Veidlapa Nr. M-3 (8)
Study Course Description
Orthodontics III
Course Code
ROT_017
Branch of Science
Clinical medicine; Dentistry
ECTS
42.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Gundega Jākobsone
Residency Speciality
Speciality
Orthodontist
Supervisor of Medical Speciality
Gundega Jākobsone
Contacts
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About Study Course
Objective
The aim of the course is to provide the postgraduate education based on a solid foundation of evidence-based practice and research. It has following objectives: To provide supervised theoretical and clinical training in different orthodontic treatment methods so that the specialists in Orthodontics will be able to: - diagnose and provide treatment for children, adolescents and adults with an orthodontic treatment need; formulate a treatment plan and predict its course, evaluate psychological aspects relevant to orthodontics - collaborate with other colleges in interdisciplinary treatments for dental and dento-skeletal problems like craniofacial anomalies or craniomandibular disorder, as well as obstructive sleep apnoea. To educate in research methodology and promote research activities that by accomplishing the program the students will be able comprehensively review, understand, and evaluate the literature relevant to orthodontics; formulate a research hypothesis, design a methodological study, conduct the research, and present the findings. To encourage development of pedagogical skills by involvement in teaching of undergraduate students and training auxiliary personnel. The Postgraduate Orthodontic Program follows and respects following legal documents: Medical law, regulations of the Cabinet of Ministers Nr. 685 and Nr. 268 and follows the recommendations given by the” Erasmus Committee” (European Journal of Orthodontics 2014, 36:340-9.)
Learning Outcomes
Knowledge
1.Knowledge about the materials used in orthodontics. Knowledge about the indices to assess the treatment need and to evaluate the treatment outcome. Knowledge about about the tissue reactions to the orthodontic forces. Knowledge about the temporomandibular joint and stomatognathic system: normal and abnormal mastication, and function, components of the craniomandibular system. Knowledge about the iatrogenic effects of the orthodontic treatment. Knowledge about the psychological aspects of orthodontic treatment, psychological differences of children and adolescents, psychosocial impact of dental and facial appearance, psychological aspects of orthognathic treatment. Knowledge about the orthodontic treatment in adults. Knowledge about orthodontic treatment particularities for children with orofacial clefts. Knowledge about the use of oral appliances for treatment of OSA. Knowledge about about the praxis management and safety.
Skills
1.Ability to perform interdisciplinary treatment in patient with general medical and dental problems, patients with congenital syndromes and craniofacial anomalies, including orthognathic surgery and craniomandiblar problems. Assess the orthodontic treatment need at the individual and society level. Will be able to perform specialised literature search, evaluate the evidence level of the study. Provide evidence based treatment. Be able to formulate the research hypothesis, perform the study design of a clinical study, obtain the data and present the research data. Independently plan and organise long life learning and professional development plan. Take the responsibility about the results of the professional performance. Will be able to continue professional development and research also under non motivating conditions.
Competences
1.Competent to elaborate the treatment and retention protocols based on the evidence based principles. Explain the treatment plan to the patient or the parents, including the consequences in the cases when the treatment is not performed. Competent to understand and apply the biomechanical principles during orthodontic treatment. Competent to assess the treatment progress and the treatment result. Competent to minimize the side effects of orthodontic treatment and to treat the consequences, if possible. Competent to treat patients with: removable, extra oral, segmented fixed and full fixed appliances, lingual anchorage devices, retention appliances, functional appliances, skeletal anchorage. Competent to participate in the interdisciplinary treatment for periodontally involved patients and patients requiring restorative works. Competent to participate in the interdisciplinary treatment. Competent to analyse a research article and make a design for a research project.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Independently organise the clinical work, keep up with the clinical documentation and records. To obtain full and meticulous documentation of treated patients, prepare treatment plans and treatment analysis for seminar reports and examinations. Prepare presentations on the clinical topics based on the evidence based research data.
Elaborate the data of the clinical study, perform analysis and prepare the research report: oral or poster presentation, research article.
Lead seminars for undergraduate students.
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2.
An overview of at least 50 treated patients. |
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Test
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A report should be submitted on patients treated during postgraduate studies. Treated patients should cover different occlusal abnormalities and treatment techniques. |
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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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|---|---|---|
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1.
Examination |
-
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10 points
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State examination. 1. Defence of Thesis (20%). 2. Presentation of 5 clinical cases treated during training (40%). 3. A diagnostic case: orthodontic diagnosis, treatment planning, retention strategies (40%). |
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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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|---|---|---|
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On site
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Auditorium
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Topics
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Orthodontic and orthognathic treatment planning: dentofacial, dentoalveolar and soft tissue relationships; necessary diag-nostic data collection and processing; collaboration between specialists working with combined orthognathic surgery and orthodontics.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Adult orthodontics. Indications and specific aspects of orthodontic treatment in adults.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Obstructive sleep apnea, impact on general health in adults and children. Oral devices for OSA treatment. Other treatment options : expansion, orthognathic surgery.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Physiology and function of stomatognatic system: developmental physiology conceptions and principles; physiology of breathing, swalloving, chewig, and speaking.
Temporomadibular joint: normal and abnormal function.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Chemical and physical features of materials used in orthodontics.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Principles for preparation for orthognathic surgery. Coordination of the arches: transversal dimension.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Basic principles of orthognathic surgery of dentofacial anomalies; maxillar and mandibular surgery; maxillofacial dis-traction.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Physiology and function of stomatognatic system: developmental physiology conceptions and principles; physiology of breathing, swalloving, chewig, and speaking.
Temporomadibular joint: normal and abnormal function.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Tissue reaction after orthodontic treatment. Relapse and retenion. Long term changes.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Rheumatoid arthritis, its expression in TMJ.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Obstructive sleep apnea, impact on general health in adults and children. Oral devices for OSA treatment. Other treatment options : expansion, orthognathic surgery.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Diagnostic and prognostic parameters used in planning of orthognathic surgery. Facial esthetics, function.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Orthodontic occlusal indexes for the assessment of treatment necessity and complexity: IOTN, ICON etc., performance and analysis of diagnostic models.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Obstructive sleep apnea, impact on general health in adults and children. Oral devices for OSA treatment. Other treatment options : expansion, orthognathic surgery.
|
-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Lip, palatal cleft etiology; provision of treatment and multidisciplinarity; specific character of orthodontic and surgical treatment of cleft patients; timing and rehabilitation.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Basic principles of orthognathic surgery of dentofacial anomalies; maxillar and mandibular surgery; maxillofacial dis-traction.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Risks and benefits in orthodontics. Iatrogenic effects of orthodontic treatment.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Integrated orthodontic treatment and teeth` hard tissue reconstruction, integrated orthodontic treatment, and pros-thetics.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Integrated orthodontic treatment and teeth` hard tissue reconstruction, integrated orthodontic treatment, and pros-thetics. Particularities of the restorative treatment in children.
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Placement
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Modality
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Location
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|---|---|---|
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On site
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Placement location
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Topics
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Guidelines and recommendations for infection control. Design of an orthodontic praxis, recruitment of auxiliary personnel, professional development of auxiliary personnel, financing and administration of an orthodontic praxis. Public relationship, quality controls.
Principles of effective communication with patients, parents, stuff and third parties.
Principles of ergonomic work settings.
Professional ethics
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Summary of treatment planning process, treatment mechanics, retention protocols and long term prognosis.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Orthodontic treatment with aligners, treatment strategies, possibilities and disadvantagies.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
|
Auditorium
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Topics
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Summary of treatment planning process, treatment mechanics, retention protocols and long term prognosis.
|
-
Seminar
|
Modality
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Location
|
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|---|---|---|
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On site
|
Auditorium
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Topics
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Orthodontic treatment with aligners, treatment strategies, possibilities and disadvantagies.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Temporomandibular joint dysfunction diagnosis; role of temporomandibular joint in the process of orthodontic treatment.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Miofuncional therapy.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Lip, palatal cleft etiology; provision of treatment and multidisciplinarity; specific character of orthodontic and surgical treatment of cleft patients; timing and rehabilitation.
|
-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Orthodontic - periodontal treatment. Specific aspects of orthodontic treatment in periodontally compromised patients.
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Placement
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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General orthodontic practice: finishing of the patients and preparation of the patients, who will not be finished for referral to other residents. Preparation of the clinical documentation for the presentation of the State Examination. To continue treatment of the patients, management of the orthodontic emergencies.
Leading seminars to undergraduate students.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Materials of braces and arches, their features. Concept of friction.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Principles of orthodontic preparation for orthognathic surgery. Coordination of the arches: sagittal and vertical plane.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Mechanical properties of the archwires, types of the archwires. Biomechanics of archwires.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Psycho emotional aspects of orthodontic treatment.
|
-
Seminar
|
Modality
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Location
|
|
|---|---|---|
|
On site
|
Auditorium
|
Topics
|
Risks and benefits in orthodontics. Iatrogenic effects of orthodontic treatment.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Auditorium
|
Topics
|
Psycho emotional factors of orthognathic surgery. Quality of life for orthognathic patients.
|
-
Placement
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
General orthodontic practice: obtaining diagnostic records, producing treatment plans, orthodontic treatment. Assessment of extraordinary situations, deviations in treatment progress. Emergencies in orthodontic practice. Assistance to the clinical doctors.
Leading seminars to undergraduate students.
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Total ECTS (Creditpoints):
42.00
Number of Residency Seminars:
33
Length (weeks):
32
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Chung H. K., Richmond S. „Three dimensional imaging for orthodontics and maxillofacual surgery”. Wiley-Blackwell, 2010.
2.
Okeson J. P. „The Clinical Management of Temporomandibular Disorders and Occlusion”. 8th Edition, Elsevier, 2019.
3.
Proffit R. W., et al. „Contemporary Orthodontics”. 6th Edition. Mosby, 2018.
4.
English J. D., Peltomaki T., Pham-Litschel K. “Orthodontic review”. 2nd Edition. Mosby, Elsevier, 2014.
5.
Graber T. M. „Orthodontic current principles and techniques". 6th Edition. Mosby, 2016.
6.
Proffit W. R., White R. P., Sarver D. M. „Contemporary treatment of dentofacial deformity”. Mosby, 2003.
7.
Arnett, McLaughlin. „Facial and dental planning for orthodontists and oral surgeon”. Mosby, 2004.
Additional Reading
1.
Scuzzo G., Takemoto K. „Invisible Orthodontics”. Quintessence, 2003.
2.
Trevisi H., Trevisi Zanelato R. „State of the art orthodontics. Selfligating appilances, miniscrews and second molar extraction”. Mosby, 2011.
Other Information Sources
1.
"American journal or orthodontics and dentofacial orthopedics”;
2.
„Europena journal of orthodontics”;
3.
"The Angle Orthodontist";
4.
„Orthodontics and craniofacial research”;
5.
„Seminars in orthodontics”.