King Saud University College of Dentistry Department of Pediatric Dentistry and Orthodontics Division of Pediatric Dentistry 413 POS

Transcription

1 King Saud University College of Dentistry Department of Pediatric Dentistry and Orthodontics Division of Pediatric Dentistry 413 POS Clinical Pediatric Dentistry I Thursday, 1:00 5:00 pm [BUC] ACADEMIC YEAR G ( H) Course Director - BUC Dr. Ahmed Almahdy

2 Table of contents GENERAL INFORMATION... 3 COURSE DESCRIPTION:... 4 COURSE DETAILS:... 4 COURSE EVALUATION/GRADING... 5 CLINIC S POLICY... 7 STUDENT S RESPONSIBILITIES:... 8 LECTURES SCHEDULE: FIRST SEMESTER OF ACADEMIC YEAR LECTURES OUTLINES: FIRST SEMESTER ACADEMIC YEAR LECTURES SCHEDULE: SECOND SEMESTER OF ACADEMIC YEAR LECTURES OUTLINES: SECOND SEMESTER ACADEMIC YEAR P a g e 2 16

3 General Information Course Director (BUC) Dr. Ahmed Almahdy Office 1A / 37 Contributors Prof. Thakib Alshalan Prof. Fouad Salama Prof. Thamer Al-Khadra Dr. Ibrahim Al-Mjed Dr. Fares Alsehaibany Dr. Mohammed Al-Dubaiban Dr. Ayman Sulimany Dr. Saad BinSaleh Dr. Ibrahim Alahmad Dr. Talal Alghamdi Dr. Mohammed AlShamrani Course Number : 413 Course Code : POS Credit Hour : Four (4) Pre-requisite Course : 312 POS Location in the Curriculum : Fourth Year Required Textbook : Pediatric Dentistry: Infancy through Adolescence By: Paul S. Casamassimo, Henry W. Fields, Dennis J. McTigue, Arthur Nowak 5 th Edition, 2013, St, Louis: MO. Elsevier Health Sciences, 2013 Additional References : Paediatric Dentistry at a Glance By: Monty Duggal 1st Edition, 2013, John Wiley & Sons Ltd. Dentistry for the Child and Adolescent By: Ralph E. McDonald 9th Edition, 2011, Mosby Co., Inc. The American Academy of Pediatric Dentistry Guidelines P a g e 3 16

4 Course Description: This is a four-credit hour course with the duration of one academic year. The course consists of didactic and clinical components. The didactic component addresses the different aspects of diagnosing, managing and treating the dental problems of school age children. The clinical component is the first clinical course in Pediatric Dentistry. The course offers one session of three (3) hours each week for one academic year. It is a clinical setting in which the student acquires the motor skills necessary to render care for children. The student will have an opportunity to perform the clinical procedures commonly associated with children s dentistry. The concept of comprehensive care will be adapted so that the student develops an awareness of and appreciation for the total child. Patients with age ranging from 7 to 14 years will be selected according to course s requirements. Course Details: 1. Assessment of the child which includes the medical and dental history, behavior s classification, assessment of occlusion, oral habits, soft and hard tissues, carious lesions, and radiographic interpretation. 2. Practice of developing an appropriate and comprehensive prevention plan according to patient s needs. Students will practice monitoring patient s oral hygiene and diet habits. 3. Practice of patient s motivation towards prevention, plaque control, diet advice, topical fluoride therapy and fissure sealant. 4. Practice of operative dentistry for children, which includes local anesthesia, rubber dam placement, resin restorations, stainless steel crown, pulpal procedures for primary and young permanent teeth, and extraction of primary teeth. Space management appliances and employment of behavior management aids are included also. P a g e 4 16

5 Course Evaluation/Grading 1- Clinical Evaluation (50%) is based on the weekly sessions grading and it is composed of the following: A- Quality of the clinical work- 30% A number of instructors are assigned for this course. Each one of them will work with a group of five or six students for two-four weeks then rotate with other groups. The final grade (OUT OF 30) for the quality of work will be an average of the grades given by all instructors. B- Professionalism- 5% The evaluation for professionalism will include attendance, patient s booking, punctuality, neatness, professional attitude, rapport with the instructors and patients/parents, infection control, prevention and diet counselling on weekly basis. The final grade for the professionalism will be calculated by averaging the grades given by all the instructors. C- Effort-15% This part means meeting the course clinical requirements as described in the following table: Procedure Required Minimum (to pass the Maximum (to get the maximum 10 clinical part of the course) grades of the effort component) Treatment Plan 2 3 Completed case 1 2 Recall 1 2 Fissure Sealant 4 8 PRR or one surface restoration 2 3 Two surfaces restoration 2 3 Pulpotomy or Pulpectomy 2 3 Full crown coverage: Stainless 2 3 steel crown (SSC) or strip crown Extraction 1 2 Space Maintainer 1 2 The above are the Maximum requirements accepted for the course. It is expected that the students would use their time wisely and show their maximum effort. If the student managed to complete the entire maximum required clinical procedures he will then get the 15 grades (i.e. 15%) of the clinical effort component of the evaluation. For a case to be considered as a finished case, at least 80% of treatment has to be performed by the student. P a g e 5 16

6 Notice: The students MUST ensure they manage to do AT LEAST the minimum course clinical requirements that were selected for each dental procedure in order to pass the course. 2- Didactic Evaluation (50%) is composed of the following: A- Knowledge- 54% The knowledge of the student on clinical procedure being performed or on related topics will be tested on weekly basis by the instructor in each clinical session. B- First Written Assessment- 8% C- Second Written Assessment- 10% D- Third Written Assessment- 8% E- Final Written Assessment- 20% P a g e 6 16

7 Clinic s Policy First Visit: The following is expected from each student during clinical sessions 1. Record personal data and case history Dental / Medical. 2. Introduce the child to the clinic apply the tell show and do technique. 3. Examine the child and record finding. 4. Take necessary radiographs and models if indicated. 5. Give oral hygiene instruction 6. Rubber cup prophylaxis and topical fluoride application (if indicated) should be done, following approval by the instructor. 7. Provide the patients parents with a diet sheet, give them instructions on how to complete it and encourage them to bring it next visit. 8. Formulate a treatment plan on a sheet of paper (if time allows). 9. Present treatment plan to the instructor. When approved, rewrite the treatment plan in the chart and have your instructor sign it. In addition, enter all patient s records into the SALUD system and obtain your instructor s authorization. Second Visit 1. Following your instructor s approval, Proceed with treatment as planned. 2. At each visit, the first ten minutes should be spent in teaching the patient the proper way of brushing and emphasize the importance of prevention. 3. Collect the completed diet sheet and analyze it (during the week) and give the parents and patient appropriate diet advice in the following visit. 4. If the patient has rampant caries or large cavities in two quadrants or more, gross excavation of caries should be done and temporary fillings are placed. NOTES: Punctuality, neatness, professional attitude and rapport with the instructors are variables to be considered in the final grade of the students. Traumatic pulp exposure or perforation of pulpal floor attracts a failure grade. Students are expected to complete every case started. P a g e 7 16

8 Student s Responsibilities: 1. Give an appointment to his/her patient. 2. Make sure that the patient attends the clinic. Re-confirm the appointment with parent 24 hours before the appointment. If the patient is not attending, book another patient (NO EXCUSE). 3. Be on time for the clinic. If the student fails to attend for any reason, it is his responsibility to: a. Cancel the patient. b. Notify the course director about it. c. Write a letter to the course director explaining the reason for his absence. d. Notify the booking staff and arrange for the next appointment. If the student fails to follow the above steps, he/she would be considered absent without excuse and be given Failure grade for the session. Attendance Policy: - Any student who is absent for 25% or more in the clinics/lectures would not be allowed to sit for the final examination. - All the students must be in time for the lectures. Any student who is late for 5 minutes will be allowed into the lecture but will be marked as absent. Any student who is late by 10 minutes will not be allowed to enter the lecture room. - Unexcused absence in any clinical session will result in failure for that session in the quality, knowledge, professional and self-evaluation grades. P a g e 8 16

9 LECTURES SCHEDULE: First semester of Academic Year Thursday, 1:00 2:00 pm Date Lecture s Topic Lecturer Course Introduction 6-Sep-2018 Clinical activity: Charting and examination forms filling- Group discussion in the clinic Dr. Almahdy 13-Sep-2018 The first dental visit and patient s assessment Dr. Almahdy 20-Sep Sep Oct-2018 Treatment planning Philosophy for the mixed dentition Patient management Nonpharmacologic issues in pain perception and control Dr. AlDubaiban Prof. Salama Prof. Salama 11-Oct-2018 Pain reaction control: sedation Dr. BinSaleh 18-Oct-2018 Minor oral surgery Dr. Alsehaibany 25-Oct-2018 First written assessment Dr. Almahdy 1-Nov-2018 Medical emergencies in children Dr. Sulaimany 8-Nov-2018 Managing Traumatic Injuries in Primary Teeth Dr. Almajed 15-Nov-2018 Managing Traumatic Injuries in the Young Permanent Teeth Dr. Almajed 22-Nov-2018 Pulp therapy for Young Permanent Teeth Dr. Bawazir 29-Nov-2018 Periodontal Problems in Children and Adolescent Prof. Salama 6-Dec-2018 Antimicrobials in Pediatric Dentistry Dr. AlAhmad 13-Dec-2018 Second written assessment Dr. Almahdy P a g e 9 16

10 LECTURES OUTLINES: FIRST SEMESTER ACADEMIC YEAR Week 1 INTRODUCTION TO CLINICAL PEDIATRIC DENTISTRY I Lectures schedule, grading system and sheets, infection control consideration for children. Clinical activity: During clinical session, in small groups students will discuss the charting and examination forms filling. Week 2 THE FIRST DENTAL VISIT AND PATIENT S ASSESSMENT Medical/Dental history, charting page, treatment plan form and diet sheets. Week 3 PHILOSOPHY OF PLANNING DENTAL TREATMENT IN CHILDREN (Casamassimo, Chapter 30) (Paediatric Dentistry at a Glance, Chapter 1) Treatment planning, important principles of treatment planning, factors considered in treatment planning, determination of treatment priorities, presentation of treatment plan to the parents, criteria for referral, medical and dental history. Week 4 PATIENT MANAGEMENT (Casamassimo, chapter 23) Introduction. The importance of conviction, experience, and good intention. Basics in managing children in the dental experience. The non-verbal advantage to child patient management. Week 5 NONPHARMACOLOGIC ISSUES IN PAIN PERCEPTION AND CONTROL (Casamassimo, chapter 6) P a g e 10 16

11 Definition of pain. Theories of pain perception. Central nervous system effects on pain perception and control. Cognitive elements of pain perception. Emotional elements of pain perception. Children and pain. Behavior management techniques. Short and long-term consequences of behavior management Week 6 PAIN REACTION CONTROL: SEDATION (Casamassimo, Chapter 8) Minimal and moderate sedation. Deep sedation. General anesthesia. Routs of administration. Pharmacologic agents for sedation. Week 7 MINOR ORAL SURGERY IN CHILDREN (Casamassimo, Chapter 28) Introduction, medical pre-operative evaluation, dental pre-operative evaluation, tooth extractions, aspiration of swallowing of foreign objects during treatment, soft tissues surgical procedures, dento-alveolar surgery, facial injuries, odontogenic infections. Week 8 FIRST WRITTEN ASSESSMENT Week 9 MEDICAL EMERGENCIES IN CHLDREN (Casamassimo, Chapter 10) Introduction, dentist s responsibilities in medical emergencies, prevention of medical emergencies, preparation for emergencies, emergency equipments, emergency drugs, backup medical assistance management of medical emergencies, syncope, allergic reactions, grand-ma seizures, hyperventilation, asthma, diabetes mellitus. Week 10 MANAGING TRAUMATIC INJURIES DENTAL TRAUMA IN PRIMARY TEETH (Casamassimo, Chapter 15) Managing traumatic injuries in the primary dentition etiology and epidemiology of trauma in the primary dentition classification of injuries to the teeth, history, clinical examination, treatment of traumatic injuries to the primary dentition, trauma to teeth, trauma to supporting structures. Pathological sequelae of traumatized teeth. (Reversible pulpitis, pulpal hemorrhage, pulp canal obliteration, irreversible pulpitis, pulpal necrosis, inflammatory resorption, replacement resorption, injuries to the developing permanent teeth. P a g e 11 16

12 Week 11 MANAGING TRAUMATIC INJURIES IN THE YOUNG PERMANENT TEETH (Casamassimo, Chapter 34) Etiology of epidemiology of trauma in the young permanent dentition, classification of injuries to young permanent teeth, history, clinical examination, treatment of traumatic injuries, to the permanent dentition, managing sequelae to dental trauma, treating of luxation injuries in permanent dentition. Week 12 PULP THERAPY FOR YOUNG PERMANENT TEETH (Casamassimo, Chapter 33) Introduction, pulpal assessment, pulp treatment procedures (caries control, IPC, DPC, formocresol pulpotomy, apexogenesis, apexification). Week 13 PERIODONTAL PROBLEMS IN CHILDREN AND ADOLESCENT (Casamassimo, Chapter 24) Epidemiology, etiology, characteristic of healthy periodontium in the primary dentition, periodontal conditions in preschooler, periodontal condition in the school age children, acute gingival disease, chronic nonspecific gingivitis, conditioned gingival enlargement. Week 14 ANIMICROBIAL IN PEDIATRIC DENTISTRY (Casamassimo, Chapter 9) Introduction, what are antibiotics, indication for use, antibiotic classification, resistance, antibiotic agents, bacteria endocarditis prophylaxis, antifungal agents, antiviral agents. Week 15 SECOND WRITTEN ASSESSMENT P a g e 12 16

13 LECTURES SCHEDULE: Second semester of Academic Year Thursday, 1:00 2:00 pm Date Lecture s Topic Lecturer 10-Jan-2019 Revision Dr. Almahdy 17-Jan-2019 Anomalies of the Developing Dentition Dr. BinSaleh 24-Jan-2019 Clinical management of dental anomalies Dr. BinSaleh 31-Jan-2019 Oral Manifestations of Infectious Diseases in Children Dr. Sulaimany 7-Feb-2019 Oral and dental care of local and systematic disease Dr. Alsehaibany 14-Feb-2019 Dental Management of Special Need Children Dr. AlDubaiban 21-Feb-2019 Oral habits Dr. AlKhadra 28-Feb-2019 Child Abuse & Neglect Dr. Alghamdi 7-Mar-2019 Third written assessment Dr. Almahdy 14-Mar Mar-2019 Evidence based Dentistry (Introduction and sources of evidence) Review current guidelines on (Caries-risk Assessment and Management for Infants, Children, and Adolescents) Prof. Alshalan Prof. Alshalan 28-Mar Apr-2019 Review current guidelines on (Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents) Review current guidelines on (Fluoride therapy and fissure sealants) Prof. Alshalan Dr. AlKhadra 11-Apr-2019 Revision Dr. Almahdy Final exam P a g e 13 16

14 LECTURES OUTLINES: SECOND SEMESTER ACADEMIC YEAR Week 1 REVISION Week 2 ANOMALIES OF THE DEVELOPING DENTITION (Casamassimo, Chapter 3) Introduction, anomalies in number, anomalies of size, anomalies of size and shape, anomalies of shape, anomalies of structure (enamel, heritable defects, environmentally induced defects), enamel, hypocalcification, dentine (dentinogenesis imperfecta, dentine dysplasia, odontodysplasia, other dentine abnormalities), cementum, anomalies of color, anaomalies of eruption and exfoliation. Week 3 CLINICAL MANAGEMENT OF DENTAL ANOMALIES (Casamassimo, Chapter 3) Dental and oro-facial anomalies, Premature loss of primary teeth, Missing teeth and extra teeth, Disorders of tooth shape and size. Enamel disorders, Disorders of dentine and eruptive defects Week 4 ORAL MANIFESTATION OF INFECTIOUS DISEASE IN CHILDREN (Handouts) Classification of infectious diseases, bacterial (scarlet fever, impetigo, diphtheria, tuberculosis), viral (primary herpes, recurrent herpes, chiken pox, mumps, cat scratch disease, herpengina, hand and foot and mouth disease, rubeola measles, rubella, infectious mononucleosis, hepatitits) mycotic. Week 5 ORAL AND DENTAL CARE OF LOCAL AND SYSTEMATIC DISEASE (Casamassimo, Chapter 4) P a g e 14 16

15 Primary herpetic gingivostomatitis. Recurrent Herpes Simplex infection. OroPharyngeal Candidiasis. Hemoglobinopathies. Hemophilia A. Pediatric cancer. Acute and Chronic oral complications of Chemotherapy and Radiotherapy. Week 6 DENTAL MANAGEMENT OF SPECIAL NEED CHILDREN (McDonald, Chapter 23, Casamassimo, Chapter 16) Introduction, mental retardation, convulsive disorders, down s syndrome, cerebral palsy, ectodermal dysplasia, visual impairments and blindness, hearing impairments and deafness, in prevention special children. Week 7 ORAL HABITS (Casamassimo, Chapter 26) Thumb and finger sucking habits. Pacifier habits. Lip habits. Tongue thrust. Mouth breathing. Bruxism nail biting. Self-mutilation. Week 8 CHILD ABUSE & NEGLECT (Handouts) Definition & classification, Recognition of physical abuse, Oral injuries, The setting for child abuse, Reporting, Medical Testimony, Prevention Week 9 THIRD WRITTEN ASSESSMENT Week 10 EVIDENCE BASES DENTISTRY (Handout) Introduction to sources of evidence Week 11 REVIEW CURRENT GUIDELINES ON (CARIES-RISK ASSESSMENT AND MANAGEMENT FOR INFANTS, CHILDREN, AND ADOLESCENTS) (Guidelines-available online) Week 12 REVIEW CURRENT GUIDELINES ON (PERIODICITY OF P a g e 15 16

16 EXAMINATION, PREVENTIVE DENTAL SERVICES, ANTICIPATORY GUIDANCE/COUNSELING AND ORAL TREATMENT FOR INFANTS, CHILDREN, AND ADOLESCENTS) (Guidelines-available online) Week 13 REVIEW CURRENT GUIDELINES ON (FLUORIDE THERAPY AND FISSURE SEALANTS) (Guidelines-available online) Week 14 REVISION Week FINAL WRITTEN ASSESSMENT P a g e 16 16