Fixed Prosthodontics

over Teeth and Implants Course

Fixed Prosthodontics Improvement Course
over Teeth and Implants

General objectives

It is intended that the trainees at the end will be able to diagnose, plan and execute FPP on teeth and also obtain basic training about FPP on dental implants.

Specific objectives

At the end of the training action, trainees should be able to:

Diagnose the various clinical situations of partially edentulous patients, using available methods for data collection and implementation of a treatment plan.
Demonstrate the importance of neurophysiology of the stomatognathic system, studying its maxillomandibular relationships, mandibular movements and techniques for obtaining intraoral records.
Use the semi-adjustable Articulators and obtain registers that promote precision assemblies.
Recognize the importance and influence of periodontology in the context of FPP, relating them to clinical procedures for obtaining crowns and bridges.
Recognize the principles governing dental preparation techniques for prosthetic purposes, as well as all materials and equipment involved in these procedures.
Identify how to treat with FPP teeth that have undergone endodontic treatments with the most diverse techniques of coronary reconstruction.
Recognize the evolution of FPP, analyzing chronologically the great technological advances that have been taking place in recent decades.
Identify the main systems for manufacturing crowns and bridges, as well as new materials and, in particular, those resulting from the emergence of the Cad-Cam System in dentistry.
Recognize the importance of provisional restorations in FPP and the various direct and indirect techniques as well as new materials.
Perform your work with conventional impression techniques and their related materials and digital impressions.
Perform your work with the laboratory technology of FPP when it comes to obtaining models and precision changers.
Emphasize the importance of metal alloys in the manufacture of metalloceramic FPP; study the indications, types and techniques of welding in FPP.
Characterize phenomena such as light, color, anatomy, dental arrangements and communications with the Dental Technician so that you can carry out FPP work with a high degree of aesthetics.
Identify the techniques and materials involved in the cimentation procedure for crowns and bridges.
Characterize the phenomenon of osseointegration and an implant system.

Program Content and Credit Hours

Module I - Exams, Diagnosis and Prognosis in Fixed Partial Prosthesis (FPP)

Theoretical Component: The importance of diagnostic models | Radiographic techniques in FPP | General fundamentals of crown planning

and bridges.

Practical Component: Anamnesis Simulations | Simulations of clinical examination of the partial edentulous (pre-clinical activity).

Module II - Principles of Occlusion applied to Fixed Partial Prosthesis

Theoretical Component: Neurophysiology of the Stomatognathic System | Maxillomandibular relationships | Determinants of dental morphology |

Progressive waxing.

Practical Component: Techniques for obtaining maxillomandibular registers (pre-clinical activity).

Module III - Articulators and Face Bows

Theoretical Component: Concept and classifications | Criteria for choosing an articulator | Assembly techniques and articulator programming

semi-adjustable (ASA) | The face bow and its functions.

Practical Component: How to get accurate records | Occlusal analysis of the articulator (preclinical activity).

Module IV - Periodontal Aspects and Fixed Prosthesis

Theoretical Component: Basic anatomy of the periodontium | Biological space and its importance in FPP | The axial contours of the FPP

and its repercussions on the periodontium | Periodontal therapy related to FPP.

Module V - Biomechanical Principles of Dental Preparation with Prosthetic Purpose

Theoretical Component: Biological Principles | Mechanical Principles | Aesthetic principles | Preparation Techniques for Crowns and Veneers | Silhouette technique.

Practical Component: Construction of provisional (pre-clinical activity)

Module VI - Restorations of Endodontically Treated Teeth in Fixed Prosthesis

Theoretical Component: Selection of materials and techniques | Cast intraradicular retainers | Prefabricated pins | Coronary Filling Materials | Endodontic treatment for prosthetic purposes.

Practical Component: pre-clinical activity.

Module VII - Systems for manufacturing FPP

Theoretical Component: Evolution of FPP | Metal-ceramic System, Conventional / Galvano / CAD-CAM | Metalplastic System|

Alumina-supported Metal-Free system / Zirconia-supported / unsupported: Feldespatics, Glass Ceramics and Litium Disilicate.

Practical Component: pre-clinical activity.

Module VIII - Provisional Restorations

Theoretical Component: Its primary importance in the transition to definitive treatment | New Materials and Techniques Available.

Practical Component: Clinical and laboratory sequences of techniques (pre-clinical and clinical activity).

Module IX - Impression in FPP

Theoretical Component: Evolution of materials and techniques | Its crucial importance in the final success of the work | Conventional techniques with

elastomeric materials | Digital impression: precision, productivity and comfort for the professional and the patient.

Practical component: Make impressions on the patient (clinical activity).

Module X - Techniques for Obtaining Models and Dies

Theoretical Component: Critical analysis of conventional techniques | Technique of Dr. Genilson S Neto (conventional) | Digital models and dies.

Module XI - Soldering in FPP

Theoretical Component: Conventional technique (pre-soldering / post-soldering) | Laser Welding | Clinical and laboratory aspects.

Module XII - Aesthetic Standards in FPP

Theoretical component: The phenomenon of light and color | Color Dimension Studies | "Colour-Taking" Technique | Communication with the Dental Technician |

The use of transparent pigments to improve the aesthetics of crowns and bridges | The importance of shape, contour and texture of restorations |

The golden ratio.

Theoretical component: Analysis of the patient's dental morphology.

Module XIII - Ciments and Cimenting Agents

Theoretical component: The protection of the dentin-pulp complex | Election of a cimenting agent | Permanent ciments | Cimenting techniques.

Practical component: Cimentation of the prosthesis to be applied to the patient.

Module XIV - Basic Aspects of FPP on Implants

Theoretical component: The phenomenon of osseointegration | Cimented prostheses | Screw-retained prostheses | Pillar Selection| Presentation of

clinical cases | Hands - On.

Total: 170H

Recipients

Dentists who wish to update their knowledge in the field of Fixed Prosthodontics.

Training Methodologies

In addition to the exposition of contents by the Trainer, audiovisual support will be used to present the theoretical sessions referring to all the chapters indicated in the Course Program.

Demonstrative practical sessions will be held, followed by active sessions (laboratory and pre-clinical), to be developed by the participants, as well as the monitoring of their clinical cases, where aspects ranging from planning to execution and maintenance will be analyzed.
For clinical classes, each participant must bring their own patient, who will first be observed by the trainer, to select the clinical cases of greatest interest.

Assessment Methodologies

Diagnostic assessment – carried out at the beginning of the course, in order to verify the trainees' prerequisites.

Formative assessment – carried out modularly in order to assess the knowledge acquired during the course, with a weight of 70% in the final grade.
Summative assessment – verifying the knowledge consolidation of the trainees at the end of the course, with a weight of 20% in the course completion grade.

Training Modalities

Updating / improvement training.

Forms of Organization

Classroom training.

Logistic Spaces and Requirements

Room with good light, ventilation, temperature and isolated from disturbing noises for proper functioning;
Space equipped with all the necessary teaching resources (flipchart, LED TV, and all the practical material needed for training);
Furniture that respects the ergonomics rules of trainers and trainees;
Space wide enough to allow for the realization of group dynamics and the arrangement of tables in “T”, in order to facilitate communication;
Space supported by living areas, cafeteria;
Easy access location;
Space whose cleaning is ensured daily .

Material and Pedagogical Resources

Automatic device for handling molding materials
Water bath
Computer and Monitor
Accessory Kit
X-Ray and RVG Gendex System
Viewbox
Various Molding Materials
Stock trays
Materials for obtaining intra-oral records
Basic clinical instruments (mirror, probe, tweezers, carpule, aspirator, scissors)
Gingival retraction cords + hemostatic
Denture laboratory benches with plaster vibrator, vacuum spatulator, polishing motor and steam jet
Triple module with syringe, micromotor and high-speed turbine.
Pre-clinical workstation with materials and equipment for practical classes: model, drills (various), articulator, tweezers, powder and duralay liquid, rubber bowls, insertion spatula
Prosthesis laboratory with support machines for the manufacture of crowns and bridges; pre-heating oven; ring casting furnace, electronic induction furnace for casting metal alloys; aluminum oxide jet and plaster cutter, steam jet, polishing lathe
Countertop for applying ceramics with ultrasound; Criox appliance and DeKema Austromat oven for firing and injection of ceramics and so on.