Acquire clinical and technical knowledge of design, construction and application of removable partial prosthetic devices, aimed at the rehabilitation of partial edentulism. At the end of the course, the student recognizes clinical signs and symptoms of alterations and diseases of the oral cavity, in order to formulate a correct diagnosis and a removable prosthetic treatment plan in the case of partial edentulism. The student knows how to set up a temporary and definitive prosthetic therapy for the restoration of aesthetics and masticatory function. In particular, the student has knowledge of dental occlusion, the functional anatomy of the temporomandibular joint, the general principles of design of removable partial prostheses, the materials for temporary and definitive prosthetic rehabilitations, the different phases of dental processing and the clinical tests of the removable partial prosthetic device. He has knowledge of the clinical phases of execution and the phases of delivery and remote control.
Course Prerequisites
Basic knowledge in anatomy, dental material, stomatologic special pathology, gnatology, dental hygiene, conservative dentistry and endodontics, periodontology.
Teaching Methods
The course is organized in frontal lessons through on-screen presentations and insights on the blackboard. The approach used is 'problem solving' with interactive discussion aimed at understanding experimental data and the clinical application of scientific evidence and the theoretical concepts
Assessment Methods
Oral exam with questions on topics of the course. The student must demonstrate that he has acquired the topics of the course and the ability to apply them in clinical practice.
Texts
Lecture notes Pezzoli M. Il disegno della protesi scheletrata. Ed. Masson 1993
Contents
Terminology, classification and general information on removable prosthesis: skeleton prosthesis or removable partial prosthesis with retention on clasps, removable partial prosthesis with retention on precision attachments or joint p. Causes of tooth loss and its local, regional and systemic consequences. Classification of edentulism (Kennedy classification and Applegate modifications). PARTIAL REMOVABLE PROSTHESIS Management of the prosthetic patient: First visit, the medical record, medical and dental history, notes on the ecosystem of the oral cavity, evaluation of temporomandibular function in the prosthetic patient, clinical and instrumental objective examination (x-rays, photostatus and diagnostic models, etc.), clinical diagnosis and treatment plan, information to the patient, follow up. Retention and stability in removable partial dentures Preprosthetic surgical preparations of the oral cavity • Sharp bone edges and ridges • Undercuts • Excessively sharp mylohyoid ridge that is painful to palpation • Excessive mucoperiosteal mobility of the alveolar ridge • Excess fibromucosa on the maxillary tuberosities • Removal of the labial frenulum with an attachment that is too low • Lingual frenulectomy Execution of the first upper and lower impression and analysis of the models Design of the primary and secondary connectors, hooks and prosthetic supports and related dental preparation Definitive upper and lower impression Registration of the intermaxillary relationships Mounting of the teeth Phonetic tests Clinical verification of the occlusion in the office with the teeth mounted in wax and any corrections. Delivery of the prosthesis to the patient Check-up and follow-up Modification of existing removable partial dentures