Veidlapa Nr. M-3 (8)
Study Course Description

Orthodontics

Main Study Course Information

Course Code
VZK_001
Branch of Science
Clinical medicine
ECTS
9.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of general dentistry
Contacts

ilona.krauze@rsu.lv, gundega.jakobsone@rsu.lv; +37126658620

About Study Course

Objective

Course aim – to provide students with knowledge of the growth and development of teeth, face, and jaws throughout life; the etiopathogenesis of orthodontic abnormalities; and the principles of diagnosis and orthodontic treatment. The course aims to develop students’ ability to identify morphofunctional disorders, assess the need for treatment and referral to an orthodontist, advise patients in cases of premature tooth loss and dental trauma, and function effectively as members of an interdisciplinary healthcare team involving an orthodontist. Upon completion of the course, the student will be able to perform specific procedures within the scope of interceptive orthodontics.

Preliminary Knowledge

Medical genetics, human molecular biology, normal physiology, clinical pharmacology in dentistry, internal diseases with propedeutics, human anatomy, dental anatomy, embryology, histology, maxillofacial surgery, oral surgery, pathology, psychosomatic medicine and psychotherapy, biostatistics, prosthodontics and clinic, dental and maxillofacial diagnostic radiology, prophylaxis in dentistry, endodontics: preclinical and clinical course, periodontology preclinical and clinical course, paediatric dentistry, restorative dentistry, cariology, biomaterials in dentistry, contact culture in dentistry, obstructive sleep apnea syndrome, paediatric maxillofacial surgery, otorhinolaryngology for a dentist, paediatrics.

Learning Outcomes

Knowledge

1.The student will acquire knowledge of the normal growth, development, and maturation of the craniofacial complex, as well as an understanding of pathological development and the influence of normal and impaired function on the dentofacial system. The student will understand the most common congenital syndromes affecting the craniofacial region. Knowledge of imaging diagnostic methods used in orthodontics and the principles of diagnosing dentofacial anomalies will be acquired. General knowledge of the basic principles of treating dental and jaw anomalies in children, adolescents, and adults, as well as the fundamental principles of orthodontic treatment planning, including general knowledge of mechanical and functional appliances used in orthodontics, clear aligner therapy. The knowledge about the management of dental trauma will also be obtained. The student will acquire knowledge of occlusal deformities associated with premature tooth loss, interdisciplinary principles of orthodontic treatment, and the specific features of orthodontic treatment in adult patients. In addition, the student will gain knowledge of iatrogenic factors in orthodontic treatment, retention of treatment outcomes, and the risk of relapse. At the level of understanding, the student will learn about interceptive orthodontic measures

Skills

1.Upon successful completion of the course, the student will be able to: • analyze craniofacial growth and assess clinically significant deviations in facial and jaw development; • identify adverse factors affecting occlusal development, including tooth germ absence or anomalies, and predict their impact on occlusion; • locate and utilize information on congenital craniofacial syndromes; • collect medical and dental history for orthodontic treatment planning; • perform clinical documentation, including photographing the face and occlusion for clinical purposes; • plan and apply space maintainers and orthodontic bands; • provide evidence-based information to patients or caregivers about the principles of orthodontic treatment and related issues; • critically evaluate literature sources and analyze scientific articles; • manage emergency situations in orthodontics; • collaborate effectively within an interdisciplinary healthcare team.

Competences

1.Upon successful completion of the course, the student will be competent to: • apply classification systems for identifying dental, facial, and jaw anomalies; • plan, fabricate, and maintain space maintainers; • create and evaluate orthodontic diagnostic models; • plan, insert, and adjust removable active appliances to correct single-tooth or crossbite malocclusions and vacuum-pressed retainers; • identify harmful oral habits that may contribute to malocclusion, prevent their consequences, educate patients, and, if necessary, provide treatment; • support the orthodontist during orthodontic treatment by motivating patients, maintaining oral hygiene, and explaining the principles of orthodontic care; • assess the risk of occlusal anomalies following premature tooth extraction; • understand the orthodontist’s role in dental trauma management; • respond appropriately in all types of orthodontic emergencies, including referral to a specialist when required; • assist in post-treatment retention procedures and help ensure long-term stability of orthodontic outcomes; • collaborate effectively within an interdisciplinary team, demonstrating professional responsibility and patient-centered care.

Assessment

Individual work

Title
% from total grade
Grade
1.

Independent work

-
10 points

Individual work includes the preparation of periodic literature reviews and clinical case presentations, as well as the study of theoretical material presented in seminars. During the semester, students will be assessed through tests on occlusal development in patients with premature tooth loss, retention, and relapse, and clinical case analysis.

To evaluate the overall quality of the course, students are required to complete the course evaluation questionnaire on the Student Portal.

Examination

Title
% from total grade
Grade
1.

Accumulated exam

-
10 points

The performance throughout the course is evaluated for the tests and the independent work for which the grading is indicated in the estudies. A student must have received an assessment of at least 80 per cent on the tests and individual work.

The average grade is calculated, and it represents 50% of the assessment of the accumulated exam. 50% consists of an assessment of the case analysis.

2.

Exam

-
10 points

Final examination based on analysis of clinical situations involving various developmental abnormalities in the facial-jaw area, dental injuries, early tooth loss, and aspects of interseptive orthodontics.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Introduction to orthodontics
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Basic principles for the growth of the craniofacial complex. Facial bone growth areas.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Embryonic development of the craniofacial complex and congenital abnormalities in the craniofacial region.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Tissue reactions under the influence of orthodontic forces
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Imaging methods in orthodontics. Lateral cephalometry
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Imaging methods in orthodontics. Lateral cephalometry
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Teething disorders: hypodontia, turntable teeth, impaired teeth and rettensions. Diagnosis, treatment strategy. Complications related to overhead, impacted and retinated teeth
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Interseptive orthodontics
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Growth of facial soft tissue
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

The evolution of bite. Milk and permanent bites. Site holders: indications, clinical and laboratory stages of manufacture.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Biometric assessment of dental cast models.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Imaging methods in orthodontics. Lateral cephalometry
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Imaging methods in orthodontics. Lateral cephalometry
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Basic principles for the growth of the craniofacial complex. Facial bone growth areas.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Normal and abnormal growth of the upper jaw and lower jaw. Growth modification options.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Age-related craniofacial changes
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Embryonic development of the craniofacial complex and congenital abnormalities in the craniofacial region.
Total ECTS (Creditpoints):
3.00
Contact hours:
42 Academic Hours
Final Examination:
Test (Semester)
Part 2
  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Upper jaw expansion
  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Angle II class
  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Angle Class III bite abnormalities
  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Interdisciplinary aspects of the orthodontic treatment
  1. Video Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Disturbances in eruption of teeth: hypodontia, supernumerary teeth, impactions, and retentions. Diagnosis, treatment strategies. Complications associated with the supernumerary, impacted, and retained teeth.
  1. Video Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Tooth movement with orthodontic appliances: indications and biomechanical aspects.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Basic principles of care for patients with clefts of the face and jaws. The role of orthodontist in the care of patients with facial clefts.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Tooth movement as a result of orthodontic forces. Removable orthodontic appliances.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Disturbances in the eruption of the teeth: hypodontia, supernumerary teeth, impactions, and retentions. Diagnosis, treatment strategies. Complications associated with the supernumerary, impacted, and retained teeth.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Disturbances in the eruption of the teeth: hypodontia, supernumerary teeth, impactions, and retentions. Diagnosis, treatment strategies. Complications associated with the supernumerary, impacted, and retained teeth.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Interseptive orthodontics
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Serial extractions.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Recurrence and retention.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Emergency situations in orthodontic practice – first aid in case of appliance damage. Working with models.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Side effects of orthodontic treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Effects of general conditions on the development of dentofacial abnormalities and orthodontic treatment. Obtaining a history
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Methodology for clinical case analysis.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Bite scan.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Laboratory technique. Printable stl file preparation.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Laboratory technique. Manufacture of vacuum-pressed appliances in laboratory.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Laboratory technique. Processing of vacumpressed appliances.
Total ECTS (Creditpoints):
3.00
Contact hours:
57 Academic Hours
Final Examination:
Test (Semester)
Part 3
  1. Video Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Integrated seminar with pediatric dentistry. Management of dental trauma in children.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Integrated seminar with pediatric dentistry. Management of dental trauma in children.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Integrated seminar with pediatric dentistry. Occlusal changes produced by premature extractions of teeth.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Discrepancies between the teeth sizes and lengths of the dental arches (crowding, spacing). Possibilities to create the space in the dental arch: inter proximal reduction, extractions, expansion. Orthopaedical, orthodontical and passive expansion.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Angle class II anomaly.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Angle class II anomaly.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Dentoalveolar and skeletal problems in the vertical plane.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Producing a specific treatment plan and presenting to the patient. Informed consent.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Tooth row corrections with tooth correcting aligners.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Orthodontics in adult patients.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Interdisciplinary aspects of orthodontic treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Clinical case analysis to grade. Part 1.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Clinical case analysis to grade. Part 2.
Total ECTS (Creditpoints):
3.00
Contact hours:
38 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Simon J. Littlewood, Laura Mitchell. 2019. An Introduction to Orthodontics. 5th Edition, OxfordSuitable for English stream

2.

Materiāli e-studijās.Suitable for English stream

3.

Henry W. Fields Jr., Brent E. Larson, David M. Sarver, William R. Proffit (and others) 2025. Contemporary Orthodontics. 7th Edition, Elsevier.Suitable for English stream

Additional Reading

1.

McNamara JA, Brudon WL. 2001. Orthodontics And Dentofacial Orthopedics.Suitable for English stream

2.

English J, Akyalcin S, Peltomaki T, Litschel K. 2025. Orthodontic Review. 3rd Edition; Mosby’s.Suitable for English stream

Other Information Sources

1.

Seminars in OrthodonticsSuitable for English stream

2.

Journal of Craniofacial ResearchSuitable for English stream

3.

Science DirectSuitable for English stream

4.

American Journal of Orthodontics and Dentofacial OrthopedicsSuitable for English stream