1. course annotation
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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.
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