Subject

Paediatric Dentistry 1

  • code 09241
  • course 3
  • term Semester 1
  • type OB
  • credits 5

Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff

Head instructor

Dr. Francisco Antonio GUINOT - fguinot@uic.es

Office hours

Monday (Dr. Claudia Lluch) 10-13 h and Friday (Dr. Francisco Guinot) 10-13h

 

Introduction

It is widely accepted that the oral health of infants, children and adolescents has a notable influence on the general health state of the paediatric population, and, despite advances, it will take time before oral conditions can be eradicated. Therefore, it is important for dentists to be ready to face the oral problems that are more frequent in the paediatric population and to contribute to research and teaching in this field.  

 

Pre-course requirements

There are no prerequisites

Objectives

Affective dimension:

  • A relationship of trust and cooperation with teaching staff.

 

  • A positive attitude and capacity to work in a team.

 

  • A critical attitude when facing new developments in the odontopaediatric field, with an attempt at identifying what is objective and scientific.

 

  • Promoting the importance of odontopaediatric care.

Cognoscitive dimension:

  • Obtaining the required knowledge to be able to diagnose and propose a treatment plan as well as an odontopaediatric prevention plan.

 

  • Knowing the basic techniques in conservative dental therapeutics for the paediatric patient.

Psychomotor dimension:

  • Acquiring dexterity in the procedures the student will need to exercise clinically the following year.

 

  • Laboratory practice of the diagnosis techniques aimed at prevention and the different treatments.

 

Competences / Learning outcomes of the degree programme

  • 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
  • 20 - Obtaining and creating a medical record containing all the relevant information.

Learning outcomes of the subject

  • 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.
  • 4.036 - 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
  • 4.048 - 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
  • 4.080 - Diagnose not caries dental pathology in a patient
  • 4.081 - Give a treatment plan for a patient with not caries dental pathology
  • 4.082 - Determine the caries risk of a patient
  • 4.083 - Establish treatment plans in a patient with a high risk for tooth decay
  • 4.084 - Use diagnostic means of dental caries
  • 4.085 - Diagnose caries harms
  • 4.087 - Remove the carious tissue from a carious lesion with maximum respect to the remaining tooth structure
  • 4.088 - Select the means of removing carious dentin according to the characteristics of the lesion
  • 4.089 - Perform a proper medical history to assess the state of the pulp
  • 4.091 - List the usual conducts and the most frequent variations in each tooth of the Arcade
  • 4.092 - Adopt the appropriate therapeutic approach to the different pulp and periapical entities that require root canal treatment
  • 4.093 - Isolate the operative field properly for a root canal treatment
  • 4.094 - Plan Properly the root canal treatment
  • 4.095 - Identify the material and instrumental useful in endodontics
  • 4.096 - Perform correct camera openings and locate the entrances to the root canals
  • 4.097 - Implement properly the ducts
  • 4.098 - Fill properly the ducts
  • 4.103 - Reconstruct with direct materials an endodontic tooth
  • 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
  • 4.117 - Know how to make a proper patient history
  • 4.118 - Know how to make a proper oral and practical examination of the patient
  • 4.123 - Recognize normal and pathological anatomical structures in a panoramic, periapical and occlusal radiography

Syllabus

TOPIC 1: Clinical history and informed consent TOPIC 2: Anatomy of temporary dentition TOPIC 3: Local anesthesia TOPIC 4: Development of teething. Detinogenesis TOPIC 5: Psychological development of the child TOPIC 6: Behavior management I TOPIC 7: Behavior management II TOPIC 8: Teething anomalies TOPIC 9: Isolation of the operating field TOPIC 10: Sealing of graves and fissures TOPIC 11: Exodoncy in pediatric dentistry TOPIC 12: Dental materials TOPIC 13: Pharmacology in pediatric dentistry

Teaching and learning activities

In person

The following teaching techniques will be used:

  • Theoretical lessons.
  • Preclinical practical sessions.
  • Specialised seminars.
  • Practical demonstrations. 

Evaluation systems and criteria

In person

Course Evaluation:

Final exam: 60% of the grade

Continuous assessment (preclinical practices): 25% of the grade

Continuous assessment (CUO practices): 15% of the grade

To pass a minimum score of 5 in the three sections of the subject is necessary to be able to do the median. The exam will be a short question with a time of 1 minute per question to answer. The wrong questions answered will be 0.25 of the question. The incomplete answers will be scored with a 0. The theoretical exam will be approved from 5.

practical assessment

 

Each practice day will be evaluated with a score of 0 to 10. Attendance at practices is mandatory. In case of having more than 1 lack of unjustified practices, the preclinical part will be considered suspended. Only those that are due to illness, accident and / or death will be considered as justified absences. In case of justified lack, the proof of the same must be delivered to the responsible teacher at most one week after the same.

The following situations may imply a decrease in the qualification of the practice:

  • Delays
  • Lack of material (gown, rotating material and / or phantoms)
  • Do not finish the practice in the established time.
  • Do not work inside the mouth of the phantom that simulates a patient in the practices indicated.
  • Leave the laboratory during practice hours.
 

The practice will be marked with a zero in the following cases:
· If the student does not attend practice, regardless of the reason.
· If the student's attitude or quality of work is very poor.
· If the student disrespect for teachers or support staff
· If a student disrupts the order or conviviality in the laboratory

Bibliography and resources

 

    1. J.R. Boj, M. Català, C. García Ballesta, A. Mendoza y P. Planells. Odontopediatría. La evolución del niño al adulto joven. 1ª Edición (Madrid); Ripano S.A., 2011.

    2. MC.DONALD R.,AVERY D., Odontología Pediátrica y del Adolescente. Ed. Mosby/Doyma Libros, 1995.

 

    1. BARBERIA, E.; BOJ, J.R.; CATALA, M.; GARCIA, M.; MENDOZA, A. , Odontopediatría, Ed. Masson. Barcelona, 1995.

 

    1. PINKHAM, J.R., Odontología pediátrica, Ed. Interamericana,1996.

 

    1. SNAWDER, K.D., Manual de odontopediatría clínica,Ed. Labor. Barcelona, 1995.

 

  1. ANDREASEN, J.O. ,Lesiones dentarias traumáticas., Ed. Panamericana. Madrid, 1990.

 

Evaluation period

E: exam date | R: revision date | 1: first session | 2: second session:

  • E1 07/01/2019 11:00h A01
  • E1 07/01/2019 11:00h A03
  • R1 25/01/2019 12:00h A12
  • E2 17/06/2019 10:00h A02
  • R2 05/07/2019 10:00h A09
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