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Prevention of Dental Diseases

Study Course Description

Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:26.08.2024 13:50:06
Study Course Information
Course Code:ZTMVK_072LQF level:Level 5
Credit Points:4.00ECTS:6.00
Branch of Science:Clinical Medicine; Oral MedicineTarget Audience:Dentistry
Study Course Supervisor
Course Supervisor:Solvita Šuriņa
Study Course Implementer
Structural Unit:Department of Conservative Dentistry and Oral Health
The Head of Structural Unit:
Contacts:Riga, 20 Dzirciema Street, zhsatrsu[pnkts]lv, +371 67455560
Study Course Planning
Full-Time - Semester No.1
Lectures (count)0Lecture Length (academic hours)0Total Contact Hours of Lectures0
Classes (count)10Class Length (academic hours)3Total Contact Hours of Classes30
Total Contact Hours30
Full-Time - Semester No.2
Lectures (count)0Lecture Length (academic hours)0Total Contact Hours of Lectures0
Classes (count)5Class Length (academic hours)3Total Contact Hours of Classes15
Total Contact Hours15
Full-Time - Semester No.3
Lectures (count)0Lecture Length (academic hours)0Total Contact Hours of Lectures0
Classes (count)6Class Length (academic hours)3Total Contact Hours of Classes18
Total Contact Hours18
Study course description
Preliminary Knowledge:
Biology, chemistry, microbiology, dental anatomy, operative dentistry course.
Objective:
To provide knowledge about the risk factors of oral disease, to develop an understanding of the role of fluoride in prevention, to develop students' skills to diagnose, prevent and treat initial dental caries, also by assessing the associated risk factors, to learn to use preventive materials .
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Introduction to prevention. General recommendations for patients.Principles of evidence-based dentistry.Classes1.00auditorium
2Tooth brushing methods.The role of nutrition in the development and prevention of diseases.Making a menu, estimating the amount of sugar.Classes1.00auditorium
3The role of biofilm in the development and prevention of diseases. Plaque theories.Classes1.00auditorium
4Introduction to caries diagnostics. Caries risk assessment.Classes1.00auditorium
5Mechanisms of demineralisation and reminalisation. The role of saliva in restoring oral health.Classes1.00auditorium
6Toothpastes, their classification. Mechanisms of action of active substances.Comparison of different toothpastes, evaluation.Classes1.00auditorium
7Fluoride activity and application in caries treatment. Professional fluorides and public health fluoridation methods.Classes1.00auditorium
8Classification of fluorides. Fluoride guidelines. Local fluoride agents for home use.Classes1.00auditorium
9Sealants. Sequence of manipulation. Sealants' indications, contraindications.Classes1.00auditorium
10Caries diagnostics. ICDAS.Caries diagnosis on extracted teeth, tooth cross sections.Principles of minimally invasive dentistry. Exam.Classes1.00auditorium
11Toothpastes.Classes1.00auditorium
12Choice of toothpaste and teeth cleaning products. Individual recommendations for the patient.Classes2.00auditorium
13Tooth erosions and abrasions.Classes1.00auditorium
14Cariogramm. Caries risk assesment.Classes1.00auditorium
15Presentation of practical work "Toothpastes".Classes2.00auditorium
16Student written work "Clinical Case Analysis". Recommendations for individual nutrition, dentifrices and toothpaste for patients. Preparation of a prevention and treatment plan.Classes1.00auditorium
17Nutrition. The role of dietary correction in the prevention of dental diseases. Nutrition card analysis.Classes1.00auditorium
18Prevention of dental diseases with patients of different age groups. Prevention of dental diseases for pregnant women and people with chronic diseases.Classes1.00auditorium
19Exam.Classes1.00auditorium
Assessment
Unaided Work:
Independently prepare for each lesson and tests, using the training materials available in e-studies on specific topics by listening to video-lectures (5-6 hours) and preparing for tests. Individual and work in groups in the preparation of presentations. Drawing up a nutrition card. Preparation of letters to patients. Completing the course evaluation questionnaire at the end of each semester.
Assessment Criteria:
Active participation in practical classes, no delays. Preparing presentations on the assigned topic. In the 1st semester 4 tests and in the 2nd semester 5 tests on the topics studied in the lessons. Passed if 55% correct answers are given. Automatic semester test, if all tests are written, giving 75% correct answers. Finally, the final test. The final score counts against 55% correct answers. The 3rd and 4th semesters submitted – "Compilation and characteristics of the latest oral care products" and drawing up and analysing the "Nutrition" card. A completed examination card of the patient with the caries risk assessment and an informative letter to the patient. In the 4th semester, the final exam/test on what has been learned in the lessons. The test passed if 55% correct answers are given. The final grade of the study course is formed from the assessment of each semester - 1st semester 20%, 2nd semester 20%, 3rd semester 20% and 4th semester exam score is 40% of the final assessment. The assessment is converted into balls in accordance with the RSU Study Regulations. The final assessment is taken into account at the assessment of the State Examination.
Final Examination (Full-Time):Exam
Final Examination (Part-Time):
Learning Outcomes
Knowledge:On completion of the course, students will know : • Interpretation of examination results in planning the treatment of oral cavity and dental diseases. • methods of recording caries and other diseases, using different indices, thus diagnosing diseases in different stages of their development for different age groups, • the role of saliva in maintaining oral health, demineralization and remineralization, • the role and methodology of caries risk determination at the individual and population level, • types of sealants and their laying technique, • fluoride guidelines, • drawing up a nutrition card, • kariograms, • principles of evidence-based dentistry, their application at the individual, group and population level
Skills:Successful completing of the course, students will be able to: • obtain data on the patient's general health, social factors, to analyse the diet, its connection with oral diseases, the history of fluoride use and oral hygiene habits, as well as to identify the patient's knowledge gaps, • evaluate the state of oral hygiene, • present to the patient the results of the caries risk assessment, providing individual recommendations for risk reduction, • to evaluate the developmental stage and activity of the carious process, • identify the patient's wishes, attitudes, interoperability and requirements, taking them into account when developing a prevention and treatment plan; • evaluate the risk factors for xerostomia (reduced salivation). • evaluate the risk factors for halitosis (bad breath). • evaluate nutritional risk factors • formulate a scientific question and look for appropriate evidence and guidelines, critically evaluate the literature found.
Competencies:On successful completion of the study course, students will be able to synthesise the knowledge acquired to the long-term monitoring, treatment and to stop caries and other dental hard tissue pathology progression, combining and interpreting risk in determining the information obtained, considering the patient's wishes and possibilities, observing the situation in the long term, having the patient to regularly do check-ups, basing the frequency of visits on the risk of obtaining a disease, and using the most appropriate prevention methods and oral care products for the particular patient. Students will be competent to apply evidence-based methods at both individual and population level.
Clinical Skills:
No.SkillLevel
1Dental flossingA - Beginner level
2Dental flossingB1 - Basic level
Bibliography
No.Reference
Required Reading
1Boyd, Linda D., et al. Wilkins' Clinical Practice of the Dental Hygienist. Jones & Bartlett Learning, LLC, 2020. ProQuest Ebook Central
2Chestnutt, Ivor G. Dental Public Health at a Glance. John Wiley & Sons, Incorporated, 2016. ProQuest Ebook Central.
3Clinical overview. Dental Caries. Updated July 19, 2022. Copyright Elsevier BV.
4Evidence-based dentistry for planning restorative treatments: barriers and potential solutions. K. I. Afrashtehfar1, H. Eimar2, et.al. 8 April 2016
5Fink, Johannes Karl. Materials, Chemicals and Methods for Dental Applications. John Wiley & Sons, Incorporated, 2018. ProQuest Ebook Central.
6Jeffrey A. Dean DDS, MSD, FFD(Hon)RCSI McDonald and Avery's Dentistry for the Child and Adolescent. 11th Edition. 2022 by Elsevier, Inc.
7Kidd, Edwina, and Ole Fejerskov. Essentials of Dental Caries. Oxford University Press, Incorporated, 2016. ProQuest Ebook Central
8Lussi A., Schaffner M. Advances in Restorative dentistry. Quintessence Publishing, 2012 (akceptējams izdevums)
9Moharamzadeh, Keyvan. Diseases and Conditions in Dentistry : An Evidence-Based Reference. John Wiley & Sons, Incorporated, 2018. ProQuest Ebook Central.
10Nelson Textbook of Pediatrics. Book chapter Dental Caries. 338, 1918-1921.e1, 2020
11WHO. Guideline : Sugars Intake for Adults and Children. World Health Organization, 2015. ProQuest Ebook Central
12E studijās pieejamie mācību materiāli
Additional Reading
1Aubrey Sheiham, Samuel Jorge Moyses, Richard G. Watt. Promoting the Oral Health of Children: Theory and Practice: 2 (Promoting the Oral Health of Children: Theory & Practice). 2014
2Association, American Dental, et al. How to Use Evidence-Based Dental Practices to Improve Clinical Decision-Making. American Dental Association, 2019. ProQuest Ebook Central
3Burrows, R. Bleaching: Tooth bleaching traumatised teeth. British Dental Journal, 2018. 225(6), 463-464
4Chris Deery. Clinical Practice Guidelines Proposed the Use of Pit and Fissure Sealants to Prevent and Arrest Noncavitated Carious Lesions.Journal of Evidence-Based Dental Practice, 2017-03-01, Volume 17, Issue 1, Pages 48-50. 2017, Elsevier Inc.
5 Douglas A. Granger, Marcus K. Taylor. Salivary Bioscience: Foundations of Interdisciplinary Saliva Research and Applications. 1st Edition. 2020
6Esther M. Wilkins, Charlotte J. Wyche, Linda D. Boyd. Clinical practice of the dental hygienist. Wolters Kluwer, 2017
7Inshiya Alazhar Contractor, Girish M.S. and Indira M.D.Silver Diamine Fluoride: Extending the spectrum of Preventive Dentistry, a literature review. Pediatric Dental Journal, 2021-04-01, Volume 31, Issue 1, Pages 17-24.
8Romina Brignardello-Petersen, DDS, MSc; Alonso Carrasco-Labra, et.al. A practical approach to evidence-based dentistry. Understanding and applying the principles of EBD. 2014.
Other Information Sources
1RSU bibliotēkas abonētās datu bāzes (Cochrane Library, Science Direct, SAGE, ProQuest, OVID, Wiley Online Library, EBSCO, Dyna Med)
2IAPD - International Association of Paediatric Dentistry IAPD Foundational Articles and Consensus Recommendations. Cariess risk Assesment and Care Pathways. Foundational Articles and Consensus Recommendations, 2020