.
Integrated Dentistry
Study Course Description
Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:22.09.2022 12:15:08
| Study Course Information | |||||||||
| Course Code: | ZPK_017 | LQF level: | Level 6 | ||||||
| Credit Points: | 8.00 | ECTS: | 12.00 | ||||||
| Branch of Science: | Clinical Medicine; Oral Medicine | Target Audience: | Dentistry | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Elīna Blūma | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Prosthetic Dentistry | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 20 Dzirciema Street, zpk rsu[pnkts]lv, +371 67456043 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 15 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 60 | ||||
| Total Contact Hours | 68 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| 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: | Successfully completed study course Prosthetic Dentistry - Clinic (ZPK_015) (4.8.) to be transfered to 9 th semester. Successfully completed study course Integrated Dentistry ZPK_017 (5.9.) to be tranfered to 10th semester. Successful evaluations in clinical study courses: cariology, endodontics, periodontology, and dental prosthetics. Radiology. Successfully completed previously completed all study courses. | ||||||||
| Objective: | Enhance the level of students' skills, knowledge and competence by allowing them to combine previously acquired knowledge and practical skills in a new quality, raising their level of competence and bringing them closer to the general practice dental model, looking at the patient as a whole and carrying out all the necessary treatment according to their level of competence. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Possible problems and their solutions in adhesive dentistry (direct restoration). | Lectures | 1.00 | E-Studies platform | |||||
| 2 | Evaluation of endodontically treated teeth and prognosis of re-treatment. | Lectures | 1.00 | E-Studies platform | |||||
| 3 | Endodontically treated tooth or implant as a support for prosthetic restauration. | Lectures | 1.00 | E-Studies platform | |||||
| 4 | Periodontitis treatment stages in contact with dental replacement. | Lectures | 1.00 | E-Studies platform | |||||
| 5 | Theme: ENDO Patient admission. | Classes | 1.00 | other | |||||
| 6 | Treatment planning. Patient admission. | Classes | 8.00 | other | |||||
| 7 | Prosthetic plans. Patient admission. | Classes | 1.00 | other | |||||
| 8 | PERIO. Patient admission. | Classes | 1.00 | other | |||||
| 9 | Colloquium (Clinical tasks). Patient admission. | Classes | 1.00 | other | |||||
| 10 | Implants vs Teeth. Patient admission. | Classes | 1.00 | other | |||||
| 11 | Colloquium result analysis. Patient admission. | Classes | 1.00 | other | |||||
| 12 | Closing. Patient admission. | Classes | 1.00 | other | |||||
| 13 | Patient admission. | Classes | 6.00 | other | |||||
| 14 | Colloquium. Clinical tasks. Patient admission. | Classes | 2.00 | other | |||||
| 15 | Discussion. Colloquium result analysis. Patient admission. | Classes | 2.00 | other | |||||
| Assessment | |||||||||
| Unaided Work: | Analysis of clinical cases placed in e-studies and preparation of versions of treatment plans for discussion in seminars. Selection of literature and research articles needed for solving the problem of topical seminars and lectures in the e-environment in the library database and analysis of these materials in order to participate in the evidence-based discussion on dental forecasts, long-term results of restorations, comparison of prosthetics and materials used, analysis of different treatment results at dysfunctions and pathologies. | ||||||||
| Assessment Criteria: | 1. The evaluation of clinical work in work units, which allows in percentages to reflect the quality of the work done, expressed in a 10 - point system. 2. The number of fully cured patients – full diagnostics, treatment plan development and complete treatment. 3. Theoretical knowledge is evaluated in 5 colloquia. 4. Evaluation of independent work with completed self-assessment e-tests. | ||||||||
| Final Examination (Full-Time): | Report (Placement) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | On successful completion of the study course, the student is able to demonstrate in-depth knowledge corresponding to evidence-based decision making in medical treatment, i.e.: • will be able to evaluate the patient's medical history and the impact of existing illnesses on the selected treatment; • recognise both individual tooth and bite pathologies; • draw up both optimal and alternative treatment plans for the particular clinical situation, justifying the chosen treatment and setting scientifically based long-term forecasts; • will be able to evaluate the necessity of the implementation of the proposed treatment plan stages and to offer optimal dental treatment and prosthetics; • recognise dysfunction of the musculature and temporo - mandibular joints, be able to differentiate them from pathologies with similar symptoms; • recognise the causes of tooth wear, be able to assess the associated possible change in the vertical dimension of occlusion, and offer options of restoration. | ||||||||
| Skills: | On successful completion of the study course the student will be able to use both theory and problem solving skills independently, i.e.: • justify the proposed treatment plan; • properly use the terms; • evaluate pathology; • establish a long-term prognosis; • plan the stages of the treatment to be performed and treat the patient's oral cavity and dental prosthesis according to the justified treatment plan. | ||||||||
| Competencies: | On successful completion of the study course, the student will be able to independently formulate and critically analyse different clinical cases by making informed decisions in the proposed treatment plans, as well as to complete the treatment. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Bite registration when taking an impression for fixed teeth supported indirect restoration | B1 - Basic level | |||||||
| 2 | Cementation of fixed teeth supported temporary restoration | B2 - Intermediate level | |||||||
| 3 | Dental flossing | C1 - High level | |||||||
| 4 | Fabrication of fixed teeth supported temporary restoration | B2 - Intermediate level | |||||||
| 5 | Fabrication of silicone matrix for fixed teeth supported temporary restoration (crown, bridge) | B1 - Basic level | |||||||
| 6 | Gingivl retraction before an impression taking for fixed teeth supported indirect restoration | B1 - Basic level | |||||||
| 7 | Preparation of mannequin anterior teeth for fixed teeth supported indirect restoration | B1 - Basic level | |||||||
| 8 | Preparation of mannequin posterior teeth for fixed teeth supported indirect restoration | B1 - Basic level | |||||||
| 9 | Using of a universal curette for dental calculus removal and root instrumentation. | C1 - High level | |||||||
| 10 | Using of an area-specific curette for dental calculus removal and root instrumentation. | C1 - High level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Interdisciplinary Treatment Planning: Principles, Design, Implementation M. Cohen, Quintessence Pub Co, 2008. | ||||||||
| 2 | The International Journal of Prosthodontics | ||||||||
| 3 | The Journal of Prosthetic Dentistry. | ||||||||
| 4 | Clinical Oral Implants Research. | ||||||||
| 5 | European Journal of Oral Sciences. | ||||||||
| 6 | Jepson NJA, Moynihan PJ, Kelly PJ, Watson GW, Thomason JM. Caries incidence following restoration of shortened lower dental arches in a randomized controlled trial. Brit Dent J 2001;191(3):11-15. | ||||||||
| 7 | Zinātniskie raksti: | ||||||||
| 8 | Armellini DB, Heydecke G, Witter DJ, Creugers NHJ. Effect of Removable Partial Dentures on Oral Health–Related Quality of Life in Subjects with Shortened Dental Arches: A 2-Center Cross-Sectional Study. Int J Prosthodont 2008; 21:524–530. | ||||||||
| 9 | Witter DJ, Allen PF, Wilson NHF, Käyser AF. Dentists’attitude to the shortened dental arch concept. Journal of Oral Rehabilitation 1997; 24: 143-147. | ||||||||
| 10 | Abbott PV. Diagnosis and management planning for root-filled teeth with persisting or new apical pathosis. Endodontic Topics 2011;19:1–21. | ||||||||
| 11 | Friedman S, Mor C. The success of endodontic therapyFhealing and functionality. J Calif Dent Assoc 2004;32:493–503. | ||||||||
| 12 | Stavropoulou AF, Koidis PT. A systematic review of single crowns on endodontically treated teeth. J Dent 2007;35:761–767. | ||||||||
| 13 | Zitzmann NU, Krastl G, Hecker H, Walter C, Weiger R. Endodontics or implants? A review of decisive criteria and guidelines for single tooth restorations and full arch reconstructions. Int Endod J 2009;42:757–774. | ||||||||
| 14 | Faria AC, Rodrigues RC, de Almeida Antunes RP, de Mattos Mda G, Ribeiro RF. Endodontically treated teeth: characteristics and considerations to restore them. J Prosthodont Res. 2011;55:69-74. | ||||||||
| 15 | Bandlish R, McDonald A, Setchell D. Assessment of the amount of remaining coronal dentine in root-treated teeth. J Dent 2006;34:699–708. | ||||||||
| 16 | Mamoun JS. Review Article. On the ferrule effect and the biomechanical stability of teeth restored with cores, posts, and crowns. European Journal of Dentistry 2014;8:281-286. | ||||||||
| 17 | Gegauff AG. Eff ect of crown lengthening and ferrule placement on static load failure of cemented cast post-cores and crowns. J Prosthet Dent 2000;84:169-79. | ||||||||
| 18 | Vire DE. Failure of endodontically treated teeth: classification and evaluation. J endod 1991;17:338–342. | ||||||||
| 19 | Nair PNR. On the causes of persistent apical periodontitis: a review. International Endodontic Journal 2006;39:249–281. | ||||||||
| 20 | Dietschi D,DucO, Krejci I, Sadan A. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature. Part I. Composition and micro- and macrostructure alterations. Quintessence Int 2007;38:733–743. | ||||||||
| 21 | Abbott PV. Assessing restored teeth with pulp and periapical diseases for the presence of cracks, caries and marginal breakdown. Aust Dent J 2004;49:33–39. | ||||||||
| 22 | Faria AC, Rodrigues RC, de Almeida Antunes RP, de Mattos Mda G, Ribeiro RF. Endodontically treated teeth: characteristics and considerations to restore them. J Prosthodont Res. 2011;55:69-74. | ||||||||
| 23 | Iqbal MK, Kim S. A review of factors influencing treatment planning decisions of single-tooth implants versus preserving natural teeth with nonsurgical endodontic therapy. J Endod 2008;34:519–529. | ||||||||
| 24 | Hannahan JP, Eleazer PD. Comparison of success of implants versus endodontically treated teeth. J Endod 2008;34:1302–1305. | ||||||||
| 25 | McLean A. Predictably restoring endodontically treated teeth. J Can Dent Assoc 1998;64:782-787. http://www.cda-adc.ca/jcda/vol-64/issue-11/782.html | ||||||||
| 26 | Weston P, Yaziz YA, Moles DR, Needleman I. Occlusal interventions for periodontitis in adults. Cochrane Database Syst Rev. 2008; 16(3):CD004968. Review. | ||||||||
| 27 | Zitzmann NU, Krastl G, Hecker H, Walter C, Waltimo T, Weiger R. Strategic considerations in treatment planning: deciding when to treat, extract, or replace a questionable tooth. J Prosthet Dent 2010;104(2):80-91. Review. | ||||||||
| 28 | Hallmon WW1, Harrel SK.Occlusal analysis, diagnosis and management in the practice of periodontics. Periodontol 2000 2004;34:151-64. | ||||||||
| 29 | Petridis H, Hempton TJ. Periodontal considerations in removable partial denture treatment: a review of the literature. Int J Prosthodont. 2001;14(2):164-72. | ||||||||
| 30 | Kourkouta S, Hemmings KW, Laurell L. Restoration of periodontally compromised dentitions using cross-arch bridges. Principles of perio-prosthetic patient management. Br Dent J. 2007;203(4):189-95. | ||||||||
| 31 | Nguyen-Hieu T, Borghetti A, Aboudharam G. Peri-implantitis: from diagnosis to therapeutics. J Investig Clin Dent. 2012;3(2):79-94. | ||||||||
| 32 | Chrcanovic, Bruno Ramos; Albrektsson, Tomas; Wennerberg, Ann. Periodontally compromised vs. periodontally healthy patients and dental implants: A systematic review and meta-analysis. Journal of Dentistry 2014; 42(12):1509-1527. | ||||||||
| 33 | Hämmerle CH, Glauser R. Clinical evaluation of dental implant treatment. Periodontol 2000 2004;34:230-9. Review. | ||||||||
| 34 | Czochrowska EM, Rosa M. The orthodontic/periodontal interface. Seminars in Orthodontics. 2015; 21(1): 3-14. | ||||||||
| 35 | Greenwell H; Committee on Research, Science and Therapy. American Academy of Periodontology.Position paper: Guidelines for periodontal therapy. J Periodontol 2001;72(11):1624-8. | ||||||||
| 36 | Da Rosa Rodolpho PA, Donassollo TA, Cenci MS, Loguercio AD, Moraes RR, Bronkhorst EM et al.. 22-Year clinical evaluation of the performance of two posterior composites with different filler characteristics, Dent. Mater2011;27:955–963. | ||||||||
| 37 | Ahmed KE, Murbay S. Survival rates of anterior composites in managing tooth wear: systematic review. J Oral Rehabil. (2015). | ||||||||
| 38 | Al-Khayatt AS, Ray-Chaudhuri A, Poyser NJ, Briggs PF, PorterRW, Kelleher MG et al.. Direct composite restorations for the worn mandibular anterior dentition: a 7-year follow-up of a prospective randomised controlled splitmouth clinical trial. J Oral Rehabil 2013;40:389–401. | ||||||||
| 39 | Thompson MC, Thompson KM, Swain M. The all-ceramic, inlay supported fixed partial denture. Part 1. Ceramic inlay preparation design: a literature review. Aust Dent J 2010;55(2):120-7 | ||||||||
| 40 | Opdam NJ, van de Sande FH, Bronkhorst E, Cenci MS, Bottenberg P, Pallesen U, Gaengler P, Lindberg A, Huysmans MC, van Dijken JW. Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res 2014;93(10):943-9. | ||||||||
| 41 | Demarco FF, Corrêa MB, Cenci MS, Moraes RR, Opdam NJ. Longevity of posterior composite restorations: not only a matter of materials. Dent Mater 2012;28(1):87-101. | ||||||||
| 42 | Bueno-Samper A, Hernández-Aliaga M, Calvo-Guirado JL. The implant-supported milled bar overdenture: a literature review.Med Oral Patol Oral Cir Bucal 2010;15(2):e375-8. | ||||||||
| 43 | Levin L. Dealing with dental implant failures. J Appl Oral Sci 2008;16(3):171-5. | ||||||||
| 44 | Ceruti P, Bryant SR, Lee JH, MacEntee MI. Magnet-retained implant-supported overdentures: review and 1-year clinical report. J Can Dent Assoc 2010;76:a52. | ||||||||
| 45 | Bueno-Samper A, Hernández-Aliaga M, Calvo-Guirado JL. The implant-supported milled bar overdenture: a literature review. Med Oral Patol Oral Cir Bucal 2010;15(2):e375-8. | ||||||||
| 46 | Kim HY, Lee JY, Shin SW, Bryant SR. Attachment systems for mandibular implant overdentures: a systematic review. J Adv Prosthodont 2012;4(4):197-203. | ||||||||
| 47 | Milosevic A, Bardsley PF and Taylor S. Tooth wear and dental erosion and their relationship with diet and habit. Br Dent J 2004;197:479-483. | ||||||||
| 48 | Yip KH-K, Smales RJ, Kaidonis JA. Differential Wear of Teeth and Restorative Materials: Clinical Implications. Int J Prosthodont 2004;17:350–356. | ||||||||
| 49 | Martínez-Lage-Azorín JF, Segura-Andrés G, Faus-López J, Agustín-Panadero R. Rehabilitation with implant-supported overdentures in total edentulous patients: A review. J Clin Exp Dent 2013;5(5):e267-72. | ||||||||
| 50 | Nascimento et al. Abfraction lesions: etiology, diagnosis, and treatment options. Clinical, Cosmetic and Investigational Dentistry 2016;8:79–87. | ||||||||
| 51 | Mengatto et al. Sleep bruxism: challenges and restorative solutions. Clinical, Cosmetic and Investigational Dentistry 2016;8:71–77. | ||||||||
| 52 | Mesko ME et al. Rehabilitation of severely worn teeth: A systematic review. Journal of Dentistry 2016;48:9–15. | ||||||||
| 53 | Banerji S and Mehta S. Clinical management of pathological tooth wear in general dental practice. British Dental Journal 2016;220:209-210. | ||||||||
| 54 | Sterenborg et al. 3D Facial Effects of a Simulated Dental Build-up. Journal of Esthetic and Restorative Dentistry 2016. | ||||||||
| 55 | Fradeani M, Barducci G, Bacherini L. Esthetic rehabilitation of a worn dentition with a minimally invasive prosthetic procedure (MIPP). Int J Esthet Dent 2016;11(1):16-35. | ||||||||
| 56 | Gopi Chander N, Venkat R. An appraisal on increasing the occlusal vertical dimension in full occlusal rehabilitation and its outcome. J Indian Prosthodont Soc 2011;11(2):77-81 | ||||||||
| 57 | Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J 2012;57(1):2-10. | ||||||||
| 58 | Mohindra NK, Bulman JS. The effect of increasing vertical dimension of occlusion on facial aesthetics. Br Dent J 2002;192(3):164-8 | ||||||||
| 59 | Bartlett D, Dugmore C. Pathological or physiological erosion--is there a relationship to age? Clin Oral Investig 2008;12Suppl1:S27-31. | ||||||||
| 60 | Manfredini D, Poggio CE, Lobbezoo F. Is Bruxism a Risk Factor for Dental Implants? A Systematic Review of the Literature. Clinical Implant Dentistry and Related Research 2014;16(3):460-469. | ||||||||
| 61 | Komiyama O et al. ClinicalManagement of Implant Prostheses in Patients with Bruxism. International Journal of Biomaterials 2012; Article ID 369063, 6 pages doi:10.1155/2012/369063 | ||||||||
| 62 | Johansson A, Johansson AK, Omar R, Carlsson GE. Rehabilitation of the worn dentition. Journal of Oral Rehabilitation 2008; 35(7):548–566. | ||||||||
| 63 | Mesko ME et al. Rehabilitation of severely worn teeth: A systematic review. Journal of Dentistry 2016;48:9–15. | ||||||||
| 64 | Bartlett D, Sundaram G. An up to 3-year randomized clinical study comparing indirect and direct resin composites used to restore worn posterior teeth. Int J Prosthodont 2006;19:613–617. | ||||||||
| 65 | Banerji S, Mehta S. Clinical management of pathological tooth wear in general dental practice. British Dental Journal 2016;220:209-210. | ||||||||
| Additional Reading | |||||||||
| 1 | Fundamentals of Fixed Prosthodontics. H.T. Schillingburg. Quintessence Publishing Co.,1997. | ||||||||
| 2 | Prosthodontic Treatment for Edentulous Patients: Complete Dentures and Implant-Supported Prostheses. G.A. Zarb, C.L. Bolender, S.E. Eckert, A.H. Fenton, Mosby, 2003 | ||||||||
| 3 | Stewart's Clinical Removable Partial Prosthodontics. R. D. Phoentix, D. R. Cagna, C.F. Defreest, Quintessence Pub Co, 2008 | ||||||||
| 4 | Contemporary Fixed Prosthodontics. S.F. Rosenstiel, M.F. Land, J. Fujimoto, Mosby, 2006 | ||||||||
| 5 | Dental Materials: Properties and Manipulation. J. M. Powers, J. C. Wataha, Mosby, 2007 | ||||||||
| 6 | Occlusion. Ed.: M. Ash & S. Ramfjord. W.B. Saunders Company, 1995 | ||||||||
| 7 | Temporomandibular Joint and Masticatory Muscle Disorders. Ed.: G.A. Zarb, G.E. Carlsson, B. J. Sessle, N.D. Mohl. Munksgaard, 1994 | ||||||||
