V. PREVENTION.

V.1. Management of Dental Caries Prevention

1. Epidemiological and etiological aspects and clinical characteristics of caries.

Knowledge of :

• the disease process in primary dentition and in permanent dentition.
• the role of bacteria
• the role of sucrose
• the role of host-specific defense mechanisms
• biochemical events in dental plaque
• predilection sites
• the acute and the chronic lesion
• psycho-social aspects and risk assessment

 

2. Scientific basis of caries prevention.

Competent to :

• give dental health education for the child and the parents
• perform professional preventive care

Knowledge of :

• possibilities of caries control by modification of diet evidence for the influence of the diet on caries relative cariogenicity of carbohydrates possible modifications of the diet to reduce caries
• the limitation of sucrose consumption to mealtimes possible replacement of sucrose by other sweeteners in food
• prevention of caries by increasing the resistance of the tooth fluorides
• mechanisms by which fluoride reduces caries
• water fluoridation
• home care
• professional care
• fissure sealants
• remineralisation phenomena
• preventive aspects in restorative dentistry
• prevention of caries by mechanical plaque control
• prevention of caries by antimicrobial plaque control
• chlorhexidine and other antiseptics
• fluoride
• prevention of caries by avoiding transmission of cariogenic
• micro-organisms
• immunology and vaccination

 

3. Evaluation of preventive methods.

Competent to :

• initiate and cooperate in organization and performance of preventive dental care
• consult of the caries preventive dental care for children and adolescents
• evaluate effect of preventive programmes and methods within dental
• care for children and adolescents
• evaluate costlvalue of preventive measures

Knowledge of :

• interpretation of data on caries prevention
• interaction of factors in disease
• estimation of single and combined measures
• prediction of future caries development
• costlvalue of preventive measures

 

V. 2. Management of prevention of periodontal disease

1. Insight in the types of periodontal disease.

Competent to :
make diagnosis upon a relevant patient history and clinical examination

Knowledge of :

• childhood and adolescent gingivitis
• acute necrotizing ulcerative gingivitis
• early onset periodontitis
• localized juvenile periodontitis
• rapidly progressive periodontitis
• pre-pubertal periodontitis
• periodontal disease associated with systemic factors
• conditions which cause gingival hyperplasia
• defects in host defences resulting in accelerated
• periodontal breakdown

Familiar with :

• chronic (adult) gingivitis
• adult periodontitis
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2. Epidemiology, etiology and microbiology of periodontal diseases.

Knowledge of :

• micxobial plaque and its significance
• the development of plaque and calculus
• plaque ecology and structure of plaque
• host defences against microbial plaque
• factors influencing plaque formation
• factors modifying the defence system

 

3. Prevention of gingivitis/periodontitis.

Competent to :

• give dental health education for the child and the parents.
• perform professional preventive care
• initiate and cooperate in organization and performance of preventive dental care
• consult of the preventive care for children and adolescents

Knowledge of :

• mechanical plaque control
• antimicrobial plaque control
• preventive programmes in children
• home care
• professional care

 

4. Treatment of periodontitis.

Knowledge of :
the principles of periodontal treatment

 

V. 3. Management of multidiscipline treatment

Insight in preventive measures of caries and periodontal disease for specific patient groups.

Competent to :

• take care that certain so called riskgroups among children e.g. children with handicap, chronic diseases or complicated social background will have regular dental care.

Knowledge of :

• social factors and preventive dentistry
• prevention in mental and physical handicap children
• preventive measures for orthodontic patients
• prevention for hospitalized children