PERIODONTOLOGY AND IMPLANTOLOGY
Learning outcomes of the course unit
To provide the student with sufficient cultural and technical training to guarantee a satisfactory level of services aimed at fulfilling first level care requirements and so as to be able to enter higher level training (Postgraduate Courses, Specialist Schools, Masters, Ph.D. programmes). This has been accomplished when students demonstrate that they possess knowledge of:
• the scientific fundamentals of periodontics.
• interactions between periodontal and systemic pathological conditions and management form a periodontal standpoint of patients with medical conditions.
• epidemiology of periodontal diseases and the role or periodontics in public health.
• clinical experience in diagnosing and caring for periodontal diseases in the beginning stages and of average severity.
• clinical experience in diagnosing serious periodontal diseases.
• the scientific fundamentals of implantology.
• indications for implant prosthodontic treatment.
• pathophysiology of maxillary bone atrophies and bone grafts.
• clinical experience in implant prosthodontic diagnosis.
Students must have taken and passed the examinations of the previous years.
Course contents summary
1. Periodontium and peri-implant anatomy and physiology
2. Bone and implants pathophysiology
3. Classification of periodontal diseases
4. Periodontal disease epidemiology
5. Periodontal microbiology
6. Etiopathogenesis of diseases associated with dental plaque
8. Chronic periodontitis
9. Aggressive periodontitis
10. Periodontitis as a symptom of systemic diseases
11. Necrotising periodontal diseases
12. Periodontium abscesses
13. Periodontitis associated with endodontic lesions
14. Acquired or congenital deformities and conditions
15. Occlusal trauma
16. Periodontal diagnosis
17. Periodontal radiology and other imaging techniques
18. Periodontal treatment: goals and sequences
19. Behavioural sciences applied to periodontics
20. Plaque control
21. Antibiotics and antibacterials
22. Initial periodontal treatment
23. Periodontal access flaps
24. Periodontal regeneration
25. Furcation lesions
26. Periodontal plastic surgery
27. Periodontal maintenance treatment
28. Implant biomaterials
30. Implant prosthodontic diagnosis
Further clarifications regarding a few subjects
- Diagnosis and treatment plan: diagnosis of disease and single dental element, periodontal and systemic case history, survey, medical records, photographic documentation, periodontal radiographic imaging technique and interpretation, diagnosis and treatment plan for the positioning of implants - Initial preparation and other non-surgical treatments:
hygiene instructions, plaque control, prevention, patient motivation, tartar removal, scaling and root planning, extraction of teeth with unfavourable prognosis, elimination of occlusal overloads, selective grinding, use of local and systemic antibacterials- Surgical treatment:
gum surgery (gingivoplasty, gingivectomy, modified Widman, E.N.A.P., thinned palatine flap); mucogingival surgery (apical, coronal, lateral positioned flap, gum grafts, root coverage techniques; bone resection surgery (clinical crown lengthening, ostectomy and osteoplasty, fibre retention, treatment of furcation lesions, root amputation, hemisection): reconstructive bone surgery (grafts of bone and other materials, guided tissue regeneration, re-absorbable and non re-absorbable membranes, bone and periodontal regeneration factors).
- Follow-up: diagnostic and re-evaluation procedures
- Materials: use and maintenance of surgical instruments (selection, washing, sterilisation, sharpening technique), sutures (classification and selection of sutures for periodontal use)
Wolf H. F., Rateitschak E. M., Rateitschak K. H.
Misch C. E.
L'odontoiatria implantare contemporanea
Antonio Delfino Editore, 2000