Requirements –English
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Semmelweis University Faculty of Dentistry Department of Oro-Maxillofacial Surgery and Stomatology |
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Name of the subject: Oral and Maxillofacial Surgery Type of the subject: compulsory Code: Oral and maxillofacial surgery I: FOKOSZB142 1A, creditpoints: 4 (practice mark) Oral and maxillofacial surgery III: FOKOSZB054 3A, creditpoints: 4 (practice mark) Oral and maxillofacial surgery III FOKOSZB142 3A creditpoints: 4 (semifinal) Oral and maxillofacial surgery V.: FOSZBSZB142 5A, creditpoints: 4 (final)
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Lecturer: Dr. Zsolt Németh, head of Department |
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School year: 2016/2017/II. |
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Detailed syllabus:
Dental, oral surgical sterilization, disinfection, infection control. Skin disinfection, surgical hand washing, prevention of iatrogenic infection. Local anesthetics types , indications for use, contraindications. Infiltration anesthesia on the upper jaw. Anesthesia of the upper molar teeth, tuberal anesthesia. Procedure of infraorbital conduction anesthesia. Infiltration anesthesia on the lower jaw. Conduction anesthesia on the lower jaw. Terminal anesthesia of intraoral abscess. Intraligamentous anesthesia. Sedoanalgesia in dental use. Removal of single and multi- rooted teeth with forceps. Removal of roots with forceps. Removal of roots with surgical procedure. Recognition and treatment of alveolar osteitis. Closing opened sinus of tooth extraction. Removal root from sinus. Hemostasis with sutures. Indications, preparation, procedure of apicectomy of single root. Indications of retrograde root fillings. Transdental fixation, replantation, tooth transplantation. Surgical removal of lower wisdom tooth. Surgical removal of upper wisdom tooth. Diagnostics and treatment of retained canine tooth . Diagnosis and differential diagnosis of odontogenic cysts. Diagnosis and differential diagnosis of non-odontogenic cysts. Surgical procedure of oral cystostomy. Surgical procedure of cystectomy. Antral cystostomy. Diagnosis and differential diagnosis of dental infections. The role of odontogenic focal infection in the practice. Open and post-treatment of intraoral abscess. Local management of pericoronitis. Pre-prosthetic and pre-orthodontic surgical procedures. Characteristics of general anesthesia in dental and oral surgery practice. Indications of general anesthesia in dental and oral surgery practice. Knowledge of medicines used in dental and oral surgery practice. Indications , contraindications. Diagnosis of inflammations of the maxillofacial area. Knowledge of diagnostic imaging methods in dental practice and evaluation of the images. Diagnostic imaging methods on the maxillofacial area. Diagnosis of the fractures of skull’s facial bones. Differential diagnosis of salivary glands diseases. Differential diagnosis of facial pain. Diagnosis of facial nerve paralysis. Diagnosis of tumors in the oral cavity and surrounding areas. The oral precancerous lesions, the possibilities and limitations of the treatment in dental practice. Diagnosis of malignant tumors of the maxillofacial region. Differential diagnosis of the cervical lymphnodes and swelling. Major characteristics of developmental abnormalities in the maxillofacial region, complex management principles. Differential diagnosis of temporomandibular joint disorders. Treatment of temporomandibular joint disorders caused by dental problems. Diagnosis of temporomandibular luxation and reposition, if it’s possible. Differential diagnosis of bone lesions associated with general medical conditions in the maxillofacial area. Possibility of using LASER in dental and oral surgery practice.
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Oral and maxillofacial surgery I. Lectures:
The history of oral surgery Clinical examination and diagnostics Pain control. The physiology and psychologic aspects of pain The mode of action of local anaesthetics. The pharmacological properties of local anaesthetic drugs. The technique of local anaesthesia Part I. (anaesthesia of teeth). The technique of local anaestheis Part II. (Matas, block of n.alv. sup. ant., anaesthesia of the tongue,the lip, the buccae) The technique of local anaesthesiaPart III (inflamed tissues, trismus). Summarizing clinical implications (video). Complications of local anaestheia Conscious sedation in dentistry. Indication and contraindication of tooth removal. Operation technique of dentoalveolar surgery Part I. (surgical tools, flaps, suturing).
Operation technique of dentoalveolar surgery Part II. (complications of tooth removal, surgical root removal) (video). Problems with the eruption of teeth. The removal of the impacted teeth. Guest speaker Midterm exam Consultation
Practices: (3 hours per week)
Surgical anatomy of the jaws and teeth Local anaesthesia Oral and maxillofacial surgical instruments Clinical diagnosis, medical examination of the patients
Midterm demonstration
Practising simple tooth extraction
Practising tooth extraction
Minor oral surgery
Minor oral surgery
Midterm demonstration
Minor oral surgery Minor oral surgery Midterm Demonstration Oral and maxillofacial surgery III.
Lectures:
Developmental anomalies of the face Part I. (Cleft lip and palate) Developmental anomalies of the face Part II. (Craniofacial malformations, cleft face) Developmental anomalies of the face Part III. (Dysgnathias) The diseases of the salivary glands Part I. (Pathology) Vascular anomalies in the head and neck region. (Diagnosis and management) The diseases of the salivary glands Part II. (Differential diagnosis and treatment) Maxillofacial traumatology Part I. (General rules, soft tissue injuries) Maxillofacial traumatology Part II. (Polytraumatised patients) Maxillofacial traumatology Part III. (Fractures of the mandible) Maxillofacial traumatology Part IV. (fractures of the midfacial bones) Maxillofacial traumatology Part V. (Postraumatic deformation and its correction) Differential diagnosis and treamtnet of facial pain Case demonstration Guest speaker Consultation
Practices: (3 hours per week)
Practising minor oral surgery Midterm demonstration Practising minor oral surgery Consultation
Oral and maxillofacial surgery V
(Lectures 1 hour/week, Practices ( 3 hours/ week):
Diseases of the temporomandibular joint Part I. (Pathology, diagnostics) Diseases of the temporomandibular joint Part II. (Therapy) Peripherial nerve disorders in the head and neck region. Rehabilitation after the paresis of the facial nerve. Antibiotic treatment in dental surgery. Maxillofacial reconstructive surgery Part I. (Reconstruction of the soft tissues and bone by local flaps) (Reconstruction by microvascular grafts) Modern diagnostic methods in oral and maxillofacial surgery Systematic diseases in the head and neck region The promotion of the osteogenesis by distraction methods Biomaterials in the maxillofacial surgery Guest speaker Consultation
Practices:
Two weeks clinical practice at the in-patient ward of the clinic Practical course grade and final examination.
Topics of oral surgery practice
Oral Surgery I
1-5. week: Repeat of theoretical background. Theory of local anesthesia. 6. week: Demonstration 7-14. weeks: Anesthesia, simple removal of teeth with forceps Discuss the lecture’s topics Continuous checking
Oral Surgery III.
Exercise of simple and complex tooth extractions Removal of teeth, roots and retinaid teeth Exercise minor soft tissue surgery Assistance for various ambulant surgical operations Discuss the lecture’s topics Continuous checking
Oral Surgery V
Inpatient class practice 1 week combined exercise Participation in the treatments and tasks in the inpatient class. Surgical assistance maxillofacial surgical procedures
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Requirements in Oral Surgery I. for 3rd-Year Dental Students in the 2nd Term of the Year 2016/2017 a. See the topics on a separate sheet. b. Attendance at the lectures and at the practicals is compulsory and will regularly be checked. c. In practical classes knowledge of the material presented will be tested at an oral midterm on the 6th week A pass in this midterm is obligatory for oral surgical treatment of patients. The midterm on the 6th week will be held during practice by the group supervisor. The topic of the midterm is theoretical and practical material of the first six weeks of this semester and last semester. In case of unsuccessful midterm result, there are 3 possibilities for a retake. The first two will with group supervisor and the third will be with the Head of the Department ( Dr. Árpád Joób-F.) or with Vice chief ( Dr. Attila Szücs). In case 3d unsuccessful retake, the semester will not be accepted and must be repeated. A written midterm test will be held on week 10 at the venue and time of the lecture concerning the material covered in both terms of the third year. A pass in both midterms is the condition of acceptance of the term. Further oral and written testing will happen at the discretion of the teacher The absences on week 6th and 10th has to be certified. In case of uncertified absences, the mark of that midterm would be considered as fail. This mark determines the final grade. d. The signature at the end of the term may be denied if the student – missed more than 3 classes – shows ignorance in the material presented at the classes. – The student will be notified of the denial on week 12 as latest. e. The practical marks will be assigned on the basis of attendance, diligence and the result of the midterms. The practical mark will be assigned during week 12. Testing to ameliorate this mark may be undertaken during the last week of the term at the discretion of the teacher. No changes can be made to the practical mark during the examination period. f. There is no examination at the end of the third year. g. The textbook ’Oral Surgery, Maxillofacial Surgery’ is recommended together with notes made at the practicals. h. The classes will be held in the Department of Oral and Maxillofacial Surgery (Mária u. 52.).
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Requirements in Oral Surgery III. for 4th year Dental Students in the 2nd Term of the Year 2016/2017
In practical classes knowledge of the material presented at the lectures and practicals will regularly be tested. A written midterm test will be held on week 11 at the venue and time of the lecture concerning the material covered in the third and fourth years. A pass in the midterm is the condition of acceptance of the term. Several further oral or written tests will be held at the practicals at the discretion of the teacher.
i. missed more than 3 lectures or practicals ii. shows ignorance in the material presented at the lectures and the practicals. iii. The student will be notified of the denial at the last but one week as latest.
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Requirements in Oral Surgery V. for 5th year Dental Students in the 2nd Term of the Year 2016/2017 a. See the topics on a separate sheet. b. Attendance at the lectures and the practicals is compulsory and will regularly be checked. Practices: – One week practice in the inpatient wards: see on a separate sheet. c. In practical classes knowledge of the material presented at the lectures and practicals will regularly be tested. d. The signature at the end of the term may be denied if the student – missed more than 3 lectures or practicals – shows ignorance in the material presented at the lectures and the practicals. f. There is a final examination at the end of the second term of the fifth year. g. The textbook „Oral Surgery, Maxillofacial Surgery” and notes made at the lectures and practicals.
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The maximum number of absences in a semester is 3. More than 3 absences invalid the semester. During the semester three midterm examinations should be passed. Practical course grade: (five-scaled). |
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List of compulsory textbooks:
György Szabó: Oral and Maxillofacial Surgery, Semmelweis Kiadó Budapest, 2001 Recommended literature: Howe. A Minor Oral Surgery,Wright, 1987 Howe: The Extraction of Teeth, Wright 1990 Steward et el.: An Outline of Oral Surgery,Wright, 1998 Peterson: Contemporary Oral and Maxillofacial Surgery, Mosbí, 2003 Peterson: Principles of Oral and Maxillofacial Surgery, Decker, 2004 Robinson, Howe: Tooth Extraction. A practical guide, Oxford, 2000 Ward Booth, Hausamen, Schendel: Maxillofacial Surgery, C.Livingston Elsevier, 2007 |