Provide students with all clinical protocols as proactive therapy for periodontal and implant patient maintenance
Teaching Methods
Lectures, clinical case discussions and implementation of research protocols
Assessment Methods
Oral test
Texts
Book: Oral health in the age of the microbiome. Clinical protocols for oral hygiene
Contents
• Objectives of non-surgical periodontal therapy • Etiology of periodontal disease • Molecular mechanisms of bacterial adhesiona • The new vision of plaque: biofilm • Basic properties of a bacterial biofilm • Diseases secondary to oral biofilms • Concept of dentinal infection • Evolution of microbiological knowledge: from Koch's postulates to the new concept of microbiota, microbiome, dysbiosis, eubiosis • Meaning of re-active therapy and pro-active therapy • Non-surgical periodontal therapy: clinical protocols • Motivation and education of the patient in oral hygiene • Description and methods of use of all aids for the control of oral biofilms • Emerging problems in home maintenance • Toothpastes and mouthwashes: active ingredients and methods of use in re-active therapy and pro-active therapy • Correct approach during instrumentation • How to prevent occupational diseases • Characteristics of hand instruments. • Handle of the instruments • Techniques for using manual tools • Criteria for choosing manual instruments in various clinical situations • Characteristics and techniques for using the periodontal probe • Compilation of the periodontal record • The collection of clinical data • Clinical approach to non-surgical periodontal therapy: objectives • Phases of professional treatment: meaning of deplaquing, debridement, scaling, root planing • Infection control: manual and instrumental decontamination, chemical decontamination. • Mechanical instrumentation: difference between sonic, magnetostrictive and piezoelectric • Differences between manual and mechanical treatment • Characteristics and advantages of mechanical instrumentation • Meaning of cavitation • Choice of inserts according to root morphology • How to use the inserts in all clinical situations • Airpolishing: characteristics and clinical objectives • Characteristics of the powders and methods of use in various clinical situations • Characteristics of the terminals and methods of use in various clinical situations • Laser and ozone: characteristics, clinical indications and methods of use • Objectives in the treatment of the maintenance patient • Recommended tools, in maintenance sessions • Indications on the organization of follow up in various clinical situations • Clinical approach to the patient with prosthetic implant rehabilitations • Morphological differences between tooth and implant • The use of the probe on the peri-implant tissues • Evaluations in organizing follow up: • Biological considerations • Type of implant (submerged or transmucosal) • Type of implant neck surface • Transmucous portion • Level of tissue inflammation • Type of prosthesis • Partially edentulous patient • Totally edentulous patient • Compliance • Systemic diseases • Recommended tools and techniques • Indications on maintenance protocols • Clinical approach to the implant patient in the various operational phases • Treatment of peri-implantitis
