Skip to main content

Preventive Dentistry

Study Course Description

Course Description Statuss:Approved
Course Description Version:11.00
Study Course Accepted:28.11.2022 11:32:51
Study Course Information
Course Code:ZHAS_026LQF level:Level 5
Credit Points:6.00ECTS:9.00
Branch of Science:Clinical Medicine; Oral MedicineTarget Audience:Dentistry
Study Course Supervisor
Course Supervisor:Anda Brinkmane
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)4Lecture Length (academic hours)2Total Contact Hours of Lectures8
Classes (count)5Class Length (academic hours)3Total Contact Hours of Classes15
Total Contact Hours23
Full-Time - Semester No.2
Lectures (count)3Lecture Length (academic hours)2Total Contact Hours of Lectures6
Classes (count)6Class Length (academic hours)3Total Contact Hours of Classes18
Total Contact Hours24
Full-Time - Semester No.3
Lectures (count)4Lecture Length (academic hours)2Total Contact Hours of Lectures8
Classes (count)5Class Length (academic hours)3Total Contact Hours of Classes15
Total Contact Hours23
Full-Time - Semester No.4
Lectures (count)3Lecture Length (academic hours)2Total Contact Hours of Lectures6
Classes (count)6Class Length (academic hours)3Total Contact Hours of Classes18
Total Contact Hours24
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 in to preventive dentistry. A theoretical basis for preventive dentistry; definition of health. Health promotion. Primary, secondary and tertiary prevention. Indices of dental illnesses in Latvia and in the world. The incidence of caries and its intensity.Lectures1.00auditorium
2Maintaining a state of healthy dental tissues (dynamic process of demineralization and remineralization), progression of dental caries.Lectures1.00auditorium
3Oral health condition evaluation index.Lectures1.00auditorium
4Significance of fluorides in prevention. Types of fluoride prevention – endogenous (systemic) and exogenous (local) prevention. Mechanism of action and metabolism of fluorides in the body. Endogenous prevention. Use of local fluorides.Lectures1.00auditorium
5Oral care products and aids.Toothpastes. Ingredients and sorts of toothpastes.Lectures1.00auditorium
6The role of saliva in oral prophylaxis, Halitosis – bad breath.Lectures1.00auditorium
7Sealants. Types and application techniques.Lectures1.00auditorium
8Methods of cleaning teeth. Additional means for oral care – tooth floss, dental sticks, monotuft dental brushes, interdental spirals, gum stimulators, tongue cleaners, specialised toothbrushes. Electric toothbrush.Lectures1.00auditorium
9The role of nutrition in the prevention of oral diseases.Lectures1.00auditorium
10Caries risk determination, cariogram.Lectures1.00auditorium
11Caries treatment.Lectures1.00auditorium
12Teeth whitening. Types of teeth whitening. Dental bleach composition.Lectures1.00auditorium
13Mouth health and prevention for children with special needs. Oral health problems and prevention for geront.Lectures1.00auditorium
14Oral health prevention in connection with general conditions.Lectures1.00auditorium
15Introduction to prevention. General recommendations for patients.Principles of evidence-based dentistry.Classes1.00clinical base
16The role of nutrition in the development and prevention of diseases.Making a menu, estimating the amount of sugar.Classes1.00clinical base
17Mechanisms of demineralisation and reminalisation. The role of saliva in restoring oral health.Classes1.00clinical base
18The role of biofilm in the development and prevention of diseases. Plaque theories. Tooth brushing techniques.Classes1.00clinical base
19Introduction to caries diagnostics. Caries risk assessment. Exam.Classes1.00clinical base
20Fluoride activity and application in caries treatment. Professional fluorides and public health fluoridation methods.Classes1.00clinical base
21Classification of fluorides. Fluoride guidelines. Local fluoride agents for home use.Classes1.00clinical base
22Toothpastes, their classification. Mechanisms of action of active substances.Classes1.00clinical base
23Comparison of different toothpastes, evaluation.Classes1.00clinical base
24Sealants. Sequence of manipulation. Sealants' indications, contraindications.Classes1.00auditorium
25Caries diagnostics. ICDAS.Caries diagnosis on extracted teeth, tooth cross sections.Principles of minimally invasive dentistry. Exam.Classes1.00clinical base
26Toothpastes.Classes2.00auditorium
27Choice of toothpaste and teeth cleaning products. Individual recommendations for the patient.Classes1.00auditorium
28Tooth erosions and abrasions.Classes1.00auditorium
29Test.Classes1.00auditorium
30Presentation of practical work "Toothpastes".Classes2.00auditorium
31Student written work "Clinical Case Analysis". Recommendations for individual nutrition, dentifrices and toothpaste for patients. Preparation of a prevention and treatment plan.Classes1.00auditorium
32Nutrition. The role of dietary correction in the prevention of dental diseases. Nutrition card analysis.Classes1.00auditorium
33Prevention of dental diseases with patients of different age groups. Prevention of dental diseases for pregnant women and people with chronic diseases.Classes1.00auditorium
34Exam.Classes1.00auditorium
Assessment
Unaided Work:
Individual and group work in preparing presentations. Prepare for classes using e-learning materials.Compilation of a nutrition card. Preparation of letters to patients. Independent and individual work for preparation of literature review. Completion of the course evaluation questionnaire.
Assessment Criteria:
Active participation in practical classes, no delays. Preparation of presentations on the given topic. In the 1st and 2nd semester, written tests on the lessons themes. In the end, the final test, if the evaluation in the semester written tests is lower than 8. Automatic final test, if the grade in all tests is not lower than 8. Written Test at the 3rd semester about lectures and lessons learned. Completed Patient Examination Card with caries risk assessment and explanatory letter to patient. Paper submitted in the 4th semester – Summary and characteristics of the latest oral care products and compilation and analysis of a nutrition card. Study course concluding 4th semester – a written exam with questions about classes and lecture acquired. Exam passed if 55% correct answers are provided. The total final grade consists of 60% of the final test result of each semester and 40% of the written exam grade.
Final Examination (Full-Time):Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:On completion of the course, students: • describe the methods of recording caries and other diseases using different indices, thus diagnosing the illnesses at different stages of their development; • present epidemiological data on oral diseases in Latvia and the world, understand their relation to different risk factors; • the role and methodology of caries risk determination at individual and population level; • understand the existing evidence-based prevention methods, will be able to evaluate information about new methods, as well as to critically evaluate information published in the literature on new caries and other disease risk factors and on new methods of classification and writing of caries and other diseases; • identify and describe the principles of evidence-based dentistry, their application at individual, group and population levels.
Skills:Successful completing of the course, students will be able to: • obtain data on the patient's general health, social factors, to analyze 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.
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
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