PRINCIPLES OF DENTISTRY 2
2° Year of course - Second semester
Frequency Mandatory
- 9 CFU
- 121 hours
- Italian
- Trieste
- Obbligatoria
- Oral Exam
- SSD MED/28, MED/44, MED/50
Structured into the following modules:
The course aims to ensure that students acquire:
1) Knowledge and understanding: The student will have to show mastery of the knowledge relating to the pathologies treated during the theoretical lessons and within the reference textbook. In particular, you will have to acquire knowledge of the basis and integrated functioning of acquired and adaptive immunity in different cellular and molecular functions; know the risk factors of caries and periodontal disease, and acquire the principles of home and professional oral hygiene; finally, know the fundamental principles of occupational medicine with particular regard to occupational risks in the dental sector
2) Applying knowledge and understanding: At the end of the course the student must be able to apply the knowledge acquired in point D1 in order to understand the immunological bases of oral cavity diseases, formulate a plan of preventive therapies and solve possible work problems related to the health and safety.
3) Making judgements: These notions will be the fundamental baggage for understanding the pathologies of the oral cavity in the various clinical manifestations; he will have to be able to propose ideas and solutions to various clinical problems relating to the prevention of the main dental pathologies, and to choose the best solutions to eliminate/reduce professional risks in his own working reality.
4) Communication skills: getting used to the presentation, in the classroom, of the concepts requested by the teacher, in a stimulating and interactive teaching environment. Students will always be urged to keep in mind the need for scientifically rigorous presentation and communication with colleagues and simple, albeit comprehensive, with patients and their families. They will be stimulated to express themselves with a correct and essential language. He must propose ideas and solutions to various clinical problems relating to the prevention of the main dental pathologies and be able to communicate with the competent supervisory bodies.
5) Learning skills: during the frontal lessons, reference will mainly be made to the texts recommended by the reference teachers of the individual modules, although students will be encouraged to consult several of them, citing the sources of the information presented. The topics covered will always be addressed from different points of view, so that the student can form a clear and complete opinion.
Attendance and passing exams: C.I. Human Anatomy,
Physiology, C.I. Behavioral sciences and scientific methodology (including the Safety Course module)
The contents of the course include the description of the concepts of health and prevention in the field of oral cavity, the role and control of risk factors, the immune system and its function in the interaction with the internal and external environment, and the regulatory aspects relating to the main issues of the prevention of occupational diseases in the workplace, with particular reference to the dental field.
- lesson's notes
- text "Introduction to immunology" Jeffrey K. Actor, Pearson Italia, ed 2019
Official Guidelines
https://www.salute.gov.it/portale/documentazione/p6_2_2.jsp? lingua=italiano&dataa=2017/12/31&datada=2015/01/01
Lindhe “Parodontologia clinica implantologia orale” ed. 6. Edizioni Edi-Ermes Parte: 1-2-3-11
Cortesi-Ardizzone, Abbinante “Igienista orale. Teoria e pratica professionale” Edizioni Era Limeback “Odontoiatria preventiva integrata” Edizioni Emsi
Alessio Lorenzo, Franco Giuliano, Apostoli Pietro. Trattato di Medicina del Lavoro. Piccin, 2015
1) Principles of Dentistry module:
- The immune system and its components.
- Immune homeostasis
- The inflammatory response
- The Complement: activation and functions
- Humoral and infocyte immunity B
- T lymphocytes
- activation of the immune system against infectious agents
- activity of the immune system in the oral cavity
- Autoimmunity
- Cancer immunology
- Immune hypersensitivity
2) Work medicine and safety module in the workplace:
- Regulatory framework and Legislative Decree 81/2008,
- Health surveillance,
-injuries and occupational diseases with a focus on the dental sector,
- Risk of allergies and dermatitis, with a focus on the specific sector.
- Biological risks in healthcare settings, with a focus on the dental field.
- The risk of chemical agents: MSDS (Material Safety Data Sheet), CLP legislation for labelling and marketing of substances and preparations in the EU. Focus on substances used in dentistry. Selection of the necessary PPE.
- Ergonomic risks and repetitive strain disorders in dentistry, their effective prevention.
- Risks of artificial optical radiation (AOR) and lasers in dentistry.
- Ionising radiation
3) Oral hygiene module:
PRINCIPLES OF ORAL DISEASE PREVENTION
Evolution of the concept of health and the different types of prevention in the context of the main dental pathologies. The prevention of carious pathology and its elements, the prevention of periodontal disease and its elements, hints on the prevention of oral cancer in consideration with particular attention to the epidemiology of these pathologies.
Introduction to the formation, composition and structuring of biofilm as the main aetiological factor of oral pathologies.ECOLOGY OF THE ORAL CAVITY
Oral communities
Microbiota and microbiome
Physical and structural interactions of biofilms
Synergistic interactions
Antagonistic interactions
Ecological drivers of dysbiosis
RISK FACTORS FOR ORAL DISEASES
Risk factors for caries: biofilm, diet, time, susceptibility
Nutrition: cariogenic, cariostatic, cario-protective foods
Saliva, pH and salivary tests.
Technologies for calculating the caries risk of the individual at risk
Risk factors for periodontal disease: smoking, diabetes, genetics
General risk factors for oral cancer
Ministerial guidelines
Professional oral hygiene appointment and chairside ergonomics.
Lectures supported by slide notes.
Practical tests on a dummy and attendance at the prevention outpatient clinic of the ASUGI Maxillofacial Surgery and Odontostomatology SC Clinic. Group work on specific topics, which students will present to the class from mid-course onwards.
The recordings of the lessons are available on the Teams platform
Any changes to the procedures described herein, which may be necessary to ensure the application of COVID19 emergency-related safety protocols, will be communicated on the Department, Course of Study and teaching website
Each module provides for a learning verification. The clinical preparatory module provides for a written exam with both multiple and open -answer questions, and an oral exam to take later.
The dental hygiene module includes a multiple response written exam.
The work medicine and safety module in the workplace provides for a written test and the carrying out of group work with the presentation of a final drawing.
The final exam grade for the integrated course is derived from the weighted average, thus weighted on the CFUs of each module, obtained in the individual subtests. For the purpose of defining the average, any honors obtained in the partial tests are given the value of 1 point, i.e., the grade of 30 and honors in the partial tests corresponds numerically to the score of 31. In order to award honors to the final exam grade, it will be necessary that the weighted average obtained by the student in the partial tests related to the various modules is >30.5.
The evaluation grid adopted is the following:
- Excellent (30 - 30 cum laude): excellent knowledge of the topics, excellent language skills, excellent analytical skills; the student is able to brilliantly apply theoretical knowledge to concrete cases
- Very good (27 - 29): good knowledge of the topics, remarkable language skills, good analytical skills; the student is able to correctly apply theoretical knowledge to concrete cases
- Good 24-26): good knowledge of the main topics, good command of the language; the student shows an adequate ability to apply theoretical knowledge to concrete cases.
- Satisfactory (21-23): the student does not show full mastery of the main subjects of the teaching, even if he/she possesses the fundamental knowledge; however, he shows satisfactory language skills and sufficient ability to apply theoretical knowledge to concrete cases
- Sufficient (18-20): minimum knowledge of the main teaching topics and technical language, limited ability to adequately apply theoretical knowledge to concrete cases
- Insufficient: the student does not have an acceptable knowledge of the contents of the various topics of the programme
The final vote is the result of the weighted average of the individual modules, and is assigned in sharing with their respective teachers.
This course explores topics closely related to one or more goals of the United Nations 2030 Agenda for Sustainable Development (SDGs), i.e. spreading the importance of primary and secondary prevention through the reduction of
the exposure of the population to environmental and anthropogenic risk factors, and the spread
of healthy lifestyles by strengthening prevention systems