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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_026 | LQF level: | Level 5 | ||||||
| Credit Points: | 6.00 | ECTS: | 9.00 | ||||||
| Branch of Science: | Clinical Medicine; Oral Medicine | Target 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, zhs rsu[pnkts]lv, +371 67455560 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 5 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 15 | ||||
| Total Contact Hours | 23 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 3 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 6 | ||||
| Classes (count) | 6 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 18 | ||||
| Total Contact Hours | 24 | ||||||||
| Full-Time - Semester No.3 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 5 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 15 | ||||
| Total Contact Hours | 23 | ||||||||
| Full-Time - Semester No.4 | |||||||||
| Lectures (count) | 3 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 6 | ||||
| Classes (count) | 6 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 18 | ||||
| Total Contact Hours | 24 | ||||||||
| 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. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Introduction 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. | Lectures | 1.00 | auditorium | |||||
| 2 | Maintaining a state of healthy dental tissues (dynamic process of demineralization and remineralization), progression of dental caries. | Lectures | 1.00 | auditorium | |||||
| 3 | Oral health condition evaluation index. | Lectures | 1.00 | auditorium | |||||
| 4 | Significance 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. | Lectures | 1.00 | auditorium | |||||
| 5 | Oral care products and aids.Toothpastes. Ingredients and sorts of toothpastes. | Lectures | 1.00 | auditorium | |||||
| 6 | The role of saliva in oral prophylaxis, Halitosis – bad breath. | Lectures | 1.00 | auditorium | |||||
| 7 | Sealants. Types and application techniques. | Lectures | 1.00 | auditorium | |||||
| 8 | Methods 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. | Lectures | 1.00 | auditorium | |||||
| 9 | The role of nutrition in the prevention of oral diseases. | Lectures | 1.00 | auditorium | |||||
| 10 | Caries risk determination, cariogram. | Lectures | 1.00 | auditorium | |||||
| 11 | Caries treatment. | Lectures | 1.00 | auditorium | |||||
| 12 | Teeth whitening. Types of teeth whitening. Dental bleach composition. | Lectures | 1.00 | auditorium | |||||
| 13 | Mouth health and prevention for children with special needs. Oral health problems and prevention for geront. | Lectures | 1.00 | auditorium | |||||
| 14 | Oral health prevention in connection with general conditions. | Lectures | 1.00 | auditorium | |||||
| 15 | Introduction to prevention. General recommendations for patients.Principles of evidence-based dentistry. | Classes | 1.00 | clinical base | |||||
| 16 | The role of nutrition in the development and prevention of diseases.Making a menu, estimating the amount of sugar. | Classes | 1.00 | clinical base | |||||
| 17 | Mechanisms of demineralisation and reminalisation. The role of saliva in restoring oral health. | Classes | 1.00 | clinical base | |||||
| 18 | The role of biofilm in the development and prevention of diseases. Plaque theories. Tooth brushing techniques. | Classes | 1.00 | clinical base | |||||
| 19 | Introduction to caries diagnostics. Caries risk assessment. Exam. | Classes | 1.00 | clinical base | |||||
| 20 | Fluoride activity and application in caries treatment. Professional fluorides and public health fluoridation methods. | Classes | 1.00 | clinical base | |||||
| 21 | Classification of fluorides. Fluoride guidelines. Local fluoride agents for home use. | Classes | 1.00 | clinical base | |||||
| 22 | Toothpastes, their classification. Mechanisms of action of active substances. | Classes | 1.00 | clinical base | |||||
| 23 | Comparison of different toothpastes, evaluation. | Classes | 1.00 | clinical base | |||||
| 24 | Sealants. Sequence of manipulation. Sealants' indications, contraindications. | Classes | 1.00 | auditorium | |||||
| 25 | Caries diagnostics. ICDAS.Caries diagnosis on extracted teeth, tooth cross sections.Principles of minimally invasive dentistry. Exam. | Classes | 1.00 | clinical base | |||||
| 26 | Toothpastes. | Classes | 2.00 | auditorium | |||||
| 27 | Choice of toothpaste and teeth cleaning products. Individual recommendations for the patient. | Classes | 1.00 | auditorium | |||||
| 28 | Tooth erosions and abrasions. | Classes | 1.00 | auditorium | |||||
| 29 | Test. | Classes | 1.00 | auditorium | |||||
| 30 | Presentation of practical work "Toothpastes". | Classes | 2.00 | auditorium | |||||
| 31 | Student written work "Clinical Case Analysis". Recommendations for individual nutrition, dentifrices and toothpaste for patients. Preparation of a prevention and treatment plan. | Classes | 1.00 | auditorium | |||||
| 32 | Nutrition. The role of dietary correction in the prevention of dental diseases. Nutrition card analysis. | Classes | 1.00 | auditorium | |||||
| 33 | Prevention of dental diseases with patients of different age groups. Prevention of dental diseases for pregnant women and people with chronic diseases. | Classes | 1.00 | auditorium | |||||
| 34 | Exam. | Classes | 1.00 | auditorium | |||||
| 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 | |||||||||
| 1 | Boyd, Linda D., et al. Wilkins' Clinical Practice of the Dental Hygienist. Jones & Bartlett Learning, LLC, 2020. ProQuest Ebook Central | ||||||||
| 2 | Chestnutt, Ivor G. Dental Public Health at a Glance. John Wiley & Sons, Incorporated, 2016. ProQuest Ebook Central. | ||||||||
| 3 | Clinical overview. Dental Caries. Updated July 19, 2022. Copyright Elsevier BV. | ||||||||
| 4 | Evidence-based dentistry for planning restorative treatments: barriers and potential solutions. K. I. Afrashtehfar1, H. Eimar2, et.al. 8 April 2016 | ||||||||
| 5 | Fink, Johannes Karl. Materials, Chemicals and Methods for Dental Applications. John Wiley & Sons, Incorporated, 2018. ProQuest Ebook Central. | ||||||||
| 6 | Jeffrey A. Dean DDS, MSD, FFD(Hon)RCSI McDonald and Avery's Dentistry for the Child and Adolescent. 11th Edition. 2022 by Elsevier, Inc. | ||||||||
| 7 | Kidd, Edwina, and Ole Fejerskov. Essentials of Dental Caries. Oxford University Press, Incorporated, 2016. ProQuest Ebook Central | ||||||||
| 8 | Lussi A., Schaffner M. Advances in Restorative dentistry. Quintessence Publishing, 2012 (akceptējams izdevums) | ||||||||
| 9 | Moharamzadeh, Keyvan. Diseases and Conditions in Dentistry : An Evidence-Based Reference. John Wiley & Sons, Incorporated, 2018. ProQuest Ebook Central. | ||||||||
| 10 | Nelson Textbook of Pediatrics. Book chapter Dental Caries. 338, 1918-1921.e1, 2020 | ||||||||
| 11 | WHO. Guideline : Sugars Intake for Adults and Children. World Health Organization, 2015. ProQuest Ebook Central | ||||||||
| Additional Reading | |||||||||
| 1 | Aubrey 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 | ||||||||
| 2 | Association, American Dental, et al. How to Use Evidence-Based Dental Practices to Improve Clinical Decision-Making. American Dental Association, 2019. ProQuest Ebook Central | ||||||||
| 3 | Burrows, R. Bleaching: Tooth bleaching traumatised teeth. British Dental Journal, 2018. 225(6), 463-464 | ||||||||
| 4 | Chris 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 | ||||||||
| 6 | Esther M. Wilkins, Charlotte J. Wyche, Linda D. Boyd. Clinical practice of the dental hygienist. Wolters Kluwer, 2017 | ||||||||
| 7 | Inshiya 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. | ||||||||
| 8 | Romina 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 | |||||||||
| 1 | RSU bibliotēkas abonētās datu bāzes (Cochrane Library, Science Direct, SAGE, ProQuest, OVID, Wiley Online Library, EBSCO, Dyna Med) | ||||||||
| 2 | IAPD - International Association of Paediatric Dentistry IAPD Foundational Articles and Consensus Recommendations. Cariess risk Assesment and Care Pathways. Foundational Articles and Consensus Recommendations, 2020 | ||||||||
