1. Course annotation:

Semester - 6

Module volume: total number of hours - 120, of which, ECTS credits - 4.0.

Industrial medical practice is a discipline whose methods are aimed at maintaining the health

of teeth, organs and tissues of the oral cavity, restoring their anatomical shape and

physiological function, prevention of dental diseases by therapeutic methods. The study of

the discipline is carried out in the 3rd year of study in the VI semester.

During the practical classes the issues of etiology, pathogenesis, clinical manifestations of

odontopathology, methods of their treatment, as well as national and individual preventive

measures are covered.

The organization of the educational process is carried out according to the credit-transfer

system. The amount of student workload is described in ECTS - credits, which are credited to

students upon successful mastering of modules (credits).

The program of the discipline "Industrial medical practice" for the 3rd year of study is

structured on modules:

Module 1. Industrial medical practice for the prevention of dental diseases.

Module 2. Industrial medical practice in therapeutic dentistry.

The credit-transfer system of the educational process encourages students to study

systematically during the academic year.

Types of classes according to the curriculum are practical classes of students.

Practical classes according to the method of their organization and conduct are clinical, as

they provide:

• supervision of patients with periodontal diseases (and in their absence in the clinic -

analysis of clinical situational problems), history taking and dental examination;

• substantiation of the previous diagnosis;

• drawing up a plan for additional examination of the patient and interpretation of data

of laboratory and auxiliary research methods;

• conducting a differential diagnosis and substantiation of the clinical diagnosis;

• drawing up a treatment plan, treatment

Assimilation of the topic is controlled at each practical lesson for all students in accordance

with specific goals, assimilation of meaningful modules - in practical final classes. The

following means of diagnosing the level of preparation of students are used:

− oral questioning;

− written questioning;

− test control;

− solving situational problems;

− structured written works;

− structured control of practical skills and abilities according to the list of practical skills

for each lesson.

The final control of mastering the module is carried out after its completion. According to the

decision of the Academic Council of VNMU dated 27.09.2012, the discipline "Industrial

medical practice" after the 6th semester ends with a differential test.

The current success rate is calculated for the entire course of the discipline, the average score

is translated into points according to the "Scale of conversion of traditional grades into rating

points (120 points)"

The score for the differential test corresponds to the scale:

mark "5" - 80-71 points

mark "4" - 70-61 points

mark "3" - 60-50 points

The grade for the discipline consists of the sum of points for current performance and

differential credit. The obtained points correspond to a fixed scale of assessments according

to the "Instructions for assessment of exams and differential tests", adopted by the decision of

the Academic Council of VNMU from 27.09.2012.

2. Prerequisites and postrequisites of the discipline

Prerequisite

− Human anatomy (clinical features of the structure of the teeth, periodontium, oral

mucosa and oral organs)

− Histology, cytology and embryology (histological features of the structure of teeth,

periodontium, oral mucosa and oral organs, embryogenesis of oral organs)

− Bioorganic and biological chemistry (biochemical and biophysical processes in hard

and soft tissues of the oral cavity)

− Pathological anatomy (pathomorphological signs of diseases of the oral cavity)

− Physiology (physiological processes occurring in the hard and soft tissues of the oral

cavity, the transmission of pain impulse through the hard tissues of the tooth)

− Pathophysiology (pathological processes occurring in the hard and soft tissues of the

oral cavity)

− Microbiology, virology and immunology (methods of microbiological research,

microflora of the oral cavity in normal and in pathology)

− Clinical pharmacology (knowledge of drugs used in dentistry)

− Internal medicine (methods of examination of the patient, clinical signs of general

somatic diseases which can have displays in an oral cavity, features of medical tactics

concerning patients with general somatic pathology)

− Propaedeutics of therapeutic dentistry (issues of clinical features of teeth, tissues and

organs of the oral cavity, organization and equipment of the dental office, principles,

methods and stages of preparation of carious cavities of different localization,

composition, properties and methods of dental fillings, endodontic treatment of the

cavity canals, materials and methods of their filling).

Postrequisite of medical practice for 3rd year students of the Faculty of Dentistry is provided

in the case when the student has acquired knowledge of basic clinical disciplines

(propaedeutics of therapeutic dentistry, therapeutic dentistry, propaedeutics of pediatric

therapeutic dentistry, prevention of dental diseases) practices. In turn, the practice forms the

basis for further study by students of disciplines - therapeutic dentistry, orthopedic dentistry

and surgical dentistry, which involves integration with them "vertically" and the formation of

skills to apply knowledge in further study and professional activities.

Course purpose: passing medical practice is the consolidation of practical skills within the

goals defined in the educational-professional training program in accordance with the second

(master's) level of higher education in the field of knowledge 22 - "Health", specialty 221 -

"Dentistry".

1. Learning outcomes of the discipline:

Upon completion of the discipline "Industrial medical practice" after the 3rd year

students should know:

– usage of the principles of medical ethics and deontology;

– requirements for keeping accounting records of dental reception;

– rules of disinfection and sterilization of dental equipment, tools;

– safety rules for working with dental equipment while working in the dental office;

– basic and additional methods of examination of a dental patient at a therapeutic reception

in the diagnosis of caries, non-carious lesions of the hard tissues of the tooth, pulpitis,

apical periodontitis;

– principles and methods, indications for the use of analgesia in the clinic of therapeutic

dentistry

– principles and stages of treatment of dental patients with odontopathology;

– types, levels and measures of prevention of diseases of hard tooth tissues and

endodontics;

– the main signs of emergencies at the dentist and under any circumstances (at home, on

the street, in a medical institution);

– tactics, algorithms for providing emergency medical care at the dental office and under

any circumstances for a limited time;

– methods and means of individual and professional oral hygiene, methods of prevention of

dental caries;

– principles, forms and methods of primary prevention of dental caries at the state, social,

medical and individual levels of application.

be able:

─ to prepare universal dental unit, dental tools, filling materials, equipment for work

─ to examine the dental patient, using the main and additional methods of examination;

─ fill in the outpatient card of the dental patient, write down the dental formula, write a

referral to the physiotherapy office, on X-ray examination;

─ to make the plan of treatment of the patient by an odontopathology;

─ perform anesthesia of the hard tissues of the tooth and pulp;

─ to analyze the results of the examination of a dental patient;

─ to make a clinical diagnosis of diseases of the hard tooth tissues and endodontics;

─ to treat patients with odontopathology;

─ to determine hygienic indices, caries indices;

─ perform professional teeth cleaning;

─ to analyze the long-term results of treatment of caries, pulpitis, apical periodontitis;

─ to carry out conversations, lectures on sanitary-educational theme;

able to demonstrate: knowledge and practical skills in the discipline

have the skills: to examine a patient with odontopathology, to determine the preliminary and

final diagnosis, to treat a patient with caries, pulpitis, apical periodontitis and non-carious

lesions.

to solve independently: ability to apply the received basic knowledge at an estimation of

results of laboratory and instrumental methods of examination and establishment of the

clinical diagnosis of a dental disease.

1. CONTENT OF THE DISCIPLINE

Topics of practical classes for 3rd year students in "Industrial medical practice"

№ t

op

ic

Content of topic Number

of hours

1. The principles of organization of dental surgeries therapeutic profile. Safety at

work in the dental office. Accounting and reporting documentation of the dentist-

therapist.

4

2. Prevention of emergencies in the clinic of therapeutic dentistry (dizziness, loss of

consciousness, hypertensive crisis, urticaria, anaphylactic shock). Identify the

leading symptoms and provide emergency care. Assessment of the patient’s

condition.

4

3.

Carrying out the main methods of examination of the patient (questioning -

clarification of complaints, medical history, life history; extraoral and intraoral

examination, examination of the oral cavity, dentition, examination of the

causative tooth, probing. Percussion. Palpation of the oral mucosa in the projection

of root apex. Palpation of regional lymph nodes. Determination of oral hygiene

according to the Green-Vermilion, Fedorov-Volodkina indices. Evaluation of the

results. Writing an outpatient card of the patient.

4

4. Methods of professional hygiene of the oral cavity. Methods of removing of dental

deposits with the use of physical devices (scalers) and chemical medicines.

Removal of dental deposits – plaque, debris, calculus. Control of the results of oral

hygiene with the help of indexes.

4

5.

Carrying out the main methods of patients’ examination with caries (questioning –

clarification of complaints, medical history, life history; examination – external,

examination of vestibule, proper oral cavity, dentition, disease site – examination

of the causative tooth – probing, percussion, palpation of the oral mucosa in the

projection of root apex, palpation of regional lymph nodes.

4

6.

Carrying out the additional methods of examination the patients with caries

(thermal diagnostics, electroodontodiagnostics, X-ray), diagnostic tests (test for

preparation), an assessment of results of their carrying out. Writing out the

patient’s outpatient card. Carrying out of differential diagnosis of caries.

4

7.

Diagnosis and determination of caries treatment tactics taking into account the

clinical course of the pathology (acute, chronic, multiple, recurrent, secondary).

Stages of treatment of acute, chronic caries. Features of treatment of multiple

caries. Participation in dispensary observation of patients.

4

8. Modern methods of caries treatment by infiltration, ozone therapy, photodynamic

therapy, remineralizing therapy. 4

9.

Carrying out the main methods of examination the patient with pulpitis

(questioning – clarification of complaints, medical history, life history;

examination – external, examination of vestibule, proper oral cavity, dentition,

disease site - examination of the causative tooth – probing, percussion, palpation

of the oral mucosa in the projection of root apex, palpation of regional lymph

nodes. Performing the additional methods of examination of the patients with

pulpitis (thermal diagnostics, electroodontodiagnostics, X-ray diagnostics),

diagnostic tests – test with anaesthesia, determination of trigger zones.

Examination of the exit points of the peripheral branches of the trigeminal nerve

(Valle points), evaluation of the results of their implementation. Interpretation of

the radiograph, differential diagnosis of pulpitis, filling in the outpatient card of

the patient.

4

10.

Diagnosis and determination of the method of pulpitis treatment taking into

account the clinical course of the pathology. Stages of treatment of acute, chronic

pulpitis and its exacerbation. Choice of method of analgesia and analgesic. First

aid for acute purulent pulpitis and exacerbation of chronic pulpitis. Modern

methods of root canal treatment, methods of their carrying out.

4

11.

Carrying out of the basic methods of examination the patient with apical

periodontitis (questioning – clarification of complaints, medical history, life

history; examination – external, examination of vestibule, proper oral cavity,

dentition, disease site - examination of the causative tooth – probing, percussion,

palpation of the oral mucosa in the projection of root apex (determination of the

leading symptoms: Lukomskyi’s, Crohn's, Marmasse’s, Shmreker’s), palpation of

regional lymph nodes. Performing the additional methods of examination of the

patients with apical periodontitis (thermal diagnostics, electroodontodiagnostics,

X-ray diagnostics). Writing an outpatient card of the patient.

4

12.

Diagnosis and determination of the method of periodontitis treatment taking into

account the clinical course of pathology. Treatment of chronic forms of apical

periodontitis in a short time. Treatment of chronic forms of apical periodontitis in

multi-rooted teeth. Choice of method of analgesia and analgesic. First aid for acute

purulent periodontitis and exacerbation of chronic periodontitis.

4

13. Modern methods of root canal obturation in apical periodontitis. Methods of

temporary root canal filling, apexogenesis, apexification, closure of root canal

perforations.

4

14.

Carrying out the main methods of examination of a patient with non-carious

lesions: hyperesthesia. Wedge-shaped defect, enamel erosion, chemical necrosis,

dental fluorosis - (questioning – clarification of complaints, medical history, life

history; examination – external, examination of vestibule, proper oral cavity,

dentition, disease site - examination of the causative tooth – probing, percussion,

palpation of the oral mucosa in the projection of root apex, palpation of regional

lymph nodes.

Carrying out the additional methods of examination the patients with non-caries

lesions (thermodiagnostics, electroodontodiagnostics, X-ray diagnostics, vital

staining), diagnostic tests (test for preparation), an assessment of results of their

carrying out. Writing out the patient's outpatient card. Establishing the diagnosis

and carrying out of differential diagnosis of non-carious lesions.

4

15.

Determining the tactics of treatment of non-carious lesions. Stages of treatment of

non-carious lesions. Participation in dispensary observation of patients. Mastering

the practical skills in therapeutic dentistry. Differential credit.

4

The list of theoretical questions to the Module 2

1 Description of examination of regional lymph nodes and thyroid gland, their palpation.

2. Description of the definition of trigger zones and examination of the exit points of the

peripheral branches of the trigeminal nerve.

3. Examination of the disease site, palpation, probing, percussion.

4. Dental formula: definition and purpose. Recording of clinical (digital and ambiguous

systems) and anatomical dental formula.

5. Describe auxiliary methods of examination of a patient with odontopathology

(thermodiagnostics, electroodontodiagnostics, caries marking).

6. Fill in the outpatient card of the dental patient, write down the dental formula, write a

referral to the physiotherapy room, for X-ray examination.

7. Describe the protocol of plaque and tartar removal in different ways: mechanical, physical,

chemical.

8. Write prescriptions for prescribed drugs.

9. Make a treatment plan for a patient with caries, pulpitis, apical periodontitis.

10. Describe the stages of restoration of the anatomical tooth shape with composite filling

materials in non-carious lesions of the hard tooth tissues (erosion, wedge-shaped defect,

hypoplasia, etc.).

11. Assign physical indications during the complex treatment and prevention of caries and

non-carious lesions.

12. Describe the protocol of first aid for a patient with acute purulent pulpitis.

13. Describe the application of a temporary, permanent fillings, airtight bandage.

14. Describe the opening of the tooth cavity.

15. Describe the trepanation of the crown of an intact tooth.

16. Describe the application of devitalizing paste (arsenic, paraformaldehyde).

17. Describe the protocol of pulp chamber opening, amputation, extirpation of tooth pulp.

18. Open the apical opening to create an outflow of exudate in acute forms and exacerbation

of chronic apical periodontitis.

19. Describe the protocol of machining and expansion of root canals by step-back, crown-

dawn techniques.

20. Describe the protocol of drug treatment, drying of root canals.

21. Determine the length of the root and root canal by X-ray, using an apex locator.

22. Carry out mummification and impregnation in the root canals.

23. Describe the use of electrophoresis and depothoresis techniques for root canal treatment.

24. Describe the protocol of root canal filling with plastic non-hardening, plastic hardening

materials and with the help of gutta-percha pins.

25. Describe the determination of acid resistance of tooth enamel using TER test.

26. Calculate the prevalence, intensity and increase in caries intensity.

27. Describe the protocol for removal of supragingival and subgingival calculus manually

and with the help of a scaler.

28. Describe the protocol of drug treatment of gingival pockets and oral mucosa.

29. Evaluate the effectiveness of oral hygiene.

30. To determine the hygienic index according to Fedorov-Volodkina and to assess the state

of oral hygiene.

32. Determine the Green-Vermilion hygiene index and assess the state of oral hygiene.

33. Carry out conversations, lectures on health education.

34. To make a differential diagnosis of primary caries with non-carious lesions, middle caries

with chronic apical periodontitis, acute deep caries with hyperemia of the pulp of the tooth

and chronic forms of pulpitis, acute purulent pulpitis with trigeminal neuralgia and acute.

35. Carry out differential diagnosis of pulpitis with apical periodontitis.

36. To choose a rational method of treatment of caries, pulpitis, apical periodontitis using

new materials, techniques and technologies.

37. Tell the algorithm of anesthesia and its use (intrapulpar, spongy, intraligamentary, etc.).

38. To select the most effective drugs and drugs for the prevention of development and

treatment of non-carious lesions, caries, pulpitis and apical periodontitis.

39. Analyze the long-term results of treatment of caries, pulpitis, apical periodontitis.

40. To give recommendations on oral hygiene taking into account individual features of the

patient.

The list of practical skills for testing third-year students at the stage of mastering

practical skills in "Industrial Medical Practice".

Be able to prepare a dental unit, workplace dental tools, filling materials, equipment to

work of the dentist at therapeutic reception.

2. Know the rules of safety when working in the dental office.

3 Be able to provide emergency care in case of fainting, shock, allergic reactions,

hypertensive crisis of the patient at the dentist reception.

4 Be able to carry out a subjective examination of the patient on dental appointment with a

dentist: a survey (complaints, life history, medical history).

5. Be able to perform a clinical examination of a dental patient, using basic and additional

methods of examination.

6. Evaluate the data of radiological and laboratory methods of examination.

7. Carry out anesthesia (application, injection) of hard tissues of the tooth and pulp.

8. Carry out step-by-step preparation of carious cavities of 1-5 classes by Black, carious

cavities for composite filling materials, atypical carious cavities - opening, necrectomy,

formation of carious cavity.

9 Carry out diagnostic tests for analgesia and preparation.

10. Carry out mechanical treatment and irrigation of the root canal.

11. Prepare a therapeutic liner, mix the filling material for isolating liners, permanent fillings.

12. Apply therapeutic and isolating liner, temporary and permanent filling (cement,

composite of chemical and light hardening) in the treatment of caries, pulpitis, apical

periodontitis.

13. To determine the hygienic index according to Fedorov-Volodkina, Green-Vermillion and

to assess the state of oral hygiene.

14. Carry out professional oral hygiene.

15. To carry out a covering of teeth with a fluorine varnish, remotherapy.

1. Forms of final control: differential credit

2. Tools for diagnosing learning success: questions for current control, questions to the

differential test, situational problems, tests

3. Language of instruction: English

4. Value system of student’s academic performance

The form of control and evaluation systems is carried out in accordance with the

requirements and instructions adopted by the decision of the Academic Council of VNMU

protocol №2 from 28.09.2010

Topic Maximum of scores

Current progress 120

Individual task -

Exam 80

Total 200

General estimation criteria of exam

The mark for exam corresponds to the scale: mark «5» - 80-71 points, mark «4» - 70-61

points, mark «3» - 60-50 points.

Criteria of estimation for discipline

«5» А – 180-200 scores, «4» В - 170-179,99 scores, «4» С - 160-169,99 scores, «3» D - 141-

159,99 scores, «3» Е - 122-140,99 scores, «2» FX – 60-122 scores, «2» F – 1-59 scores.

Compliance with the scales for assessing the quality of learning material

The grade for the discipline is defined as the sum of grades of current performance

(according to the scale of conversion of traditional grades into rating points), adopted by

the Academic Council of VNMU protocol №2 from 28.09.2010, and grades for the final

module control.

The maximum number of points that a student can score when studying each module is 200

points, including for current learning activities - 120 points, for the results of the final module

control - 80 points.

Credits are credited for the studied discipline provided that the student accumulates 122

points (72 for current activities and 50 for exam).

Assessment of knowledge in the discipline is carried out taking into account the relevant

scales:

Total points for all

the educational

activities

Mark

ECTS Mark on a national scale Explanation

180-200 А perfectly

Excellent performance with

only a small number of

inaccuracies

170-179,99 В very good Very good (above average

with a few minor errors)

160-169,99 С good

Good (generally correct

execution with a small number

of significant errors)

141-159,99 D satisfactorily

Satisfactory (not bad, but with

a significant number of

shortcomings)

122-140,99 E satisfactorily Enough (performance meets

minimum criteria)

60-122 FX unsatisfactory with the

possibility of reassembly

Poor (with the possibility of

re-assembling)

1-59 F

unsatisfactorily with the

mandatory repeated study

of discipline

Unsatisfactory (with

mandatory re-study of the

discipline)

If you receive unsatisfactory evaluations of subjects within 60-122 points (FX) student has

the right to re-compile it, once the Commission Cathedral with the head of the department,

the last time - the Commission involving the head of department and dean's representative.

If the student receives an unsatisfactory grade in the range of 1-59 points (F), he is obliged to

re-study it.

9. Course policy

The policy of the course is carried out according to the Law "On Higher Education" from

01.07.2014 № 1556-VII;, the Charter of Vinnytsia National Pyrogov Memorial Medical

University, Rules of Procedure of VNMU, Regulations on the organization of the educational

process in VNMU. M.I. Pyrogov, Code of Academic Integrity, Security Regulations on the

procedure for training and testing of knowledge.

10. List of educational and methodical reference

Basic:

1. Lecture material of Therapeutic Dentistry Department.

2. Therapeutic dentistry: A textbook for students of the dental faculty of higher medical

educational institutions of the IV level of accreditation / Ed. Anatoliy Nikolishin - Ed.

2nd, corrected and supplemented. - Vinnytsia: Nova Kniga, 2012. - 680 p.

3. Dental caries. Pulpitis. Apical periodontitis. Oral sepsis: a textbook / M. Yu.

Antonenko, Yu.G. Romanova, S. A. Shnayder [et.al.]; ed. by A.V. Borysenko. –

Odessa: Astro, 2015. – 314 p.

4. Operative Dentistry. Endodontics: in 2 volumes. Volume 1: textbook edited by Prof.

A.V. Borysenko / M.Yu. Antonenko, L.F. Sidelnikova, O.F. Nesyn et al. – 2nd

edition, 2020, 384 p. ISBN: 978-617-505-788-9.

Additional:

1. Gadzhula N. Рreclinical Operative Dentistry: textbook. – Vinnytsia: Nilan-LTD,

2015. – 240 p.

2. Gopikrishna V. Sturdevant's Art & Science of Operative Dentistry-E Book: Second

South Asia Edition. – Elsevier Health Sciences, 2018.

3. Ritter A. V. Sturdevant's art & science of operative dentistry-e-book. – Elsevier

Health Sciences, 2017.

4. Maharani D. A. Case Reports in Dentistry. – Nova Science Publishers, Inc., 2018.

5. Manakil J. (ed.). Periodontology and Dental Implantology. – BoD–Books on Demand,

2019.

6. Nikolishin AK Modern endodontics of a general practitioner / A.K. Nikolishin. -

Poltava: Divosvit, 2017. - 232 p.

7. Dentistry [Text] : in 2 books : textbook for postgraduate education / M. M. Rozhko [et

al.] ; ed. M. M. Rozhko. - Kyiv : Medicine, 2018. – Book 2. - color ed. – Kyiv :

Medicine, 2018. - 960 p. : il. - Approved by the Ministry of Health of Ukraine (the

letter № 08.1-30/30226, 23 November 2016).

8. Clinical Textbook of Dental Hygiene and Therapy [Text] / ed. S. L. Noble, Wiley-

Blackwell, 2018. - XVI, 414 p.

9. Mosby’s Dental Drug Reference [Text] / ed. A. H. Jeske, Elsevier, Philadelphia,

2018. - XVI, 1494 p.