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Oral Surgery
Study Course Description
Course Description Statuss:Approved
Course Description Version:11.00
Study Course Accepted:15.08.2023 09:57:09
| Study Course Information | |||||||||
| Course Code: | MUSZKK_008 | LQF level: | Level 7 | ||||||
| Credit Points: | 4.00 | ECTS: | 6.00 | ||||||
| Branch of Science: | Clinical Medicine; Surgery | Target 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, MSZKK rsu[pnkts]lv, +371 67457663 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 32 | ||||
| Total Contact Hours | 40 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 32 | ||||
| Total Contact Hours | 40 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | To start study course (or semester) all previous assessments according to Study plan (D1) should be successfully passed. Human anatomy, normal and pathologic physiology, histology, biomaterials in dentistry, roentgenology and radiology, internal disease with basic propaedeutic, emergency care and pharmacology. | ||||||||
| Objective: | Upon completion of the course the students will have acquired the basic knowledge of pain, discomfort and psychological stress elimination, basic knowledge of the most common oral surgical procedures – exodontics and preprosthetic surgery in general dentistry practice. To acquire and practically apply in the clinic the skills of local anesthesia and simple and complicated exodontics, and performing small surgical manipulations in the dentoalveolar region, acquire and practically apply administration of medications subcutaneously, intramuscularly and intravenously, make profilaksis and management for possible complications. Abtaine competence to communicate and clinically investigate patient and to make diagnosis of pathology in clinical setting, to abtaine competence to make dentoalveolar surgery with pain management according to dentoalveolar procedure and patient's general health status. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Pathophysiology of pain. Prevention of pain in dentistry. Local anaesthetics and vasoconstrictors in dentistry. | Lectures | 1.00 | other | |||||
| 2 | Exodontia: its development. Teeth extractions complications and its prevention. Individual choice of methods. Indications and contraindications for teeth extraction. | Lectures | 1.00 | other | |||||
| 3 | General health condition in choice of dental anaesthesia. | Lectures | 1.00 | other | |||||
| 4 | Perioperative therapy in exodontia. Post extraction alveolitis. | Lectures | 1.00 | other | |||||
| 5 | Clinical anatomy of n.maxillaris and n.mandibularis. Pain control, efficiency and duration. Psychological aspects of pain. | Classes | 1.00 | clinical base | |||||
| 6 | Local anaesthetics in dentistry (concentration, ph norms, toxicity). Vasoconstrictors: adrenaline, noradrenaline. Vasopressin. | Classes | 1.00 | clinical base | |||||
| 7 | Choice of dental anaesthesia techniques and anaesthetics depending on general health conditions. Instruments and approaches for dental anaesthesia. Intraligamentar, intrapapillar, intraossal anaesthesia, WAND. | Classes | 1.00 | clinical base | |||||
| 8 | Surface, plexar and regional anaesthesia in upper and lower jaws. | Classes | 1.00 | clinical base | |||||
| 9 | Surgical anatomy of teeth and jaws. Instruments for teeth removal. Methods of exodontia. | Classes | 1.00 | clinical base | |||||
| 10 | Indications and contraindications for teeth extraction. Individual choice of extraction technique. | Classes | 1.00 | clinical base | |||||
| 11 | Perioperative therapy in exodontia. Post extraction alveolitis. Semester assessment. | Classes | 1.00 | clinical base | |||||
| 12 | Procedure technique (i/m, s/c, i/v injections). | Classes | 1.00 | METC | |||||
| 13 | Teeth impaction and dystopia. Indications for extraction and exposure, methods. Complications and its prevention. | Lectures | 1.00 | other | |||||
| 14 | General anesthesia and sedation in dentistry. Patient’s preparation and monitoring. | Lectures | 1.00 | other | |||||
| 15 | Intensive care in dentistry. Patient’s monitoring and sedation. | Lectures | 1.00 | other | |||||
| 16 | Preprosthetic surgery. | Lectures | 1.00 | other | |||||
| 17 | Training on haptic device KOBRA - d36 separation and extraction and d38 extraction with osteotomy. The recent research findings in dental implantology. | Classes | 1.00 | clinical base | |||||
| 18 | Patient`s examination in maxillofacial surgery. | Classes | 1.00 | clinical base | |||||
| 19 | Complications of teeth removal. Complicated exodontia. | Classes | 1.00 | clinical base | |||||
| 20 | Teeth impaction and dystopia: statistics, etiopathogenesis, classifications; indications for surgery, radiological diagnostic; complications. | Classes | 1.00 | clinical base | |||||
| 21 | Impacted teeth and dystopia surgery: extractions and exposure. | Classes | 1.00 | clinical base | |||||
| 22 | Sedation and general anaesthesia in dentistry. Monitoring and intensive care. Medications and administration. Failures and complications in dental anaesthesia. Individual choice for anaesthesia and methods. The recent information from published articles. | Classes | 1.00 | clinical base | |||||
| 23 | Preprosthetic surgery. The recent research findings in dental implantology. | Classes | 1.00 | clinical base | |||||
| 24 | Clinical work in outpatient department. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Individual acquisition of theoretical knowledge and practical skills in compliance with the topic of each practical class, independent study of the given literature. Please fill in the course evaluation form at the end of the course. | ||||||||
| Assessment Criteria: | During the practical classes, the lecturer observes student's communication skills and attitude towards patients, lecturers, group members and other medical staff. Before each class there is a short discussion about current topic. The lecturer asks questions about the theory, expecting oral answers. Students answer to control questions in writing or electronically. During the course students fill in all manipulations in the “Student Diary in oral and maxillofacial Surgery” including i/m, i/v, s/c injection techniques and signature from MITC lecturer. At the end of the course an exam, which consists of 2 theoretical questions and the following tasks: 1. Name the chosen types of local anesthesia for tooth or root extraction (by drawing lots). 2. Choice of instruments for tooth or root extraction (by drawing lots), as well as additional questions about instruments. 3. X-ray description (by drawing lots). The type of X-ray image should be named, the radiological pathology should be described, the possible clinical diagnosis should be mentioned. Students' practical work in clinical classes, which is described and approved by the lecturer's signature in "Student's diary of oral and maxillofacial Surgery" is evaluated. The lecturer asks questions about students' practical work in previous semesters. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Describe patient's mouth and tooth examination methods, some of which are based on latest discoveries and technologies. Students will describe justified oro-facial pain control methods for patients of all ages and proper selection of these methods depending on the patient, basic diagnostic and treatment manipulations in oral surgery, such as simple and complicated exodontics and preprosthetic procedures and they will explain the use of medications in treatment. | ||||||||
| Skills: | Students will have acquired the basic knowledge of the most common oral surgical procedures in general dentistry practice. Students will abtaine competence to communicate and clinically investigate patient, do visual examination and examination by palpation and percussion methods. Students will be able to choose and apply surface, plexar and regional anaesthesia, explain the possible causes of failures and complications and perform patients’ monitoring. Students will be able to choose the most appropriate exodontic method and to perform simple exodontics with the erupted tooth explaining the steps, prevention and management for possible complications | ||||||||
| Competencies: | Students will abtaine competence to communicate and clinically investigate patient and diagnose pathology, demonstrate pain, anxiety elimination methods for practical work in general dentistry, will be able to demonstrate and apply the knowledge and skills of oral surgery for exodontic and preprosthetic procedures in general dentistry practice, prevention and management for possible complications. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Administration of Insulin Using a Pre-filled Syringe (Pen) | B1 - Basic level | |||||||
| 2 | Administration of Insulin using an Insulin Syringe | B1 - Basic level | |||||||
| 3 | Donning and doffing of disposable gloves | B1 - Basic level | |||||||
| 4 | Hygienic Hand Disinfection | B1 - Basic level | |||||||
| 5 | Hygienic Hand Washing | B1 - Basic level | |||||||
| 6 | Intracutaneous injection | B1 - Basic level | |||||||
| 7 | Intramuscular injection | B1 - Basic level | |||||||
| 8 | Intravenous Infusion of Medications with a Butterfly Needle | B1 - Basic level | |||||||
| 9 | Subcutaneous injection | B1 - Basic level | |||||||
| 10 | Withdrawing Medication from a Vial into a Syringe | B1 - Basic level | |||||||
| 11 | Withdrawing Medication from an Ampoule into a Syringe | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Dentalmammoth.com | ||||||||
| 2 | The anatomical basis of dentistry / Bernard Liebgott. 4th edition. Mosby Elsevier, 2017. | ||||||||
| 3 | Contemporary Oral and Maxillofacial Surgery / James Hupp, Myron Tucker, Edward Ellis, 7th edition / Elsevier, 2019. | ||||||||
| 4 | Thieme atlas of anatomy. Head and neuroanatomy. 3rd ed. / authors, Michael Schuenke, Erik Schulte, Udo Schumacher /Thieme, 2020. | ||||||||
| 5 | Handbook of local anesthesia : with 441 illustrations / Stanley F. Malamed. 7th edition. Elsevier Mosby, 2019 | ||||||||
| 6 | Practical Dental Local Anaesthesia / Quintessence Publishing, 2010 / John G. Meechan (akceptējams izdevums) | ||||||||
| 7 | Oral and Maxillofacial Infections. R.G.Topazian, M.H.Goldberg, J.R.Hupp. 4th edition. W.B.Saunders Company, 2009. (akceptējams izdevums) | ||||||||
| 8 | Medical emergencies in the dental office / Stanley F. Malamed ; chapter 4, Legal considerations contributed by Daniel L. Orr II. 7th edition. Elsevier. 2022 | ||||||||
| Additional Reading | |||||||||
| 1 | Little and Falace’s dental management of the medically compromised patient / James W. Little ... [et al.]. 8th edition. Elsevier, 2018. | ||||||||
| 2 | Principles of Oral and Maxillofacial Surgery, 6th edition./Ed.U.J. Moore, Blackwelle Publishing, 2011. | ||||||||
| 3 | Facial topography : clinical anatomy of the face / Joel E. Pessa, Rod J. Rohrich; illustrator, Amanda Yarberry Behr. Quality Medical Publishing, 2012. (akceptējams izdevums) | ||||||||
| 4 | Oral and maxillofacial surgery. Edited by Lars Andersson, Karl-Erik Kahnberg, M. Anthony (Tony) Pogrel. Wiley-Blackwell, 2010 (akceptējams izdevums) | ||||||||
| Other Information Sources | |||||||||
| 1 | International Journal of Oral and Maxillofacial Surgery | ||||||||
| 2 | www.emedicine.com | ||||||||
| 3 | Journal of Cranio-Maxillo-Facial Surgery | ||||||||
