1.1 Institution of higher education

UNIVERSITY OF MEDICINE AND PHARMACY OF CRAIOVA

1.2 Faculty

Faculty of DENTAL MEDICINE

1.3 Department

2

1.4 Study Domain

HEALTH

1.5 Study cycle

LICENCE

1.6 Study program/ Qualification

Dental Medicine

2.1 DISCIPLINE NAME

Oral Rehabilitation and Specialty Practice

2.2. Discipline code         

MD61206

2.3 The holder of course activities

Popescu Sanda Mihaela

2.4 The holder of seminar activities

Marinescu Roxana

2.5.Academic degree        

Prof./Assistant Lecturer

2.6. Employment (base norm/associate)

Base norm/Base norm

2.7. Year of study

VI

2.8. Semester

I/II

2.9. Course type (content)²⁾

DS

2.10. Regime of discipline (compulsoriness)³⁾

DI

3.1 Number of hours per week

6/8

From which - course

2

Clinical activity

4/6

3.4 Total hours in curriculum

84/112

From which - course

28

Clinical activity

56/84

Time found distribution (hours)

Study from manual, course support, bibliography, and notes

30

Additional documentation in the library, specialized electronic platforms and,  on the field

10

Training seminars / labs, homework, reports, portfolios, and essays

4

Tutoring

4

Examinations

6

Other activities... counselling, student scientific programs

2

3.7 Total hours of individual study

56/56

3.9 Total hours per semester

140/168

3.10 Number of credits⁾

6/6

4.1 curriculum

4.2 competency

5.1. of course  deployment

-

5.2. of clinical activity deployment

6. SPECIFIC COMPETENCES ACCRUED⁾⁷⁾

PROFESSIONAL COMPETENCES

C1. Identification the disease status and establishing the correct diagnosis.

C2. Conservative treatment of teeth and periodontal structures.

C4. Prosthetic restoration of dental arches.

TRANSVERSAL COMPETENCES

6. Performance of the professional tasks in a responsible manner, in conditions of restricted autonomy and            qualified assistance.

CT1 - Identifying the objectives to be fulfilled, the available resources, the terms of completion, the work            stages, the timeframe, the related deadlines and the inherent risks.

         - Performing projects under coordination, in order to solve specific problems for the field, with the correct            evaluation of the workload, the available resources, the time necessary for their completion and the risks,

           while applying the professional deontological and ethical norms in the field, as well as the labour health and            security norms.     

7. Knowledge of the roles and activities involved in teamwork and assignment of the tasks to the subordinated levels.

CT2 - Identifying the roles and responsibilities in a multidisciplinary team and applying efficient work and            relation techniques within the team and in the relation with the patients.

           - Developing an assignment/project by performing responsibly the tasks typical for the role in a            multidisciplinary team.

8. Becoming aware of the need for life-long training, using the learning resources and techniques efficiently            for the personal and professional development.

CT3 - Using the information and communication resources efficiently, as well as those for assisted            professional development (web portals, specialized software applications, data bases, on-line courses etc.)           both in Romanian and in an international language.

           - Preparing, processing and presenting a research paper on a subject relevant for the field, using various            information sources and instruments, in Romanian and in an international language.

7.1 The general objective of the discipline

• Development of diagnostic capabilities and sequential planning of dental treatment in oral rehabilitation.

• Assimilation of objectives and concepts of complex oral rehabilitation: tooth rehabilitation, periodontal rehabilitation, occlusal rehabilitation, surgery, prosthetic restorations in complex oral rehabilitation, oral rehabilitation for patients with special needs, oral rehabilitation for patients at risk in dental practice.

• Acquiring the dental emergency management concepts that may appear in the dental office.

7.2 The specific objectives of the discipline

Upon completion of discipline student will be able to acquire:
COGNITIVE ABILITIES, which will allow :
• To master the methodology of collecting anamnestic data for a correct and complete diagnosis formulation.

• To acquire the objectives and concepts of complex oral rehabilitation.

• To master the necessary knowledge for sequential treatment in oral rehabilitation: acute treatment phase, oral disease control treatment phase, definitive treatment phase, maintenance treatment phase.

• To master the knowledge required for oral rehabilitation in patients with special needs.

• To master the knowledge required for individualized oral rehabilitation.

• To master the knowledge required for oral rehabilitation in patients at risk in dental practice.

• Acquire the concepts of dental emergency management that may appear in the dental office.
PRACTICAL SKILLS
• Identify the main reason that brought the patient to the dentist and obtain the history of the dental disease in the context of the patient's overall medical history.

• Creating a dental file containing the patient's medical data and record accurately the course of treatment.

• Identify patient behavioral disorders (including anxiety).

• Implement a medical questionnaire or consult the patient's physician to clarify issues related to general health.

• Perform an extra oral and intraoral examination suitable for the patient, including assessing vital signs, and record the results in writing.

• Develop and compose the full tooth examination, periodontal examination and oral mucosa examination.

• Read dental x-rays and indicate other forms of medical imaging relevant to the dentist.

• Prescribe laboratory clinical examinations and other diagnostic techniques and procedures, ensuring their reliability and validity, and interpreting the results.

• Examine dental casts and occlusal relationships on dental casts mounted on dental articulator.

• Evaluate salivary function. Evaluate oro-facial pain.

• Recognize the signs of abuse, ill-treatment or abandonment of patients and inform competent law courts.

• Get a firm consent from the patient.

• Identify all general illnesses and appreciate the extent to which they or their treatment will affect the performance of dental care.

• Locate carious lesions and dental wear, appreciate their extent and severity.

• To diagnose tooth abnormalities and periodontitis likely to compromise periodontal health, function, or aesthetics, and to know when to intervene.

• To differentiate between healthy and affected dental pulp and to recognize when to intervene.

• To recognize the clinical signs of illness or oral mucosal disorders, including cancer, and identify the situations requiring intervention.

• To diagnose maxillofacial problems, to recognize clinical signs of acute or chronic cranio-facial pain, regardless of origin: somatic, neurological or psychiatric; identify and diagnose situations requiring the intervention of a dentist or other specialist.

• To identify the patient's aesthetic requirements and determine the level at which they can be met.

• To make an orthodontic diagnosis and to send patient to specialist.

• To diagnose temporo-mandibular joint disorders (TMD).

• To diagnose dental and medical emergencies.

• To develop and establish effective strategies for the prevention of medical and dental emergencies occurring while practicing the profession, and establish protocols for the treatment of these emergencies, if any.

• To diagnose and treat dental emergencies of pulp, periodontal or traumatic origin.

• To diagnose and address as soon as possible the specialist for medical or orofacial emergencies that is not a dental practitioner's normal competence.

• To acquire the skills of sequential planning of complete and complex oral rehabilitation treatment, personalized according to the patient's particularities.

• To recognize medical risk and learn the principles of assessment and dental treatment of the patient with medical risk.

ATTITUDES
• To establish a practitioner-patient relationship that allows an effective dental care.

• To acquire the ability to communicate with the patient to obtain data needed to formulate a correct and complete diagnosis.

• To acquire the ability to communicate with the patient to obtain informed consent for oral rehabilitation treatment.

• To acquire the following skills:

a. Professional behavior

- prove a professional attitude towards the patient and the working team

- coordinate the activity in the dental office in collaboration with the dental assistant and technician

- establish and maintain a climate of danger-free work

- know the importance of continuing medical education to develop professional skills based on current scientific data

b. Ethical behavior and jurisprudence

- apply ethical principles related to dental practice

- respect patients' rights

- recognize the signs of abuse or ill-treatment of patients and inform the competent legal courts

- give priority to those treatment options that meet the patient's individual needs

- to respect patients and colleagues without discrimination

- to observe the legal, administrative and behavioral procedures in the practice of dental medicine

c. Ability to communicate and relate

- to acquire and use the medical vocabulary correctly

- to communicate with the patient and his / her relatives

- to identify sociological and cultural factors that cause dental malformation or dysfunction

- to interact with health personal of other specialties, interdisciplinary and inter professionally

- to maintain a stress-free, constructive work environment

8.1  Course (content units)

Nr. ore

First semester

1. Methodology of collecting anamnestic data for the formulation of a correct and complete diagnosis

2

2. Methodology of anamnestic data use to request complementary exams.

2

3. Development of diagnosis and prognosis in oral rehabilitation and design of individualized treatment plan. Obtain informed consent.

2

4. Sequence of the complex treatment plan in oral rehabilitation. Assessing the general health of the patient and establishing the possibilities for completing the complex dental treatment plan according to the systemic diseases of the patient.

2

5. Patient evaluation with acute oro-dental conditions.

2

6. Diagnosis and treatment of acute oro-dental conditions.

2

7. Control of dental caries and periodontal diseases - stage of the complex treatment plan.

2

8. Control of chronic pulp and apical conditions.

2

9. Dental wear control. Balancing dental occlusion.

2

10. The definitive treatment step in the complex oral rehabilitation treatment plan.  

2

11. Elective dental treatments within the complex oral rehabilitation treatment plan.

2

12. Replacement of absent teeth in the complex oral rehabilitation treatment plan. Oral rehabilitation in patients with partial edentulism. Oral rehabilitation in patients with partial edentulism and periodontitis.

2

13. Replacement of absent teeth in the complex oral rehabilitation treatment plan. Oral rehabilitation in patients with terminal edentulism. Oral rehabilitation in patients with complete edentulism.

2

14. Maintenance stage of treatment - key step in the complex oral rehabilitation treatment plan.

2

TOTAL

28

Second semester

1. Oral rehabilitation in patients with dental wear.

2

2. Oral rehabilitation in patients with dento-maxillary abnormalities.

2

3. Oral rehabilitation in patients with bruxism.

2

4. Oral rehabilitation in patients with special needs.

2

5. Age individualisation of oral rehabilitation treatment plan: child patient, adolescent patient, adult patient, elderly patient.

2

6. Oral rehabilitation in addicted patients: smokers, alcoholics, drug addicts, or prescription drugs addict.

2

7. Oral rehabilitation in the anxious patient. Oral rehabilitation in patients with financial or motivational problems.

2

8. Dental management of the patient with cardiovascular diseases. Prophylaxis of bacterial endocarditis. Dental management of the patient with HTA.

2

9. Dental management of the patient with lung diseases.

2

10. Dental management of the patient with endocrine and metabolic diseases. Dental management of pregnant or breastfeeding patients.

2

11. Dental management of the patient with immunological pathology. Dental management of the patient with haematological and oncological diseases.

2

12. Dental management of the patient with gastrointestinal diseases. Dental management of the patient with genito-urinary diseases.

2

13. Dental management of the patient undergoing bisphosphonate therapy. Drug interactions in the dental office.

2

14. Management of local dental surgical emergencies.

2

TOTAL

28

BIBLIOGRAPHY

1.      Reabilitare Orală – Curs pentru studenţii anului VI, Sanda Mihaela Popescu, Ed. Medicală Universitară, Craiova, 2019    

2.      Reabilitare Orală si Urgențe Medico-chirurgicale – Curs pentru studenţii anului VI, Sanda Mihaela Popescu, Ed. Medicală Universitară, Craiova, 2019                               

3.      Reabilitare Orală – Îndrumător de stagiu clinic, Sanda Mihaela Popescu, Ed. Medicală Universitară, Craiova, 2008

4. Legea nr. 95/2006. Titlul XV. Răspunderea civilă a personalului medical şi a furnizorului de produse şi servicii medicale, sanitare şi farmaceutice. Acordul pacientului informat. Editura Best Publishing România 2006.
5. Diagnosis and treatment planning in dentistry 4th Ed, Stefanak and Nesbit, Elsevier, 2024

8.2  Practical work (topics / themes)

First semester

1. Methodology of collecting anamnestic data for the formulation of a correct and complete diagnosis

• completing the patient dental record in oral rehabilitation.

• apply anamnestic technique, depending on the clinical case, the medical questionnaire or the medical interview.

• measuring vital signs.

• evaluate the patient by correctly interpreting clinical data.

4

2. Methodology of anamnestic data use to request complementary exams.

• request and interpret the complementary examinations required to establish the complete and correct diagnosis.

• communicate with physicians of different specialties in order to obtain the data necessary to establish a complex diagnosis in oral rehabilitation.

4

3. Development of diagnosis and prognosis in oral rehabilitation and design of individualized treatment plan. Obtain informed consent.

• develop the diagnosis and prognosis, and design the individualized treatment plan for three patients.

• obtain written informed consent, respecting its legal terms.

4

4. Sequence of the complex treatment plan in oral rehabilitation. Assessing the general health of the patient and establishing the possibilities for completing the complex dental treatment plan according to the systemic diseases of the patient.

• complete the sequence of the complex treatment plan for three patients.

• establishing general health status - dental treatment relationship and its impact on the complex oral rehabilitation treatment plan.

4

5. Patient evaluation with acute oro-dental conditions.

• recognize dental emergency and the pressing dental problem for three patients.

• evaluate the dental emergency patients presented to clinic.

• recognize the profile of the patients who present with oro-dental emergency.

4

6. Diagnosis and treatment of acute oro-dental conditions.

• diagnose and treatment of dental emergency and the pressing dental problem for three patients.

4

7. Control of dental caries and periodontal diseases - stage of the complex treatment plan.

• evaluate the patient with dental caries depending on the cariogenic risk and apply the correct protocol for caries control, individualized, depending on the degree of cariogenic risk.

• evaluate the patient with periodontal disease depending on the risk and prognosis of long-term disease progression and apply the correct protocol to control periodontal disease, individualized, depending on the clinical case.

4

8. Control of chronic pulp and apical conditions.

• evaluate the patient with pulpal and apical disease depending on the risk and prognosis of long-term disease progression and apply the correct protocol to control disease, individualized, depending on the clinical case.

4

9. Dental wear control. Balancing dental occlusion.

• evaluate the patient with tooth wear depending on the risk and prognosis of long-term disease progression and apply the correct protocol to control disease, individualized, depending on the clinical case.

4

10. The definitive treatment step in the complex oral rehabilitation treatment plan.  

• apply the correct protocol for the complete oral rehabilitation, individualized, depending on the clinical case.

4

11. Elective dental treatments within the complex oral rehabilitation treatment plan.

• apply the correct protocol for elective dental treatments, individualized, depending on the clinical case.

4

12. Replacement of absent teeth in the complex oral rehabilitation treatment plan. Oral rehabilitation in patients with partial edentulism. Oral rehabilitation in patients with partial edentulism and periodontitis.

• apply the correct protocol for partial edentulism treatment, individualized, depending on the clinical case.

4

13. Replacement of absent teeth in the complex oral rehabilitation treatment plan. Oral rehabilitation in patients with terminal edentulism. Oral rehabilitation in patients with complete edentulism.

• apply the correct protocol for terminal or complete edentulism treatment, individualized, depending on the clinical case.

4

14. Maintenance stage of treatment - key step in the complex oral rehabilitation treatment plan.

• apply the correct protocol for maintenance phase of oral rehabilitation treatment, individualized, depending on the clinical case.

4

TOTAL

56

Second semester

1. Oral rehabilitation in patients with dental wear.

• apply the correct oral rehabilitation protocol for patients with tooth wear, individualized, depending on the clinical case.

6

2. Oral rehabilitation in patients with dento-maxillary abnormalities.

• apply the correct oral rehabilitation protocol for patients with dento-maxillary abnormalities, individualized, depending on the clinical case.

6

3. Oral rehabilitation in patients with bruxism.

• apply the correct oral rehabilitation protocol for patients with bruxism, individualized, depending on the clinical case.

6

4. Oral rehabilitation in patients with special needs.

• apply the correct oral rehabilitation protocol for patients with special needs, individualized, depending on the clinical case.

6

5. Age individualisation of oral rehabilitation treatment plan: child patient, adolescent patient, adult patient, elderly patient.

• apply the correct oral rehabilitation protocol for patients, according to age, individualized, depending on the clinical case.

6

6. Oral rehabilitation in addicted patients: smokers, alcoholics, drug addicts, or prescription drugs addict.

• apply the correct oral rehabilitation protocol for patients with addiction, individualized, depending on the clinical case.

6

7. Oral rehabilitation in the anxious patient. Oral rehabilitation in patients with financial or motivational problems.

• apply the correct oral rehabilitation protocol for patients with dental anxiety, individualized, depending on the clinical case.

6

8. Dental management of the patient with cardiovascular diseases. Prophylaxis of bacterial endocarditis. Dental management of the patient with HTA.

• apply the correct oral rehabilitation protocol for patients with cardiovascular disease, individualized, depending on the clinical case.

6

9. Dental management of the patient with lung diseases.

• apply the correct oral rehabilitation protocol for patients with lung disease, individualized, depending on the clinical case.

6

10. Dental management of the patient with endocrine and metabolic diseases. Dental management of pregnant or breastfeeding patients.

• apply the correct oral rehabilitation protocol for patients with endocrine and metabolic disease, individualized, depending on the clinical case.

6

11. Dental management of the patient with immunological pathology. Dental management of the patient with haematological and oncological diseases.

• apply the correct oral rehabilitation protocol for patients with haematological, oncological, immunological pathology, individualized, depending on the clinical case.

6

12. Dental management of the patient with gastrointestinal diseases. Dental management of the patient with genito-urinary diseases.

• apply the correct oral rehabilitation protocol for patients with gastro-intestinal or genito-urinary disease, individualized, depending on the clinical case.

6

13. Dental management of the patient undergoing bisphosphonate therapy. Drug interactions in the dental office.

• apply the correct oral rehabilitation protocol for patients undergoing bisphosphonate therapy, individualized, depending on the clinical case.

6

14. Management of local dental surgical emergencies.

• apply the correct treatment protocol for patients with local dental surgical emergencies, individualized, depending on the clinical case.

6

TOTAL

84

BIBLIOGRAPHY

1.      Reabilitare Orală – Curs pentru studenţii anului VI, Sanda Mihaela Popescu, Ed. Medicală Universitară, Craiova, 2019  

2.      Reabilitare Orală si Urgențe Medico-chirurgicale – Curs pentru studenţii anului VI, Sanda Mihaela Popescu, Ed. Medicală Universitară, Craiova, 2019                     

3.      Reabilitare Orală – Îndrumător de stagiu clinic, Sanda Mihaela Popescu, Ed. Medicală Universitară, Craiova, 2008,2013

4. Legea nr. 95/2006. Titlul XV. Răspunderea civilă a personalului medical şi a furnizorului de produse şi servicii medicale, sanitare şi farmaceutice. Acordul pacientului informat. Editura Best Publishing România 2006.
5. Diagnosis and treatment planning in dentistry 4th Ed, Stefanak and Nesbit, Elsevier, 2024

• Oral rehabilitation and specialty practice  is a fundamental discipline, mandatory for a student in his preparation for becoming a dentist.
• The knowledges, practical skills and the attitudes learned on this discipline develop diagnostic capabilities and abilities of sequential planning of dental treatment in oral rehabilitation. Objectives and concepts of complex oral rehabilitation (tooth rehabilitation, periodontal rehabilitation, occlusal rehabilitation, surgery, prosthetic restorations in complex oral rehabilitation, oral rehabilitation for patients with special needs, oral rehabilitation for patients at risk in dental practice, dental emergency management concepts that may appear in the dental office) contribute to fix and correlate the knowledge gained in other disciplines like preventive dentistry, oral pathology, oral radiology, cariology, endodontics, oral surgery, periodontology, implantology, dental prosthetics.

Types of activity

Teaching Techniques / learning materials and resources:

Course

lecture, debate, questioning, analysis, synthesis, comparison, generalization, interactive learning for the purpose of feedback, explanation of students' problems, consultations, presentations on projector

Scientific Circle

- presentation of projects in PPT format with themes covered in the subject of the discipline

Practical work

-explication, debate, presentation and discussion of clinical problem cases, demonstration,
-application, teamwork
-Exercising at least 6 oral rehabilitation therapies
-prepare the Oral Rehabilitation Files of three clinical cases, of which a complex case with panoramic radiography and study model
- Presenting a complex clinical case

Individual study

Activity type

No of hours

1. Study of course notes

10

2. Study of the manual

10

3. Study of the minimal reference

10

4. Study in the library

10

5. Specific training activity in the lab

10

6. Reports, essays – prepare for

4

7. Tests – prepare for

4

8. Oral presentation – prepare for

2

9. Prepare for the final exam

10

10. Consultations

4

11. Clinical research

6

12. Internet research

8

13. Communications and collaboration on internet networks

2

14. Other activities

11. RECOVERY PROGRAM

Absences recoveries

No. absences that can recover

Location of deployment

Period

In charge

Scheduling of topics

3

Oral rehabilitation clinic

Last two weeks

Practical work holder

According to the internal schedule

Schedule consultations /

Students' Scientific Program

2 hrs/week

Oral rehabilitation clinic

Last two weeks

Practical work holder

According to the internal schedule

Program for students poorly trained

8 hrs/sem.

Oral rehabilitation clinic

Last two weeks

Practical work holder

According to the internal schedule

12. ASSESMENT

Form of activity

Assessment oral

Percentage of final grade

Formative

Periodical

Summative

Course

Oral

Test

Multiple choice test, test in writing

50%

Practical work

Oral

Oral

Oral / Conception of a treatment plan in a given clinical situation
Oral / Evaluation of the minimum of six therapeutical maneuvers
Written / Assessment of the 3 Oral Rehabilitation Charts
Oral / Assessment of complex clinical case presentation

50%

Exam

10%

10%

80%

100%

Periodic verification

Attendance at the course

13. GUIDANCE AND COUNSELLING PROGRAMS

Professional guidance and counselling programs (2 hours/monthly)

Scheduling the hours

Location

In charge

Every first Tuesday of the month

Oral rehabilitation clinic

Lecture holders