• To achieve the necessary theoretical knowledge and clinical skills, both theoretical and practical, to evaluate, diagnose and carry out all the prosthodontic treatments that currently exist in the entire spectrum of difficulty, from the simplest treatments, which can also be done by a general dentist, to the more complex treatments of oral rehabilitation, which require specialized knowledge. In this last aspect we find the treatments that are globally called "oral rehabilitation" and that involve fundamental changes in the determinants of occlusion, such as the vertical dimension, intermaxillary relations and aesthetics.
• To achieve the theoretical knowledge and clinical skills necessary to know how to assess, diagnose and treat patients with craniomandibular dysfunction, and to contribute to the diagnosis and treatment, in a multidisciplinary team of facial pain.
• Achieve the theoretical knowledge and clinical skills necessary to evaluate and treat patients with simple roncopathy or obstructive sleep apnea syndrome with jaw advancement devices.
• Acquire the skills necessary to continue studying throughout life, developing a practice based on scientific evidence. To be able to critically analyze contemporary knowledge, keeping abreast of the most recent advances in Prosthodontics. Read, understand and analyze relevant scientific literature.

This course is designed to guide the training of students in Prosthodontics and Craniomandibular Dysfunction.

The practice of this therapeutic modality requires the development of a series of theoretical-mental skills (acquiring knowledge, observing, reasoning, planning, mental visualization), affective-practical skills (manual ability, effective communication, interpersonal relations) and research-related skills. For this reason, the program contains theoretical and practical activities, as well as research work.

The activities for first-year students represent a review and deepening of the knowledge that they began to acquire during the course of undergraduate education. The activities for the second and third year students focus on updating the more specific and complex knowledge of prosthodontics, craniomandibular dysfunction and the treatments that dentistry can provide for the treatment of obstructive sleep apnea syndrome.

There are no master classes, but seminars and clinical sessions.

Learning is based, fundamentally, on the system of "problem solving" which consists of discovering one's own knowledge deficiencies, facing real situations of need for treatment by patients, and solving these deficiencies by searching bibliographic sources for relevant knowledge and proceeding to their study and implementation. Students work in groups of two.

All internships are internal, at the University of Barcelona Dental Hospital.

Module 1: Diagnostic techniques in Occlusion and Oral Rehabilitation. Basic modalities of prosthodontic treatment. Craniomandibular dysfunction and orofacial pain I.

Module 2: Study, diagnosis, establishment and execution of treatment plans in complex situations. Craniomandibular dysfunction and orofacial pain II.

Module 3: Study, diagnosis and treatment of patients presenting with simple snoring or obstructive sleep apnea syndrome with jaw advancement devices

Module 4: TFM.

It's a professionalizing course that's been taught for 30 years!

Medical history, patient exploration, complementary tests

Prosthodontic diagnosis: predictability, success and failure factors

Prosthodontic treatment plan: advantages and disadvantages of each of the possibilities, indications and contraindications, longevity of the various treatments, patient-centered approach

Prosthetic needs in the fully dentate patient:

• Reconstruction of teeth with great structural damage
• Criteria for maintenance/exodontia of remaining teeth in the context of prosthodontics
• Crowns: metal-ceramic and all-ceramic systems: types, techniques and materials
• Veneers, inlays, onlays, overlays, endocrowns

Impression techniques on the dentate patient, impression materials, digital systems

Therapeutic options in the partially edentulous patient:

• Fixed partial dentures: types, techniques, selection of abutments, materials
• Removable partial prosthesis: skeletal prosthesis, new materials
• Mixed prosthesis and telescopic crowns
• Tooth-supported dental fixed prostheses VS implant-supported fixed dental prostheses
• Single tooth implants
• Implant prosthetics to replace partial areas
• Principals of biomechanics of partial implant dentures
• Planning: space measurement, bone availability, type of connections, decision making
• Expected results, expected complications and maintenance

Partially edentulous patient impression techniques, impression materials, digital systems

Provisionalization on unitary implants and partial areas

Construction techniques in implant prosthetics, classic and modern. CAD-CAM technology, protocols:

• Different connections, their characteristics, advantages and disadvantages
• Cemented vs. screwed prostheses, prosthetic components
• The biomechanics of partial dentures on implants
• Passive adjustment
• Crown-to-implant ratio

Therapeutic options in the totally edentulous patient:

• Quality of life in total edentulous patients
• Conventional full prosthesis
• Removable prostheses on implants: mandibular and maxillary overdentures: number of implants and type of overdentures in each case
• Type of anchors and retain systems. Resin processing techniques, frequent complications
• Full arch fixed prosthesis on implants: hybrid type, "crown-bridge" type
• Location, distribution and inclination of the implants. Surgical guide
• Solution of complex cases, with aesthetic compromise of the anterior group
• Treatment techniques for the atrophic jaw
• Immediate loading
• Provisionalization in the fixed prosthesis on implants: ovoid pontics, emergency profiles

Digital flow in prosthodontics

Diagnostic criteria and methods in oral rehabilitation

• Management of worn dentitions
• Occlusal vertical dimension
• Occlusal plane
• Intermaxillary relationship
• Designing a new occlusion
• Restoration of function
• Restoration of aesthetics
• Occlusion and masticatory performance in the partially edentulous patient
• Occlusion and masticatory efficiency
• Occlusal registration techniques
• Mounting on the semi-adjustable articulator

Adhesive techniques in fixed dental prostheses

B.O.P.T. technique

Current contributions to aesthetics in prosthodontics: digital design of the smile, facial scanner, evolution of materials and reconstruction techniques

Craniomandibular Dysfunction (CMD), Temporomandibular Disorders (TMD), Dental Sleep Medicine (DSM):

• DCM, TTM definitions. Prevalence and impact of DCM on quality of life
• Pain. Biopsychosocial model of pain. Central sensitization and chronic pain. Orofacial pain. Work groups
• Muscle and joint disorders. Model of muscle pain. Joint inflammation. Biological determinants and risk factors.
• Current diagnostic tools based on standardized assessment: Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)
• Treatment of CMD: the multimodal approach
• Sleep bruxism. Definition, etiopathogenesis: peripheral and central factors Grading and diagnostic criteria. Clinical manifestations. Sleep Bruxism and Apnea-Hypopnea Syndrome (SAHS)
• Awake bruxism
• Bruxism and Craniomandibular Dysfunction
• Algorithm of evaluation and clinical management of sleep bruxism
• Sleep: physiology, study techniques, classification of sleep disorders
• Polysomnography, concept and interpretation for dentists
• Sleep-disordered breathing. Simple snoring, Sleep Apnea-Hypopnea Syndrome (SAHS). Definition, etiopathogenesis, diagnostic criteria, prevalence and impact on quality of life
• Role and responsibilities of the dentist in the treatment of snoring and SAHS
• Mandibular Advancement Devices (MAD). Action mechanism, types and characteristics
• Algorithm management of patient with snoring or SAHS, current status. Proposal of an action protocol for dentistry