ID:
501750
Duration (hours):
16
CFU:
2
SSD:
MALATTIE ODONTOSTOMATOLOGICHE
Year:
2025
Overview
Date/time interval
Secondo Semestre (02/03/2026 - 19/06/2026)
Syllabus
Course Objectives
The aim of the Prosthesis module is to acquire the theoretical and practical knowledge underlying the diagnosis, the measures aimed at the prevention or treatment of the pathologies of the individual teeth, of the supporting tissues and, more generally, of the structures of the stomatognathic apparatus with the objective to preserve or rehabilitate its functions in different age groups. Knowledge of the physiology of mastication, phonation and occlusion in relation to and relationship with prosthetic rehabilitative principles, especially with fixed prosthodontics. Acquire adequate knowledge on the causes and consequences of partial and total edentism.
Knowledge of the fundamental bases for a correct clinical reasoning in relation to the patient's needs, desires and motivation; learn a correct approach to planning of fixed prosthetic treatment (first visit-diagnosis-prognosis-treatment plan).
Knowledge of the fundamental bases for a correct clinical reasoning in relation to the patient's needs, desires and motivation; learn a correct approach to planning of fixed prosthetic treatment (first visit-diagnosis-prognosis-treatment plan).
Course Prerequisites
Knowledge of the functional anatomy of the skull and of the physiopathology of the stomatognathic apparatus. Have attended the lessons of Gnathology with a basic knowledge of the fundamental elements of occlusodonzia and of the static and dynamic of the stomatognathic apparatus
Teaching Methods
The teaching of this module consists of lectures of the teacher with the help of videopresentations with details and diagrams on the blackboard. Students are also suggested to discuss topics independently and then present and discuss together.
Assessment Methods
Learning is verified during the course with direct questions to the students during the lessons. At the end of the course the final assessment takes place through a written exam with open questions. The vote is expressed in thirtieths.
Texts
Lecture notes
Castellani D. La preparazione dei pilastri per corone in metal-ceramica. Ed. Martina Bologna
Shillingburg jr. et al. Fundamentals of Fixed Prosthodontics. Quintessence Ed. 2012
H.W.Anselm Wiskott. Fixed Prosthodontics – Principles and Clinics. Quintessence Ed. 2011
Castellani D. La preparazione dei pilastri per corone in metal-ceramica. Ed. Martina Bologna
Shillingburg jr. et al. Fundamentals of Fixed Prosthodontics. Quintessence Ed. 2012
H.W.Anselm Wiskott. Fixed Prosthodontics – Principles and Clinics. Quintessence Ed. 2011
Contents
Definition, terminology, classification and purpose of fixed prosthesis
Terminology, occlusal characteristics, occlusal relations and interdental contacts.
Occlusion schemes of classical and modern gnathology (PK. Thomas, Lundeen, Abjean Korbendau, Ramfjord-Ash, Wiskott).
Compensation curve (Spee, Wilson) and biomechanical meaning.
Mandibular and cranial occlusal spaces (conventional reference planes and axes, skeletal-occlusal reference lines and planes, vertical dimension, free way space and speaking space, physiological resting position, horizontal mandibular-cranial relations, centric occlusion and centric relation)
Dynamics of the stomatognathic system (Gothic arch and Posselt diagram, mediotrusion, laterotrusion, protrusion, transtrusion).
Bennet angle and movement, eminence angle (h.c.i.).
Diagnosis and treatment plan
General information on fixed prosthesis
Analysis of residual dentition
Anamnesis, clinical examination in fixed prosthesis and study models, medical record in fixed prosthesis, radiological examinations
Terminology, characteristics, indications, advantages and disadvantages of occluders, average value articulators, semi-adaptable articulators, fully adaptable articulators, anatomical and kinematic face bows, assembly of articulator.
Instruments, materials and methods for interocclusal registrations
Assessment of abutment teeth
Periodontal examination and initial preparation of the oral cavity
Crown-root relationship
Root shape
Useful root surface
Ante's law
Anatomical integrity of the abutment and surrounding structures Spatial placement of abutments
Biomechanics of fixed prosthesis
Bending of the framework in relation to length and thickness
Loading of proximal abutments
Distribution of loads in particular cases
Retention aids
Connectors in fixed prosthesis
Forces acting on individual abutments
Tilting and bending forces in fixed bridges Indications and examples of bridges
Examples of bridges and choice of abutment teeth
Simple bridges, complex bridges, extension bridges Biological aspects in fixed prosthesis
Vitality of abutments and reactions to operative procedures •Effects of cavity and stump preparation
Gingival reactions
Occlusion and its effects on the periodontium
Location of gingival margins of prosthetic restorations
Shape and design of intermediate elements
Occlusal, vestibular and lingual surface of the framework
Blocking of teeth (general and methods)
Principles of preparations in fixed prosthesis
Economy of tooth substance
Retention and stabilization of the artifact
Axis of insertion of the artifact, convergence and conicity
Duration of the dental-prosthetic set
Precision of limits, marginal precision: seating, adaptation
Smoothness of walls and margins
Choice of the location of the margins
Size and biological space
Presence of cement and space to compensate for prosthetic variables
Classification and choice between the various types of marginal preparation
Preparation with predominantly horizontal development: 90° shoulder, 50° and 135°-140° shoulder, chamfer preparation
Preparations with predominantly vertical development: knife blade preparation, chamfer preparation to finish, BOPT
Beveled preparations
Combined preparation and other types of preparation
Delimitation lines
Instrumentation
Preparation of the abutment:
Preparation phases: Axial reduction: approximal, vestibular, lingual/palatal. Occlusal or incisor reduction
Definition of the gingival limit, Finishing and smoothing Classification of single-tooth restorations and bridge anchors
Extra coronal restorations: complete crowns, partial crowns, special crowns Endodontic pins
Temporary restorations in fixed prosthesis: classification, materials, purposes and operative precautions Definition, indications, advantages and disadvantages and operative precautions of the following restorations: Cast metal crown
Complete veneer crown in metal-resin and metal-ceramic
Complete crown in metal-ceramic and metal-free (zirconia, lithium disilicate, integral ceramic, etc.) Crowns in ceromer and other materials
Preparations for teeth with periodontal compromise: hemisection, rhizotomy, rhizectomy: clinical indications and modifications to the classic prosthetic preparation
Partial preparations in fixed prosthesis
Impressions: materials and their indications for use, types, precautions and methods. Gingival retraction
Follow-up of prosthetic patients.
Exercises in the simulator mannequin on the main methods of prosthetic preparations in fixed prosthesis.
Terminology, occlusal characteristics, occlusal relations and interdental contacts.
Occlusion schemes of classical and modern gnathology (PK. Thomas, Lundeen, Abjean Korbendau, Ramfjord-Ash, Wiskott).
Compensation curve (Spee, Wilson) and biomechanical meaning.
Mandibular and cranial occlusal spaces (conventional reference planes and axes, skeletal-occlusal reference lines and planes, vertical dimension, free way space and speaking space, physiological resting position, horizontal mandibular-cranial relations, centric occlusion and centric relation)
Dynamics of the stomatognathic system (Gothic arch and Posselt diagram, mediotrusion, laterotrusion, protrusion, transtrusion).
Bennet angle and movement, eminence angle (h.c.i.).
Diagnosis and treatment plan
General information on fixed prosthesis
Analysis of residual dentition
Anamnesis, clinical examination in fixed prosthesis and study models, medical record in fixed prosthesis, radiological examinations
Terminology, characteristics, indications, advantages and disadvantages of occluders, average value articulators, semi-adaptable articulators, fully adaptable articulators, anatomical and kinematic face bows, assembly of articulator.
Instruments, materials and methods for interocclusal registrations
Assessment of abutment teeth
Periodontal examination and initial preparation of the oral cavity
Crown-root relationship
Root shape
Useful root surface
Ante's law
Anatomical integrity of the abutment and surrounding structures Spatial placement of abutments
Biomechanics of fixed prosthesis
Bending of the framework in relation to length and thickness
Loading of proximal abutments
Distribution of loads in particular cases
Retention aids
Connectors in fixed prosthesis
Forces acting on individual abutments
Tilting and bending forces in fixed bridges Indications and examples of bridges
Examples of bridges and choice of abutment teeth
Simple bridges, complex bridges, extension bridges Biological aspects in fixed prosthesis
Vitality of abutments and reactions to operative procedures •Effects of cavity and stump preparation
Gingival reactions
Occlusion and its effects on the periodontium
Location of gingival margins of prosthetic restorations
Shape and design of intermediate elements
Occlusal, vestibular and lingual surface of the framework
Blocking of teeth (general and methods)
Principles of preparations in fixed prosthesis
Economy of tooth substance
Retention and stabilization of the artifact
Axis of insertion of the artifact, convergence and conicity
Duration of the dental-prosthetic set
Precision of limits, marginal precision: seating, adaptation
Smoothness of walls and margins
Choice of the location of the margins
Size and biological space
Presence of cement and space to compensate for prosthetic variables
Classification and choice between the various types of marginal preparation
Preparation with predominantly horizontal development: 90° shoulder, 50° and 135°-140° shoulder, chamfer preparation
Preparations with predominantly vertical development: knife blade preparation, chamfer preparation to finish, BOPT
Beveled preparations
Combined preparation and other types of preparation
Delimitation lines
Instrumentation
Preparation of the abutment:
Preparation phases: Axial reduction: approximal, vestibular, lingual/palatal. Occlusal or incisor reduction
Definition of the gingival limit, Finishing and smoothing Classification of single-tooth restorations and bridge anchors
Extra coronal restorations: complete crowns, partial crowns, special crowns Endodontic pins
Temporary restorations in fixed prosthesis: classification, materials, purposes and operative precautions Definition, indications, advantages and disadvantages and operative precautions of the following restorations: Cast metal crown
Complete veneer crown in metal-resin and metal-ceramic
Complete crown in metal-ceramic and metal-free (zirconia, lithium disilicate, integral ceramic, etc.) Crowns in ceromer and other materials
Preparations for teeth with periodontal compromise: hemisection, rhizotomy, rhizectomy: clinical indications and modifications to the classic prosthetic preparation
Partial preparations in fixed prosthesis
Impressions: materials and their indications for use, types, precautions and methods. Gingival retraction
Follow-up of prosthetic patients.
Exercises in the simulator mannequin on the main methods of prosthetic preparations in fixed prosthesis.
Course Language
Italian
Degrees
Degrees
Dental Hygiene
Bachelor’s Degree
3 years
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