National medical university of LVIV department of therapeutic dentistry



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DANYLO HALYTSKY

NATIONAL MEDICAL UNIVERSITY OF LVIV

DEPARTMENT OF THERAPEUTIC DENTISTRY

METHODological GUide

for|by| practical classes

Preclinical course of Therapeutic dentistry”



(III semester) for the 2-nd year students

Lviv-2011



The methodological guide is worked out by: M. Hysyk, O. Ripetska

Accountable for an issue  first vice-rector of scientific and academicl work, professor, Corresponding Member of the Academy of Medical Sciences of Ukraine, M.R. Gzhegotskiy.

Reviewers: associate professor of department of Surgical dentistry N. Krupnik,

associate professor of department of Pediatric dentistry N. Chukhraj

Methodological guide|elaboration| for students in Therapeutic dentistry (III semester) was discussed and approved on the sitting|sitting| of the department|pulpit| of Therapeutic dentistry (record of proceedings No15, dated from 11, May, 2010) and approved on the meeting|sitting| of Methodological committee in dentistry disciplines on June 22, 2010, protocol No3.

Computer printing: Oksana Zamoiyska


CONTENT OF THE COURSE







Page


1.

Plan of the discipline „Preclinical course of Therapeutic Dentistry” according to the transfex credit-module system of the organization of studies (CMSO) ................

5


2.

Types of independent study work for students………….

7

3.

Types of individual work for students………..................

8

4.

The structure of discipline „Preclinical course of Therapeutic Dentistry” estimation of grades for current educational activity (converting of traditional marks into marks, estimation in grates for implementation of individual tasks)…………………………………………

9

5.

Introduction ……………………………..........................

11

6.

Practical lesson 1. Therapeutic dentistry as a basic dentistry discipline, sections. The contribution of the Ukrainian scientists into the development of dentistry. Purpose and tasks of the preclinical course of Therapeutic Dentistry…………………………………...

13

7.

Practical lesson 2. Structure of the tooth. Topography of tissues. Histology of the enamel……………………...

17


8.

Practical lesson 3. Structure of the tooth. Topography and histology of the cement and dentine ……………….

22


9.

Practical lesson 4. Structure of the pulp, periodontal ligament. Age changes. Concept of the periodontium, its functions………………………………………………...

27


10.

Practical lesson 5. Saliva, mouth liquid: composition, properties, functions ……………………………………

35


11.

Practical lesson 6. Dental formula. Signs of teeth. Clinico-anatomical features of incisors of the upper and lower jaws ………………………………………………

40


12.

Practical lesson 7. Clinico-anatomical peculiarities of canines of the upper and lower jaws ……………………

47


13.

Practical lesson 8. Clinico-anatomical peculiarities of the structure of premolars of the upper and lower jaws…

52


14.

Practical lesson 9. Clinico-anatomical peculiarities of the structure of molars of the upper and lower jaws ……

57


15.

Practical lesson 10. Organization and equipment of dental consulting room. Drills, handpieces, their use. Labour safety standards. Concept of ergonomics ….......

62


16.

Practical lesson 11. Dental instruments. Cutting instruments. Rules of sterilization………………………

68


17.

Practical lesson 12. Ways of spreading of carious process in tooth hard tissues and on different surfaces …

74


18.

Practical lesson 13. Classification of carious cavities according to Black classification. Principles and modes of the classical cavity preparation …………...................

80


19.

Practical lesson 14. The main features of carious cavities preparation class I according to Black classification ……………………………………………

87


20.

Practical lesson 15. Preparation of carious cavities of class V according to Black classification ………………

90


21.

Practical lesson 16. Pecularities of the carious cavity preparation class II according to Black classification ….

94


22.

Practical lesson 17. Pecularities of the carious cavity preparation class III according to Black classification …

98


23.

Practical lesson 18. Peculiarities of the carious cavity preparation class IV according to Black classification …

100


24.

Practical lesson 19. Methods of preparation of the carious cavities according to modern filling materials: techniques of preparation (M.I.-therapy), ART-method (non-invasive), tunnel preparing, etc …………………...

103


25.

Practical lesson 20. Final module control 1....................

109

The PLAN OF topics in Preclinical course| OF THERAPEUTIC DENTISTRY”

(transfer-credit module system of education|teaching| (CMSOE) 2-nd year of studies, III semester

Module 1: Structure|building| of teeth and preparationof carious cavities

( 2,3 credits (69 hours)




Theme of practical classes

Pract. classes

Self education

Indiv. work


1.

Therapeutic dentistry as a basic dentistry discipline, sections. The contribution of scientists of Ukraine into its development. Purpose and tasks of the pre-clinical course of Therapeutic dentistry

2




Review|examination| of scientific literature, preparation of abstracts, conducting of scientific researches


2.

Structure of the tooth. Topography of tissues. Histology of the enamel

2

1


3.

Structure of the tooth. Topography and histology of the cement and dentine

2

1


4.

Structure of the pulp, periodontal ligament. Age changes. Concept of the periodontium, its functions

2

1


5.

Saliva, mouth liquid: composition, properties, functions

2

1

6.

Dental formula. Signs of teeth. Clinico-anatomical peculiarities of incisors of the upper and lower jaws

2


1


7.

Clinico-anatomical peculiarities of the canines of upper and lower jaws

2

1


8.

Clinico-anatomical peculiarities of the structure of premolars of the upper and lower jaws

2


1


9.

Clinico-anatomical peculiarities of the structure of molars of the upper and lower jaws

2


1


10.

Organization and equipment of dental consulting room. Drills, handpieces, their use. Labour standarts. Concept of ergonomics

2

1


11.

Dental instruments. Cutting instruments. Rules of the sterilization

2

1


12.

Ways of spreading of the carious process in tooth hard tissues and on different surfaces

2


1


13.

Classification of carious cavities according to Black classification. Principles and modes of the classical cavity preparation

2

1


14.

Peculiarities of carious cavity preparation class I according to Black classification

2


1


15.

Preparaties of carious cavities of class V according to Black classification

2

1


16.

Preparaties of carious cavity preparation class II according to Black classification

2

1


17.

Features of carious cavity preparation class III according to Black classification

2

1

18.

Peculiarities of carious cavity preparation class IV according to Black classification

2


1


19.

Methods of preparation of carious cavities according to modern filling materials: techniques of preparation (M.I.-therapy), ART-method (non-invasive), tunnel preparing etc

2

1+1

20.

Final module control 1.

2

2







In all

40

23






TYPES OF INDEPENDENT STUDY WORK OF STUDENTS

2-nd years of study, III semester (23 hours)


No


Theme of practical class


Number of hours


Type of control


1.

Preparation for practical classes  theoretical training.

13

Current control during the practical classes




2.

Working-out of practical skills:

  • Anatomo-physiological peculiarities of tooth hard tissues. To draw the scheme of masticatory surfaces of molars and premolars| of the upper jaw (picture).

  • To draw|paint| the masticatory surface of molars and premolars| of the lower jaw (picture).

  • To make two models of crowns of the first premolar of the lower|bottom| jaw and to form a carious cavity on one of the model class I according to Black classification.

  • To make two models of crowns of the first premolar of the upper jaw and to form a carious cavity on one of the model class V according to Black classification.

  • To make two models of crowns of the second of crowns of the first molar of the upper|bottom| jaw and to form a carious cavity on one of the model class II according to Black classification.

  • To make two models of crowns of canines of the upper jaw and on one of them to form the carious cavity class III according to Black classification.

  • To make two models of crown of the upper central incisors and on one of them to form the carious cavity class IV according to Black classification



1

1



1

1

1



1

1


3.

Getting ready for the final module control


3

Final module control


Types of individual work for students

2-nd years of study, III semester (6 marks|ball|)


No


Theme


Marks


1.

To work out the technique of preparation of carious cavities (M.I.-therapy)

2

2.

To work out the technique of preparation of carious cavities (ART-method)

2

3.

To work out the method of the tunnel preparation of carious cavities

2


THE STRUCTURE OF DISCIPLINE „PRECLINICAL CoUrSE OF THERAPEUTIC DENTISTRY”, MARKS|ball| FOR|after| CURRENT EDUCATIONAL ACTIVITY

(the CONVERTation|conversion| of TRADITIONAL ESTIMATIONS|appraisal| In MARKS|ball|, ESTIMATION|appraisal| In grades|ball| FOR|after| IMPLEMENTATION of INDIVIDUAL TASKS|task|)

module, numder of educational hours, numder of credits, ECTS


Distribution of practical classes


Convertation of traditional marks into grades


Grades for the implementation of the ISRS


Number of grades for current educational activity of students


Number of grades for final module control


Traditional marks


„5”


„4”


„3”


„2”


Module 1. Structure of teeth and preparation of carious cavities  69 hours, 2,3 credits

Practical classes |occupation|

(in all 19)



6

4

3

0

6

max|

6,19=114


min|

3,19=57


max|

80

min|



40

Students which collected 57 marks are admitted to final module control. For individual work 6 marks are added

Module 2. Filling materials and endodontics  66 hours, 2,2 credits

Practical classes

(in all 19)




6

4

3

0

6

max|

114


min|

57


max|

80

min|



40

Students who received 57 grades are admitted to final module control. For individual work 5 marks are added.


9

The convertation|transfer| of estimations|appraisal| in rating scale into the scale of progress in studies ECTS|


Estimation of ECTS


Statistical index


Description


Limits of estimations of ECTS


A

The best 10%

Excellent

191-200

B

Next followings 25%

Very good

166-190

C

Next followings 30%

Good

136-165

D

Next followings 25%

Satisfactory

111-135

E

The last 10%

Acceptably

101-110

Fx

Repeated handing over

Unsatisfactory




F

Obligatory repeated course of studies

Unsatisfactory, with the repeated course of studies





Introduction
The curricula for students of dental faculties of higher medical establishments of Ukraine of the III-rd and IV-th levels of accreditation contains the course of preclinical | therapeutic dentistry which is taught during|learn| in the III-rd and IV-th semesters|login|. On the basis of typical|model| curriculum, educational qualification (EQD) and educational professional programmes (EPP) of training of specialists, experimental curriculum and in accordance with principles of ECTS| (European credit-transfer systems) and the order dated from 31.01.2005 No 52 approved by Ministry of Health Care of Ukraine, current educational programme has been developed by co-workers|collaborator| of the department|pulpit| of Therapeutic dentistry.

Preclinical course during the 2-nd year of studies provides|secure| thorough and profound preceeding|preliminary| education of students, mastering of|mastery| obligatory manual| skills, on phantoms, which are extremely|completely| important for the future independent work in the clinic of therapeutic dentistry.

Initial|elementary| level of knowledge of students on the III-rd and IV-th semesters foresees knowledge of fundamental medical disciplines.

The educational process is carried out according to the credit-module system in accordance with|according to| the requirements|claiming| of Bolon’ process.

The specific aim of study of the module 1 „Structure|building| of teeth and preparation of carious cavities” envisages the thorough study of substantial modules „Anatomico-histological and clinico-topographical peculiarities of structure|building| of teeth” and „Preparation of carious cavities”.

Substantial module 1 „Anatomico-histological and clinico-topographical peculiarities of tooth structure|building|” includes:



  • the analysis of histological structure|building| and chemical composition of hard tissues of tooth (the dentine, the cement) and the pulp, anatomico-histological and physiological structural features of separate areas of oral mucosa;

  • interpretation of age changes|changing|, the influence of the function of salivary glands and the quality of saliva on the condition|figure| of hard tissues of the tooth;

  • analysis of clinico-anatomical features of different|diverse| groups of teeth;

  • explanation of the role|importance| of the structure|building| and signs of teeth in the determination|definition| of their belonging to|by| one or another group, side, upper|top| or lower|bottom| jaws.

A 2 „Preparation of carious cavities” foresees:

  • analysis of dental instruments;

  • effective sterilization;

  • the classification of carious cavities according to Black classification;

  • the interpretation of the necessity to follow rules of the mode|regime| and stages of the preparation of carious cavities;

  • the explanation of peculiarities of preparation of carious cavities according to Black classification;

  • the analysis of indications to|by| the application of different|diverse| methods of preparation (classical, M.I.-therapy, ART-therapy, tunnel preparation) of carious cavities.

The methodological guide contains|maintain| short description of themes for each lesson|occupation|, the list|enumeration| of control questions to evaluate every students’ knowledge of presented material|fabric|, tests and situational tasks. At the end of|at close of| every topic the list|enumeration| of recommended literature is presented, which will be helpful for preparing the students for their practical classes.
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