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Oral and Maxillofacial Surgical Anatomy and Operations
Study Course Description
Course Description Statuss:Approved
Course Description Version:14.00
Study Course Accepted:08.07.2024 09:19:21
| Study Course Information | |||||||||
| Course Code: | MUSZKK_017 | LQF level: | Level 7 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Oral Medicine | Target Audience: | Dentistry | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Ilze Akota | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Oral and Maxillofacial Surgery and Oral Medicine | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 20 Dzirciema Street, Rooms No. 318 and 21, MSZKK rsu[pnkts]lv, +371 67457663 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 6 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 24 | ||||
| Total Contact Hours | 34 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | At the beginning of the study course (or semester of the study course), all tests provided for in the corresponding curriculum (D1 form) of the previous study semesters must be successfully completed. Human anatomy, normal physiology, clinical pathological physiology, histology, biomaterials in dentistry. | ||||||||
| Objective: | To prepare students for starting classes in the clinic with patients in oral surgery. To acquire basic knowledge of the topographical anatomy of the head and neck, the manipulations to be learned and application thereof in the clinic, cardiopulmonary resuscitation. To acquire the skills to perform local dental anaesthesia, simple tooth extraction, making cuts, applying sutures, interjaw fixation, cricotomy manipulations on phantoms. Cardiopulmonary resuscitation on a dummy. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Anatomical fundamentals of anaesthesia methods in the maxillofacial region. Dental anaesthesia instruments and technique. | Lectures | 1.00 | other | |||||
| 2 | Surgical anatomy of teeth and jaws. Anatomical fundamentals of anaesthesia methods in the maxillofacial region. Dental anaesthesia instruments and technique. | Lectures | 1.00 | other | |||||
| 3 | Clinical aspects of reparative regeneration of oral and maxillofacial tissues. Suturing techniques. | Lectures | 1.00 | other | |||||
| 4 | Jaw fractures, classification, principles of treatment. First aid in case of jaw fractures. Methods of temporary IMF. | Lectures | 1.00 | other | |||||
| 5 | Principles of emergency care in dental practice. | Lectures | 1.00 | other | |||||
| 6 | Emergencies in dental practice. Cardiopulmonary resuscitation – practice on a dummy. Cricothyrotomy on a dummy. | Classes | 1.00 | METC | |||||
| 7 | Anatomy of anaesthesia in the maxilla and mandible. Instruments for dental anaesthesia, WAND. Dental anaesthetic methods for the maxilla and mandible. Skills in applying anaesthetic methods. | Classes | 1.00 | auditorium | |||||
| 8 | Surgical anatomy of maxillary and mandibular teeth and alveolar growth. Instruments and methods of tooth extraction. Application skills. | Classes | 1.00 | auditorium | |||||
| 9 | Jaw and bite fixation methods, indications for use. Skills in applying jaw splints and ligatures. | Classes | 1.00 | auditorium | |||||
| 10 | Wound healing and care. Suturing techniques. Practice on suturing skills. | Classes | 1.00 | auditorium | |||||
| 11 | Preparation for surgery (dressing, putting on sterile gloves). Training of all skills acquired in previous classes. Test. | Classes | 1.00 | auditorium | |||||
| Assessment | |||||||||
| Unaided Work: | Individual preparation of theoretical knowledge and practical skills, according to the topic of each class. Independent reading of literature sources. Independently performing manipulations on dummies as needed to achieve required skill level. Please fill in the study course evaluation questionnaire at the end of the course. | ||||||||
| Assessment Criteria: | • Active participation in practical classes; the quality of oral responses during each class. • At the end of each class, the student must be able to demonstrate the acquired skills according to the topic. • At the end of the course, the Objectively Structured Clinical Examination (OSCE), which consists of 10 stations that include practical and theoretical knowledge testing: 1. To write the corresponding anatomical structures in the pictures. 2. To demonstrate dental anaesthetic techniques and instruments on the maxilla of a dummy 3. To demonstrate dental anaesthetic techniques and instruments on the mandible of a dummy 4. To demonstrate exodontia techniques and instruments on the maxilla of a dummy 5. To demonstrate exodontia techniques and instruments on the mandible of a dummy 6. To demonstrate application and removal of Ivy ligatures on a dummy 7. To demonstrate application and removal of Ernst ligatures on a dummy 8. To demonstrate cuts, sutures, removal of sutures on a dummy 9. To demonstrate CPR on RESUSCI ANNIE, demonstrate cricotomy on a dummy | ||||||||
| Final Examination (Full-Time): | Exam (OSCE) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | The student should be able to describe surgical anatomy, anatomical norms and variants related to local anaesthesia and clinical aspects of dental and maxillofacial surgery, wound healing and reparative regeneration of soft and hard tissues. Able to name the methods and instruments of local anaesthesia and tooth extraction, as well as able to name intramaxillary fixation methods and indications for their use in the clinic, outline the emergency aid algorithm. | ||||||||
| Skills: | Demonstrates preclinical skills in dental anaesthesia and exodontia. The student must be able to demonstrate preparation for surgery, selection of surgical tools and materials for appropriate manipulation, anaesthesia and exodontia methodology on a dummy, suturing of wounds and application of intermaxillary ligatures on a dummy. Must be able to demonstrate preparation for surgery in the area of the mouth, face and jaws: mask, cap, glasses, hand washing, putting on a sterile gown and gloves. Must be able to demonstrate dental local anaesthesia: selection and assembly of an injector, needle and cylinder ampoule for use, infiltration and regional anaesthesia in the upper and lower jaw (mandibular, n. palatinus major, n. nasopalatinus, n. mentalis anaesthesia etc.) on a dummy, disposal of needles and cylinder ampoules, transferring the injector for sterilisation. Must be able to demonstrate tooth extraction on a dummy: adjusting the dental chair and lighting, selecting the forceps, surgeon’s position, left hand operation, placing, driving and fixing the forceps, luxation and extraction of the tooth, repositioning the alveolar ridge and tampon application. Must be able to demonstrate cuts, placing and removing sutures: selection of tools and materials, planning and making a cut, sutures, tying and cutting the thread, removing the suture on a dummy. Must be able to demonstrate intermaxillary fixation with ligature: selection of instruments and wire, application of Ivy and Ernst ligatures, cutting and bending of wire ends. Applying jaw splints. Using the WAND injector. Must be able to demonstrate cardiopulmonary resuscitation on a dummy: condition assessment, breathing, heart massage, as well as demonstrate cricothyrotomy on a dummy. | ||||||||
| Competencies: | To select an appropriate anaesthetic method and tools for extraction of a certain tooth, as well as making cuts, applying sutures, interjaw fixation, in order to be able to start clinical training. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Bag-mask ventilation | B1 - Basic level | |||||||
| 2 | Cardiopulmonary resuscitation (basic) | B1 - Basic level | |||||||
| 3 | First Aid in choking patient | B1 - Basic level | |||||||
| 4 | Laryngeal tube insertion | B2 - Intermediate level | |||||||
| 5 | Nasopharyngeal airway insertion | B1 - Basic level | |||||||
| 6 | Oropharyngeal airway insertion | B1 - Basic level | |||||||
| 7 | Recovery position | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Contemporary Oral and Maxillofacial Surgery / James Hupp, Myron Tucker, Edward Ellis. 7th edition. Elsevier, 2019. | ||||||||
| 2 | Handbook of local anesthesia / Stanley F. Malamed. 7th edition. Elsevier, 2020. | ||||||||
| 3 | The anatomical basis of dentistry / Bernard Liebgott. 3rd edition. Mosby Elsevier, 2011. (2024. gadā akceptējams izdevums) | ||||||||
| 4 | Medical emergencies in the dental office / Stanley F. Malamed ; chapter 4, Legal considerations contributed by Daniel L. Orr II, 8th edition. Elsevier, 2022 | ||||||||
| Additional Reading | |||||||||
| 1 | Thieme atlas of anatomy. Head and neuroanatomy / authors, Michael Schuenke, Erik Schulte, Udo Schumacher. Thieme, 3rd edition. 2020. | ||||||||
| 2 | Oral and maxillofacial surgery. Edited by Lars Andersson, Karl-Erik Kahnberg, M. Anthony (Tony) Pogrel. Wiley-Blackwell, 2010. (2024. gadā akceptējams izdevums) | ||||||||
| Other Information Sources | |||||||||
| 1 | emedicine | ||||||||
| 2 | Journal of Cranio-Maxillo-Facial Surgery | ||||||||
| 3 | International Journal of Oral and Maxillofacial Surgery | ||||||||
| 4 | Dental mammoth | ||||||||
