Oral Surgical Pathology 1
Main language of instruction: Spanish
Other languages of instruction: Catalan, English
Head instructor
Dr. Jordi GARGALLO - jgargallo@uic.es
Office hours
By appointment via e-mail
Lecturer responsible: Dr Oscar Salomó Coll
oscarsalomo@uic.es@uic.es
Practical session coordinator/lecturer: Dra. Naroa Lozano Carrascal
naroalozano@uic.es
The future European dentist will be what he already is in some countries, i.e., “the specialist of diseases of the teeth, mouth, maxilla and other facial structures”.
Oral Medico-Surgical Pathology includes the study of the diagnosis and treatment (surgical and complementary) of diseases, lesions and defects, congenital and acquired, including the functional and aesthetic aspects, of soft and hard tissues of mouth, maxilla and face.
The limits between medicine and oral and maxillofacial medicine are not clearly defined. Our aim is to provide an integrated view of these pathologies and, additionally, to integrate the medical and surgical therapy aspects. We believe these aspects should not be separate neither from a clinical perspective nor from the educational point of view.
Most patients value a comprehensive education in their dentist, which inspires confidence not only in the manual and technical aspects of the treatment but also in the medical training of the dentist.
The dentist is undoubtedly the specialist best prepared for the prevention, diagnosis and medical and surgical treatment of the diseases of the oral and maxillofacial region.
Students must have passed the first and second years of the Dentistry programme, having passed all of the subjects, or have obtained the corresponding official validation of credits.
To provide complete theoretical and practical training in pathophysiology, prevention, diagnosis and the treatment of pathologies (congenital and acquired anomalies) of the teeth, oral cavity, maxilla and neighbouring tissues.
Oral and maxillofacial region / oral and craniofacial region
1. A high level of knowledge in oral surgery.
2. Acquisition of the basic principles of oral and maxillofacial surgery.
3. Acquisition by the student of comprehensive knowledge of exodontics and the skills required to resolve its complications.
4. Being able to identify, and knowing how to diagnose and treat, the alterations of dental eruption.
5. Being able to identify, and knowing how to diagnose and treat, infectious pathologies of the oral and maxillofacial region.
6. Knowing and being able to classify maxillary cysts; being able to diagnose and treat them.
7. Knowing the principles and basic information regarding dental implantology, bone biology and the characteristics of implants and the surgical procedures.
SUBJECT BLOCKS
Block 1: Surgery principles (oral and maxillofacial)
Block 2: Exodontics
Block 3: Alterations of eruption and of dental organogenesis
Block 4: Oral and maxillofacial infectious pathology
Block 5: Cysts of the maxillar bones
Block 6: Basic dental implantology
0. Presentation and introduction to the subject.
-Organisation, theoretical sessions, practical sessions, structure of the classes, projects, evaluation, etc.
Block 1: Surgery principles (oral and maxillofacial)
Introduction to oral medico-surgical pathology
1.1. General surgical pathophysiology
1.2. Responses to surgical aggression
1.3. Post-aggression biological responses of organs (lesion)
1.4. Local response to aggression
1.5. Inflammation-Resolution-Repair-Regeneration
1.6. Lesion-Inflammation-Proliferation-Remodelling
1.7. Growth factors in the process of repair
Diagnosis of the oral medico-surgical pathology
2.1. The clinical history in oral and maxillofacial surgery
2.1.1. Anamnesis
2.1.2. Local, regional and general clinical examination
2.1.3. Complementary tests and examinations
2.2 Pre-operative testing
2.2.1. The healthy patient and the patient with systemic disease
(ASA classification)
2.2.2. The high-risk patient. The medically-compromised patient.
Preparation and work protocol in oral and maxillofacial surgery
3.1. Disinfection: surface, instrumental, personnel.
3.2. Sterilization: instrumental and work flow
3.2. Preparing the surgical field
3.3. Preparation of the patient
3.4. 4-, 6- and 8-handed work in dentistry
3.5. Basic and advanced surgical material and instrumental.
Basic principles of oral and maxillofacial surgery
4.1. Anesthetic technique. Loco-regional anaesthesia. Local anaesthetics.
4.2. Conscious sedation and general anaesthesia
4.3. Basic surgical technique: incision, mucoperiosteal flap,
ostectomy/osteotomy, tissue management, hemostasis, suture
4.4. Types of incisions and flaps in oral surgery
4.5. Types of suture
4.6. Medication and postoperative care in oral and maxillofacial surgery
4.6.1. Analgesics and antiinflammatories
4.6.2. Antibiotic therapy
4.6.3. Oral antiseptics
4.6.4. Instructions, recommendations and postoperative care.
Medical emergencies in oral and maxillofacial surgery
5.1. Types of medical emergencies
5.2. Prevention and treatment of medical emergencies
5.3. Pharmacology, materials and emergency equipment
5.4. Identifying and reducing anxiety in the dental surgery
Block 2: Exodontics
Introduction to exodontics
1.1. Revision of dental anatomy and maxilla: upper and lower maxilla
1.2. Basic instruments and equipment: forceps, elevators, basic surgery instruments. Rotary instruments
1.3. Anaesthetic techniques for dental extraction
2. Indications and contraindications of exodontics 2.1. Indications: Dental and periodontal pathology, pathology of dental eruption, pathologies of the maxilla, requirements of the orthodontic treatment, requirements of the prosthodontic treatment, economic motives-need, etc. 2.2. Contraindications: General or systemic and local.
3. Basic exodontic technique
3.1. Operating times: preparation of the patient. Preparing the surgical field. Anaesthesia. Sindesmotomy. Luxation. Traction. Avulsion. Curettage and revision of the surgical field. Compression of the alveolar bone. Suture. Post-operative instructions.
3.1. Permanent teeth of the upper maxilla
3.2. Permanent teeth of the mandible
3.3. Deciduous teeth.
Complex exodontics
4.1. Dental section techniques
4.2. Exodontics in anticoagulated patients: heparin protocol, dicumarinic protocol, antiplatelet agent protocol, etc.
4.3. Surgical exodontics: elevation of the mucoperiosteal flap, osteoctomy, suture
4.4. Multiple exodontics. Alveolotomy. Alveoloplasty
4.5. Intra-alveolar dressings.
Complications and their prevention
5.1. Intraoperative complications
5.2. Postoperative complications
5.3 Medico-legal aspects of exodontics. Informed consent
Block 3: Alterations of eruption and of dental organogenesis
Alterations of eruption
1.1. Chronology of dental eruption
1.2. Aetiology and frequency of dental eruption alterations.
Pathology of the eruption of third molars
2.1. Indications of extraction, expectant management, therapeutic abstention.
2.2. Surgical technique
2.3. Postoperative care and complications.
Pathology of eruption of included canines
3.1. Indications of extraction, expectant management, therapeutic abstention
3.2. Surgical procedure for extraction of included canines
3.2. Treatments for orthodontic repositioning: direct and indirect fenestration, intramucous and extramucous
3.3. Self-transplant.
Other dental inclusions.
Supernumerary teeth. Mesiodens
Block 4: Oral and maxillofacial infectious pathology
Systemic infections
1.1. Bacteremia, sepsis or septicemia, septic shock
1.2. Focal infection
1.3. Bacteremia and the oral portal of entry
1.4. Prevention of bacterial endocarditis
Local infections
2.1. Dry and suppurative alveolitis
2.3. Osteochemonecrosis of the maxilla: aetiology, action protocols and prevention. Treatment of osteochemonerosis of the maxilla
2.3. Osteomyelitis of the maxilla: aetiology, diagnosis, treatment and preventive measures
Block 5: Cysts of the maxillar bones
1. Classification of maxillar cysts
2. Odontogenic cysts
3. Non-odontogenic cysts
4. Diagnosis and treatment
5. Periapical surgery: indications, contraindications, surgical technique and prognosis of periapical surgery
Block 6: Basic dental implantology
History and foundations of implantology
Anatomy and hystology of the mandibular bone and the upper maxilla applied to implantology
Metabolism and bone physiology, pathophysiology of osteointegration
Surface and design of implants
Biomechanics of dental implants
Pharmacology applied to dental implantology
Diagnostic imaging in dental implantology
7.1. Intraoral radiographs, panoramic extraoral radiographs
7.2. Tomography.
Treatment planning in implantology
8.1. According to the patient: single teeth, partial edentulous, free ends, anterior sector, totally edentulous cases
8.2. According to the prosthesis: fixed or removable
8.3. According to the type of loading: immediate, early or delayed.
Surgical technique step by step: anaesthesia, incisions, flap lifting, bone preparation, implant placement, locking screw or gingiva former, suture and postoperative instructions
Chapter 0 PROGRAMME
0. PRACTICES
Material
uicpractpmqb12013-14.pdf
0. TEORETHICAL
Material
pmqo112:13programateoricopdf.pdf
Chapter 0 PROGRAMME
0. PRACTICES
Material
uicpractpmqb12013-14.pdf
0. TEORETHICAL
Material
pmqo112:13programateoricopdf.pdf
Chapter 1 PRESENTATION AND INTRODUCTION TO THE SUBJECT
Chapter 1 PRESENTATION AND INTRODUCTION TO THE SUBJECT
Chapter 2 INTRODUCTION TO ORAL MEDICO-SURGICAL PATHOLOGY
Material
introduccionalapmqo1.pdf
Chapter 2 INTRODUCTION TO ORAL MEDICO-SURGICAL PATHOLOGY
Material
introduccionalapmqo1.pdf
Chapter 3 CLINICAL HISTORY
Material
historiaclinicapdf.pdf
Chapter 3 CLINICAL HISTORY
Material
historiaclinicapdf.pdf
Chapter 4 LOCO-REGIONAL ANESTHESIA IN ORAL SURGERY
Material
anestesialoco-regionalencirugiaoral.pdf
Chapter 4 LOCO-REGIONAL ANESTHESIA IN ORAL SURGERY
Material
anestesialoco-regionalencirugiaoral.pdf
Chapter 5 OTHER DENTAL INCLUSIONS
Material
otrasinclusionesdentarias.pdf
Chapter 5 OTHER DENTAL INCLUSIONS
Material
otrasinclusionesdentarias.pdf
Chapter 6 SUPERNUMERARY TEETH
Material
113.supernumeraryteeth.popocb.2009.pdf
dientessupernumerarios.pdf
Chapter 6 SUPERNUMERARY TEETH
Material
113.supernumeraryteeth.popocb.2009.pdf
dientessupernumerarios.pdf
Chapter 7 PREOPERATIVE TESTING
Material
estudiospreoppdf.pdf
Chapter 7 PREOPERATIVE TESTING
Material
estudiospreoppdf.pdf
Chapter 8 DESINFECTION, STERILIZATION AND SURGICAL FIELD
Material
desinfeccion-esterilizacion-campoquirurgico.pdf
DISINFECTION, STERILIZATION AND SURGICAL FIELD resumenclasepmq1intranet.pdf
Chapter 8 DESINFECTION, STERILIZATION AND SURGICAL FIELD
Material
desinfeccion-esterilizacion-campoquirurgico.pdf
Chapter 9 MATERIALS AND BASIC AND ADVANCED INSTRUMENTS
Material
instrumentacion.pdf
Chapter 9 MATERIALS AND BASIC AND ADVANCED INSTRUMENTS
Material
instrumentacion.pdf
Chapter 10 MEDICATION AND POSTOPERATIVE CARE
Material
medicacionycuidadospostoperatorios.pdf
Chapter 10 MEDICATION AND POSTOPERATIVE CARE
Material
medicacionycuidadospostoperatorios.pdf
Chapter 11 FLAPS AND SUTURES
Material
FLAP DESIGN AND SUTURES colgajosysuturaspdf.pdf
Chapter 11 FLAPS AND SUTURES
Material
FLAP DESIGN AND SUTURES colgajosysuturaspdf.pdf
Chapter 12 SIMPLE AND COMPLEX EXODONTICS. COMPLICATIONS
Material
exodonciadienteserupcionados.pdf
12. TEMA 13, 14, 15
Chapter 12 SIMPLE AND COMPLEX EXODONTICS. COMPLICATIONS
Material
exodonciadienteserupcionados.pdf
12. TEMA 13, 14, 15
Chapter 16 ALTERATIONS OF ERUPTION
Material
alteracioneserupcion.pdf
Chapter 16 ALTERATIONS OF ERUPTION
Material
alteracioneserupcion.pdf
Chapter 17 THIRD MOLARS
Material
tercerosmolarespdf.pdf
Chapter 17 THIRD MOLARS
Material
tercerosmolarespdf.pdf
Chapter 18 INCLUDED CANINES
Material
caninosincluidospdf.pdf
Chapter 18 INCLUDED CANINES
Material
caninosincluidospdf.pdf
Chapter 19 SYSTEMIC INFECTIONS
Material
infeccionessistemicas.pdf
Chapter 19 SYSTEMIC INFECTIONS
Material
infeccionessistemicas.pdf
Chapter 20 LOCAL INFECTIONS
Material
infeccioneslocales.pdf
Chapter 20 LOCAL INFECTIONS
Material
infeccioneslocales.pdf
Chapter 21 MAXILLARY CYSTS
Material
quistesmaxilares.pdf
Chapter 21 MAXILLARY CYSTS
Material
quistesmaxilares.pdf
Chapter 22 PERIAPICAL SURGERY
Material
cirugia#769;aperiapicalpdf.pdf
Chapter 22 PERIAPICAL SURGERY
Material
cirugia#769;aperiapicalpdf.pdf
Chapter 23 INTRODUCTION AND FOUNDATIONS OF IMPLANTOLOGY
Material
Abstract and Bibliography introyfundamentosimplantologia.pdf
Chapter 23 INTRODUCTION AND FOUNDATIONS OF IMPLANTOLOGY
Material
Abstract and Bibliography introyfundamentosimplantologia.pdf
Chapter 24 ANATOMY, BONE HISTOLOGY AND OSEOINTEGRATION
Material
anatomiaihistologiaosea.pdf
Chapter 24 ANATOMY, BONE HISTOLOGY AND OSEOINTEGRATION
Material
anatomiaihistologiaosea.pdf
Chapter 25 SURFACE, DESIGN AND BIOMECHANICS OF IMPLANTS
Material
superficies,disenoybiomecanicadeimplantes.pdf
Chapter 25 SURFACE, DESIGN AND BIOMECHANICS OF IMPLANTS
Material
superficies,disenoybiomecanicadeimplantes.pdf
Chapter 26 PHARMACOLOGY AND DIAGNOSTIC IMAGING IN IMPLANTOLOGY
Material
Abstract and Bibliography farmacydxenimplantologia.pdf
Radiology in Implant Dentistry radiologyinimplantdentistrynotes.pdf
Chapter 26 PHARMACOLOGY AND DIAGNOSTIC IMAGING IN IMPLANTOLOGY
Material
Abstract and Bibliography farmacydxenimplantologia.pdf
Chapter 27 PLANNING IN IMPLANTOLOGY
Material
planificacionenimplantologia.pdf
SHORT AND NARROW IMPLANTS reduceddimensionsimplantsnotes.pdf
Chapter 27 PLANNING IN IMPLANTOLOGY
Material
planificacionenimplantologia.pdf
Chapter 28 SURGICAL PHASE IN IMPLANTS
Material
fasequirua#769;rgicaimplantespdf.pdf
Chapter 28 SURGICAL PHASE IN IMPLANTS
Material
fasequirua#769;rgicaimplantespdf.pdf
1. Master classes
Master classes providing the theoretical basic knowledge in schematic form and with a wealth of graphic material. Time (20 minutes) will be dedicated at the end of the theoretical class for questions, clarifications or any broadening of concepts that the student may require (as a short seminar).
2. Preclinical practical sessions
Preclinical practical sessions will take place in the laboratory and in the University Dental Clinic (CUO) by use of phantoms. These practical sessions will make use of the theoretical knowledge acquired as well as instruments and materials, ergonomics, asepsis, patient monitoring, attitude, and anaesthesia, exodontic and suture techniques.
Students will carry out loco-regional anaesthesia, exodontic and suture procedures on phantoms under the supervision of the lecturer.
EVALUATION
1. A theoretical final examination with multiple choice questions (five choices and a single correct answer). An erroneous answer to a question will subtract 0.25 points from the total.
2. The evaluation of preclinical practical sessions will be on a continuous basis through consideration of the following parameters: knowledge of the material and sterile technique, ergonomics and handling of the instruments and equipment, and loco-regional anaesthesia, exodontic and suture techniques. Not carring the material, the medical coat or the use of mobile phones will be penalized as a fault. Two faults is equivalent to one absence. Two absences will lead to a failing mark.
3. To pass the subject, students must pass the practical sessions, as well as theorical examen individually
EVALUATION
The evaluation of each student will be carried out as follows:
Theoretical final examination: 70%
Practical sessions: 30%
Total: 100 points
FINAL SCORE: 70p/1000= 7 (pass) <7 (failed)
Hupp JR, Ellis E, Tucker E. Contemporary Oral and Maxillofacial Surgery.5 Th. ed. Philadelphia:Ed. Mosby.; 2008.
Michael Miloro. Peterson's Principles of Oral and Maxillofacial Surgery, Ed BC Decker
Neville. Oral and Maxillofacial Pathology, Ed Saunders
Sailer, Pajarola. Oral Surgery for the General Dentist. Ed Thieme
Sapp JP, Eversole LR, Wysocki GP. Contemporary Oral and Maxillofacial Pathology 2 nd ed. Philadelphia: Mosby-Elsevier; 2004.
2. Bibliografia de consulta
Atari M, Barajas M, Hernández-Alfaro F, Gil C, Fabregat M, Ferrés-Padró E, Giner L,Casals N. Isolation of pluripotent stem cells from human third molar dental pulp. Histol Histopathol 2011;26:1057-70.
Cawson RA, Odell EW. Cawson fundamenteos de medicina y patología oral.Barcelona: Elsevier; 2009.
Díaz Carandell A, Hernando Chaure A, Ferrés Padró E. Protocolo de actuación ante situaciones de emergencia médica en la CUO. Clínica Universitaria de Odontología. Guía Clínica de aplicación en la CUO Departament de Patologia Mèdico-Quirúrgica i Implantologia Oral. Facultat d’Odontologia. Universitat Internacional de Catalunya;2008.
Gutiérrez J L, Vicente Bagán J, Bascones A, Llamas R, Llena J, Morales A. Documento
de consenso sobre la utilización de profilaxis antibiótica en cirugía y procedimientos
dentales. Rev Esp Cir Oral y Maxilofac 2006;28:151-181.
Hernando Chaure A, Ferrés Padró E. Cirugía oral electiva en pacientes bajo terapia anticoagulante y antiagregante plaquetario. Guía Clínica de aplicación en la CUO. Dpartamento de Patologia Mèdico-Quirúrgica e Implantologia Oral. Facultad de Odontologia.Universitat Internacional de Catalunya;2006.
Kirk RM. Técnicas quirúrgicas básicas. 5a ed. Barcelona: Ed. Elsevier;2003.
Maestre Vera JR. Treatment options in odontogenic infection. Med Oral Patol Oral Cir
Bucal 2004;9 Suppl:25-31;19-24.
Maestre Vera J R, Gómez-Lus Centelles M L. Antimicrobial prophylaxis in oral surgery and
dental procedures. Med Oral Patol Oral Cir Bucal 2007;12:E44-52.
Malamed S.F. Handbook of local anesthesia 5ª ed. Philadelphia: Mosby-Elsevier;2005.
Prats Armengol J, Ferrés Padró E. Estudio comparativo entre las técnicas del bloqueo anestésico de la tercera rama del trigémino (Convencional, de Gow-Gates y de Akinosi) en 120 exodoncias quirúrgicas de terceros molares inferiores.Quintessence 1999; 12:167-174.
Sailer HF, Pajarola GF. Atlas de cirugía oral.Ed. Masson. Barcelona;1997.
Scully C. Oral and Maxillofacial Medicine. The basis of diagnostic and treatment 2nd ed. Edinburgh: Churchill Livingstone-Elsevier; 2008.
Jorba, J. Asepsia en odontología. Normativa homologada
por el colegio oficial de odontólogos y estomatólogos de
Cataluña y Baleares. COEC
Stapff, KH. Recomendations for surface desinfection (3)
Quintessence J. 1991 Aug 21 ( 8) p 739‐43 .
E: exam date | R: revision date | 1: first session | 2: second session: