COURSE UNIT DESCRIPTION

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1 Projekt OPERACJA SUKCES unikatowy model kształcenia na Wydziale Lekarskim Uniwersytetu Medycznego w Łodzi odpowiedzią na potrzeby gospodarki opartej na wiedzy współfinansowany ze środków Europejskiego Funduszu Społecznego, w ramach Programu Operacyjnego Kapitał Ludzki. COURSE UNIT DESCRIPTION 1. Course unit title Paediatric Dentistry 2. Course unit code 3. Clinic / Department Department of Paediatric Dentistry 4. Type of the course unit Core unit 5. Level of the course unit master degree level 6. Year of study IV 7. Semester when the course unit is delivered 7 and 8 8. Number of ECTS credits allocated 9. Course unit coordinator Joanna Szczepańska Professor DDS PhD Patrycja Proc DDS PhD 10. Names of faculty teachers Joanna Szczepańska Professor DDS PhD Patrycja Proc DDS PhD Agnieszka Bruzda-Zwiech DDS PhD Ewa Rybarczyk-Townsend DDS PhD 11. Learning outcomes of the course unit Knowledge component Aims Semester 7 th Class 1 To know the principles of the patient s history taking and the dental examination in children Objectives Students are able to: describe the parts of history taking (social, medical and dental history) describe the steps of extra and intraoral examinations calculate and interpret the scores of oral health indices (DMFT, dmft, SIC,OHI-S,

2 Class 2 To understand the principles of treatment planning including comprehensive caries prevention program for the control of dental caries in children. Class 3 To learn the methods of caries detection and treatment in primary teeth Class 4 To understand the principles of caries detection and treatment in immature permanent teeth CPITN) give the terms of the eruption of deciduous and permanent teeth plan fluoride prophylaxis in children describe the main trends in dental caries prevention define the role of remineralization, and compare the mechanisms of enamel and dentin remineralization describe cariostatic mechanisms of fluoride action describe the methodology of local use of fluoride of high and low concentrations calculate the daily fluoride tablet dose for the child describe the characteristics of deciduous teeth in aspects of caries development describe specific forms of dental caries in children (Early childhood caries, rampant caries) describe the methods of caries treatment in primary dentition list restorative materials used in primary teeth and give the indications and contraindication to their clinical usage in various clinical cases describe the properties of restorative materials (Compomers, Glass ionomer cements, Composites, Ormocers, Amalgams, Stainless steel crowns) used for caries treatment in children describe methods of caries detection visual, visual inspection with the aid of magnification, visual tactile, fiber optic translumination (FOTI), Diagnodent, Caries detecting dyes, Radiography discuss the specificity of cavity preparation in permanent immature teeth and the principles of dental pulp protection describe the role of temporary cavity sealing with materials which help to stimulate remineralization of carious dentine and initiate the stimulation of secondary dentin formation in deep caries lesions

3 Class 5 To understand modern methods of caries risk assessment and the conception of minimal invasive treatment of dental caries Class6 To be knowable of nonconventional techniques of caries removal used in children Class 7 Quiz topics 1-6 Semester 8 th Class 1 To gain knowledge on diagnosis of dental pulp and periapical tissues inflammation in deciduous teeth Class 2 To be knowable of principles of the treatment of dental pulp and periapical tissues inflammation in deciduous teeth describe modern tools of caries risk assessment discuss the concept of minimally invasive dentistry describe the mechanism of early carious lesion development ( white spots'), as well as treatment methods of the initial caries lesions describe the principles of patients as well as individual teeth selection for fissure sealing give indication and contraindication for enameloplasty and Preventive Restorative Restoration (PRR) list dental materials used for fissure sealing list and describe nonconventional techniques of caries treatment: Atraumatic Restorative Treatment (ART), chemo-mechanical caries removal system, Air-abrasion, ozone delivery system, the tunnel preparation, saucer shaped cavity preparation, slot preparation give indication and contraindication to particular techniques of the cavity preparation list dental materials used in caries treatment methods mentioned above quiz topics 1-6 list the etiologic factors of dental pulp diseases describe the classifications of pulp diseases in primary teeth list and describe pulp sensibility (vitality) testing interpret the X-ray views discuss the indications and contraindications to treatment of pulp in deciduous teeth (direct, indirect pulp capping, vital and mortal pulpotomy, pulpectomy) list and describe the methods of pulp therapy for primary teeth describe complications of pulp diseases in primary teeth

4 Class 3 To gain knowledge on diagnosis of dental pulp and periapical tissues inflammation inimmature permanent teeth Class 4 To learn about first aid in dental trauma Class 5 To learn about the assessment of periodontal treatment needs in children Quiz topics 1-4 describe the principles of dental history taking and clinical examination in aspects of diagnosing the dental pulp and periapical inflammations list and describe clinical and radiological methods of the dental pulp and periapical tissue status assessment describe the classification of dental pulp and periapical diseases explain the aetiology of dental injures in children list and describe the classifications of dental trauma describe the principles of the history taking, dental examination and planning of special investigations (vitality tests, radiography) in children after dental trauma describe the rules of first aid in various cases of dental trauma describe methods of the assessment of peridontium status list and explain gingival and periodontal disease indices: PMA index, GI (Gingival Index), SBI (Sulcus Bleedeing Index), GBI ( Gingival Bleeding Index),PDI (Periodontal Disease Index), PI (Periodontal Index), PI-I (Plaque Index) describe the latest classifications of gingival and periodontal diseases explain etiological factors of gingivitis discuss the specificity of gingivitis and periodontitis in children: chronic hyperplastic gingivitis, linked to the onset of puberty, linked to diabetes mellitus and hematologica ldiseases drug induced gingival enlargement explain the aetiology and describe Aggressive periodontal diseases in children (Prepubertal periodontitis Juvenile periodontitis) quiz topics 1-4 Skills component Aims Objectives In aspects of patient examining take medical and dental history and To improve the practical skills in dental develop skills in treatment planning examining of patients in developmental age. In aspects of the management of dental caries plan preventive therapy in accordance To develop the therapeutic skills concerning with an assessment of caries risk and

5 the usage of prophylactic methods and treatment of dental caries in primary and permanent teeth in child patients In aspects of the management of dental injures To develop practical skills at treatment of teeth after traumatic injuries In aspects of pulp diseases To develop practical skills at treatment of dental pulp and periapical tissues inflammation in deciduous and immature permanent teeth In aspects of gingivae and oral mucosa diseases To develop practical skills in diagnosing of gingivitis, periodontitis and oral mucosa pathology patient s age apply fluoride varnish (topical fluoride) perform the fissure sealing in first permanent molar chose adequate minimally invasive technique of caries treatment and apply enameloplasty or the Preventive Resin Restoration method in suitable cases prepare cavities for amalgam, glassionomer and composite restorations in deciduous and immature permanent dentition examine a patient after dental trauma plan additional investigations (recommend radiographs, perform pulp sensibility testing) classify the injury choose a proper treatment method for dental trauma and perform it make a reconstruction of upper incisors after injury perform a splitting of luxated teeth make recall schedule and observe the results of the treatment make pulp assessment tests and plan pulp therapy for primary teeth perform the treatment of pulpitis in deciduous teeth diagnose clinical signs of gingivitis, periodontitis and oral mucosa pathologies be skilled in prevention of gingivitis and oral mucosa diseases Attitudes and transferrable skills Aims Objectives To develop the awareness of the importance develop of application of appropriate preventive and the awareness of the importance of the treatment methods of caries and dental pulp early detecting and prevention of oral inflammations and traumatic injuries in pathologies in children primary and immature permanent teeth, as the awareness of the role of choosing well as malocclusions and periodontal proper diagnostic and treatment diseases methods in accordance with clinical status 12. Mode of delivery face-to-face

6 13. Number of face-to-face session hours 72 hours whole-class sessions: 6 hours in 7 th semester small-group sessions: 36 hours in 7 th semester and 30 hours in 8 th semester 14. Prerequisites and co-requisites To finish the courses and obtain credits in: Paediatric Dentistry on 2 nd and 3 rd year of a study Material Science Ergonomics Physiology of Masticatory System 15. Recommended optional programme components 16. Course contents Subjects of the course: to gain knowledge on: the development, morphology and pathology of dentition, caries detecting and the management in children, pulp diseases of primary and immature permanent teeth, and first aid in dental trauma. Lectures 1. Dental caries in patients in developmental age - treatment methods, materials. 2. Pulp diseases in primary teeth- diagnosis of pulpal status, pulp therapy 3. First aid in dental trauma Seminaries 7 th semester 1. Examination of child patients. The assessment of chronological and dental age. Interpretation of oral health indices in particular age groups. 2. Dental treatment planning with a complex fluoride therapy. 3. Dental caries of primary teeth-detecting, treatment methods 4. Modern methods of caries treatment in immature permanent teeth. 5. Modern methods of caries risk assessment. Minimal intervention techniques for dental caries. 6. Nonconventional techniques for caries removal in children. Seminaries 8 th semester 1. Dental pulp diseases in primary teeth-diagnosis and treatment. Part I. 2. Dental pulp diseases in primary teeth-diagnosis and treatment. Part II. 3. Diagnosis and therapy of dental pulp and periapical tissues in immature permanent teeth. 4. History and clinical examination in children after dental injures a first aid. 5. The assessment of periodontal treatment needs in children with the consideration of gingival and periodontal indices. Place: Dental Institute 251, Pomorska St.: Whole-group session - 6 hours in 7 th semester, Room 269a or 283a, level -1 Small-group sessions 36 hours in 7 th semester and 30 hours in 8 th semester, and Room 277, level -1 Student should have their own selection of sterilized burs. Student should leave coat, change shoes in the cloakroom and wear medical apron.

7 17. Learning activities and teaching methods Seminars supported by multimedia presentations Clinical training 18. Recommended or required learning resources Main textbooks 1. Welbury R.R.: Paediatric Dentistry. Oxford University Press, 2001, 2005, ISBN ; Bruzda-Zwiech A, Pawłowska E, Proc P, Szczepańska J: Paediatric Dentistry. Textbook for preclinical classes. Part One. First edition. e- books, ISBN Supplementary textbook 1. Murray J.J.: Prevention of Oral Disease. Oxford University Press, 2003, ISBN-10: , ISBN-13: Andreasen J.O. et all: Traumatic Dental Injuries. Blackwell Munksgaard, 2003, ISBN Formative assessment and obtaining credits for the course Credit 20. Assessment methods and criteria knowledge component quiz skills component performing the management of caries, pulp diseases and dental injury in children attitudes and transferrable skills component student evaluation form 21. Language of instruction English 22. Additional info and support English version

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