DANYLO HALYTSKY

NATIONAL MEDICAL UNIVERSITY OF LVIV

DEPARTMENT OF THERAPEUTIC DENTISTRY

METHODOLOGICAL GUIDE
for practical classes Therapeutic dentistry
(VII semester) for the 4-th year students

Lviv-2014

The methodological guide worked out by: M. Hysyk, O.

Ripetska

Accountable for an issue first vice-rector of scientific and

academicl work, professor, Corresponding Member of the Academy of
Medical Sciences of Ukraine, M.R. Gzhegotskiy.

Reviewers:
associate professor of department of Surgical dentistry N. Krupnik,
professor of department of Pediatric dentistry A. Kordiyak

Methodological guide for students in Therapeutic dentistry (III

semester) was discussed and approved on the sitting of the department of
Therapeutic dentistry (record of proceedings , dated from , , 2014)
and approved on the meeting of Methodological committee in dentistry
disciplines on , 2014, protocol .

Computer printing: Oksana Kochegarova

CONTENT OF THE COURSE

Page
Plan of the discipline Therapeutic Dentistry according to the
credit-module system of the organization of studies (CMSO) .....
Types of self-education work for students....................................
Types of individual work for students...........................................
The structure of discipline estimation of grades for current
educational activity (converting of traditional marks into marks,
estimation in grates for implementation of individual tasks)
........
Introduction ..
Practical lesson 1. Determination of the initial level of

knowledge. Prevention of accidents in clinic of

therapeutic dentistry.
Practical lesson 2. Clinical and morpho-functional
peculiarities of periodontal tissues. Dento-gingival
junction. Age changes of the periodontium. Clinical
meaning (the term periodontium. Anatomy,
histology, physiology of the periodontium).
Protective mechanisms.
Practical lesson 3. Diseases of the periodontal tissues.
Terminology. Classification of periodontal diseases.
Positive and negative sides of the classifications.
Practical lesson 4. Peculiarities of clinical examination
of patients with periodontal pathology. The most
important clinical methods of examination.
Practical lesson 5. Additional methods in the diagnosis
of periodontal diseases. Periodontal indices.
Practical lesson 6. X-ray diagnosis in patients with
periodontal pathology.
Practical lesson 7. Laboratory, functional methods of
diagnosis in patient with periodontal pathology.
Practical lesson 8. The mechanism of development of
supra- and subgingival dental calculus, its influence
on the development of periodontal pathology, ways of
3

debridment procedures.
Practical lesson 9. Mistakes and complications in
diagnosis of patients with periodontal pathology.
Concluding control of knowledge.
Practical lesson 10. Etiology and pathogenesis of
inflammatory periodontal diseases.
Practical lesson 11. Papilities, gingivitis. Classification.
Clinical sings of catarrhal (simple) gingivitis.
Practical lesson 12. Treatment of catarrhal gingivitis.
Practical lesson 13. Hypertrophic gingivitis. Clinic,
diagnosis.
Practical lesson 14. Treatment of hypertrophical
gingivitis.
Practical lesson 15. Ulcerative gingivitis. Clinic,
diagnosis.
Practical lesson 16. Treatment of ulcerative gingivitis.
Practical lesson 17. Atrophic and desquamate gingivitis.
Clinical sings and treatment.
Practical lesson 18. Differential diagnosis of gingivitis.
The role of gingivitis in the development of
periodontitis. Gingivitis prevention.
Practical lesson 19. Localized periodontitis. Clinic,
diagnosis.
Practical lesson 20. Treatment and prophylactic of
localized periodontitis.

PRACTICAL LESSONS
Module 2: Diseases of the periodontium. Etiology,
pathogenesis. Classification, clinical features, diagnosis,
treatment, prophylaxis 6 credits (180 hours): lectures
10 hours, practical lessons 110 hours, self education 60
hours.
Module 5.
Diseases of the periodontium. Systematisation of periodontal
diseases. Peculiarities of clinical examination in periodontal
pathology

Topic

1.

Determination of the initial level

of knowledge. Prevention of
accidents in clinic of therapeutic
dentistry.
Clinical and morpho-functional
peculiarities
of
periodontal
tissues. Dento-gingival junction.
Age changes of the periodontium.
Clinical meaning (the term
periodontium.
Anatomy,
histology, physiology of the
periodontium).
Protective
mechanisms.
Diseases of the periodontal
tissues.
Terminology.
Classification
of periodontal
diseases. Positive and negative
sides of the classifications.

2.

3.

Pract.
lessons
2

Individual
work
1

4.

5.
6.
7.
8.

9.

Peculiarities
of
clinical
examination of patients with
periodontal pathology. The most
important clinical methods of
examination.
Additional methods in the
diagnosis of periodontal diseases.
Periodontal indices.
X-ray diagnosis in patients with
periodontal pathology.
Laboratory, functional methods of
diagnosis
in
patient
with
periodontal pathology.
The mechanism of development
of supra- and subgingival dental
calculus, its influence on the
development
of
periodontal
pathology, ways of debridment
procedures.
Mistakes and complications in
diagnosis of patients with
periodontal
pathology.
Concluding control of knowledge.

Module 6.
Inflammatory periodontal diseases (papilitis, gingivitis,
localized periodontitis)

Topic

10. Etiology and pathogenesis of

inflammatory
periodontal
diseases.
6

Pract.
lessons
2

Individual
work
2

11. Papilities,
gingivitis.
Classification. Clinical sings of
catarrhal (simple) gingivitis.
12. Treatment of catarrhal gingivitis.
13. Hypertrophic gingivitis. Clinic,
diagnosis.
14. Treatment of hypertrophical
gingivitis.
15. Ulcerative gingivitis. Clinic,
diagnosis.
16. Treatment of ulcerative gingivitis.
17. Atrophic
and
desquamate
gingivitis. Clinical sings and
treatment.
18. Differential
diagnosis
of
gingivitis. The role of gingivitis
in
the
development
of
periodontitis.
Gingivitis
prevention.
19. Localized periodontitis. Clinic,
diagnosis.
20. Treatment and prophylactic of
localized periodontitis.

2
2

2
2

2
2

2
2

OUT OF CLASS WORK (30 hours)

1.
2.

Topic
Preparation for practical lessons: theoretical and
practical training.
Working-out of practical topics not included in
practical classes:
- The contribution of scientists of Ukraine and
foreign scientists in the investigation of
7

Hours
20
2
2

etiology and pathogenesis of periodontal

diseases.
Estimation criteria of the condition of
periodontal tissues.
Writing of dental documentation, quantative
and qualitative indices in the work of dentist.
Analysis of the results of the laboratory tests
(cytological, histological, bacterial).
Conduction and estimation of the additional
methods of investigations.

2
2
2

INDIVIDUAL WORK (2 points)

1.
2.

Topic
Estimation of periodontal indices.
Clinical examination of patient with periodontal
pathology. Medical history report, conduction of
treatment plan.

Points
1
1

THE STRUCTURE OF DISCIPLINE , MARKS FOR CURRENT EDUCATIONAL

ACTIVITY (THE CONVERTATION OF TRADITIONAL ESTIMATIONS IN MARKS,
ESTIMATION IN GRADES FOR IMPLEMENTATION OF INDIVIDUAL TASKS)
V YEAR (7 SEMESTER)
Module

Module 2:
Diseases of the
periodontium.
Etiology,
pathogenesis.
Classification,
clinical features,
diagnosis,
treatment,
prophylaxis

Number of educational
hours, numder of credits,
ECTS
270
=
9 cr.

Schedule
of practical
classes

Distribution of
practical classes
Lec.

Convertation of
traditional marks into
grades

Grades for the

implementation of the
ISWS

Traditional marks

Traditional marks

2,5

SWS
Pract.
30

90

Practical
classes
(in all 38)

150

Students who received 76 grades are admitted to final module control. For individual work 6 marks
are added.

Nu
gra
c
edu
act
st

Introduction
The European Credit Transfer System (ECTS) is being
implemented at the Dentistry Faculty (2009). According to the regulations
of the ministry of Health care of Ukraine, the modular credit transfer system
and modular rating assessment system being introduced in Ukraine are
congruent with the ECTS.
The content of the curriculum on the third year ofstudies includes 9
credits (according to ECTS) or 270 hours, 30 hours are envisaged for
lectures, 150 hours for practical classes and 90 hours for independent study.
The content of the curriculum and syllabus is defined by principles
and:
- is based on international levels of proficiency;
- matches national qualification levels of achievement;
- has clearly and flexibly formulated objectives and outcomes;
- is based on professional and academic skills;
- covers professional and academic content (areas of subject knowlegde);
situational content and pragmatic content / necessary practical and useful
skills;
- takes into account the students backgrounds and their studies and target
needs;
- is modular in its organization.
The teaching material of the V semester is divided into 2
thematical modules. The teaching objectives of the thematical module.
No 1. Examination of the dental patient envisage the learning of
modern methods of diagnosis of dental diseases, theory and practical skills
in interpreting the obtained data in making clinical diagnosis. Besides, the
dental students gain profocoency in dental anaesthesia, dental intensive care
root canal treatment, tooth extraction, pain medication etc.
The teachinf objectives of the thematical module No 2 Dental
caries and non-caries lesions of teeth envisage the learning of causes of
occurrence and developmental mechanisms of dental hard tissie lesions of
different origin. The dental students learn to classify dental hard tissue
pathologies, clinical manifestations and course of discase, indications as to
applying different methods of treatment, peculiarities of surgical treatment,
cavity preparation, fillings of the dental hard tissues damaged by dental
caries, as well as dental health basics (preventive measures and
remineralization therapy of dental caries).
The Guide for Practical Classes on Therapeutic Dentistry includes:
short characteristic of the theme for each lesson; control questions of the
material studied test assignments and situation based tasks as well as

10

reference literature. The students are awarded credits for each module and at
the end of the course they are awarded credits for the subjects they learnt.

11

Practical lesson No 1
Theme:
Short description of a theme

Control questions to practical lesson

Situation tasks and test control

12