Module catalogue – Orthodontics

Preamble

DTMD university primarily aims its range of courses on clear and transparent educational objectives. Thereby the focus is changed from contents and knowledge -as it is common for medical schools- to learning results.

Using this “shift from teaching to learning“ DTMD University concentrates on an integrated  competence conception based on participatory formats. Besides specialist knowledge and skills, the focus is set on situation and individual-based capabilities which refer to attitude, emotions, values and motivations.

In its extra occupational post gradual master programmes applicational and practical relevance are of great importance. The focus is on the students, their competences and their development of skills.

DTMD university pursues a continuous circular process of knowledge and understanding. analysis, planning, organisation and implementation. The transparency of the competence goals and the reflection of their own skills support the students’ learning process and their professional career.

 

Module 1: Introduction, diagnostics, treatment methods

 

Acronym EiDiBe ECTS 4
Module type Overall workload (h) 88
Level Master Attendance time (h) 8
Semester 1 Self-study (h) 80
Practical Work (h)
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome In this module the students are introduced to orthodontics and its indications, use and purpose. The different types of dysgnathia are explained.

Given clinical examples typical orthodontic problems and their solution are shown.

Diagnostic means used in orthodontics, such as the clinical examination, model analyses and imaging techniques are introduced. In the upcoming modules they are treated in detail.

The students are given an overview of the different treatment methods and criteria for choosing the right therapy. These are dependent on the type of dysgnathia and patient-related factors like compliance, dentition and age. Removable and fixed appliances, functional orthodontics, surgery, further orthodontic possibilities and their application ranges, advantages and disadvantages are introduced to the students. The structure of a typical treatment process in the chronologically right order – from the patient’s first consultation to the follow-up care – is demonstrated.

Contents § Introduction

§ Use and purpose of orthodontics

§ Clinical cases

§ Introduction to diagnostics

 

 

 

Module 2: Diagnostics I

Acronym Dia-I ECTS 5
Module type Overall workload (h) 128
Level Master Attendance time (h) 8
Semester 1 Self-study (h) 100
Practical Work (h) 20
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical courses

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome After this course the students know the basics of orthodontic diagnostics and are capable of implementing them practically.

Besides the general medical history, the students know which special orthodontic aspects are of importance during the anamnesis interview. These aspects can be anomalies, growth and pre-treatments.

Furthermore, the students learn the procedure of the clinical examination in orthodontics – especially considering the fact that they are going to deal with paediatric or adolescent patients and their parents, which requires special manners of communication.

Another item of this course is model analysis, which is one of the main pillars of orthodontic diagnostics. After a theoretical lesson about the correct manufacturing and measuring of the models model analysis is practised on clinical examples.

Contents § Anamnesis

§ Clinical examination

§ Practice of model analysis based on clinical cases

 

 

 

Module 3: Diagnostics II

 

Acronym Dia-II ECTS 5
Module type Overall workload (h) 128
Level Master Attendance time (h) 8
Semester 1 Self-study (h) 100
Practical Work (h) 20
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical courses

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome This course features the imaging diagnostics used in orthodontics, their interpretation and analysis and the orthodontic planning based on X-rays.

At first the focus is on photo analysis which is used for monitoring and final evaluation and which is supposed to record visible functional and aesthetic disproportions. The students learn how to take intraoral and extraoral photographs and how to analyse them.

X-ray techniques commonly used in orthodontics are explained in detail. The orthopantomogram as a panoramic radiograph shows the patient’s dentition age and the anatomical features of the periodontium.

The cephalometric x-ray which is indispensable for orthodontic planning is used to determine the shape of the profile, tooth and jaw position and growth patterns.

Modern three dimensional methods, such as digital volume tomography are gaining in importance and are also treated in this module.

Developing a suitable therapy plan for the patient which is based on the cephalometric analysis is one of the main learning objectives in this module. In a complex process precisely defined cephalometric landmarks, planes and angles are drawn on the cephalometric x-ray, put into relation to each other and compared to standard values. On the basis of the results a diagnosis is made and a therapy plan is created. Making such an analysis requires much training. In practical lessons different clinical cases are drawn using cephalometric x-rays and all the taught landmarks and lines.

 

Another item of this module is the scientific and vivid presentation of clinical cases, which is the basis for the following modules. The students learn which patient data and illustrative material is needed for a descriptive presentation.

Contents § Photo analysis

§ Orthopantomogram

§ Cephalometry

§ DVT

§ Planning

§ Drawing of different clinical cases

§ Practice of cephalometric landmarks on cephalometric X-rays

§ How to present a clinical case

 

 

 

Module 4: Presentation/writing techniques, anatomy: growth, bone and tooth movement

Acronym PrAna ECTS 4
Module type Overall workload (h) 88
Level Master Attendance time (h) 8
Semester 1 Self-study (h) 80
Practical Work (h)
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome In this course presentation methods and important aspects for the descriptive demonstration of a patient case are deepened.

The students are introduced to scientific work including literature research and interpretation of studies. They are prepared for writing a scientific paper and a master thesis.

Another aim of this course is refreshing the students‘ knowledge in anatomy. The scientific names and functions of anatomical structures in the oral and maxillofacial area are common to them. Special attention is paid on the anatomy and physiology of growth and movement of teeth, bone and periodontium.

Contents § How to write an article

§ How to write a master thesis

§ Anatomy

§ Growth and tooth movement

 

 

 

Module 5/6: Removable appliances in primary and mixed dentition

 

Acronym HeApp ECTS 9
Module type Overall workload (h) 216
Level Master Attendance time (h) 16
Semester 1 Self-study (h) 180
Practical Work (h) 20
Prerequisites University degree in dentistry Duration 2 days
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome Anatomy and physiology taught in the previous module are repeated. Special attention is paid on the anatomy and physiology of growth and movement of teeth, bone and periodontium.

A first impression of removable appliances is given by showing simple orthodontic appliances.

An introduction into functional orthodontics is following. Here the muscular forces resulting from functional strain on the stomatognathic system are converted into movement of teeth and jaws.

The detailed biological process, temporal aspects regarding the growth period and the different appliances are explained.

Further treatment opportunities, such as active plates (Schwarz’ plates) which evoke tooth movement with the help of screws and springs, maxillary expansion, 2by4 and bite jumping appliances are treated.

After that four students present scientific papers using the methods taught in the previous module.

Contents § Introduction to anatomy: growth, bone and tooth movement

§ First impression of simple orthodontic appliances

§ Introduction to functional orthodontics

§ Treatment methods: Schwarz’ plates in orthodontics, maxillary expansion, 2by4, bite-jumping appliances

 

 

Module 7/8: Fixed techniques – Basics

 

Acronym FeTeBa ECTS 10
Module type Overall workload (h) 256
Level Master Attendance time (h) 16
Semester 1 Self-study (h) 200
Practical Work (h) 40
Prerequisites University degree in dentistry Duration 2 days
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical coures

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome This course concentrates on the basics of fixed techniques. Different bracket-technologies and adhesive techniques including their materials and application fields are introduced. In practical lessons on a fixed typodont the students learn bonding brackets, fitting multiband, and ligating archwires in the lab. Different anchoring techniques and their advantages and disadvantages are explained.

The students practise fitting of a transpalatinal arch, quadhelix and lingual bows after the important steps have been demonstrated by the docent.

Scientific papers are presented by four students.

Contents § Braces

§ Adhesive techniques

§ Lab exercises on a fixed typodont

§ Practice of basic techniques: bonding brackets, fitting multiband, ligating archwires

§ Explanation of advantages/disadvantages of different methods

§ Fitting of a transpalatinal arch, quadhelix and lingual bows

§ Articles presented by four students

 

 

 

Module 9: Fixed techniques – Biomechanics I

Acronym Bio-I ECTS 5
Module type Overall workload (h) 128
Level Master Attendance time (h) 8
Semester 2 Self-study (h) 100
Practical Work (h) 20
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical courses

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome This module is about the biomechanics of the interaction between brackets, archwires and teeth. To illustrate them practical lessons on a wax typodont are given. The change in position of teeth which is caused by the treatment is visualised by using a water bath and helps understanding the forces occurring in the bracket – achwire system and avoiding treatment mistakes.

The presentation of four papers is following.

Contents § Archwires

§ Interaction of bracket – archwires

§ Practical exercises on a wax typodont (lab) by using a water bath

 

 

 

Module 10: Fixed techniques – Biomechanics II

 

Acronym Bio-II ECTS 4
Module type Overall workload (h) 88
Level Master Attendance time (h) 8
Semester 2 Self-study (h) 80
Practical Work (h)
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome This module deepens the content of the previous module. A deeper insight into the complex biomechanics of orthodontic treatments is given. Especially the bracket – archwire interaction is explained.

Furthermore, problems resulting from the treatment and their prevention and solution are discussed.

Four students present their papers.

Contents § Insight into biomechanics

§ Interaction of bracket – archwires

§ Articles presented by four students

 

 

 

Module 11/12: Presentation of clinical cases I

 

Acronym Fall-I ECTS 10
Module type Overall workload (h) 256
Level Master Attendance time (h) 16
Semester 2 Self-study (h) 200
Practical Work (h) 40
Prerequisites University degree in dentistry Duration 2 days
Course type E-Module/Webinar Group size 25-35
Forms of teaching § Lectures

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome This course shows clinical cases solved by orthodontics. The whole treatment process, from the first patient contact to diagnostics, planning, treatment completion and recall is demonstrated.

At first simple cases are treated. Later complex cases with moderate difficulty which were treated with multiband appliances are presented.

The used orthodontic techniques are explained with the help of intraoral photographs. Apart from that the outcome and possible alternative treatments are discussed with special focus on the orthodontist’s experience. Four articles are presented by students.

Contents § Presentation of detailed clinical situations

§ Simple cases

§ Cases with moderate difficulty/complexity

§ Articles presented by four students

 

 

 

Module 13: Fixed techniques – Special cases I

 

Acronym SpezFall-I ECTS 5
Module type Overall workload (h) 128
Level Master Attendance time (h) 8
Semester 2 Self-study (h) 100
Practical Work (h) 20
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical courses

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome In this course challenging cases and their orthodontic treatment are presented. Afterwards special techniques for complex biomechanical situations with a high demand on anchoring are introduced, demonstrated and practiced on a wax typodont. Such situations can be found in adults’ orthodontics. Techniques are levelling techniques for tilted teeth using springs and the overlay technique. This technique is used to move front teeth in the vertical dimension or to treat a deep overbite for example.

Four students present scientific papers.

Contents § Levelling techniques

§ Overlay techniques

 

 

 

Module 14: Fixed techniques – Special cases II

 

Acronym SpezFall-II ECTS 5
Module type Overall workload (h) 128
Level Master Attendance time (h) 8
Semester 2 Self-study (h) 100
Practical Work (h) 20
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical Courses

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome In this course the previous module’s content is continued: complex orthodontic cases with a high demand on anchoring as they appear in adults’ orthodontics are treated and practised on a wax typodont.

Scientific papers are presented by four of the students.

Contents § Practical exercises on a wax typodont for complex biomechanical situations requiring a high demand of anchoring

§ Articles presented by four students

 

 

 

Module 15/16: Fixed techniques – Bone anchoring

 

Acronym FeTeKno ECTS 10
Module type Overall workload (h) 256
Level Master Attendance time (h) 16
Semester 2 Self-study (h) 200
Practical Work (h) 40
Prerequisites University degree in dentistry Duration 2 days
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical courses

§ presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome The content of this module is absolute anchoring with the help of orthodontic implants. These are mini-implants which are temporally inserted and therefore called “transitoric anchoring devices” (TADs). Bracket-bonded teeth are anchored at the jaw bone by rubbers and wires so that a faster and more efficient tooth movement is provided.

After a theoretical part which treats indications, advantages, disadvantages and the procedure of this method it is practised on a typodont.

In the end articles are presented by four students

Contents § practical exercises on a typodont with TADs

§ different absolute anchoring concepts with the use of TADs

§ Articles presented by four students

 

 

 

Module 17/18: Speech therapy, dyskinesia

 

Acronym LoDy ECTS 8
Module type Overall workload (h) 176
Level Master Attendance time (h) 16
Semester 3 Self-study (h) 160
Practical Work (h)
Prerequisites University degree in dentistry Duration 2 days
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Presentations

Name/s of lecturer/s
Language of teaching Recommended optional courses
Learning outcome This module deals with functional problems which can occur during or after orthodontic treatments. Understanding their origin is prerequisite for the right diagnosis and therapy without sustaining losses in treatment success.

Especially temporomandibular joint dysfunction plays an important role:

It is a multifactorial process which results in a symptom complex comprising headaches and cervical pain, toothache of unknown origin, earache and tinnitus. The students learn pathogenesis, classification, diagnostics and therapy of temporomandibular joint dysfunction. Different occlusal splints and their indication, materials, advantages and disadvantages are introduced.

Apart from that important items of physiotherapy are treated.

Because psychosomatic issues also play a role in this process the students learn aspects of communication and patient education.

Furthermore, speech therapy is essential in orthodontics for speech impediments can be caused by dental deformities and also misaligned teeth can be caused or enhanced by the muscular influence of the surrounding tissue. After the course the students know the correlations between speech therapy and tooth alignment and what is to be considered during the interdisciplinary therapy.

Four articles are presented by students.

Contents § Introduction to dysfunction and temporomandibular joint dysfunction

§ Occlusal splints

§ Physiotherapy

§ Articles presented by four students

 

 

 

Module 19/20: Presentation of clinical cases II – Orthognatic surgery

Acronym Fall-II ECTS 10
Module type Overall workload (h) 256
Level Master Attendance time (h) 16
Semester 3 Self-study (h) 200
Practical Work (h) 40
Prerequisites University degree in dentistry Duration 2 days
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome The subject of this course is orthognatic surgery. Considering distinct dysgnathia as of a certain discrepancy orthodontic treatment alone is not adaequate. Additionally, a surgical solution should be aspired. The students learn for which situations and patient ages such operations are suitable.

Furthermore, they know the whole procedure including the development of the therapy plan, orthodontic and dental pre-treatment, laboratory aspects and follow-up care.

Operation methods, such as the (bilateral) sagittal ramus split osteotomy by Obewegeser/Dal Pont, Le-Fort I osteotomy and surgical palatal expansion and the commonly used screws and plates are introduced.

Production and use of the different surgical splints are explained.

Risks and complications of these operations are also part of this module. Given clinical examples the whole process of an orthodontic-surgical treatment is demonstrated with the help of pictures.

Another topic of this module is cone beam orthodontics. Modern devices have a lower radiation dose and should be used for imaging impacted teeth and for the planning and evaluation of a treatment. The students learn when and how to use digital volume tomography and how to interpret the pictures.

Four scientific papers are presented by students.

Contents § Orthognatic surgery

§ Introduction to conebam orthodontics

§ Articles presented by four students

 

 

 

Module 21/22: Fixed techniques – Special cases III

Acronym SpezFall-III ECTS 10
Module type Overall workload (h) 256
Level Master Attendance time (h) 16
Semester 3 Self-study (h) 200
Practical Work (h) 40
Prerequisites University degree in dentistry Duration 2 days
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical courses

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome In this module the focus is on clinical cases with a high degree of difficulty. These are complex orthodontic situations which can often only be solved by an interdisciplinary team consisting of orthodontists, dentists, maxillofacial surgeons, speech therapists and physio therapists and other disciplines. Fixed techniques are practised on a typodont.

Furthermore, the students have the opportunity to ask questions in order to remove amibiguity.

After that four students present scientific articles.

Contents § Practical exercises on typodonts with a high degree of difficulty

§ Question-time for students

§ Articles presented by four students

 

 

 

 

Module 23: Fixed techniques – Treatment completion

Acronym BeAb-I ECTS 5
Module type Overall workload (h) 128
Level Master Attendance time (h) 8
Semester 4 Self-study (h) 100
Practical Work (h) 20
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Practical courses

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Award of credit points Grades and credit points are calculated from a written examination and the submission of practical works where it is appropriate.
Extent and duration of the examination Based on § 17 of the examination regulations extent and duration of the examination are set by the lecturers at the beginning of a semester. Usually the duration of a written examination is 90 minutes and the duration of an oral examination is 30 minutes.
Importance for the final score
Learning outcome This course is about the completion of an orthodontic treatment.

The usually adhesively fixed elements have to be professionally removed, which is called „debonding“. Afterwards the teeth are cleaned from remaining composite. The students learn how to avoid tooth damages like enamel fractures and which instruments to use for a professional debonding.

Retention is important to guarantee the treatment’s success. There are different techniques which are supposed to keep the teeth from moving back to their initial position. Thus the surrounding tissue is given time to adapt to the new situation and to stabilize it. The students learn the different techniques theoretically and practically. Especially bending a retainer which requires a certain degree of practise and skills is trained.

Four scientific papers are presented by the students.

Contents § Debonding

§ Retention

§ Stability

§ Practical exercise: How to bend a retainer

 

 

 

 

Module 24: Fixed techniques – Aesthetic orthodontics

Acronym BeAb-II ECTS 5
Module type Overall workload (h) 128
Level Master Attendance time (h) 8
Semester 4 Self-study (h) 100
Practical Work (h) 20
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Lectures

§ Presentations

Name/s of lecturer/s
Language of teaching English, German Recommended optional courses
Learning outcome This course focuses on special orthodontic techniques which have gained in importance in the past years due to the increasing aesthetical demands and age of the patients. Aligner orthodontics uses transparent splints which are changed after a certain period of time. Basics, indications, advantages and disadvantages, (digital) planning and also the financial aspect are taught to the students.

Another special technique is the lingual technique. Appliances are adhesively fixed on the lingual surfaces of the teeth. The necessary laboratory and chairside steps and the differences to labial techniques are explained. In the end four scientific papers are presented by students.

Contents § Aligner orthodontics

§ Lingual techniques

§ Articles presented by four students

 

 

 

Module 25: Exam

Acronym Ex ECTS 6
Module type Overall workload (h) 128
Level Master Attendance time (h) 8
Semester 4 Self-study (h) 120
Practical Work (h)
Prerequisites University degree in dentistry Duration 1 day
Course type Attendance course Group size 25-35
Forms of teaching § Exam Name/s of lecturer/s ander
Language of teaching English, German Recommended optional courses
Language
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