Prosthodontics 5

Data

Official data in SubjectManager for the following academic year: 2024-2025

Topic

Lectures: To teach the basic knowledge of dental implantology, that provides a foundation for further studies to get practical knowledge in implantology. Teach the terms, scientific background, guidelines, methods of dental implantology. Anatomical aspects, indication, contraindication, surgical and prosthetic aspects of planning. Steps of implant-prosthetic treatment. Complications and their solution.

The main aim of the practices is to inform the students how we can adapt the general principles of clinical prosthodontics individual cases. On the base of previous knowledge students should be able to evaluate the modifying and influential factors in prosthodontic treatment planning. How we can collect anamnestic data, how we can use diagnostic protocols in order to support or decision in treatment plan. Participants should collect basic practical ability to perform the essential treatment therapy in pre-edentulous patients.

Lectures

• 1. Materials and properties of dental implants. The components of an implant system. - Marada Gyula
• 2. Implant-prosthetic treatment planning: alternative treatment plans. - Marada Gyula
• 3. X-ray diagnostics. Implant planning with CT and guide systems - Marada Gyula
• 4. Abutments. Occlusion, articulation. - Marada Gyula
• 5. Types of implan-t supported prostheses: fixed restoration - Marada Gyula
• 6. Types of implant supported prostheses: fixed restoration - Marada Gyula
• 7. Types of implant supported prostheses: removable restoration. - Marada Gyula
• 8. Implant-prosthetic treatment: clinical stages of prosthetic treatment, impression, trial, insertion - Marada Gyula
• 9. Dental technical aspects of implantology. - Marada Gyula
• 10. Temporary prosthesis - Marada Gyula
• 11. Maintenance, oral hygiene, recall. Prosthetic problems and their solutions - Marada Gyula
• 12. Periimplantitis and its treatment - Marada Gyula

Practices

• 1. Making fix and removal prosthodontics depending on patient availability.
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  2. Making fix and removal prosthodontics depending on patient availability.

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• 48. Making fix and removal prosthodontics depending on patient availability.

Seminars

• 1. Week 1-24 Evaluation of diagnostic data, treatment planning.
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  2. Week 1-24 Evaluation of diagnostic data, treatment planning.

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• 24. Week 1-24 Evaluation of diagnostic data, treatment planning.

Reading material

Obligatory literature

Myron Nevins, James T. Mellonig: Implant Therapy

Hubertus Spiekermann: Implantology

Misch CE: Dental Implant Prosthetics

Literature developed by the Department

Notes

Recommended literature

Conditions for acceptance of the semester

The students must complete the pensum which is handled during the first week of the semester.

The theoretical knowledge of the student is evaluated by the practice leader in orla or written form. If the students' theoretical knowledge not acceptable the student can not participate in the practice.

Mid-term exams

One written test in fixed and removable prosthodontics.

A failed mark awarded for a compulsory written test, may be improved only one time during the semester, time and place of the second test is determined by the lecturer. If a student doesn’t show up for the test, the test is considered as failed. If any test, marked as failed, isn’t corrected during the semester, the semester of the student is considered failed, and the semester has to be repeated. There will be one chance to retake the written test.

The theoretical knowledge of the student is evaluated by the practice leader in oral or written form. If the students' theoretical knowledge is not acceptable the student can not participate in the practice, that practice won’t be accepted. In the case of 3 unaccepted practices the student has to repeat the course. The absences and delays are counted together with the unaccepted practices. In the practice 2 delays mean an absence.

Making up for missed classes

No possibility

Exam topics/questions

1. A. Consequences of tooth loss. Legal aspects of prosthetic treatment

B. Definition, classification, indication and contraindication of dowel retained restorations (prefabricated and custom made posts, post and core).

C. Preprosthetic treatment. (The sequence of treatment planning.)

D. Corrosion resistance of dental alloys, chemical and electrochemical corrosion.

E. Types of implant-abutments and their features.

2. A. Anatomy of the mandible.

B. Describe the features of the partial metal crowns, indications, and contraindications.

C. The stages of making a precision attachment retained removable partial denture.

D. Types of dental gypsum products, properties and application fields in dentistry.

E. Conditions of making implant supported restoration.

3. A. Anatomy of the maxilla.

B. Describe the cast post and core. Compare the prefabricated posts and cast post and core!

C. The stages of preparing a telescopic crown retained overdenture.

D. Thermoplastic impression materials and their critical evaluation.

E. X-ray diagnostic procedures before implant surgery.

4. A. The ligaments of the temporo-mandibular joint, their role and importance in the function of the joint.

B. Definition of bridges, classification, indications, contraindications. Prosthetic value of the teeth.

C. Stages of preparing a telescopic crown retained removable partial denture with a metal framework.

D. Classification of dental restorative materials.

E. Treatment planning in implant prosthetic treatment.

5. A. Descriptive anatomy of the temporo-mandibular joint. Movements of the jaw.

B. Temporary removable partial denture.

C. Materials, armamentarium and steps of crown and bridge cementation. Inserting combined (fixed/removable) restorations.

D. Dental gold alloys, characteristics and dental application.

E. Structure of an implant supported restoration.

6. A. Describe the characteristics, topography, and prosthetic importance of the attached, the movable and the displaceable mucosa.

B. Prosthetic rehabilitation of face defects (obturator, epithesis).

C. Stages of preparing cast bridges (clinical and laboratory steps).

D. Critical evaluation and properties of die materials.

E. Types of dental implants. Possibilities for surface modification.

7. A. Clinical anatomy of the alveolar ridge.

B. Classification, indications and contraindications of crowns.

C. Fitting of upper and lower complete denture, reocclusion, remontage.

D. Types of elastomer (Silicone) impression materials and methods for their application.

E. Osseointegration.

8. A. Clinical anatomy and prosthetic importance of the retromolar pad.

B. Definition and indication of stress-breakers, indirect retainers.

C. Stages of preparation of a clasp retained removable partial denture.

D. Classification of impression materials.

E. Steps of making an implant supported single crown.

9. A. Anatomy of the soft palate. The possibilities of the post-dam (posterior seal) of the complete upper denture.

B. Factors influencing the long term success of bridges. Special bridges. Removal of crowns and bridges.

C. Stages and armamentarium of tooth preparation for full ceramic crown.

D. Dental non-precious alloys, critical evaluation of their properties, indications.

E. Steps of making an implant supported removable partial denture with bar attachment.

10. A. Anatomy and prosthetic importance of the musculus geniohyoideus and genioglossus. Possible clinical and prosthetic usage of the sublingual area.

B. Methods, aims and importance of protection of prepared tooth.

C. Stages of preparing an acrylic removable partial denture.

D. What does the injection molding technology mean?

E. Physical and chemical properties of titanium, its behavior in the living organism.

11. A. Anatomy and prosthetic importance of the buccinator muscle. Anatomy and prosthetic importance of the masseter muscle. Prosthetic importance of the mimical muscles.

B. Telescopic crown/double crown retained removable partial denture; definition, indication, advantages and disadvantages.

C. Steps and armamentarium of tooth preparation for partial (3/4 and 4/5) metal crown.

D. Main properties of silver-palladium alloy, indications of application.

E. Patient?s care after finishing implant-prosthetic treatment. Recall.

12. A. Clinical anatomy and prosthetic importance of the accessory mandibular recess.

B. Cast clasps, and Ney clasps (form, indications, advantages and disadvantages).

C. Preparing a post and core (direct and indirect methods)

D. Properties of dental porcelains. Compare the properties of porcelain-fused-to-metal and all ceramic restorations.

E. Contraindications of implant placement.

13. A. Clinical anatomy and prosthetic importance of the Fish pocket.

B. Milling technology, precision attachments, indications, contraindications, advantages and disadvantages.

C. Methods for facing and veneering of crowns/bridges: description, advantages, disadvantages (acrylic, composite, porcelain).

D. Drills, cutting and polishing instruments and their application fields.

E. Potential complications of the implant surgery process.

14. A. Anatomy and prosthetic importance of the orbicularis oris muscle

B. Indication and prosthetic methods of increasing the occlusal vertical dimension.

C. Preparation of upper complete denture ? traditional method.

D. Types, properties and application of elastic impression materials.

E. Types of implant supported restorations in case of total edentulous jaws.

15. A. Definition of mucosal resiliency, size of the resiliency and its prosthetic importance. Explain the reasons for the sinking of the denture base!

B. Static, mechanic, biologic and esthetic requirements of bridges.

C. Indication and preparation of hybrid prosthesis/overdenture.

D. Different types of impression taking processes.

E. Surface characteristics of dental implants.

16. A. Groups of the masticatory muscles and the role of each muscle in the function of the masticatory organ.

B. Armamentarium and materials of functional impressions.

C. Registration of occlusal vertical dimension and centric relation in case of complete upper and lower edentulousness, and in case of lower edentulous ridge (patient has his upper teeth).

D. Methods for making precision/sectioned casts and duplication cast.

E. Diagnostic procedures before making an implant supported restoration.

17. A. Role of the myofunctional factors in the retention of the lower complete denture. Which muscles are perpendicular to the base edge of the lower complete denture? Which muscles support and which muscles inhibit the stability of the total lower denture?

B. Porcelain laminates, indication, contraindication, preparation.

C. Immediate dentures: definition, indication, stages of preparation.

D. Definition and types of alloys. What is the relationship between properties of the components of the alloys and the properties of the alloys?

E. Methods for making an implant supported restoration in case of bounded saddle and distally edentulous jaw.

18. A. Conservative therapy of the temporo-mandibular joint dysfunction.

B. Borders of upper and lower complete denture base.

C. Steps of precision and pick-up impressions.

D. Types of dental polymers. Application fields of PMMA based acrylic in dentistry. Critical evaluation of its properties.

E. Cause, symptoms, diagnosis and treatment of periimplantitis.

19. A. Registration of occlusal vertical dimension and centric relation in case of partial edenulousness.

B. Functional and esthetic aspects of setting up the teeth in complete denture.

C. Preparation of metal ceramic crowns. Gingival mask.

D. Types and main properties of metals used for making dental alloys. Which types of metals or alloys are not allowed to be used for the purpose of dental restorations?

E. Legal aspects of making implant supported restorations.

20. A. Anatomy and prosthetic importance of the mylohyoideal muscle.

B. Definition and types of the retainers for a removable partial denture.

C. Armamentarium and stages of tooth preparation for full veneer crown (cast metal).

D. Surface processing in the dental technical laboratory.

E. Anatomical features which are relevant in surgical aspect of implantology.

21. A. What are the etiologic factors and the symptoms of the temporo-mandibular dysfunction syndrome?

B. What are the features and functions of the base plate and the saddle of the removable partial denture?

C. Preprosthetic surgery, indication, methods.

D. Investment and casting process in dentistry.

E. Aesthetic aspects of making an implant supported restoration. Occlusion and articulation relating implant prosthetic treatment.

22. A. Definition of the condylar pathway? Which are the condylar pathways?

B. Which are the retentive factors of a complete denture?

C. Preparation of complete denture with acrylic base-plate method, advantages and disadvantages.

D. Finishing of removable prosthesis (investment, processing, polishing).

E. Making of an implant supported prosthesis with ball attachments.

23. A. Definition of the prosthetic Spee-curve? It?s importance in setting up the teeth for complete denture.

B. Characteristics of cast metal base plate and benefits against the acrylic baseplate. Criteria of metal base plate design, types of connector shape.

C. Steps of tooth preparation for full veneer crown, general rules, types and places of the preparation margins.

D. Goals, materials, armamentarium and methods of making temporary crowns/bridges.

E. Making of an implant supported prosthesis with telescopic attachments.

24. A. What is the difference between occlusal plane and occlusal surface? Importance of the occlusal plane determination.

B. Definition of the occludor and articulator. Importance of their appliance.

C. What and how do we check during the wax try-in procedure? (Christensen phenomenon, explanation, practical benefits).

D. Methods to join metals together

E. Importance of the 3 dimensional relations of the maxilla and mandible in planning an implant supported restoration.

25. A. Describe the anatomical characteristics of the clinical crown of the incisors, canines, premolars and molars, which are of prosthetic importance.

B. Determine and define the next terms: impression, anatomical impression, functional impression, cast, study cast, master cast, anatomical cast, functional cast, precision impression, precision cast, primary rotary axis, secondary rotary axis, pick-up impression.

C. Anamnesis, examination and planning in case of bounded edentulous space.

D. Allergy during prosthetic treatment, and its therapy.

E. Armamentarium and steps of implant surgery.

26. A. Typical disorders of the temporomandibular joint.

B. Prosthetic classification of edentulousness.

C. Definition of ?crown?! The possible negative side effects of tooth preparation.

D. Source of errors during making crowns and bridges.

E. What is the goal of using a surgical template during implant prosthetic treatment?

27. A. Definition of the clinical anatomy. Quote one or more examples!

B. What are the basic mandible movements? Which points do we examine during the analysis of the mandible movements according to the classical gnathologic studies?

C. Tooth shade selection.

D. Dental waxes, characteristics, areas of application.

E. Methods of impression taking for an implant supported prostheses.

28. A. Definition of the tooth guidance. Principles of occlusal and articulation in fixed, partial and complete dentures.

B. Definition of the symphysis pathway. Which are the symphysis pathways?

C. Periodontal and oral hygienic aspects in prosthodontics.

D. Methods of impression taking.

E. Various implant?abutment connection types.

29. A. Clinical diagnostics of temporomandibular dysfunctions.

B. Face-bow registration, model mounting into an individual value articulator.

C. Objects of the regular check-ups, organizing, steps of the recall meeting.

D. Definition of ?standards? and its importance in dentistry.

E. Definition of the dental implant. Shape and parts of the dental implant.

30. A. Bite forms, characteristics of the normal occlusion, anatomy of the occlusal surface of the teeth, types of tooth wear.

B. Imaging methods in the diagnosis of temporomandibular disorders.

C. Repairing of the dentures, steps of relining partial and complete denture.

D. Full ceramic systems, ceramic materials and processing methods.

E. Indications of implant supported restorations.

31. A. Importance of phonetics in prosthetic treatment

B. Using Intraoral Gothic Arch Tracing during bite registration

C. What is the advantage and disadvantage of saddle close and saddle far support in partial dentures

D. What is a surveyor, how do you use it? What is the milling technology?

E. Temporary restorations in implant dentistry. Immediate loading.

32. A. Mastication and its physiology

B. Mistakes during impression taking, how can you avoid them?

C. Tooth preparation for prefabricated posts. Fixation process of prefabricated posts.

D. Splint therapy of temporomandibular dysfunction.

E. Platform switching concept in dental implantology.

Examiners

• Marada Gyula
• Muzsek Zsófia Katalin

Instructor / tutor of practices and seminars

• Benke Beáta
• Marada Gyula
• Muzsek Zsófia Katalin
• Rajnics Zsolt