Universitat Internacional de Catalunya - Barcelona

Orthodontics 4

• code 10465
• course 5
• term Semester 1
• type OB
• credits 3

Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Head instructor

Dra. Montserrat ARTÉS - martes@uic.es

Office hours

 Dra. Montserrat Artés Ribas

Thursdays from 10:30 a.m. to 11:30 a.m.

martes@uic.es 

Orthodontics and dentofacial orthopaedics is the area of dentistry involving the supervision, guiding and correction of the growth and maturity of dentofacial structures. This includes scenarios requiring the movement of teeth or the correction of altered or abnormal skeletal relations through the application of force and/or the stimuli and direction of the functional forces of the craniofacial complex. The main responsibilities of orthodontic practice are the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and the associated abnormalities of the bones and soft tissues; the design, application and control of functional and corrective appliances; and the guiding of dentition and its support structures to achieve and maintain optimum relations between the face and cranial structures in physiological and cosmetic harmony. Due to its basic and essential nature as part of Dental training, Orthodontics is justifiably incorporated as a core subject taught over three clinical courses in the Undergraduate Degree in Dentistry.

In Orthodontics 4, students are given a multidisciplinary Orthodontics perspective in light of its relationship with other dental specialist areas such as periodontics, prosthesis, the pathology of the temporomandibular joint and orthognathic surgery. This subject also covers the stability of treatment and procedures to prevent the recurrence of the treatment, the iatrogeny of orthodontic treatment and the handling of emergencies that could arise during orthodontic treatment.

Through the training received during the third and four years of the degree programme, in Orthodontics 1, 2 and 3, students will have acquired skills in the diagnosis of orthodontic problems and in the use of the appliances used to treat malocclusions. This knowledge shall allow students to be introduced to more complex and multidisciplinary treatments where the orthodontist works alongside other specialists to ensure the oral rehabilitation of the patient.

 To learn about the characteristics of adult orthodontic treatment

To learn about the contribution of orthodontic treatment in patients requiring prosthetic treatment with fixed prostheses and implant-supported teeth

To learn about the influence of gum disease on orthodontic treatment

To learn about the relationship between orthodontic treatment and temporomandibular joint dysfunction

To learn about the iatrogeny that can occur as a result of orthodontic treatment

To learn about the most common emergencies pertaining to orthodontic treatment

To learn about the causes of relapse involving orthodontic treatment and stabilisation appliances.

To know how to prevent a malocclusion when possible

• 01 - Being aware of the essential elements of the dental profession, including the ethical principles and legal responsibilities it involves.
• 03 - Knowing how to identify the concerns and expectations of patients, as well as how to communicate effectively and clearly, both orally and in writing, with patients, family members, the media and other professionals.
• 04 - Understanding and recognising the social and psychological aspects that are relevant in terms of treating patients.
• 05 - Knowing how to apply the correct principles to control anxiety and stress in oneself, in patients and in other memebers of the dentistry team.
• 07 - Promoting new knowledge and techniques being acquired through autonomous learning, as well as the motivation to achieve quality.
• 08 - Knowing how to share information with other healthcare professionals and how to work as part of a team.
• 09 - Understanding the importance of keeping and using patient files in order to subsequently analyse them, while ensuring patient confidentiality is maintained.
• 10 - Knowing and being able to identify the psychological and physical problems derived from gender violence in order to train students in the prevention, early detection of, care for and rehabilitation of the victims of this type of violence.
• 11 - Understanding the basic biomedical science Dentistry is based on in order to ensure that adequate dental healthcare is provided.
• 12 - Understanding and recognising the structure and normal function of the stomatognathic apparatus, at a molecular, cellular, tissue and organic level, during the various stages of life.
• 13 - Understanding and recognising the science behind the essential bio-materials involved in dental practice as well as immediately managing potential allergies to these.
• 14 - Being aware of the general processes of the illness, including infection, inflammation, alterations in the immune system, degeneration, neoplasm, metabolic alterations and genetic disorders.
• 15 - Being familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.
• 17 - Understanding and recognising the principles of ergonomics and safety at work (including the control of cross infection, radiation protection and occupational and biological diseases).
• 18 - Being aware of, critically evaluating and knowing how to use sources of clinical and biomedical infomation in order to obtain, organise, interpret and communicate scientific and healthcare-related information.
• 19 - Being aware of scientific methods and having the critical ability to evaluate established knowledge and innovative information. Being able to formulate hypotheses, collect and critically evaluate information in order to resolve problems, in accordance with scientific methods.
• 20 - Obtaining and creating a medical record containing all the relevant information.
• 21 - Knowing how to undertake a full dental exam, including the necessary X-ray and complementary exploratory tests, as well as obtaining suitable clinical references.
• 22 - Having the ability to make an initial diagnostic judgement and establish a reasonable diagnostic strategy, as well as being competent in recognising situations that require urgent dental treatment.
• 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.
• 27 - Outlining and proposing suitable preventative measures for each clinical situation.
• 32 - Knowing the biomedical science on which Dentistry is based in order to ensure adequate oral and dental care. This science must include material on: (a). Embryology, anatomy, histology and the physiology of the human body (b). Genetics, Biochemistry, Cell and Molecular Biology and (c). Microbiology and immunology.
• 33 - Knowing the morphology and function of the stomatognathic apparatus, including material on embriology, anatomy, histology and specific physiology
• 36 - Knowing the danger of ionising radiation and its impact on biological tissue, as well as the legislation that regulates its use. Knowing how to manage dental radiodiagnostic facilities
• 37 - Undertaking the x-rays that are necessary in dental practice, interpreting the images obtained and learning about other important image-based diagnosis techniques
• 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
• 59 - Knowing the oral manifestations of systemic diseases
• 62 - Conocer y manejar las emergencias y urgencias médicas más frecuentes en la práctica odontológica y en las técnicas de reanimación cardiorrespiratoria básica
• 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
• 69 - Identifying patients who require special care, recognising the characteristics and peculiarities of such cases
• 72 - Appropriate medical prescriptions, while being aware of their guidelines and warnings, systemic effects and repercussions on other organs
• 75 - Identifying, evaluating and attending to medical emergencies which may arise during clinical practice and apply cardiopulmonary recuscitation techniques; manage severe infections, including pharmaceutical prescriptions and simple surgical aspects
• 76 - Identifying and dealing with any dental emergencies
• 79 - Treating dento-alveolar trauma in temporary and permanent dentitions
• 88 - To undertake non-surgical treatment for temporo-mandibular disorders and oro-facial pain
• 89 - To undertake bucco-dental treatment on young patients and recognise its characteristics and peculiarities
• 91 - To plan and determine the specific characteristics of the design, records, prescription, clinical trails, placement and clinical adjustment for fitting removable and fixed space-maintainers and interceptive orthodontic techniques as well as extractable active elements destined to reposition teeth or correct an overbite

• 4.108 - Consult with the necessary specialists for a comprehensive treatment
• 4.131 - Know the general principles of the orthodontic and interdisciplinary treatments in children and adolescents
• 4.132 - Know the general principles of interdisciplinary treatment in adults
• 4.133 - Acquire the discipline to focus interdisciplinary treatments

 1A. Retention and recurrence

1B. Adult orthodontics

2A. Emergencies

2B. Orthodontics and pathology of TMJ

3A. Bone anchorage

3B. Preprosthetic orthodontics

4. Orthodontics – periodontics

5. Orthodontics - orthognathic surgery

6A. Congenital syndromes

6B. Alterations of teeth eruption, DAPs

7A. Iatrogenesis

 - Master classes provide the theoretical grounding, and the practice theory where appropriate, that forms a basic part of the student’s training. The literature references needed for further study and expansion of the subject under discussion will be provided. 

- Tutorial sessions: The individualised follow-up of the progress of the student, helping to better orient, and to redirect where appropriate, the training of the student.

Theorical examinations of the subject consist of a multiple choice answers and/ or short answer questions

The multiple choice questions only have one valid question  and will discount 0,20 points for every wrong answer.

The theoric exam will be passed with 50/100 which will correspond to a 5 in the final mark.

If by indication of the Academic Secretariat any student must take the exam on another date or in a different format than the test, an oral exam will be made with a jury with at least two teachers

CUO practice

Attendance is mandatory, attitude and works for Moodle will be evaluated

Final subject mark

The final mark of the subject it consist in one part corresponding to the theorical exam (70%) and the other part corresponding to the practices (30%)

To establish an average, both  theorical and practical parts have to be passed.

Review of exams

Delegates will be convened for a review of the review and the correction template and the questions raised by the delegates will be answered. Individual reviews will not be made.

Those students who wish to compare the answer sheet with the correction template must request it through the course delegate. The list of students to be convened will be delivered by the course delegate to the teacher responsible for the subject, who, according to the number of applications, will establish the schedule of the call. A response sheet will not be reviewed without making that prior request.

The purpose of the exam review is to remedy any error of correction or computation of correct answers and only in that case will lead to modification of the note.

2nd Call

The exam will have the same typology as that of the first exam

1. Proffit W R, Fields H W. Contemporary Orthodontics. 5ª ed. Mosby 2013.
   
2. Canut J A. Ortodoncia Clínica. 2ª ed. Masson 2000.
3. Bravo L A. Manual de Ortodoncia. Síntesis 2003.

Depending on the specific topic, an additional recommended literature list will be provided.

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

• E1 16/01/2020 16:00h A02
• E1 16/01/2020 16:00h A01
• E1 16/01/2020 16:00h A03
• R1 30/01/2020 12:00h A04
• E2 25/06/2020 11:30h A02
• R2 02/07/2020 11:00h A02