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COURSE STRUCTURE
GRADO EN ODONTOLOGÍA
DEGREE: DENTISTRY
YEAR 2016/2017
COURSE: ORTHODONTICS IV
Course Title
DENTAL THERAPEUTICS AND REHABILITATION
ECTS
Total
Type
Basic
Period
Obligatory
4
X
er
1 C
Calender
2ºC
Weeks
X
14
Pre-requisites
NONE
Course Language
Castellano
Valenciano
Department
DENTISTRY
English
X
Specific Area of Kowledge
DENTAL THERAPEUTICS AND REHABILITATION
Course Coordinator and other Professors
Name
Paloma Valero Remohi
Office / Faculty
OFFICE Nº 309. DENTISTRY BUILDING.
Email
Paloma.valero@uchceu.es
Student
appointment
schedule
Tuesdays and Wednesdays, 9-11h, previous appointment required
Orthodontics IV / 2016-2017
1
Introduction to the Course.
Orthodontics is the science of the diagnosis, prevention and treatment of the malocclusions and
dento-facial deformities.
The subject of Orthodontics III is within the DENTAL THERAPEUTICS AND REHABILITATION
module, which comprehends all the action subjects with clinical performance.
The Orthodontics teaching unit is divided into four subjects. In the subjects of Orthodontics I and
II, the goal is for the student to acquire the knowledge and skills in DIAGNOSIS in orthodontics.
The goal of the subjects of Orthodontics III and IV is that the student will learn and acquire skills
in Orthodontic TREATMENT.
More precisely, in the subject of Orthodontics III, the student will learn to plan and execute the
orthodontic, surgical or orthopaedic rehabilitation treatment of dental malocclusion, dental
eruption alteration, and TMJ and functional alterations in children.
The program of the subject is made up of two parts: a first part where all the knowledge
acquired in Orthodontics I and II on Growth and Craniofacial development, dental movement,
tissue reaction to forces, biomechanics and etiopathology of malocclusions and dentofacial
deformities, from a more clinical, treatment-oriented vision. This subject focuses on the
treatment of skeletal dysplasias and/or functional alterations of the stomatognathic system,
identifying the etiological factors of each type of deformity or functional alteration, and the
impact these hace on groth and cranio-facial development, with the goal of stablishing patterns
that allow the individualization in the prognosis of each patient.
The proceedings in Orthodontics and Orthopaedics to design an individualized treatment plan
(logical sequence of actions) are also studied.
The second part of the subject starts with the study of clinical therapeutics in Orthodontics and
Dentofacial Orthopaedics, which will be completed in Orthodontics IV. It starts with the action
mechanism of devices, and is continued with the treatment of dental alterations in number,
position and/or shape, eruption, function and TMJ in children.
The student must bear in mind that Orthodontics is a unique subject, and he/she should
integrate progressively the acquired knowledge in previous subjects, to make the most of the
different teaching activities, both theoretical and practical.
At the end of the subject the student will be capable of exploring the stomatognathic system
function in patients of any age, specifically evaluate the functional occlusion and the TMJ; and
take in consideration all this information when planning and orthodontics and/or dentofacial
orthopedics treatment plan from a multidisciplinary perspective.
Pre-Requisites
Although no previous knowledge is required, it is advisable that the student has previous
knowledge on craniofacial embryology and anatomy, skeletal structures, morphology, location
and limiting structures.
The student must correctly know the dental structures, phases and sequence of dental
replacement, number of pieces in each phase; deciduos, mixed and permanent dentition.
The student should have previous knowledge on physiopathology of the stomatognathic
system physiopathology; craniofacial growth and development, be familiar with the
etiopathogenesis of dental malocclusion, recognize and identify the elements in the different
orthodontic devices.
Orthodontics IV / 2016-2017
2
Course Objectives
-
-
The student will be capable of writing custom-made orthodontic appliances prescriptions:
more specifically, he will design removable appliances, functional appliances and orthopedic
appliances.
With the skill 36t, the student will be able to design, prescribe, place and control orthodontic
fixed appliances. More specifically, he/she will be able to adjust clinically interceptive
orthodontic devices, and appliances to move teeth and correct crossbites.
General and Specific Skills offered by the Course
Basic skills
BS 1 Basic Skills 1 (RD 861)
Students should be able to demonstrate their knowledge and understanding of the field. This knowledge
should be built on general secondary level education, and, with the support of University-level textbooks,
should include aspects derived from the forefront of the field of study.
BS 2Basic Skills 2 (RD 861)
Students should be able to apply their knowledge to their work or vocation in a professional manner. They
should be able to demonstrate their skills by developing and debating opinions, and solving problems within
their field of study.
BS 3 Basic Skill 3 (RD 861)
Students should have the ability to generate and interpret data relevant to their profession, to allow them to
make reasoned decisions. This includes reflecting upon the relevant underlying social, scientific and ethical
issues involved.
Specific skills
- 36. For the establishment of an adequate treatment, the dentist must be competent in:
p. Preparation of the prescription for customized sanitary products “dental prosthesis” and
“orthodontic and dentofacial orthopaedic appliances”.
t. Plan and determine the specific characteristics of the design, records, prescription, clinical
check, placement and clinical adjustment for the use of fixed and removable space
maintainers, as well as interceptive orthodontic techniques, removable active elements
destined to displace teeth or correct crossbites.
Orthodontics IV / 2016-2017
3
Course Contents
1.
2.
3.
4.
5.
6.
7.
8.
9.
Treatment of transversal malocclusions.
Treatment of class I malocclusions.
Treatment of class II 1st division malocclusions.
Treatment of class II 2nd division malocclusions.
Treatment of class III malocclusions.
Treatment of mandibular asymmetries.
Treatment of vertical malocclusions: deep bite.
Treatment of vertical malocclusions: open bite.
Treatment in deciduous dentition. Habits: abnormal deglutition, thumb sucking, oral respiration.
Malocclusions: open bite, anterior crossbite, posterior crossbite. Space loss. Myofunctional
therapy.
10.
Treatment in mixed dentition: introduction. Diagnosis and treatment plan. Therapeutic
strategies in mixed dentition. Clinical management.
Course Structure and Design
Educational activities are the means used to transmit the contents and promote the acquisition of the
competences. They include:
- Master class: Educational forming activity oriented preferably to the competence of acquisition
of knowledge and representative of the most theoretical subjects. Priorizes the transmission of
knowledge by the professor, demanding from the student previous preparation or posterior
study.
- Seminar: Educational forming activity that enhances participation of the alumni in the reasoned
interpretation of knowledge and the sources of the area of study. It is oriented to the application
of knowledge, together with the ability to gather, interpret and judge information and relevant
data. It is representative of the subject or activities with a theoretical-practical outline.
- Practice, Laboratory Practice: Educational forming activity oriented preferably to ability to
gather, interpret and judge information and relevant data and the competence of acquisition of
learning abilities. It is representative of the end of subject project.
Orthodontics IV / 2016-2017
4
ESTIMATION OS STUDENT WORK VOLUME
SUBJECT: ORTHODONTICS III
CREDITS: 4 ECTS
Breakdown of student work hours: 120
Formative activity
Contact hours
(A)
Independent Study (B)
Total work hours (C)
C=A+B
TAUGHT CLASSES
Introduction to the material
Theory classes
20
10
30
12
10
22
Debates
Feedback and
assignments
review
of
Other
PRACTICAL CLASSES
Problem solving
Debates
Feedback and
assignments
review
of
Simulation
Laboratory
24
Practical
classes
informatics room
24
in
Outing
Work presentation
Other
SEMINARS
Problem solving
Debates
Feedback and
assignments
review
of
review
of
5.2
5
10.2
4.8
5
9.8
18
18
WORKSHOP
Feedback and
assignments
Oral presentations
COURSEWORK PROJECT
Personal
hours
Project
EXAMINATIONS
TESTS
work
AND
Exam preparation
Examinations
6
6
Other…
TOTAL
72
48
RELATIONSHIP BETWEEN WORK HOURS / ECTS
(the result of the relation working hours/ECTS will have to be equal to 30 hours, that is the
hours that conform 1 ECTS in the CEU-UCH)
Orthodontics IV / 2016-2017
120
120/4
5
Assessment Criteria
The acquisition of skills by the student is confirmed through the evaluation. This system is completely
associated to the skills the student should demonstrate and is coherent with the contents of such
skills.
Orthodontics IV is a project subject, reason why both the practicals and the seminars from this
subject are mandatory in the second and posterior enrolments. The student will not be able to pass
the subject only by passing the exam including the 100% of the subject.
- Each part must be passed separately. Each activity is independently evaluated.
- Only one justified absence is admitted for the seminars/practicals.
- If during the course a grade of 7 or more is acquired in any of the parts, the grade can be kept
under written petition of the student.
The assessment criteria will be based on the following forming activities, in accordance to
https://www.uchceu.es/estudios/grado/documentos/memoria/odontologia.pdf :
-
FA1. Master Class (Theoretical knowledge): 50%
FA2: Seminars 20%
FA4: Practicals 30%
The final grade will be given in a range from 0 to 10 number scale, with the expression of one
decimal point, to which the qualitative qualification may be added:
0-4,9: Suspenso (SS).
5,0-6,9: Aprobado (AP).
7,0-8,9: Notable (NT).
9,0-10: Sobresaliente (SB).
http://www.boe.es/boe/dias/2003/09/18/pdfs/A34355-34356.pdf
Ordinary call. Final grade composition:
- AF4. PP: will represent 30% of the final grade. Assistance to practical classes is mandatory,
and in case of no assistance, absence should be justified and made up for as soon as possible.
Each practice will be evaluated by the professor. An arithmetic average of the grades will be
calculated.
-
AF2. Seminars: 20% of the final grade. They are mandatory, and in the case of no assistance,
absence should be justified and made up for as soon as possible. The student must present a
written project for each seminar. An arithmetic average of the written proejcts will be calculated.
-
AF1. Theoretical knowledge:
- Will represent 50% of the final grade. This examination will take place during the examination
period and its contents will include all the course program.
- The exam will consist of short questions and/or multiple choice questions.
Extra-ordinary call. Final grade composition:
Practice&Theory exam
1. Resolution of a clinical case, evaluated between 0-3 points.
2. Theory exam. The exam will consist of short questions and/or multiple choice questions.
Evaluation between 0-7 points.
Orthodontics IV / 2016-2017
6
Assessment Criteria
The grades obtained in each part will be added up, and a final grade between 0-10 points will be
obtained.
Course Program
1.
2.
3.
4.
5.
6.
7.
8.
9.
Treatment of transversal malocclusions.
Treatment of class I malocclusions.
Treatment of class II 1st division malocclusions.
Treatment of class II 2nd division malocclusions.
Treatment of class III malocclusions.
Treatment of mandibular asymmetries.
Treatment of vertical malocclusions: deep bite.
Treatment of vertical malocclusions: open bite.
Therapeutic principles and differential characteristics of treatments in relation of the patient’s
age.
10. Retention and relapse.
Detailed course program
1. Treatment of transversal malocclusions.
Etiology and epidemiology. Differential diagnosis: dentoalveolar malocclusion, functional and
skeletal. Etiology and epidemiology. Therapeutic principles and types of devices:
orthodontics, orthopaedics, differential control of eruption, mandibular reposition, functional
rehabilitation, occlusal adjustment and selective grinding, surgically assisted palatal
expansion, orthognathic surgery. Indications and contraindications. Treatment protocols and
retention depending on age and type of malocclusion: treatment of dentoalveolar crossbite.
Treatment of functional crossbite. Treatment of skeletal crossbite.
2. Treatment of class I malocclusions.
Concept. Primary, secondary and tertiary crowding. Dentoalveolar protrusion. Etiology and
epidemiology. Differencial diagnosis. Therapeutic principles and types of devices:
orthodontics, space control, arch length recovery, therapeutic extractions. Indications and
contraindications. Treatment protocols and retention depending on age and type of
malocclusion.
3. Treatment of class II 1st division malocclusions.
Etiology and epidemiology. Differential diagnosis: class II division 1st dentoalveolar and
skeletal. Prediction of mandibular growth and face patterns. Prognosis. Therapeutic principles
and types of devices: orthodontics, differential control of eruption, mandibular repositioning,
functional rehabilitation, orthopaedics, therapeutic extractions, skeletal distraction,
orthognathic surgery. Indications and contraindications. Treatment protocols and retention
depending on age and type of malocclusion: treatment of dentoalveolar class II 1st division,
treatment of skeletal class II 1st division.
4. Treatment of class II 2nd division malocclusions.
Etiology and epidemiology. Etiopathogenic theories: types of class II – 2nd. Differential
diagnosis. Face pattern.
Therapeutic principles and types of devices: orthodontics, differential control of eruption,
mandibular unblocking, functional rehabilitation, orthopaedics, bimaxillary devices,
therapeutic extractions, skeletal distraction, orthognathic surgery. Indications and
contraindications. Treatment protocols and retention depending on age and type of
Orthodontics IV / 2016-2017
7
Detailed course program
malocclusion: treatment of dentoalveolar class II 2nd division, treatment of skeletal class II 1st
division.
5. Treatment of class III malocclusions.
Etiology and epidemiology. Differential diagnosis: dentoalveolar, functional and skeletal class
III. Therapeutic principles and types of devices: orthodontics, differential control of eruption,
mandibular repositioning, functional rehabilitation, orthopaedics, therapeutic extractions,
orthognathic surgery. Indications and contraindications. Treatment protocols and retention
depending on age and type of malocclusion.
Treatment of class III malocclusion. Treatment of functional class III. Treatment of skeletal
class III.
6. Treatment of mandibular asymmetries.
Etiology and epidemiology. Differential diagnosis:hypo-growth: condylar hypoplasia,
hemifacial microsomia, others. Hypergrowth: mandibular elongation, condylar hypertrophy,
hemimandibular hyperplasia, tumors.
Therapeutic principles and types of devices: orthodontics, differential control of eruption,
mandibular distraction, high condylectomy, orthognathic surgery. Indications and
contraindications. Treatment protocols and retention depending on age and type of
progression of the asymmetry: treatment of the progressive mandibular asymmetry.
Treatment of non-progressive mandibular asymmetry.
7. Treatment of vertical malocclusions: deep bite.
Etiology and epidemiology. Etiopathogeny. Differential diagnosis: dentoalveolar and skeletal
overbite, maxillary or mandibular. Mandibular rotation and face pattern. Smile line. Prognosis.
Therapeutic principles and types of devices. Orthodontics, pure and relative intrusion,
differential control of eruption, sagittal correction. Orthopaedics, maxillary and mandibular
rotation control, orthognathic surgery. Indications and contraindications. Treatment protocols
and retention depending on age and type of malocclusion. Interceptive treatment. Corrective
treatment.
8. Treatment of vertical malocclusions: open bite.
Etiology and epidemiology. Etiopathogeny. Differential diagnosis: dentoalveolar and skeletal
overbite, maxillary or mandibular. Mandibular rotation and face pattern. Anterior and posterior
smile line. Prognosis. Therapeutic principles and types of devices: Orthodontics, differential
control of eruption, mandibular repositioning, functional rehabilitation, orthopaedics,
therapeutic extractions, orthopaedics, control of maxillary and mandibular rotation,
orthognathic surgery. Indications and contraindications. Treatment protocols and retention
depending on age and type of malocclusion. Interceptive treatment. Corrective treatment.
9. Therapeutic principles and differential characteristics of treatments in relation of the
patient’s age.
Treatments in temporary dentition. Treatments in mixed dentition. Treatments in permanent
dentition. Treatments in the adult patient. Differential therapeutic principles depending on age.
Most effective types of devices and action mechanisms depending on patient’s age. Scientific
evidence. Malocclusion interception, dento-facial deformities prevention and interception
programs during infancy, adolescence and in the adult: differential characteristics.
10. Retention and relapse.
Concept of retention and relapse. Retention need. Dominant factor in retention. Basic
principles in retention. Beginning of retention. Duration of retention. Etiology of relapse. Types
of retainers. Surgical aids in retention.
Basic Bibliography
Orthodontics IV / 2016-2017
8
Basic Bibliography
1.
2.
3.
4.
5.
6.
COBOURNE TM. Handbook of Orthodontics. China. Elsevier. 2010
CANUT, J. A. Ortodoncia clínica y terapéutica. Barcelona Masson. 2000.
BRAVO, L. A. Manual de Ortodoncia. Madrid. Síntesis. 2003.
MOYERS, R. E. Orthodontics. Chicago. Med. Publish. 1988.
PROFITT, W. J. B. Contemporary orthodontics. St. Louis. Mosby. 1999.
GRABER LW. Current principles and Techniques. 5th Edtion. Elsevier Health Sciences. 2011
Additional Bibliography
1.
2.
3.
4.
5.
6.
7.
8.
9.
HOUSTON, W. J. B. Manual de ortodoncia. Mexico. El manual moderno. 1988.
MAYORAL, J. Ortodoncia. Principios fundamentales y Práctica. Barcelona .Labor. 1977.
ENLOW, D.H.; HANS, M.G. Essential of Facial Growth. Philadelphia. Saunders Co. 1996.
RICKETTS, R.M. Orthodotics Diagnosis and Planning. Denver, Rocky Mountain Co. 1982
CARLOS, E. Z. Compendio de cefalometría. Análisis clínico y práctico. Venezuela. Amolca. 2004.
BARCHACH, J. Atlas de cirugía craniofacial y de hendiduras. Venezuela Amolca. 2004.
LINDEN, W. D. Conceptos y estrategias en ortodoncia. Quintessence. 2006.
JULIA, F. Tratamiento ortodóncico en adultos. Panamericana. 2006
GREGORET J. Ortodoncia y cirugía ortognática, diagnóstico y planificación. Barcelona. Espaxs.
1997.
10. VARELA M, LLAMAS JM. Ortodoncia una visión de futuro. Madrid. Ergon SA. 1999.
11. ENLOW, D. H. Essentials of Craniofacial Growth. Philadelphia. Saunders. 1996
Other Resources
1. Spanish journals:
o Ortodoncia española.
o Revista Española de Ortodoncia
2. European journals:
o Angle Orthodontics
o European J. Orthodontics
3. American Journals:
o American J. Orthodontic
o Dentofacial Orthopedic
Recommendations to Students Taking This Course
-
-
It is advisable that students have passed Orthodontics I and Orthodontics II to access this subject.
Students should read the proceedings of each the practice from the practice booklet before each practice
to ensure a better performance.
Basic reference books should be consulted regularly when studying the subject. It is advisable that the
students read the topic before it is explained in class. The student must make sure he/she understands
the concepts and ideas, so that any doubts that arise in the reading can be solved in class.
The student must follow the directions for Communal living in the Classroom approved by the Health
Sciences Faculty.
Orthodontics IV / 2016-2017
9
Links to Ongoing Research
The Orthodontics and Dentofacial Orthopaedic Department at the UCH-CEU is presently developing 6
research lines directly related to the learning process of this subject:
- Skeletal anchorage with miniscrews.
- Rapid maxillary expansion.
- Behaviour and factors related to adhesion.
- Functional appliances.
- Obstructive Sleep Apnea and Hypoapnea.
- Eruption physiopathology.
It is advisable that students get involved in the following of the scientific protocols that are being carried out in
each research line, contributing in this way to feed the scientific development of the University, and at the same
time discover new parallel research lines.
Links to the Dental Profession
The knowledge of the treatment protocols is an essential part of the therapeutics of the Orthodontic and
Dentofacial Orthopaedics specialty. It is the ability to update these protocols, with the new light shed on them
by the published evidence, what enables the achievement of clinical excellence.
The Evidence-based Medicine teaching system provides the student with an autonomous learning system,
which will help him/her to integrate new knowledge and face the complexity of developing judgements, whilst
thinking over the social and ethical responsibilities linked to the application of these.
Orthodontics IV / 2016-2017
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