Course: New Concepts in Education and Public Oral Health
7 weeks full time postgraduate course
course period: 11 May - 29 June 2011
The course covers two main topics. One is on oral health education methods:
concepts of learning, problem based learning and problem based treatment
planning as practised at the College of Dental Science, Radboud University
Nijmegen Medical Centre (RUNMC). Alongside from this, application of evidence
based dentistry, appraisal techniques for critical appraisal of scientific literature
and research methodology will be taught.
The other main topic is public oral health care methods, strategies and clinical
procedures, as presented by the Department of Global Oral Health, RUNMC,
Senior dental scientists and professional tutors will present the course subjects in
blocks of one or two weeks. Tutors will lead an introduction seminar, an evaluation
seminar and instructive lectures in between. The purpose of the seminars is to
enable you to assimilate and argue the scientific evidence of the presented subject
and to discuss results of your assignments. Between seminars, you are expected to
consult the presented study material and to select the information needed for self
During the clinical blocks you will also participate in skills labs.
The course objective is to acquaint with:
- Problem Based Learning and designing problem-oriented treatment plans
- Designing student centred educational modules aimed at active participation
and using self-study assignments
- Evidence Based Dentistry and how to find evidence on the internet, critically
appraise the information and apply evidence in dental treatment
- Research methodology and the basics of research design and article writing
- Public oral health care approaches including BPOC, fluoride advocacy, school
(oral) health programs, and the concept of shortened dental arch
- Atraumatic Restorative Treatment theory and practice
- Use of direct adhesive dentistry procedures and materials in emergency oral
- Developmental periodontal dentistry in a nutshell
Problem-based learning (PBL); Problem based treatment planning, Evidence Based
Dentistry (EBD), Research methodology, Critical appraisal techniques;
Basic Package of Oral Care (BPOC); Shortened Dental Arch (SDA), Public oral
health care strategies, planning and programs;
Week 4-7: Atraumatic Restorative Treatment (ART), Direct adhesive procedures;
Basic periodontal care.
Subjects in dental education
Problem based learning
You will study learning concepts and educational principles, in particular problem
based learning. A part of the course will focus on planning a dental curriculum or
training, taking into account local circumstances such as culture, human and
In addition, you will learn about the new problem based learning system for
students at the College of Dental Science at Nijmegen University. The educational
program with pre-set learning goals for every course will be explained. You will be
trained to define goals in terms of skills rather than in terms of knowledge. You will
study problem oriented and problem solving strategies enhancing independent
learning and long term learning results.
Problem-oriented Treatment Planning
If there is no problem in oral function then why start treatment? Preservation of
complete dental arches is neither attainable nor affordable for the majority of
patients even in countries with sophisticated dental care systems. Teeth should
only be replaced if a problem can be solved. But how many teeth are at least
needed to guarantee a functional and healthy occlusion and what does that mean
for dental treatment? This approach is called problem-oriented treatment planning.
Problem solving treatment is a way to organize a patient’s treatment in a
predictive and systematical order. A treatment planning should contain all relevant
information about the occlusion and complaints, causes and possible solutions, and
the final result. It is a well-structured report for both dentist and patient.
You will learn to make choices in treatment planning, following the problem solving
approach in seven steps: 1. gathering information; 2. recognition; 3. problem
listing; 4. treatment strategy; 5. preliminary treatment planning; 6. therapy; 7.
evaluation and prognosis.
In addition, you will learn about the shortened dental arch (SDA) and the
preservation of strategic teeth, a concept that can be of great help to simplify a
Evidence based dentistry
The Evidence-based approach is essentially a structured stepwise process for
dealing with clinical problems. This approach encourages the use of the latest
information rather that a reliance on techniques, materials and treatments learned
years earlier. There are five elements to the approach: 1. Question - Developing a
clear question based on the patients clinical problem. 2. Find - Finding the latest
evidence through efficient searching for information. 3. Appraise - Critically
appraising the evidence to assess its value. 4. Act - Acting on the evidence you
find, if appropriate and relevant to the clinical situation to provide treatment for
the patients. 5. Evaluation - Each aspect of your performance in this process can,
and should be evaluated and this is increasingly relevant with the development of
continuing professional development.
Seminar leaders: Prof Dr. Nico Creugers DDS PhD, chair in Oral Function,
curriculum coordinator; Drs. Anneloes Gerritsen DDS, Ass Professor in Oral
Function and Prosthetic Dentistry
Research methodology and critical appraisal techniques
In order to understand and appraise evidence, but also if you wish to further your
career in an academic environment, rudimentary knowledge of research design,
methods and procedures is essential. During this course, you will learn the basics
of how to translate a research idea into an appropriate research design. You will
also receive a short training on scientific writing.
Critical appraisal is the process of carefully and systematically examining research
to judge its trustworthiness, and its value and relevance in a particular context. It
is an essential skill for evidence-based medicine because it allows clinicians to find
and use research evidence reliably and efficiently .
Seminar leaders: Dr. Wil van der Sanden DDS PhD, senior researcher DGOH; Ir.
Dominique Niesten MSc, DGOH project manager and researcher
Subjects in oral health strategies and methods
Public Oral Health
The difference between the traditional definition of health and modern concepts of
health has major implications for oral health care in your home country.
You will discuss determinants for (oral) health and the environmental determinants
that should be taken into account in strategies to reduce (oral) health inequities.
You will learn to explain the difference in perception of oral health by the
community and oral health professionals (perceived need versus professional
need). Likewise, you will be trained to define conditions needed for improvement
of a future oral health care system in your country. The gap between Primary
Health Care (PHC) theory and the current situation of oral health care in your
country will be addressed. You will study the book Basic Package of Oral Care
(BPOC), which includes three components: Oral Urgent Treatment (OUT),
Affordable Fluoride Toothpaste (AFT) and Atraumatic Restorative Treatment (ART).
You will study and discuss these components in seminars. You will also learn about
the approach of policy makers and NGO’s when developing demonstration projects.
Additionally, the concept of shortened dental arch (SDA) and its suitability for
application in your home country will be discussed.
Seminar leaders: Ass Professor Dr Jo Frencken DDS PhD, Head of DGOH; Prof. Dr
Nico Creugers DDS PhD
Atraumatic Restorative Treatment
The Atraumatic Restorative Treatment (ART) approach consists of manually
cleaning of cavities using hand instruments.
You will study the filling of cavities and adhesive, fluoride-releasing restorative
materials in theory and practise in the skills lab. You will practise the application
of ART sealants in pits and fissures and discuss the evidence of enamel caries
The treatment of dental caries by ART is shown to not be limited to the dental
clinic. You will study the effectiveness in rural areas without electricity through
literature investigation. You will be taught to use and to transfer the acquired ART
principles and skills as a teacher in ART for local ancillary dental personnel.
Seminar leader: Ass. Professor Jo Frencken DDS PhD, Head of DGOH and
coordinator of the World Health Organization's " Global initiative on ART" program.
Basic Periodontal Care
The module Basic Periodontal Care covers the etiology of periodontal disease and
patient’s self care. Symptoms of gingivitis and periodontitis will be demonstrated in
the skills lab and you will practise the proper recording of the different variables on
periodontal charts. The prevention and treatment sessions deal with personal
home care and professional debridement. You will discuss the instruments needed
for an adequate sub gingival scaling and practice in the skills lab.
Seminar leader: Dr Ruud Karsten DDS periodontologist
Use of direct adhesive procedures and materials in emergency oral care
Research in adhesive dentistry and consequent rapid improvements of materials
and techniques force dentists to revise their materials and procedures almost
You will learn about the advantages and disadvantages of adhesive procedures.
You will study the different adhesive materials in relation to bonding to tooth
tissues, reduction of micro leakage, internal coherence of the tooth and repair. In
particular, you will learn about treatments that are carried out to repair tooth
fractures and those for aesthetic reasons. This will be demonstrated by a so-called
veneer restoration used to mask teeth with a discoloration or a deviating shape or
position. You will get the opportunity to treat various types of tooth fractures and
obvious discoloured teeth placed in a phantom head in a skills laboratory.
Seminar leaders: Dr Wil van der Sanden DDS PhD, Dr Jo Frencken DDS PhD
Minimum of five years university training in dentistry that has resulted in a BDS or
DDS diploma and a minimum of 3 years work experience in public oral health and /
or oral health training. Dental therapists, dental nurses and dental technicians
need not apply.
Textbooks and Reading
The students will be provided with relevant study material concerning: public oral
health, BPOC, ART, Functional masticatory system, Basic periodontal care, Direct
adhesive procedures, problem based learning, research methodology, critical
appraisal techniques, and evidence based dentistry.
Ms Janny Wijmenga
+31 24 361 69 95
Ms Dominique Niesten
+31 24 361 64 11
P.O. Box 9101; 6500 HB
Department of Global Oral Health
College of Dental Science,
Radboud University Nijmegen Medical Centre, The Netherlands
Phone: + 31 (0)24 3616995
Fax : + 31 (0)24 3541971
A detailed course schedule will be available in March/ April 2011.