PATOLOGIA E TERAPIA MAXILLO-FACCIALE

Module CHIRURGIA ORALE

Correct diagnosis and surgical therapy of mucous and bone pathologies of the oro-maxillofacial area. The course aims to provide the student with a standardized and methodical approach to patients with oral surgery problems with also systemic diseases that can affect the pathology itself. In particular, the student must be able to: comply with the techniques of physiopathology, histopathology, of the clinic and of the therapy of odontostomatological alterations of surgical interest and in the surgical-rehabilitative treatment of total and partial edentulousness; specific areas of expertise are the histopathology of inflammatory, dysplastic and neoplastic changes in the dento-maxillofacial region, the pathophysiology of bone atrophy of the jaws, physical and instrumental semiotics, clinical methodology and surgical therapy.

The course is complemented by the free participation of students in local, national and international scientific events organized in the context of dental clinic and surgery.

The skills acquired will lead the student to develop a critical capacity on the diagnosis and surgical therapy of the patient in odontostomatology.

Lectures with illustration of clinical cases supported by visual and audiovisual means, video clips of surgical techniques. Discussion of clinical cases. Final exam with oral exam.

Knowledge of odontostomatological sciences. Knowledge of the pathogenesis and clinical aspects of mucous and bone pathologies of the oro-maxillofacial area.

Knowledge of anatomy, physiology, pathophysiology and pharmacology.

Surgical management of the patient according to guidelines, operating protocols relating to oral surgery in odontostomatology.

In particular, the following will be treated:

Drug therapy in oral surgery (prophylaxis, intraoperative drugs, post-surgical therapy)

Principles of surgical technique

Guided bone regeneration techniques (GBR), Biomaterials in oral surgery, split crest and hints of pre-prosthetic surgery

Sinus floor elevation

Piezoelectric surgery

Surgical endodontics

Oro-maxillofacial cystic lesions: diagnostic aspects and hints of treatment
· Definition and classification of cystic lesions
Bone cysts (odontogenic, non-odontogenic and pseudocysts)
Soft tissue cysts (thyroglossal duct, dermoid, brachial, etc.)

Benign oro-maxillofacial tumors: diagnostic aspects and hints of therapy
· Classification of benign tumors
Benign odontogenic and non-odontogenic bone tumors (clinical, radiographic and microscopic pictures)
Benign soft tissue tumors (clinical and instrumental pictures)

Inflammatory pathologies of the oro-maxillofacial hard and soft tissues: microbiology, clinic and treatment principles
· Odontogenic abscesses and phlegmons
· Osteitis and osteomyelitis
Sinusitis
· Necrotizing fasciitis Surgical management according to guidelines, operative protocols relating to oral surgery in odontostomatology.

Management of the patient being treated with bisphosphonates

Clinical and surgical management of the dental patient with systemic pathologies

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. 

R. Brusati, M. Chiapasco. Elementi di Chirurgia Oro-Maxillo-Facciale. Edizione Masson, Milano 1999

Public oral exam in order to ascertain the quality and level of knowledge and understanding of the course contents and the ability to apply the acquired knowledge to professional practice. The judgment will also assess the quality of the student's participation in lectures and internships.