Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.2.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Evidence-Based Dentistry in Oral Health Care Systems

Main Study Course Information

Course Code
ZTMVK_078
Branch of Science
Clinical medicine; Dentistry
ECTS
3.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Anda Brinkmane
Structure Unit Manager
Anda Brinkmane
Structural Unit
Department of Conservative Dentistry and Oral Health
Contacts

Riga, 20 Dzirciema Street, tsk@rsu.lv, +371 67455560

About Study Course

Objective

1. To develop skills and competencies in assessing a patient's oral health status and disease risk, and to practise evidence-based caries management and control methods for patients at different risk groups 2. To raise awareness of possibilities for public dental care, to create a positive, professional attitude to the 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.

Preliminary Knowledge

Biology, microbiology, chemistry, biochemistry, anatomy, histology, embryology, dental anatomy, preventive dentistry, public health, periodontology, paediatric dentistry.

Learning Outcomes

Knowledge

1.1st part - Eliciting and assessing patients’ needs, preferences, and best interests for the management of caries and other dental hard tissue disorders. Be familiar with treatment options, including when to refer to specialist medical and dental care, for other, rarer disorders of dental hard tissues or medical illnesses causing dental hard tissue disorders. 2nd 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.

Skills

1.1st part - Eliciting and assessing patients’ needs, preferences and best interests for the management of caries. Synthesising all relevant findings from histories and examinations by combining and interpreting them in order to enable patient-centred and shared clinical decision-making. Making clinical decisions incorporating, when appropriate, findings from monitoring, review and reassessment of caries.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. 2nd part - 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.

Competences

1.1st part - Synthesising all relevant information by combining and interpreting findings from risk assessment and diagnostic processes; patients’ needs, preferences and best interests; and monitoring, review and re-assessment findings, when available. 2nd 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.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-
1. Presentations/reports of at least two clinical cases. 2. 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. 3. At the end of the study course to make evaluation of the course.

Examination

Title
% from total grade
Grade
1.

Examination
-
-
Essay type answers on theoretical questions from the study course parts I and II.
2.

Examination
-
-
Case presentations – each student pair should present 2 patient cases. The length of the presentation is 15 min, additional 15 min for discussion. The professor and colleagues are welcome to ask hypothetical questions on patient examination, as well as the methods of prevention and treatment of the early stages of caries. This presentation is 70% from final grade.
3.

Examination
-
-
1st part - Clinical case presentations assessed by rubric. 2nd part - presentations during the study course, worked out booklets or videos on oral health promotion. The overall mark consists of the first part of 50% and the second part of 50%.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Repeating caries control strategies at individual and population level.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Admission of patients at risk - history taking, comprehensive examination, complex treatment plan including referral to specialists if necessary, non-invasive and minimally invasive manipulation for caries treatment, behaviour modification and/or recommendations to the patient/carer depending on the condition, ensuring long-term caries management.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Admission of patients at risk - history taking, comprehensive examination, complex treatment plan including referral to specialists if necessary, non-invasive and minimally invasive manipulation for caries treatment, behaviour modification and/or recommendations to the patient/carer depending on the condition, ensuring long-term caries management.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Admission of patients at risk - history taking, comprehensive examination, complex treatment plan including referral to specialists if necessary, non-invasive and minimally invasive manipulation for caries treatment, behaviour modification and/or recommendations to the patient/carer depending on the condition, ensuring long-term caries management.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Admission of patients at risk - history taking, comprehensive examination, complex treatment plan including referral to specialists if necessary, non-invasive and minimally invasive manipulation for caries treatment, behaviour modification and/or recommendations to the patient/carer depending on the condition, ensuring long-term caries management.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Admission of patients at risk - history taking, comprehensive examination, complex treatment plan including referral to specialists if necessary, non-invasive and minimally invasive manipulation for caries treatment, behaviour modification and/or recommendations to the patient/carer depending on the condition, ensuring long-term caries management.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Student patients` presentations.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Xylitol preventive action on oral health.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Oral health care for patients with special needs. Oral complications of cancer treatment (radiation treatment and chemotherapy).

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

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.

  1. Class/Seminar

Modality
Location
Contact hours
Off site
E-Studies platform
3

Topics

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.

  1. Class/Seminar

Modality
Location
Contact hours
Off site
E-Studies platform
3

Topics

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).

  1. Class/Seminar

Modality
Location
Contact hours
Off site
E-Studies platform
3

Topics

Oral complications of cancer treatment (radiation treatment and chemotherapy). What the oral health team can do?

  1. Class/Seminar

Modality
Location
Contact hours
Off site
E-Studies platform
3

Topics

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.
Total ECTS (Creditpoints):
3.00
Contact hours:
39 Academic Hours
Final Examination:
Exam (Oral)

Bibliography

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.

ICDAS

7.

Länken behöver uppdateras

8.

ADA