Veidlapa Nr. M-3 (8)
Study Course Description
Prevention of Dental Diseases
Course Code
ZTMVK_080
Branch of Science
Clinical medicine; Dentistry
ECTS
6.00
Target Audience
Dentistry
LQF
Level 5
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Solvita Dunkure
Structure Unit Manager
Anda Brinkmane
Structural Unit
Department of Conservative Dentistry and Oral Health
Contacts
Riga, 20 Dzirciema Street, zhs@rsu.lv, +371 67455560
About Study 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 .
Preliminary Knowledge
Biology, chemistry, microbiology, dental anatomy, operative dentistry course.
Learning Outcomes
Knowledge
1.On completion of the course, students will know : • Interpretation of examination results in planning the treatment of oral cavity and dental diseases. • methods of recording caries and other diseases, using different indices, thus diagnosing diseases in different stages of their development for different age groups, • the role of saliva in maintaining oral health, demineralization and remineralization, • the role and methodology of caries risk determination at the individual and population level, • types of sealants and their laying technique, • fluoride guidelines, • drawing up a nutrition card, • karyograms, • principles of evidence-based dentistry, their application at the individual, group and population level.
Skills
1.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.
Competences
1.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.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Independently prepare for each lesson and tests, using the training materials available in e-studies on specific topics by listening to video-lectures (5-6 hours) and preparing for tests. Individual and work in groups in the preparation of presentations. Drawing up a nutrition card. Preparation of letters to patients. Completing the course evaluation questionnaire at the end of each semester.
|
||
|
2.
Market analysis of oral care products |
10.00% from total grade
|
10 points
|
In the tables, you described the composition of the agents, the active/therapeutic substances. The properties of these substances need to be known and what specific functions the substances provide. Be prepared to answer questions from lecturers and course members in connection with your research. Duration of one presentation 10-12 minutes. In addition, print a table with postal and asset descriptions and hand over to lecturers on the day of the defence. |
||
|
3.
Situation analysis, recommended oral care products. |
10.00% from total grade
|
10 points
|
|
Analysis of situations, recommendations. 33.33% of the assessment of the 3rd and 4th semesters. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Active participation in practical classes, no delays. Preparing presentations on the assigned topic.
In the 1st semester 4 tests and in the 2nd semester 5 tests on the topics studied in the lessons. Passed if 55% correct answers are given. Automatic semester test, if all tests are written, giving 75% correct answers. Finally, the final test. The final score counts against 55% correct answers.
The 3rd and 4th semesters submitted – "Compilation and characteristics of the latest oral care products" and drawing up and analysing the "Nutrition" card. A completed examination card of the patient with the caries risk assessment and an informative letter to the patient. In the 4th semester, the final exam/test on what has been learned in the lessons. The test passed if 55% correct answers are given. The final grade of the study course is formed from the assessment of each semester - 1st semester 20%, 2nd semester 20%, 3rd semester 20% and 4th semester exam score is 40% of the final assessment. The assessment is converted into balls in accordance with the RSU Study Regulations. The final assessment is taken into account at the assessment of the State Examination.
|
||
|
2.
Sugar |
10.00% from total grade
|
10 points
|
|
Test: Role of nutrition in preventing oral disease. Test and essay response variants. The test is based on E-study materials. Video: “The role of nutrition in preventing oral disease.” |
||
|
3.
Microbiome |
10.00% from total grade
|
10 points
|
|
Test : Role of microbiome in the prevention of oral diseases and plaque theories. Test and essay response variants. The test is based on E-study materials. Video: “The role of biofilm in oral health and disease development.” |
||
|
4.
Demineralisation and remineralisation |
10.00% from total grade
|
10 points
|
|
Test : Role of saliva in maintaining oral health. Test and essay response variants. The test is based on E-study materials. Videolink: “The role of saliva in preserving oral health.” |
||
|
5.
Toothbrushing techniques. Evidence-based dentistry. |
10.00% from total grade
|
10 points
|
|
Test on dental cleaning techniques and evidence-based dentistry. Test and essay response variants. The test is based on E-study materials. Video: “evidence-based dentistry” and “dental cleaning techniques”. |
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Computer room
|
3
|
Topics
|
Introduction to prevention. General recommendations for patients.Principles of evidence-based dentistry.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Computer room
|
3
|
Topics
|
The role of nutrition in the development and prevention of diseases.Making a menu, estimating the amount of sugar.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Computer room
|
3
|
Topics
|
Mechanisms of demineralisation and reminalisation. The role of saliva in restoring oral health.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Computer room
|
3
|
Topics
|
The role of biofilm in the development and prevention of diseases. Plaque theories. Tooth brushing techniques.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Computer room
|
3
|
Topics
|
Introduction to caries diagnostics. Caries risk assessment.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
15 Academic Hours
Final Examination:
Test (Semester)
Part 2
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Toothpastes, their classification. Mechanisms of action of active substances.Comparison of different toothpastes, evaluation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Fluoride activity and application in caries treatment. Professional fluorides and public health fluoridation methods.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Classification of fluorides. Fluoride guidelines. Local fluoride agents for home use.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Sealants. Sequence of manipulation. Sealants' indications, contraindications.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Caries diagnostics. ICDAS.Caries diagnosis on extracted teeth, tooth cross sections.Principles of minimally invasive dentistry. Exam.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
15 Academic Hours
Final Examination:
Test (Semester)
Part 3
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Toothpastes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Toothpastes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Choice of toothpaste and teeth cleaning products. Individual recommendations for the patient.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Choice of toothpaste and teeth cleaning products. Individual recommendations for the patient.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
3
|
Topics
|
Tooth erosions and abrasions.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
15 Academic Hours
Final Examination:
Test (Semester)
Part 4
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Cariogramm. Caries risk assesment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Presentation of practical work "Toothpastes".
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Student written work "Clinical Case Analysis".
Recommendations for individual nutrition, dentifrices and toothpaste for patients. Preparation of a prevention and treatment plan.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Nutrition. The role of dietary correction in the prevention of dental diseases. Nutrition card analysis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Prevention of dental diseases with patients of different age groups.
Prevention of dental diseases for pregnant women and people with chronic diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Exam.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
18 Academic Hours
Final Examination:
Exam (Written)
Bibliography
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.
Video lekciju materiāli un metodiskie materiāli e studijās.
12.
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