Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.3.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Oral and Maxillofacial Surgical Anatomy and Operations

Main Study Course Information

Course Code
MUSZKK_017
Branch of Science
Clinical medicine; Dentistry
ECTS
3.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Ilze Akota
Structure Unit Manager
Ilze Akota
Structural Unit
Department of Oral and Maxillofacial Surgery and Oral Medicine
Contacts

Riga, 20 Dzirciema Street, Rooms No. 318 and 21, MSZKK@rsu.lv, +371 67457663

About Study Course

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 their application in the clinic. To acquire the skills to perform local dental anaesthesia, simple tooth extraction, making cuts, applying sutures, interjaw fixation.

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, and biomaterials in dentistry.

Learning Outcomes

Knowledge

1.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.

Skills

1.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.

Competences

1.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.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
Test

Assessment Criteria

  • Regular attendance of classes and active participation in practical sessions.
  • A weekly test will be made available before each class, and it must be completed in preparation for the session. Tests are graded using a point-based system, and each test may be attempted only once. Maximal points are 10.

Final Assessment

  • At the end of the course, students are required to take the OSCE (Objective Structured Clinical Examination).
  • The results of the weekly tests are included in the final grade calculation:
    • if a test result is below 9 points, a score of 0 is entered into the final grade formula;
    • if, during the semester, one test result is below 9 points, one 0 is entered; if two tests — two 0, and so forth.

Examination

Title
% from total grade
Grade
1.

Examination
-
10 points

At the end of the course, students take the Objective Structured Clinical Examination (OSCE), which consists of 10 stations designed to assess both practical and theoretical knowledge:

  • Identify and label the appropriate anatomical structures in images; answer five short questions on previously covered topics.
  • Demonstrate dental anesthesia techniques and instruments in the maxilla on a phantom.
  • Demonstrate dental anesthesia techniques and instruments in the mandible on a phantom.
  • Demonstrate exodontia techniques and the use of instruments in the maxilla on a phantom.
  • Demonstrate exodontia techniques and the use of instruments in the mandible on a phantom.
  • Demonstrate the application and removal of an Ivy ligature on a model.
  • Demonstrate the application and removal of an Ernst ligature on a model.
  • Demonstrate incision techniques, suturing, and suture removal on a model.

Final Grade

The final grade is determined by the average score obtained across the OSCE stations and the results of the weekly tests.

  • The results of the weekly tests are included in the final grade calculation:
    • if a test result is below 9 points, a score of 0 is entered into the final grade formula;
    • if, during the semester, one test result is below 9 points, one 0 is entered; if two tests — two 0, and so forth.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Clinical aspects of reparative regeneration of oral and maxillofacial tissues. Suturing techniques.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Other
4

Topics

Wound healing and care. Suturing techniques. Practice on suturing skills.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Surgical anatomy of teeth and jaws. Anatomical fundamentals of anaesthesia methods in the maxillofacial region. Dental anaesthesia instruments and technique.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Surgical anatomy of teeth and jaws. Techniques and instruments for exodontia.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Other
4

Topics

Anatomy of anaesthesia in the maxilla . Instruments for dental anaesthesia, WAND. Dental anaesthetic methods for the maxilla. Skills in applying anaesthetic methods.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Other
4

Topics

Anatomy of anaesthesia in the mandible. Instruments for dental anaesthesia, WAND. Dental anaesthetic methods for the mandible. Skills in applying anaesthetic methods.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Other
4

Topics

Surgical anatomy of maxillary and mandibular teeth and alveolar growth. Instruments and methods of tooth extraction. Application skills.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Jaw fractures, classification, principles of treatment. First aid in case of jaw fractures. Methods of temporary IMF.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Other
4

Topics

Jaw and bite fixation methods, indications for use. Skills in applying jaw splints and ligatures.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Principles of emergency care in dental practice.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Other
4

Topics

Preparation for surgery (dressing, putting on sterile gloves). Training of all skills acquired in previous classes. Test.
Total ECTS (Creditpoints):
3.00
Contact hours:
34 Academic Hours
Final Examination:
Exam (OSCE)

Bibliography

Required Reading

1.

Contemporary Oral and Maxillofacial Surgery / James Hupp, Myron Tucker, Edward Ellis. 7th edition. Elsevier, 2019. (akceptēta 2025.g)Suitable for English stream

2.

Handbook of local anesthesia / Stanley F. Malamed. 7th edition. Elsevier, 2020.Suitable for English stream

3.

The anatomical basis of dentistry / Bernard Liebgott. 3rd edition. Mosby Elsevier, 2011. (2025. gadā akceptējams izdevums)Suitable for English stream

4.

Medical emergencies in the dental office / Stanley F. Malamed ; chapter 4, Legal considerations contributed by Daniel L. Orr II, 8th edition. Elsevier, 2022Suitable for English stream

Additional Reading

1.

Thieme atlas of anatomy. Head and neuroanatomy / authors, Michael Schuenke, Erik Schulte, Udo Schumacher. Thieme, 3rd edition. 2020.Suitable for English stream

2.

Oral and maxillofacial surgery. Edited by Lars Andersson, Karl-Erik Kahnberg, M. Anthony (Tony) Pogrel. Wiley-Blackwell, 2010. (2025. gadā akceptējams izdevums)Suitable for English stream

Other Information Sources

1.

Dental mammothSuitable for English stream

2.

emedicine.medscapeSuitable for English stream

3.

Journal of Cranio-Maxillo-Facial SurgerySuitable for English stream

4.

International Journal of Oral and Maxillofacial SurgerySuitable for English stream