General Paediatrics: Children with Special Needs and Medically Compromised

2019-2020

Course Objective

Competences according to the General Educational framework Dentistry
2008 are: I (5), II (5), III (5), IV a, c (5), VI a-e, g, h, o, p, r, t
(5), VII (5).

After completion of this block, postgraduate students are competent to:
• provide comprehensive dental care to severely medically, physically,
mentally or socially compromised children and adolescents
• provide comprehensive dental care for hospitalized children and
adolescents
• participate in multidisciplinary management of oral disease in
medically, physically, mentally or socially compromised children and
adolescents
• prevent and manage oral motor disturbances in emotionally, physically
or medically compromised children
• identify orofacial symptoms that might relate to other generalized
pathology or syndromes
• recognize pitfalls in treating people with (mild) intellectual
disabilities
• make an overall assessment of the performance profile of patients with
intellectual disabilities

After completion of this block, postgraduate students have knowledge of:
• growth and development (both physically and psychologically) of the
human body
• infections in the immuno-compromised host
• prophylaxis for bacterial endocarditis
• CDC recommendations on infection control
• in-patient care of children admitted to paediatric, child
rehabilitation, child psychiatry departments
• principles of classification of syndromes in relation to aetiology,
prognosis and reaction to treatment.
• epidemiology, pathogenesis and management of diseases in children and
adolescents
• concept of biological age and determination of skeletal age, and
stages of sexual development
• genetic principles essential for comprehension of the development of
the head and craniofacial malformations


Ethics:
The student will have an in-depth knowledge of:
• behaviour and conduct expected of a paediatric dentist as health care
provider
• ethical standards that apply to relationships with personal, patients
and colleagues
• quality assurance, as a tool to define goals, analyze oral health care
given and for continuous improvement.
• rules and laws that apply to a practice in paediatric dentistry
• responsibilities and services vulnerable to malpractice
• different insurance coverage required
• procedures to follow when a law suit arises

Course Content

On a daily basis, paediatric dentists are regularly confronted with
children that need special attention in every way. Being a specialist,
the paediatric dentist should be the contact point for
parents/caregivers, general dental practitioners and medical
specialists/ paediatric health care workers that are confronted with
dental problems in medically compromised or otherwise
special-care-needing children. Therefore, it is highly important that a
paediatric dentist has a solid basic knowledge of general paediatrics.
He or she should be capable to recognize disease and comorbidity, assess
the medical-dental interactions and foresee impact of specific general
health conditions or medicalization on dental status or treatment.

Within the curriculum, the postgraduate students follow an intensive
theoretical course in paediatrics and they will run an externship for a
2-month period, consisting of a weekly visit to various paediatric
(poli)clinical department in a (children’s) hospital. The students will
collaborate with the paediatricians in diagnosing the most frequently
occurring child medial problems. Moreover, they are asked to pay special
attention to the oral health status of the sick children. In this way,
both disciplines (ánd the patient) take advantage of this collaboration.

Furthermore, various course are provided that focus on the behavioural,
social and environmental aspects that often concern these special need
children. For example, an intense course on autism spectrum disorders is
provided where the students learn how to communicate and cope with these
children and their parents.

Ethics:
During the training, the student will become acquainted with various
paediatric dental settings and he/she will gain knowledge of both
private and hospital or center-based paediatric dental health care.
Practice-based he/she will get familiar with all the various equipment
and instruments needed in such a practice, recruitment, selection and
training of auxiliary personnel, financing and administration of a
practice in paediatric dentistry, public relations and utilization of
computers in clinical paediatric dentistry and patient management.
Moreover he/she will gain an in-depth experience in ergonomics; optimal
positioning of patient, practitioner, chair side assistant and placement
of instruments to conduct specific clinical tasks and learn efficient
organization of specific clinical procedures.

Children and disabled people are not (always) fully mentally competent
to make decisions concerning their (oral) health. Paediatric (oral)
health care workers often have to deal with the triangular relationship
they form together with the child and his/her parents/guardians/legal
representatives. In these situations often apply different legal rules
and regulations. As part of the postgraduate program, the students will
get acquainted with all these kinds of legal and ethical aspects.

Teaching Methods

seminars, self-study

Method of Assessment

Learning assessment
• Overall assessment of assignments during the seminars (grade: good /
pass / fail)
• Presentation, video evaluation/assessment (grade: good / pass / fail)
• Final theoretical written exam at the end of the first year (open
case-based questions multiple choice) (grade: 1-10)

Grading
A prerequisite for grade registration (grade 0-10) is successful
completion of the seminar assignments. In case of a fail for the seminar
assignment(s), and a pass for the final exam, a 5.0 will be registered
and students will need to redo the relevant seminar assignment(s).

Literature

• Lissauer T, Clayden G. Illustrated textbook of Paediatrics. 5th
edition 2017
• Hennekam R. Gorlin’s syndroms of the head and neck. 5th edition 2010
• Nederlandse Hartstichting. Preventie bacteriële endocarditis. 2008

(https://www.nvvc.nl/media/richtlijn/49/endocarditisprofylaxefolder%20ar
• vander Werf DBM, Faber-Nijholt R. Pijnbestrijding bij kinderen in de
algemene pediatrie. Tijdschr.kinderg. 1993; 61: 44-48.
• Broers D. Mondzorg bij mensen met een beperking. Prelum, 2011
• Vermaire JH. Als mondzorg een puzzel is. Prelum, 2010
• Reader with selected research papers

General Information

Course Code T_GENPAEPD2
Credits 3 EC
Period Ac. Year (sept)
Course Level 500
Language of Tuition English
Faculty Faculty of Dentistry
Course Coordinator dr. C.C. Bonifacio DDS
Examiner dr. C.C. Bonifacio DDS
Teaching Staff

Practical Information

You need to register for this course yourself