IMPLANTOLOGIA E MEDICINA DEL LAVORO

10 CFU - 2° Semester

Teaching Staff

FRANCESCO INDELICATO - Module PROTESI DENTARIA - MED/28 - 2 CFU
BRUNO ROSSETTI - Module PARODONTOLOGIA - MED/28 - 2 CFU
CORRADO TORO - Module CHIRURGIA ORALE - MED/28 - 2 CFU
BRUNO ROSSETTI - Module odontostomatological clinic - MED/28 - 2 CFU
LIDIA PROIETTI - Module Occupational Medicine - MED/44 - 2 CFU

Learning Objectives

PARODONTOLOGIA
To provide students with the scientific basis of contemporary implantology: indications for implant-prosthetic therapy, knowledge of the relationships between implants and biocompatibility of biomaterials. Knowledge about the biological and biomechanical response of the bone prosthetic load. Knowledge about the interface bone-implant-tooth. Knowledge related to the setting up of implant-prosthetic treatment. Principles of prosthetic guided implantology.
CHIRURGIA ORALE
Provide the student with the methodological basis and the correct approach to oral surgery. The course illustrates the main oral surgical pathologies and their sitematic approach. The indications and techniques of basic outpatient oral surgery procedures are treated up to the most complex methods.
odontostomatological clinic
Achieve optimal management skills odontostomatologica, medical and surgical patient with systemic diseases. Achieve optimal skills in the diagnosis, prevention and medical and surgical treatment of diseases of bone and mucous district oral-maxillofacial. Update on the use of laser and new technologies in dentistry
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.

Detailed Course Content

PARODONTOLOGIA
1. Implant osseointegration 2. Histology of the peri-implant tissues 3. Biomechanics of dental implants 4. Implant-prosthetic treatment plan 5. Computer Guided Implantology 6. Pathophysiology of peri-implant bone 7. Surgical implant technique 8. Diagnosis and Treatment of atrophy of the jaw 9. Soft tissue and implants 10. Modulation of prosthetic loading 11. Implant rehabilitation in patients with monoedentulia, partially and total edentulous 12. Temporary prosthesis in implant-prosthetic 13. Overdenture on implants 14. Complications in implantology 15. Oral hygiene in implant-prosthetic
CHIRURGIA ORALE
1) SURGICAL INSTRUMENTATION IN ORAL SURGERY

Surgical Instruments. Sutures. Hemostatic materials. Consumables

2) PRINCIPLES OF SURGICAL STERILITY

Sugical scrubs. The surgical field in oral surgery. Surgeon and assistant's sterility.

3) ANTIMICROBIAL PROPHYLAXIS IN ORAL SURGERY

Distinction between Antimicrobical prophylaxis and therapy. The bacterial antibiotic resistance. International Guidelines on Antimicrobical prophylaxis

4) ORAL SURGICAL ANATHOMY

Know, identify and protect vascular and nervous structures at risk in oral surgery.

5) LOCAL ANESTHESIA IN ORAL SURGERY

Refrigeration anesthesia. Topical anesthesia. Infiltration anesthesia. Plessic anesthesia. Troncular anesthesia.

6) BASIC ORAL SUTURES

7) ORAL BIOPSY

Principles and indications for oral biopsy. Surgical instruments useful for oral biopsy and conservation of the oral sample. Incisional Biopsy. Excisional Biopsy. Enlarged excisional biopsy. Algorithm for the choice of the correct biopsy.

8) BENIGN ORAL TUMORS

Benign mucosal tumors. Benign odontogenic tumor. Benign non-odontogenic tumor. Surgical approach and differential diagnosis with malignant tumors.

9) DENTOALVEOLAR TRAUMA

Classification. Treatment. Timing

10) PRE-PROSTHETIC SURGERY

Plastic surgery of the fornix. Classifications of atrophic jaw (Cawood & Howell). GBR. Bone grafts. Autologous bone grafts. Alloplastic bone grafts. Xenogeneic bone grafts. Allogeneic bone grafts. Alveolar Distraction. Onlay and Inlay grafts. Split-crest. Sinus lift.

11) CYSTIC LESIONS OF THE JAWS

Odontogenic cysts. Inflammatory cysts. Non-odontogenic cysts. Pseudocysts.
odontostomatological clinic
• Clinical examination of the patient's history and physical examination
• Tooth decay, etiology and treatment
• Saliva pathophysiology and function
• Employee nosology and treatment of diseases of the dental pulp
• Fluoride and patient motivation to oral hygiene
• Phenomena electrogalvanic in the mouth
• The use of biomaterials in dentistry
• Trauma and fractures of the jaws
• Oral manifestations of systemic diseases
• Clinical approach in implant osseointegration
• Clinical aspects and treatment of inflammatory lesions of the jaws
• Employee nosology and treatment of cysts and pseudocysts of maxillary
• Dental Traumatology, clinical and therapeutic issues
• Resorption and tooth whitening
• Methods histo-cyto diagnostics of soft tissues of the oral cavity
• The laser diagnostics of the soft tissues of the oral cavity
• Pain in dentistry
• Management of the patient at risk in medical dentistry
• Clinical aspects, prevention and treatment of precancerous oral
• Prevention and diagnosis of malignant epithelial tumors of the oral cavity
• investigation and management of patients with systemic diseases emerging
• Tumor tissue odontogenic: classification and therapy
• Benign and malignant pathology of mesenchymal tissues of the oral cavity: treatment and prognosis
• Giant cell lesions, osteodistrofie and dysplasia of the jaws: classification and therapy
• Medico-legal aspects common in dental practice
• Statement of current for the conduct of the dental practice
• The retrofitting of the study of the surgery and dentistry
• Diagnostic imaging in dentistry • Atrophic Maxillary: complex prosthetic implant rehabilitations
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

PARODONTOLOGIA
1. Jan Lindhe Parodontologia ed implantologia dentale, Ed. Martina, Bologna
2. G. Vogel, M. Cattabriga, G.P.Pini Prato Parodontologia Clinica Quintessenza Edizioni
3. Naoshi Sato Testo Atlante di Chirurgia Parodontale Ed. Quintessenza
4. Carl E. Misch Implantologia contemporanea Elsevier
CHIRURGIA ORALE
1) M. Chiapasco. Manuale illustrato di Chirurgia Orale (III Ed.). Edra Edizioni. 2016

2) AA. VV. Trattato di Patologia Chirurgica Maxillo-Facciale. Edizioni Minerva Medica. 2007

3) Mehra P., D'Innocenzo R. Manual of Minor Oral Surgery for the General Dentist (II Ed.). Wiley Blackwell Ed. 2015

odontostomatological clinic

Scully C, Cawson RA: Il trattamento odontoiatrico nei pazienti affetti da malattie sistemiche . Antonio Delfino Editore

Ficarra G: Manuale di Patologia e Medicina Orale. Mc Graw-Hill

Ibsen OAC, Phelan JA: Patologia Orale. CIC Edizioni Internazionali

Updated articles of the international literature on specific topics

Occupational Medicine
1. David Koh, Ken Takahashi. Textbook of Occupational Medicine Practice. 3rd Edition ISBN: 978-981-4329-57-6
2. Antonio Mutti, Massimo Corradi: "Lezioni di Medicina del Lavoro". Nuova Editrice Berti, 2014 (ISBN 978-88-7364-627-3)
3. Per Alberto Bertazzi: "Medicina del lavoro". Raffaello Cortina Editore, 2013 (ISBN 978-88-6030-633-3)
4. Enrico Pira, Canzio Romano, Paolo Carrer: "Manuale di medicina del lavoro". Minerva Medica, 2016 (9788877118431)

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