Knowledge and understanding
At the end of the course the student will have to demonstrate knowledge of risk prevention and the basics of cross-infection prevention. Students must demonstrate that they have acquired the basic notions on primary prevention of oral diseases (caries and periodontal disease) and the basics of ultrasonic instrumentation. They will have to demonstrate that they understand the oral and extra-oral physical examination. The students will have to demonstrate knowledge of the patient care approach through learning and how to relate to the person being assisted. They must demonstrate that they has learned the main rules of working ergonomics. They will have to demonstrate knowledge of biofilm and tartar as well as the main periodontal debridement procedures.

Ability to apply knowledge and understanding
At the end of the course, the student will have to know how to implement all the risk prevention and cross infection prevention protocols. The student must be able to independently recognize the ultrasonic instrumentation. He will have to be able to independently choose the correct home tools for patient motivation.
The student must be able to recognize and know how to describe the main techniques of fluoroprophylaxis, debridement and scaling.

Autonomy of judgment
At the end of the course, the student must be able to analyze the instruments suitable for scaling, debridement, polish and the main principles of motivational counseling.

Communication skills
At the end of the course, the student must demonstrate that he is able to present the knowledge acquired with the appropriate scientific terminology.

Learning ability
At the end of the course, the student must demonstrate to be able to know the main management protocols independently, to recognize and know how to use the main mechanical instruments (scalers), to know the best working positions in relation to ergonomics and prevention of cross infections.
You will have to demonstrate that you have adequate knowledge of the main ones relating to carious and periodontal pathology.
They will have to demonstrate that they are able to adequately understand the formation and structuring processes of dental plaque as well as the pathogenic processes related to carious and periodontal pathology.

No prerequisites required

1. Biofilm
2. Ergonomics
3. Barriers and control of exposures
4. Reception of the patient
5. Debridement and polish
6. Mechanical instrumentation
7. Fluorine and fluoroprophylaxis

"Parodontologia Clinica e implantologia orale". J. Lindhe, N.P. Lang, T. Karring.
Quinta edizione. Ed: Edi-ermes

“Igienista Orale. Teoria e pratica professionale” Cortesi-Ardizzone, Abbinate. Edra-Masson 2013.

Articles

1) The biofilm and its formation
Gingivitis: specific plaque theory
Supragingival and subgingival biofilm
Microbial complexes
Biofilm home control and biofilm professional control
2) Ergonomics and its objectives
Work factor and PEM
Macro, micro and mini layout
Big instrumentation, small instrumentation and armchair
Balanced posture
Chair positions
Cumulative Trauma Disorders
Fulcrums and handles

3) Cross-infection
Transmission, infectious agent, reservoir, routes of exit, routes of entry, susceptibility
Aerosol and spray
Main pathogens
Standard Precautions
Hand washing
PPE
Room preparation: chair barriers
Material disposal
Operational indications during the COVID 19 Pandemic
4) Main steps of the first appointment
Anamnesis
Physical examination: extraoral and intraoral
PSR
Decision flow
Clinical protocols
Motivational interview, counseling and plaque detectors
5) Debridement
Air-polish and powders (glycine, erythritol, bicarbonate)
Advantages and disadvantages of air polish
Indications and contraindications to the air-polish technique
Discromies: etiology and clinic; intrinsic and extrinsic
Polishing: advantages, disadvantages, indications and contraindications
Abrasive pastes and RDA

6) The mechanical instrumentation
Difference between debridement, scaling and root planing
Objectives of non-surgical periodontal therapy
Tartar: composition, supragingival and subgingival
Methods for detecting tartar
Scalers: sonic, ultrasonic, magnetostrictive
Inserts for scalers
Directions for use
Advantages of mechanical instrumentation
Principles of use and technique
7) Fluorine and fluoroprophylaxis
Caries: etiology and classification
Risk factors
Stephan curve
Systemic fluoroprophylaxis
Topical fluoroprophylaxis
Home fluoroprophylaxis
Professional fluoroprophylaxis

Frontal lessons

No other informations

Written or oral exam.