Preventive Dentistry

 

„Preventive Dentistry“ is taught in the following semesters: VI and VII.
Forms and methods of teaching: lectures, seminars, discussions, decision making in clinical cases, set up of preventive programs, problem-orientated education, self-training.

ANNOTATION
The course of “Preventive dentistry” gives an opportunity for gaining of knowledge and competences, needed to carry out a primary prophylaxis/ primary preventive dentistry against development of caries, periodontal diseases and malocclusions.
This course has two aspects:

  • Acquirement of preventive methods for normal development of teeth, periodontium, gingiva and oral mucosa;
  • Application of preventive methods to eliminate local pathogenic factors in the mouth in order to avoid development of diseases.

AIM OF THE SYLLABUS:
Acquirement of preventive methods and instruments for primary prophylaxis of caries, periodontal diseases and malocclusions. Knowledge and skills for application of all forms, methods and instruments to carry out a primary prophylaxis of dental diseases.

PROGRAM TASKS:

  • To apply preventive methods for normally development of teeth, periodontium, gingiva and oral mucosa;
  • Endogenous fluoride prophylaxis;
  • Topical fluoride prophylaxis;
  • Dietary prophylaxis for a pregnant woman;
  • Dietary prophylaxis for children in different ages;
  • Application of preventive methods to eliminate local pathogenic factors in the mouth in order to avoid development of diseases;
  • Oral hygiene;
  • Fissure sealing;
  • Remineralization therapy.

AUXILIARY REASOURSES FOR TEACHING:
Multimedia powerpoint presentations, tests, cases report, personal, school and communally based preventive programs, educational films.

PRELIMINARILY REQUIREMENTS:
To begin the course of primary preventive dentistry the students should have basic knowledge of histogenesis, morphology and physiology of the oral structures.

EXPECTED OUTCOMES:
At the end of the course the students should:

  • Be familiar with the common principles of primary preventive dentistry;
  • Know and interpret the dental caries etiology, pathogenesis and histomorphology;
  • Know and comment tooth demineralization end remineralization mechanisms during development of enamel and dentin caries lesions;
  • Know and apply the methods, instruments, oral- hygiene indices and motivation oral hygiene programs in children;
  • Know and apply the methods, instruments, oral- hygiene indices and profession oral hygiene for prophylaxis of periodontal disease in children;
  • Assess the risk for development of periodontal diseases;
  • Have competences about (put into practice) endogen fluoride prophylaxis;
  • Be able to define the individual optimum preventive doses of fluoride;
  • Know and apply contemporary methods and fluoride supplements for exogenous fluoride prophylaxis in children;
  • Know and apply contemporary methods for pit and fissure sealants and caries remineralization therapy;
  • Have knowledge about the role of food compositions in development of teeth, periodontium and mucosa to achieve prophylaxis of dental diseases in children through dietary control;
  • Be able to set up and apply the programs for dietary control in children from different ages;
  • Be able to construct a complex programs for prophylaxis of dental diseases;
  • Set up individual, group and community-based programs for dental prophylaxis.

FORM OF ASSESSMENT:

  • Continuous assessment, participation in seminars, tests, set up of personal preventive programs;
  • Final exam – the course finishes with written exam that is hold in the regular exam session after VII-th semester. The written exam includes: test, written questions, work on a preventive task.

Evaluation of the knowledge: Forms by mean current score, score of the colloquium, score of the practical exam, and score of the final exam.

Aspects of assessment: participation in discussions, decision making in clinical cases, scores from practical and theoretical exams.

Thematic program:

  • Endogenous fluoride prophylaxis. Water Fluoridation and other fluoride resources;
  • Topical fluoride prophylaxis;
  • Professional oral hygiene. Toothbrushes and toothbrushing methods, dentifrices, mouthwashes, and chewing gums;
  • Individual oral hygiene. Oral-health self-care supplemental measures to complement toothbrushing;
  • Dietary prophylaxis. Sugar and Other sweeteners. Nutrition, diet and oral conditions;
  • Fissure sealing. Pit and fissure sealants;
  • Remineralization therapy. Oral biologic defenses in tooth demineralization and remineralization. Rationale, guidelines and procedures for prophylaxis of the plaque diseases;
  • Development of individually based preventive programs. Understanding human motivation for behavior change;
  • Development of group based preventive programs. Oral health promotion in schools;
  • Development of community based preventive programs. Dental public health programs;
  • Development of preventive programs for physically and mentally disabled children. Preventive oral-health care for handicapped individuals;
  • Oral health promotion.

TITLES FOR SELF- DEPENDENT WORK:           

  • Oral hygiene;
  • Endogenous fluoride prophylaxis;
  • Topical fluoride prophylaxis;
  • Fissure sealing;
  • Remineralization therapy;
  • Dietary prophylaxis for children;
  • Caries and periodontal diseases risk assessment;
  • Oral health promotion.