DISCIPLINE ODONTOSTOMATOLOGICHE III

16 CFU - 1° Semester

Teaching Staff

GAETANO ISOLA - Module Oral Pathology - MED/28 - 2 CFU
LUDOVICA GIOVANNA DEODATO - Module TIROCINIO PROFESSIONALIZZANTE - GNATOLOGIA - MED/28 - 2 CFU
GAETANO ISOLA - Module Oral Surgery - MED/28 - 2 CFU
ANTONINO LO GIUDICE - Module TIROCINIO PROFESSIONALIZZANTE - PEDODONZIA - MED/28 - 3 CFU
ROSALIA MARIA LEONARDI - Module TIROCINIO PROFESSIONALIZZANTE - ORTODONZIA - MED/28 - 7 CFU

Learning Objectives

Oral Pathology
Achieve and obtain optimal skills in the management of oral medicine and patient pathology in odontostomatology. Achieve and obtain optimal skills in the anatomy, diagnosis, and therapy of hard and soft tissue pathologies of the oro-maxillofacial area.

The teaching is set up to guide and improve the student's approach to the patient with various problems, ranging from the correct analysis of periodontal anatomy in physiology and pathophysiology and specific in the diagnosis in the patient affected by diseases of the oral cavity of the patient who presents with a specific pathology in the oral cavity or in the craniofacial area and which requires therapy aimed at the symptom, as well as a diagnosis and therapy aimed at the responsible pathology. In particular, the student must be able to obtain a correct degree of definition of the different forms of oral pathology and perform a careful analysis of the clinical scenario in which the problem occurs, up to the formulation of hypotheses for the resolution of the problem presented ( therapeutic options) with specific modules on physical and instrumental semeiotics, clinical methodology and non-surgical and surgical therapy of the patient with oral pathologies.

The course is complemented by the free participation of students in local, national and international scientific events organized in the field of oral medicine.

The skills acquired will lead the student to develop a critical capacity on the topics dealt with using the skills actively for diagnostic and therapeutic purposes in the management of oral pathology.
Oral Surgery
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 odontostomatology, and surgical 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 aim is also to have the student acquire the ability to possess knowledge of dental prevention techniques and systems in the surgical field and gain mastery in their application. The student must acquire the theoretical knowledge, the common practical skills of oral surgery.

At the end of the course, the student will be prepared to recognize, deal with and solve simple and complex cases of simple and complex oral extraction surgery. In particular, the student will be able to manage surgical and traumatological urgencies and their treatment; recognize and appropriately use the main simple and complex dental extraction techniques; to surgically elevate a flap, to be able to recognize the surgical and micro-surgical instruments to recognize and properly use the biomedals in oral surgery; learn about various suture methods in oral surgery; manage surgical emergencies; plan and organize simple oral surgery; coordinating an assistant in the chair to carry out oral surgery. The student will be able to diagnose the main oral dental pathologies. Finally, the student will be able to perform small oral surgery and small biopsies in loco-regional anesthesia.

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.

Course Structure

Oral Pathology
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 oral pathologies of the gold-maxillofacial district. Final oral exam.
Oral Surgery
Theoretical-practical internship, interactive exercises and any specific seminars integrated by discussion of the topics dealt with in order to train students in a critical capacity on the topics and allow to acquire a suitable knowledge for surgical management in the patient suffering from specific pathologies of the oro-maxillo facial district.

Detailed Course Content

Oral Pathology
Surgical management with knowledge of guidelines, operating protocols related to oral pathology in odontostomatology.

In particular:

• Outline of systematic, topographical and radiological anatomy of hard and soft oral tissues

• Periodontal semeiotics of gingival and mucous tissues

• Elementary lesions of the oral cavity

• Histopathological aspects of the main oral lesions

• Dental anomalies

• Dental retentions and inclusions

• Oral cancer

• Oral lichen

• Leukoplakia

• Paraphysiological conditions of the oral cavity

• Osteonecrosis of the jaws
Oral Surgery
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
- Use of laser in oral surgery
- The implant site
- Raised floor of the maxillary sinus
- Biomaterials used in bone regeneration
- Simple and complex dental avulsion techniques
- Incisional and excisional biopsy techniques
- Elements of oral pathology for diagnosis and treatment of oral lesions
- Advanced bone regeneration techniques
- Piezoelectric surgery
- Blood components for non-transfusion use in oral and implant surgery
- Surgical endodontics
- Management of the patient treated with bisphosphonates
- Clinical and surgical management of the dental patient with systemic diseases
- Dental traumatology
- Emergency endodontics; Complications during endodontic treatments.

Textbook Information

Oral Pathology
Regezi JA, Sciubba J. Patologia orale Dalla diagnosi alla terapia. Terza edizione (1999) Edizione Italiana a cura di Antonio Carrassi. Antonio Delfino Editore.

Cawson R, Zinnie, Barrett, Wright. Oral Diseases III ed Mosby (Versione Inglese) Cawson R, Zinnie, Barrett, Wright. Patologia orale Antonio Delfino editore (Versione Italiana)

Gandolfo S, Carrozzo M, Scully C. Patologia e medicina del cavo orale. UTET Reichart PA,

Philiphsen H. Patologia Orale. Masson
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.

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