Curricular Unit:Code:
Hygiene, Cariology and Primary Care841HCCP
2MasterDentistry5 ects
Learning Period:Language of Instruction:Total Hours:
Spring SemesterPortuguese/English65
Learning Outcomes of the Curricular Unit:
Identify the moments of evolution of Public Health and integrate the PHC concept. To recognize mechanisms of chemical and mechanical control of oral biofilms and their relationship with oral health. To recognize the mechanism of development of oral biofilms and their relationship with oral pathology. Knowledge of methods to prevent caries lesions and erosion, through the use of fluorides and sealants of fissures and the process of demineralization and remineralization of dental tissues.
To identify the caries and erosion pathology as clinical and epidemiological pathological entities.
Acquire knowledge, skills and aptitudes particularly as to current evidence on etiology, risk factors and indicators, pathogenesis, pathophysiology, modeling factors involving the host, oral biofilm, microbial agents, nutritional / environmental factors, physicochemical characteristics for the detection of lesions and methods of action for remineralizing agents of dental structures.
Introduction to Public Health. Evolution of the main measures for disease prevention over time. Mechanical and chemical control of oral biofilms. Pit and fissure sealants. Concepts on the development and growth of hard dental structures (macroscopic, microscopic and molecular). Etiology, pathogenesis and modifying factors of dental hard tissue disorders (dental caries and erosion). Pathophysiology of the dental hard tissues disorders. Dynamical mechanisms and processes, including the host response to caries and erosion at macroscopic, microscopic and biomolecular levels. Biochemical events in biofilm related to dental caries. Interference of diet and nutrition in the etiology of dental caries. Relationship between primary etiological factors. Fluoride. Epidemiology of dental hard tissue disorders diagnosis and epidemiology. Basic principles of risk assessment and detection of dental hard tissue disorders: caries and erosion. Health education and health literacy.
Demonstration of the Syllabus Coherence with the Curricular Unit's Objectives:
Unit I-Theoretically and Others (2 ECTS) - Development and growth of oral structures review. Etiology, pathogenesis and modifying factors of dental hard tissue disorders: Dental Caries and chemical-mechanical injuries. Biochemical events in oral biofilm. Host susceptibility. Saliva biochemical events. Epidemiology and clinical diagnosis. Unit II-Theoretical-practical and Tutorial (3 ECTS)- Evolution of main disease prevention measures and landmarks of public health. Modern public health. Intervention in Oral Public Health and Community Preventive Dentistry. Health Promotion, Health Education-Literacy. Fluorides: systematic administration, topical application and toxicology. Pit and fissure sealants: scientific evidence and guidelines for clinical placement. Mechanical and chemical control of oral biofilms: features, functions and therapeutic indications. Toothbrushing Techniques.
Teaching Methodologies (Including Evaluation):
The course will be divided the components Theoretical: 15h, Theoretical-practical: 30h, Tutorial Orientation: 7,5h and Other: 7,5h. At the end of semester, a written test will be held with the Theoretical (40%) and Theoretical-practical (60%) contents. The approval of this Curricular Unit corresponds to 5 ECTS, with mandatory minimum grade of 9.5V. Skills to reach the unit of Cariology correspond to 2 ECTS and unit of Hygiene and Primary Care: 3 ECTS. Failure to obtain a minimum grade of 9.5 V in the written test sends the student to the end of semester exam on a date to be fixed in the academic schedule. The assistance scheme for classes is adopted at the University Pedagogical Regulation in force.
Demonstration of the Coherence between the Teaching Methodologies and the Learning Outcomes:
Theoretical classes (T, 15 hours, one hour per week) are intended to expose and update, descriptive and organizational form, the concepts, theories and assumptions based on the syllabus which, supported by a bibliography.There are aimed at developing scientific skills and future professional skills in students, for detecting conditions of dental hard tissues and their disorders, particularly in cariology. Theoretical-practical classes (TP, 30 hours, two hours per week) intend to develop for expository and illustrative methods a body of knowledge, framed with practical activities to identify the different medical devices and compounds available for the control of oral hygiene as well as, enable the student to the most appropriate decision on the medical prescription of the same. The tutorial Orientation classes (OT; 7.5 hours) consist of guidance for pupils sessions, to enable them to properly use bibliographies, develop methods of scientific research topics described in the program of this course, promoting scientific reading, building critical capacity and contact with scientific nomenclature, as well as the motivation for preparing scientific presentations according to the review methodology. Other classes (O; 7.5 hours) are free sessions designed to enable the student to clarify scientific methodologies presentation of research results that performs as part of this curricular unit.
Harris, N. et al. Primary Preventive Dentistry. Person Health Science, 7thEdition. 2009.New Jersey. Mason, J. Concepts of Dental Public Health. Williams &Walkings Ed. 2004. Oxford.Pine CM., Harris, R. Community Oral Health. Ed. Quintessence, 2007. London. Wilkins, EM. Clinical Practice of the Dental Hygienist. Lippincott Williams & Walkings Ed. 9th ed. 2016. Oxford. Williams R. et al. An evaluation of a school-based dental sealant programme. In J Dent Hyg. 2018;16(2):e65-e72. Wright JT. et al. Evidence-based Clinical Practice Guideline for the Use of Pit-and-Fissure Sealants. AAPD, ADA. Pediatr Dent 2016;38(5):E120-E36. Hara et al. The caries Environment: Saliva, pellicle, diet, and hard tissue ultrastructure. Dent Clin N Am. (2010) 455-467. Fejerskov O. and Nyvad B. Dental caries: The disease and its clinical management. Edwina Kidd, 2015. Wiley-Blackwell. Andersen P. et al. A European Core Curriculum in Cariology: the knowledge base. Eur J Dent Educ.(2011):18–22.