DISCIPLINE ODONTOSTOMATOLOGICHE I

Module PARODONTOLOGIA

Reach and obtain the optimal skills in the periodontal management of the patient in odontostomatology. Achieve and obtain optimal skills in the anatomy, diagnosis, and periodontal therapy of hard and soft tissue pathologies of periodontal aetiology of the oro-maxillofacial area.

The teaching is set up to guide and improve the student's approach to the patient with various problems, ranging from the correct analysis of periodontal anatomy in physiology and pathophysiology and specific in the diagnosis in the patient affected by periodontal and peri-implant diseases of a non-specific area. -surgical and surgical of the patient presenting with a specific periodontal pathology at the level of the oral cavity or the craniofacial area and who needs a therapy aimed at the symptom, as well as a diagnosis and therapy aimed at the responsible pathology. In particular, the student must be able to obtain a correct degree of definition of the different forms of periodontal disease and perform a careful analysis of the clinical scenario in which the problem occurs, up to the formulation of hypotheses for the resolution of the problem presented ( therapeutic options) with specific modules on physical and instrumental semeiotics, clinical methodology and non-surgical and surgical therapy of the patient with periodontal disease.

The course is complemented by the free participation of students in local, national and international scientific events organized in the field of periodontology.

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

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

Please see also the following link:

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

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 periodontology in odontostomatology.

In particular:

• Outline of systematic, topographical and radiological anatomy of hard and soft periodontal tissues
• Periodontal semeiotics of gingival tissues and implant peri
• Epidemiology of periodontal diseases
• Microbiology of periodontal disease
• First Periodontal Visit - The Flow Chart of the periodontal patient
• Periodontal Diagnosis: Survey (PSR - Charting) - Radiographs - Intraoral Photos
• Periodontal tactile perception and peri-implant osteoperception
• Correlation of Systemic Diseases - Periodontitis
• Morphology of defects / teeth in the periodontal patient
• Classification of Periodontal and Peri-implant Diseases
• Planning of periodontal treatment
• Causal Therapy in Periodontology
• The gingival biofilm
• Goals of Non-surgical Therapy
• Ergonomics of Causal Therapy appointments
• Motivation, Compliance, Adherence, Cooperation Evaluation indices in the periodontal patient
• Primary Prevention, Mechanical and Chemical Home Plaque Control
• Secondary Prevention: Supra and Subgingival Debridement, Efficacy of Instrumentation in periodontal and / or peri-implantitis patients
• The adjuvant agents for periodontal and peri-implant therapy
• Non-surgical instrumentation Supra and Subgingival: Ultrasound (type and movements of the tips) - Powders - Laser - Curette
• MINST therapy
• Full Mouth Disinfection vs Conventional Non-Surgical Periodontal Therapy
• Factors Affecting Wound Healing
• Periodontal re-evaluation
• Retreatment
• Maintenance Protocols (Tooth-Implants)
• Antibiotic therapy - Probiotics in the periodontal patient

- Parodontologia clinica e implantologia orale. Jan Lindhe, Niklaus P. Lang.  Edi. Ermes, sesta edizione

- Newman and Carranza's Clinical Periodontology, 13th Edition, Edizioni Elsevier

- Testo Atlante di Parodontologa e malattia peri implantare. Edizioni SidP, Quintessenza 2017

- Parodontologia. Wolf – Rateitschak. 2005. Elsevier Masson.

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.

· Periodontal anatomy

· Non-surgical periodontal treatment

· Chemical and mechanical treatment of plaque

· Classifications of periodontal and peri-implant diseases

· Role of adjuvant agents in periodontology

· Motivation and maintenance therapy of the periodontal patient