when cementing very scalloped tissues, hot to remove cement

  1. Cement complications and its effect on soft tissues
  2. Cement implant failures
  3. Screw retained

                                              i.     Screw loosening, soft tissue effects

                                            ii.     Types of screw: gold, titanium…

                                          iii.     Screw torque and final insertion

26)  Prosthesis IV: Screw retained vs. cement retained prosthesis

  1. Indications and contraindications for each
  2. Considerations:

                                              i.     Esthetics

                                            ii.     Make of implant, connection

                                          iii.     Occlusion, vertical dimension

                                            iv.     Implant position

27)  Prosthesis V: Overdentures

  1. Number of implants
  2. Implant supported, implant retained,
  3. Abutment: locators, bars,
  4. Interaction of different abutments and denture types on soft tissue
  5. Maintenance

28)  Prosthesis VI: biomechanics of implant supported oral prosthesis. Difference in biomechanics of tooth and implant

  1. Periodontal ligament
  2. Cross arch stabilization
  3. Cantilevers
  4. Crown root ration vs. osseointegrated implant- crown ratio
  5. Splinting implants and teeth
  6. Occlusion

29) Prosthesis VII: Cad-Cam

  1. In clinic or in lab, impression taking
  2. Zirconia, titanium frameworks
  3. Fit vs traditional approach
  4. Abutment selection and prosthesis design

30)  Prosthesis IX: immediate loading

  1. Indications, contraindications
  2. Surgical technique, placement related to adjacent soft tissue
  3. Type of implant: tapered or not, surface morphology,
  4. temporarization

31)  Oclusion I: Anatomy. Occlusal Factors. Mandibular movements. Mandibular position. Occlusal adjustment

32)  Oclusion II: Bruxism. Occlusal sleeping device, Types, Occlusal adjustment

33)  Sinus graft: Indications

  1. Anatomy
  2. Techniques and biomaterials
  3. Complications

34)  Pterigoideal Implants

  1. Anatomy
  2. Indications
  3. Technique
  4. Complications

Teaching and learning activities

In person



For students in second Periodontics  the seminar will be taught by Dr. Angela Pujol and Dr. Kyrenia Medina, Department of Periodontology and the official language is Spanish and English.

For students of the third year the seminar consist of the presentation of clinical cases by students with documented diagnosis, prognosis and treatment plan with different treatment options depending on the analyzed literature last year. Will discuss the various treatment options based on the scientific literature.