Universitat Internacional de Catalunya

Clinical Updates II

Clinical Updates II
4
15342
2
Annual
OB
Main language of instruction: English

Other languages of instruction: Catalan, Spanish

Teaching staff


Dra. RUIZ MAGAZ, Vanessa - vanessaruiz@uic.es

vanessaruiz@uic.es

 

Student support will be provided through in-person tutorials arranged in advance with the teaching staff. Support may also be provided via institutional email and the channels available on the university’s virtual learning platform.

Tutorials will be intended to address questions related to the course content, the planning and presentation of clinical cases, therapeutic decision-making, and the monitoring of students’ clinical performance.

Introduction

The aim of the Clinical Update II course is to update, integrate, and apply the knowledge acquired by students throughout the Master’s Degree in Periodontology and Implant Dentistry through the analysis, planning, and treatment of clinical cases.

The course covers the different phases of periodontal treatment in a sequential manner, from the initial patient assessment and the control of systemic and local risk factors to the periodontal maintenance phase. Particular attention is paid to patient motivation, oral hygiene instructions, non-surgical periodontal treatment, reevaluation, surgical treatment, and coordination with restorative and implant procedures.

The discussion of clinical cases enables students to integrate the available scientific evidence with clinical experience and the individual characteristics of each patient. Furthermore, supervised clinical treatment allows students to progressively develop autonomy, decision-making skills, and advanced clinical competencies.

Pre-course requirements

To undertake this course, students must:

  • Have acquired the theoretical knowledge and clinical competencies corresponding to the previous years of the Master’s programme.
  • Understand the fundamentals of the aetiology, diagnosis, classification, and prognosis of periodontal and peri-implant diseases.
  • Be able to complete a comprehensive medical and dental history and perform a systematic periodontal examination.
  • Understand the principles of basic, surgical, and maintenance periodontal treatment.
  • Have sufficient knowledge to interpret diagnostic tests, periodontal records, and radiographic examinations.
  • Understand the principles of evidence-based clinical practice.

Objectives

  • Update knowledge of the different phases of periodontal treatment.
  • Integrate clinical, periodontal, radiographic, and systemic information to establish an appropriate diagnosis and prognosis.
  • Design individualised, appropriately sequenced periodontal treatment plans based on scientific evidence.
  • Develop a deeper understanding of strategies for patient motivation, health education, and plaque control.
  • Identify and control local and systemic risk factors associated with periodontal and peri-implant diseases.
  • Correctly apply the different phases of non-surgical and surgical periodontal treatment.
  • Integrate periodontal treatment with restorative, prosthodontic, and implant procedures.
  • Establish individualised periodontal and peri-implant maintenance programmes.
  • Develop clinical reasoning, critical-thinking, and decision-making skills when managing complex cases.
  • Promote ethical, safe, interdisciplinary, and patient-centred clinical care.

Competences/Learning outcomes of the degree programme

  • CN02 - Identify in a detailed and informed way the theoretical and practical aspects of the methodology and work of all fields of study of periodontal and peri-implant diseases: etiology, pathogenesis, diagnosis, classification and treatment.
  • HB12 - Evaluate data with a critical vision to present in depth a protocol in the field of periodontics.

Syllabus

1. Initial assessment and treatment planning
  • Medical and dental history.
  • Periodontal and peri-implant examination.
  • Assessment of systemic, environmental, and behavioural risk factors.
  • Interpretation of clinical, periodontal, and radiographic records.
  • Diagnosis and classification of periodontal and peri-implant diseases.
  • Determination of prognosis.
  • Establishment of treatment objectives and treatment plan sequence.
2. Systemic management and risk factors
  • Relationship between periodontal health and general health.
  • Influence of smoking, diabetes, and other risk factors.
  • Identification of patients with special medical needs.
  • Coordination with other healthcare professionals.
  • Adaptation of periodontal treatment to the patient’s systemic condition.
3. Patient motivation and oral hygiene
  • Patient communication and motivation.
  • Oral health education.
  • Individualised plaque-control techniques.
  • Management of plaque-retentive factors.
  • Assessment of adherence and modification of habits.
4. Non-surgical periodontal treatment
  • Supra- and subgingival periodontal instrumentation.
  • Control of periodontal infection and inflammation.
  • Rational use of adjunctive treatments.
  • Management of local factors.
  • Management of emergencies and acute periodontal lesions.
5. Periodontal reevaluation
  • Assessment of the response to initial treatment.
  • Interpretation of clinical changes.
  • Identification of residual pockets and persistent risk factors.
  • Review of the prognosis and modification of the treatment plan.
  • Indication for additional treatment.
6. Periodontal surgical treatment
  • Indications and objectives of periodontal surgery.
  • Periodontal access surgery.
  • Resective surgery.
  • Regenerative periodontal surgery.
  • Mucogingival and periodontal plastic surgery.
  • Management of periodontal and peri-implant tissues.
  • Prevention and management of complications.
7. Restorative and interdisciplinary phase
  • Integration of periodontal and restorative treatment.
  • Periodontal considerations in prosthodontics and restorative dentistry.
  • Relationship between periodontology, implant dentistry, orthodontics, and other specialties.
  • Sequencing and coordination of interdisciplinary treatments.
  • Periodontal preparation before definitive restorative treatment.
8. Periodontal and peri-implant maintenance
  • Assessment of the risk of recurrence.
  • Individualised design of the maintenance programme.
  • Follow-up intervals.
  • Clinical and radiographic monitoring.
  • Prevention of recurrence and tooth loss.
  • Prevention, early diagnosis, and management of peri-implant diseases.
9. Presentation and discussion of clinical cases
  • Case structuring and documentation.
  • Presentation of the diagnosis, prognosis, and treatment plan.
  • Scientific justification of clinical decisions.
  • Critical evaluation of outcomes.
  • Discussion of therapeutic alternatives and complications.

Teaching and learning activities

In person



The course is delivered entirely in person and combines supervised clinical activity with update sessions and the presentation and discussion of clinical cases.

The main learning activities include:

  • Supervised clinical treatment of patients with periodontal and peri-implant conditions.
  • Presentation and discussion of clinical cases.
  • Update seminars covering the different phases of periodontal treatment.
  • Critical review of the scientific literature.
  • Problem-solving and clinical decision-making.
  • Development of diagnoses, prognoses, and treatment plans.
  • Interdisciplinary discussion of complex cases.
  • Longitudinal follow-up and assessment of treatment outcomes.
  • Tutorials and individualised feedback from the teaching staff.

The methodology encourages active participation, clinical reasoning, the integration of theory and practice, and the progressive development of professional autonomy.

Evaluation systems and criteria

In person



Assessment will be continuous and will consider the progressive acquisition of knowledge, clinical skills, reasoning abilities, and professional attitudes.

The following aspects will be assessed:

  • Presentation, documentation, and discussion of clinical cases.
  • Ability to establish the diagnosis, prognosis, and treatment plan.
  • Justification of clinical decisions based on scientific evidence.
  • Performance during supervised clinical treatment.
  • Ability to apply the different phases of periodontal treatment correctly.
  • Progress and the gradual development of clinical autonomy.
  • Participation in seminars and discussions.
  • Quality of clinical records and documentation.
  • Communication with patients and the clinical care team.
  • Compliance with ethical, biosafety, responsibility, and professional standards.
  • Attendance and punctuality.

Participation in in-person clinical activities and the presentation of assigned cases are mandatory. Absences must be justified in accordance with the Master’s academic regulations.

Bibliography and resources

  • Lindhe J, Lang NP. Clinical Periodontology and Implant Dentistry. Wiley-Blackwell.
  • Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza’s Clinical Periodontology. Elsevier.
  • Sanz M, Herrera D, Kebschull M, et al. Treatment of stage I–III periodontitis: The EFP S3-level clinical practice guideline. Journal of Clinical Periodontology. 2020;47(Suppl. 22):4–60.
  • Herrera D, Sanz M, Kebschull M, et al. Treatment of stage IV periodontitis: The EFP S3-level clinical practice guideline. Journal of Clinical Periodontology. 2022;49(Suppl. 24):4–71.
  • Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of Periodontology. 2018;89(Suppl. 1):S159–S172.
Supplementary resources
  • Scientific articles selected by the teaching staff.
  • Clinical practice guidelines from the European Federation of Periodontology (EFP).
  • Consensus documents from the EFP and the American Academy of Periodontology (AAP).
  • Clinical records, periodontal charts, radiographic examinations, and photographic documentation.
  • Teaching materials available on the university’s virtual learning platform.
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