CLINICAL TRAINING III
Academic year and teacher
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- SANTO CATAPANO
- Credits
- 16
- Didactic period
- Secondo Semestre
- SSD
- MED/50
Training objectives
- The course aims to provide students with the tools for a correct clinical approach for diagnosing and planning non-surgical periodontal treatment in patients with moderate to severe periodontal disease. The acquisition of social and communicating skills will be at the same time guarantee for the student to a gradual involvement into the dental staff in order to be involved in the workplace. The student must acquire the appropriate skills to support functional and periodontal treatment of adult patients, pediatric and geriatric, and the patient with the most common systemic problems. He/She should know and be able to frame the main risk factors of periodontal disease and provide appropriate motivational counseling. He/she must be able to globally manage the patient in the active treatment phase, in the phase of support and in the maintenance phase.
Prerequisites
- Knowledge of Periodontal Debridement and its clinical, histological, microbiological effects; recognition of anatomical and morphological alterations of normal periodontal structures; execution of the complete periodontal examination; periodontal debridement with mechanical tools and standard inserts in patients with periodontal health (primary prevention) and mild form of periodontitis (secondary prevention)
Course programme
- At the center of the course program is the patient's overall management. The student will be able to make and interpret a medical history by highlighting major systemic diseases and drug therapies and their implications on the mouth and on the results of non-surgical periodontal therapy. He/she will learn how to record and interpret a complete dental history with the main dental diseases and dental therapeutic procedures; He/she must be able to recognize and record the periodontal patient-specific risk factors. The student will know how to integrate the patient's medical history with data from imaging studies (CT, OPT and complete periapical intraoral exam) and register all clinical parameters of periodontal diagnostic and prognostic interest. He/she must be able to perform a proper intra and extra-oral examination; He/she must be able to make a proper non-surgical periodontal instrumentation with manual tools and will learn how to treat dentin hypersensitivity post instrumentation. He/she must be able to perform a correct periodontal revaluation and provide adequate oral hygiene instruction to all types of patients. He /she must know how to set a proper appeals system and manage the supporting periodontal therapy.
Didactic methods
- PBL, CBL, simulation model, exercise on patients within clinical training experiences
Learning assessment procedures
- Formative evaluation is ensured by the tutorial system during training experiences; in particular by the Tutor / guide who accompanied the student and looks at the performance. It occurs in three distinct times of the year (December, March and July). It is focused on the core issues. At present the experiences are quantified in number of 3 for the second year of the course and the evaluation forms are made available to students on the official website. The methodology is the Objective Structured Clinical Examination (OSCE) which consists of 2 parts: the first contains a list of skills, behaviors, expected results, while the second documents the level achieved for each competence through a staircase measuring (grading to verbal multidimensional descriptors). The Tutor / guide documents the level reached by the student for the most important skills, avoiding to measure it with a vote. The summative or certificative evaluation at the end of year is the synthesis of information obtained from the three annual assessments. The final score is computed on a score in tenths attributed to three tests, also integrated with data on students from various sources (evolution in the skills documented in the internship profiles, quality of any report, projects, individual works, participation in other initiatives). The examination is run by a committee chaired by the Director of Educational activities with a professional Tutor representation, in some cases it is also considered the presence of other teachers.
Reference texts
- A. M. Pattison & G. L. Pattison - Periodontal instrumentation - 2a ed. Reston, Va., Reston Pub. Co., 1979
C. Guastamacchia e V. Ardizzone – Collana “Prevenzione e igiene dentale”, Igiene orale personalizzata – ed. Masson, Milano 2002
L. Trombelli – Strumentazione parodontale non chirurgica. Manuale interattivo multimediale – ed. Masson, 2005
Jan Lindhe, Parodontologia clinica e odontoiatria implantare, V Ed., 2009
V. Cortesi Ardizzone, A. Abbinante, Igienista orale, teoria e pratica professionale, Elsevier-Masson 2013
