DISCIPLINE ODONTOSTOMATOLOGICHE II

20 CFU - 1° Semester

Teaching Staff

MARCO TERRANOVA - Module * - MED/28 - 6 CFU
ANTONINO CACIOPPO - Module *
GIUSEPPE CARIOTTI - Module - - MED/28 - 2 CFU
MARIO CAPONCELLO - Module - - MED/28 - 6 CFU
PAOLO TORRISI - Module -
GAETANO ISOLA - Module Conservative Dentistry and Endodontics I - MED/28 - 6 CFU
SALVATORE FLORIO - Module Conservative Dentistry and Endodontics I

Learning Objectives

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Knowledge of the causes and consequences of edentulism.
Knowledge of the basic steps for a correct approach to the patient.
Understanding of the rationale of the principles underpinning the prosthetic rehabilitation of a patient with partial or total edentulous and their application
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Conservative Dentistry and Endodontics I
The student must be able to distinguish the characteristics of health and oral pathologies and the risk conditions of patients in adult and pediatric age in the conservative and endodontic field. The aim is also to have the student acquire the ability to possess knowledge on dental prevention techniques and systems and to master their application. The student must acquire the theoretical knowledge, the common practical skills of restorative dentistry and endodontics.

At the end of the course, the student will be prepared to recognize, address and resolve simple and complex cases of conservative and endodontic and lengthening of the clinical crown. In particular, the student will be able to manage endodontic emergencies and their treatment; recognize and properly use the main instrumental preparation techniques; to recognize and properly use the substances used for root canal irrigation; learn about various methods of filling the endodontic space; managing endo-periodontal diseases; plan and organize simple endodontic surgery; coordinate an assistant in the chair for conducting Endodontics interventions. Furthermore, the student will be able to diagnose and restore all types of carious lesions using direct composite techniques. Finally, the student will be able to perform small periodontal surgery operations necessary to safeguard severely compromised dental elements.

Course Structure

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Apprenticeship
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Conservative Dentistry and Endodontics I
Integrated theoretical and practical training based on a discussion of clinical cases and the topics dealt with in order to train students in a critical capacity on the topics and allow them to acquire suitable knowledge for the management of conservative dentistry and endodontics. Final oral exam.

Knowledge of odontostomatological sciences. Knowledge of anatomy and physiology of the oro-maxillofacial district. Specifically, knowledge of periodontology, prosthesis, conservative and endodontics.

Please see also the following link:

https://www.unict.it/it/ateneo/lauree-magistrali-ciclo-unico-regolamenti-didattici

Detailed Course Content

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Temporary fixed prostheses

Medical history of the patient
From a partial lack to a complete lack of teeth
Causes of tooth loss
Local and systemic consequences of tooth loss
Visit and planning

The first impression; realization of a study model
Pouring and squaring models
The temporary prosthesis
Individual tray and second impression
Adaptation of the wax rims
Try of the prosthesis
Delivery
The revisions of the prosthesis
Rebasings
Overdentures on natural teeth
Bite registration

Planning of the restoration of a single tooth

Treatment planning for the replacement of missing teeth

Principles of tooth preparation

Restoration of endodontically treated teeth
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Conservative Dentistry and Endodontics I
- The diagnosis in conservative; Preparation and restoration in composite of cavities of I, II, III, IV and V class. Differences between composites and amalgam: materials and techniques of use; Adhesion of dental enamel: materials and techniques; different composite layering techniques; finishing and polishing of composites. Occlusal control and its regularization.
- Endodontic diagnosis; Pulp vitality tests; Pulpal pathology and periapical pathology; Radiographic examinations in endodontics; Anesthesia in endodontics; Endodontic pretreatments Field isolation; Standardized endodontic instruments.
- Files, caterpillars, pull yourself; The nickel-titanium endodontic instruments with increased taper; Biological objectives of cleansing and shaping of the root canal system; The preparation of the access cavity in the various dental elements; The access cavity in the prosthetic abutments and through the crowns; The channel survey; Determination of working length; Apical limit of the preparation: anatomical, electronic, endodontic, radiographic apex; Pulp-radicular cavity preparation techniques; Preparation of root canals according to the Schilder technique; The curved channels. The obliterated root canals; Treatment of teeth with vital pulp and necrotic pulp; The filling of the endodontic space: biological, material and technical principles; Properties of filling materials; Gutta-percha.
- Endodontic treatment of deciduous teeth and immature apex teeth; Root resorption; Endodontal lesions; The retractions; Periapical surgery: indications, limits and operating procedures; Microsurgical endodontics; Retrograde filling; Post-endodontic restoration with fiber posts: different types of pins, composites and composite cements; indications and limits of post-endodontic restorations with fiber posts; post-space creation; cementation of the fiber post; the removal of metal and fiber pins.
- Emergency endodontics; Complications during endodontic treatments.
- Clinical crown lengthening;
- Gingivectomy.
- Non-surgical periodontal therapy.
- Flap surgery techniques in periodontology.

Textbook Information

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Preti G. “Riabilitazione Protesica” UTET 2003

Preti G. , Cassino G. “Approccio biologico alla riabilitazione del paziente edentulo” Quintessenza Ed. 2008
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Conservative Dentistry and Endodontics I
- Sturdevant's. Odontoiatria conservativa. Arte & scienza di T. M. Roberson, H. O. Heymann, E. J. Swift. Editore: Piccin-Nuova Libraria, 2004.
- Endodonzia. Arnaldo Castellucci, Edizioni Martina
- F. Gombos, R. Serpico, Clinica Odontoiatrica e Stomatologica - Testo-atlante a colori di patologia e medicina orale per medici e odontoiatri. Edizioni Piccin, 2006.

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