Oral Surgery
Study Course Implementer
Riga, 20 Dzirciema Street, Rooms No. 318 and 21, MSZKK@rsu.lv, +371 67457663
About Study Course
Objective
Upon completion of the course the students will have acquired the basic knowledge of pain, discomfort and psychological stress elimination, basic knowledge of the most common oral surgical procedures – exodontics and preprosthetic surgery in general dentistry practice. To acquire and practically apply in the clinic the skills of local anesthesia and simple and complicated exodontics, and performing small surgical manipulations in the dentoalveolar region, acquire and practically apply administration of medications subcutaneously, intramuscularly and intravenously, make profilaksis and management for possible complications. Abtaine competence to communicate and clinically investigate patient and to make diagnosis of pathology in clinical setting, to abtaine competence to make dentoalveolar surgery with pain management according to dentoalveolar procedure and patient's general health status.
Preliminary Knowledge
To begin the study course (or semester), all previous assessments outlined in the Study Plan (D1) must be successfully completed. Human anatomy, normal and pathological physiology, histology, biomaterials in dentistry, radiology and roentgenology, internal diseases with basic propaedeutic, emergency care, and pharmacology.
Learning Outcomes
Knowledge
1.Describe patient's mouth and tooth examination methods, some of which are based on latest discoveries and technologies. Students will describe justified oro-facial pain control methods for patients of all ages and proper selection of these methods depending on the patient, basic diagnostic and treatment manipulations in oral surgery, such as simple and complicated exodontics and preprosthetic procedures and they will explain the use of medications in treatment.
Skills
1.Students will have acquired the basic knowledge of the most common oral surgical procedures in general dentistry practice. Students will abtaine competence to communicate and clinically investigate patient, do visual examination and examination by palpation and percussion methods. Students will be able to choose and apply surface, plexar and regional anaesthesia, explain the possible causes of failures and complications and perform patients’ monitoring. Students will be able to choose the most appropriate exodontic method and to perform simple exodontics with the erupted tooth explaining the steps, prevention and management for possible complications
Competences
1.Students will abtaine competence to communicate and clinically investigate patient and diagnose pathology, demonstrate pain, anxiety elimination methods for practical work in general dentistry, will be able to demonstrate and apply the knowledge and skills of oral surgery for exodontic and preprosthetic procedures in general dentistry practice, prevention and management for possible complications.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
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-
|
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Individual acquisition of theoretical knowledge and practical skills in compliance with the topic of each practical class, independent study of the given literature. Please fill in the course evaluation form at the end of the course.
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Examination
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Title
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% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
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10 points
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|
During the practical classes, the lecturer observes students' communication skills and attitude towards patients, lecturers, group members, and other medical staff. Before each class, there is a short discussion about the current topic. The lecturer asks questions about the theory, expecting oral answers. Students answer control questions in writing or electronically. During the course, students fill in all manipulations in the “Student Diary in Oral and Maxillofacial Surgery” including i/m, i/v, s/c injection techniques and signature from the MITC lecturer. Final Examination At the end of the course, students are required to take an examination consisting of two theoretical questions and the following tasks:
Final semester and course grade The cumulative grade is calculated according to the following criteria: 5th Semester Attendance — 10% Communication with staff, peers, and patients — 10% Performance in classes and seminars — 80% 6th Semester Attendance — 10% Communication with staff, peers, and patients — 10% Performance in classes and seminars — 30% Final examination — 50% Midterm Tests and Seminars Midterm tests and seminars are graded on a 10-point scale. Points earned throughout the semester are summed, and an average grade is calculated, which contributes to the cumulative assessment. Attendance 0 absences — 10 points 1 absence — 5 points 2 absences — 0 points; continuation of studies requires the dean’s approval Following Study Regulations I (01.07.2025), Section 2.17, in cases of excused absence approved by the dean or vice-dean, students may be awarded bonus points (up to 10). This provision applies when a student represents the university, for example, at institutional or national events, scientific conferences, exchange programs, cultural activities, or national/international sports competitions. |
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Study Course Theme Plan
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
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Topics
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Pathophysiology of pain. Prevention of pain in dentistry. Local anaesthetics and vasoconstrictors in dentistry.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Exodontia: its development. Teeth extractions complications and its prevention. Individual choice of methods. Indications and contraindications for teeth extraction.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
General health condition in choice of dental anaesthesia.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Perioperative therapy in exodontia. Post extraction alveolitis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Clinical anatomy of n.maxillaris and n.mandibularis. Surface, plexar and regional anaesthesia in upper and lower jaws. Pain control, efficiency and duration. Psychological aspects of pain.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
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Local anaesthetics in dentistry (concentration, ph norms, toxicity). Vasoconstrictors: adrenaline, noradrenaline. Vasopressin.
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-
Class/Seminar
|
Modality
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Location
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Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
4
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Topics
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Choice of dental anaesthesia techniques and anaesthetics depending on general health conditions. Instruments and approaches for dental anaesthesia. Intraligamentar, intrapapillar, intraossal anaesthesia, WAND.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Seminar "Anesthetic agents and techniques"
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
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Surgical anatomy of teeth and jaws. Instruments for teeth removal. Methods of exodontia.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Indications and contraindications for teeth extraction. Individual choice of extraction technique.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Perioperative therapy in exodontia. Post extraction alveolitis. Semester assessment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Procedure technique (i/m, s/c, i/v injections).
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Teeth impaction and dystopia. Indications for extraction and exposure, methods. Complications and its prevention.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
General anesthesia and sedation in dentistry. Patient’s preparation and monitoring.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Intensive care in dentistry. Patient’s monitoring and sedation.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Preprosthetic surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Seminar "Simple and complex exodontia"
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Patient`s examination in maxillofacial surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Complications of teeth removal. Complicated exodontia.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Teeth impaction and dystopia: statistics, etiopathogenesis, classifications; indications for surgery, radiological diagnostic; complications.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Impacted teeth and dystopia surgery: extractions and exposure.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Sedation and general anaesthesia in dentistry. Monitoring and intensive care. Medications and administration. Failures and complications in dental anaesthesia. Individual choice for anaesthesia and methods. The recent information from published articles.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Preprosthetic surgery. The recent research findings in dental implantology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Failures and complications in dental anaesthesia. Individual choice for anaesthesia and methods. The recent information from published articles.
|
Bibliography
Required Reading
The anatomical basis of dentistry / Bernard Liebgott. 5th edition. Mosby Elsevier, 2023Suitable for English stream
Contemporary Oral and Maxillofacial Surgery / James Hupp, Myron Tucker, Edward Ellis, 7th edition / Elsevier, 2019. (akceptēts 2025)Suitable for English stream
Thieme atlas of anatomy. Head and neuroanatomy. 3rd ed. / authors, Michael Schuenke, Erik Schulte, Udo Schumacher /Thieme, 2020.Suitable for English stream
Handbook of local anesthesia : with 441 illustrations / Stanley F. Malamed. 7th edition. Elsevier Mosby, 2019 (akceptēts 2025.g)Suitable for English stream
Practical Dental Local Anaesthesia / Quintessence Publishing, 2010 / John G. Meechan (2025. gadā akceptējams izdevums)
Oral and Maxillofacial Infections. R.G.Topazian, M.H.Goldberg, J.R.Hupp. 4th edition. W.B.Saunders Company, 2009. (2025. gadā akceptējams izdevums)
Medical emergencies in the dental office / Stanley F. Malamed ; chapter 4, Legal considerations contributed by Daniel L. Orr II. 7th edition. Elsevier. 2022
Additional Reading
Little and Falace’s dental management of the medically compromised patient / James W. Little ... [et al.]. 10th edition. Elsevier, 2023.Suitable for English stream
Principles of Oral and Maxillofacial Surgery, 6th edition./Ed.U.J. Moore, Blackwelle Publishing, 2011. (2025. gadā akceptējams izdevums)
Facial topography : clinical anatomy of the face / Joel E. Pessa, Rod J. Rohrich; illustrator, Amanda Yarberry Behr. Quality Medical Publishing, 2012. (2025. gadā akceptējams izdevums)Suitable for English stream
Oral and maxillofacial surgery. Edited by Lars Andersson, Karl-Erik Kahnberg, M. Anthony (Tony) Pogrel. Wiley-Blackwell, 2010 (2025. gadā akceptējams izdevums)
Other Information Sources
International Journal of Oral and Maxillofacial SurgerySuitable for English stream
Journal of Cranio-Maxillo-Facial SurgerySuitable for English stream