Universitat Internacional de Catalunya
Case Method Dentofacial Orthopaedics II
Other languages of instruction: Catalan, English
Teaching staff
Anaïs Ninou
aninou@uic.es
Introduction
It is important to achieve a relationship of trust and collaboration with the teacher, a favourable attitude and ability to work in teams. Acquire a professional ethics and appropriate treatment for the practice of this specialty.
Objectives
It is widely accepted that oral health influences the general health of the population; not only at the level of oral health but also at the respiratory, functional, postural and speech therapy levels.
So it is important that there are trained dentists to prevent, diagnose and solve the various oral problems most common in the pediatric population.
• Train the student to diagnose dental problems and assess when to treat them.
• Make correct diagnostic records.
• Dental photography, the best diagnostic method to incorporate into the clinic.
• Training and experience in many early treatment philosophies.
• Know the technical skills for the realization of treatments.
Syllabus
1. DIAGNOSTIC
Intended for first visit and medical history. Facial analysis, intraoral and functional examination, radiographic records, intermaxillary and models for assembly in articulator. Intraoral and extraoral dental photographic protocol and orthodontic template. Cephalometric diagnosis and clinical case analysis. Integration and update of the Minimum Intervention protocols in Orthodontics.
- Facial Diagnosis (macroaesthetic, microaesthetic, mini-aesthetic, extraoral photographs). Practical program: Photographic protocol, presentation of a clinical case per couple.
- Cephalometric diagnosis (telerx anatomy, Steiner anatomical points, Steiner planes, Complete analysis of Steiner, Ricketts and Jarabak). Practical programme: Cephalogram plots.
- Occlusal diagnosis (model analysis): Moyers DOD, occlusogram, Wala Ridge. Practical programme: Measurement of DOD, occlusogram and Wala models.
- Growth. (vertebra x-rays, MP3 x-rays, growth states and growth-based treatment timming).
- Alterations of the rash (anatomy of OPG, regions, pathology common in OPG, alteration of the rash according to age, DAPs).
2. TRANSVERSAL PROBLEMS
Treatment of non-skeletal problems: (crossbite, habits, space problems, crowding primary and its clinical approach, presentation of other techniques and expansive apparatus).
Space management: analysis and strategies that seek to maintain or recover the lost space.
3. SAGITTAL PROBLEMS.
CLASS III
Concepts: Treatment approaches for Class III.
• Disjunction and Facial Mask, analysis of the various existing clinical protocols.
• Communication between the clinic and laboratory on design and manufacture of appliances and troubleshooting.
CLASS II
- Facial growth and development, eruptive sequence.
- Clinical approaches and therapeutic options for Class II treatment.
- Functional apparatus, assembly and clinical sequence follow up: Klammt, Twin-block, Bionator, Sanders.
- Extra-oral anchoring.
- Practical programme: Design of equipment, activations of equipment, taking of records in constructive bite.
4. VERTICAL PROBLEMS
- Open bite: An analysis and explanation of the clinical approach and criteria in the treatment of open bite will be made. Long-face pattern diagnosis.
- Sucking habits as aetiology of previous open bite. How to focus this type of malocclusion in the mouth respirator? Distinguish open dentoalveolar bite from skeletal.
- Multidisciplinary treatments: in more complex cases of ectopic rash, guided rash, or orthodontic treatment in cases of patients suffering from structural defects (including MIH).
- Overbite, short-face syndrome, appliance design and treatment.
Teaching and learning activities
In person
Presentations of theoretical subjects by teachers.
Evaluation systems and criteria
In person
Evaluation systems and criteria
Fully face-to-face classroom
To pass the subject, it will be necessary and essential to pass each of the 3 different assessments that make up the entire subject. Each one will be passed with a score of 5 out of 10. Once each one has been passed, they will intervene to obtain the final resulting grade. In the event that one of the parts is not passed, it will be necessary to recover this part to be able to mediate with the other two and be able to pass the subject.
1.-Case portfolio: It will consist of a continuous evaluation on Fridays in clinical sessions where participation will be assessed as well as the cases presented. It will account for 40% of the final grade of the subject
The clinical sessions' practices will consist of making a diagnosis and planning a treatment plan for the cases previously assigned by the teachers. During these sessions, the student will present and defend the diagnosis and the treatment plan developed for their patient. The result will be discussed and agreed upon with the rest of the students and teachers responsible on the days of the clinical session. Cases to be presented at the orthopedic clinical sessions will be held on the days previously stipulated in the academic calendar.
Attendance on the days of the clinical session, whether a case is presented or not, is mandatory, since interaction and participation in the cases will be important for obtaining the grade for this section. Non-attendance at the clinical sessions must be adequately justified, so as not to penalize the grade for this section.
2.- Practical exam: will count 30% of the final grade for the subject
The practical exam will consist of developing a diagnosis and planning the treatment of a fictitious patient. Knowing how to make a diagnosis, draw radiographs, calculate DOD in models, perform the occlusogram, give treatment objectives and good planning for the different cases.
3.- Defense of the final ortho case. Will count 30% of the final grade for the subject.
The student will present a case where she has made the diagnosis, the treatment plan and started and finished the case during her time in the master's degree. The case will be discussed as a clinical session.