Annotation. Pre-clinical course on Operative Dentistry and Endodontics (5 and 6 semester) include theory and practice on:

Transcription

1 Annotation Pre-clinical course on Operative Dentistry and Endodontics (5 and 6 semester) include theory and practice on: 1. Essences of operative dentistry. Basic principles of treatment preparation, medication, restoration. 2. Dental caries essence, classification, methods of treatment 3. Cavity definition, elements, black s classification. Masticatory forces direction and neutralization. Phases of tooth preparation. Instruments. Preparation of cavities for restorations with amalgam, glass-ionomer cements, composite materials. 4. Restorative techniques - special considerations, differences. Direct and indirect techniques for restoration of teeth with extensive defects. Veneers types, indications, work stages. 5. Dentin wound characteristics. Basic groups of materials for longterm and short-term medication. Medicaments classification, pharmacodynamics and application technique. 6. Dental amalgam definition, types, composition, chemical reactions. Physico-mechanical and medico-biological characteristics of amalgam restorations. 7. Composite materials definition, composition, types, qualities. Instruments and techniques for the fabrication of direct composite restorations. Adhesive systems - purposes, types 8. Glass-ionomer cements definition, composition, types, and qualities. Indications and work technique. 9. Endodontium definition. History of Endodontics. Topographic anatomy of the pulp cavity in different teeth groups. The pulp cavity shape, chamber floor with root canal orifices, chamber roof with pulp horns. The root canals number, location, comparative dimensions, shape 10. The endodontic triad preparation, medication, obturation. 11. Isolation of the operative field types of isolation, devices and working technique. 12. Endodontic access definition, goals, requirements, stages. 13. Hand and machine driven endodontic instruments. Standardization of instruments essence, lengths, diameters, numbering, color codes according

2 14. Root canal working length definition. Methods for establishing working length anatomical, clinical, radiographic, electrometric 15. Techniques for root canal preparation - Rotary NiTi instruments NiTi instruments with forward/backward movement Reciproc, Wave-One. Root canal medication. Root canal filling materials. 16. Obturation of the root canal system with gutta-percha and adhesive systems - Lateral condensation. Vertical condensation definition, instruments, methods. Gutta-percha plasticization methods thermo- and ultrasonic technique. The Thermafill system. New concepts in root canal obturation adhesive materials. 17. Post-endo Restorations.

3 МЕДИЦИНСКИ УНИВЕРСИТЕТ ПЛОВДИВ Факултет по Дентална Медицина Катедра Оперативно зъболечение и Ендодонтия MEDICAL UNIVERSITY PLOVDIV Faculty of Dental Medicine Department of Operative dentistry and Endodontics SYLLABUS ON OPERATIVE DENTISTRY AND ENDODONTICS PRECLINICAL COURSE 1. Dental caries definition and treatment-related problems. The science of operative dentistry and its subject. 2. Basic principles of operative dentistry. Cavity definition, elements. 3. Cavity classification. Stages of cavity preparation. 4. Masticatory forces direction and neutralization. 5. Anatomy and histology of the hard dental tissues in relation to their treatment the enamel, the dentin, the cement. 6. Anatomy of the hard dental tissues vestibular and lingual contours, proximal contacts, embrasures, occlusal surfaces. 7. Instruments for cavity preparation. Tooth numbering systems. 8. Class І cavity preparation stages of preparation, instruments (special features) 9. Class І cavity preparation for amalgam instruments, stages of preparation. Conservative preparation of small carious lesions. Preparation of extensive carious lesions. 10. Class ІІ cavity preparation for amalgam stages of preparation, additional types of retention dentin chambers and pins.

4 11. Class ІІ cavity preparation for indirect restorations indications, stages, retentions. 12. Class І and Class II cavity preparation for composite materials indications, critical analysis stages of preparation, retentions. 13. Class ІІІ cavity preparation for composite materials indications, cavity preparation special features. 14. Class ІV cavity preparation for composite materials indications, stages of preparation, additional types of retention. 15. Class V cavity preparation for amalgam and indirect restorations indications, stages of preparation, retentions. 16. Class V cavity preparation for composite materials indications, stages of preparation, comparative evaluation of class V cavities for composite materials, amalgam and indirect restorations. 17. Characteristics of the cavity as a dentin wound; the state of the pulp, smear layer, medicatio cavi dentis. 18. Restorative materials types, indications; medico-biological and mechanical requirements. 19. Bases types, purpose, biological and mechanical requirements. 20. Liners types, purpose, methods for placement. 21. Instruments and methods for the placement of bases in class І-V cavities for amalgam and indirect restorations. Critical analysis of the materials used. 22. Dental amalgam definition, types of amalgam, physico-mechanical and medico-biological properties of amalgam restorations. 23. Techniques for the fabrication of amalgam restorations, instruments and subsidiary devices. 24.Glass ionomer cements composition, properties, purpose, working techniques.

5 25. Composite materials composition, classification, properties. 26. Adhesive systems definition, types, properties and indications. Characteristics of the micromechanical bond with enamel and dentin. 27. Fabrication of class І and class II composite restorations stages, instruments, special features. Occlusal contacts. 28. Fabrication of class ІІІ composite restorations stages, instruments, special features. 29. Fabrication of class ІV composite restorations stages, instruments, special features. 30. Fabrication of class V composite restorations stages, instruments, special features. 31. Indirect restorations types, indications, cavity preparation special features 32. Fabrication of indirect restorations stages, techniques for taking an impression, critical analysis. 33. Clinical anatomy of the pulp chamber the pulp chamber in different tooth groups. 34. Clinical anatomy of the pulp chamber root canals and their number, configuration, shape. 35. The apical foramen special features. 36. Isolation of the operative field in endodontics goals and purpose. Basic instruments and materials for isolation types, characteristics, working techniques. Isolation of teeth with destroyed crowns methods for approaching the problem. 37. Endodontic access goals. The endodontic cavity in different tooth groups.

6 38. Endodontic access accessing the pulp cavity in the different teeth groups; stages, instruments. 39. Contents of the pulp chamber. Removal of the contents, instruments. Accessing the root canal orifices in different tooth groups. 40. Types of instruments for scouting of the root canals description. 41. Types of endodontic instruments for cleaning and shaping of the root canals classification, standardization of the instruments. 42. Hand instruments with.02 taper for cleaning and shaping of the root canals types, description, indications, working technique. 43. Hand instruments with larger taper for cleaning and shaping of the root canal system. 44. Machine-driven endodontic instruments characteristics, working techniques, advantages and disadvantages. 45. Establishing of the working length methods, critical analysis. 46. Conventional technique for cleaning and shaping of the root canal system. 47. Schilder s preparation technique. 48. Machine-driven root canal preparation with ProTaper. 49. Machine-driven preparation with GT. 50. Machine-driven preparation with K Machine-driven preparation with QUANTEC FILE. 52. Chemical substances, used during prepration of the root canal system lubricants, irrigating solutions. Goals and methods for application. 53. Characteristics of the prepared root canal. 54. Obturation of the root canal system goals and conditions.

7 55. Root canal filling materials requirements, types. 56. Root canal filling materials soft non-setting pastes. 57. Root canal filling materials setting pastes. 58. Hard root canal filling materials. 59. Methods for root canal obturation with pastes types, advantages and disadvantages. 60. Schilder s technique for obturation of the root canal system vertical compaction. 61. Warm condensation techniques OBTURA ІІІ, SYSTEM B, ELEMENTS. 62. The THERMAFILL system for root canal obturation. 63. Restoration of endodontically treated teeth special features, post systems, critical analysis. 64. Errors during the preparation, medication and obturation of the root canal system.

8 Lecturers and exersise teachers Associate Professor Neshka Manchorova Assistant Professor Katya Karteva Assistant Professor Vesela Stefanova Assistant Professor Ljubomir Vangelov

9 RECOMMENDED BOOKS 1. Fundaments of operative dentistry. A contemporary approuch J.Summit, J.Robbins, T.Hilton, R.Schwartz, Dental caries. The disease and its clinical management Ole Fejerskov, Edwina Kidd, Sturdevant s art and science of operative dentistry T.Roberson, H.Heymann, E.Swift, Phillips` science of Dental Materials, Kenneth J. Anusavice, Chiayi Shen, H. Ralph Rawls, Saunders, an imprint of Elsevier Inc. 2013, 12 th ed., 5. Endodontics, vol.1, 2, 3, Arnaldo Castellucci, 2009

10 PROGRAMME OPERATIVE DENTISTRY AND ENDODONTICS PRECLINICAL COURSE Lectures III year, V semester 1. Tooth caries 2. Class i tooth preparation for unaesthetic restorative materials 3. Class ii tooth preparation for amalgam and cast metal restorations 4. Class i and class ii tooth preparation for aesthetic materials (direct and indirect) 5. Cass iii and class iv tooth preparation for aesthetic materials 6. Class v tooth preparation for direct and indirect materials 7. The second basic principle in operative treatment of tooth caries - medicatio cavi dentis 8. The third basic principle in operative treatment of tooth caries - obturatio cavi dentis 9. Dental amalgam 10. fabrication of amalgam restorations. 11. Indirect cast metal, ceramic and composite tooth restorations. 12. Fabrication of aesthetic restorations part i - dental resin-composites 13. Dental adhesives application purposes and classification 14. Fabrication of aesthetic restorations part ii glass-ionomer materials 15. Cavity praeparation and restoration strength of vital teeth with grate destructions PROGRAMME OPERATIVE DENTISTRY AND ENDODONTICS PRECLINICAL COURSE Lectures III year, VI semester 1. Endodontics: subject, goals and objectives

11 2. Endodontic treatment goals, biological and mechanical principles. Isolation of the operative field. 3. Endodontic access 4. Hand and machine driven endodontic instruments 5. Contents of the root canals and instruments for its removal. Root canal working length. 6. Conventional technique for shaping and cleaning of root canals - schilder s technique 7. Machine driven shaping of root canals - protaper rotary technique 8. Machine driven shaping of root canals gt and k3 rotary niti systems 9. Machine driven shaping of root canals - quantec rotary niti system 10. Characteristics of the prepared root canal and root canal medication. 11. Root canal obturation definition, goals, means, methods. Root canal filling materials pastes that harden inside the root canal classification. 12. The schilder technique of vertical compaction of warm gutta-percha. The continuous wave of condensation obturation technique - obtura iii, system b, elements 13. Root canal obturation - the thermafil system 14. Restoration of endodontically treated teeth 15. Procedural accidents at preparation, medication and obturation of root canals Exercise #1 TOOTH CARIES Exercise #2 PROGRAMME OPERATIVE DENTISTRY AND ENDODONTICS PRECLINICAL COURSE III year, V semester CLASS I TOOTH PREPARATION FOR AMALGAM Exercise #3 CLASS II TOOTH PREPARATION FOR AMALGAM Exercise #4

12 CLASS I AND CLASS II TOOTH PREPARATION FOR UNEASTHETIC RESTORATIVE MATERIALS Exercise #5 CLASS I AND CLASS II TOOTH PREPARATION FOR EASTHETIC RESTORATIVE MATERIALS (DIRECT AND INDIRECT) Exercise #6 PREPARATION CLASS III CAVITY FOR AESTHETIC MATERIALS Exercise #7 PREPARATION OF CLASS IV CAVITY FOR AESTHETIC MATERIALS Exercise #8 PREPARATION OF CLASS V CAVITY FOR DITECT AND INDIRECT RESTORATIONS Exercise #9 MID-TERM TEST ON THE FIRST BASIC PRINCIPLE OF CARIES TREATMENT: PRAEPARATIO CAVI DENTIS INDIRECT CAST METAL INLAYS FOR RESTORING VITAL TEETH. Exercise #10 THE SECOND BASIC PRINCIPLE OF CARIES TREATMENT: MEDICATIO CAVI DENTIS. VARNISHES, LINERS, BASES. Exercise #11 THE THIRD BASIC PRINCIPLE OF CARIES TREATMENT: OBTURATIO CAVI DENTIS. DENTAL AMALGAM. FABRICATION OF AMALGAM RESTORATIONS. Exercise #12 FABRICATION OF AESTHETIC MATERIALS RESTORATIONS ADHESIVE SYSTEMS, DIRECT OBTURAIONS OF COMPOSITE MATERIALS AND GLASS IONOMER CEMENTS. Exercise #13 FABRICATION OF COMPOSITE RESTORATIONS INDIRECT COMPOSITE RESTORATIONS.

13 Exercise #14 FINAL TEST ON THE THREE BASIC PRINCIPLES OF CARIES TREATMENT PRAEPARATIO CAVI DENTIS, MEDICATIO CAVI DENTIS, OBTURATIO CAVI DENTIS Exercise #15 ACCEPTANCE OF THE FINISHED PRACTICAL WORK AND VERIFICATION OF THE SEMESTER PROGRAMМЕ OPERATIVE DENTISTRY AND ENDODONTICS PRECLINICAL COURSE III year, VІ semester Exercise #1 ENDODONTICS: SUBJECT, GOAL AND OBJECTIVES Exercise #2 ENDODONTIC TREATMENT GOALS, BIOLOGICAL AND MECHANICAL PRINCIPLES. RUBBER DAM. Exercise #3 ENDODONTIC ACCESS Exercise #4

14 ACCESSING CAVUM PULPAE. FINDING THE ORIFICES. Exercise #5 HAND AND MACHINE DRIVEN ENDODONTIC INSTRUMENTS Exercise #6 CONTENTS OF THE ROOT CANALS AND INSTRUMENTS FOR THEIR REMOVAL Exercise #7 ROOT CANAL WORKING LENGTH DEFINITION Exercise #8 HAND ENDODONTIC INSTRUMENTS FOR CLEANING AND SHAPING OF THE ROOT CANAL. WORKING TECHNIQUE Exercise #9 MACHINE DRIVEN INSTRUMENTS FOR CLEANING AND SHAPING OF THE ROOT CANAL SYSTEM TYPES, INDICATIONS. WORKING TECHNIQUE. Exercise #10 TEST ON ENDODONTIC ACCESS, WORKING LENGTH, INSTRUMENTS AND TECHNIQUES FOR ROOT CANAL PREPARATION. CHARACTERISTICS OF THE PREPARED ROOT CANAL AND ROOT CANAL MEDICATION Exercise #11 ROOT CANAL OBTURATION DEFINITION, GOALS, MEANS, METHODS. Exercise #12 ROOT CANAL FILLING MATERIALS PASTES THAT HARDEN INSIDE THE ROOT CANAL CLASSIFICATION Exercise #13 OBTURATION OF THE ROOT CANAL SYSTEM WITH GUTTA PERCHA AND ADHESIVE SYSTEMS.

15 Exercise #14 FINAL TEST ON ENDODONTIC TREATMENT. RESTORATION OF ENDODONTICALLY TREATED TEETH Exercise #15 HANDING IN OF THE FINISHED PRACTICAL WORK AND VERIFICATION OF THE SEMESTER

16 SYLLABUS Exam Academic Hours Academic Hours in Years and Semesters Discipline Semester Total Lectures Practices I year II year ІІІ year IV year V year І ІІ ІІІ ІV V VІ VІІ VІІІ ІХ Х l P l p l p l p l p l p l p l p l p l p Conservative VІ Dentistry Part І Type of discipline: Compulsory Degree: Master s degree Forms of training: Lectures, seminar exercises, self-study Course length: Two semesters Academic Hours: 60 lecture hours,120 exercise hours Training methods: Multimedia presentations, discussions, monitoring tests, practical training on plastic and natural extracted teeth Forms of assessment: Ongoing monitoring, participation in seminars and colloquia, monitoring tests, semester examination Formation of ongoing monitoring: Average assessment grade per semester Aspects of assessment: Participation in discussions, seminars and colloquia, monitoring tests, figures drawing Semester examination: Test, written and oral examination State examination: Written and oral examination in Conservative Dentistry Part I and Part II Tutor: Habilitated Professor of Conservative Dentistry

17 Department: Operative Dentistry and Endodontics