Veidlapa Nr. M-3 (8)
Study Course Description
Prevention of Dental Diseases
Course Code
RBZ_025
Branch of Science
Clinical medicine; Dentistry
ECTS
6.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ilona Viduskalne
Residency Speciality
Speciality
Pediatric dentist
Supervisor of Medical Speciality
Ilona Viduskalne
Contacts
-
About Study Course
Objective
Provide postgraduates with knowledge, develop their skills and competence in order to enable them to provide a patient-specific approach in the treatment of oral diseases, assessing risk and etiological factors of dental caries and periodontal diseases; to establish and provide a patient-specific treatment plan.
Learning Outcomes
Knowledge
1.Etiological and risk factors of dental caries, their indicators will be identified, relevant terms will be explained. A caries risk assessment process will be described. Caries diagnostic methods will be described and compared. Caries treatment methods will be classified and described.
Skills
1.Caries will be diagnosed with different methods, combining them with each other and synthesizing the obtained results; will be able to make a diagnosis by evaluating different stages of caries development and activity. The patient will be surveyed and auxiliary diagnostic methods will be used (saliva tests, plaque assessment, gum health examination, dental hard tissue pathology assessment) in order to find out the risk factors for diseases. The risk of caries and periodontal disease will be determined by various methods. Caries and other dental hard tissue pathologies will be differentiated. An appropriate and individualized caries treatment plan will be drawn up, including non-invasive, minimally invasive and invasive caries treatment methods. Will communicate the obtained results of the investigation and the course of treatment with the patient CLINICAL SKILLS: Diagnostics of caries by visual method, X-ray, with fiberoptic transillumination and laser fluorescence method. Performing and analyzing saliva tests. Determination of caries risk by different methods. Creation of an individualized treatment plan
Competences
1.Postgraduates will be able to assess the necessity of application of different dental caries treatment methods in a patient-specific manner; they will be able to follow up the scientific information on the current use of caries curative agents and rational use of existing methods.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Provide diagnostics, a risk assessment and a treatment plan of dental caries in three patients.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Activity and participation in practical lessons – 50%.
Accuracy of the answers and precision in the testing – 50%.
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Auditorium
|
Topics
|
Etiology of caries and periodontal diseases, caries diagnosis and risk assessment.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Auditorium
|
Topics
|
Caries treatment methods – non-invasive, minimally invasive and decision-making when choosing invasive methods.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Auditorium
|
Topics
|
Non-invasive caries treatment methods.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Decision making in operative dentistry.
|
Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
4
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Fejerskov O, Nyvad B, Kidd E. Dental Caries: The Disease and its Clinical Management, 3rd Edition. Wiley-Blackwell, 2015.
2.
Goldberg M. Understanding Dental Caries – from Pathogenesis to Prevention and Therapy. Springer, 2016.
3.
Sheiham A, James WP. Diet and Dental Caries: The Pivotal Role of Free Sugars Reemphasized. J Dent Res. 2015 Oct;94(10):1341-7.
4.
Simón-Soro A, Mira A. Solving the etiology of dental caries. Trends Microbiol. 2015 Feb;23(2):76-82
5.
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.
6.
Guerrieri A, Gaucher C, Bonte E, Lasfargues JJ. Minimal intervention dentistry: part 4. Detection and diagnosis of initial caries lesions. BDJ 2012;213(11):551–7.
7.
Schwendicke F, Tzschoppe M, Paris S. Radiographic caries detection: A systematic review and meta-analysis. J Dent. 2015 Aug;43(8):924-33.
8.
Ahovuo-Saloranta, A., Forss, H., et.al. 2013. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev 3 (read p27-30).
9.
Ammari MM, Soviero VM, et.al. Is non-cavitated proximal lesion sealing an effective method for caries control in primary and permanent teeth? A systematic review and meta-analysis. J Dent. 2014 Oct;42(10):1217-27.
10.
Banerjee A. Minimal intervention dentistry: part 7. Minimally invasive operative caries management: rationale and techniques. Br Dent J. 2013 Feb;214(3):107-11.
Additional Reading
1.
Silva N, Abusleme L, Bravo D, Dutzan N, et.al. Host response mechanisms in periodontal diseases. J Appl Oral Sci. 2015 May-Jun;23(3):329-55.
2.
Corbet E, Smales R. Oral diagnosis and treatment planning: part 6. Preventive and treatment planning for periodontal disease. Br Dent J. 2012 Sep;213(6):277-84.
3.
Moynihan P. Sugars and Dental Caries: Evidence for Setting a Recommended Threshold for Intake. Adv Nutr. 2016 Jan 15;7(1):149-56.
4.
Marshall TA. Preventing dental caries associated with sugar-sweetened beverages. J Am Dent Assoc. 2013;144(10):1148-52.
5.
Sheiham A, James WP. A new understanding of the relationship between sugars, dental caries and fluoride use: implications for limits on sugars consumption. Public Health Nutr. 2014 Oct;17(10):2176-84.
6.
Dodds M, Roland S, Edgar M, Thornhill M. Saliva. A review of its role in maintaining oral health and preventing dental disease. BDJ Team. 2015:11-13.
7.
Mejàre I, Axelsson S, Dahlén G, et.al. Caries risk assessment. A systematic review. Acta Odontol Scand. 2014 Feb;72(2):81–91.
8.
Tellez M, Wolff MS. The Public Health Reach of High Fluoride Vehicles: Examples of Innovative Approaches. Caries Res. 2016;50 Suppl 1:61-7.
9.
Twetman S. Caries risk assessment in children: how accurate are we? Eur Arch Paediatr Dent. 2016 Feb;17(1):27-32.
10.
American Academy of Pediatric Dentistry (AAPD). Guideline on caries-risk assessment and management for infants, children and adolescents. Chicago (IL): American Academy of Pediatric Dentistry (AAPD); 2011. 8 p.
11.
Ramos-Gomez, F., Ng, M.-W., 2011. Into the future: keeping healthy teeth caries free: pediatric CAMBRA protocols. Journal of the California Dental Association 39, 723.
12.
Hausen H. Caries prediction - state of the art. Community Dent Oral Epidemiol. 1997 Feb;25(1):87-96.
13.
Kariesa diagnostika:
14.
Kariesa ārstēšana:
15.
Wong MC, Clarkson J, Glenny AM, et.al. Cochrane reviews on the benefits/risks of fluoride toothpastes. J Dent Res. 2011 May;90(5):573-9.
16.
SBU. Caries – Diagnosis, risk assessment and non-invasive treatment. Stockholm: Swedish Council on Health Technology Assessment in Health Care (SBU); 2007. SBU report no 188.
17.
Featherstone JD, Doméjean S. Minimal intervention dentistry: part 1. From 'compulsive' restorative dentistry to rational therapeutic strategies. Br Dent J. 2012 Nov;213(9):441-5.
18.
Kidd, E.A.M. 2010. Clinical Threshold for Carious Tissue Removal. Dental Clinics of North America 54, 541–549.
19.
Sbaraini A, Carter SM, Evans RW, Blinkhorn A. How do dentists and their teams incorporate evidence about preventive care? An empirical study. Community Dent Oral Epidemiol. 2013 Jan 28.
20.
Thylstrup, A. 1989. Guest Editorial: Mechanical vs. Disease-oriented Treatment of Dental Caries: Educational Aspects. Journal of Dental Research 68, 1135–1135.