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Oral and Maxillofacial Surgical Anatomy and Operations

Study Course Description

Course Description Statuss:Approved
Course Description Version:13.00
Study Course Accepted:09.08.2023 11:12:21
Study Course Information
Course Code:MUSZKK_017LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical Medicine; Oral MedicineTarget Audience:Dentistry
Study Course Supervisor
Course Supervisor:Ilze Akota
Study Course Implementer
Structural Unit:Department of Oral and Maxillofacial Surgery and Oral Medicine
The Head of Structural Unit:
Contacts:Riga, 20 Dzirciema Street, Rooms No. 318 and 21, MSZKKatrsu[pnkts]lv, +371 67457663
Study Course Planning
Full-Time - Semester No.1
Lectures (count)5Lecture Length (academic hours)2Total Contact Hours of Lectures10
Classes (count)6Class Length (academic hours)4Total Contact Hours of Classes24
Total Contact Hours34
Study course description
Preliminary Knowledge:
At the beginning of the study course (or semester of the study course), all tests provided for in the corresponding curriculum (D1 form) of the previous study semesters must be successfully completed. Human anatomy, normal physiology, clinical pathological physiology, histology, biomaterials in dentistry.
Objective:
To prepare students for starting classes in the clinic with patients in oral surgery. To acquire basic knowledge of the topographical anatomy of the head and neck, the manipulations to be learned and application thereof in the clinic, cardiopulmonary resuscitation. To acquire the skills to perform local dental anaesthesia, simple tooth extraction, making cuts, applying sutures, interjaw fixation, cricotomy manipulations on phantoms. Cardiopulmonary resuscitation on a dummy.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Anatomical fundamentals of anaesthesia methods in the maxillofacial region. Dental anaesthesia instruments and technique.Lectures1.00other
2Surgical anatomy of teeth and jaws. Anatomical fundamentals of anaesthesia methods in the maxillofacial region. Dental anaesthesia instruments and technique.Lectures1.00other
3Clinical aspects of reparative regeneration of oral and maxillofacial tissues. Suturing techniques.Lectures1.00other
4Jaw fractures, classification, principles of treatment. First aid in case of jaw fractures. Methods of temporary IMF.Lectures1.00other
5Principles of emergency care in dental practice.Lectures1.00other
6Emergencies in dental practice. Cardiopulmonary resuscitation – practice on a dummy. Cricothyrotomy on a dummy.Classes1.00METC
7Anatomy of anaesthesia in the maxilla and mandible. Instruments for dental anaesthesia, WAND. Dental anaesthetic methods for the maxilla and mandible. Skills in applying anaesthetic methods.Classes1.00auditorium
8Surgical anatomy of maxillary and mandibular teeth and alveolar growth. Instruments and methods of tooth extraction. Application skills.Classes1.00auditorium
9Jaw and bite fixation methods, indications for use. Skills in applying jaw splints and ligatures.Classes1.00auditorium
10Wound healing and care. Suturing techniques. Practice on suturing skills.Classes1.00auditorium
11Preparation for surgery (dressing, putting on sterile gloves). Training of all skills acquired in previous classes. Test.Classes1.00auditorium
Assessment
Unaided Work:
Individual preparation of theoretical knowledge and practical skills, according to the topic of each class. Independent reading of literature sources. Independently performing manipulations on dummies as needed to achieve required skill level. Please fill in the study course evaluation questionnaire at the end of the course.
Assessment Criteria:
• Active participation in practical classes; the quality of oral responses during each class. • At the end of each class, the student must be able to demonstrate the acquired skills according to the topic. • At the end of the course, the Objectively Structured Clinical Examination (OSCE), which consists of 10 stations that include practical and theoretical knowledge testing: (100%) 1. To write the corresponding anatomical structures in the pictures. 2. To demonstrate dental anaesthetic techniques and instruments on the maxilla of a dummy 3. To demonstrate dental anaesthetic techniques and instruments on the mandible of a dummy 4. To demonstrate exodontia techniques and instruments on the maxilla of a dummy 5. To demonstrate exodontia techniques and instruments on the mandible of a dummy 6. To demonstrate application and removal of Ivy ligatures on a dummy 7. To demonstrate application and removal of Ernst ligatures on a dummy 8. To demonstrate cuts, sutures, removal of sutures on a dummy 9. To demonstrate CPR on RESUSCI ANNIE, demonstrate cricotomy on a dummy 10. To demonstrate preparation for surgery, asepsis and antisepsis.
Final Examination (Full-Time):Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:The student should be able to describe surgical anatomy, anatomical norms and variants related to local anaesthesia and clinical aspects of dental and maxillofacial surgery, wound healing and reparative regeneration of soft and hard tissues. Able to name the methods and instruments of local anaesthesia and tooth extraction, as well as able to name intramaxillary fixation methods and indications for their use in the clinic, outline the emergency aid algorithm.
Skills:Demonstrates preclinical skills in dental anaesthesia and exodontia. The student must be able to demonstrate preparation for surgery, selection of surgical tools and materials for appropriate manipulation, anaesthesia and exodontia methodology on a dummy, suturing of wounds and application of intermaxillary ligatures on a dummy. Must be able to demonstrate preparation for surgery in the area of the mouth, face and jaws: mask, cap, glasses, hand washing, putting on a sterile gown and gloves. Must be able to demonstrate dental local anaesthesia: selection and assembly of an injector, needle and cylinder ampoule for use, infiltration and regional anaesthesia in the upper and lower jaw (mandibular, n. palatinus major, n. nasopalatinus, n. mentalis anaesthesia etc.) on a dummy, disposal of needles and cylinder ampoules, transferring the injector for sterilisation. Must be able to demonstrate tooth extraction on a dummy: adjusting the dental chair and lighting, selecting the forceps, surgeon’s position, left hand operation, placing, driving and fixing the forceps, luxation and extraction of the tooth, repositioning the alveolar ridge and tampon application. Must be able to demonstrate cuts, placing and removing sutures: selection of tools and materials, planning and making a cut, sutures, tying and cutting the thread, removing the suture on a dummy. Must be able to demonstrate intermaxillary fixation with ligature: selection of instruments and wire, application of Ivy and Ernst ligatures, cutting and bending of wire ends. Applying jaw splints. Using the WAND injector. Must be able to demonstrate cardiopulmonary resuscitation on a dummy: condition assessment, breathing, heart massage, as well as demonstrate cricothyrotomy on a dummy.
Competencies:To select an appropriate anaesthetic method and tools for extraction of a certain tooth, as well as making cuts, applying sutures, interjaw fixation, in order to be able to start clinical training.
Clinical Skills:
No.SkillLevel
1Bag-mask ventilationB1 - Basic level
2Cardiopulmonary resuscitation (basic)B1 - Basic level
3First Aid in choking patientB1 - Basic level
4Laryngeal tube insertionB2 - Intermediate level
5Nasopharyngeal airway insertionB1 - Basic level
6Oropharyngeal airway insertionB1 - Basic level
7Recovery positionB1 - Basic level
Bibliography
No.Reference
Required Reading
1Contemporary Oral and Maxillofacial Surgery / James Hupp, Myron Tucker, Edward Ellis. 7th edition. Elsevier, 2019.
2Handbook of local anesthesia / Stanley F. Malamed. 7th edition. Elsevier, 2020.
3The anatomical basis of dentistry / Bernard Liebgott. 3rd edition. Mosby Elsevier, 2011. (akceptējams izdevums)
4Medical emergencies in the dental office / Stanley F. Malamed ; chapter 4, Legal considerations contributed by Daniel L. Orr II, 8th edition. Elsevier, 2022
Additional Reading
1Thieme atlas of anatomy. Head and neuroanatomy / authors, Michael Schuenke, Erik Schulte, Udo Schumacher. Thieme, 3rd edition. 2020.
2Oral and maxillofacial surgery. Edited by Lars Andersson, Karl-Erik Kahnberg, M. Anthony (Tony) Pogrel. Wiley-Blackwell, 2010. (akceptējams izdevums)
Other Information Sources
1www.emedicine.com
2Journal of Cranio-Maxillo-Facial Surgery
3International Journal of Oral and Maxillofacial Surgery
4Dentalmammoth.com