Veidlapa Nr. M-3 (8)
Study Course Description

Clinical Placement

Main Study Course Information

Course Code
ZHAS_016
Branch of Science
Clinical medicine; Dentistry
ECTS
12.00
Target Audience
Dentistry
LQF
Level 5
Study Type And Form
Full-Time

Study Course Implementer

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

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

About Study Course

Objective

Enhance the level of students' knowledge, skills and competence in the prevention of oral diseases, clinical examinations, looking at the patient as a whole and performing the necessary treatment in accordance with their level of competence in Pediatric dentistry and Adult dentistry.

Preliminary Knowledge

Prevention of dental diseases, radiology, periodontology, public health care in dentistry, oral health promotion and education, oral pathology, contact with a patient in pediatric dentistry, therapeutic dentistry, dental prosthetics, orthodontics, pediatric dentistry, dental anatomy.

Learning Outcomes

Knowledge

1.Students define the examination of the oral cavity and the diagnosis of diseases; documents and describes the patient's medical history; presents a treatment plan; identifies recommendations in the prevention of oral diseases; explains infection control standards; recognizes the norms of professional ethics.

Skills

1.The student obtains and documents the patient's medical history, paying attention to medication use, bad habits, oral care habits; respects the confidentiality of data protection; perform an examination of the neck lymph nodes, temporomandibular joints; perform a full periodontal examination; performs index calculation; documents and evaluates the obtained results; explains and demonstrates the treatment plan; provides recommendations in the prevention of oral diseases; performs polishing of dental crowns, laying of sealants, application of various fluoride applications; perform supragingival and subgingival (up to 5 mm in pockets) instrumentation using specialized instruments; carries out disinfection, sterilization control; follow the use of infection control barriers.

Competences

1.Students are able to independently collect anamnesis, evaluate, calculate, reasonedly interpret and analyze the available information; able to explain and offer advanced oral prevention and treatment solutions to the patient; able to remove plaque and tartar using various tools; able to provide infection and sterilization control.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Practice book, presentation of work done in practice, assessment from the practice supervisor. During the 1st semester the following subjects should be studied: history of lymph nodes, examination of the lymph nodes, examination of the tempo-mandibular joint, various hygiene indices, caries spread and intensity indices. During the 2nd semester you have to master the following: structure and functions of periodontal indexes, periodontal condition evaluation indexes, bleeding indices and technique and application of lanterns. In the 3rd and 4th semesters - report on each patient (accepted in practical classes), showing the work done, self-assessment of the work done, recommendations for the patient, to present the patient to the lecturer. Reports presentation and a report on the work done. Specific recommendations for every patient. Practice evaluation from the head of the clinic. Report about every patient in practical lessons, where they write work done, self-esteem and recommendations. Submission of the summer internship report, completed according to the regulations. Fill in the course evaluation questionnaire.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
The compulsory participation of students in practical classes is assessed in all semesters, following the rules of Clinical (practical) classes. During the 1st and 2nd semester 2 tests and 2colloquia on the topics of the lessons. Passed if given 80% correct answers. At the end of the semester, an test that includes a written and practical test of what has been learned during the semester. During the 3rd and 4th semesters work with the patient in the clinic, where the following aspects are evaluated: • outward appearance (special clothing, footwear, hair arrangement, nail length, jewelry); • organization of workplace (choice of materials and tools, quantity), observation of infection control; • communication with patient (listening skills, information and motivation); • collection of medical history; • indexing, probing skills; • diagnosis and removal of tartar; • teeth polishing, flossing and selection of application. Acquired knowledge in Dental disease courses: • Dental disease prevention, radiology, periodontics, dental public health, oral health promotion and education, oral pathology, communication with the patient children's dentistry, therapeutic dentistry, prosthetic dentistry, orthodontics, dental anatomy. In the 3rd semester, evaluation of the summer internship report, in which presentation, content, invested work, attitude towards the task are evaluated.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Rules of clinical practice. Duties and responsibilities of students. Dental office equipment. Guidelines for infection control.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Health and oral health history collection. Dental patient's card filling.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient examination. Diagnostics.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Inspection of tempomandibular joint. Lymph node examination.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dental signs in international two-digit system (milk and permanent bite).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Filling in a clinical card.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Control test.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Assessment of oral health with different kind of indexes.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Decay-missing-filled teeth among populations prevalence and intensity index. Hygiene index. Plaque index.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Silness-Löe plaque index. The Greene–Vermillion index.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Basic principles of dental polishing.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Test
Total ECTS (Creditpoints):
3.00
Contact hours:
36 Academic Hours
Final Examination:
Test (Semester)
Part 2
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Periodontal structure and function.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Measures, which are taken with a periodontal probe. Attached gingiva. Bifurcation probing.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Measure of recession. Measure of clinical attached level loss.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Periodontal condition evaluation index. Bleeding index.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Diagnostic the mobility of teeth. Papillary Bleeding Index.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Basic principles of probing. Probing depth.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

BPE (Basic Periodontal Examination)
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

BPE (Basic Periodontal Examination)
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Sealant. Practical work with sealants (phantoms).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Leying of sealants.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Leying of sealants.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Test
Total ECTS (Creditpoints):
3.00
Contact hours:
36 Academic Hours
Final Examination:
Test (Semester)
Part 3
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Placement planning and student responsibilities in a clinic. Infection control and adherence to the clinic. (Instrument disinfection and sterilization, disinfection of equipment).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with a patient. To examine and evaluate medical, dental and social history of patient (anamnesis).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with the patient. To prepare prophylaxis of oral illnesses and clinical (periodontological) treatment plan individually for each patient.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with the patient. Sub and supra gingival scaling with Gracey curettes and sickle.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with the patient. Sub and supra gingival scaling with Gracey curettes and sickle.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with the patient. Gingival pocket medical treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Practical use of ultrasonic scaler in clinic. Indications and contrinications.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Practical use of ultrasonic scaler in clinic. Indications and contrinications.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with the patient. Patient education. Choosing appripriate mouth care products for patients.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Test
Total ECTS (Creditpoints):
3.00
Contact hours:
40 Academic Hours
Final Examination:
Test (Semester)
Part 4
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with patients. Powder spray practical use. Use of different kind of powders.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with the patient. Teeth polishing with different kind of pastes. Polishing cups and different brushes.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with the patient. Teeth polishing with different kind of pastes. Polishing cups and different brushes.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Usage of fluorides. Fluoride varnish, gels, foams, tooth mousse.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Usage of fluorides. Fluoride varnish, gels, foams, tooth mousse.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with patients. Premedication.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Professional hygiene with patients who have orthodontic appliance. Patient education. The principles of nursing of orthodontic appliance.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Dental services for patients with special needs.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Work with patients. Instrument sharpening.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

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

Bibliography

Required Reading

1.

Alex J. Moule, and M. Lamar Hicks, John Wiley & Sons. Incorporated, Diagnosing Dental and Orofacial Pain. 2016. 1st edition.

2.

E-studijās pieejamie nodarbību materiāli, metodiskie materiāli.

3.

Moharamzadeh, Keyvan. Diseases and Conditions in Dentistry : An Evidence-Based Reference, John Wiley & Sons, Incorporated, 2018.

4.

Niklaus P. Lang, et al., John Wiley & Sons. Clinical Periodontology and Implant Dentistry. Incorporated, 2015

5.

Newman and Carranza's Clinical Periodontology. 13th edition, 2019

6.

Pankhurst, Caroline L., and Wilson A. Coulter. Basic Guide to Infection Prevention and Control in Dentistry. John Wiley & Sons, Incorporated, 2017. ProQuest Ebook Central

7.

Rainer, Buchmann. Economic Periodontal and Implant Dentistry. Bentham Science Publishers, 2016. ProQuest Ebook Central

8.

Stuart L. Segelnick. Clinical Cases in Dental Hygiene. John Wiley & Sons, Incorporated, 2019. ProQuest Ebook Central

Additional Reading

1.

American, Dental Association, American Dental. Managing the Dental Team: Guidelines for Practice Success : Best Practices, American Dental Association, 2016.

2.

Deborah A. Termeie. Avoiding and Treating Dental Complications : Best Practices in Dentistry. 2016. ProQuest Ebook Central

3.

Jill S. Gehrig; Daniel E. Shin; Donald E. Willmann. Foundations of Periodontics for the Dental Hygienist. 2020. 5th edition.

4.

Nadeem Karimbux, and Hans Peter Weber. Clinical Cases in Implant Dentistry. 2017.

5.

Nisha Garg, and Amit Garg. Textbook of Operative Dentistry. 2015 3rd edition.

6.

Norādījumi periodonta un periimplanta audu slimību jaunās klasifikācijas pielietošanai klīniskajā praksē. 2021.

7.

George, Marie D., et al. Ultrasonic Periodontal Debridement. Theory and Technique, John Wiley & Sons, Incorporated, 2014.

8.

Jane A. Soxman, and Jane A Soxman. Handbook of Clinical Techniques in Pediatric Dentistry. John Wiley & Sons, Incorporated, 2015. ProQuest Ebook Central, Chapter 9 Sealants pp 77-82

9.

Wingrove, Susan S. Peri-Implant Therapy for the Dental Hygienist : Clinical Guide to Maintenance and Disease Complications. 2013, 1st edition. ( Akceptējams izdevums)

Other Information Sources

1.

Cochrane Library, Science Direct, SAGE, ProQuest, OVID, Wiley online library, EBSCO, Dyna Med.

2.

If saliva were red. Video.

3.

Prophylaxis Tips with the Ultrasonic.

4.

Zobu pulēšana. Video.