I V course / educ years The plan of lectures on medical biology and genetics for the students of I course of stomatology faculty

The plan of practical training on oral and maxillo-facial surgery for the students

of III course of stomatology faculty for spring term

№	Themes	Hours
1	Arrangement of outpatient oral surgery service. Arrangement of inpatient department of maxillofacial surgery. Physical, X-ray, laboratory, microbiological, pathological investigation in inpatient and outpatient department. Assessment of patient’s psycho-emotional status. Documentation in inpatient and outpatient departments. Medical-legal considerations. Deontology and medical ethics	4
2	Microbiology of oral and maxillofacial region. Asepsis in maxillofacial surgery. Equipment and chemical agents. Sterilization. Antisepsis. Disinfection of surgical field. Instruments are using in maxillofacial surgery	4
3	Anatomy and physiology of the skin of head and neck area and mucosal of oral cavity. Main principles of surgical incisions and surgical approaches in head and neck region and oral cavity. The types of suture materials. Methods of suturing. Wound healing stages. Types of scars. Prophylaxis and treatment of pathological scars	4
4	Mechanism of pain. Assessment of main compound of patient pain reaction: sensor, psycho emotional, vegetative, psychomotor. Assessment of risk of anesthesia. Type of anesthesia. General anesthesia. The features in oral and maxillofacial surgery. Preparations of the patients for general anesthesia. Clinical and pharmacological features of inhalation and non-inhalation anesthetics. Mask endotracheal, intratracheal and intravenous methods of administration of general anesthesia. The features of general anesthesia in cases of different pathologies (craniofacial deformities, head and neck infections, etc.). Awaking after general anesthesia. General complications pending and after anesthesia. The features of general anesthesia in outpatient service. Complications	4
5	Local anesthesia. Neural anatomy of certain region (12 pair of cranial nerves) and mechanism of effect of local anesthesia. Clinical and pharmacological features of local anesthetics. Infiltration anesthesia. Anesthesia of soft tissues of head and face region. Infiltration anesthesia in the maxillae and mandible. Application, submucosal, subperiosteal, intraseptal, intraligamental, intraosseuos methods of anesthesia. Block anesthesia. Anatomy of 2^nd branch of trigeminal nerve and regions of innervation. Posterior, middle and anterior superior alveolar block, palatine block, naso-palatine block. Anatomy of 3^rd branch of trigeminal nerve and regions of innervation. Inferior alveolar nerve block. Mental and incisive block. Lingual nerve block. Buccal nerve block. Gow-Gates, Weisbrem and Yegorov’s methods	4
6	Local anesthesia. Intraoral methods of anesthesia in case of mouth opening limitation. Vazarini-Akinozi method. Extraoral methods of anesthesia – semilunar, submandibular, pre-ramus methods. Nerve block of 2^nd and 3^rd branches of trigeminal nerve in the region of foramen ovale and rotundum. Waisblat and Bershe methods. Mistakes and complications during local anesthesia (local and general)	4
7	Premedication. Aim and administration. Clinical and pharmacological features of usable medications. Methods of application. Complications. Selection of premedication in case of systematic diseases (diabetes myelitis, cardiovascular pathologies and pathologies of blood), pregnant women and pediatric patients. Assessment of anesthesiological risk in oral and maxillofacial surgery. The cases required intensive care: respiratory and cardiovascular insufficiency, acute brain blood supply disturbance, syncope, collapse, hypertensic crisis, angina pectoris, myocardial infarction, shock (pain, haemorrhagic, anafilactic etc), epileptic seizure, diabetic coma, malignant hyperthermia. Resuscitation and intensive care. Apparent death, assessment of patient’s status in case of terminal condition. Resuscitation and intensive care	4
8	Tooth extraction procedure. Special conditions. Instruments are needed, equipment and consumables. Types of extraction forceps and elevators. Indications and contraindications for tooth extraction. Features of patient preoperative preparation in case of associated illness	4
9	Principles of uncomplicated exodontia. Clinical and radiological characteristics. Principles of positioning of patient and surgeon. Mechanical principles of tooth extraction. Principles of usage of extraction forceps and elevators. Features of extraction of different group of teeth. Postoperative administrations. Tooth socket care. Tooth socket healing steps	4
10	Principles of complicated exodontia. Surgical tooth and root extraction – alveoloectomy. Multiply teeth extraction. Features of wound closure. Indications and features of extraction of dystopic and impacted teeth. Tooth extraction methods in case of impacted and partially impacted 3^rd molar on the upper and lower jaw. Replantation and transplantation of teeth. Resorbtion of alveolar bone after tooth extraction. Factors leading to rapid bone resorbtion and its prophylaxis	4
11	Complications after teeth and root extraction. Drooping of teeth and roots to respiratory and digestive tract. Injury of surround teeth.Perforation of maxillary sinus; passing of the teeth, roots and broken fragments into maxillary sinus. Treatment tactics and prophylaxis of this complication. Complications after teeth and roots extraction. Bleeding. Hemostasis in soft and hard tissues. Alveolitis and alveolus pain: etiology, prophylaxis and treatment	4
12	Periodontal surgery. Aim and tasks. Usable instruments. Patient selection and treatment planning. Examination of soft tissues. Examination of hard tissues. Surgical procedures on the hard tissues. Reparation of the counters of alveolar process. Simple alveoloplasty associated with multiply teeth extraction. Intraseptal alveoloplasty. Maxillary tuberosity, genial tubercle and mylohyoid ridge reduction. Reduction of maxillary tori, maxillary and mandibular exostosis. Preparation of immediate dentures after teeth extraction	4
13	Soft tissue surgery. Maxillary tuberosity and mandibular retromolar pad reduction. Unsupported hypermobile tissue.Surgical treatment of periodontal tissues pathologies. Open and closed curettage of periodontal pockets. Inflammatory hyperplasia of gingiva. Hyperplasia of papillae. Labial and lingual frenulum reduction – frenulotomy. Crown-lengthening procedure. Aims. Surgical methods. Augmentation of attached mucosa. Aims. Surgical methods	4
14	Dental implantology. Patient selection. General and medical contraindications. Material of implants. Different implant types and systems. Surgical instruments, equipment and supplies of operating room. Anatomical considerations of upper and lower jaw.Special diagnostics of patient who are underwent dental implant placement. Classifications. Medical documentation	4
15	Dental implant placement. Single and double stage surgery. Biological principles of implants osteointegration. Periimplantitis. Classification. Treatment. Complications in dental implantology. Their prophylaxis and treatment	4