Implantology (UNESCO code 329900) is a subject belonging to the m06 optional module taught during the second quarter of year 5 in the Dentistry Master Degree. This subject is worth 6 ECTS and is divided into: teaching, in and out of class modalities as summarized in the table.

This subject aims for the student to become competent in: establishing a diagnosis, prognosis and execution of a correct therapeutic plan in cases of partially or totally edentulous via dental implants. To establish diagnosis and treatment plan, a student must be capable of taking and interpreting X-rays and other imaging procedures relevant to dentistry. The student must also be skilled in determining and identifying the patient’s aesthetic requirements and the possibilities of satisfying his/her curiosity. The specific subject skills are detailed in the ‘contents description’ section of M06 optional module.

Optional subject that deals with different aspects related to oral implantology: preparation of bone and soft tissue bases, installation of dental implants, implant-supported prostheses and their maintenance. There are theoretical and practical contents about patients.



Group Leader for the Subject: Santamaria Arrieta, Gorka

Telephone: 946012922

Email: Gorka.santamaria@ehu.eus



FACULTY

Alberto Anta (Associate Professor)

Itziar Arteagoitia (Associate Professor)

Gorka Santamaría (Associate Professor)

Specific Implantology skills



Skills

IP1 Acquire and develop basic implantology and osseointegration knowledge for their application in the diagnosis and treatment of edentulous cases where these techniques can be applied.

IP2 Use said knowledge to coherently resolve clinical cases.

IP3

Draft the clinical history and examine tissues.

IP4

Perform or request complementary tests (X-ray, Scan, and Laboratory.)

IP5 Issue a case diagnosis.

IP6 Establish a treatment plan.

IP7 Analyse, discuss, summarise and express scientific information corresponding to implantology.

IP8 Team work in co-operative implantology tasks, i.e. Help with assistance tasks, discuss diagnoses and co-operate with treatments.

IP9 Show a favourable attitude towards self-learning in implantology, being active and participative in resolving problems and continuous updating.

Subject syllabus

The syllabus is divided into 6 blocks:

1. Osseointegration, implant design and its implications.

2. Diagnosis and therapeutic planning.

3. Totally edentulous.

4. Partially edentulous.

5. Increased bone availability.

6. Implant complications, results and maintenance.



Each block is subdivided into the following topics:

a) Osseointegration, implant design and its implications.

Topic 1: Bone healing and osseointegration.

Topic 2: Implant designs and surfaces.

b) Diagnosis and therapeutic planning.

Topic 3: Clinical history, examination and diagnosis via imaging.

Topic 4: Treatment plan.

c) Totally edentulous.

Topic 5: Surgical aspects.

Topic 6: Restorative aspects and options.

d) Partially edentulous.

Topic 7: Surgical aspects.

Topic 8: Prosthetic aspects.

e) Increased bone availability.

Topic 9: Guided bone regeneration.

Topic 10: Monocortical bone grafts.

Topic 11: Elevation of maxillary sinus floor and alveolar distraction.

f) Implant complications, results and maintenance.

Topic 12: Failures and complications.

Topic 13: Peri-implant infections.

Topic 14: Implant survival and success rate.

Topic 15: Maintenance in implant therapy.

TOPIC AREA CHOSEN FOR: MASTERCLASSES, SEMINARS & CLINICAL PRACTICE

The IMPLANTOLOGY syllabus can be subdivided into 2 large blocks:

I/ Partially edentulous refers to treatment via prosthetic implant in patients lacking only one or a few teeth.

II/ Totally edentulous refers to treatment via prosthetic implant in edentulous patients.

Teaching will be different in each case.

I/ Partially edentulous. In the second quarter of year 5 in the Dentistry Degree, when the optional subject Implantology is first taught, there are only 4 months left to complete degree studies; and students have already acquired vast theoretical knowledge on surgery and prostheses, so they will be skilled in performing rehabilitations via removable partial/complete and permanent prostheses. They know the basic principles of occlusion and have studied the associated pathology. Furthermore, they have developed clinical and surgical skills during the last 3 years performing multidiscipline treatments at the University of the Basque Country UPV/EHU Dental Clinic. All the foregoing, enables students under strict supervision and after training through the implantology subject to rehabilitate straightforward cases of patients missing single teeth or partially edentulous via implants at the Dental Clinical. 84 out of the 150 hours of the subject would be used for this, i.e. 56% of the entire subject and 40% of the topics tackled. The topics tackled are:

TOPIC AREA CHOSEN FOR PBL APPLICATION.

JUSTIFICATION

II/ Totally edentulous. There are situations where rehabilitation with prosthetic implant is highly complex requiring specific training in advanced diagnostic, surgical and prosthodontic techniques. For this reason the study of these complex scenarios is best via an active methodology like PBL.

To correctly tackle these complex situations, students must: ¹ have exhaustive critical knowledge of different implant surfaces and designs; ²understand the importance of planning; ³be able to handle new imaging analysis and prosthetic design technologies; and ⁴know bone availability increase techniques. Therefore, they will attend 7 hours of masterclasses, 3 hours of seminars and 18 hours of class practice. Thus 44% of the total hours for the subject will be imparted via PBL methodology, tackling 60% of the syllabus:

a) Osseointegration, implant design and its implications.

Topic 1: Bone healing and osseointegration.

Topic 2: Implant designs and surfaces.

b) Diagnosis and therapeutic planning (for totally edentulous).

Topic 3: Clinical history, imaging diagnosis and examination.

Topic 4: Treatment plan.

c) Totally edentulous.

Topic 5: Surgical aspects.

Topic 6: Restorative aspects and options.

e) Bone availability increase (for totally edentulous).

Topic 9: Guided bone regeneration.

Topic 10: Monocortical bone grafts.

Topic 11: Elevation of maxillary sinus floor and alveolar distraction.

f) Implant complications, results and maintenance (for totally edentulous).

Topic 12: Failures and complications.

Topic 13: Peri-implant infections.

Topic 14: Implant survival and success rate.

Topic 15: Implant therapy maintenance.

• Continuous Assessment System
• Final Assessment System
• Tools and qualification percentages:
  • Realization of Practical Work (exercises, cases or problems) (%): 50
  • Team projects (problem solving, project design)) (%): 50

One honorary registration will be granted for every 20 students or fraction according to UPV/EHU regulations, and where appropriate an exam may be called for this purpose.





EVALUATION OF THE SYLLABUS TAUGHT with problem-based learning (APB). (50%)

- Individual tests (10%): 5 individual questions (short questions and a resolution of a problem or scenario) that will be self-corrected and evaluated among peers.

- Individual final test of minimum knowledge (15%): short question questionnaire, relationship questions, in a drawing, a definition or a single word, as the case may be.

- Oral presentations (25%). Evaluation of individual or group presentations.



EVALUATION OF THE REST OF THE REST OF THE AGENDA (50%)

- Individual final test of minimum knowledge (20%).

- Oral presentations (10%).

- Attitude and participation in clinical practice (10%).

- Clinical practice notebook (10%).



- In exceptional situations, such as the Covid-19 pandemic, in which there cannot be a joint written test, or a student does not attend it, an oral exam will be carried out together with the continuous evaluation that may have been carried out.

Same criteria as in the ordinary call.

Basic bibliography

- Lindhe J. Clinical Periodontology and Implant Dentistry. 5th edition, ed. Blackwell Munksgaard, 2008

- Norton M.: Dental Implants: Astra Tech System. Ed Marban Madrid 1998.

- Spanish Society of Periodontology and Osseointegration. SEPA Manual of Periodontics and Implant Therapeutics: Fundamentals and practical guide. Panamericana Medical Ed, Madrid, 2005.

- Bert L. Complications and failures in osseointegrated implants. Salvat Publishing. Barcelona. 1994.

- International Team of Implantology. The SAC classification in implant dentistry. Ed ITI. Basel. 2009

- Spanish Society of Periodontology. SEPA Manual of Implant Therapeutics in SEPA Manual of Periodontics and Implant Therapeutics. VOLUME II. Interamerican Ed. Barcelona. 2005

- Lindhe J. Applied Implantology in Clinical Periodontics and Applied Implantology. Ed Panamericana 2009

- Santamaría J, Barbier L. Oral Surgery. Practical Guide. Publications Service of the University of the Basque Country/Euskal Herriko Unibersitatea. Leioa. 2003.

- Peñarrocha M. Oral Implantology. Ed Ars Medica. 2005

In-depth bibliography

-Bagheri, S.C., Khan, H.A. and Stevens, M.R. (eds.) (2020) Complex dental implant complications. Cham: Springer.
-Peñarrocha Diago, M., Covani, U. and Cuadrado, L. (eds.) (2019) Atlas of immediate dental implant loading. Cham: Springer.
Misch, C.E. (2015) Dental implant prosthetics. 2 edition. St. Louis, Missouri: Elsevier Mosby.
-Jane Manakil (2019) Periodontology and Dental Implantology, DOAB Directory of Open Access Books. InTech.
-Budihardja, A.S. and Mücke, T. (eds.) (2019) Bone management in dental implantology. Cham, Switzerland: Springer.
-Galante, J.M. and Rubio, N.A. (eds.) (2021) Digital dental implantology : from treatment planning to guided surgery. Cham, Switzerland: Springer.
-Gabric, D. and Vuletic, M. (eds.) (2022) Current concepts in dental implantology : from science to clinical research. London.
-Emami, E. and Feine, J.S. (eds.) (2018) Mandibular implant prostheses : guidelines for edentulous geriatric populations. Cham, Switzerland: Palgrave Macmillan.