Learning objectives
By the end of the course the student should be able to:
- have knowledge of preventive medicine to be applied in the dental profession;
- have knowledge of the organization of the profession in the freelance sector and in Public Health;
- acquire the tools and an autonomous learning methodology;
- acquire an autonomy of judgment connected to the specific professional activity;
- acquire communication skills related to both specialists and patients.
Prerequisites
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Course unit content
The course offers a critical appraisal of the scientific basis and operational fundamentals of preventive and clinical procedures aimed at optimising the control of diseases of dental interest.
Full programme
GENERAL AND APPLIED HYGIENE 2
Definition and aims of Hygiene and Preventive Dentistry.
Disease prevention and Health promotion. Promotion of oral health.
General epidemiology of infectious disease.
Infection sources and reservoirs. Transmission mode. Factors favoring the appearance of infections. Modes of appearance of infections in the population.
Discovery and inactivation of infection sources, interruption of
transmission chains; increase of resistance to infections.
Purposes and the methods of the prevention.
Primary, secondary and tertiary prevention.
Notification, default measures, diagnosis of infectious diseases.
Sterilization, disinfection and disinfestation.
Active and passive immunoprophylaxis. Chemoprophylaxis.
The hygienic management of the dental environment. Disposal of waste
in the dental environment.
General principles of prevention of not infectious disease.
Epidemiology and prevention of the main pathologies of dental interest.
Notes on epidemiology and prevention of periodontal disease.
Epidemiology and prevention of dental caries.
Epidemiology and prophylaxis of viral hepatitis, HIV infections, Tetanus, Tuberculosis, respiratory virosis, herpetic infections: possible repercussions on the dental profession.
Care-related infections.
Health and environment: air and water quality.
Air and water pollution.
Potabilization of water. Sewage treatment.
The water of the dental unit.
Food hygiene and Nutrition.
PREVENTIVE AND COMMUNITY DENTISTRY 1 AND PREVENTIVE DENTISTRY TRAINEESHIP
Definition and scope of preventive dentistry.
Disease prevention and health promotion. Promotion of oral health. Epidemiology and prevention of major diseases of interest dentistry: dental caries, periodontal diseases, malocclusion, dental trauma, oral cancer, early childhood caries.
Oral health in the disabled: gold dental prevention and treatment
Physical Examination extra and intra-oral
Detection of dento-periodontal indices of community
Assessing the risk of tooth decay
Instructions oral hygiene at home
Professional oral hygiene - scaling
Evidence-Based Preventive strategies for priority areas of action on the WHO Oral Health.
DENTAL HYGIENE AND DENTAL HYGIENE TRAINEESHIP
1. Anatomy and physiology of periodontium
2. Classification of periodontal diseases
3. Epidemiology of periodontal diseases
4. Periodontal chart and periodontal assessment of the patient (collection of medical and dental history, data related to sequelae of periodontal diseases, periodontal chart, clinical photos, plaque and inflammation indices)
5. Communication with the patient, delivery of oral hygiene instructions, plaque control and patient motivation
6. Risk factors for periodontal diseases and how to control the modifiable ones (e.g. smoking cessation programmes)
7. Education to healthy lifestyle
8. Halitosis – diagnosis and treatment
9. Dentinal hypersensitivity – diagnosis and treatment
10. Introduction to periodontal therapy
11. Ergonomics, instruments and materials for periodontal diagnosis and plaque control (professional and home-based).
PREPARATORY CLINIC
Data acquisition in dentistry
- Anatomy and histology of the oral cavity and perioral tissues;
- The first visit: anamnesis and objective examination;
- Impressions and models (traditional and digital techniques);
- PSR;
- Photography in dentistry;
- Saliva - Salivary analysis techniques - Principles of salivary diagnosis;
- Outline of radiology (first and second level radiographic examinations);
- Compilation of medical records.
Principles of dental ergonomics
- Roles and professional figures in the dental team (dentist, chairside assistant, dental hygienist, secretary, dental technician);
- Elements of counselling in dentistry;
- Dental equipment and instruments;
- The dental unit;
- Suction systems and compressors in dentistry;
- Evidence-based dentistry and Systematic Review;
- Work position and ergonomic arrangement of staff and instruments;
- Stress and burn-out in health professionals;
- Laboratory.
Principles of the dental profession
- History of dentistry;
- The branches of dentistry and specialist activities;
- Informed consent and consent to the processing of personal data;
- Organisation and regulations governing the dental profession (including the Medical Association and trade unions);
- Insurance in dentistry.
CLINICAL PROPAEDEUTICS
Ergonomy.
Dental assistance.
Counselling.
Analysis of clinical dossier.
Bibliography
Igiene. S.Barbuti e Alt., Edit. Monduzzi IV ED (2014).
Igiene in Odontoiatria. M.T Montagna, P.Castiglia, G.Liguori, M.Quarto, Edit. Monduzzi 2004.
Igiene e Sanità pubblica. Secrets, domande e risposte 2021. Editor Carlo Signorelli, III edizione, Società editrice Universo.
Hardy Limeback - Odontoiatria preventiva integrata. Edizione Italiana - EMSI - Roma 2015. L.Strohmenger, R.Ferro - Odontoiatria di Comunità. Edit. Masson 2003.
Parodontologia clinica e implantologia orale – sesta edizione. J Lindhe, N.P Lang 2016, Edi-Ermes
ISBN 9788870515282.
Testo atlante di parodontologia e terapia implantare. Società Italiana di Parodontologia (SIdP). Quintessenza 2017.
Scully C: Medical Problems in Dentistry – seventh Ed. Churchill Livingstone Elsevier
.
Selection of scientific papers.
Teaching methods
Lessons with audiovisual learning materials, pratical exercises, disussion of the covered topics.
Lectures will be held on-site in compliance with safety standards, provided that further instructions on the ongoing health emergency are not implemented. Supporting material will be available on the specific, student-reserved platform (Elly) and will include slide presentations, audio-video aids or video-recording of the lectures.
Assessment methods and criteria
The achievement of the objectives of the course will be assessed through an oral examination and quiz tests, which will allow to assess whether the student has reached the objectives of knowledge and the skills related to the different discipilnes.
Other information
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