Evidence-Based Dentistry in Oral Health Care Systems

Study Course Description

Course Description Statuss:Approved

Course Description Version:2.00

Study Course Accepted:08.01.2024 09:15:57

Study Course Information
Course Code:		ZTMVK_078		LQF level:		Level 7
Credit Points:		2.00		ECTS:		3.00
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, tskrsu[pnkts]lv, +371 67455560
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		3	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		6
Classes (count)		11	Class Length (academic hours)		3	Total Contact Hours of Classes		33
Total Contact Hours								39
Study course description
Preliminary Knowledge:
Biology, microbiology, chemistry, biochemistry, anatomy, histology, embryology, dental anatomy, preventive dentistry, public health, periodontology, paediatric dentistry.
Objective:
1. To raise awareness of possibilities for public dental care, to create positive, professional attitude to promotion of general and oral health and to raise awareness of planning and development of different oral health promotion and education programmes for different age groups. 2. To develop skills and competences for assessing the risk of a patient's oral health and disease, practice evidence-based non-invasive and minimally invasive caries treatment and control techniques.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Xylitol preventive action on oral health.			Lectures		1.00	E-Studies platform
2	Oral health care for patients with special needs. Oral complications of cancer treatment (radiation treatment and chemotherapy).			Lectures		1.00	E-Studies platform
3	Most significant effects of smoking on the oral cavity. The role of a dental team in smoking cessation programmes. Five interventions (5A: Ask, Advise, Access, Assist, Arrange). Pharmacological interventions. Motivational interviewing.			Lectures		1.00	E-Studies platform
4	Xylitol preventive action on oral health: what is Xylitol? How does it work, recommended dosage? Evidence based Xylitol programmes in caries prevention in different age groups (in Finland, other countries).			Classes		1.00	E-Studies platform
5	Oral complications of cancer treatment (radiation treatment and chemotherapy). What the oral health team can do?			Classes		1.00	E-Studies platform
6	Most significant effects of smoking on the oral cavity. The role of a dental team in smoking cessation programmes. Five interventions (5A: Ask, Advise, Access, Assist, Arrange). Pharmacological interventions. Motivational interviewing.			Classes		1.00	E-Studies platform
7	Oral health promotion activities in Latvia and world-wide. International documents on caries (especially on early childhood) and periodontal diseases prevention and management. Oral health indicators. Oral health related quality of life.			Classes		1.00	E-Studies platform
8	Anamnesis and examination card, record of caries development stages, progression and activity, instructions for the patients.			Classes		1.00	clinical base
9	Diagnosis of caries in the clinic, risk assessment of caries and periodontal diseases, making a treatment plan (for at least one adult patient and one child).			Classes		2.00	clinical base
10	Presentation of the preventive and treatment plan to the patient, preventive and non-invasive caries treatment methods.			Classes		2.00	clinical base
11	Student patients` presentations.			Classes		2.00	clinical base
Assessment
Unaided Work:
1. Students prepare a review of the assigned readings to demonstrate their theoretical knowledge during seminars (preparing presentations). To draw up oral health promoting booklets or videos. 2. At the end of the study course to make evaluation of the course.
Assessment Criteria:
1st part -presentations during the study course, worked out booklets or videos on oral health promotion. 2nd part - 70% presentations of the clinical cases of two patients + 30% evaluation of the report (description of a theoretical clinical case). The overall mark consist of the first part of 50% and the second part of 50%. Written test at the end of the course.
Final Examination (Full-Time):		Test
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		1st part - Will include understanding of the evidence based principles of primary health care, common risk factor approach, systems for Oral healthcare in Latvia and abroad. Understanding of principles, approaches for oral health promotion and education, role of the dental team in oral and health promotion. Understanding the principles of new approaches in oral health promotion and wide use of new indicators of oral health. 2nd part - Will name the caries risk factors, indicators; will explain these terms. Will describe the caries risk assessment procedure. Will characterise and compare caries diagnostic methods. Will explain prevention and early treatment methods of oral diseases. Will classify and describe noninvasive and minimally invasive caries treatment methods.
Skills:		1st part - Upon completion of the course the students will be able to evaluate and use into their practical work the basic principles of health promotion and education. Will be able at first to understand and suggest preventive programmes and strategies opposite to treatment regimen in dentistry. Will be able to evaluate dental patients preventive needs – eating habits, dental hygiene skills, give smoking cessation advice, intervention (5A`s), educate dental patients how to prevent dental trauma and act in case of trauma. 2nd part - Will diagnose caries with different methods, by combining them and synthesising the results; will be able to diagnose, assessing the stages and activity of carious lesions. Will interview the patient and apply diagnostic methods to determine the risk factors for the disease. Will assess caries risk with different methods. Will differentiate caries, erosion, abrasion, atritium, abfraction, congenital and acquired dental hard tissue pathologies. Will develop prevention and treatment plan of caries and other oral diseases. Will communicate the findings of the examination and treatment plan with the patient. Will apply caries preventive, non-invasive and minimally invasive treatment methods.
Competencies:		1st part - Upon completion of the course the students will have ability to educate dental patients and to provide primary oral health care for population in different age groups, also with special needs. Will have ability to develop different oral health promotion programmes for different age groups. To evaluate experiences of other countries in oral health education and smoking cessation programmes. 2nd part - Will be able to independently assess the need for different caries diagnostic, detection, prevention and treatment methods, taking into consideration the needs of each patient; will be able to follow the scientific literature about new diagnostic and treatment tools and rational use of existing methods.
Bibliography
No.	Reference
Required Reading
1	Chestnutt I.G. Dental Public Health at a Glance., Wiley Blackwell, 1st Edition, 2016, 124 p.
2	Daly B., Watt R.G., Batchelor P. Treasure E. Essential Dental Public Health. 2nd Edition. Oxford University Press, 2013.
3	Felton A., Chapman A., Felton S. Basic Guide to Oral Health Education and Promotion. Wiley Blackwell, 2nd Edition, 2013, 300 p.
4	Mason J. Concepts in Dental Public Health. 2nd Edition. Philadelphia: Lippincott Williams & Wilkins, 2020.
5	Maldupa I, Sopule A, Uribe SE, Brinkmane A, Senakola E. Caries Prevalence and Severity for 12-Year-Old Children in Latvia. Int Dent J. 2021 Jun;71(3):214–23.
6	Fejerskov O, Nyvad B, Kidd E. Dental Caries: The Disease and its Clinical Management, 3rd Edition. Wiley-Blackwell, 2015.
7	Pitts N. “Detection, Assessment, Diagnosis and Monitoring of Caries”. Karger, 2009 (akceptējams izdevums)
Additional Reading
1	Mostofsky D.I., Fortune F. Behavioral Dentistry. Wiley Blackwell, 2nd Edition, 2014, 11-26, 237-250, 323-348.
2	The Oral Management of Oncology Patients Requiring Radiotherapy, Chemotherapy and / or Bone Marrow Transplantation. Clinical Guidelines UK, 2018.
3	Ross M Keat Jean-Christophe Fricain, Sylvain Catros, et.al. The Dentist’s Role in Smoking Cessation Management − A Literature Review and Recommendations: Part 2. Dent Update 2018; 45: 298–309. Part 1.Dent Update 2018; 45: 197–206.
4	Toolkit for oral health professionals to deliver brief tobacco intervention, WHO, 2017.
5	E.Senakola, I.Maldupa, S.Uribe, M.Ņizamovs. Mutes veselības pētījums skolēniem Latvijā 2015./2016. mācību gads. ISBN (pdf) 978-9934-514-36-4, 1-56.lpp.
6	Kā palīdzēt pacientiem atmest smēķēšanu : rokasgrāmata primārās un perinatālās aprūpes speciālistiem nikotīna atkarīgu pacientu diagnosticēšanai un īsās intervences sniegšanai pacientu smēķēšanas atmešanas veicināšanai.
7	Edwina A. M. Kidd. Essentials of Dental Caries: The Disease and its Management (Kidd, Essentials of Dental Caries). Oxford University Press, 2016.
8	Gimenez T, Piovesan C, Braga MM, Raggio DP, Deery C, Ricketts DN, et al. Visual Inspection for Caries Detection A Systematic Review and Meta-analysis. J Dent Res. 2015 Jul;94(7):895-904.
9	Senneby A, Mejàre I, Sahlin NE, Svensäter G, Rohlin M. Diagnostic accuracy of different caries risk assessment methods. A systematic review. J Dent. 2015 Dec;43(12):1385-93.
10	Simón-Soro A, Mira A. Solving the etiology of dental caries. Trends Microbiol. 2015 Feb;23(2):76-82.
Other Information Sources
1	Cochrane Library, Science Direct, SAGE, ProQuest, OVID, Willey online library, EBSCO, Dyna Med.
2	Oral Health - World Health Organization (WHO)
3	World Oral Health Day, FDI.
4	Egita Senakola un citi autori- Publikācijas Doctus
5	A.Brinkmane, E.Senakola. Lai zobiņi nebūtu jālabo narkozē. Žurnāls Veselība. Aprīlis, 2018., 20.- 27.lpp.
6	https://www.icdas.org/
7	https://www.mah.se/fakulteter-och-omraden/Odontologiska-fak…
8	http://www.ada.org/en/
9	http://www.cdafoundation.org/education/cambra