Veidlapa Nr. M-3 (8)

Study Course Description

Prosthetic Surgery and Implantology

Main Study Course Information

Course Code

RMS_046

Branch of Science

Anatomy; Clinical medicine

ECTS

15.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Ģirts Šalms

Residency Speciality

Speciality

Maxillofacial Surgeon

Supervisor of Medical Speciality

Ģirts Šalms

Contacts

About Study Course

Objective

To learn the theoretical basis and practical skills of preprosthetic planning operations and practices. Be able to peform the basic operations for oral soft tissue reconstruction.

Learning Outcomes

Knowledge

1.The student should know the basics of anatomy, operational techniques for basic operations, soft tissue reconstruction. In clinical situations is able to evaluate, choose the right technique. Compare various operational techniques, their advantages and disadvantages. In clinical situations - explain the nature of the problem, assess the severity, select the proper treatment procedure.

Skills

1.Be able to: 1. lateral augmentation surgery of the alveolar bone; 2. surgery to raise the base of the upper jaw.

Competences

1.Competencies: 1. be able to analyze the specific clinical case, formulate a diagnosis, as well as evaluate the best choice of therapy in a specific case; 2. compare different treatment methods, their advantages and disadvantages; 3. justify your choice.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
The student must prepare a presentation on one of the problems related to the topic of preprosthetic surgery and discuss it in the seminar.

Examination

Title	% from total grade	Grade
1. Examination	-	-
The evaluation criteria of the course will be the record of completed operations, analysis of the presentation, discussion of the specific clinical cases with the course leader.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

To learn the theoretical foundations and practical skills in planning and applying preprosthetic operations in practice. Know basic operations in the reconstruction of hard tissues of the mouth.

Seminar

Modality	Location
On site	Auditorium

Topics

Dental implantology. History. Anatomic considerations for choosing dental implants. Biology of osseointegration. Types of dental implants. Characteristics of the design - surface, thread, coating. Evaluation of the general state of health and risks for dental implantation. Smoking and dental implants. Hygiene, periodontitis. Evaluation of the patient from a surgical point of view for dental implantation. Assessment of bone quality.

Seminar

Modality	Location
On site	Auditorium

Topics

Implant planning. Digital aspects – computer programs for implant planning. Medical indications and contraindications for dental implantation. Bisphosphonates and dental implantation. Visual diagnostics for implant planning. DT, KSDT, OPG. Surgical guides for implant placement. Informed patient consent. Legal aspects.

Seminar

Modality	Location
On site	Auditorium

Topics

Surgical sequence of implant placement. Sterility control. Surgical consoles. Basic instrument sets for dental implantation. Features of local anesthesia. Types of flaps. Soft tissue. Suture material. One and two stage techniques. Principles of immediate implantation. Early and late implant loading.

Seminar

Modality	Location
On site	Auditorium

Topics

Cheek bone implants. Indications, contraindications. Insertion surgical technique. Methods for evaluation of dental implant integration. Diagnostic criteria for a failed implant. Resonance frequency analysis for implant stability assessment. Dental implant explantation. Patient control protocols. Postoperative instructions and drug therapy. Radiological control.

Seminar

Modality	Location
On site	Auditorium

Topics

Guided tissue regeneration technique (bone tissue, soft tissue). Membranes to be used, their types, advantages and disadvantages. Special tools. Bone substitute materials. Biomaterials of animal, human, chemical origin. Bone induction and bone conduction. Autobone and biomaterial combinations. Types of bone grafting. Bone collection sites. Bone grafting in the maxilla and mandible. Differences. Use of 3D meshes for bone regeneration. Placement of implants after bone transplantation.

Seminar

Modality	Location
On site	Auditorium

Topics

Sinus-lift surgery. Visual diagnosis of the maxillary cavity and nose. Techniques, tools, biomaterials, combinations of materials. Closed and open sinus-lift techniques. Complications. Bone tissue collection. Places: mandibular angle, chin, cheek bone, parietal bone, pelvic bone areas.

Seminar

Modality	Location
On site	Other

Topics

Specific preprosthetic surgical techniques: distraction of alveolar ridge. Types of bone distractors. Expansion of alveolar ridge by the dissection method. Mandibular alveolar nerve lateralization method. Complications of bone replacement techniques. Nerve, tooth damage and perforations in the nasal and maxillary cavity during implantation. Prevention of complications.

Seminar

Modality	Location
On site	Auditorium

Topics

Peri-implantitis. Symptoms, treatment. Prevention. Placement of dental implants in oncological patients. Effects of radiation on dental implants. Principles of prosthetics for the creation of dental implant crowns. Implant-based prostheses. Dentures fixed on implants. Craniofacial implants for the reconstruction of lost parts of the face. Various materials for prosthetics of facial parts. Bone Anchored Hearing Aid (BAHA). Maxillary obturators. 3D technologies for the rehabilitation

Total ECTS (Creditpoints):

15.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Randolph Resnik. Misch's Contemporary Implant Dentistry. 4th Edition. January 25, 2020.

James Hupp, Myron Tucker, Edward Ellis. Contemporary Oral and Maxillofacial Surgery. 7th Edition. September 27, 2018.

Principles of Oral and Maxillofacial Surgery. 6th Edition. Wiley, 2011. by U. J. Moore

Maxillofacial surgery / Booth PW, Schendel SA, Hausamen JE/ Churchill Livingstone. Elsevier, 2007. 1.-2 sēj.