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Clinical Placement
Study Course Description
Course Description Statuss:Approved
Course Description Version:9.00
Study Course Accepted:12.12.2023 11:40:05
| Study Course Information | |||||||||
| Course Code: | ZHAS_016 | LQF level: | Level 5 | ||||||
| Credit Points: | 8.00 | ECTS: | 12.00 | ||||||
| Branch of Science: | Clinical Medicine; Oral Medicine | Target Audience: | Dentistry | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Gunta Nimma | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Conservative Dentistry and Oral Health | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 20 Dzirciema Street, zhs rsu[pnkts]lv, +371 67455560 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 12 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 36 | ||||
| Total Contact Hours | 36 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 12 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 36 | ||||
| Total Contact Hours | 36 | ||||||||
| Full-Time - Semester No.3 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 10 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 40 | ||||
| Total Contact Hours | 40 | ||||||||
| Full-Time - Semester No.4 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 10 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 40 | ||||
| Total Contact Hours | 40 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Prevention of dental diseases, radiology, periodontology, public health care in dentistry, oral health promotion and education, oral pathology, contact with a patient in pediatric dentistry, therapeutic dentistry, dental prosthetics, orthodontics, pediatric dentistry, dental anatomy. | ||||||||
| Objective: | Enhance the level of students' knowledge, skills and competence in the prevention of oral diseases, clinical examinations, looking at the patient as a whole and performing the necessary treatment in accordance with their level of competence in Pediatric dentistry and Adult dentistry. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Rules of clinical practice. Duties and responsibilities of students. Dental office equipment. Guidelines for infection control. | Classes | 1.00 | clinical base | |||||
| 2 | Health and oral health history collection. Dental patient's card filling. | Classes | 1.00 | clinical base | |||||
| 3 | Patient examination. Diagnostics. | Classes | 1.00 | clinical base | |||||
| 4 | Inspection of tempomandibular joint. Lymph node examination. | Classes | 1.00 | clinical base | |||||
| 5 | Dental signs in international two-digit system (milk and permanent bite). | Classes | 1.00 | clinical base | |||||
| 6 | Filling in a clinical card. | Classes | 1.00 | clinical base | |||||
| 7 | Control test. | Classes | 1.00 | clinical base | |||||
| 8 | Assessment of oral health with different kind of indexes. | Classes | 1.00 | clinical base | |||||
| 9 | Decay-missing-filled teeth among populations prevalence and intensity index. Hygiene index. Plaque index. | Classes | 1.00 | clinical base | |||||
| 10 | Silness-Löe plaque index. The Greene–Vermillion index. | Classes | 1.00 | clinical base | |||||
| 11 | Basic principles of dental polishing. | Classes | 1.00 | clinical base | |||||
| 12 | Exam. | Classes | 1.00 | clinical base | |||||
| 13 | Periodontal structure and function. | Classes | 1.00 | clinical base | |||||
| 14 | Measures, which are taken with a periodontal probe. Attached gingiva. Bifurcation probing. | Classes | 1.00 | clinical base | |||||
| 15 | Measure of recession. Measure of clinical attached level loss. | Classes | 1.00 | clinical base | |||||
| 16 | Periodontal condition evaluation index. Bleeding index. | Classes | 1.00 | clinical base | |||||
| 17 | Diagnostic the mobility of teeth. Papillary Bleeding Index. | Classes | 1.00 | clinical base | |||||
| 18 | Basic principles of probing. Probing depth. | Classes | 1.00 | clinical base | |||||
| 19 | BPE (Basic Periodontal Examination) | Classes | 2.00 | clinical base | |||||
| 20 | Sealant. Practical work with sealants (phantoms). | Classes | 1.00 | clinical base | |||||
| 21 | Leying of sealants. | Classes | 2.00 | clinical base | |||||
| 22 | Exam. | Classes | 1.00 | clinical base | |||||
| 23 | Placement planning and student responsibilities in a clinic. Infection control and adherence to the clinic. (Instrument disinfection and sterilization, disinfection of equipment). | Classes | 1.00 | clinical base | |||||
| 24 | Work with a patient. To examine and evaluate medical, dental and social history of patient (anamnesis). | Classes | 1.00 | clinical base | |||||
| 25 | Work with the patient. To prepare prophylaxis of oral illnesses and clinical (periodontological) treatment plan individually for each patient. | Classes | 1.00 | clinical base | |||||
| 26 | Work with the patient. Sub and supra gingival scaling with Gracey curettes and sickle. | Classes | 2.00 | clinical base | |||||
| 27 | Work with the patient. Gingival pocket medical treatment. | Classes | 1.00 | clinical base | |||||
| 28 | Practical use of ultrasonic scaler in clinic. Indications and contrinications. | Classes | 2.00 | clinical base | |||||
| 29 | Work with the patient. Patient education. Choosing appripriate mouth care products for patients. | Classes | 1.00 | clinical base | |||||
| 30 | Exam. | Classes | 1.00 | clinical base | |||||
| 31 | Work with patients. Powder spray practical use. Use of different kind of powders. | Classes | 1.00 | clinical base | |||||
| 32 | Work with the patient. Teeth polishing with different kind of pastes. Polishing cups and different brushes. | Classes | 2.00 | clinical base | |||||
| 33 | Usage of fluorides. Fluoride varnish, gels, foams, tooth mousse. | Classes | 2.00 | clinical base | |||||
| 34 | Work with patients. Premedication. | Classes | 1.00 | clinical base | |||||
| 35 | Professional hygiene with patients who have orthodontic appliance. Patient education. The principles of nursing of orthodontic appliance. | Classes | 1.00 | clinical base | |||||
| 36 | Dental services for patients with special needs. | Classes | 1.00 | clinical base | |||||
| 37 | Work with patients. Instrument sharpening. | Classes | 1.00 | clinical base | |||||
| 38 | Exam. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Practice book, presentation of work done in practice, assessment from the practice supervisor. During the 1st semester the following subjects should be studied: history of lymph nodes, examination of the lymph nodes, examination of the tempo-mandibular joint, various hygiene indices, caries spread and intensity indices. During the 2nd semester you have to master the following: structure and functions of periodontal indexes, periodontal condition evaluation indexes, bleeding indices and technique and application of lanterns. In the 3rd and 4th semesters - report on each patient (accepted in practical classes), showing the work done, self-assessment of the work done, recommendations for the patient, to present the patient to the lecturer. Reports presentation and a report on the work done. Specific recommendations for every patient. Practice evaluation from the head of the clinic. Report about every patient in practical lessons, where they write work done, self-esteem and recommendations. Submission of the summer internship report, completed according to the regulations. Fill in the course evaluation questionnaire. | ||||||||
| Assessment Criteria: | The compulsory participation of students in practical classes is assessed in all semesters, following the rules of Clinical (practical) classes. During the 1st and 2nd semester 2 tests and 2colloquia on the topics of the lessons. Passed if given 80% correct answers. At the end of the semester, an exam that includes a written and practical test of what has been learned during the semester. During the 3rd and 4th semesters work with the patient in the clinic, where the following aspects are evaluated: • outward appearance (special clothing, footwear, hair arrangement, nail length, jewelry); • organization of workplace (choice of materials and tools, quantity), observation of infection control; • communication with patient (listening skills, information and motivation); • collection of medical history; • indexing, probing skills; • diagnosis and removal of tartar; • teeth polishing, flossing and selection of application. Acquired knowledge in Dental disease courses: • Dental disease prevention, radiology, periodontics, dental public health, oral health promotion and education, oral pathology, communication with the patient children's dentistry, therapeutic dentistry, prosthetic dentistry, orthodontics, dental anatomy. In the 3rd semester, evaluation of the summer internship report, in which presentation, content, invested work, attitude towards the task are evaluated. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Students define the examination of the oral cavity and the diagnosis of diseases, documents and describes the patient's medical history, presents a treatment plan, identifies recommendations in the prevention of oral diseases, explains infection control standards, recognizes the norms of professional ethics. | ||||||||
| Skills: | The student obtains and documents the patient's medical history, paying attention to medication use, bad habits, oral care habits, respects the confidentiality of data protection, perform an examination of the neck lymph nodes, temporomandibular joints, perform a full periodontal examination, performs index calculation, documents and evaluates the obtained results, explains and demonstrates the treatment plan, provides recommendations in the prevention of oral diseases performs polishing of dental crowns, laying of sealants, application of various fluoride applications, perform supragingival and subgingival (up to 5 mm in pockets) instrumentation using specialized instruments, carries out disinfection, sterilization control, follow the use of infection control barriers. | ||||||||
| Competencies: | Students are able to independently collect anamnesis, evaluate, calculate, reasonedly interpret and analyze the available information; able to explain and offer advanced oral prevention and treatment solutions to the patient; able to remove plaque and tartar using various tools; able to provide infection and sterilization control. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Dental flossing | C1 - High level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Alex J. Moule, and M. Lamar Hicks, John Wiley & Sons. Incorporated, Diagnosing Dental and Orofacial Pain. 2016. 1st edition. | ||||||||
| 2 | George, Marie D., et al. Ultrasonic Periodontal Debridement. Theory and Technique, John Wiley & Sons, Incorporated, 2014. | ||||||||
| 3 | Jane A. Soxman, and Jane A Soxman. Handbook of Clinical Techniques in Pediatric Dentistry. John Wiley & Sons, Incorporated, 2015. ProQuest Ebook Central, Chapter 9 Sealants pp 77-82 | ||||||||
| 4 | Moharamzadeh, Keyvan. Diseases and Conditions in Dentistry : An Evidence-Based Reference, John Wiley & Sons, Incorporated, 2018. | ||||||||
| 5 | Niklaus P. Lang, et al., John Wiley & Sons. Clinical Periodontology and Implant Dentistry. Incorporated, 2015 | ||||||||
| 6 | Newman and Carranza's Clinical Periodontology. 13th edition, 2019 | ||||||||
| 7 | Pankhurst, Caroline L., and Wilson A. Coulter. Basic Guide to Infection Prevention and Control in Dentistry. John Wiley & Sons, Incorporated, 2017. ProQuest Ebook Central | ||||||||
| 8 | Rainer, Buchmann. Economic Periodontal and Implant Dentistry. Bentham Science Publishers, 2016. ProQuest Ebook Central | ||||||||
| 9 | Stuart L. Segelnick. Clinical Cases in Dental Hygiene. John Wiley & Sons, Incorporated, 2019. ProQuest Ebook Central | ||||||||
| 10 | Wingrove, Susan S. Peri-Implant Therapy for the Dental Hygienist : Clinical Guide to Maintenance and Disease Complications. 2013, 1st edition. | ||||||||
| Additional Reading | |||||||||
| 1 | American, Dental Association, American Dental. Managing the Dental Team: Guidelines for Practice Success : Best Practices, American Dental Association, 2016. | ||||||||
| 2 | Deborah A. Termeie. Avoiding and Treating Dental Complications : Best Practices in Dentistry. 2016. ProQuest Ebook Central | ||||||||
| 3 | Jill S. Gehrig; Daniel E. Shin; Donald E. Willmann. Foundations of Periodontics for the Dental Hygienist. 2020. 5th edition. | ||||||||
| 4 | Nadeem Karimbux, and Hans Peter Weber. Clinical Cases in Implant Dentistry. 2017. | ||||||||
| 5 | Nisha Garg, and Amit Garg. Textbook of Operative Dentistry. 2015 3rd edition. | ||||||||
| 6 | Norādījumi periodonta un periimplanta audu slimību jaunās klasifikācijas pielietošanai klīniskajā praksē. 2021. | ||||||||
| Other Information Sources | |||||||||
| 1 | Cochrane Library, Science Direct, SAGE, ProQuest, OVID, Wiley online library, EBSCO, Dyna Med. | ||||||||
| 2 | If saliva were red. Video. | ||||||||
| 3 | Prophylaxis Tips with the Ultrasonic. | ||||||||
| 4 | Zobu pulēšana. Video. | ||||||||
