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Oral and Maxillofacial Surgical Anatomy and Surgery

Study Course Description

Course Description Statuss:Approved
Course Description Version:7.00
Study Course Accepted:03.06.2020
Study Course Information
Course Code:MUSZKK_017LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Medicine; Oral MedicineTarget Audience:Dentistry
Study Course Supervisor
Course Supervisor:Ilze Akota
Study Course Implementer
Structural Unit:Department of Oral and Maxillofacial Surgery
The Head of Structural Unit:Ilze Akota
Contacts:Rīga, Dzirciema iela 20, 318.kabinets, 21.kabinets,, +371 67457663
Study Course Planning
Full-Time - 1. Semester No.
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:
Human anatomy, histology, normal and pathologic physiology and diagnostic radiology.
To acquire basic knowledge and skills to perform local dental anesthesia, simple exodontics, making cuts, suturing, jaw fixation manipulations on phantoms, so that the student can start classes in the clinic.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Surgical anatomy of teeth and jaws. Anatomical principles for anaesthesia techniques in maxillofacial region. Instruments and techniques for dental anaesthesia.Lectures1.00auditorium
2Techniques and instruments for exodontia.Lectures1.00auditorium
3Reparative regeneration of tissue in oral and maxillofacial region. Suture techniques.Lectures1.00auditorium
4Jaw fractures, classification, principles of treatment. First aid in case of jaw fractures. Methods of temporary IMF.Lectures1.00auditorium
5Principles of first aid in dental office.Lectures1.00auditorium
6Medical emergency in dental practice. Cardiopulmonary Resuscitation (CPR) – training on CPR manikin.Classes1.00METC
7Anatomy and techniques of dental anaesthesia in maxillae and mandible. Instruments for dental anaesthesia, WAND. Anaesthesia skills training.Classes1.00auditorium
8Surgical anatomy of teeth and alveolar ridge. Instruments and methods for teeth removal. Extraction skills training.Classes1.00auditorium
9Principles and techniques of intermaxillary fixation. Practice to apply splints and ligatures.Classes1.00auditorium
10Wound healing and care. Suturing techniques. Practice on suturing skillsClasses1.00auditorium
11Taking on surgical clothing before sterile surgical procedures. Anaesthesia skills training. Teeth extraction skills training. Practice on suturing skills. Semester assessment.Classes1.00auditorium
Unaided Work:
Individual theoretical preparation for each class, independent study of literature. If necessary independent work on phantoms to achieve required skill level.
Assessment Criteria:
• Active participation in practical work, quality of oral answers during all classes. • At the end of each class, to demonstrate the acquired skills according to the topic. • At the end of the course the objective structured clinical examination (OSCE), which contains 10 practical and theoretical stations: (100%) 1. To write appropriate anatomical structures in pictures. 2. To demonstrate methods and instrumentation for dental anesthesia on phantom in the upper jaw, 3. To demonstrate methods and instrumentation for dental anesthesia on phantom in the lower jaw, 4. To demonstrate methods and instrumentation for exodontics on phantom in the upper jaw, 5. To demonstrate methods and instrumentation for exodontics on phantom in the lower jaw. 6. To demonstrate Ivy ligatures and removal of ligatures on the model, 7. To demonstrate Ernst ligatures and removal of ligatures on the model 8. To demonstrate incision, sutures, removal of the sutures on the model 9. To demonstrate CPR on RESUSCI ANNIE, 10. To demonstrate preparation for the operation, aseptics and antiseptics.
Final Examination (Full-Time):Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Recognise anatomical structures of head and face from the point of view of a surgeon and describe operations on teeth, jaws and soft tissue of oro-maxillofacial region in normal and cases of inflammation, injuries, pathology of salivary glands, temporomandibular joint, lymphatic nods and vessels; describe clinical aspects of tissue reparative regeneration; demonstrate methods and instrumentation for anaesthesia and surgery, and first preclinical manual comprehensive skills in dental anaesthesia and exodontics. Must know the algorithm of emergency medical care.
Skills:The student must be able to demonstrate preparation for surgery, choice of surgical instruments and materials for dental operations, anesthesia and exodontics techniques on the phantom, wound suturing and intermaxillar ligatures on models. Must be able to demonstrate preparation for surgery in the oral and maxillofacial region: mask, hat, glasses, hand wash, sterile gown and gloves. Must be able to demonstrate dental local anesthesia: selection and assembly of injector, needle and plunger for use, infiltration, mandibular, n. palatinus major, n. nasopalatinus, n. mental anesthesia on the manikin, transfer of the needle and plunger for disposal, transfer of the injector for sterilization. Must be able to demonstrate tooth extraction on a mannequin: dental chair and lighting adjustment, choice of instruments, surgeon's position, left hand position, gingival application, pushing, fixation, tooth luxation and removal, alveolar edge repositioning and tampon application. Must be able to demonstrate incision, suturing and removal: selection of instruments and materials, incision planning and making, suturing, thread tying and cutting, suture removal on the pattern. Must be able to demonstrate fixation of the mandibular ligature: choice of instruments and wire, application of Ivy and Ernst ligatures, cutting and bending of wire ends. Jaw splints. Using the WAND injector. Must be able to demonstrate cardiopulmonary resuscitation on a mannequin: assessment of condition, breathing, heart massage.
Competencies:On successful completion of the course the students will be able to start clinical training for dental anaesthesia, simple exodontics, incision, sutures, intermaxillar fixation.
Required Reading
2Contemporary Oral and Maxillofacial Surgey, 4th edition / L.J. Petersen, E.Ellis III, J.R.Hup, M.R.Tucker / Mosby, St Louis, 2003
3Handbook of Local Anaesthesia, 4th edition / S.F. Malamed / Mosby – Year Book, 1997
4Principles of Oral and Maxillofacial Surgery, edit. U.J.Moore, 5th edit. Blackwell Publishing, 2001
5Suturing Techniques in Oral Surgery/ S. Siervo, Quintessence Publish. 2008
Additional Reading
1Surgical Approaches to the Facial Skeleton, 2nd edition / E.Ellis III, M.F. Zide / Lippincot Williams&Wilkins, 2006
2Anatomical Atlas of Temporomandibular Joint/ Y. Ide, K. Nakazana, T. Hongo, I. Toteishie / Quintessence Publishing Co, 1991.
Other Information Sources
2Journal of Cranio-Maxillo-Facial Surgery
3International Journal of Oral and Maxillofacial Surgery