Universitat Internacional de Catalunya
Paediatric Dentistry 3
Other languages of instruction: Catalan, English
Teaching staff
Monday (Dr. Francisco Guinot) 10-13 h and Friday (Dr. Sandra Sáez and Dr. Francisco Guinot) 10-13h
Introduction
It is widely accepted that the oral health of infants, children and adolescents has a significant influence on the overall health of the child population and, despite progress, it will take some time before certain oral alterations can be eradicated. It is therefore important that there are dentists who are prepared to deal with the most common oral problems in the paediatric population and, in turn, to research and teach in this field.
The subject Pediatric Dentistry 3 is the third of the subjects taught in the degree of Dentistry within the specialty, whose aim is to achieve the proposed objectives by acquiring knowledge of advanced level.
Pre-course requirements
The student must have passed the subjects of Dentistry 1 and 2 to take the subject of Dentistry 3.
Objectives
1. Determine the causes of the loss of dental health during childhood.
2. To prevent a new affectation by caries.
3. Perform techniques that lead to the restoration of dental health.
4. Sort the various dental pathologies.
5. Reveal the significance and purpose of the proper preparation of dental and medical history.
6. Know the different diagnostic tests for use in pathology and dental therapy.
7. Knowing the sequence of the operative technique in restorative dentistry.
8. description of the general concepts governing the indications of the different materials used in these restorations.
9. Know the isolation technique opearatorio field for dental surgery.
10. Develop presentation skills in public.
11. Develop the ability to write scientific papers in the field of Dentistry.
12. Develop different drug to perform pediatric dental dental treatment under the different types of sedation techniques.
13. Know the basics of different medical conditions to establish a correct preventive plan, in order to improve the state of oral health of pediatric patients with special needs.
14. Understand the importance of oral habits as a cause of malocclusion without underestimating the role of genetics
15. Develop different types of prostheses to replace lost deciduous teeth, to restore the functions of chewing, swallowing, phonation, etc.
16. Detect and expose face and neck injuries as a result of mistreatment and physical abuse.
17. Differentiate the different situations, either professional opinion, or the patient himself or his parents, requires immediate surgical or medical attention.
18. Know how to design a pediatric mouthpiece in patients performing sports.
Competences/Learning outcomes of the degree programme
- 20 - Obtaining and creating a medical record containing all the relevant information.
- 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.
- 22 - Having the ability to make an initial diagnostic judgement and establish a reasonable diagnostic strategy, as well as being competent in recognising situations that require urgent dental treatment.
- 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.
- 24 - Recognising situations in which lives are at risk and knowing how to provide basic life-support.
- 25 - Being aware of and applying basic treatment for the most common dental pathology in patients of all ages. The treatment procedures must be based on the concept of minimally invasive surgery and an overall and comprehensive focus on dental treatment.
- 26 - Knowing how to plan and undertake multidisciplinary, sequential and comprehensive dental treatment of limited complexity for patients of all ages and conditions and for patients who require special care.
- 27 - Outlining and proposing suitable preventative measures for each clinical situation.
- 28 - Acquiring clinical experience under suitable supervision.
- 37 - Undertaking the x-rays that are necessary in dental practice, interpreting the images obtained and learning about other important image-based diagnosis techniques
- 38 - Being aware of clinical and laboratory-based procedures and diagnostic tests, knowing their reliability and diagnostic viability and being competent in interpreting the results
- 40 - Identifying the main reason for the consultation and the history of the current disease. Creating a general medical record and a clinical record which accurately reflect the patient's notes
- 42 - Handling, distinguishing and selecting the tools and materials that are suitable for dentistry
- 43 - Having knowledge of dental biomaterial: in terms of handling, properties, instructions, allergies, biocompatibility, toxicity and eliminating residues as well as their environmental impact
- 44 - Knowing about and being able to use the basic tools and equipment for dental practice
- 64 - Undertaking basic oral and dental pathology treatments for patients of all ages. The treatment procedures should be minimally invasive and based on a comprehensive and integrated approach to oral and dental treatment
- 65 - Diagnosing, planning and undertaking, at a general level, multidisciplinary, sequential and integrated treatment of limited complexity for patients of all ages and conditions and patients with special needs (diabetes, hypertension, oncological diseases, transplants, immune-depression, anti-clotting, etc.) or disabilities. Specifically the dentist should be competent in establishing a diagnosis, a prognosis and developing a suitable treatment plan, particularly in terms of orofacial pain, temporo-mandibular disorders, bruxism and other parafunctions; dental and periapical pathology; oral and dental trauma; periodontal and peri-implanted tissue pathologies; pathology of the mandibular bone, of soft oral tissue and annex glands; states of partial or total edentation and planning rehabilitation treatment via dento-muco supported prostheses, or dental impants, dental malpositions or malocculusions and other anatomical or functional alterations of the face or the stomatognathic system and their potential orthodontic, orthopaedic or surgical corrections
- 66 - Taking and interpreting x-rays and other image-based procedures that are important in dental practice
- 67 - Creating diagnostic models, setting them up and taking inter-occlusal registrations
- 68 - Determining and identifying the aesthetic requirements of patients and the possibility of resolving their concerns
- 70 - Evaluating motor and sensory oral, mandibular and annex function
- 72 - Appropriate medical prescriptions, while being aware of their guidelines and warnings, systemic effects and repercussions on other organs
- 73 - Applying loco-regional anaesthetic techniques
- 74 - Preparing and isolating the operatory field
- 76 - Identifying and dealing with any dental emergencies
- 79 - Treating dento-alveolar trauma in temporary and permanent dentitions
- 81 - Evaluating and treating patients with caries or other dental non-carious pathologies and being able to use all the material required for restoring the shape, function and aesthetics of the tooth in patients of all ages
- 82 - Designing, preparing teeth, prescribing, recording, doing clinical tests, fitting and putting indirect restorations into service: incrustations, veneers or aesthetic laminate veneers and unitary crowns
- 83 - Treating destructive processes and dento-alveolar trauma injuries via operations
- 84 - Undertaking endodontic treatment and applying procedures to preserve pulp vitality
- 85 - Undertaking conventional aesthetic procedures from a multidisciplinary perspective
- 88 - To undertake non-surgical treatment for temporo-mandibular disorders and oro-facial pain
- 90 - To identify and correct oral habits that are susceptible to causing or exacerbating malocclusions
Learning outcomes of the subject
- 4.001 - Know the anatomy and histology of the periodontal tissues in health and disease
- 4.002 - Understand the mechanisms of bacterial colonization in the oral cavity and identify their implications for health and periodontal diseases
- 4.003 - - Know the mechanisms of inflammatory and immune response of periodontal tissues against bacteria of dental biofilm
- 4.004 - Understand the main factors associated with periodontal disease, identifying their causes, pathogenesis and risk factors
- 4.013 - Perform limited occlusal adjustments under supervision
- 4.015 - Identify the anatomic and dental structures in panoramic radiographs, periapical and bitewing
- 4.016 - - Perform the following treatments in phantoms with primary teeth: making records with alginate, sealed pits and fissures, isolation of the operative field with a rubber dam, cavities Class I, II, II, IV, V, VI, filling cavities class I, II, III, IV, V, VI with composed materials, pulpotomies and pulpectomies, placing preformed steel crowns, extensive reconstructions in the first permanent molar, splints, veneers of material composed in primary incisive
- 4.017 - Perform a diagnosis and treatment plan for children
- 4.018 - Demonstrate the ability to communicate with a child and a parent or guardian
- 4.019 - Conduct prophylaxis and demonstrations of proper oral hygiene adapted to the patient's age
- 4.020 - Demonstrate the ability to isolate the operative field with a rubber dam in children
- 4.021 - Perform sealed pits and fissures in primary and permanent dentition with and without enameloplasty
- 4.022 - Perform cavities class I and II in second molars
- 4.023 - Use correctly the composite materials for sealing cavities
- 4.024 - Perform simple extractions of primary molars.
- 4.027 - Perform simple surgical procedures: removal of temporary and permanent erupted teeth, fractured or retained roots and uncomplicated surgical removal of impacted teeth and simple procedures of pre-prosthetic surgery
- 4.031 - Differentiate pain according to location
- 4.032 - Differentiate pain according to origin
- 4.033 - Differentiate pain according to duration
- 4.034 - Differentiate pain according to the characteristic of the pain
- 4.035 - Plan and perform different operative dental cavities of operative dentistry: its elements, classification, conditions of form, types of restorative techniques, objectives and sequence of cavity preparation
- 4.036 - Learn how to act with the patient prior to the placement of a rubber dam
- 4.037 - Perform dam placement technique using the clamp first and then the paste
- 4.038 - Perform placement technique using rubber dam and then the first clamp
- 4.039 - Perform the technique of placing the dam carrying simultaneously the clamp and rubber
- 4.040 - Choose the correct clamp according to the tooth to isolate
- 4.041 - Dominate the absolute isolation technique of an hemi arcade
- 4.042 - Perform the enamel adhesion technique
- 4.043 - Perform the adhesive technique in dentin
- 4.044 - Choose and apply a suitable adhesive system to the type of restoration to make
- 4.045 - Place properly the first three layers of composite in cavities class I
- 4.048 - Master the clinical technique of carving a cavity class I for composite
- 4.049 - Master the clinical technique of sealing a class I composite cavity
- 4.050 - Make a formwork with the matrix system Auto matrix
- 4.051 - Perform a formwork with preformed sectional matrix system and separation rings
- 4.052 - Selecting the most suitable formwork system to the characteristics of each cavity
- 4.053 - Perform the clinical technique of carving a class II cavity for composite
- 4.054 - Master the clinical technique of carving a class II cavity for composite
- 4.055 - Select properly the matrix for each specific cavity class III
- 4.056 - Carve a cavity Class III in different clinical situations
- 4.057 - Place properly the placement of the matrix prior to the insertion of the composite
- 4.058 - Seal properly a cavity class III
- 4.059 - Select the finishing and polishing system more suitable depending on the configuration of each specific cavity class III
- 4.060 - Make the polish of the filling Class III of composite
- 4.061 - Perform a test restoration into a cavity of class IV
- 4.062 - Make a palatine mask for a class IV cavity
- 4.063 - Carve a cavity Class IV for a good retention and aesthetic of the sealing material
- 4.064 - Seal a cavity of class IV by stratification
- 4.065 - Polish fillings composite class IV
- 4.066 - Master the clinical technique of making a composite class V cavity
- 4.067 - Master the clinical technique of sealing a class V composite cavity
- 4.068 - Establish an indication of an indirect restoration
- 4.069 - Choose the right material for an indirect restoration
- 4.070 - Carve a cavity for indirect restorations inlay type
- 4.071 - Carve a cavity for an indirect restoration on lay
- 4.072 - Carve a cavity for indirect restoration overlay type
- 4.099 - Perform hand treatments of complete ducts on different teeth of the arcade
- 4.100 - Perform in vivo ducts treatment in teeth with a difficulty level 1
- 4.101 - Select intraradicular retention elements depending on the characteristics of the treated tooth
- 4.102 - Place intraradicular retaining elements intraradicular
- 4.103 - Reconstruct with direct materials an endodontic tooth
- 4.104 - Reconstruct with an indirect technique, an endodontic tooth
- 4.105 - Diagnose a patient who has suffered dental trauma
- 4.106 - Treat a dental trauma urgency
- 4.107 - Establish a treatment plan for a patient with dental trauma
- 4.108 - Consult with the necessary specialists for a comprehensive treatment
- 4.109 - Know the history and the main objectives of Orthodontics and Dentofacial Orthopedics
- 4.110 - Know the function of the stomatognathic system and especially of the occlusion
- 4.111 - Know the basic principles of the ideal occlusion
- 4.112 - Know the development of teething and tooth eruption
- 4.113 - Know and diagnose abnormalities of eruption
- 4.114 - Understand the processes of growth and dent skeletal development and know its clinical application
- 4.115 - Have the ability to diagnose dental malocclusions in the three plans of space
- 4.116 - Know and recognize the etiology of malocclusions
- 4.117 - Know how to make a proper patient history
- 4.118 - Know how to make a proper oral and practical examination of the patient
- 4.119 - Know how to make a correct facial examination of the patient
- 4.120 - Have the ability to diagnose the patient facial typology
- 4.121 - Know how to make a correct analysis of study models
- 4.122 - Know how to make a correct analysis of the plaster models
- 4.123 - Recognize normal and pathological anatomical structures in a panoramic, periapical and occlusal radiography
- 4.124 - Recognize anatomical structures in the lateral skull radiography
- 4.125 - Know how to make a cephalometric analysis of a lateral tele radiography of the skull
- 4.126 - Know how to make a list of diagnostic problems and structure it properly
- 4.127 - Know the biological basis of dental treatment, its mechanical and biomechanical principles
- 4.128 - Know the elements and clinical use of orthodontic appliances
- 4.129 - Acquire skills in bending wire
- 4.130 - Know how to make a removable orthodontic appliance
- 4.131 - Know the general principles of the orthodontic and interdisciplinary treatments in children and adolescents
- 4.132 - Know the general principles of interdisciplinary treatment in adults
- 4.133 - Acquire the discipline to focus interdisciplinary treatments
- 4.155 - Carry out various prosthesis tests and color that are made during the preparation of the different prostheses.
Syllabus
TOPIC 1. Surgery in the pediatric patient I
- Introduction to Children’s Oral Surgery.
- Surgical principles.
- Principles of hygiene and sterility in a surgical field.
- Management of the pediatric patient in oral surgery.
TOPIC 2. Surgery in the pediatric patient II
- Surgical treatment of the alterations of the rash.
- Surgical treatment of soft tissue lesions.
- Surgical treatment of ankyloglossia.
TOPIC 3. Pediatric patients with special needs I
- Intellectual disability and Down syndrome.
- General developmental disorder.
- Sensory alterations.
TOPIC 4. Paediatric patients with special needs II
- Childhood cancer.
- Craniofacial syndromes.
TOPIC 5. Mouthguards
- General considerations in the prevention of injuries.
- Predisposing factors.
- Use of oral protectors in children who practice organized sports.
- Attitude to oral injury prevention measures.
- Orofacial protectors:
- Extra-oral protectors: helmets and facial masks.
- Intraoral protectors: mouthguards.
TOPIC 6. Caries management in Pediatric Dentistry
- Etiology of cavities.
- Forms of clinical presentation of cavities.
- Transmission and establishment of Streptococcus Mutans in children.
- Diagnosis of cavities.
- Assessment of the risk of cavities.
TOPIC 7. Clinical cases treated under general anesthesia
- Decision making.
- Individualized protocol for patients treated under general anesthesia.
TOPIC 8. Paediatric prostheses
- Concept.
- Etiology of premature tooth loss.
- Objectives of prosthetic restorative treatment.
- Types of prosthesis.
- Recommendations for the proper use of the prosthesis.
TOPIC 9. Baby dentistry I
- Prenatal Dentistry.
- Oral characteristics of the newborn.
- Common pathologies in the newborn.
- Early dental care.
TOPIC 10. Baby Dentistry II.
- Breastfeeding.
- Advice on the risk of cavities.
- Sucking habits.
- Caries of first infància and possible treatments.
- Prevention as a basis of dentistry in infants.
TOPIC 11. Inhalation sedation in Paediatric Dentistry I
- Considerations of Pediatric Care Under Inhalation Sedation
- Objectives of sedation in pediatric dentistry
- Levels and techniques of sedation in the dental office
- Advantages and Disadvantages of Inhalation Sedation in Pediatric Dentistry
TOPIC 12. Inhalation sedation in Paediatric Dentistry II
- Sedation by inhalation: what to explain to parents or guardians of children and young people under the age of 18.
- Indications and contraindications of inhalation sedation in pediatric dentistry.
- Pre-anesthetic visit.
- Adversities.
- Diagnosis of possible medical emergencies that may occur in the infant patient.
- Treatment of the various medical emergencies.
- Resuscitation maneuvers in the infant patient.
- Equipment and medication necessary for the care of medical emergencies and dental emergencies.
TOPIC 14 Child periodontics
- Classification of gingival diseases.
- Predisposing factors of gingivitis.
- Periodontitis.
- Systemic diseases with periodontal involvement.
- Classification of mucogingival alterations.
Teaching and learning activities
In person
The methodology to follow in this subject will be the following: theoretical sessions and specialized seminars.
For the best understanding of the class, the student will be given, via moodle, 2 scientific articles related to each of the lessons taught.The content of these articles will also form part of the theoretical content of the subject, as well as the theoretical examination.
Evaluation systems and criteria
In person
Assessment subject:
Final theoretical examination: 40 per cent of the grade
The theoretical exam will consist of 40 test questions with 5 possible answers, and only one correct, having a time of 1 minute per question to answer. Poorly answered questions will subtract 0.20 points. The theoretical examination is approved from a minimum grade of 5 out of 10.
For the best understanding of the master class, the student will be provided, via moodle, 2 scientific articles related to each of the lessons taught. The content of these articles will also form part of the theoretical content of the subject, as well as of the theoretical examination.
It is essential to pass the theoretical examination with a minimum grade of 5 out of 10 to pass the subject.
Continuous evaluation (resolution of clinical cases of Pediatric Dentistry): 25% of the grade
Once the master classes of the subject Pediatric Dentistry 3, and coinciding with the last day of class of the subject, the student will have to solve individually 2 clinical cases of pediatric dentistry. Each clinical case will consist of 10 test questions with 5 possible answers, and only one correct, having a time of 1 minute per question to answer. Poorly answered questions will subtract 0.20 points. The continuous evaluation is approved from a minimum score of 5 out of 10.
The continuous evaluation will be carried out in person, without being able to count on support material for the resolution of clinical cases. Clinical cases will be related to clinical situations worked during the course of the course.
The teacher responsible for the subject will contact the students to inform them about the operation of this continuous evaluation.
Continuous evaluation (CUO practices): 35% of the note
To pass the subject Pediatric Dentistry 3 a minimum grade of 5 out of 10 in the three sections of the subject is necessary to be able to do the average.
Bibliography and resources
- Abanto J, Bönecker M, Pettorossi Imparato JC, Salete Nahás P. Correa M, Guedes Pinto AC. Odontopediatría. Evidencias científicas para la conducta clínica en bebés y preescolares. 1ª Edición (São Paulo); Quintessence Editora Ltda, 2019.
- Andreasen JO. Lesiones dentarias traumáticas., Ed. Panamericana. Madrid, 1990.
- Barberia E, Boj JR, Catala M, Garcia M, Mendoza A. Odontopediatría, Ed. Masson. Barcelona, 1995.
- Boj JR, Catalá M, Mendoza A, Planells P, Cortés O. Odontopediatría. Bebés, niños y adolescentes. 1ª Edición (Ciudad de México); Odontología Books, 2019.
- Mc.Donald R, Avery D. Odontología Pediátrica y del Adolescente. Ed. Mosby/Doyma Libros, 1995.
- Pinkham JR. Odontología pediátrica, Ed. Interamericana,1996.
- Snawder KD. Manual de odontopediatría clínica.,Ed. Labor. Barcelona, 1995.
- Manuscripts selected from the journal Pediatric Dentistry, International Journal of Pediatric Dentistry, European Archives of Paediatric Dentistry, European Journal of Paediatric Dentistry, Journal of Clinical Pediatric Dentistry y Dental Traumatology.
Evaluation period
- E1 19/12/2022 A03 10:00h
- E1 19/12/2022 A08 10:00h
- E1 19/12/2022 A20 10:00h
- E1 19/12/2022 A19 10:00h
- R1 23/01/2023 A05 12:30h
- E2 26/06/2023 A03 08:30h
- R2 03/07/2023 A10 11:00h