DIARY in medical practical training on Pediatric Dentistry Name________________________________________________________________ Course_____________________ Group_____________________________________ Specialty_____________________________________________________________ Place of practice: Department___________________________________________________________ Clinical base__________________________________________________________ № N-r of hrs Practical class topic Content module 1 – Medical practical training in pediatric therapeutic dentistry 1 2 3 4 5 6 7 8 9 10 11 12 13 The organization of dental care for children. The structure and principles of work of children's dental schools. Filling in and record of medical documents at pediatric dentist’s reception. Dental patients’ examination. Caries indices determination. Determination of oral health by hygiene indices. Identifying risk factors for caries and periodontal tissue diseases. Periodontal indices. Choice of filling materials for permanent and temporary teeth. Dental cements and composite filling materials, compomers, ormocers, dental adhesives, dental amalgams, materials for root canal obturation. 5 Clinic and diagnostics of various non-carious lesions in children (hypoplasia, fluorosis, hereditary defects of dental hard tissues). Tactics of pediatric dentist for various forms of non-carious diseases of hard tissues of teeth. Choice of treatment for various forms of non-carious lesions of dental hard tissues. Technology of dental restoration with modern curing composite materials. Clinical classification of caries in children. Clinical diagnosis and differential diagnosis of carious lesions of temporary and permanent teeth in children. Defining indicators of prevalence and intensity of caries in children in the age aspect. Treatment of deciduous teeth caries in children: characteristics of carious cavities preparation techniques, choice of filling materials, criteria for their choice, filling techniques. Impregnating method: indications, methods of implementation. Treatment of permanent teeth caries in children: preparation of cavities with different localization, choice of filling material, filling technique. Remineralizing therapy: indications for use, effectiveness control. General treatment of dental caries in children: planning, tools and techniques. Pulpitis classification. Patterns of clinical course pulpitis of deciduous and permanent teeth in children. Diagnosis, differential diagnosis of various forms of pulpitis of deciduous and permanent teeth in children. Treatment method of various forms of deciduous teeth pulpitis at various stages of the root forming. Materials for root fillings. Pulpitis treatment of permanent teeth in children. Vital amputation and extirpation of the pulp. Devital methods. Indications, methods of their implementation. Endodontic treatment of root canals, materials for root canals obturation at different stages of their formation. Clinical picture, diagnosis, differential diagnosis of various forms of deciduous and permanent teeth periodontitis in children. Patterns of clinical course of periodontitis in temporary and permanent teeth in children. Radiological diagnosis. Treatment of deciduous and permanent teeth periodontitis in children. Indications for choice of treatment. The choice of materials for root fillings in permanent and temporary teeth. Technique. Prognosis. 5 Diseases of the periodontal tissues in children. Clinical picture, diagnosis, differential diagnosis of gingivitis in children. Methods 5 5 5 5 5 5 5 5 5 5 5 of treatment and prevention of gingivitis in children. 14 Clinical picture, diagnosis, differential diagnosis of periodontitis in children. The choice of methods and means for the treatment of periodontal tissues. Idiopathic disease with progressive periodontal tissue lysis. Tactics of dentist. 15 Oral mucosa diseases in children. Classification. Viral lesions of oral mucosa. Acute herpetic stomatitis in children. Clinical picture, diagnosis, differential diagnosis and treatment. The choice of drugs. Chronic recurrent herpetic stomatitis. 16 Fungal lesions of the oral mucosa and stomatitis caused by allergies in children: etiology, pathogenesis, clinical manifestations, diagnosis, differential diagnosis. 17 Drugs for the treatment of oral mucosa diseases in children. The choice of methods and remedies for various forms of oral mucosa lesions. Methods of application and dosage. 18 Physiotherapy treatment in pediatric therapeutic dentistry. 19 Clinical examination of children at the dentist. 20 Comprehensive prevention of dental diseases in children. Effectiveness of its implementation. 5 5 5 5 5 5 5 Content module 2 – Medical practical training in orthodontics 21 22 23 24 25 26 Organization of orthodontic care. Etiology and pathogenesis of teeth anomalies. Identifying risk factors for teeth anomalies. Features of preventing teeth anomalies in antenatal period. Main means and features of prevention of teeth anomalies and deformities in the postnatal period. Preventing of bad habits. Periods of development. State of dentoalveolar and facial system at different periods of bite formation. Modern methods of diagnosis of teeth anomalies. Methods of treatment in orthodontics. Features of designing orthodontic appliances. Features dentoalveolar abnormalities treatment in temporary, removable and permanent occlusion. Dentoalveolar abnormalities treatment by fixed constructions. Stages of production of removable and fixed orthodontic constructions. Abnormalities of individual teeth. Anomalies of dentition formation. Anomalies of dentitions forms. The clinic, diagnosis treatment. Malocclusions in the vertical, sagittal and transversal planes. The clinic, diagnosis, treatment and prevention of various ages. Features of treatment of children with congenital malformations. Mistakes and complications during orthodontic treatment. Biomechanics of tooth movement, depending on the choice of appliance. Restructuring of periodontal tissues under the influence of orthodontic appliances. Defects of individual teeth and dentition. Features of the prosthesis. Prevent teeth abnormalities and deformities as a composite set of personal and social hygiene plan. Determination of the main groups of children with risk of teeth anomalies and deformities. Features of the nature and extent of preventive measures. Content module 3 – Medical practical training in pediatric dental surgery 5 General and local anesthesia in children at outpatient surgical reception: types and methods, indications and contraindications for 5 5 5 5 5 method selection, pharmacological drugs. Operation of teeth extraction in children. Indications and contraindications for teeth extraction of deciduous and permanent teeth, tools. Features of teeth extractions in children with concomitant somatic diseases. General and local complications during and after teeth extraction, methods of their treatment and prevention. 27 Acute and chronic inflammatory diseases of maxillofacial area in children. Anatomical and physiological peculiarities of inflammatory processes of the maxillofacial area in children. Clinical picture, diagnosis, differential diagnosis and treatment. TMJ disease in children and adolescents: classification, diagnosis, clinical features and treatment. 28 Congenital malformations of the face. Classification, timing and methods of surgical treatment of clefts of the upper lip and palate. Effects of treatment, rehabilitation, corrective surgery. Developmental anomalies of oral mucosa. Methods of removing abnormal attachment of lips frenulum, tongue, shallow vestibule, complex rehabilitation. 29 Tumors and tumor-like formations of soft tissue and face bones in children. Features of clinical course. Principles of treatment and rehabilitation of children with tumors of maxillofacial area. 30 Traumatic injuries of the teeth, jaws and soft tissues of maxillofacial area in children. Clinical picture, diagnosis, differential diagnosis and treatment. Primary debridement. Total number of hours ECTS credits 5 5 5 5 150 5,0 The list of practical skills for final module control 1 № 1. 2. 3. 4. 5. 6. 7. 8. Practical skills Mark in points Patient examination at child dentist-therapeutist. Evaluation of the data. Definition of acid resistance of teeth enamel (TER, 3 CDRRE, CRT-test). Diagnostic use of dyes. Methods electroodontodiagnosis. Conducting of professional oral hygiene. Removal of dental accretions by different methods. Providing with guidance on oral 3 health, taking into account the individual characteristics of the patient. Application of treatment and prevention teeth varnish on teeth surface, gels in children. Fissure sealing of permanent teeth in 3 children. Impregnation of hard tissues of deciduous teeth. Drug treatment of affected areas of the oral mucosa and periodontium. Preparation and blending treatment and hardening 3 and non-hardening bandages at diseases of periodontal tissues in children. Preparation of carious cavities of deciduous and permanent teeth based on the type of filling material. 3 Filling of carious cavities of deciduous teeth by different filling materials. 3 Filling of carious cavities of permanent teeth by different filling materials. 3 Applying and removal of temporary fillings with odontotropic pastes at treatment of caries and pulpitis. Applying and 3 removal of tight bandages at treatment of pulpitis and periodontitis. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Total Amputation and extirpation of the pulp of temporary and permanent teeth. Diathermocoagulation the treatment of various forms of pulpitis. Instrumental root canal treatment of temporary and permanent teeth. Impregnating methods of root canal treatment of permanent and deciduous teeth. Conducting of intradental electrophoresis. Root canal and permanent teeth with hardening and non-hardening sealers of different groups and fillers. 3 Grinding and polishing of fillings of different filling materials types. Local anesthesia at treatment of dental diseases by various methods (application, infiltration, conduction, intraligamental, intrapulpal, subperiosteal). Typical and atypical extraction of deciduous and permanent teeth. Hemostasis after teeth extraction. Cavity curettage. Periostomy. Dissection and excision of the hood at pericoronitis. Surgical treatment of traumatic injuries of the soft tissues of the maxillofacial area. Splinting of teeth by different methods (ligature binding of teeth). Examination of orthodontic patient. Making jaws impression, the analysis of control diagnostic models of anatomical and functional obtaining impressions by different impression materials. Analysis of radiological methods of examination (orthopantomogram, bite X-ray, teleroentgenogram), anthropometric examination, functional state. The plan of treatment depending on the clinical situation. Describe the method of treatment. Selective grinding of teeth, alignment of occlusal surface. Correction and activation of removable orthodontic appliances. The maximum score on the practical skills of final module control. 3 3 3 3 3 3 3 3 3 3 3 60 № Date Patient’s full name, age, I,II Complaints and case history Objective examination data, dental formula diagnosis Performed treatment (treatment stages, medicines prescriptions) UPF Superv isors’ signatu res 1. 2. 3. 4. 5. 6. THE FORM OF STUDENT’S NUMBERED REPORT Short base description (on student’s point of view) Equipment and supplying of the base with instruments and filling materials. Daily load. Interrelations of the student and the workers of base medical establishment. To mark, which knowledge the student has gained during the passing of medical practical training. The wishes and proposals about the improvement of practical training conducting (on student’s point of view). Student’s signature___________ The list of practical skill and tasks of medical practical training in pediatric dentistry (Duration – 3 weeks) Planned Performed The list of practical skills Number of worked days 15 Number of received patients (total) 70 І 50 ІІ 20 Non-complicated caries treatment 35 (including enamel remineralization and non-carious diseases 5 of hard tissues) Pulpitis treanment (total) 15 Biological method 2 Extirpation 3 Amputation 8 Vital method 2 Periodontitis treanment (total) 5 number of teeth of 1 patient Chronic 2 Acute 1 Exacerbation of chronic 2 Root canals filling (total) 20 by pastes 15 Another materials 5 Number of filled teeth (total) 45 from them: by cements 22 by glass ionomers 10 by amalgam 1 by composites: 12 of light hardening 2 of chemical hardining 10 Treatment of oral mucosa diseases 5 Mark in points Treatment of periodontium diseases Electroodontodiagnostic performing Sealing of teeth fissures Prescribtion of physiotherapeutic methods of treament Sugrical room Teeth extractions deciduous permanent Anaesthesia performing Outpatient operations performing Orthodontic room Patients examination Studying of control models Definition of appliance construction Correction, appliance activation Number sanitated patients Hygienic education Sanitary-enlightening work: Lectures Talks Sanitary bulletins Carrying out of UPW (unit of performed work) Total 3 3 5 12 15 12 3 15 1 10 10 3 5 20-30 50 1 3 1 60-120 Other types and forms _________________________________________________________________________________________________________________________ _________________________________Student’s signature ___________________ TESTIMONIAL of the student _________________________________________ of_____ group _______ course (Full name) Direct practical training supervisor__________________________________________________ (Full name, signature) Head Doctor of medical establishment ______________________________________________ (Full name, signature) Seal of medical establishment DIARY’S REVIEW Direct practical training supervisor ___________________________________________ (Full name, signature) Practical training supervisor of the department________________________________________ (Full name, signature) Mark for practical training_______________________________________________________ (in written form) “___”______________ 20___ year (Date of credit) Signature of practical training supervisor from the department____________________________ (Full name, signature)