Course Content

Related Domain Area (common modules):
Medical Emergencies;
Scientific Research Methodology;
Drug Therapy;
Dental Ethics and Legislation.

Area of ​​Concentration:

Educational Objectives
1- To diagnose the characteristics of normality and alterations in the
bone structures of the jaws
A) Bone Anatomy, Histology and Physiology
a – Objective
b- Bone Anatomy
c – Bone Cells
d- Bone Physiology (Bone Remodeling)
e – Osteogenesis

B) Classification of bone tissues
a – Macroscopic classification
b – Microscopic classification
c – Bone density

C) Bone alterations
a – Cavity-type defect
b – Vertical bone loss
c – Horizontal bone loss

2. Diagnose the characteristics of normality and alterations of the
oral mucosa and the supporting structures of the teeth.
A) Characteristics of normality of the oral mucosa
: a – Anatomy of the oral mucosa
b – Characteristics of healthy oral mucosa
c – Gingival phenotypes (or gingival biotypes)
d – Smile line

B) Changes in the oral mucosa
a – White lesions
b – Red lesions
c – Volumetric lesions
d – Neoplastic lesions
e – Herpetic lesions

C) Supporting structures of teeth
a – Normal characteristics of the
supporting structures of teeth
b – Radiographic characteristics
c – Alterations in the supporting structures of
teeth
d – Periodontal diseases
e – Radiographic characteristics

Competency 2 – Planning implant placement surgeries
Educational Objectives
1- Collect patient data
A) General examinations
a – Medical history
b – Clinical examination
c – Laboratory tests
d – Imaging exams

B) Clinical photography
: a- intraoral
b- extraoral
c- preoperative

C) Study model
D) Mounting on articulator
E) Diagnostic wax-up and surgical guide

2. Analyze patient data
A) Analysis of general examinations and systemic conditions
B) Analysis of photographs
C) Analysis of models
D) Case planning
E) Development of the Treatment Plan

3- Select types of implant-supported prostheses:
A) Objective
B) Unitary
C) Partial
D) Total

a- Protocol
b – Overdenture

E) Retention method
a –
cemented implant-supported
b –
screw-retained implant-supported
c – mucosally supported implant-
retained
complete denture
retained
F) Occlusion and Occlusal Adjustment in Implantology

4- Selecting the type of implant
A) Implant design (macroengineering)
a – Importance
b – Conical
c – Cylindrical
d – Thread design

B) Implant connection
a – Internal hexagon
b – External hexagon
c – Morse taper

C) Surface texturing
a – Importance
b – Texturing characteristics
c – Texturing methods
d – Machined surface
e – Texturing forms

5- Producing the surgical guide
A) Objective
B) Construction of the surgical guide

6- Implant placement
A) Pre-operative
a – Drug therapy
b – General care and drug interactions

B) Biosafety
a – Personal Protective Equipment (PPE)
b – Instrument Processing

C) Surgical instruments and kit
a – Drill bits and wrenches for the surgical kit
b – Surgical linen

D) Anesthesia and sedation
a – Local anesthesia
b – Sedation

E) Exodontia techniques (when necessary)
a – Conventional exodontia
b – Atraumatic exodontia (periotome)
c – Atraumatic exodontia (extractors)

F) Surgical access
a – Incision
b – Dissecting
c – Full-thickness flap
d – Partial-thickness flap

G) Installation technique
a – Osteotomy
b – Stability
– primary
– secondary
– tertiary
complications
intraoperative

H) Tissue reconstruction or preservation techniques
a – Biomaterials: membrane
b – Biomaterials: bone grafts
– autogenous
– homologous
– xenogeneic
– synthetic
c – Blood products
d – Techniques: alveolar preservation (
fresh socket)
e – Techniques: soft tissue management (
free gingival graft)
f – Techniques: soft tissue management (
connective tissue graft)
g – Techniques: soft tissue management (
mixed graft)
h – Techniques: clinical crown lengthening
l – Techniques: implant reopening
j – Appositional bone reconstruction “onlay” of the
ridge (horizontal and/or vertical)
– Techniques: guided bone regeneration
– Techniques: block graft
k- Interpositional bone reconstruction “inlay” of the
ridge

Techniques: maxillary sinus lift

i – Surgical care and intraoperative complications
I) Postoperative

a- drug therapy
b- care and recommendations

J) Cervical Peri-implant Bone Remodeling
Competency 13 – Maintaining implants in healthy condition

Educational Objectives:
1- Maintenance of implant-supported prostheses
A) Guidance on daily oral hygiene
B) Periodic follow-up appointments
C) Prosthetic complications
2- Ability to identify success and failure in implant dentistry
A) Implant success
B) Implant failure
3- Treatment of peri-implant sequelae
A) Diagnosis
B) Treatment

Area of ​​Concentration (Periodontal and Peri-implant Plastic Surgery):

1. Basic principles of periodontics;
2. Periodontics in the principles of aesthetics
related to periodontal plastic surgery;
3. Computer training (PowerPoint and
Keynote – Apple);
4. Photographic protocol;
5. Aesthetic/periodontal checklist and DRE
(diagram of aesthetic references);
6. Virtual aesthetic/surgical planning
(Virtual aesthetic trial – Virtual mockup);
7. Creation and importance of the aesthetic trial
(mockup) in aesthetic/surgical planning;
8. Integrated planning (periodontics/implant
/prosthesis/prosthetic technician);
9. Interrelation with orthodontics;
11. Clinical discussions;
12. Case planning;
13. Periodontal surgical principles;
14. Incision and suture laboratory (techniques with
Nalyon and Vicryl 6-0 suture);
15. Beginning of operative training using
both hands;
16. Beginning and training in
operative microscopy;
15. AESTHETIC VS. STANDARD CLINICAL CROWN LENGTHENING
:
- Functional, biological, and aesthetic aspects;
- Differential diagnosis and treatment options;
- Gingival dyschromias;
- Planning and its relationship with
rehabilitative treatment;
- Periodontal types;
- Minimally invasive techniques (when
to reflect a flap?);
- Aesthetic trial laboratory – mockup
(veneer fabrication) on a mannequin.
- Virtual mockup to real mockup: using the
mockup as a surgical guide.
crown lengthening surgery
aesthetic
- Laboratory, under microscopy, of
aesthetic crown lengthening surgery, with mockup, on a
mannequin;
- Clinical discussions;
- Case planning;
16. GINGIVAL RECESSION:
- Etiology (identify and remove causal factor);
- When to act?
- Classifications;
- Indication and contraindication;
- Increase in thickness and keratinized tissue;
– Technique selection;
– Root preparation: chemical and mechanical;
– Connective tissue donor areas;
– Connective tissue graft removal techniques;
– Differences and indications of techniques;
– Root coverage techniques;
– Connective tissue graft removal laboratory.
– Connective tissue graft removal laboratory
(under microscopy).
– Root coverage laboratory.
– Root coverage laboratory (under
microscopy).
– Clinical discussions;
– Case planning;
17. RIDGE AUGMENTATION:
– Causes of defects;
– Classifications;
– Indications and contraindications;
– Gingival conditioning;
– Ridge augmentation techniques
– with connective tissue graft;
– with flap rotation;
– Ridge augmentation laboratory.
– Ridge augmentation laboratory (under
microscopy).
– Clinical discussions;
– Case planning;

18. PLASTIC SURGERY ASSOCIATED WITH
IMPLANTS:
– What is the best time for intervention?;
– Biomaterials (biological characteristics);
– Minimally invasive tooth extraction and how
to preserve the ridge;
– Surgical reopening;
– Implantation with periodontal reconstruction;
– Peri-implant biological space;
– Biological implications (recipient and
donor sites);
– Indications and contraindications;
– Quality and purpose of connective tissue grafting;
– Implications of the three-dimensional position of the
implant;
– Clinical discussions;
– Case planning;