Subject

Operative Dentistry

  • code 08413
  • course 2
  • term Semester 2
  • type OB
  • credits 6

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

Dra. Marta VALLÉS - mvalles@uic.es
MsU Jose Gabriel MARTINEZ - josegabrielm@uic.es

Office hours

Dra. Marta Vallés  mvalles@uic.es 

RESTAURATIVE DENTISTRY office

Thursday from 10 to 11h. It is recommended to make an appointment

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.

The operative dentistry is the science that deals with the treatment of defects and loss of substance of the dental hard tissues, for biological, functional and aesthetic tooth restoration, of a single tooth, and as part of the stomatognathic system.

 

Pre-course requirements

 There are no pre-requisites

Objectives

A. GENERAL OBJECTIVES:
1. Determine the causes of loss of dental health

2. Rebuild the initial morphology of the tooth, respecting their threefold function (chewing, phonation and esthetics).

3. Protect exposed dental hard tissues, avoiding bacterial influences on mechanical pulp, thermal, osmotic, and chemotoxic.

4. Prevent a new affectation by caries.

5. Maximum respect to surrounding tissues and systemic

6. Perform techniques that lead to the restoration of dental health

B. Specific objectives:

These objectives fall into three main groups:

1. Cognitive:

1. Know and define the concepts of dental pathology, dental therapy, dental surgery and endodontics

2. Sort the different dental diseases

3. State the purpose of the dental history, and the chronological order of paragraphs that shape

4. Know the different diagnostic tests for use in pathology and dental therapy

5. Know the structure and functions of the dental tissues

6. Explain the concept of pulp-dentin complex

7. Know the reactions of the pulp-dentin complex to stimuli and external aggressions

8. Know the etiology, pathogenesis and clinical dental caries

9. List the objectives of operative dentistry

10. Knowing the sequence of the operative technique in restorative dentistry

11. Expose the classification of  Black cavities

12. Describe the characteristics of each class cavity

13. Know the name of each of the walls and ceilings that make up each class of cavity

14. Description of the general concepts governing the indications of the different materials used in these restorations

15. Describe the models that explain adherence to dental hard tissues of restorative materials

16. Knowing the clinical technique of using different adhesive systems

17. Describe the protection systems pulp-dentin complex

18. Knowing the isolation technique opearatorio field for dental surgery

2. Sensitive and motors:

1. Perform carving different types of cavities on extracted teeth or resin models

2. Make the proper isolation of the operative field on resin models

3. Apply adequate pulp protection materials and adhesive systems

4. Shut off correctly classifying different Black cavities

3. Affective:

1. Develop presentation skills in public.

2. Develop the ability to write scientific papers in the field of Dental Pathology and Therapeutics

Competences / Learning outcomes of the degree programme

  • 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.
  • 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

Learning outcomes of the subject

  • 4.015 - Identify the anatomic and dental structures in panoramic radiographs, periapical and bitewing
  • 4.023 - Use correctly the composite materials for sealing cavities
  • 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
  • 4.035 - Plan and perform different operative dental cavities of operative dentistry: its elements, classification, conditions of form, types of restorative techniques, objectives and sequence of cavity preparation
  • 4.036 - Learn how to act with the patient prior to the placement of a rubber dam
  • 4.037 - Perform dam placement technique using the clamp first and then the paste
  • 4.038 - Perform placement technique using rubber dam and then the first clamp
  • 4.039 - Perform the technique of placing the dam carrying simultaneously the clamp and rubber
  • 4.040 - Choose the correct clamp according to the tooth to isolate
  • 4.041 - Dominate the absolute isolation technique of an hemi arcade
  • 4.042 - Perform the enamel adhesion technique
  • 4.043 - Perform the adhesive technique in dentin
  • 4.044 - Choose and apply a suitable adhesive system to the type of restoration to make
  • 4.045 - Place properly the first three layers of composite in cavities class I
  • 4.046 - Know the instruments for the insertion of the composite
  • 4.047 - Know the instruments to adapt the composite
  • 4.048 - Master the clinical technique of carving a cavity class I for composite
  • 4.049 - Master the clinical technique of sealing a class I composite cavity
  • 4.050 - Make a formwork with the matrix system Auto matrix
  • 4.051 - Perform a formwork with preformed sectional matrix system and separation rings
  • 4.052 - Selecting the most suitable formwork system to the characteristics of each cavity
  • 4.053 - Perform the clinical technique of carving a class II cavity for composite
  • 4.054 - Master the clinical technique of carving a class II cavity for composite
  • 4.055 - Select properly the matrix for each specific cavity class III
  • 4.056 - Carve a cavity Class III in different clinical situations
  • 4.057 - Place properly the placement of the matrix prior to the insertion of the composite
  • 4.058 - Seal properly a cavity class III
  • 4.059 - Select the finishing and polishing system more suitable depending on the configuration of each specific cavity class III
  • 4.060 - Make the polish of the filling Class III of composite
  • 4.061 - Perform a test restoration into a cavity of class IV
  • 4.062 - Make a palatine mask for a class IV cavity
  • 4.063 - Carve a cavity Class IV for a good retention and aesthetic of the sealing material
  • 4.064 - Seal a cavity of class IV by stratification
  • 4.065 - Polish fillings composite class IV
  • 4.066 - Master the clinical technique of making a composite class V cavity
  • 4.067 - Master the clinical technique of sealing a class V composite cavity
  • 4.068 - Establish an indication of an indirect restoration
  • 4.069 - Choose the right material for an indirect restoration
  • 4.070 - Carve a cavity for indirect restorations inlay type
  • 4.071 - Carve a cavity for an indirect restoration on lay
  • 4.072 - Carve a cavity for indirect restoration overlay type
  • 4.073 - Carve a cavity for an indirect restoration, crown type
  • 4.074 - Make a temporary restoration for a cavity for indirect reconstruction
  • 4.075 - Take records for an indirect restoration
  • 4.076 - Communicate with the laboratory to indicate the guidelines for the preparation of a restoration
  • 4.077 - Prepare properly the internal surfaces of the restorations according to the type of material
  • 4.078 - Prepare the tooth surfaces for receiving an indirect restoration
  • 4.079 - Perform the adhesive cementation of indirect restorations
  • 4.080 - Diagnose not caries dental pathology in a patient
  • 4.081 - Give a treatment plan for a patient with not caries dental pathology

Syllabus

Topic 1 Concept of matter
Topic 2 Dental Clinic History
Topic 3 Isolation 
Topic 4  Bases of operative dentistry
Topic 5 Characteristics of Composites
Topic 6 Class I composite cavity
Topic 7 pulp-dentin Complex
Topic 8 Class II composite Cavity
Topic 9 Fundamentals of operative dentistry
Topic 10 Class V  composite cavity
Topic 11 dental Adhesion
Topic 12 Class III composite cavity 
Topic 13 Class IV  composite cavity
Topic 14 Current Adhesion
Topic 15 Clinical aspects of materials
Topic 16 Amalgam
Topic 17 Class I and II cavities for amalgam

Topic 18 Biological bases and materials in operative dentistry

 

 

 

PRÁCTICAS PRECLÍNICAS (el fichero zip contiene las páginas web: una vez descomprimido el fichero debe abrir la página main.htm)

 

Teaching and learning activities


In blended


A. Cognitive area: The theoretical concepts of the subject will be transmitted through lectures and directed readings. Seminars will be held to help students interpret the available data, in order to adequately carry out diagnosis and treatment planning. These classes and seminars will be held in class using the collaborate system. Students who must attend practices will be able to attend the class in vivo and the rest of the students will be able to follow the class online 

B. Sensitive and motor area: Workshop practices ("preclinical") will be carried out where the student will exercise on exodontized teeth or resin models, until reaching the manual skill necessary to execute the clinical techniques of basic dental surgery. Each week a single group of practices will come and do more hours. The rest of the students will follow the theory of the practices via online 

C. Affective area: Students will be able to carry out non-directed readings, attend non-compulsory conferences, maintain contact with professors and researchers, and, where appropriate, carry out monographic works, alone or in teams, in order to acquire adequate motivation to maintain and expand knowledge, work as a team and collaborate in the advancement of dentistry in general and dental pathology and therapy in particular.

Evaluation systems and criteria


In blended


Theory: Final exam with multiple choice questions and / or short questions. Approved will be with a score of 40/60. 

The exam can be done through the Moodle system 

Practice: Continuous evaluation, complemented with a final evaluation test. The grade will be given by the sum of the weekly grades and the final exam grade. It is essential to pass theory and practice to pass the course Final grade: Sum of the theory and practice grade (50% -50%).

Bibliography and resources

 

1.      Dietschi D, Spreafico R. Restauraciones adhesivas no metálicas. Barcelona: Masson, 1998

2.      García Barbero J. Patología y terapéutica dental. Madrid: Síntesis, 2000

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

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

5.      Roberson T. Sturdevant. Arte y ciencia de la odontología conservadora. Madrid :Elservier  España, 2007.

6.      Mangani F., Ceruti A., Putignano A. Guidelines for adhesive dentistry: The key to success. Quintessence, 2009.

Evaluation period

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

  • E1 25/05/2021 08:00h A12
  • E1 25/05/2021 08:00h A15
  • E1 25/05/2021 08:00h A14
  • E1 25/05/2021 08:00h A03
  • E1 25/05/2021 08:00h A02
  • R1 01/06/2021 08:00h A16
  • E2 22/06/2021 12:00h A22
  • E2 22/06/2021 12:00h A21
  • R2 06/07/2021 09:00h A08
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