Universitat Internacional de Catalunya - Barcelona

Multidisciplinary Restorative Treatment. Clinic I

• code 11741
• course 1
• term Anual
• type PR
• credits 13.5

Main language of instruction: English

Other languages of instruction: Catalan, Spanish

Head instructor

Dr. Santiago COSTA - scosta@uic.es

Office hours

Contact with:

scosta@uic.es

Restorative Dentistry is the part of dentistry responsible for returning the occlusal and masticatory function, anatomy, language articulation and altered aesthetics of the oral cavity; and also solve all the pathology caused by decays, periodontal disease or trauma; through a fixed or removable prostheses or by methods and techniques of adhesive dentistry.

It requires advanced knowledge of oral anatomy and an extensive knowledge of the pathophysiology of oral diseases is required, in order to make a correct diagnosis and to apply the appropriate both surgical and prosthetic techniques.

The aim of this subject is to get students to acquire advanced multidisciplinary knowledge through clinical practice and get scientific and surgical training as an expert in Aesthetic Restorative Dentistry. Pathological processes of patients in many cases will require modifications of the different occlusal and / or aesthetic standards. For example: vertical dimension, occlusal plane, interdental positions, modifications, lip support, etc.).

This subject will take place during the two courses of the training program of the master.

• CB6 - Students should have and understand knowledge that provides the basis for or opportunity to be original in terms of the development and application of ideas, often within a research context.
• CB7 - Students should know how to apply the knowledge they have acquired and be able to resolve problems in new or little known environments within a broader (or multidiciplinary) context, related to their area of study.
• CB8 - Students should be able to incorporate knowledge and tackle the complexity of making judgements based on information which, being incomplete or limited, includes reflections on the social and ethical responsibility linked to the application of their knowledge and judgement
• CE1 - Students should be able to undertake a proper analysis and an extraoral diagnosis, and underline the aesthetic and functional aspects of the teeth and the soft areas of the lower part of the face as well as a analysis and clinical and lab-based diagnosis, using diagnostic and therapeutic wax models, in order to rehabilitate dental occlusion with good functional and aesthetic balance, while taking into account multidisciplinary factors related to the masticating apparatus.
• CE2 - Students should be able to work as a clinical professional and/or researcher in the field of aesthetic restorative dentistry, and act as a real specialist or expert in the material; as well as know how to diagnose, treat, prevent and research oral disorders and have updated knowledge of the diagnostic and treatment-related advances which continue to arise throughout their professional life.
• CE3 - To undertake the selective drilling of teeth to balance the jaw and dental occlusion, as well as make splints for articular and occlusal protection in cases where there is a pathology that requires this.
• CE9 - To recognise and interpret images and specialised diagnostic techniques that are significant in research, as well as know how to apply bioinformatic tools and new technologies to the fields of prosthetic and restorative dentistry and dental implants.
• CG1 - To have the ability to communicate with patients with the aim of explaining, based on scientific criteria but in accessible language, their diagnosis, treatment plan and prognosis, in the case of pathologies that tend to be either advanced or multidisciplinary in nature.
• CG2 - To be autonomous in terms of obtaining a patient's anamnesis and oral explorations in patients with pathologies that might be either advanced or multidisciplinary in nature; and fill in their medical record and other clinical paperwork using scientific language and terminology that is suited to an aesthetic restorative dentistry professional.
• CG3 - To know how to apply the protocols established in the University Dental Clinic in relation to diagnosis, complementary explorations and treatment for patients, as well as treatment plans, taking into account the fact that the patients being addressed have pathologies that are either advanced or multidisciplinary in nature.
• CE4 - To acquire the ability to make oral preparations on mucosa, teeth, and dental implants, to build dental prostheses in patients with advanced oral and multidisciplinary disorders; as well as identify and undertake the procedures and various checks for the prosthetic components during construction.

- The student must be able to use properly the scientific terminology related to temporomandibular dysfunction and restorative aesthetic dentistry, making a correct analysis and extra oral diagnosis of the lower third of the face of patients, highlighting the aesthetic and functional aspects of the teeth and soft tissues of the mouth in this analysis. Also, the students will be able to make a correct exploration and intra oral diagnosis of the masticatory apparatus of patients.

-          Students will be able to identify and reproduce the aesthetic criteria of the macro and micro dental aesthetics, both in hard and soft tissues of the mouth.

-         -The student will communicate with patients to explain them with scientific criteria and accessible language, the diagnosis, treatment plan and prognosis, regarding scientific evidence. This relation "rehabilitation / patient will allow the patient choose between different types of stomatological prosthesis proposals.

-         The student will act on the mucous membranes, on teeth and on implants (carvings, prints, evidence of the structures, occlusal examinations ...) to perform stomatological prosthesis in patients suffering from complex oral disorders and within a multidisciplinary professional environment.

-          Students will have a clear and advanced knowledge in concepts as Osseo integration, passive adaptation, implant connection, implant surface, type of prosthetic abutment, types of prints to be made, transfer of the occlusal parameters, functional and aesthetic of the mouth to the laboratory. They should also choose individually for each patient, different implantology attachments and perform various tests and checks of prosthetic components during the process of manufacture of the oral prosthesis, managing to control the process at all times so that the finished stomatological prosthesis obtain the functional and aesthetic goals set at the start of treatment.

-         The student will place stomatological prosthesis (removable, fixed on teeth or implants, mixed and maxillofacial) in patients, instructing and motivating the patient for proper use and maintenance. The student will also monitor and control the adaptation of new prostheses, making prosthetic necessary modifications required.      

-          - The student will have scientific knowledge to choose the type of material for the prostheses.

-          The student will be able to perform analysis and clinical and laboratory diagnosis of the dental occlusion and mandibular dynamics, performing diagnostic wax and plaster models of the mouths of patients, to get rehabilitate the dental function and thus achieve balance between aesthetics and articular and occlusal functions, taking into account all the complex aspects of the masticatory system.

         - The student will make selective cuts of the teeth in order to balance the mandibular dynamics and dental occlusion.

-         The student will make splints of occlusal joint protection.

The contents of the subject are the treatments of multidisciplinary clinical cases carried out by the student, starting with the simplest and ending to the extent that locks in their training for cases of high complexity 

Methodology:

Theoretical classes and via webex

Practical and clinical mentored learning

Small groups training

Troubleshooting in the dental laboratory

Training activities:

0'25 CM (2'5 hours) external practice

18'5 ECTS CUO (370 hours) external clinical practice

4'25 ECTS LAB (63'75 hours) external critical practice

·      Direct and personal participation                                                              20%

·      Acquisition of clinical, techniques and surgical skills                          35%

·      Scientific knowledge of the patient pathology                                              35%

·     Dentist-patient communication                                                        10%

This assessment should be recorded by the teachers responsible of the subject and communicate continuously with the mentors of the students and with the coordinator of the evaluation.

Michael Cohen; Interdisciplinary Treatment Planning, Volume I: Principles, Design, Implementation

Rafi Romano; The Art of Treatment Planning: Dental and Medical Approaches to the Face and Smile

Rafi Romano; The Art of the Smile: Integrating Prosthodontics, Orthodontics, Periodontics, Dental Technology, and Plastic Surgery in Esthetic Dental Treatment

Revistas científicas:

-          Jornal of Dental Research

-          Clinical Oral Implants Research

-          Dental Materials

-          Clinical Oral Investigations

-          International Journal of oral and maxillofacial Implants

-          Journal of prosthetic dentistry

-          Journal of oral rehabilitation

-          The International Journal of Esthetic Dentistry