Dental School

Activity type

Discipline odontoiatriche e radiologiche, Tirocini formativi e di orientamento

SSD

MED/28, MED/28

Year

N/D

Semester

N/D

CFU

3

Hours distribution

24 classroom hours, 20 training hours

Lecturers

Activity type

Discipline odontoiatriche e radiologiche, Tirocini formativi e di orientamento

SSD

MED/28, MED/28

Year

N/D

Semester

N/D

CFU

3

Hours distribution

24 classroom hours, 20 training hours

Lecturers

Activity type

Discipline odontoiatriche e radiologiche, Tirocini formativi e di orientamento

SSD

MED/28, MED/28

Year

N/D

Semester

N/D

CFU

3

Hours distribution

24 classroom hours, 20 training hours

Lecturers

ALBERTO DE BIASE
MARIA PAOLA CRISTALLI

Activity type

Discipline odontoiatriche e radiologiche, Tirocini formativi e di orientamento

SSD

MED/28, MED/28

Year

N/D

Semester

N/D

CFU

3

Hours distribution

24 classroom hours, 20 training hours

Lecturers

ANDREA CICCONETTI

1. Knowledge and Understanding
The objective is for students to have a thorough and specialized understanding of the biological, surgical, and prosthetic principles governing implant dentistry:
- Explain in detail the biology and physiology of bone and the mechanisms of osseointegration.
- Describe the surgical anatomy of implant sites and donor sites, identifying critical anatomical structures.
- Distinguish and classify the various biomaterials, growth factors, and stem cells in pre-implant surgery.
- List and recognize the healing mechanisms of peri-implant soft tissue.
2. Applying Knowledge and Understanding
The objective is for the student to be able to apply theoretical knowledge to the planning and execution (simulated or clinical) of implant procedures:
- Plan and structure a comprehensive diagnosis (clinical and instrumental) and a standard and advanced implant-prosthetic treatment plan.
- Perform (in a training/simulated context) standard implant surgical techniques and advanced procedures (e.g., grafts, sinus lifts).
- Select and use the correct materials and methods for the fabrication of fixed and removable implant-supported prosthetics.
3. Making Judgements
The objective is for the student to be able to collect data, critically evaluate it, and formulate an independent and reasoned judgment on treatment choices and prognosis:
- Critically evaluate the validity and applicability of scientific evidence (EBM) when choosing between different treatment options.
- Justify the decision to resort to regenerative procedures (bone grafts, sinus lift) based on a risk-benefit assessment.
- Diagnose implant complications (e.g., peri-implantitis) and determine the most appropriate therapeutic approach (non-surgical or surgical) for resolution.
4. Communication Skills
The objective is for the student to be able to communicate clearly and effectively with the patient and the scientific community, using appropriate technical language:
- Communicate the treatment plan, biological costs, risks, and prognosis clearly and empathetically to the patient, obtaining comprehensive informed consent.
- Write clinical reports and surgical protocols in a structured and comprehensive manner, using standard international terminology.
- Present and discuss a complex clinical case in an academic setting, responding to questions and objections with reasoned explanations.
5. Learning Skills
The objective is for students to develop the metacognitive skills necessary to independently manage their continuing professional development:
- Develop a postgraduate professional development plan, identifying knowledge gaps and reliable sources to fill them.
- Monitor new technologies and methodologies (e.g., digital implantology, new biomaterials) to integrate them into their knowledge base.
- Evaluate the effectiveness of their learning process and the quality of their clinical practice, with a view to continuous improvement (clinical audit).

To successfully complete the Integrated Implantology Course (Year V), students must possess and demonstrate mastery of the following areas:
A. Basic Medical-Biological Knowledge
1. Maxillofacial Anatomy: In-depth knowledge of critical anatomical relationships (e.g., inferior alveolar nerve, maxillary sinus, nasal fossa).
2. Bone Physiology and Biology: Understanding the processes of bone healing, modeling, and remodeling, and the biology of osseointegration.
3. Pharmacology: Knowledge of relevant drugs in surgery (anesthetics, antibiotics, analgesics) and management of drug interactions.
B. Principles of Oral Surgery and Asepsis
1. Surgical Anatomy: Detailed knowledge of the topographical anatomy and surgical anatomy of implant sites and donor sites.
2. Pathology: Knowledge, through semiotics and instrumental investigations, of surgically relevant pathologies involving the mucosa and jaw support structures.
3. Techniques and Instrumentation: Knowledge of surgical techniques, including indications and contraindications.
C. Preparatory Clinical Skills
1. Diagnosis and Treatment Planning: Ability to perform a thorough history, perform a physical examination, and formulate a basic prosthetic treatment plan.
2. Dental Radiology: Ability to interpret intraoral and panoramic radiographs (OPG).
3. Oral Hygiene and Periodontics: Understanding periodontal health and ability to manage pre- and post-surgical hygiene protocols.
4. Sterilization and Asepsis: Knowledge and rigorous application of infection control protocols in the surgical environment.

Surgery Module:
Selection of the patient candidate for implant therapy:
 Clinical evaluation
 Prosthetic planning
 Radiographic investigations
 Diagnosis and treatment plan
 Pre-surgical protocol
 Instrumentation in implant surgery, sterility, and surgical field preparation.
Professional development activities (20 hours):
 Flaps and sutures (Simulation classroom, 5 hours)
 Sterile operating field preparation (Simulation classroom, 5 hours)
 Implant surgical instruments (Department, 5 hours)
 Perioperative pharmacological management in implant patients (Department, 5 hours)
* Access flaps in implant surgery and site preparation with standard and piezoelectric techniques
* Immediate post-extraction implantology
* Guided bone regeneration (GBR)
* Platelet concentrates in implantology
* Maxillary sinus lift
* Incidents and complications in implant surgery
* Discussion of clinical cases
Dental Clinic Module:
 Surgical Anatomy of Atrophic Jaws and Intraoral Donation Sites
 Morphostructural and Physiological Characteristics of Bone Tissue
 Biological Basis of Bone Atrophy and Bone Healing. Wolff's Law and Frost's Law
 Surgical Instruments in Pre-Implant Surgery, Sterility, and Surgical Field Preparation.
 Role of Biomaterials, Autologous Bone Tissue, Growth Factors, and Stem Cells in Pre-Implant Surgery. Difference between Repair and Regeneration.
 Influence of implant design on maxillary rehabilitation surgery
 Clinical and instrumental diagnosis of maxillary atrophy and surgical protocols
 Maxillary expansion techniques: split crest
 Techniques for rehabilitation of the posterolateral sectors of the maxilla
 Harvesting techniques from the ramus of the mandible and the symphyseal region. Usefulness and validity of extraoral harvesting. Concept of overtreatment.
 Maxillary osteodistraction
 Surgical techniques with intraoral autologous bone and soft tissue treatment.
Professional development activity (20 hours): Internship in the department
Periodontics Module:
Anatomy and Physiology of the Peri-Implant Region.
* Diagnosis and Prognosis of Peri-Implant Disease.
* Management of Peri-Implant Soft Tissue.
* Pharmacotherapy for Peri-Implant Disease.
Professional Training (20 hours): Internship in the Department, Practical Training on Simulators
Prosthetics Module:
- Prosthetics on Natural Teeth and Implants
- Temporary Restorations in Implant Prosthetics
- Implant Prosthetic Components
- Impression Techniques in Implant Prosthetics: Analog and Digital
- Implant Prosthetic Connection Systems
- Implant Biomechanics
- Free-Tense Systems
- Cemented and Screw-Retained Fixed Prosthetics
- Implant-Prosthetic Loading Times
- Types of Implant-Retained Prosthetic Products
- Choice of Prosthetic Materials
Professional Training (20 hours): Internship in the Department, Practical Training on Simulators

TERAPIA IMPLANTARE. VOLUME 1
di Mauro Merli
Editore: Quintessenza Edizioni
Anno 2011
ISBN: 8874921454

LA PROTESI IMPLANTARE: VANTAGGI, PROBLEMI E SOLUZIONI PRATICHE
di Bruna - Fabianelli
Editore: EDRA
Anno 2014
ISBN:9788821436918

THE BICON SHORT IMPLANT - A THIRTY-YEAR PERSPECTIVE
di Vincent J Morgan
Editore: Quintessence Publishing Co Inc., U.S.
Anno 2017
ISBN, 9780867157284

PARODONTOLOGIA CLINICA E IMPLANTOLOGIA ORALE - VII EDIZIONE
di Lindhe
Editore: EDRA
Anno 2024
ISBN: 9788821459221

PROCEDURE DI CHIRURGIA ORALE NEL RISPETTO DELL'ANATOMIA
di Matteo Chiapasco
Editore: Utet Scienze Mediche
Anno 2009
ISBN:9788802076263

BONE AND SOFT TISSUE AUGMENTATION IN IMPLANTOLOGY
di Khoury
Editore: Quintessence Publishing Co Inc., U.S.
Anno 2022
ISBN: 978-1786981042

Module: DENTAL PROSTHESIS
N/D
Module: PARODONTOLOGY
N/D
Module: ORAL SURGERY
N/D
Module: ODONTOMASTOLOGICAL CLINIC
N/D

The teacher delivers face-to-face teaching using traditional methods, with audiovisual aids and following the lesson schedule as reported in the GOMP Classroom/Timetable System and published on the Degree Course website.

Pursuant to paragraph 4.5 of the Regulations for the Master's Degree in Dentistry and Dental Prosthetics, students are required to attend the CLMOPD's formal, informal, and professionalizing educational activities. Attendance is verified by instructors through signature/roll-call sheets based on updated lists provided by the Academic Secretariat as established by the CCLMOPD, as recommended by the CTP. A certificate of attendance for the mandatory educational activities of a course is required for students to take the relevant exam.

To pass the exam, a grade of at least 18/30 is required in each module.
To achieve a grade of 30/30 with honors, students must demonstrate excellent knowledge of all the topics covered in the course, being able to connect them in a logical and coherent manner.

1. Describe the complete protocol for patient selection and the clinical and radiographic evaluation of candidates for implant therapy, specifying the key elements for diagnosis and treatment planning.

2. Explain the concept of Guided Bone Regeneration (GBR): what are its biological principles and which materials (membranes, grafts) are typically used?
3. Analyze the biological basis of bone atrophy and the mechanisms of bone healing, citing and explaining Wolff's Law and Frost's Law.

4. Discuss the use and comparative role of biomaterials, autologous bone tissue, growth factors, and stem cells in pre-implant surgery.

5. What are the clinical and instrumental criteria for the diagnosis of peri-implant disease (mucositis, peri-implantitis), and what is the associated prognosis? 16

6. Discuss the role and guidelines for pharmacotherapy in the treatment of peri-implant disease.

7. What is the crucial role of the provisional restoration in the implant-supported prosthetic workflow, and what are its biological and esthetic objectives?

8. Detailedly compare analog and digital impression techniques in implant-supported prosthetics, highlighting the advantages and disadvantages of each.

• Prof. MP Cristalli (12h.)* Selection of the patient candidate for implant therapy* Clinical evaluation* Prosthetic planning* Radiographic investigations* Diagnosis and treatment plan* Pre-surgical protocol* Instrumentation in implant surgery, sterility and preparation of the operating field.
  • Books: TERAPIA IMPLANTARE. VOLUME 1di Mauro MerliEditore: Quintessenza EdizioniAnno 2011


• Prof. A. De Biase (12h.)* Access flaps in implant surgery and site preparation with standard and piezoelectric techniques* Immediate post-extraction implantology* Guided bone regeneration (GBR)* Platelet concentrates in implantology* The large maxillary sinus lift* Accidents and complications in implant surgery* Discussion of clinical cases
  • Books: TERAPIA IMPLANTARE. VOLUME 1di Mauro MerliEditore: Quintessenza EdizioniAnno 2011


• Prof. A. Cicconetti (24h.) * Surgical Anatomy of Atrophic Jaws and Intraoral Sampling Sites * Morphostructural and Physiological Characteristics of Bone Tissue * Biological Basis of Bone Atrophy and Bone Healing. Wolff's Law and Frost's Law * Surgical Instruments in Pre-Implant Surgery, Sterility, and Preparation of the Operating Field. * Role of Biomaterials, Autologous Bone Tissue, Growth Factors, and Stem Cells in Pre-Implant Surgery. Difference Between Repair and Regeneration. * Influence of Implant Design in Rehabilitative Jaw Surgery. Clinical and instrumental diagnosis of maxillary atrophy and surgical protocols * Maxillary expansion techniques: split crest * Techniques for rehabilitation of the posterolateral sectors of the maxilla * Harvesting techniques from the ramus of the mandible and the symphyseal region. Usefulness and validity of extraoral harvesting. Concept of overtreatment. * Maxillary osteodistraction * Surgical techniques with intraoral autologous bone and soft tissue treatment.
  • Books: THE BICON SHORT IMPLANT - A THIRTY-YEAR PERSPECTIVEdi Vincent J MorganEditore:          Quintessence Publishing Co Inc., U.S.Anno 2017ISBN, 9780867157284 PROCEDURE DI CHIRURGIA ORALE NEL RISPETTO DELL'ANATOMIAdi Matteo ChiapascoEditore: Utet Scienze MedicheAnno 2009ISBN:9788802076263 BONE AND SOFT TISSUE AUGMENTATION IN IMPLANTOLOGYdi KhouryEditore: Quintessence Publishing Co Inc., U.S.Anno 2022ISBN: 978-1786981042


• Prof. A. Pilloni (24h.)* Anatomy and physiology of the peri-implant.* Diagnosis and prognosis of peri-implant disease.* Management of peri-implant soft tissues.* Pharmacotherapy of peri-implant disease.
  • Books: PARODONTOLOGIA CLINICA E IMPLANTOLOGIA ORALE - VII EDIZIONEdi  LindheEditore: EDRAAnno 2024ISBN: 9788821459221


• Prof. M. Cassetta (12 hours) Prosthetically guided implantology Computer-guided implantology techniques Static computer-guided implantology Dynamic computer-guided implantology Limits of computer-guided implantology Complications in computer-guided implantology
  • Books: Supplementary handouts provided by the teacher


• Prof. P. Papi (12 hours)Analog and digital impression techniques and materials in implant-supported prostheticsChoosing prosthetic materialsScrew-retained and cement-retained prosthetics: indications and limitationsProsthetic loading protocolsRehabilitation options for completely edentulous patients: implant-supported removable prosthetics vs. fixed prosthetics
  • Books: LA PROTESI IMPLANTARE: VANTAGGI, PROBLEMI E SOLUZIONI PRATICHEdi Bruna - Fabianelli Editore: EDRAAnno 2014 ISBN:9788821436918