Veidlapa Nr. M-3 (8)
Study Course Description
Oral Surgery
Course Code
RMS_038
Branch of Science
Clinical medicine; Dentistry
ECTS
5.00
Target Audience
Dentistry; Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ģirts Šalms
Residency Speciality
Speciality
Maxillofacial Surgeon
Supervisor of Medical Speciality
Ģirts Šalms
Contacts
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About Study Course
Objective
To learn the principles of oral surgery radiology diagnostics and conservative and surgical treatment in depth. Learn surgical treatment of complicated tooth extractions, cysts, benign jaw tumors, osteomyelitis, osteonecrosis, and oroantral communication. Gain competence in oral surgery.
Learning Outcomes
Knowledge
1.Identifies and is able to explain found deviations from normal anatomy and physiology in extra- and intraoral structures. Able to explain possible pathogenesis. Able to classify pathology and choose treatment according to the competence of oral surgery. Knows emergency equipment and knows how to use it in practice.
Skills
1.Recognizes and knows how to differentiate the clinical picture of the spread of infection, systemic sepsis. Assesses the respiratory, cardiovascular, and nervous systems. In case of local infection, he can perform i/o incision, in case of abscess or phlegmon, perform e/o incision and drainage of pus. Able to assess the patient's general condition, to prepare the patient for surgery, consulting with other specialists. Able to develop an operation plan, including tooth extraction, and backup plans also in case of oroantral communication.
Competences
1.Can work independently in oral surgery.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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Perform general and local examinations of patients in the ambulatory surgery department.
Analyze the anamnesis, physical and radiological findings and purposefully prescribe auxiliary methods, interpret the obtained data.
To justify the indications of surgical treatment, relative contraindications, and necessity of treatment. Carry out surgical treatment according to the established diagnosis.
Prepare and present clinical cases on various diagnoses (5-10).
Analysis and interpretation of current literature.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
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-
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Test of knowledge in the form of a discussion throughout the cycle, and the presentation of clinical cases at the end of a seminar. Analysis of scientific articles.
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2.
Examination |
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Summary evaluation - activity in seminars and clinical work (a total of at least 100 dentoalveolar operations/manipulations must be performed during and outside of the course), presentation of clinical cases, and analysis of articles.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Propaedeutics of Dentoalveolar pathology.
Clinically qualitative sensory tests. Selective diagnostic blockade.
The diagnostic hypothesis, diagnostics, differential diagnosis.
Additional investigations; indications: X-ray, fistulography, CT, MR, scintigraphy, sonography, clinical and biochemical analysis, immunity indicators, bacteriological and morphological investigation.
Exodontia. Patient evaluation before tooth extraction. Indications and contraindications, informed consent for extraction.
Description
Annotation: The resident learns fundamentally diagnostic methods in the oral cavity, diagnostics, and treatment of exodontia, surgical techniques, and instruments, medicine, complications, treatment, and prevention.
Topics covered during the class: Surgical anatomy characteristics of impacted teeth. Applicable extraction techniques. The connection between impacted teeth and the surrounding anatomical structures. Complications, risks, and prevention in teeth extraction cases. Commonly used diagnostic methods for oral cavity pathologies. Bacteriological and morphological investigation.
Literature: 1. Journal of Oral and Maxillofacial Surgery;
2. Management of Complications in Oral and Maxillofacial Surgery, 2nd Edition; Michael Miloro (Editor), Antonia Kolokythas (Editor);
3. Maxillofacial Surgery. 2-Volume Set. 3rd Edition, by Peter Brennan, Henning Schliephake and G.E. Ghali, Luke Cascarini
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Periapical surgery. Anatomical peculiarities of roots in maxillae and mandible. Evaluation of root canal filling. Surgical techniques and instruments. Complications and failures.
Maxillary sinuses surgery. Localization of radices of the maxillary teeth in relation to maxillary sinuses. Radiological diagnostics. Pathology of maxillary sinuses: polyps, cysts, foreign bodies, a fungal infection.
Oroantral communications, etiology, diagnostics, treatment tactics. Surgical treatment of oroantral co
Description
Annotation: Within the seminar, the resident learns in-depth the importance of periapical surgery for tooth preservation; diagnostics and treatment of maxillofacial sinuses; classification, diagnostics, and treatment of odontogenic cysts.
Topics covered during the class: Periapical surgery. Diagnostics of periapical pathology. Indications and contraindications for periapical surgery. Complications.
Functional endoscopic sinus surgery.
Oroantral communications` causes and their treatment. Foreign bodies in maxillary sinuses: dislocated roots, implants, endodontic treatment materials.
Odontogenic cysts. Classification, diagnostics, differential diagnostics, treatment, and relapse.
Literature: 1. Journal of Oral and Maxillofacial Surgery;
2. Management of Complications in Oral and Maxillofacial Surgery, 2nd Edition; Michael Miloro (Editor), Antonia Kolokythas (Editor);
3. Maxillofacial Surgery. 2-Volume Set. 3rd Edition, by Peter Brennan, Henning Schliephake and G.E. Ghali, Luke Cascarini
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Benign tumors of jaws. Odontogenic tumor classification and epidemiology. Ameloblastomas. Classification and surgical treatment. Rare odontogenic tumors, diagnostics, and treatment. Non-odontogenic cysts: mucous cyst, granulomas, giant cell granuloma, Langerhans histiocytosis, Wegener granulomatosis.
Fibrous tumors of jaws. Classification and treatment.
Osteonecrosis of jaws. Osteoradionecrosis. pathology, risk factors, and prevention. Treatment of osteonecrosis. Drug-induced jaw osteonecrosis.
Description
Annotation: The resident learns the classification of benign tumors, epidemiology, diagnostic methods, surgical treatment.
Neodontogenic cysts: mucus cysts, granulomas, giant cell granuloma, Langerhans histiocytoma, Wegener's granulomatosis.
Fibrous jaw tumors, their classification, treatment.
Osteonecrosis of the jaw, its types, treatment methods.
General postoperative care.
Topics covered during the class: Classification of benign tumors, epidemiology, diagnosis, and types of surgical treatment.
Osteonecrosis of the jaw. Pathology of osteoradionecrosis, risk factors, and their prevention. Treatment of osteonecrosis. Drug-induced osteonecrosis of the jaw. Pathology and risks of bisphosphonate-induced jaw necrosis. Prevention and treatment.
Osteomyelitis. Classification, microbiology, and pathology. Surgical and clinical treatment of osteomyelitis. Garre`s non-suppurative osteomyelitis.
Postoperative management of pain, hemorrhage, postoperative infection control, preventive antibacterial therapy indications and contraindications, and treatment of alveolitis.
Tooth extractions for patients with immunosuppression and coagulopathies.
Literature: 1. Journal of Oral and Maxillofacial Surgery;
2. Management of Complications in Oral and Maxillofacial Surgery, 2nd Edition; Michael Miloro (Editor), Antonia Kolokythas (Editor);
3. Maxillofacial Surgery. 2-Volume Set. 3rd Edition, by Peter Brennan, Henning Schliephake and G.E. Ghali, Luke Cascarini
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Total ECTS (Creditpoints):
5.00
Number of Residency Seminars:
3
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Journal of Oral and Maxillofacial Surgery
2.
Management of Complications in Oral and Maxillofacial Surgery. Editor(s):Michael Miloro DMD, MD, FACS,, Antonia Kolokythas DDS, MS,
3.
Maxillofacial Surgery by Peter Brennan, Henning Schliephake, G.E. Ghali, Luke Cascarini. 2-Volume Set, 3rd Edition - January 4, 2016
Additional Reading
1.
Contemporary Oral and Maxillofacial Surgery. 7th Edition - September 27, 2018. Authors: James Hupp, Myron Tucker, Edward Ellis
2.
Illustrated Lecture Notes in Oral & Maxillofacial Surgery by George Dimitroulis. 1st Edition, 2008
3.
The Anatomical Basis of Dentistry by Bernard Liebgott. 4th Edition - December 27, 2016
4.
Head and Neuroanatomy - Latin Nomencl. (THIEME Atlas of Anatomy) Michael Schuenke, Erik Schulte, Udo Schumacher. Thieme, Jan 1, 2011
5.
Handbook of Local Anesthesia by Stanley Malamed. 7th Edition - March 28, 2019
6.
Practical Dental Local Anaesthesia by John G. Meechan. Series: QuintEssentials of Dental Practice, Volume 06. 2nd Edition 2010
7.
Little and Falace's Dental Management of the Medically Compromised Patient. 9th Edition - December 27, 2016. Authors: James Little, Craig Miller, Nelson Rhodus
8.
Principles of Oral and Maxillofacial Surgery. 6th Edition by U. J. Moore