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

Dental Public Health

Main Study Course Information

Course Code
VZK_002
Branch of Science
Clinical medicine; Dentistry
ECTS
6.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of general dentistry
Contacts

Rīga, Dzirciema iela 20, tsk@rsu.lv, +371 67455560

About Study Course

Objective

Raising practical awareness of the potential of public health care in dentistry by developing a positive professional attitude towards promoting and educating about health and oral health, understanding to plan and develop educational materials and programmes in dentistry for different age groups of the population. Practical implementation of the oral health promotion project.

Preliminary Knowledge

Biology, microbiology, chemistry, biochemistry, anatomy, histology, embryology, dental anatomy, cariology basics, cariology, periodontology, preventive dentistry.

Learning Outcomes

Knowledge

1.Includes understanding of principles of evidence-based primary healthcare, common risk factor approach, principles and models of oral healthcare organisation in Latvia and abroad. Understanding the principles and approaches for promoting oral health - education, the role of the dental team in promoting and educating health. Understand new approaches to promoting oral health and the need for oral health indicators.

Individual work and tests

Work with scientific literature.

Skills

1.Upon completion of the course, the student will be able to assess and apply basic principles of oral health promotion and education in practice. Will be able to follow preventive approaches and strategies first in their clinical work, as opposed to the treatment regimen in dentistry. Will be able to assess the preventive needs of an individual – the patient’s eating habits, hygiene skills, recommend a short-intervention smoking cessation model (model 5A), educate patients how to prevent and take action on dental injuries.

Individual work and tests

Average mark for all seminar presentation ratings.

Competences

1.Upon completion of the course, the student will be able to educate dental patients and provide primary oral health care to residents of different ages, including with special needs. Will be able to participate in the development of various oral health-promoting, educational programmes in different age groups, as well as to implement them. Evaluate the experience of different countries in the implementation of oral health education and smoking cessation programmes, as well as in preventing dental injuries.

Individual work and tests

Final report, presentation of the oral health promotion, educational project.

Assessment

Individual work

Title
% from total grade
Grade
1.

Work with scientific literature.

-
-

Selection, analysis, compilation and preparation of scientific literature material in accordance with a specific theme in seminars and a selected theme in the oral health promotion project. Personal work in preparing presentations.

At the end of the course, students fill out a course assessment questionnaire.

Examination

Title
% from total grade
Grade
1.

Average mark for all seminar presentation ratings.

50.00% from total grade
10 points

Active participation in workshops, seminars, quality of oral responses and quality assessment of independent work - presentations.

2.

Final report, presentation of the oral health promotion, educational project.

50.00% from total grade
10 points

A student shall be admitted to an examination if the following conditions are met:

- successful evaluations in seminars/workshops,

- successful evaluation at the beginning of the project in the presentation.

The final assessment consists of several parts:

1. The grounds for the scientific literature of the project and a description of the implementation,

2. Presentation quality.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Dental care models in Europe and Latvia. Educational programs for promoting oral health.
Description

Dental care models in Europe and Latvia. Global educational programmes to promote oral health. Example of good practice ’’ Childsmile ’’ - in Scotland, examples in Latvia.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Historical aspects of introduction to public health care. Primary oral health care.
Description

Ottawa Charter. Common strategies recommended for the prevention of many chronic conditions and also for the prevention of oral diseases (common risk factors approach). The concept of upstream and downstream.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Model of training of dental hygienists in the world and Latvia.
Description

Historical aspects of dental hygienist training models in the world and Latvia. Future developments. A prevention lesson in a dental hygienist’s office.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Effects of tobacco and new nicotine products on oral health. The role of the dental team in not initiating and quitting smoking.
Description

Effects of tobacco products (smoke, smoke-free, cartilage) and new types of nicotine products (electronic smoking devices, nicotine pads) on oral health. Epidemiological data. Passive smoking, smoking and women’s health. What should be known about the impact of nicotine-containing products on the health of children and young people. The role of the dental team in quitting smoking. Five-step model (ask! advise! assess! assist! arrange!). Use of pharmacological therapy. Motivational interviewing.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Prevention of dental injuries. Informing the public about opportunities to prevent dental injuries, guidelines for preventive activities.
Description

Epidemiological indicators and etiology of dental injuries. First aid for a tooth crown fracture and at a completely avulsed tooth/ teeth. Informing the public about opportunities to prevent dental injuries, guidelines for preventive activities. Video.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

1. Oral health promotion target groups: pregnant women, parents of children under 11 (0-3, 4-6, 7-11), adolescents and young people (including those in orthodontic care).
Description

Oral hygiene and dietary advice for pregnant women. Information on oral health care of newborns. In-depth analysis of oral health of children, adolescents and young people: developing age-appropriate oral hygiene habits (junior, preschool and school age). Relationship between learning abilities and oral health. Prevention of dental fears – tactics and applications. Oral health promotion for orthodontic patients.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Promoting oral health for people with disabilities and autism spectrum disorders.
Description

Categories of special needs of patients and their effects on oral health. Detailed communication with patients with special needs and their caregivers and the specificities of autism spectrum disorders and the adaptation of dental care to this patient population. The more common oral health problems these patients face and effective strategies to address them.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Promotion of oral health of seniors and special features of dental care.
Description

Aspects of seniors’ oral health. Physiological and abnormal changes in the oral cavity as they age, the most common oral diseases (caries development, periodontal diseases, dry mouth syndrome, use of prostheses). Paying particular attention to the effects of systemic diseases and medicines on oral health, the importance of prosthetics and the specificities of its care, and preventive measures to maintain seniors’ oral health, including those with cognitive impairment.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Dental care models in Europe and Latvia. Educational programs for promoting oral health.
Description

Dental care models in Europe and Latvia. Global educational programmes to promote oral health. Example of good practice ’’ Childsmile ’’ - in Scotland, examples in Latvia.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Effects of tobacco and new nicotine products on oral health. The role of the dental team in not initiating and quitting smoking.
Description

Effects of tobacco products (smoke, smoke-free, cartilage) and new types of nicotine products (electronic smoking devices, nicotine pads) on oral health. Epidemiological data. Passive smoking, smoking and women’s health. What should be known about the impact of nicotine-containing products on the health of children and young people. The role of the dental team in quitting smoking. Five-step model (ask! advise! assess! assist! arrange!). Use of pharmacological therapy. Motivational interviewing.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Prevention of dental injuries. Informing the public about opportunities to prevent dental injuries, guidelines for preventive activities.
Description

Epidemiological indicators and etiology of dental injuries. First aid for a tooth crown fracture and at a completely avulsed tooth/ teeth. Informing the public about opportunities to prevent dental injuries, guidelines for preventive activities. Video.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

1. Oral health promotion target groups: pregnant women, parents of children under 11 (0-3, 4-6, 7-11), adolescents and young people (including those in orthodontic care).
Description

Oral hygiene and dietary advice for pregnant women. Information on oral health care of newborns. In-depth analysis of oral health of children, adolescents and young people: developing age-appropriate oral hygiene habits (junior, preschool and school age). Relationship between learning abilities and oral health. Prevention of dental fears – tactics and applications. Oral health promotion for orthodontic patients.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Promoting oral health for people with disabilities and autism spectrum disorders.
Description

Categories of special needs of patients and their effects on oral health. Detailed communication with patients with special needs and their caregivers and the specificities of autism spectrum disorders and the adaptation of dental care to this patient population. The more common oral health problems these patients face and effective strategies to address them.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Promotion of oral health of seniors and special features of dental care.
Description

Aspects of seniors’ oral health. Physiological and abnormal changes in the oral cavity as they age, the most common oral diseases (caries development, periodontal diseases, dry mouth syndrome, use of prostheses). Paying particular attention to the effects of systemic diseases and medicines on oral health, the importance of prosthetics and the specificities of its care, and preventive measures to maintain seniors’ oral health, including those with cognitive impairment.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Development of oral health-promoting, educational projects. Recommended topics and specific characteristics. Justification for the topic selected by students.
Description

Recommended topics:

  1. Practical educational classes in oral health promotion:
  • PII, primary schools or schools for children under the age of 11.
  • For teenagers and young people.
  • Pregnant women and new parents.
  • For seniors.
  • Patients with special needs (including autistic patients).
  • In patients with chronic diseases.
  1. Development of educational materials (leaflets, infographics, videos, ….) justification of text with specific references of scientific literature.
  2. Implementation of a programme to stop the use of tobacco or nicotine-containing products in particular patients. Five-step model or short suggestion model.
  3. A campaign to prevent dental injuries.
  4. Student proposals are also possible.
Total ECTS (Creditpoints):
3.00
Contact hours:
37 Academic Hours
Final Examination:
Test (Semester)
Part 2
  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Classification of sweeteners. Xylitol’s role in promoting oral health. Ultra processed food.
Description

Natural and artificial sugar substitutes. Origin and mechanism of action of xylitol, application in various preventive products in dentistry. Ultraprocessed food. NOVA classification.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Complications in the mouth relating to the treatment of cancer (radiation and chemotherapy). What can a dental team do to maintain good oral health?
Description

Epidemiological indicators of oral cancer in Latvia, the world. Aetiology (risk factors). Prevention measures, including clinical approach (routine patient screening programme). Evaluate the information available in Latvia for patients (to whom cancer treatment is applied) in order to maintain good oral health. Evaluate the range of preventative and therapeutic products available in different counties. which are applied to maintaining oral health in patients during cancer treatment radiation therapy in the facial/maxillofacial and throat region and during chemotherapy treatment.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Oral Health future strategies 2023-2030 - World Health Organization (WHO) guidelines.
Description

The strategies for the future of oral Health 2023-2030, according to World Health Organization (who) guidelines, focus on prevention, self-care and modern technologies. The main directions include public education, reducing risk factors (sugar consumption, smoking), an integrated approach to overall health and the introduction of innovative, ecological solutions - Sustainability in Dentistry.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Patients with autism spectrum disorders - basic principles of care in dentistry.
Description

The difference between autism spectrum disorder syndromes, which are able to better present the fact of how specific different manifestations of these disorder can be. The main manifestations of autism spectrum disorders are verbal and behavioural peculiarities, sensory peculiarities and social contact difficulties and how to address them.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Health literacy and oral health literacy.
Description

The main areas of health and oral health literacy.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Sustainability in dentistry.
Description

Sustainability in dentistry - multifaceted, systematic approach to reduce the sector’s carbon footprint, waste, and environmental impact. Key strategies include implementing preventive care to reduce treatment need, optimizing waste management, reducing energy/water consumption, and adopting greener materials. Collaboration among dental clinicians, suppliers, and policymakers.

  1. Lecture

Modality
Location
Contact hours
Off site
Online
2

Topics

Behavioural change theories. Behavioural changes in paediatric dentistry.
Description

Behavioural changes in dentistry, especially in children, include fear, resistance or anxiety, which makes treatment difficult. Strategies include positive reinforcement, the “say-show-do” method, ease communication and visuals to relieve stress. The objective is to promote positive experiences and long-term oral health.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Classification of sweeteners. Xylitol’s role in promoting oral health. Ultra processed food.
Description

Natural and artificial sugar substitutes. Origin and mechanism of action of xylitol, application in various preventive products in dentistry. Ultraprocessed food. NOVA classification.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Complications in the mouth relating to the treatment of cancer (radiation and chemotherapy). What can a dental team do to maintain good oral health?
Description

Epidemiological indicators of oral cancer in Latvia, the world. Aetiology (risk factors). Prevention measures, including clinical approach (routine patient screening programme). Evaluate the information available in Latvia for patients (to whom cancer treatment is applied) in order to maintain good oral health. Evaluate the range of preventative and therapeutic products available in different counties. which are applied to maintaining oral health in patients during cancer treatment radiation therapy in the facial/maxillofacial and throat region and during chemotherapy treatment.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Patients with autism spectrum disorders - basic principles of care in dentistry.
Description

The difference between autism spectrum disorder syndromes, which are able to better present the fact of how specific different manifestations of these disorder can be. The main manifestations of autism spectrum disorders are verbal and behavioural peculiarities, sensory peculiarities and social contact difficulties and how to address them.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Conducting of oral health-promoting, educational projects.
Description

The project can take the form of educational work to promote oral health: pregnant women, children and their parents up to 11 years of age, adolescents, young and adult people, and the elderly. May involve training patients and their carers - education (for patients with special needs, autism spectrum disorders). The project may also be carried out as the development of various educational materials (booklets, infographics, videos, social media content, campaigns).

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Conducting of oral health-promoting, educational projects.
Description

The project can take the form of educational work to promote oral health: pregnant women, children and their parents up to 11 years of age, adolescents, young and adult people, and the elderly. May involve training patients and their carers - education (for patients with special needs, autism spectrum disorders). The project may also be carried out as the development of various educational materials (booklets, infographics, videos, social media content, campaigns).

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Report on the implementation of oral health-promoting, educational projects.
Description

In the form of a project report and presentation.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Report on the implementation of oral health-promoting, educational projects.
Description

In the form of a project report and presentation.

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

Bibliography

Required Reading

1.

Chestnutt I G (2024). Dental Public Health at a Glance (2nd edition). Wiley-Blackwell. 144 pages.Suitable for English stream

2.

Alison Chapman, Simon H. Felton (2021). Basic Guide to Oral Health Education and Promotion (3rd edition). Wiley-Blackwell. 368 pages.Suitable for English stream

3.

David I Mostofsky, Farida Fortune (2014). Behavioral Dentistry (2nd edition). Wiley-Blackwell. 448 pages. (nav jaunāka izdevuma)Suitable for English stream

4.

Daly B, Batchelor P, Treasure E, Watt R (2013). Essential Dental Public Health (2nd edition). Great Britain: Oxford University Press. 264 pages. (nav jaunāka izdevuma)Suitable for English stream

Additional Reading

1.

EU Manual of Dental Practise. 5th edition, 2014.Suitable for English stream

2.

E.Senakola, I.Maldupa, S.Uribe, M.Ņizamovs. Mutes veselības pētījums skolēniem Latvijā 2015./2016. mācību gads., 1-56.lpp.

3.

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.Suitable for English stream

4.

Toolkit for oral health professionals to deliver brief tobacco intervention. WHO, 2017.Suitable for English stream

5.

Anete Hofmane, Valērijs Dombrovskis, Aelita Vagale, Velga Sudraba, Dita Baumane-Auza, Tija Vanaga, Anita Oginska Rīga, 2018. Kā palīdzēt pacientiem atmest smēķēšanu : rokasgrāmata primārās un perinatālās aprūpes speciālistiem nikotīna atkarīgu pacientu diagnosticēšanai un īsās intervences sniegšanai pacientu smēķēšanas atmešanas veicināšanai.

6.

Paula Moynihan, Yuka Makino, Poul Erik Petersen,| Hiroshi Ogawa. Implications of WHO Guideline on Sugars for dental health professionals. Community Dent Oral Epidemiol. 2018; 46:1–7.Suitable for English stream

Other Information Sources

1.

Cochrane Library, Science Direct, SAGE, ProQuest, OVID, Willey online library, EBSCO, Dyna Med.Suitable for English stream

2.

Oral Health - World Health Organization (WHO)Suitable for English stream

3.

FDISuitable for English stream

4.

World Oral Health Day, FDI.Suitable for English stream

5.

Egita Senakola un citi autori- Publikācijas Doctus