Stomatologic disciplines III

Module Professional training - Oral Surgery

The student must be able to distinguish the characteristics of oral health and pathologies and the risk conditions of adult and pediatric patients in the field of dentistry, and surgical of the patient in odontostomatology. Achieve and obtain optimal skills in the diagnosis and surgical therapy of mucous and bone pathologies of the oro-maxillofacial area.

The aim is also to make the student acquire the ability to possess knowledge of dental prevention techniques and systems in the surgical field and to acquire mastery in their application. The student must acquire the theoretical knowledge, common practical skills of oral surgery.

At the end of the course, the student will be prepared to recognize, face and solve simple and complex cases of simple and complex oral extractive surgery. In particular, the student will be able to manage surgical and trauma emergencies and their treatment; recognize and properly use the main simple and complex dental extraction techniques; to surgically elevate a flap, to know how to recognize surgical and micro-surgical instruments, recognize and use biomaterials appropriately in oral surgery; know various suturing methods in oral surgery; manage surgical emergencies; plan and organize simple oral surgery; coordinate an assistant chairside for the performance of oral surgery. The student will be able to diagnose the main oral pathologies in the dental field. Finally, the student will be able to perform small oral surgery and small biopsies under loco-regional anesthesia.

The skills acquired will lead the student to develop a critical capacity on the topics dealt with using the skills actively for diagnostic and therapeutic purposes in the surgical management of the patient in odontostomatology.

Theoretical-practical internship, interactive exercises and any specific seminars integrated by discussion of the topics dealt with in order to train students in a critical capacity on the topics and allow to acquire a suitable knowledge for surgical management in the patient suffering from specific pathologies of the oro-maxillo facial district.

Knowledge of anatomy, physiology and pathophysiology in the field of dentistry. Knowledge of the pathogenesis and clinical aspects of mucous and bone pathologies of the oro-maxillofacial district. Knowledge of anatomy, physiology, pathophysiology and pharmacology in the oral and periodontal field.

See also the Academic Regulations of the course of study published on the University portal:

https://www.unict.it/it/ateneo/lauree-magistrali-ciclo-unico-regolamenti-didattici

Surgical management with knowledge of guidelines, operating protocols related to oral surgery in odontostomatology.

In particular:

• Drug therapy in oral surgery
• Principles of surgical technique
• Use of laser in oral surgery
• The implant site
• Raised floor of the maxillary sinus
• Biomaterials used in bone regeneration
• Simple and complex dental avulsion techniques
• Incisional and excisional biopsy techniques
• Elements of oral pathology for diagnosis and treatment of oral lesions
• Advanced bone regeneration techniques
• Piezoelectric surgery
• Blood components for non-transfusion use in oral and implant surgery
• Surgical endodontics
• Management of the patient treated with bisphosphonates
• Clinical and surgical management of the dental patient with systemic diseases
• Dental traumatology
• Emergency endodontics; Complications during endodontic treatments.

- Matteo Chiapasco: Manuale Illustrato di Chirurgia Orale. Edra Masson 2013.

- Chirurgia Odontostomatologica. SIDCO: Società Italiana di Chirurgia Odontostomatologica. Chirurgia Odontostomatologica. Edizioni Minerva Medica Torino 2015.

At the end of the course the student will have to take an oral exam which will focus on the topics related to the integrated course program. In the assessment, in addition to knowledge and learning ability, independent judgment and communication skills will be taken into consideration.

The test allows to verify: i) the level of knowledge of the main gingival diseases; ii) the ability to apply this knowledge for the differential diagnosis of hard and soft tissue diseases of infectious origin; iii) clarity of presentation; iv) the property of medical-scientific language.

The test is considered passed with a minimum vote of 18/30 topics of the program.

For the attribution of the final grade, the following parameters will be taken into account:

Mark 29-30 cum laude: the student has an in-depth knowledge of the main pathological entities, is able promptly and correctly to integrate and critically analyze the situations presented, autonomously solving even highly complex diagnostic problems; he has excellent communication skills and masters the medical-scientific and dental language.

Mark 26-28: the student has a good knowledge of the main pathological entities, is able to integrate and analyze the situations presented in a critical and linear way, is able to solve complex diagnostic problems in a fairly autonomous way and explains the topics clearly using a appropriate medical-scientific and dental;

Mark 22-25: the student has a good knowledge of the main pathological entities, even if limited to the main topics; she manages to integrate and analyze the situations presented in a critical but not always linear way and she explains the arguments quite clearly with a discrete property of language;

Mark 18-21: the student has minimal knowledge of the main pathological entities, has a modest ability to integrate and critically analyze the situations presented and presents the topics in a sufficiently clear way although the property of language is poorly developed;

Failed exam: the student does not possess the minimum required knowledge of the main teaching contents. The ability to use the specific language is very little or none and is not able to independently apply the acquired knowledge.

Pharmacological therapy in oral surgery

Principles of surgical technique

Use of laser in oral surgery

Biomaterials used in bone regeneration

Piezoelectric surgery

Blood components for non-transfusional use in oral and implant surgery

Semiotics in odontostomatology: medical history / physical examination

Simple and complex tooth extractions

Oral biopsy techniques

Dental management of patients with systemic diseases