IMPLANTOLOGY
Academic year and teacher
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- Versione italiana
- Academic year
- 2018/2019
- Teacher
- GIAN PIETRO SCHINCAGLIA
- Credits
- 7
- Didactic period
- Secondo Semestre
- SSD
- MED/28
Training objectives
- This course is intended to provide students with an in-depth understanding of the use of dental implants for oral rehabilitation. Treatment planning options, surgical techniques, use of different implant systems and prosthetic solutions will be discussed and critically analyzed.
The course will provide students with knowledge on rationale and clinical application of dental implants and discuss contemporary treatment planning modalities for oral rehabilitation. The following implant related topics will be covered during the course ( II semester)
-Immediate loading and computer guided surgery
-Implant therapy in partially edentulous patients
-Replacement of single tooth with implants in the aesthetic zone
-Healing of the extraction socket and management of the edentulous ridge.
-Implant Maintenance and Long Term Prognosis
Implant complications Prerequisites
- It is highly recommended that each student possesses a deep knowledge of Periodontology.
Course programme
- IMMEDIATE LOADING OF FULL ARC RESTORATIONS
-Computer guided surgery ( Nobelguide- Sim-implant)
-CAD-CAM technology
IMPLANT TREATMENT OF PARTIALLY EDENTULOUS PATIENTS
Indications. Contraindications.
Pre-surgical parameters: restorative space, soft tissue, bone volume, anatomical limitations
TREATMENT SEQUENCE: implant positioning, I Stage, II stage, immediate placement, immediate loading
Healing of the extraction socket.
Management of the edentulous ridge
SURGICAL PROCEDURES FOR BONE AND SOFT TISSUE AUGMENTATION
Sinus lift - Ridge expansion (split crest etc) – GBR - Block Grafts - mucogingival surgery
SINGLE TOOTH REPLACEMENT
Aesthetic zone; indications; contraindications
Pre-surgical parameters (smile line, soft tissue morphology, bone morphology, tooth morphology)
Classification of the implant site
Treatment sequence
Surgical protocol: implant position, I Stage, II stage, immediate placement, immediate loading
DEFINITION OF IMPLANT SUCCESS,SURVIVAL AND FAILURE
MAINTENANCE PROTOCOLS FOR DENTAL IMPLANTS
IMPLANT COMPLICATIONS
-Surgical shortcomings
-Management of nerve injury
-Peri-implant mucositis
Peri-implantitis Didactic methods
- The topics will be discussed in seminars covering pertinent original scientific articles. The course director or the seminar coordinator will provide teaching material to the students prior to the session. ( ie.Collection of related articles, PDF of lectures and other reference material etc.). Upon presentation of pertinent literature, a sequence of working questions will be developed by the class divided in groups that , in the follow up section, will organize/expand the didactic material and will give a 10 minutes PPT presentation each, with the aim of answering the questions topic.
Discussion will follow under supervision of the seminar coordinator.
For each session a final lecture will be presented by the seminar coordinator to summarize the topic.
A practical training will include treatment planning of complex cases. A component of the course will be performed in the lab including Hands-on exsercises on: computer planning, osteotomy preparation, implant placement, immediate implant provisionalization and implant impression.
Additional ad-hoc seminars will be offered by expert clinicians. Learning assessment procedures
- Final Oral Exam
In the final oral exam the candidate will have to answer questions on slides presented during the exam related to 3 clinical cases/scenarios (2 questions per scenarios) .
The final grade will be determined by the following components: 30% on oral presentations and class participation, 30% on mid-term written examination and 40% on the final oral examination. Reference texts
- Reference articles provided by the course director.
Jan Lindhe, Niklaus P. Lang, Thorkild Karring, Parodontologia clinica e implantologia orale, Edi. Ermes, V ediz., 2009
