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
