DISCIPLINE ODONTOSTOMATOLOGICHE II

18 CFU - 1° Semester

Teaching Staff

MARCO TERRANOVA - Module TIROCINIO PROFESSIONALIZZANTE - PROTESI DENTARIA I - MED/28 - 3 CFU
ANTONINO CACIOPPO - Module TIROCINIO PROFESSIONALIZZANTE - PROTESI DENTARIA II - MED/28 - 3 CFU
MARIO CAPONCELLO - Module PROFESSIONAL TRAINING - PERIODONTOLOGY I - MED/28 - 3 CFU
PAOLO TORRISI - Module PROFESSIONAL TRAINING - PERIODONTOLOGY II - MED/28 - 3 CFU
EUGENIO PEDULLA' - Module Opeartive dentistry and Endodontics - Clinical training - MED/28 - 3 CFU
EUGENIO PEDULLA' - Module Opeartive dentistry and Endodontics - Clinical training - MED/28 - 3 CFU

Learning Objectives

TIROCINIO PROFESSIONALIZZANTE - PROTESI DENTARIA I
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
PROFESSIONAL TRAINING - PERIODONTOLOGY I
Obtain knowledge and practical skills that allow to handle periodontal simple report cases with appropriate indication, get information and basic concepts of implant, execute Implant Periodontal treatment plans. Students completing the course will: - Know the periodontal surgery - Be able to perform basic periodontal surgery -interpretate and read instrumental exams as CBCT and software usage
PROFESSIONAL TRAINING - PERIODONTOLOGY II
To accomplish knowledge and pratical skills that allows to handle easy periodontal cases, to report with appropriate indication of complex cases, get information and basic concepts of implantology, to perform perio-implant treatment plans.
Opeartive dentistry and Endodontics - Clinical training
At the end of the course, the student will be prepared to recognize, face and solve simple cases of conservative and endodontics. In particular, the student will be able to recognize and appropriately use the main instrumental preparation techniques; recognize and appropriately use the substances used for root canal irrigation; to know various methods of obturation of the endodontic space; coordinate an assistant to the chair for the performance of Endodontics. It will also be able to diagnose and restore all types of carious lesions using direct composite techniques.
Opeartive dentistry and Endodontics - Clinical training
At the end of the course, the student will be prepared to recognize, deal with and solve complex cases of endodontics. In particular, the student will be able to manage the endodontic urgencies and their treatment; to know various methods of obturation of the endodontic space; manage endo-periodontal pathologies; plan and organize simple endodontic surgery; In addition, the student will be able to perform a fiber pin reconstruction of the endodontically treated teeth as well as perform minor periodontal surgery necessary for the restoration of severely compromised dental elements.

Detailed Course Content

TIROCINIO PROFESSIONALIZZANTE - PROTESI DENTARIA I
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

Temporary fixed prostheses
PROFESSIONAL TRAINING - PERIODONTOLOGY I
• Interpretation and reading exams instrumental (OPT, intraoral, CBCT, Dentalscan)

• Execution of intraoral radiographs with centering technique (Status radiographic)

• Technical and execution of surveys periodontal

• Treatment periodontal surgery (scaling and root planing)

• Creating the folder periodontal • Treatment plan detailed periodontal

• Execution of cases of compromise periodontal treatment mixed-implant

• Surgical periodontics and implantology

• Kit implant

• Exercise Simulation introduction of implant models

• Demonstration of suture techniques

• Exercise with piezo-surgery

• Tutorial on models of different types of suture in use in dentistry

• Elements of prosthetic implant (use of copyng, transferts and creation of the master model).
PROFESSIONAL TRAINING - PERIODONTOLOGY II
- Instrumental exams (intraoral RX, OPT, TAC Dentalscan, TAC Cone BINE): reading and interpretation.
- Practice in intraoral radiography with centering technique (Radiographic status)
- Periodontal probing technique
- Periodontal medical history
- Detailed periodontal treatment plan
- Periodontal and implant treatment plans of complex cases
- Causal therapy
- Non surgical periodontal treatment (scaling and root planing)
- Muco-gingival surgery, coronally positioned flap with releasing incisions, coronally positioned flap - “envelope”- , flap positioned coronally “envelope” + connective tissue graft
- Connective tissue graft harvesting techniques
- Periodontal guided regeneration (GTR)
- Surgical instruments in periodontology and implantology
- Demonstration and exercises on pork jaw of:
  - Incision, design and flap elevation in periodontal and implant surgery;
  - suture in periodontal, implant and regenerative surgery;
  - use of collagen membranes, heterologous biomaterials and 3D matrices.
Opeartive dentistry and Endodontics - Clinical training
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 dentinal enamel: materials and techniques; different composite stratification techniques; finishing and polishing of composites. Occlusal check and its regularization.

Endodontic diagnosis; Pulp vitality tests; Pulp pathology and periapical pathology; X-ray examinations in endodontics; Anesthesia in endodontics; Endodontic pretreatment Field isolation; The standardized endodontic instruments.

Lime, broadchannel, tiranervi; Endodontic instruments in nickel-titanium with increased taper; Biological objectives of cleansing and shaping the root canal system; The cleaning of the endodon; The preparation of the access cavity in the various dental elements; The access cavity in the prosthetic abutments and through the crowns; The survey of the channel; Determination of the working length; Apical limit of preparation: anatomic, electronic, endodontic, radiographic apex; Pulpo-root cable preparation techniques; The preparation of root canals according to the Schilder technique; Curved channels. The obliterated root canals; Treatment of teeth with vital pulp and with necrotic pulp; The obturation of the endodontic space: biological, material and technical principles; Properties of filling materials; Gutta percha. Lateral condensation of gutta-percha; Vertical compaction of warm gutta-percha according to the Schilder technique; I Thermafil.
Opeartive dentistry and Endodontics - Clinical training
Continuous condensation wave technique: System B and Obtura II syringe; The Microseal technique;

Endodontic treatment of deciduous teeth and immature apex teeth; Root resorption; Endo-periodontal lesions; The retractions; Periapical surgery: indications, limits and operating procedures; Microsurgical endodontics; Retrograde obturation; Post - endodontic restoration with fiber posts: different types of pins, composites and composite cements; indications and limits of post-endodtic retauri with fiber posts; the creation of post-space; cementation of the fiber pin; the removal of metal and fiber posts.

Ultrasound in endodontics.

Emergency endodontics; Complications during endodontic treatments.

Clinical crown elongation;

Gingivectomy.

Textbook Information

TIROCINIO PROFESSIONALIZZANTE - PROTESI DENTARIA I
Preti G. “Riabilitazione Protesica” UTET 2003

Preti G. , Cassino G. “Approccio biologico alla riabilitazione del paziente edentulo” Quintessenza Ed. 2008
PROFESSIONAL TRAINING - PERIODONTOLOGY I
Jan Lindhe: Parodontologia ed implantologia dentale. Ed. Martina, Bologna
G. Vogel, M. Cattabriga, G.P. Pini Prato: Parodontologia Clinica. Quintessenza Edizioni
Naoshi Sato: Testo Atlante di Chirurgia Parodontale. Quintessenza Edizioni
Trombelli Leonardo: Strumentazione Parodontale non Chirurgica. Ed. Masson
PROFESSIONAL TRAINING - PERIODONTOLOGY II
Jan Lindhe: Parodontologia ed implantologia dentale. Ed. Martina, Bologna
Giovanni Zucchelli: Chirurgia estetica mucogengivale. Quintessenza Edizioni
Opeartive dentistry and Endodontics - Clinical training
AUTORI VARI: SIE – Manuale di Endodonzia – Edizioni Edra

S. COHEN, R. C. BURNS: Attraverso la polpa (Pathways of the Pulp) –– Ed. PICCIN, Padova
Opeartive dentistry and Endodontics - Clinical training
AUTORI VARI: SIE – Manuale di Endodonzia – Edizioni Edra

S. COHEN, R. C. BURNS: Attraverso la polpa (Pathways of the Pulp) –– Ed. PICCIN, Padova

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