Course Content

A) Programming Area of ​​Concentration in Implantology
1- Diagnosing the characteristics of normality and alterations in the
bone structures of the
jaws
Bone Anatomy, Histology and Physiology
a – Objective
b- Bone Anatomy
c – Bone Cells
d- Bone Physiology (Bone Remodeling)
e – Osteogenesis
Classification of bone tissues
a – Macroscopic classification
b – Microscopic classification
c – Bone density
Bone alterations
a – Cavity-type defect
b – Vertical bone loss
c – Horizontal bone loss
2. Diagnosing the characteristics of normality and alterations in the oral mucosa
and
the supporting structures of the dental elements
Characteristics of normality in the oral mucosa
a – Anatomy of the oral mucosa
b – Characteristics of healthy oral mucosa
c – Gingival phenotypes (or gingival biotypes)
d – Smile line
Alterations in the oral mucosa
a – White lesions
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b – Red lesions
c – Lesions Volumetric
lesions d – Neoplastic lesions
e – Herpetic lesions
Supporting structures of dental elements
a – Normal characteristics of the supporting structures of
dental
b – Radiographic characteristics
c – Alterations in the supporting structures of dental elements
d – Periodontal diseases
e – Radiographic characteristics
Competency 2 – Planning implant placement surgeries
Educational Objectives
1- Collect patient data
General examinations
a – Anamnesis
b – Clinical examination
c – Laboratory examinations
d – Imaging examinations
Clinical photography
a- intraoral
b- extraoral
c- pre-operative
Study model
Mounting on articulator
Diagnostic wax-up and surgical guide
2. Analyze patient data
Analysis of general examinations and systemic conditions
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Analysis of photographs
Analysis of models
Plan the case
Elaboration of the Treatment Plan
3- Select types of implant-supported prostheses
Objective
Unitary
Partial
Total
a- Protocol
b – Overdenture
Retention method
a – cemented implant-supported single or partial prosthesis
b – screw-retained implant-supported single or partial prosthesis
c – mucosally supported implant-retained total prosthesis
d – implant-supported total prosthesis
Occlusion and Occlusal Adjustment in Implantology
4- Selecting the implant type
Implant design (macroengineering)
a – Importance
b – Conical
c – Cylindrical
d – Thread design
Implant connection
a – Internal hexagon
b – External hexagon
c – Morse taper
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Surface texturing
a – Importance
b – Texturing characteristics
c – Texturing methods
d – Machined surface
e – Texturing forms
5- Producing the surgical guide
Objective:
Fabrication of the surgical guide
6- Installing the implant
Pre-operative
a – Drug therapy
b – General care and drug interaction
Biosecurity
a – Personal Protective Equipment (PPE)
b – Instrument Processing Surgical Instruments
and Kit
a – Drills and wrenches from the surgical kit
b – Surgical linen
Anesthesia and Sedation
a – Local anesthesia
b – Sedation
Exodontia Techniques (when necessary)
a – Conventional
b – Atraumatic exodontia (periotome)
c – Atraumatic exodontia (extractors)
Surgical Access
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a – Incision
b – Detachment
c – Full-thickness flap
d – Partial-thickness flap
Installation Technique
a – Osteotomy
Stability
Primary,
Secondary, and
Tertiary
c – Surgical Care and Intraoperative Complications
Tissue Reconstruction or Preservation Technique
a – Biomaterials: membrane
bone grafts
autogenous,
homologous,
xenogeneic,
synthetic
c – Blood Products
d – Techniques: alveolar preservation (fresh socket)
e – Techniques: management soft tissue (free gingival graft)
f – Techniques: soft tissue management (connective tissue graft)
g – Techniques: soft tissue management (mixed graft)
h – Techniques: clinical crown lengthening
i – Techniques: implant reopening
j – Appositional bone reconstruction “onlay” of the ridge (horizontal and/or vertical)
Techniques: guided bone regeneration
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Techniques: block graft
k- Interpositional bone reconstruction “inlay” of the ridge
Techniques: maxillary sinus lift
i – Surgical care and intraoperative complications
Post-operative
a- drug therapy
b- care and recommendations
Peri-implant Cervical Bone Remodeling
Competency 13 – Maintaining implants in healthy condition
Educational Objectives:
1- Maintenance of implant-supported prostheses
Guidance on daily oral hygiene
Periodic check-ups
Prosthetic complications
2- Knowing how to identify the Success and failure in implant dentistry.
Implant success.
Implant failure.
3- Treatment of peri-implant sequelae.
Diagnosis.
Treatment.
A) Programming area of ​​concentration in Periodontics.
Competency 1| Understanding the characteristics of normality and alterations in
structures
periodontal
Objective 1 – To understand the anatomical structures and histological characteristics
of
healthy and altered
A) Anatomy and Histology of the Periodontium and peri-implant region
a- Layers of the Oral Epithelium
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b- Supporting Periodontium
c- Alveolar Bone
d- Periodontal Ligament
e- Root Cementum
f- Biological Space
– around the tooth
– around the implant
g- Gingiva
– Clinically healthy gingiva
– Gingival Fiber Set
h- Periodontal Phenotype
– Diagnosis
– Thick Periodontal Phenotype
– Intermediate Periodontal Phenotype
– Non-Thick Periodontal Phenotype
i- Nerves of the periodontal system
j- Lymphatic system of the periodontal system
B) Anatomy of the oral mucosa
a- Characteristics of healthy oral mucosa
b- Alterations of the oral mucosa
c- Mucosa around implants
C) Bone tissue
a- Basic biology of Bone tissue
– Bone cells
– Modeling and remodeling
– Bone growth and healing factors
b- Osseointegration
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Objective 2- To master the etiopathogenesis and classification of periodontal diseases
A) Etiology and Pathogenesis of Periodontal Disease
a- Epidemiology of periodontal disease
– Prevalence
– Risk factors
b- Pathogenesis of periodontal disease
– Virulent periodontal pathogen
– Local environment
– ​​Host susceptibility
c- Immunology of periodontal disease
– Defense process
Innate defense system
Immune or adaptive defense system
d- Microbiology
– Formation of bacterial plaque
– Dental plaque or biofilm
– Supragingival biofilm
– Subgingival biofilm – Biofilm
in the etiology of periodontal diseases
– Microbial complex
– Calculus in periodontal diseases
Clinical aspect, distribution and diagnosis
Adhesion to the tooth surface
Mineralization, composition and structure
– Peri-implant microbiology
B) Installation of Periodontal and Peri-implant Disease
a- Gingival inflammation
– Induced by bacterial plaque
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Histopathological characteristics of gingivitis
Clinical signs
– Not induced by bacterial plaque
Specific bacterial origin
Fungal origin
Candidiasis
Linear gingival erythema
Histoplasmosis
Systemic origin
Mucocutaneous disorders
Allergic reactions
Traumatic origin
Chemical injury
Physical injury
Thermal injury
b- Mucosal inflammation
– Mucosal inflammation around implants
b- Periodontitis and Peri-implantitis
– Acute bacterial challenge phase
– Acute inflammatory phase
– Immune response phase
– Regulation and resolution phase
C) New classification of periodontal and peri-implant diseases
a- Changes in the new classification
b- Degree of progression
– Grade A
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– Grade B
– Grade C
c- Staging
– Stage I: Initial Periodontitis
– Stage II: Moderate Periodontitis
– Stage III: Severe Periodontitis with potential for additional tooth loss
– Stage IV: Advanced periodontitis with extensive bone loss and potential for
loss
tooth
d- Extent and distribution
– localized
– generalized
– molar/incisor pattern
e- Systemic diseases with a significant impact on periodontal tissue loss due to
f-
periodontal inflammation
Periodontal abscesses and endoperiodontal lesions
g- Mucogingival deformities around the natural dentition
– gingival recessions
– periodontal phenotype
– Residual gingiva size
– presence of caries
– non-carious cervical lesions
Competency 2 – Perform Diagnosis and Treatment of Periodontal and
Peri-implant
Educational Objectives
1- Perform and interpret Clinical and Laboratory Examinations
A) Anamnesis
a- Systemic conditions
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b- Medications
c- Risk factors
Smoking
Diabetes mellitus
B) Intraoral Clinical Examination
a- Local Factors
– Calculus deposits
– Excess Regarding restorative materials
– Related to teeth: exposed furcations, cervical and root resorptions
sensitivity
percussion
Thermal
– Dental crowding
– Related to soft tissues: gingival recession, abnormal frenum insertions
and
gingival enlargements
b- Clinical probing
c- Bacterial plaque index
d- Gingival index
d- Bleeding on probing index
e- Probing depth and attachment loss
Tactile perception
Probe precision and dimensions
Measurement of pockets and attachment loss
Probing force
Gingival/periodontal conditions: pockets and pseudopockets
Evaluation of furcation involvement
f- Evaluation of the presence of suppuration
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g- Evaluation of mobility: grade 0, 1, 2 and 3
h- Occlusal trauma
C) Imaging Examinations
a- Periapical
b- Computed Tomography
D) Dental Photography
a- Equipment
– ​​Lighting
– Accessories
– Basic Configurations
b- Photographic Protocol
Extraoral
Intraoral
2-treatment
surgical
and non-surgical
A) Periodontal instruments
a- Manual instruments
– Gracey curettes
– Mini Gracey curettes
b- Periodontal files
c- Sonic and ultrasonic instruments
B) Principles of periodontal instrumentation
a- Instrumentation
b- Sharpening of instruments
c- Ergonomics
C) Periodontal instruments proper to surgery
a- Scalpel – blade 15 C
b-
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c- Bone files
d- Castroviejo needle holder
3- Planning and executing the non-surgical periodontal treatment plan
A) Non-Surgical Periodontal Therapy | TPNC
a- Basic Procedures
– Supra- and subgingival scaling: removal of calculus deposits
– Coronal prophylaxis and polishing for plaque removal
– Oral hygiene instructions and motivation for the patient
– ​​Root surface debridement
– ​​Long-term inflammation control and adjunctive use of antimicrobial agents.
– Reassessment after 3 months
c- Post-operative pain control
B) Long-term inflammation control and adjunctive use of antimicrobial agents.
C) Reassessment after 3 months
a- Expected responses such as reduction of clinical parameters:
– probing pocket depth;
– Clinical attachment level
– Percentage of bleeding sites on probing
– Accumulation of bacterial plaque and calculus
– Tooth mobility
D) Supportive periodontal therapy
– Determines that a defined interval be established for continuous
and
periodic
– Update of medical and dental history
– Radiographic review
– Periodontal evaluation
– Removal of bacterial plaque and calculus
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– Tooth polishing
– Reinforcement of oral hygiene guidance and motivation
E) Administration of systemic antibiotics
– Acute periodontal processes
– In various forms of periodontitis
– Smoking patients
– Diabetic patients
– Adverse effects
F) Slow-release devices
– Tetracycline delivery systems
1. – Chlorhexidine delivery systems
– Statin delivery systems
G) Photodynamic therapy
– Indication
– Application in the treatment of periodontitis and peri-implantitis
– Application in maintenance and control
– Application protocol
H) Laser therapy
– Cellular photobiomodulation and healing
– Clinical uses in periodontics
– High-power laser for microbial reduction
I) Criteria forC
4- Plan and execute the periodontal treatment plan with surgical access
A) Surgical techniques for periodontal pocket treatment
a- Gingivectomy
b- Flap procedures
Indication: periodontal pockets, persistent inflammation or gingival morphology that
facilitates
biofilm control by the patient
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d- Contraindication:
B) Root surface instrumentation
) Root surface conditioning/biomodification
D) Suture techniques
a- interrupted interdental
b- suspensory
c- continuous
d- Apically repositioned flap: external vertical mattress
E) Postoperative pain control
5- Plan and execute the periodontal treatment plan in teeth with
furcation
A) Periodontal scaling in teeth with furcation involvement
B) Anatomy
a- Upper molars
b- Upper premolars
c- Lower molars
C) Classification for furcation involvement
a- Grade I
b- Grade II
C- Grade III
D) Probing and Radiography
E) Differential diagnosis – correlation with pulp pathology
F) Therapy
a- Debridement of the root surface
b- Furcation plasty
c- Tunneling
d- Hemisection and root resection
e- Regeneration of furcation defects
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f- Exodontia
5- Plan and carry out the treatment plan for dentin hypersensitivity
A) Definition and prevalence
B) Interrelated etiological factors: two factors (moderate risk group) and
three
factors (high risk group)
a- Tension
– Dental clenching
– occlusal trauma
b- Friction
– Brushing
– Abrasives
c- Corrosion
– Gastric diseases
– Sports nutrition
– Acidic diet – Enzymes (collagenases)
C) Prevention and control of etiological factors
D) Pain control in dentin hypersensitivity
a- Desensitizing protocol
b- Desensitizing toothpastes
Competency 3 – Diagnose Periodontal bone defects and performing
periodontal
resective or regenerative
Educational Objective
1- Diagnose the types of bone defects
A) Supra-osseous defects – horizontal
B) Infra-osseous defects – vertical
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a- two remaining walls
b- three remaining walls
c- four remaining walls
C) Interradicular defects – furcations
2- Master the characteristics and technique for using different types of
biomaterials and
therapy
regenerative
A) Bone substitutes – osteoconductive
a- Allogeneic
b- Xenogeneic
B) Membranes
a- absorbable
b- non-resorbable
C) Bioactive substances
a- Enamel matrix derivatives (Amelogenins) Emdogain
b- Platelet-derived growth factor
c- Fibroblast growth factor
D) Reconstructive surgical techniques
a- Guided tissue regeneration around implants
– simplified flap for papilla preservation
– minimally invasive surgical technique
– root surface biomodification
– postoperative management
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b- Guided tissue regeneration around implants
3- Mastering the indication and performance of resective periodontal treatment
A) Indication
a- treat large bone defects
b- treat shallow bone defects
c- correct alterations in bone topography
d- elimination of vestibular and lingual bone tori or ridges
e- incipient furcation lesions
B) Surgical access
C) Osteotomies and osteoplasty
D) Apically repositioned flap
Competency 4 – Diagnose, indicate, contraindicate and perform the different techniques
surgery
periodontal plastic
Educational Objective
1- Diagnose and classify gingival recessions
A) Etiological Factors
B) Diagnosis and classification
a- Miller Classification
Class I
Class II
Class III
Class IV
b- Cairo et al.
Classification Type 1
Recession Type 2
Recession Type 3
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c- Periodontal Phenotype
Thin
Thick
d- Non-carious cervical lesions (NCCL)
Coronal lesion: restorative treatment
Radicular lesion: mucogingival surgery
Coronal-radicular lesion: restorative treatment and mucogingival surgery
2- Perform gingival graft removal techniques
A) Soft Tissue Graft Donor Area
a- Palatal Anatomy
b- Connective Tissue Graft Donor Areas
c- Donor Area Complications
d- Palatal Healing
B) Connective Tissue Graft | ETC
C) De-epithelialized Connective Tissue Graft | ETCD
D) Free Gingival Graft | EGL
E) Mixed Tissue Graft | ETM
3 - Perform root coverage techniques:
A) Root biomodification
B) Langer and Langer technique
C) Coronally and laterally displaced flap technique
D) Free gingival graft and semilunar flap technique
E) Connective tissue graft technique
F) Coronal displacement associated with ETCD
G) Tunneling technique associated with ETCD
H) Modified Allen technique
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I) Techniques associated with the use of amelogenin in mucogingival surgeries
3 - Perform techniques related to the aesthetics and function of soft tissues:
A) Gingivectomy
B) Melanoplasty
C) Clinical crown lengthening for restorative and/or aesthetic purposes
D) Frenectomy and frenotomy of the lip
E) Lingual frenectomy
F) Papilla dynamics: interproximal plastic surgery
G) Ridge augmentation
H) Roll and modified roll
4. Diagnose the causes and perform possible treatments to correct them.Smiles
Gummy
A) Etiology
a- Muscular and/or Skeletal Alterations
b- Anatomy of the Smile Muscles
B) Gingivoplasty
C) Application of Botulinum Toxin
5- To know and understand the benefits and limitations of periodontal microsurgery
A) Minimally invasive surgeries
B) Magnification
a- Magnifying glass
b- Operating microscope
A) Micro-Instruments
Competency 5 – To know the interrelationships and periodontal management with the pathologies
and
needs of other dental specialties
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Educational Objectives
1- To master the recognition and interventions of the interrelationship between endodontics and
periodontics
A) Embryology of endodontic and periodontal tissues
a- dental pulp
b- periodontium
c- apical foramen
d- lateral canals
B) Anatomy and communication pathways between the periodontium and the pulp tissue
a- dentinal tubules
b- Branches of the main canal
c- apical foramen
C) Non-anatomical communication pathways between the periodontium and the pulp tissue
a- Root perforation
b- Traumatic dental lesions
c- Root fractures
root resorptions
Internal
and external
D) Lesions of endodontic, periodontal and endoperiodontal origin
a- Classification
Endoperiodontal lesion in patients with periodontitis
Endoperiodontal lesion in patients without periodontitis
b- Diagnosis
c- Treatment
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2- Recognizing the interrelationship between Periodontics and Restorative Dentistry
A) Transition zone: critical and semi-critical area
a- Integrity and marginal adaptation of the restoration
b- Cervical prosthetic contours
c- Proximal prosthetic contours
d- Cervical contour and furcation protection
B) Alveolus / Restoration Interface
a- Alveolus / Restoration Interface and furcation protection
b- Location of prosthetic margins and periodontal health
– biological space
– preparation integrity
c- location of prosthetic margins and gingival biotype
d- strategies to avoid gingival recession
C) Periodontics Associated with Rehabilitation
Orthodontic Extrusion
Slow Orthodontic Extrusion
Gingivoplasty Associated with Ceramic Veneers
Use of Retraction Cord
ETCD to Mask Darkened Substrate
Competency 6 – Interpret scientific evidence related to
periodontal
Educational Objective
1- Understand the association, relationship and/or impact between periodontal disease and
conditions
systemic
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A) Association with low birth weight and premature birth
B) Impact of periodontal treatment on reducing the risk of
cardiovascular
C) Association of periodontitis with Diabetes
D) Relationship with pulmonary diseases
E) Relationship with rheumatoid arthritis
F) Relationship with obesity
G) Attributes of periodontal disease in individuals with HIV-1 infection
H) Periodontal disease, physical activities and performance Athletic
Competency 7 – Diagnose and treat patients with halitosis.
Educational Objective
1- Understand the pathogenesis and epidemiology of halitosis
A) Epidemiology
B) Pathogenesis
a- Intra-oral
b- Extra-oral
2- Diagnose and Treat Halitosis
A) Odor characteristics
B) Classification
a- Pseudo-halitosis and halitophobia
b- Extra-oral halitosis
c- Intra-oral halitosis
d- Physiological halitosis
C) Types of complaints
D) Treatment plan