Ateneo - UPO

The contents of this course are aimed at completing the students' education by providing them with judgment skills in planning periodontal treatment both in relation to the stage of periodontal disease and to the type of patient (pregnant woman, Onco-haematological patient, radiotreated patient in the head region , patient in therapy with antiresorptive drugs, patient with immunological deficit, patient with neurological disorders, dying and lectured patient, patient with eating disorders, etc.). Students are also provided with notions for the prevention of DMS Muscle Skeletal Disorders (Stretching fatiguing for operators).

Campisi G, Bedogni A, Fusco V. Raccomandazioni clinico-terapeutiche sull’osteonecrosi delle ossa mascellari (ONJ) farmaco relata e sua prevenzione. Versione 2.0/2020 Palermo University Press.

Caton JG, Armitage H, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, Mealey BL, Papapanou PN, Sanz M, Tonetti MS. A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45(Suppl 20);S1–S8.

Cortesi Ardizzone V, Abbinante A (ed). Igienista Dentale: Teoria E Pratica Professionale. Prima edizione. Milano. LSWR srl. 2013.

EFP. The relationship between oral health and pregnancy.

Hellwege K.D. La levigatura radicolare. Sc. Tecn. Dent. Ed. Inter. 1988.

Lang NP, Bartold PM. Periodontal health. J Clin Periodontol. 2018;45(Suppl 20):S9–S16.

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.
Papapanou PN, Lindhe J. Epidemiologia delle malattie parodontali; pag. 129-160.
Marsh PD. Biofilm dentale; pag. 173- 184.
Bosshardt DD, Lang NP. Tartaro dentale; pag. 187-194.
Curtis M. Infezioni parodontali; pag. 195-221.
Seymour GJ, Trombelli L, Berglundh T. Patogenesi della gengivite, 2016; pag. 245-255.
Seymour GJ, Berglundh T, Trombelli L. Patogenesi della parodontite; pag. 260-270.
Lalla E, Papapanou PN. Fattori di modificazione; pag. 245-255.
Schafer A, Van der Velden U, Laine ML, Loos BG. Suscettibilità genetica alla malattia parodontale: recenti sviluppi e sfide future; pag. 245-255.
Holmstrup P, Jontell M. Lesioni gengivali infiammatorie non indotte dalla placca; pag. 347-370.
Mariotti A. Lesioni gengivali indotte dalla placca; pag. 376-387.
Kinane D, Lindhe J, Trombelli L. Parodontite cronica; pag. 392-399.
Tonetti MS, Mombelli A. Parodontite aggressiva; pag. 401-426.
Holmstrup P. Malattia parodontale necrotizzante; pag. 433-447.
Papapanou PN, Lalla E. Effetti della malattia parodontale sulla salute generale; pag. 451-471.
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.
Salvi GE, Lindhe J, Lang Np. Pianificazione del trattamento di pazienti affetti da patologie parodontali; pag. 639 - 657.
Lang Np, Ramseier CA, Baur H-R. Fase sistemica della terapia; pag. 670 - 678.
Ramseier CA, Suvan JE, Catley D. Colloquio motivazionale; pag. 670 - 678.
Van der Weijden F, Slot DE, Echeverria JJ, Lindhe J. Controllo meccanico della placca sopragengivale; pag. 693 - 734.
Herrera D, Serrano J. Controllo chimico del biofilm orale e dentale; pag. 693 - 734.
Wennstrom JL, Tomasi C. Terapia non chirurgica; pag. 768 – 785.
Carnevale G, Pontoriero R, Lindhe J. Trattamento di denti con coinvolgimento dell’area di forcazione; pag. 825 – 849.
Bergenholtz G, Ricucci D, Siegrist-Guldener B, Zehnder M. Endodonzia e parodontologia; pag. 850 - 881.
Mombelli A, Herrera D. Antibiotici nella terapia parodontale; pag. 891 - 912.
Sanz M, Martin C. Movimenti dei denti in pazienti con parodonto danneggiato; pag. 1329 – 1357.
Lang NP, Matuliene G, Salvi GE, Tonetti MS. Terapia di sostegno; pag. 693 - 734.

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

Ministero della Salute
Linee Guida Naz. per la promozione della salute e la prevenzione delle patologie orali in età adulta. Dicembre 2009.
Linee Guida Naz. per la promozione della salute e la prevenzione delle patologie orali in età evolutiva 2008.
Linee Guida Naz. per la prevenzione e la gestione clinica dei traumi dentali negli individui in età
Popolazione tossicodipendente: indicazioni per la promozione della salute orale ed interventi di prevenzione e protezione. Dicembre 2012.
Raccomandazioni per la promozione della salute orale, la prevenzione delle patologie orali e la terapia odontostomatologica nei pazienti adulti con malattia neoplastica. gennaio 2014.
Raccomandazioni cliniche in odontostomatologia. Gennaio 2014
Indicazioni per la promozione della salute orale nelle scuole secondarie. Dicembre 2014.

Wilkins E.M. (Ed.). La Pratica Clinica dell’igienista Dentale. XII Edition. Padova. Piccin Nuova Libraria S.P.A., 2020.

The third year of the course provides for the completion and refinement of the skills learned in the course of study in order to prepare a professional who can be effectively inserted into the professional world.
The student must: know the problems related to bacterial colonization of the oral cavity; be able to instruct, motivate and apply suitable methods for primary, secondary and tertiary prevention of caries and periodontal disease; knowing how to carry out the planning and treatment of oral sanitation suitable for each type of patient; recognize and know how to treat bad breath and dentinal hypersensitivity.
The student must know the active ingredients used in the pharmacopoeia applied to oral-dental hygiene.
The student must know the ministerial directives relating to the profession of dental hygienist.

The student must have the concepts learned in the previous years of the course of study.

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, with exercises for the practical application of the theoretical notions learned.
Participation in seminars; research through Medline on monothematic topics with preparation of a thesis, whose evaluation is an integral part in the determinism of the grade of the discipline, prodromal to the compilation of the paper to be presented during the final exam.

Verification and motivation to learn are done daily during the internship activity.
The exam consists of a written or oral test with open questions.
In the test, the level of knowledge acquired and the understanding of the course contents are verified.
Four questions are usually asked in an open-ended written exam. Each of the four questions is assigned a score from 8 to zero for an overall positive grade from 32 (thirty and praise) to> 18, negative if

Microbiology of the oral cavity from healthy gingiva to periodontal disease.
Periodontal disease: epidemiology, etiology, clinical pictures, classifications, materials and methods for the diagnosis, planning and execution of non-surgical periodontal treatment in every clinical situation (normal and special needs patients, treated with antiresorptive drugs, with eating disorders, with post-stroke neurological disorders, with cardiovascular or onco-haematological diseases, pregnant patients, immunosuppressed patients, radio-treated patients in the cephalic region, smoking patients, etc.) and in every oral sextant; prevention, materials and methods for maintaining oral health.
Full mouth disinfection: materials and methods: protocol for the mechanical and chemical detoxification of the oral cavity.
Necrotizing periodontal disease.
Dentine sensitivity and hypersensitivity: physiological, anatomical and histological references of enamel, cementum, dentin, pulp; etiology, etiopathogenesis, classification; erosion, abrasion, abfraction, wear. Diagnosis. Prevention. Professional and home therapy: materials and methods.
Extrinsic pigmentations: etiopathogenesis, classification, materials and methods for their removal.
Teeth whitening: indications, materials and methods.
Tooth mobility: etiopathogenesis, classification, and treatment (periodontal splinting: indications, techniques, limits).
Post-orthodontic debonding.
Halitosis: definition, epidemiology, classification, etiology, diagnosis, therapy. Correlation Halitosis / periodontitis and halitosis / systemic diseases.
Systemic antibacterial prophylaxis: Indications and protocols.
Health records of the Ministry of Health
Recommendations and evidence deducible from the National Guidelines for the promotion of oral health and the prevention of oral diseases in adulthood and in the developmental age, of traumas in the developmental age and from the Health Notebooks.
Professional and home oral hygiene applicable to patients with special indications: patient with conservative and prosthetic rehabilitation/prosthetic implant, post oral and periodontal surgery patient, orthodontic patient, elderly patient, patient taking antiresorptive drugs, patient with addictions, patient with psycho- motor skills, patient with cardiovascular disease, patient with respiratory disease, diabetic patient, pregnant patient, immunosuppressed patient, neurological (epileptic) patient, cephalic region radiotreated patient, onco-haematological patient, smoking patient, transplanted patient with AVG.

The student must have completed his educational process and be able to be effectively inserted in the professional world.
The student must have learned the problems relating to bacterial colonization of the oral cavity; must be able to instruct, motivate and apply suitable methods for primary, secondary and tertiary prevention of caries and periodontal disease; must be able to carry out the planning of the sanitation treatment and the causal and supportive non-surgical therapy suitable for each type of patient: deplaquing, scaling and root planing; recognizing and treating halitosis and dentinal hypersensitivity.
The student must know the characteristics of special needs patients and consequently apply the appropriate oral hygiene and maintenance methods; must know the active ingredients used in the pharmacopoeia applied to periodontal disease; the rudiments of periodontal surgery; the methods of execution and maintenance of periodontal splints; pharmacology applied to oral-dental hygiene; must know the ministerial directives relating to the profession of dental hygienist contained in ministerial publications.