Stomatologic disciplines II
Module Professional training - Periodontics II

Academic Year 2023/2024 - Teacher: GAETANO ISOLA

Expected Learning Outcomes

Achieve practical knowledge and skills that allow you to manage simple surgical periodontal cases, report complex ones with appropriate indication, have information and the basic concepts of implantology, carry out implant-periodontal treatment plans. At the end of the course, the student will have to: - know periodontal surgery - be able to perform basic periodontal surgery - interpretation and reading of CBCT instrumental examinations and use of the software in the periodontal field

Course Structure

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 periodontal field.

Please see also the following link:

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

Required Prerequisites

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

Attendance of Lessons

Attendance obligation. Maximum absence tolerance of 30% as per the teaching regulations.

Detailed Course Content

Surgical management with knowledge of guidelines, operating protocols related to periodontal disease.

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
  • Surgical management of the periodontal patient
  • The flaps in conservative periodontology
  • Surgical management of infra- and supra-bone defects
  • Mucogingival surgery
  • Regenerative periodontal surgery

Textbook Information

- 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.

Course Planning

 SubjectsText References
1Non surgical periodontal therapyParodontologia clinica e implantologia orale. Jan Lindhe, Niklaus P. Lang. Edi. Ermes, sesta edizione 
2Plastic periodontal surgeryParodontologia clinica e implantologia orale. Jan Lindhe, Niklaus P. Lang. Edi. Ermes, sesta edizione 
3Regenerative periodontal surgeryTesto Atlante di Parodontologia e malattia peri implantare. Edizioni SidP, Quintessenza 2017

Learning Assessment

Learning Assessment Procedures

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.

Examples of frequently asked questions and / or exercises

· 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

VERSIONE IN ITALIANO