Universitat Internacional de Catalunya - BarcelonaMultidisciplinary Restorative Treatment. Clinic I
Main language of instruction: English
Other languages of instruction: Catalan, Spanish
Restorative dentistry is the area of dentistry responsible for restoring the occlusal and masticatory function, anatomy, language articulation and altered aesthetics of the oral cavity. It can also resolve the conditions caused by decay, periodontal disease or trauma, through fixed or removable prostheses or by adhesive dentistry methods and techniques.
Advanced knowledge of oral anatomy and an extensive knowledge of the pathophysiology of oral diseases is required in order to be able to make a correct diagnosis and to apply the appropriate surgical and prosthetic techniques.
The aim of this subject is to enable students to acquire advanced multidisciplinary knowledge through clinical practice and scientific and surgical training as an expert in aesthetic restorative dentistry. The pathological processes of patients will, in many cases, require modifications of the different occlusal and/ or aesthetic standards (for instance, vertical dimension, occlusal plane, interdental positions, modifications, lip support, etc.).
This subject will be given over the two academic years of the Master’s Degree programme.
- The student is able to properly use the scientific terminology regarding temporomandibular dysfunction and restorative aesthetic dentistry, making a correct analysis and extra-oral diagnosis of the lower third of a patient’s face, highlighting the aesthetic and functional aspects of the teeth and soft tissues of the mouth in this analysis. They can also correctly carry out an intra-oral examination and diagnosis of the patient’s masticatory apparatus.
- The student is able to identify and reproduce the criteria of macro- and micro-dental aesthetics, both in the hard and soft tissues of the mouth.
- The student communicates with patients to explain to them, using scientific criteria and accessible language, the diagnosis, treatment plan and prognosis regarding/ based on scientific evidence. As part of this rehabilitator-patient relationship, they will give the patient the choice of different types of stomatological prosthesis options.
- The student works on the mucous membranes, teeth and implants (carvings, prints, evidence of the structures, occlusal examinations, etc.) to fit stomatological prostheses in patients suffering from complex oral disorders and within a multidisciplinary professional environment.
- Students have a clear and advanced knowledge of concepts such as osseo integration, passive adaptation, implant connection, implant surface, type of prosthetic abutment, types of prints to be made, transfer of the occlusal, functional and aesthetic parameters of the mouth to the laboratory. They can also carry out an individual selection for each patient of, different implantology attachments and carry out various tests and checks of prosthetic components during the process of manufacture of the oral prosthesis, controlling the process at all times so that the finished stomatological prostheses achieve the functional and aesthetic goals set at the start of treatment.
- The student will place stomatological prostheses (removable, fixed on teeth or implants, mixed and maxillofacial) in patients, instructing and motivating the patient for their proper use and maintenance. The student will also monitor and control the adaptation/installation of new prostheses, making the necessary modifications if required.
- The student will have the scientific knowledge to choose the type of material for the prostheses.
- The student will be able to carry out the analysis and clinical and laboratory diagnosis of the dental occlusion and mandibular dynamics, creating diagnostic wax and plaster models of patients’ mouths, to rehabilitate the dental function and thus achieve a balance between aesthetics and articular and occlusal functions, taking into account all the complex aspects of the masticatory system.
- The student will carry out selective carving of the teeth in order to attain a mandibular dynamics and dental occlusion.
- The student will make occlusal splints for joint protection.
The subject consists of the treatment by the student of multidisciplinary clinical cases, starting with the simplest and progressing to highly complex cases, to complete their training.
Methodology:
Theoretical classes and via WebEx
Practical and clinical mentored learning
Small group training
Trouble-shooting in the dental laboratory
Training activities:
CM
CUO
LAB
· Direct and personal participation 20%
· Acquisition of clinical techniques and surgical skills 35%
· Scientific knowledge of patient pathology 35%
· Dentist-patient communication 10%
This assessment will be recorded by the teachers responsible for the subject, who will inform the students’ teachers-tutors and the coordinator of the assessment.
Michael Cohen; Interdisciplinary Treatment Planning, Volume I: Principles, Design, Implementation
Rafi Romano; The Art of Treatment Planning: Dental and Medical Approaches to the Face and Smile
Rafi Romano; The Art of the Smile: Integrating Prosthodontics, Orthodontics, Periodontics, Dental Technology, and Plastic Surgery in Esthetic Dental Treatment
Revistas científicas:
- Jornal of Dental Research
- Clinical Oral Implants Research
- Dental Materials
- Clinical Oral Investigations
- International Journal of oral and maxillofacial Implants
- Journal of prosthetic dentistry
- Journal of oral rehabilitation
- The International Journal of Esthetic Dentistry