Universitat Internacional de Catalunya - Barcelona

Dental Aesthetics

• code 10021
• course 5
• term Semester 2
• type op
• credits 3

Main language of instruction: Spanish

Other languages of instruction: Catalan, English,

Head instructor

Dr. Juan BASILIO - jbasilio@uic.es

Office hours

Lecturer responsible:

Dr Joan Basilio Monné

E-mail address: jbasilio@uic.es@

Over the past decades there has been a substantial increase in the demand for solving problems of dental aesthetics. This increase has been accompanied by major advances provided by the industry of aesthetic materials such as composites, ceramics and adhesive materials, as well as dental whitening substances and others. The ultimate aim of this subject is to provide the dentist with sufficient knowledge to enable diagnosis of the patient’s aesthetic problems and identification of the possible solutions, as well as knowledge of the latest developments in materials and treatment methods.

There are no prerequisites, but it is recommended for students to have passed the subjects in the third year of the bachelor’s degree programme in dentistry.

General objectives:

1. To know the concepts of aesthetics, both general and facial and dental.
2. To determine the causes of alterations of dental aesthetics.
3. To implement the techniques that allow the recovery of dental aesthetics and health.

Specific objectives:

These objectives may be classified into three large groups:

a. Knowledge-related objectives:
1. To know the parameters of dental aesthetics and the facial and dental lines determining them.
2. To acquire a knowledge for implementing the diagnostic methods and the taking of a clinical history, and design of a treatment plan and its presentation.
3. To acquire a knowledge of the different types of aesthetic materials, such as composite, ceramic and adhesive materials, as well as the latest advances in the field.
4. To acquire a knowledge of the systems of partial and total crown coating.
5. To acquire a knowledge of the different types of cosmetic facets and their indications.
6. To diagnose the causes of colour alteration and their treatments.
7. To diagnose and treat the problems of dental aesthetics from a multidisciplinary perspective, combining orthodontics, prostheses, periodontics and implantology.
b. Sensory and motor objectives:
1. To perform carving of the different types of cavities on extracted teeth or resin models.
2. To perform carving for cosmetic crowns and inlays.
3. To perform correct insulation of the operative field for adhesive cementation, of incrustations (inlays and onlays).
4. To correctly place and cement crowns and incrustations.
c. Transferable objectives:
1. To develop the ability to deliver a public presentation
2. To develop the ability to write scientific texts in the field of bucodental aesthetics.
3. To develop an interest in research and in furthering knowledge.

• 35 - Knowing the scientific principles of sterilisation, disinfection and the antiseptics necessary to prevent cross-infection in dental practice
• 37 - Undertaking the x-rays that are necessary in dental practice, interpreting the images obtained and learning about other important image-based diagnosis techniques
• 38 - Being aware of clinical and laboratory-based procedures and diagnostic tests, knowing their reliability and diagnostic viability and being competent in interpreting the results
• 39 - Recognising oral normality and pathology, as well as the evaluation of semiological data
• 40 - Identifying the main reason for the consultation and the history of the current disease. Creating a general medical record and a clinical record which accurately reflect the patient's notes
• 41 - Being aware of the behavioural and communication sciences which facilitate dental practice
• 42 - Handling, distinguishing and selecting the tools and materials that are suitable for dentistry
• 43 - Having knowledge of dental biomaterial: in terms of handling, properties, instructions, allergies, biocompatibility, toxicity and eliminating residues as well as their environmental impact
• 44 - Knowing about and being able to use the basic tools and equipment for dental practice
• 45 - Applying the principles of ergonomics to dentistry work, both at an individual level and a work-group level where appropriate, also in terms of the principles of the prevention of work-related accidents in dental practice
• 46 - Providing a comprehensive approach to oral care and applying principles to promote good oral health and the prevention of oral and dental diseases
• 47 - Educating and motivating patients in the area of oral and dental diseases, controlling pathogenic oral habits,
• 55 - Recognising that the patient is the centre of attention and that all the interaction, including the prevention, diagnosis, planning and carrying out of the treatment and maintenance, and must support their best interests, always avoiding any type of discrimination and respecting confidentiality
• 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
• 66 - Taking and interpreting x-rays and other image-based procedures that are important in dental practice
• 67 - Creating diagnostic models, setting them up and taking inter-occlusal registrations
• 68 - Determining and identifying the aesthetic requirements of patients and the possibility of resolving their concerns
• 69 - Identifying patients who require special care, recognising the characteristics and peculiarities of such cases
• 70 - Evaluating motor and sensory oral, mandibular and annex function
• 74 - Preparing and isolating the operatory field
• 81 - Evaluating and treating patients with caries or other dental non-carious pathologies and being able to use all the material required for restoring the shape, function and aesthetics of the tooth in patients of all ages
• 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

1. A complete understanding of the scientific and biomedical principles underlying dental aesthetics.

2. An understanding and recognition of visual perception of dental colour and shape, proportions and harmonious three-dimensional disposition.

3. Knowledge of the general causes of diseases or habits that potentially produce dental pigmentation, acquiring the ability to choose the most appropriate corrective treatment.

4. Appreciation of the advancement implied by the new adhesive techniques in aesthetic and restorative dentistry.

5. Improvement in the handling of dental preparations for restorative techniques, both direct and indirect.

6. Knowledge of the physical and chemical bases of the different restorative materials, together with their optical characteristics and structural resistance properties, including the concept of biomimetic materials.@

Unit 1. Introduction to aesthetics.
Unit 2. Parameters of facial aesthetics.
Unit 3. Diagnosis of dental aesthetics.
Unit 4. Aesthetics of front anterior teeth: colour, shape, etc.
Unit 6. Vital dental whitening.
Unit 7. Non-vital dental whitening.
Unit 8. Preparation of cavities for aesthetic incrustations.
Unit 9. Partial crown coating: aesthetic inlays.

Unit 10. The current state of dental porcelains.
Unit 11. Adhesive cementation
Unit 12. Total crown coating: metal-ceramics and ceramic crowns and bridges. Unit 13. Anterior reconstructions by the composite stratification technique.
Unit 14. Indirect cosmetic facets.
Unit 15. Relationships between dental aesthetics and other disciplines.

Knowledge-related dimension: The theoretical concepts of the subject will be explained through master classes and directed lectures. Seminars will be carried out to help students to interpret available data in order to appropriately carry out a diagnosis and treatment planning.

Sensory and motor dimension: Practical sessions will be carried out in which the student will exercise on extracted teeth or resin models to acquire the dexterities needed for implementing the clinical techniques of basic dental aesthetics.

Affective dimension: Students will be able to undertake non-directed reading, attend non-compulsory conferences, maintain contact with lecturers and researchers and conduct monographic projects so as to maintain the adequate motivation for broadening their knowledge, work in a team and collaborate in the advancement of dentistry in general, and of bucodental aesthetics in particular.

To pass the subject, the student must individually pass each of the following components: master class theory (MC), laboratory-based practical sessions (LAB) and seminars and case studies (CS).

The theoretical examination may consist of short answer questions, multiple choice questions and essay questions. To pass the theoretical component, students must earn a minimum of 40 out of 60 points.

Final evaluation of the subject will be calculated based on the global sum of the following percentages:

50% of the mark will be the mark obtained on the theoretical examination.

30% of the mark will be the mark obtained in the practical sessions.

20% of the mark will be the mark obtained in the CS component.

Bernard Touatí, Paul Miara , Dan Nathanson: Odontología estética y restauraciones cerámicas. Ed. Masson, 1999.

Rufenacht, C.R. Principles of Esthetic Integration. Ed. Quintessence.

García Barbero, J. Patología y Terapéutica dental. Ed. Síntesis S.A. 1997.

Barrancos Mooney, J. Operatoria Dental. Ed. Panamericana.

Garber D., Goldstein R . Porcelain & Composite. Inlay & Onlays. Ed. Quintessence.

Ubassy, G. Shape & Color, the Key to Succeful Ceramic Restoration. Ed. Quintessence.

Schmindseder, J. Color Atlas of Dental Medicine, Aesthetic Dentistry. Ed. Thieme 2000.

Dietschi, D. Restauraciones adhesivas no metálicas. Ed. Masson.

Pascal Magne, Esthetic analysis: a systematic approach to prosthetic treatment. Quintessence, 2004. Bonded Porcelain Restorations in the Anterior Dentition: A Biomimetic Approach. Quintessence, 2002

Mauro Fradeani, Esthetic analysis: a systematic approach to prosthetic treatment. Quintessence, 2004.

Lorenzo Vanini, Conservative Restoration of Anterior Teeth.ACME, 2007

E: exam date | R: revision date | 1: first session | 2: second session:

• E1 19/05/2020 08:00h A01
• R1 02/06/2020 08:00h
• E2 30/06/2020 08:00h A19
• R2 07/07/2020 08:00h A23