Universitat Internacional de Catalunya - Barcelona

Cirugia Multidisciplinar

• code 10997
• course 5
• term Semester 2
• type op
• credits 3

Main language of instruction: Spanish

Other languages of instruction: Catalan, English,

Head instructor

Dr. Federico Jose HERNANDEZ - h.alfaro@uic.es

Office hours

Appointment:

albert_barroso@hotmail.com

Advances in the field of dentistry have encouraged the development of different areas of expertise. Disciplines such as Orthodontics, Oral Surgery, Pediatric Dentistry, Periodontics, Endodontics have allowed the achievement of therapeutic results unthinkable in the past. In the field of Oral Surgery and Implantology, purely functional rehabilitation has given way to a full biological, functional and esthetic rehabilitation of patients. New materials, tools and techniques available today make dentistry a tremendously interesting discipline.

However, the wide extent of this science makes dentists need a clear concept of treatment to deal with complex surgical cases. This will avoid losing the global case perspective and repeatedly encountering undesirable surprises during treatment.

After a thorough diagnosis a treatment goal should be defined which will be pursued through a clear therapeutic concept. However, the therapeutic goal cannot be immovably established at the beginning because teeth prognosis varies during treatment. The key to solve the equation’s dynamism lies in the concept of reassessment during the different treatment phases.

The course aims to integrate the knowledge acquired by the students during 3rd, 4th and 5th year studies in order to be able to execute surgical complex case treatments in a systematic and predictable way. Once students have familiarized with the treatment concept explained during the first master classes, active student participation will be encouraged by means of clinical case discussions that will exemplify the working model.

There are no prerequisites.

To share with the future dentists a treatment concept that will allow them to sort the various treatment phases and to simplify and solve complex surgical cases in a predictable manner.

• 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.
• 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.
• 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.
• 20 - Obtaining and creating a medical record containing all the relevant information.
• 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.
• 23 - Establishing a diagnosis, prognosis and suitable treatment planning for all the different clinical areas of Dentistry, being competent in terms of the diagnosis, prognosis and writing up the dental care plan for patients who require special care, including medically compromised patients (such as diabetics, those with hypertension, a depressed immune system or are anticoagulated, etc) and patients with disabilities.
• 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.

Obtain a clinical history that allows for periodontal, endodontic, cariologic, functional, prosthetic and esthetic diagnosis.

Establish an individual dental prognosis.

Define different treatment plans for the same case, categorizing them in terms of biological or economic costs.

Understanding the dynamics of complex surgical treatment of cases and the importance of the reassessment concept.

Know the therapeutic possibilities that different disciplines in dentistry (orthodontics, oral surgery, pediatric dentistry, periodontics, endodontics) offer to optimize the final therapeutic outcome.

Learn how to sequentially order the different therapeutic steps to solve a complex surgical case.

Protocolize augmentation techniques, soft tissue management, implantation time points and prosthetic loading.

Understand the importance of the maintenance phase in the long-term treatment success.

Topic 1:

Introduction to the multdisciplinar surgical treatment concept.

Master class

Topic 2 :

Anamnesis and clinical history.

Master class

Topic 3 :

Specific diagnosis.

Master class

Topic 4 :

Individual dental prognosis.

Master class

Topic 5:

Therapeutic treatment plan and sequence.

Master method

Topic 6:

Systemic phase.

Master class

Topic 7:

Hygienic phase.

Case method

Topic 8:

Reassessment.

Case method

Topic 9:

Surgical phase.

Case method

Topic 10:

Prosthetic phase.

Case method

Topic 11:

Maintenance phase.

Master class

Topic 12:

Orthodontic possibilities in handling complex cases.

Case method

Topic 13:

Periodontal possibilities in handling complex cases.

Case method

Topic 14:

Endodontic possibilities in handling complex cases.

Case method

Topic 15:

Surgical possibilities in the management of complex cases.

Case method

MC : The Master Class (MC) is the scenario in which a teacher transmits knowledge to the whole group of students. The format, however, allows the introduction of reduced activities in the classroom and organization of strategies that encourage active student participation in smaller groups.

MC: The Case Method (CM) implies a clinical case-solving design. Cases are discussed as group activities that are solved with the active participation of the teacher following the deliberations of the students.

Theoretical evaluation: 60% of total

Final Exam: The exam will consist of two parts:

The first part with 50 multiple choice questions with five possible answers. Test content includes all matter provided in all methodologies and training activities. Each correct question will be scored with 1 point and for every wrong answer one third of the value of the response will be deducted. The result of this part will account for 70 % of the final exam.

The second part consists in the resolution of 2 cases. Each clinical case will account for 15% of the final grade.

Practical assessment : 40% of total

A continuous assessment by means of clinical cases and related questions will be perfomed during the course of the subject without previous notice. Each test will account for 10% of the note of the practical assessment.

The 2nd call evaluation will consist of a written test with multiple type response and resolution of clinical cases. Test content will include all matter provided in all methodologies and training activities. The practical assessment will be kept if passed during the first evaluation (40%). The score of this written exam will be the same as on the first evaluation and will represent 60 % of the final grade.

Final grade: In order to pass the course a grade ≥ 5 will be required in the final exam.

The grade will be expressed as a single decimal number ranging from 0 to 10.

Qualitative grade : fail, pass, remarkable , outstanding, honors.

EXAMINATION REVIEW: The review of exam will be conducted individually with the student under written request within the time limits.

1. Hälg G, Ramel C. Klinischer studentenkurs . 4th ed . Zürich : UZH , 2013.

2. Dental- campus.com { homepage in the Internet } . Zürich : Campus Dental Association; } 2014 { cited 20.2.2014 . Available from: https://www.dental-campus.com

3. F. Hernández- Alfaro Controversial issues in implant dentistry . 1st ed . Barcelona : Quintessence , 2013.

4. Fradeani M. Esthetic rehabilitation in fixed prosthodontics : Esthetic analysis Volume 1 : A systematic approach to prosthetic treatment . 1st ed . Barcelona : Quintessence Pub , 2004.

5. Fradeani M , Barducci G. Esthetic rehabilitation in fixed prosthodontics : Prosthetic treatment to sustematic approach to esthetic , biologic , and functional intergration . 1st ed . Barcelona : Quintessence Pub , 2008.

6. Cohen , M. Interdisciplinary treatment planning : principles , design, implamentation . 1st ed . Quintessence Pub , 2008.

7. Strub JR , Turp JC , Witkowski S , Hürzeler B, Kern M. Curriculum Prothetik 1-3 . 3rd ed . Berlin : Quintessence , 2004.

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

• E1 28/05/2019 08:00h A10
• R1 04/06/2019 09:00h A08
• E2 18/06/2019 08:00h A11