IMPLANTOLOGIA E MEDICINA DEL LAVORO

14 CFU - 2° Semester

Teaching Staff

FRANCESCO INDELICATO - Module Dental Prosthesis - MED/28 - 3 CFU
DANIELE FRANCO CARDAROPOLI - Module PARODONTOLOGIA - MED/28 - 3 CFU
ALBERTO BIANCHI - Module - - MED/28 - 3 CFU
NUNZIO EZIO CAMPAGNA - Module CLINICA ODONTOSTOMATOLOGICA - MED/28 - 3 CFU
VENERANDO RAPISARDA - Module Occupational Medicine - MED/44 - 2 CFU

Learning Objectives

Dental Prosthesis
The educational objective of the course is to list the principles of fixed prosthesis on natural teeth. Therapies will be evaluated in the rehabilitation of the single tooth and the treatment of the missing tooth. Particular attention will be given to the first visit and to the formulation of the treatment plan.
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- Reaching and obtaining the optimal skills in odontostomatology and surgical management of the patient in odontostomatology. Reaching and obtaining the optimal skills in diagnosis, and surgical therapy of mucous and bone pathologies of the oro-maxillofacial district.
  
  The teaching is designed to guide and improve the student's approach to the patient with different problems, ranging from the management of the patient with a specific surgical pathology to the patient presenting with a non-specific pathology at the level of the oral cavity or craniofacial district and which requires a therapy addressed to the symptom, as well as a diagnosis and a therapy aimed at the responsible pathology. In particular, the student must be able to have gained theoretical, scientific and professional knowledge in the field of pathophysiology, histopathology, clinic and therapy of odontostomatological alterations of surgical interest and in the surgical-rehabilitative treatment of total and partial edentulism; histopathology of phlogistic, dysplastic and neoplastic dento-maxillo-facial alterations, the physiopathology of jaw bone atrophy, physical and instrumental semiotics, clinical methodology and surgical therapy are specific areas of competence.
  
  The course is supplemented by free student participation in local, national and international scientific events organized within the clinic, and dental surgery.
  
  The skills acquired will lead the student to develop a critical capacity on the topics covered using the skills in an active way for diagnostic and therapeutic purposes in the surgical management of the patient in odontostomatology.
Occupational Medicine
The aim of the course is to provide information and knowledge about workplace-related pathologies (accidents and illnesses) as well as to become familiar with prevention principles, with particular reference to risk assessment and preventive measure adoption.

Students will have to learn methods and techniques to collect work history, identify environmental and occupational risks and possible relationships with genetic, demographic, socio-economic, psychological and cultural factors, related to health or illness statuses, as well as to look into the possible non-specific effects of occupational risk factors, especially for degenerative chronic diseases.

The main etiologically diagnostic aspects of occupational medicine will be dealt with, and so will the epidemiology of con-causally work-related diseases. Also, the most frequent professional diseases and work accidents will be classified. The main analysis method and work risk assessment instruments will be provided, that is limit exposure levels, environmental/biological monitoring and healthcare surveillance. Also, occupational risk in/formation, safety and health law guidelines in work places, primary and secondary prevention of occupational diseases, role and duties of the competent physician will be discussed.

Course Structure

Dental Prosthesis
lessons in presence.

Should teaching be carried out in mixed mode or remotely, it may be necessary to introduce changes with respect to previous statements, in line with the programme planned and outlined in the syllabus.
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- Surgical management with knowledge of guidelines, operating protocols related to oral surgery in odontostomatology.
  
  In particular:
  - Drug therapy in oral surgery
  - Principles of surgical technique
  - Treatment plan in oral surgery, Guided Bone Regeneration (GBR), split crest and surgery before dental proshtesis
  - Impiego del laser in chirurgia orale
  - Sinus floor elevation
  - Biomaterials used in bone regeneration
  - Advanced bone regeneration techniques
  - Piezoelectric surgery
  - Blood components for non-transfusion use in oral and implant surgery
  - Surgical endodontics
  - Ameloblastoma: clinical classification and therapy
  - Management of the patient treated with bisphosphonate
  - Management of the patients with systemic diseases
Occupational Medicine
Frontal lesson.

Detailed Course Content

Dental Prosthesis
- ATM dysfunction - Occlusion and Trigger Point - Mobile Prosthesis Preparation - Torus surgery - Fingerprint pick and tray choice - First impression in Total Prosthetics - Phonetic Trials and Freeway Space - Facial Arch, Articulators and Teeth Assembly - Occlusal tests - Skeletal prosthesis (Component preparation, Parallelometer, Balancing and Retention) - Implant protections -Overdenture - Preparation of abutments and instruments - Parapulpari trees - Endocanalari trees -Barras between prosthetic pillars
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- Lectures accompanied by slides and movies and supplemented by discussion of the topics treated in order to train students in a critical capacity on the topics and to acquire a knowledge suitable for surical management in patients affected by specific pathologies of the gold-maxillofacial district. Final oral exam.
  
  Knowledge of the odontostomatological sciences. Knowledge of the pathogenesis and clinical aspects of the mucous and osseous diseases of the gold-maxillofacial district. Knowledge of anatomy, physiology, physiopathology and pharmacology
  
  Please see also the following link:
  
  https://www.unict.it/it/ateneo/lauree-magistrali-ciclo-unico-regolamenti-didattici
Occupational Medicine
History and evolution of Occupational Medicine: prevention service legislation and organization; work accidents and professional diseases insurance practices. Risk assessment procedure; exposure times and limit levels/values.

Primary and secondary prevention principles. Healthcare surveillance and duties of competent physician. Biological monitoring procedures. General and individual preventive practices and first aid action organization. Biological risk and vaccinations. Physical risks: noise, vibrations, ionizing-non-ionizing radiations, microclimate and compressed atmosphere. Ergonomy principles: postures and work. Workstation, shift and night work risks. Assessment of risks in manual loads handling and in repetitive movements of upper limbs with associated pathologies. Organizational wellness and its associated work stress. Health promotion in working places.

Main dust/fibre and professional allergene exposure–related pathologies; indoor and outdoor pollutants. Exposure risks to chemical, mutagen and carcenogenic agents.

Principles of Industrial Hygiene and hints of Statistics. Risks in the main working cycles. Guidelines on safety and health in working places.

Textbook Information

Dental Prosthesis
-Elementi di occlusione. Autori: Castellani. Editore: Martina . Volume: Unico

- La Protesi Parziale Rimovibile. Autori: Preti-Pera Editore: Quintessenza.

-Fondamenti di Protesi Fissa. Autore: E.Shillinburg . Editore: Quintessenza .
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-ORAL SURGERY
- Matteo Chiapasco: Manuale Illustrato di Chirurgia Orale. Edra Masson 2013.
- Chirurgia Odontostomatologica. SIDCO: Società Italiana di Chirurgia Odontostomatologica. Chirurgia Odontostomatologica. Edizioni Minerva Medica Torino 2015.
In addition to textbooks, also the most recent and relevant teaching literature of the main medical databases.
Occupational Medicine
- David Koh, Ken Takahashi. Textbook of Occupational Medicine Practice. 3rd Edition ISBN: 978-981-4329-57-6
- Antonio Mutti, Massimo Corradi: "Lezioni di Medicina del Lavoro". Nuova Editrice Berti, 2014 (ISBN 978-88-7364-627-3)
- Per Alberto Bertazzi: "Medicina del lavoro". Raffaello Cortina Editore, 2013 (ISBN 978-88-6030-633-3)
- Enrico Pira, Canzio Romano, Paolo Carrer: "Manuale di medicina del lavoro". Minerva Medica, 2016 (9788877118431)

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