Subject

Dental Pathology

  • code 08407
  • course 2
  • term Semester 1
  • type OB
  • credits 3

Main language of instruction: Spanish

Other languages of instruction: Catalan, English

If the student is enrolled for the English track then classes for that subject will be taught in the same language.

Teaching staff

Head instructor

Dr. Miguel ROIG - mroig@uic.es
Dr. Enric SOLER - qsoler@uic.es

Office hours

Thursdays from 10 a.m. to 11 a.m. Appointments are recommended.

Responsible of the theory: Dr. Roig

Responsible of the practical: Dr. De Ribot

jribot@uic.es 

Introduction

Dental pathology is explained. Its main entity, dental caries, is explained in conjunction with preventive odontology. A knowledge of dental pathology is fundamental in order for the dentist to carry out an accurate diagnosis, which is the pillar on which the whole professional activity of dentistry rests. In addition to the main entity, caries, there is a significant number of diverse pathologies of difficult classification and relatively low individual incidence the knowledge of which is of great importance to the dentist.

Pre-course requirements

There are no pre-requisites

Objectives

1.      To describe the anatomic and histological characteristics of the normal tooth.

2.      To know the classification, aethiology and ethiopathogeny of dental anomalies.

3.      To know the classification, aethiology and ethiopathogeny of dental dysplasias.

4.      To know the classification, aethiology and ethiopathogeny of dental colourations.

5.      To know the classification, aethiology and ethiopathogeny of dental degenerative processes.

6.      To know the classification, aethiology and ethiopathogeny of dental neoformation processes.

8.      To know the effect of pulpar pathologies on dental development.

9.      To know the classification and basic care of dento-alveolar trauma.

10.  To know the action mechanisms of dental caries.

11.  To describe the characteristics and phases of enamel caries.

12.  To describe the characteristics and phases of dentin caries.

13.  To describe the reactions of the pulpo-dental complex to caries.

14.  To list the different entities in pulpo-periapical pathology.

15.  To explain the process of histological and clinical evolution of the pulpo-periapical pathology.

16.  To describe the characteristics of reversible pulpitis.

17.  To describe the characteristics of irreversible pulpitis in its different variants.

18.  To describe the characteristics of apical periodontitis in its different variants.

19.  To explain the different lesions that may occur due to dental trauma, and their diagnosis and treatment.

20.  To describe the sequence for taking down a correct dental clinical history oriented to the dental pathology.

21.  To describe the different methods used in complementary testing.

Sensory and motor:

1.      To carry out a dental clinical history.

2.      To adequately take periapical radiographs and bitewing radiographs.

3.      To correctly carry out thermal tests for pulpar diagnosis.

4.      To complete a diagnosis in a patient with a dental pathology.

Transferable:

1.      To develop the ability to deliver a public presentation

2.      To develop the ability to write scientific texts in the field of dental pathology.

3.      To develop an interest in research and in deepening knowledge

Competences / Learning outcomes of the degree programme

  • 20 - Obtaining and creating a medical record containing all the relevant information.
  • 28 - Acquiring clinical experience under suitable supervision.
  • 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
  • 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
  • 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
  • 72 - Appropriate medical prescriptions, while being aware of their guidelines and warnings, systemic effects and repercussions on other organs
  • 73 - Applying loco-regional anaesthetic techniques
  • 74 - Preparing and isolating the operatory field
  • 76 - Identifying and dealing with any dental emergencies
  • 79 - Treating dento-alveolar trauma in temporary and permanent dentitions
  • 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
  • 83 - Treating destructive processes and dento-alveolar trauma injuries via operations
  • 84 - Undertaking endodontic treatment and applying procedures to preserve pulp vitality
  • 85 - Undertaking conventional aesthetic procedures from a multidisciplinary perspective
  • 88 - To undertake non-surgical treatment for temporo-mandibular disorders and oro-facial pain
  • 90 - To identify and correct oral habits that are susceptible to causing or exacerbating malocclusions
  • 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.

Learning outcomes of the subject

  • 4.002 - Understand the mechanisms of bacterial colonization in the oral cavity and identify their implications for health and periodontal diseases
  • 4.015 - Identify the anatomic and dental structures in panoramic radiographs, periapical and bitewing
  • 4.017 - Perform a diagnosis and treatment plan for children
  • 4.026 - Perform both medical and surgical treatment of common diseases of the oral soft tissues
  • 4.031 - Differentiate pain according to location
  • 4.032 - Differentiate pain according to origin
  • 4.033 - Differentiate pain according to duration
  • 4.034 - Differentiate pain according to the characteristic of the pain
  • 4.080 - Diagnose not caries dental pathology in a patient
  • 4.081 - Give a treatment plan for a patient with not caries dental pathology
  • 4.082 - Determine the caries risk of a patient
  • 4.083 - Establish treatment plans in a patient with a high risk for tooth decay
  • 4.084 - Use diagnostic means of dental caries
  • 4.085 - Diagnose caries harms
  • 4.086 - Establish the need to carry out a filling on a carious lesion
  • 4.089 - Perform a proper medical history to assess the state of the pulp
  • 4.091 - List the usual conducts and the most frequent variations in each tooth of the Arcade
  • 4.105 - Diagnose a patient who has suffered dental trauma
  • 4.106 - Treat a dental trauma urgency
  • 4.107 - Establish a treatment plan for a patient with dental trauma
  • 4.108 - Consult with the necessary specialists for a comprehensive treatment
  • 4.111 - Know the basic principles of the ideal occlusion
  • 4.112 - Know the development of teething and tooth eruption
  • 4.113 - Know and diagnose abnormalities of eruption
  • 4.117 - Know how to make a proper patient history
  • 4.118 - Know how to make a proper oral and practical examination of the patient
  • 4.123 - Recognize normal and pathological anatomical structures in a panoramic, periapical and occlusal radiography
  • 4.126 - Know how to make a list of diagnostic problems and structure it properly
  • 4.127 - Know the biological basis of dental treatment, its mechanical and biomechanical principles

Syllabus

 

THEORY

Unit 1. Dental anomalies of number.

Unit 2. Dental anomalies of size.

Unit 3. Dental anomalies of form.

Unit 4. Union dental anomalies.

Unit 5. Simple dental crown dysplasias.

Unit 6. Simple dental root dysplasias.

Unit 7. Total dental dysplasias.

Unit 8. Inherited dental dysplasia.

Unit 9. Dental fluorosis.

Unit 10. Dental degeneration processes.

Unit 11. Dental neoformative processes.

Unit 12. Dental destructive processes.

Unit 13. Aetiology of dental caries.

Unit 14. Characteristics of enamel caries.

Unit 15. Characteristics of dentin caries.

Unit 16. Response to caries of the pulpo-dentin complex.

Unit 17. Clinical sequence of the pulpo-periapical pathology.

Unit 18: Reversible pulpitis.

Unit 19: Irreversible pulpitis.

Unit 20: Apical periodontitis.

Unit 21: Dental traumatology: hard tissues.

Unit 22: Dental traumatology: periodontal ligament and alveolar process.

Unit 23: Pulpar repair and pulpar revascularization.

Unit 24: Dental clinical history.

Unit 25: Anamnesis in dental pathology.

Unit 26: Physical examination in dental pathology.

Unit 27: Complementary testing in dental pathology.

Unit 28: Radiology in dental pathology.

Unit 29: Research in dental pathology.

Unit 30: Review of the literature in dental pathology.

 

SEMINARS:

Students will attend seminars in which postgraduate students will present clinical cases of different entities, with a special emphasis on diagnosis. Different pathologies will be discussed, and students will be introduced to the concept of clinical significance of dental pathologies.  

PRACTICAL SESSIONS

Simulated practical sessions of clinical history and diagnosis.

Teaching and learning activities

In person

 

 

A.     Cognoscitive 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 make a proper diagnosis.

 

B.     Sensory and motor dimension: Practical training sessions (“preclinicals”) will be carried out in which the student will exercise diagnostic techniques for developing the required dexterity.

 

C.     Affective dimension: Students may undertake non-directed reading, attend non-compulsory conferences, maintain contact with lecturers and researchers and, where appropriate, conduct monographic projects, individually or as part of a team, so as to maintain adequate motivation for broadening their knowledge, work in a team and collaborate toward the advancement of dentistry in general, and of dental pathology and therapeutics in particular.

Evaluation systems and criteria

In person

 

Theoretical examination: A final exam with multiple choice and/or short answer questions. Less than 37 points out of a possible total of 60 (or equivalent ratio) will be considered a fail regardless of the mark of the practical sessions. A minimum of 37 points out of 60 will allow the calculation of an average from the marks of the theoretical examination and the practical sessions. Practical sessions: Continuous assessment (20% of the final mark). Assistance to practical sessions and seminars is compulsary, and a requirement to pass the subject. In order to pass the subject, students must pass both the theoretical examination and the practical sessions. Final mark: The weighted sum of the marks of the theoretical examination and practical sessions (80%-20%). For purposes of obtaining the final mark, a 5 out of 10 on the theoretical examination is equivalent to 40 out of 60. The assessment of 5 to 10 is established from a lineal distribution of marks from 40 to 60. 

Bibliography and resources

 

1.      Baum L, Phillips RW, Lund MR. Tratado de operatoria dental. 3ª ed. 1996

2.      García Barbero J. Patología y terapéutica dental. Madrid: Síntesis, 1998

3.      Howard W, Moller RC. Atlas de operatoria dental. 3ª ed. México: El manual moderno, 1986

4.      Ketterl W. Odontología conservadora. Barcelona: Masson, 1994

5.      Uribe J. Operatoria dental. Madrid: Avances, 1990

6.      Andreasen JO, Andreasen FM. Lesiones dentarias traumáticas. Madrid: Panamericana, 1990

7.      Cohen S, Burns RC. Pathways of the pulp. 7th ed. St. Louis: Mosby, 1997

8.      Ingle JI, Bakland LK. Endodontics.4ª ed. McGraw-Hill, 1997

9.      Trönstad L. Endodoncia clínica. Barcelona:Masson, 1993

 

Evaluation period

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

  • E1 17/01/2019 12:00h A03
  • E1 17/01/2019 12:00h A01
  • E1 17/01/2019 12:00h A02
  • R1 31/01/2019 14:00h A05
  • E2 27/06/2019 11:30h A03
  • R2 04/07/2019 12:00h A02
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