CONTENTS

As an alternative to the Master’s course, there is also the option of separately completing individual modules. For each module you complete you receive a certificate and the corresponding continuing education points of the University of Freiburg. If you should then decide that you want to study the full Master’s course, those individual modules that you have already completed are simply credited to your full Master of Science.

The Master’s is becoming international: for the first time, the module Oral Microbiology, Pathogenesis and Pharmacology will be offered in spring 2017 in English. From autumn 2017 onwards, all face-to-face teaching sessions for the module will be held in English – the online contents will continue to be available in both German and English.
ORAL MICROBIOLOGY AND PATHOGENESIS
In this module you will learn about the causes of periodontal diseases. You will learn the principles of bacteriology and mycology and examine periodontal infections using the biofilm. In addition, immune processes will be described in detail and the material that you have newly learnt will be applied to clinical case studies. The material covered in this module includes the pathogenesis of periodontal lesions, bacterial co-aggregation and mediators, the types of periodontal infection, periodontal pathogens and the microbiological specificity of periodontal diseases.
When you have completed this module you will be able to understand the complex relationships and apply them to your patient cases. You will learn more about the use of microbial diagnostics and learn how to assess the reports produced.
Pharmacokinetics and pharmacodynamics will also be dealt with using an applied approach in this module. Analgesics and antibiotics are part of the conventional dental pharmacotherapy. As well as practical information about the distribution of analgesics, the therapeutic and legal requirements for prescribing and for informing patients, you will also deal with the active substances both as part of the adjuvant and prophylactic therapy. Information based on the latest scientific findings about the indication or contraindication for local and systemic antibiotic therapy are discussed just as much as the spectra of activity or the side effects of the various preparations. Changes to the gingiva caused by medications and their causes and treatment are another topic covered by the module.
The special feature of this part of the course is the interdisciplinary examination of periodontitis. This helps you to gain a practical understanding of the development of and therapeutic approaches used for periodontal diseases.

Oral microbiology – Pathogenesis – Immunology – Pharmacokinetics – Antibiotics
PROPHYLAXIS AND TREATMENT CONCEPT
How do I make the right diagnosis and how do I design the sequence of treatment for either chronic or aggressive periodontitis? Which systemic diseases affect the periodontium and what are the consequences for treatment? This question is very important in your routine clinical practice. So that you can answer it successfully, this module teaches you a structured approach and provides you with well-founded tools for
  • determining if there is a need for treatment,
  • applying diagnostic tools and interpreting the results,
  • classifying periodontal diseases and eliminating possible risk factors,
  • motivating patients using communication training,
  • developing a diagnosis-dependent treatment and prophylaxis concept for my surgery
The prophylaxis assistant also plays a critical role in the integration of a functional treatment concept. Take the opportunity and come to Freiburg with your employee. Benefit from a face-to-face teaching session that is tailored to both your needs and those of your employee.
In this module you will be brought up to speed across the whole spectrum of tasks from professional teeth cleaning to non-surgical periodontal therapy. The importance of maintenance therapy is vividly demonstrated to you using patient cases and data from dental research.
Prophylaxis concept – Non-surgical periodontal therapy – Ergonomics – Maintenance therapy – Risk factors – Communication – Liquidation options – Laser therapy
SURGICAL PERIODONTAL THERAPY I
The focus of this module is practical surgical skills. Outstanding surgeons from universities and surgeries will guide you as you are taught not only the theory behind the diverse options for surgical periodontal therapy but also as you practise the necessary skills in a step by step approach.
You will discuss in detail the indications and contraindications for resective, regenerative and plastic periodontal surgery procedures. You will also become familiar with the specific use of bone graft materials, enamel matrix derivatives and grafts. As part of this, you will complete comprehensive practical exercises using pig jaws including various flap designs and suturing techniques. You will be supervised and guided by respected practitioners throughout.
The module also includes a course on emergency management that enables you to confidently and appropriately respond to an emergency in your own surgery. You will be given the opportunity to recap the theoretical background and to complete practical exercises under the qualified guidance of an anaesthetist and an emergency medic.
As part of the DVT course, you will learn the precise indication for and interpretation of a DVT image. You will also learn about the relationship between diagnosis and subsequent therapy planning using such images.

Pig jaw course – Emergency management – Regenerative periodontal therapy – Resective periodontal therapy – DVT course
SURGICAL PERIODONTAL THERAPY II
In this module we provide you with the opportunity to carry out surgical procedures on selected patients under supervision. You will first master the precise incision, the range of options for carrying out periodontal surgery procedures and the various suture techniques. During the surgery you will of course be individually guided by experienced and highly qualified surgeons in accordance with your previous experience. They will document your procedure, report about your performance in an expert assembly and assess the prospects for success in a joint discussion. Over the subsequent course you will be informed about how your patient is healing as well as the surgical outcome as part of the postoperative follow-up appointments. Familiarity with the various complications will also teach you effective failure management and also make you aware of the limits of what is possible. This module also includes proper care of various at-risk patients to avoid possible dangers not only for the patient but also for yourself and your surgery staff. In this way, you will precisely learn about the precautionary measures and preparations you must make in these cases and you can prevent emergency situations arising while ensuring that these patients achieve optimal treatment outcomes.

Face-to-face surgery sessions – Incision and suture techniques – Plastic aesthetic surgery – Soft tissue management – Furcation treatment – At-risk patients – Bone graft material
AESTHETICS & FUNCTION
Aesthetic corrections, primarily in the anterior area, can be done rapidly and aesthetically these days using adhesive composite restorations which also contribute to the high quality treatment outcome that is required. In this module you will acquire comprehensive understanding of aesthetic corrections of teeth and gingiva using, for example, epitheses. You learn what is possible in the area of aesthetic correction and which treatment can be applied to which patient case.
The functional aspects of the treatment concept will also be explained in more detail. Thus occlusal disorders not only affect the jaw joint and the muscles of mastication but also have significant effects on the periodontium. You will learn to identify incorrect loading and be able to choose between different treatment options to select the correct therapeutic approach for your individual patient. Again, you will work using an interdisciplinary approach and will also become familiar with orthodontic treatment concepts. Prosthetic approaches will also be discussed and various patient cases planned. You will learn aesthetic tooth widening in hands-on courses or you can specifically build on your existing expertise. In the associated face-to-face sessions you will practise on phantom heads and learn many tips and tricks for improved implementation. This face-to-face session also gives you opportunity for high-level discussions. Complex treatment concepts are presented and discussed in detail. On request, you can also bring in your own cases and develop treatment concepts with the help of renowned practitioners.

Epitheses – Splinting – Orthodontic treatment issues – Crown extensions – Occlusion – Prosthetic treatment issues – Case planning
IMPLANT DENTISTRY
In this module you develop a comprehensive understanding of implant therapy in light of preceding periodontal damage to the patient’s dentition. Other topics covered include implant prosthetics and postimplant therapy.
Anatomical structures that are relevant for implant dentistry are recapped. The precise planning of an implant and any preliminary treatments using bone augmentation are comprehensively illustrated. You learn the various surgical techniques for bone augmentation and are given an overview of the different graft materials and their indication. Soft tissue management, an important component of implant dentistry, is also dealt with in this module.
Practical exercises in 3D planning, computer-guided implant placement and finally the attachment of an implant in a pig jaw enable you to implement and practise what you have learnt.
You will also have the opportunity to work in a renowned surgery that focuses on implant dentistry, enabling you to watch specific patient cases and internalise the treatment sequences.
Another focus of this module is current research on peri-implantitis. Your understanding of the pathogenesis will be deepened and together with renowned experts in this field you will prepare modern approaches for peri-implant therapy.

Principles of implant therapy – Implant placement in periodontally compromised dentition – Implant prosthetics – Postimplant therapy – Bone augmentation – Peri-implantitis – Visiting dentist programme

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REBEKKA BALSAM

Universitätsklinikum für Zahn-, Mund- und Kieferheilkunde

Hugstetter Straße 55
79095 Freiburg

Tel +49 (0)761. 270 – 472 90
Fax +49 (0)761. 270 – 473 90
rebekka.balsam@uniklinik-freiburg.de