Ateneo - UPO

The purpose of the course is to provide the student with the theoretical prerequisites to collect and interpret the signs and symptoms deriving from the anamnestic collection and from the oral-dental examination.
Semeiotics, the study and interpretation of signs and symptoms, is the premise on which every health activity aimed at formulating a diagnosis, a prognosis and a therapeutic intervention must be based.
Semeiotics is therefore a discipline of fundamental importance for the training of dental hygienists since only the perfect interpretation of signs and symptoms makes it possible to recognize the alterations and trace their causes.

Cortesi Ardizzone V, Abbinante A (ed). Igienista Dentale: Teoria E Pratica Professionale. Prima edizione. Milano. LSWR srl. 2013.
Pejrone C, Cortesi Ardizzone V, Camorali C, Marzola P. Anatomia e morfologia dentale e anatomia parodontale pag. 91-120.
Agneta MT, Abbinante A, Loria MW, Cortesi Ardizzone V, Camorali C. Raccolta dati. pag. 159-181.
Mezzanotte P, Cortesi Ardizzone V. L’indagine radiografica in parodontologia. pag. 231-277.

Lindhe J, Lang NP. (Ed.). Parodontologia Clinica e Implantologia Orale. VI Edizione. Milano. Edi Ermes S.R.L., 2016.
Lindhe J, Karring T, Araujo M. Anatomia. pag. 3-49.
Lindhe J, Wennstrom JL, Berglundh T. Mucosa gengivale e perimplantare. pag. 86-101.
Salvi GE, Berglundh T, Lang Np. Esame del paziente. pag. 575-589.
Koong B. Diagnostica per immagini del paziente parodontale ed implantare. pag. 590-625.

Phagan-Schostok/Maloney. Igiene dentale:attività clinica contemporanea. Sc. Tecn. Dent. Ed. Inter. 1992. 2 volumi.

Wilkins E.M. (Ed.). La Pratica Clinica dell’igienista Dentale. XII Edition. Padova. Piccin Nuova Libraria S.P.A., 2020.
Wyche CJ. Documentazione del trattamento in igiene orale. pag. 33-46.
Welch L. Anamnesi personale odontoiatra e medica; pag. 154-174
Johnson LB, Wilkins EM. Parametri vitali; pag. 175-186.
Johnson LB. Esame extra-orale ed intraorale; pag. 187- 203.
Gruber JM. Radiografie dentali; pag. 205-241.
Wilkins EM. I denti; pag. 271-287.
Wilkins EM. L’occlusione; pag. 289-299.
Boyd LD, Wilkins EM. Il parodonto; pag. 301-314.
Boyd LD, Wilkins EM. Esame parodontale; pag. 331-353.
Wyche CJ. Indici e metodi di assegnazione dei punteggi; pag. 375-399.
Nappo-Dattona L. Dieta e analisi nutrizionale; pag. 583-604.

Ministero della Salute
Raccomandazioni cliniche in odontostomatologia. Gennaio 2014

Caton JC, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, Mealey BL, Papapanou PN, Sanz M, Tonetti M. A new classification scheme for periodontal and peri‐implant
diseases and conditions – Introduction and key changes from the 1999 classification. Journal of Periodontology and Journal of Clinical Periodontology marzo 2018.

The course aims to provide the student with the theoretical assumptions necessary to collect and interpret the symptoms reported by patients and the signs that can be inferred from the physical examination and from the interpretation of instrumental tests.
The collection of data cannot ignore the observance of protocols that provide for the application of precise methods and the use of adequate instruments to carry out the objective examination of the head and oral cavity

The student must possess the theoretical knowledge deriving from the teachings given in the C.I. of the first and second year of the course, as well as the competence and skills acquired in the internship.

Theoretical lectures, supplementary teaching lessons in small groups, practical exercises during the internship activities in the outpatient clinics of the Dental Clinic.

ADO and UAF organized for in-depth analysis of single topics.
Compilation of single thematic papers.

Learning is assessed with a written or oral exam with open questions, or the administration of quizzes, aimed at verifying the level of knowledge acquired and the understanding of the course contents.
The written assignments are corrected in a collegial form and discussed with each individual student. During the interview, the student must demonstrate that they know and be able to present the arguments in an understandable way; to have understood at least the fundamental concepts; exhibition ability and practical operational skills are assessed. The student must be able to establish connections between topics covered and other disciplines.
In the event of a negative result, it must recognize the mistakes made and then identify the correct answers.

Paper documentation. Anamnestic questionnaire. Folder / diary / clinical card. Informed consent
General concepts of odontostomatological semeiotics. Anamnesis (family, physiological, remote pathological, proximate pathological, pharmacological); physical examination (inspection, percussion palpation, auscultation).
Clinical examination of the cephalic region and temporomandibular joint: materials and methods.
Physical examination of the oral cavity, covering tissues, tongue, periodontium, teeth: materials and methods.
Symptoms most common in the pathology of the mouth, the attached organs and the jawbones: pain; swellings; ulcers; lymphadenopathy; bleeding; halitosis; white and red and pigmented lesions; paraesthesia; burning mouth; bubbles and vesicles; dysgeusia; xerostomia; telangiectasias; closing and limitation of the opening of the mouth.
Specialized semeiotic techniques: complementary, instrumental and specialist examinations; imaging test.
Semeiology and diagnosis of periodontal disease. Periodontal probing: materials and methods. PD probing depth, clinical level of CAL attack, recessions, etc.
Plaque indices (PI, PCR, OHI-S, NMPS, HYG, etc)
Gingival indices (GI, GBI, PBI, SBI, GI-S, etc)
Periodontal indices (PSR, CPTIN, Russel, PDI, etc)
Other indices (WTCI, OFDI, etc)
Periodontal record: importance, significance, timing of the recording of dento-periodontal health data. Manual or computerized methods of compilation.
Periodontal disease signs and symptoms
Periodontal tissue inflammation: rubor, calor, dolor, functio lesa; bleeding.
Clinical pictures of gingivitis and periodontitis: signs and symptoms.
Alterations in shape and color; bleeding; increased probing depth; loss of clinical attachment; pseudo pocket, pocket, periodontal crater; qualitative / quantitative changes in supporting bone; dental mobility and migration.
Gum recessions.
Diagnostic for images.
Intraoral radiographic examinations; radiographic status; Rinn centerers.
Radiographic examination versus probing.

The course aims to provide the student with the methods to obtain data relating to the state of health of the head region, the oral cavity, the periodontium and the teeth.
Through the collection, recording and analysis of the collected data, the student must acquire the competence and the ability to distinguish a state of health from a state of disease