Universitat Internacional de Catalunya
Dentistry for Special Patients
Other languages of instruction: Catalan, English
Teaching staff
Introduction
The subject Dentistry for Special Patients deals with the field of dentistry that cares for patients with medical and pharmacological conditions and involves specific and differentiated treatment from the dentist to the treatment provided for other patients. The subject also covers scenarios resulting from caring for uncooperative patients, those with psychological or physical disorders that require intervention, and specific means and procedures.
Pre-course requirements
There are no prerequisites
Objectives
A. Provide the student with the knowledge, skills and abilities required for the prevention, diagnosis and treatment of abnormalities and diseases of patients with medical complications and complex physical and medical disorders.
B. Train the student in the scientific method applied to the study, evaluation and solution of dental health problems of patients with medical complications and complex physical and medical disorders.
C. Train the student towards eventual specialization, research or teaching.
Intermediate objectives
1. Acquire the skills and attitudes necessary for the clinical examination of patients with medical and pharmacological conditions and complex physical and medical disorders. Obtain and evaluate clinical, radiographic and complementary data of the aforementioned patient and carry out a diagnostic, prognostic and therapeutic approach to the patient's dental health status.
2. Distinguish the characteristics of the diagnosis and the therapeutic approach in personalized dental care for patients with disabilities and patients with complex medical conditions.
3. Identify and describe the etiological and risk agents of oral diseases in patients with medical complications and / or complex physical and medical disorders.
4. Train students to carry out the main methods and techniques of treatment, and in the control and prevention of oral diseases collectively for selected patients.
5. Master individual and community educational techniques for patients with disabilities or with a medical condition.
6. Train the student to describe the oral health condition and dental treatment needs of the different groups of patients mentioned above.
7. Know and describe the different groups of patients with disabilities according to their abilities, their degree of dependency, their social environment and their place of residence.
8. Know the different public health programs designed for dental care of this group.
9. Train the student to use conscious sedation techniques orally and by inhalation with nitrous oxide
Competences/Learning outcomes of the degree programme
- 15 - Being familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.
- 21 - Knowing how to undertake a full dental exam, including the necessary X-ray and complementary exploratory tests, as well as obtaining suitable clinical references.
- 23 - Establishing a diagnosis, prognosis and suitable treatment planning for all the different clinical areas of Dentistry, being competent in terms of the diagnosis, prognosis and writing up the dental care plan for patients who require special care, including medically compromised patients (such as diabetics, those with hypertension, a depressed immune system or are anticoagulated, etc) and patients with disabilities.
- 31 - Knowing about the National Healthcare System, as well as the basic aspects of healthcare legislation, clinical management and the correct use of healthcare resources, and understanding the importance of the role of the dentist in the field of Primary Healthcare
- 51 - Knowing about the organisation and provision of oral healthcare in the community, both private and public, as well as general healthcare and the role of the dentist in these fields
- 54 - Knowing the role of the dentist within the healthcare professions and working with other healthcare professionals and other members of the dentistry team
- 58 - Knowing the general pathological characteristics of the illnesses and disorders that affect organic systems
- 59 - Knowing the oral manifestations of systemic diseases
- 60 - Knowing about general and clinical pharmacology for dental practice
- 61 - Knowing the pharmacological grounding for the various anaesthetic techniques, both local and general, as well as the role of sedation and general anaesthesia in terms of managing dental patients
- 62 - Conocer y manejar las emergencias y urgencias médicas más frecuentes en la práctica odontológica y en las técnicas de reanimación cardiorrespiratoria básica
- 69 - Identifying patients who require special care, recognising the characteristics and peculiarities of such cases
- 72 - Appropriate medical prescriptions, while being aware of their guidelines and warnings, systemic effects and repercussions on other organs
- 75 - Identifying, evaluating and attending to medical emergencies which may arise during clinical practice and apply cardiopulmonary recuscitation techniques; manage severe infections, including pharmaceutical prescriptions and simple surgical aspects
Learning outcomes of the subject
U.1. INTRODUCTION. GENERAL AREAS OF DENTAL HEALTHCARE FOR PATIENTS WITH MEDICAL CONDITIONS
U.2. PATIENTS WITH CARDIORESPIRATORY CONDITIONS
U.3. PATIENTS WITH HAEMATOLOGIC PATHOLOGIES
U.4. PATIENTS WITH LIVER DISEASE
U.5. PATIENTS WITH ENDOCRINE AND METABOLIC DISEASES
U.6. PATIENTS WITH KIDNEY DISEASE
U.7. PATIENTS WITH AUTOIMMUNE DISORDERS
U.8. PATIENTS WITH NEURODEGENERATIVE AND PSYCHIATRIC DISORDERS
U.9. PREGNANT AND BREASTFEEDING PATIENTS
U. 10. TREATMENT UNDER SEDATION. GENERAL ANAESTHESIA
U.11. MENTALLY HANDICAPPED PATIENTS
U.12. EMERGENCIES IN THE DENTAL PRACTICE
U.13. DRUG INTERACTIONS
U.14. PATIENTS WITH INFECTIOUS PATHOLOGIES, HEPATITIS, HIV
U.15. PATIENTS WITH CANCER
U.15.1 CANCER PATIENTS. MALIGNANCIES OF THE LYMPHATIC AND HAEMATOPOIETIC SYSTEM
U.15.2 PATIENTS UNDERGOING CHEMOTHERAPY OR RADIOTHERAPY
U.16. GERIATRIC PATIENTS
UNIT 1 |
U.1. INTRODUCTION. GENERAL AREAS OF DENTAL HEALTHCARE FOR PATIENTS WITH MEDICAL CONDITIONS |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 2 |
U.2. PATIENTS WITH CARDIORESPIRATORY CONDITIONS
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U.2.1. PATIENTS WITH HEART DISEASE |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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U.2.2. PATIENTS WITH RESPIRATORY PATHOLOGIES |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 3 |
U.3. PATIENTS WITH HAEMATOLOGIC PATHOLOGIES
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 4 |
U.4. PATIENTS WITH LIVER DISEASE |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 5 |
U.5. PATIENTS WITH ENDOCRINE AND METABOLIC DISEASES
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 6 |
U.6. PATIENTS WITH KIDNEY DISEASE
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 7 |
U.7. PATIENTS WITH AUTOIMMUNE DISORDERS |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 8 |
U.8. PATIENTS WITH NEURODEGENERATIVE AND PSYCHIATRIC DISORDERS
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UNIT 8.1. PATIENTS WITH NEURODEGENERATIVE DISORDERS |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 8.2. PATIENTS WITH PSYCHIATRIC CONDITIONS |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 9 |
U.9. PREGNANT AND BREASTFEEDING PATIENTS
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 10 |
U. 10. TREATMENT UNDER SEDATION. GENERAL ANAESTHESIA
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 11 |
U.11. MENTALLY HANDICAPPED PATIENTS
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 12 |
U.12. EMERGENCIES IN THE DENTAL PRACTICE
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 13 |
U.13. DRUG INTERACTIONS |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 14 |
U.14. PATIENTS WITH INFECTIOUS PATHOLOGIES, HEPATITIS, HIV |
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LEARNING OUTCOMES |
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By the end of this unit, students shall be able:
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UNIT 15 |
U.15. PATIENTS WITH CANCER CHEMOTHERAPY AND RADIOTHERAPY |
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UNIT 15.1. CANCER PATIENTS. NEOPLASMS OF THE LYMPHATIC AND HAEMATOPOIETIC SYSTEM |
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LEARNING OUTCOMES |
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o To understand the neoplasms of the haematopoietic and lymphatic system o To describe the different types of leukaemia, their relationship to dental practice and their differential diagnosis o To describe the means of medical diagnosis of leukaemia o To understand the dental approach to follow for patients suffering from neoplasms of the haematopoietic and lymphatic system o To describe the coagulation mechanisms and the complementary tests for their assessment o To describe the characteristics, clinical practice and differential diagnoses of Hodgkin’s disease o To describe the characteristics, clinical practice and differential diagnoses of non-Hodgkin lymphoma o To describe the characteristics, clinical practice and differential diagnoses of Polycythemia vera o To describe the characteristics, clinical practice and differential diagnoses of mycosis fungoides o To describe the characteristics, clinical practice and differential diagnoses of macroglobulinemia o To describe the characteristics, clinical practice and differential diagnoses of solitary oral plasmocytoma o To describe the characteristics, clinical practice and differential diagnoses of multiple myeloma
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UNIT 15.2. PATIENTS UNDERGOING CHEMOTHERAPHY OR RADIOTHERAPHY |
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LEARNING OUTCOMES |
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o To understand the consequences of mucositis, its classification and its spontaneous clinical evolution o To describe the risk factors of radiation-induced mucositis o To describe the effects of chemotherapy and the most common drugs o To describe the guidelines for preventing radiation-induced mucositis o To understand the treatment methods for mucositis o To describe the prevention guidelines for xerostomia in cancer patients |
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UNIT 16 |
U.16. GERIATRIC PATIENTS |
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LEARNING OUTCOMES |
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o To understand the differential aspects of dental backgrounds of elderly patients o To assess the specific features of the physiology of ageing patients o To understand the pharmacology of elderly patients o To understand the overall concepts for assessing geriatric patients o To assess the importance of xerostomia in elderly patients o To understand the preventative areas and care procedures for dental practice in elderly patients o To understand the care and prevention programmes for institutionalised patients |
Syllabus
THEORETICAL PROGRAM
SUBJECT 1 GENERAL ASPECTS OF THE DENTAL ASSISTANCE IN PATIENTS WITH MEDICAL PATHOLOGY.
SUBJECT 2 PATIENT WITH HEPATIC AND DIGESTIVE PATHOLOGY.
SUBJECT 3 PATIENT WITH CARDIORESPIRATORY PATHOLOGY.
SUBJECT 4 PATIENT WITH METABOLIC ENDOCRINE PATHOLOGY.
SUBJECT 5 PATIENT WITH HEMATOLOGICAL PATHOLOGY.
SUBJECT 6 PATIENT WITH RENAL PATHOLOGY.
SUBJECT 7 PATIENT WITH AUTOIMMUNE PATHOLOGY.
SUBJECT 8 EMERGENCIES IN THE DENTAL CABINET.
SUBJECT 9 PATIENT WITH PSYCHIC DISABILITIES.
SUBJECT 10 DRUG INTERACTIONS.
SUBJECT 11 NEURODEGENERATIVE AND PSYCHIATRIC PATHOLOGY.
SUBJECT 12 PATIENTS IN STATE OF PREGNANCY AND BREASTFEEDING.
SUBJECT 13 TREATMENTS UNDER SEDATION OR GENERAL ANESTHESIA.
SUBJECT 14 PATIENT WITH INFECTIOUS PATHOLOGY. HEPATITIS. HIV.
SUBJECT 15 ONCOLOGICAL PATIENT. NEOPLASMS OF THE HEMATOPOIETIC SYSTEM.
PRACTICAL PROGRAM
It will be carried out in practical activity in the Primary Care Centers and in the Catalonia Foundation for Psychically Handicapped and other external institutions
Teaching and learning activities
In person
Masterclasses: Topics will be presented with computer support.
Practical seminars: Attendance is compulsory. Roll call. You can only have a maximum of 2 EXCUSED absences (the documented justification will be provided at most during the week after the seminar). Clinical cases will be discussed in a participatory way Either venipuncture seminars will be held, nitros oxide management, according to the program. and then a continuous evaluation will be carried out through a computer platform in which the student needs to obtain 50% of the grade for each of the seminars in order to be able to take the practical part of the final exam. The seminar will be attended with a laptop, tablet or mobile.
Presentations:
1. The names of the components of the groups are established in alphabetical order according to the lists established in groups M1, M2 or M3. All the components of a group must be M1 or M2 or M3. They CANNOT be mixed.
2. The groups are of 5 components.
3. Erasmus students can work in team communications without the need for all members to be physically present.
4. The presentation of class work is done by one of the group members. Individual questions from the presentation will be asked to all the members of the group.
5. Obviously the Erasmus students are exempt from attending the presentation in class but at least one of the group must be able to take charge of the presentation.
6. The best communications presented may be registered at the annual SEGER congress with the tutelage of the professor.
7. Communications must be accompanied by a previous word that includes the work carried out following the established rules. The criteria for its elaboration are explained in class.
8. Teachers are available to students to answer any questions that may arise in their preparation.
9. The themes will be assigned to each group and the list with the components of the groups and the theme will be published.
10. During the last days of seminars, the papers will be presented and presented orally.
External Practices
Students will attend for 24 hours distributed between CAPs, Catalonia Foundation for the mentally handicapped and / or other EXTERNAL institutions throughout the academic year to complete their training, doing external internships supervised by practicing dentists in primary school or by a teacher, following an organization to be published in Moodle at the beginning of the course.
Evaluation systems and criteria
In person
MASTER CLASSES: The Exam will consist of 40 test questions with 5 answers and only one correct one. 0.20 points are subtracted for each incorrect answer.
PRACTICAL SEMINARS: The exam will consist of 10 test questions with 5 answers and only one correct one. 0.20 points are subtracted for each incorrect answer. Only those who have attended seminars that have been taught with a maximum of 2 EXCUSED absences may be examined from this part. The justification is delivered no later than the week following the absence.
The EXAM is 60% of the grade.
The grade of the communications is 10% of the grade.
The evaluation of the practical activity in the Primary Care Centers, in the Catalonia Foundation for Psychic Disabilities and other external entities is 30% of the mark.
All the parts (exam, communications and external practical activity) must be passed separately to count the final grade for the course.
Bibliography and resources
1. Dental management of the patient under treatment médico.Little JW, DA Falace Medici . Barcelona , 1998 . 5th edition .
Two . Internal Medicine in dentistry - Volumes I and II. Rose LF , Kaye D. Salvat . Barcelona , 1992 .
Three . Dental care in patients medically comprometidos.Bullón P , Machuca G. Normon Laboratories , Inc. Department of Scientific Publications , 1996.
April . Medical complications in consultation dental.Urraco A, Diaz MT . Litofinter printers, 1995.
May . Medical emergencies in consultation odontoestomatologíaBugarín R. Gonzalez , P. Galego Feal Menarini Lab .
6. Emergency Medical Dentistry Eduardo Dias de Andrade, José Ranali . Ed.Artes Medical .2004
7. Hernández M , Boj JR , JI Homes . Quick lasurgencias medical treatment in the dental office . Barcelona : Official Publication delColegio of Dentistry and Stomatology in Catalonia, 2000 .
8. A. Myers Medicine 2nd edition ; Harwal Publishing, 1994.
9. Treatment of dental patient with metabolic disorders
Lucas Bermudo . , Palma A. Gomez SmithKline Lab.Glaxo
10 Internal Medicine . Farreras Rozman
11. Elias R. Dentistry for patients with needs especiales.Madrid : Ripano EM.2008 .
12.Fiske J , Dickinson C , Boyle C , Rafique S , Burke M. Special Care Dentistry. London: Quintessence Publishing Co. 2007.
13 . Pinto da Silva LC, de Almeida Cruz R. Dentistry for patients com especiais needs. Protocols or clinical atendimento . Sao- Paulo Santos Livraria Editora.2009 .
14 . Scully C , Diz - God P , Kumar N. Special Care Dentistry. London: Churchill Livingstone - Elsevier. 2007 .
15 . Silvestre FJ , Piazza A. Patients especiales.Valencia Dentistry Publications University of Valencia ( PUV ) . 2007
Evaluation period
- E1 26/05/2022 A02 15:00h
- E1 26/05/2022 A01 15:00h
- E1 26/05/2022 A03 15:00h
- R1 01/06/2022 A08 15:00h
- E2 16/06/2022 A01 15:00h
- R2 06/07/2022 A02 12:00h