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DENTAL HYGIENE SCIENCES IV

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
STEFANO FERRETTI
Credits
6
Didactic period
Secondo Semestre

Training objectives

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Modulo: 47775 - ANATOMIA PATOLOGICA
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Knowlegde of the main diseases of tissues and anatomo-clinical correlations, with particular regard to the organs of head and neck.

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Modulo: 53147 - TECNICHE DI IGIENE ORALE NEI PAZIENTI CON PARTICOLARI NECESSITA'
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ORAL HYGIENE TECHNIQUES IN PATIENTS WITH SPECIAL NEEDS
Provide a correct approach, both clinical and psychological, to the most common systemic pathological situations which present considerable complications in the oral cavity. The student must acquire adequate communication and interpersonal skills, that are functional to the care and the treatment of patients with systemic issues, in particular, patients with neurological, metabolic, cardiovascular diseases, patients with compromised immune systems, cancer patients, patients with physical and cognitive disability, frail elderly patients.

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Modulo: 53152 - SCIENZE E TECNICHE DI IGIENE ORALE APPLICATA ALLA COMUNITA'
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SCIENCE AND TECHNIQUES OF ORAL HYGIENE APPLIED TO THE COMMUNITY
The aim of the course is to provide the guidelines and recommendations for maintenance of oral and dental health in 0 to 12 year-old children

Prerequisites

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Modulo: 47775 - ANATOMIA PATOLOGICA (mutua dall'attività formativa ANATOMIA PATOLOGICA - 019563/6 del CdS ODONTOIATRIA E PROTESI DENTARIA - 1024)
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PATHOLOGICAL ANATOMY
Basic knowledge of histology, anatomy, biochemistry, genetics, physiology and general pathology.

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Modulo: 53147 - TECNICHE DI IGIENE ORALE NEI PAZIENTI CON PARTICOLARI NECESSITA'
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Basic knowledge on dental anatomy and morphology, dental histology and embryology, oral pathology, restorative dentistry, pedodontics, preventive and community dentistry
The students should be familiar with clinical environment, know the different diseases and risk factor’s for approach to any kind of patients.

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Modulo: 53152 - SCIENZE E TECNICHE DI IGIENE ORALE APPLICATA ALLA COMUNITA'
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Basic knowledge on dental anatomy and morphology, dental histology and embryology, oral pathology, restorative dentistry, pedodontics, preventive and community dentistry
The students should be familiar with clinical environment, know the different diseases and risk factor’s for approach to any kind of patients.

Course programme

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Modulo: 47775 - ANATOMIA PATOLOGICA (mutua dall'attività formativa ANATOMIA PATOLOGICA - 019563/6 del CdS ODONTOIATRIA E PROTESI DENTARIA - 1024)
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PATHOLOGICAL ANATOMY
Cardiovascular system: aterosclerosis; ischemia and myocardial infarction; endocarditis, myocardiopaties; heart failure; shock.
Oral cavity: odontogenesisi, malformations; cysts and odontogenic tumours; infections, caries and pulpitis, periodontal disease; ulcers and bullous diseases; neoplasms, oral manifestations of systemic diseases, hematologic dyscrasias and endocrine neoplasms.
Salivary glands: sialadenitis, neoplasms;
*Cancer risk factors (alcohol, smoking, HPV)
*Bone diseases: maxillofacial repercussions
*Neoplasm staging: fundamentals, oral cavity and major salivary glands;
*Histo-cytopathological examination of oral cavity: indications and withdrawal techniques.

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Modulo: 53147 - TECNICHE DI IGIENE ORALE NEI PAZIENTI CON PARTICOLARI NECESSITA'
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ORAL HYGIENE TECHNIQUES IN PATIENTS WITH SPECIAL NEEDS
General overview of the patient with previous stroke and outcomes, neurodegenerative diseases, epilepsy, voluntary movement disorders (4 hours). The patient with cardiovascular disease, bacterial endocarditis, transplanted (4 hours). The patients with immune system deficiency (4 hours), the patient with metabolic diseases and cancer (3 hours). The patient with physical and cognitive disabilities and psychiatric illness (3 hours). Finally, the geriatric patient (3 hours), the patient with the wrong lifestyle and drugs or alcohol abuse (3 hours). For each of these types of patients will be analyzed: General Medical history and periodontal: examination of the most common oral complications, Drug history, main used drugs and their effects in the oral cavity. Non-surgical periodontal therapy and its effects on infection control in the over-described diseases: influence on systemic health. Home control: personalized motivation, principals, treatment compliance. Clinical risk management (notions of forensic responsibility and BLSD). Counseling strategies and effective communication: the basic elements of Transactional Analysis.

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Modulo: 53152 - SCIENZE E TECNICHE DI IGIENE ORALE APPLICATA ALLA COMUNITA'
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SCIENCE AND TECHNIQUES OF ORAL HYGIENE APPLIED TO THE COMMUNITY
-The dentition in humans: definitions, characteristics, chronological stages (development and eruption), dental formulas, classification of teeth in relation to function, topography, morphology
- National Italian Guidelines for oral health promotion and oral diseases prevention in children and adolescents
- Prevention of caries from birth to adolescence: risk factors for caries, individual risk caries assessment, recommendations
- Prevention of gingivitis from birth to adolescence: recommendations
- Prevention of malocclusion from birth to adolescence: skeletal relationships, definitions of malocclusions, recommendations
- Fluoroprophylaxis: enamel formation, mechanisms of action of fluoride, systemic and topical fluoride administration
- Dental sealants and sealing techniques
- The evaluation of individual risk caries level by the Cariogram software and application of preventive protocols

Didactic methods

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Modulo: 47775 - ANATOMIA PATOLOGICA (mutua dall'attività formativa ANATOMIA PATOLOGICA - 019563/6 del CdS ODONTOIATRIA E PROTESI DENTARIA - 1024)
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PATHOLOGICAL ANATOMY
Lectures
*Moodle platform (optional)

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Modulo: 53147 - TECNICHE DI IGIENE ORALE NEI PAZIENTI CON PARTICOLARI NECESSITA'
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SCIENCE AND TECHNIQUES OF ORAL HYGIENE APPLIED TO THE COMMUNITY
Lectures and clinical and hands on training with tutor overview. “Problem-Based- Learning” (PBL) system will be applied during the clinical and hands on training.
PATHOLOGICAL ANATOMY
Lectures
*Moodle platform (optional)
ORAL HYGIENE TECHNIQUES IN PATIENTS WITH SPECIAL NEEDS
1. CBL, PBL provides for the analysis of situations and complex problems and identifying possible options for solving them. The case is prepared by the teacher and can result from a real situation. The discussion occurs in a context of comparison between the different positions taken by individual students and / or from different subgroups. This type of methodology is valid for developing complex cognitive abilities.
2. Exercise for small groups with material provided by the teacher (eg a scientific article), looking for answers and solutions to questions posed with the aim of stimulating interaction between the teacher and students and an active participation of students. This method allows the development of intellectual skills, interpersonal skills such as listening, communication, leadership and discussion, useful when working in a team.
3. ROLE PLAYING. It includes an activity that requires students to represent some roles of interaction between them, while other students and tutors acting as observers, or a particular professional situation. Useful mainly for the acquisition of communication skills.

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Modulo: 53152 - SCIENZE E TECNICHE DI IGIENE ORALE APPLICATA ALLA COMUNITA'
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SCIENCE AND TECHNIQUES OF ORAL HYGIENE APPLIED TO THE COMMUNITY
Lectures and clinical and hands on training with tutor overview. “Problem-Based- Learning” (PBL) system will be applied during the clinical and hands on training.

Learning assessment procedures

SCIENCE AND TECHNIQUES OF ORAL HYGIENE APPLIED TO THE COMMUNITY
Written exam, with multiple choice. 45 questions with 3 different answers to select. Test will take 60 minutes. Score 0.67 will be assigned to every right answer. Score 0 will be assigned to wrong or no answer. You need at least score 18 to pass the examination.
PATHOLOGICAL ANATOMY
Oral examination usually based on two questions: a question about diseases of organs and apparatus not including the oral cavity/salivary glands, a question about diseases of the oral cavity/salivary glands. The evaluation is elaborated with particular attention to the student’s ability to develop and critically link the notions learned from the subjects previously studied (normal anatomy, physiology, general pathology).
ORAL HYGIENE TECHNIQUES IN PATIENTS WITH SPECIAL NEEDS
Formative assessments ongoing weekly with briefings at the beginning of class in order to obtain effective feedback. The final summative evaluation includes a written examination with three open-ended questions. The score of thirty is formulated by adding the scores (0 to 10) obtained in the answer to every single question. The assessment is positive when it exceeds 18/30.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS.

Reference texts

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Modulo: 47775 - ANATOMIA PATOLOGICA (mutua dall'attività formativa ANATOMIA PATOLOGICA - 019563/6 del CdS ODONTOIATRIA E PROTESI DENTARIA - 1024)
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PATHOLOGICAL ANATOMY
Slides of the lectures provided by the teacher;
Robbins and Cotran – Pathologic basis of diseases – Ninth ed. – elsevier (available for study and consultation at the teacher’s office, also in Italian edition)

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Modulo: 53147 - TECNICHE DI IGIENE ORALE NEI PAZIENTI CON PARTICOLARI NECESSITA'
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ORAL HYGIENE TECHNIQUES IN PATIENTS WITH SPECIAL NEEDS
Viviana Cortesi Ardizzone, Antonia Abbinante, Igienista dentale, teoria e pratica professionale, Elsevier-Masson 2013
Jan Lindhe, Parodontologia clinica e odontoiatria implantare, 2008
Ministero del Lavoro della Salute e delle Politiche Sociali:
- Linee guida nazionali per la promozione della salute orale e la prevenzione delle patologie orali in età evolutiva. Aggiornamento anno 2013
- Linee guida per la promozione della salute orale e la prevenzione delle patologie orali negli individui in età evolutiva che devono essere sottoposti a terapia chemio e/o radio (anno 2010).
- Linee guida nazionali per la promozione della salute orale e la prevenzione delle patologie orali in età adulta - Aggiornamento anno 2015
- Linee guida nazionali per la prevenzione ed il trattamento odontoiatrico del russamento e della sindrome delle apnee ostruttive nel sonno in età evolutiva (anno 2016) http://www.salute.gov.it/portale/temi/p2_6.jsp?lingua=italiano&id=732&area=Sorriso%20salute&menu=vuotoattivita
Recommended reading
Berne, E. Analisi transazionale e psicoterapia, Roma, Astrolabio-Ubaldini, 1961
Damasio A.R., L'errore di Cartesio, Adelphi, Milano, 1995 Dezza G.;
Farina, M.Poggi, M.; Setton, I.; Vesi, A. (2003) L'Analisi Transazionale nella formazione degli adulti, Milano, Franco Angeli;
Schiff, J.L. et al Analisi transazionale e cura delle psicosi, Roma, Astrolabio-Ubaldini, 1975
Sacks O., L'Uomo che scambiò sua moglie per un cappello, Adelphi, Milano, 1985

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Modulo: 53152 - SCIENZE E TECNICHE DI IGIENE ORALE APPLICATA ALLA COMUNITA'
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SCIENCE AND TECHNIQUES OF ORAL HYGIENE APPLIED TO THE COMMUNITY
Ministero del Lavoro della Salute e delle Politiche Sociali – Linee guida nazionali per la promozione della salute orale e la prevenzione delle patologie orali in età evolutiva – 2008 ans 2013
Slide and Handouts provided by teacher.