Oral Surgery Year 3. Faculty of Medicine and Dentistry. Oral Surgery

Transcription

1 Oral Surgery Year 3 1. Imprint Faculty name: Education program: Faculty of Medicine and Dentistry Medicine and Dentistry, full-time studies Academic year: 2018/2019 Module/subject name: Oral Surgery Subject code: Educational units: Head of unit/s: Department of Oral Surgery Ul. Nowogrodzka Warszawa, building 11B, 1st floor Tel. (22) Prof. dr hab. Andrzej Wojtowicz Study year: Year 3 Study semester: Semester 5 and 6 Module/subject: Corresponding to the field of study Prof. Andrzej Wojtowicz, PhD, DDS Wojciech Popowski, PhD, DDS Piotr Wychowański, PhD, DDS Persons responsible for teaching: ERASMUS YES/NO: Krzysztof Kukuła, PhD, DDS Igor Kresa, DDS Marcin Adamiec, DDS Tomasz Kamiński, DDS YES A person responsible for the syllabus ECTS credits: 4 2. Educational goals and aims Prof. Andrzej Wojtowicz, PhD, DDS Wojciech Popowski, PhD, DDS Tel. (22) The teaching objective in oral surgery is to thoroughly prepare future dentist to independently perform surgical procedures within the oral cavity. Participation in classes provides the students with an opportunity to acquire knowledge and skills required to diagnose and differentiate pathologies within the oral cavity, perform basic oral surgery procedures and to decide upon patient referral to Cranio-Maxillo-Facial unit or related specialty units. Strona 1 z 8

2 3. Initial requirements 1. Successful completion of Year 2 4. Learning outcomes corresponding to the subject Symbol of course learning outcomes W1 A list of course learning outcomes Description of course learning outcomes Student knows and understands the mechanisms that lead to organ and systemic pathologies (including infectious, invasive, autoimmune, immunodeficiency, metabolic and genetic diseases); knows the mechanisms of inflammatory conditions and other pathologies within the oral cavity, with particular focus on odontogenic pathologies and their influence on patient's general health; knows the composition of physiological oral flora and factors that negatively affect biological balance in the oral cavity; knows the pathomechanism of inflammatory conditions with particular focus on odontogenic infections; knows the effect of oral pathological bacterial flora on patient's general health; human papilloma virus (HPV) - Gram-positive Streptococcus species, Gram-positive bacilli: Eubacterium, Actinomyces, Corynebacterium, Rothia, Lactobacillus, Propionibacterium; Gram-negative bacilli: Actinobacillus, Porphyromonas, Prevotella; and Neisseria, Veillonella cocci, - Candida albicans, Candida tropicalis, Candida glabrata, Candida parapsilosis, Candida quilliermondii; Student knows and understands the concept of focal infection, knows the potentially adverse effect of pathological bacterial flora of the oral cavity in high risk patients (patients after radiation therapy, taking immunosuppressive medications etc.); student knows the pathomechanism, symptoms and signs, course of tuberculosis, actinomycosis and syphilis within the head and neck; knows the types and mode of action of local anaesthetics, indications and contraindications for using anaesthetics, indications and contraindications for anaesthetic allergy testing, know the types of nerve blocks in the oral cavity, knows the principles of infiltration anaesthesia in the oral cavity, knows the basics of general anaesthesia including the mode of action of pharmaceutical agents used in premedication; knows the principles of surgical treatment of periapical lesions, endodontic preparation prior to surgery, differentiation between inflammatory periapical lesions and odontogenic tumours, knows indications and contraindication for enucleation of periapical lesions, patient preparation, possible complications in root apicoectomy, hemisection, amputation, premolarization; knows the mechanisms of bone healing, including healing of defects after cyst enucleation; knows indications and contraindications to guided bone regeneration in relation to The reference to programme learning outcomes (number) FW02 FW03 FW04 FW05 FW06 FW07 FW08 FW10 FW12 FW13 FW14 FW15 FW17 FW18 FW19 FW21 FW22 Strona 2 z 8

3 U1 and W2 defects after cyst enucleation; knows and understands the basics of antimicrobial therapy and antimicrobial resistance: - classification of antibiotics (main groups of antibiotics used to treat odontogenic infections) - mode of action (bactericidal, bacteriostatic agents), dosing - indications and contraindications for antibiotics (allergies to antibiotics, preparation in increased risk patients, indications for antibiotic prophylaxis, antibiotic prophylaxis protocol in increased risk patients, complications related to long-term antimicrobial therapy); knows the main groups of analgesics (dosing), indications and contraindications for using analgesics, complications related to analgesics overuse, methods of pain therapy other than pharmacological, types of pain and their causes, pain symptoms in various head and neck diseases; knows the groups of local anaesthetics, dosing of local anaesthetics, indications and contraindications for using anaesthetics containing vasoconstrictors, techniques for infiltration anaesthesia and nerve blocks, types of syringes and devices used for local anaesthesia; knows the protocol after needlestick injury; knows the principles of odontogenic infection spread within anatomic spaces of the head and neck; knows local and general complications of head and neck inflammatory conditions; knows and understand the concept of focal infection; knows the potentially adverse effect of pathological bacterial flora of the oral cavity in increased risk patients (patients after radiation therapy, taking immunosuppressive medications etc.); Student has practical skills in history taking - chief complaint, symptoms reported by the patient, previous treatment, past medical history, family history; has practical skills in general examination, dental examination, extra- and intraoral; extraoral examination - within the head and neck, general skin assessment, ability to examine nerve openings, lymph nodes (submandibular, jugular). eyeball position, nasal patency, temporomandibular joint examination; intraoral examination - assessment of the vermillion, vestibule, oral cavity proper, alveolar processes and dentition; ability to measure pulse, blood pressure; ability to read and interpret results from additional tests; is able to establish contact with patients and present diagnosis, prognosis and propose treatment in an affordable manner and to fill in informed consent forms is able to establish contact with the patient and present unfavourable prognosis for further treatment with empathy; knows how to interpret information gathered during history taking and examination, which allows to make a diagnosis and treatment plan (to specify indications for tooth extraction, abscess incision, biopsy; to decide whether treatment can be performed in outpatient settings or requires hospitalisation); can qualify patients for elective procedures, such as surgical removal of impacted teeth, apicoectomy, cyst enucleation, alveoloplasty etc.; knows how to prevent inflammatory conditions, oral cancer, health-promoting activities in relation to oral pathology; possesses skills in managing general complications during local anaesthesia and oral surgical procedures (anaphylactic shock, FU01 FU02 FU03 FU04 FU05 FU06 FU07 FU08 FU09 FU10 FU11 FU12 FU13 FU14 FU18 FU19 FW16 Strona 3 z 8

4 syncope, hypoglycaemia, epileptic seizure, myocardial infarction etc.); is able to treat local complications related to local anaesthesia and oral surgical procedures (management of haematoma, subcutaneous emphysema, dry socket, nerve trunk and ramus injuries, prolonged bleeding, maxillary tuberosity fracture, alveolar fracture etc.); knows how to prescribe pharmaceuticals, such as antibiotics, antiinflammatory and analgesic medicines; knows the principles of antibiotic prophylaxis and their application in practice; is able to assess whether various medicines allow to perform surgery; is able to communicate with physician in case of patients with co-morbidities in order to ensure safe patient preparation for surgery; knows which medicines preclude performing surgical procedures in outpatient setting; knows how and is able to keep medical records (outpatient medical record), prepare referrals for basic blood tests, dental radiographic examinations, histopathological examination, microbiological tests, communicate with the patient's physician on their current health and planned treatment; is able to fill in sick leave form, knows how and is able to fill in patient informed consent to perform procedures; is able to provide macroscopic assessment and description of pathological lesions of the oral cavity taking into account lesion size, shape, consistency, colour, relation to its bed etc.; initial differentiation of benign and malignant lesions based on clinical presentation, effect of lesions on oral physiology, treatment modalities (ability to collect samples for histopathological examination) C- competencies Competencies gained by students after completing Year 3 should allow them to independently see patients under the supervision of lecturers. This involves sufficient knowledge and skills that allow to independently take medical history and perform physical examination, local anaesthesia and simple tooth extractions under the supervision of lecturers. 5. Forms of classes Form Number of hours Number of groups Lecture 10 1 Seminar 15 1 Practical classes Subject topics and educational contents Course topics contain logical sequence and range of knowledge, and its clinical application. Subject matters include e.g. clinical anatomy of the head and neck, odontogenic infections, tooth extraction procedures, procedures aimed at tooth preservation (apicoectomy, hemisection), cysts, odontogenic tumours (benign and malignant), injuries (diagnosis, management) Year 3: theory, introduction. Lecture topics: Strona 4 z 8

5 W1. Head and neck embryology and anatomy, clinical aspects. W2. Basic examination, medical interview, physical and additional examination in oral surgery. W3. Perioperative pharmacology in oral surgery. W4. Preparation of patients with co-morbidities to oral surgery procedures. W5. Basic procedures in oral surgery: extractions, management of impacted teeth. Seminar topics: S1. Organization of classes in oral surgery. Principles of work and cooperation with the patient. Hygiene, asepsis and antisepsis during surgical procedures. S2. Entry test in head and neck anatomy with element of embryology S3. Patient examination pt medical history - physical examination S4. Patient examination pt. 2 additional examinations, indications (laboratory tests, blood tests, radiographic examinations) S5. Characteristics of local anaesthetics, types of anaesthesia. General and local complications. S6. Armamentarium in oral surgery pt. 1: - for tooth extraction forceps - for surgical procedures: removal of impacted teeth, apicoectomy, cyst enucleation (sets) S7. Armamentarium in oral surgery pt. 2: - application and working technique with tools used in oral surgery S8. Test S9. Indications and contraindications for tooth extraction. S10. Complications during and after tooth extraction - management of early and late (longterm) complications. S11. Types of incisions in oral surgery (indications). Suturing technique. Types of suture materials. S12. Salivary gland disorders. Strona 5 z 8

6 S13. Temporomandibular joint disorders. S14. Disorders of cranial nerves - types of disorders (inflammations, neuralgias, cranial vessel syndromes). Diagnostics and therapy. S15. Test covering entire year's material. 7. Methods of verification of learning outcomes Learning outcome corresponding to the subject (symbol) W1 and W2 U1 Forms of classes (symbol) S W C 8. Evaluation criteria Methods of verification of a learning outcome 3 tests, forms: close-ended questions, oral or essay - assessment of student's predispositions to verbal and procedural communication with the patient, - assessment of each procedure performed by the student Credit receiving criteria - test grades - obligatory presence at lectures - no missed classes - minimum number of procedures performed - no missed classes Form of receiving credit in a subject: pass grade 2.0 (failed) 3.0 (satisfactory) 3.5 (rather good) 4.0 (good) 4.5 (more than good) 5.0 (very good) criteria Up to 50% total correct answers in theoretical and practical Above 50% total correct answers in theoretical and practical Above 60% total correct answers in theoretical and practical Above 70% total correct answers in theoretical and practical Above 80% total correct answers in theoretical and practical Above 90% total correct answers in theoretical and practical 9. Literature 1. James R. Hupp, Myron R. Tucker, Edward Ellis, III: Contemporary Oral and Maxillofacial Surgery. Mosby 2013; 6th edition 2. Karl R. Koerner: Manual of Minor Oral Surgery for the General Dentist. Wiley-Blackwell 2006; 1st edition 3. James L. Hiatt, Leslie P. Gartner: Textbook of Head and Neck Anatomy. Lippincott Williams & Wilkins 2009; 4th edition 4. Paul Coulthard, Keith Horner, Philip Sloan, Elizabeth Theaker: Master Dentistry Volume 1. Oral and Strona 6 z 8

7 Maxillofacial Surgery, Radiology, Pathology and Oral Medicine. Churchill Livingstone 2013, 3rd edition 10. ECTS credits calculation Form of activity Number of hours Number of ECTS credits Contact hours with academic teacher: Lectures Seminars 15 0,5 Practical classes Types of activity Hours ECTS credits Student's independent work: Student's preparation for a seminar Student's preparation for a class Preparation for obtaining credits Additional information Total Lectures in the winter semester convey newest reports from consensuses and latest standards in oral surgery. Attendance to lectures is a necessary element to acquire modern knowledge and simultaneously provides solutions to distinguishing exam questions. Presence at lectures is verified by attendance lists. Attendance to seminars and clinics provides basis to pass. Pass in the form of a grade for the entire year. Information on consultation hours available on the bulletin board at the department. Person responsible for didactics - Wojciech Popowski, PhD, DDS, Marcin Adamiec, DDS Students shall present for classes with protective clothing, footwear (changed) and identification badges. The Students Scientific Association at the Department of Oral Surgery brings together students of dentistry from years 3, 4 and 5. Working in the association allows to broaden knowledge in oral surgery and prepare research projects individually or in teams. Lectures on interesting topics are held during scientific meeting of the Association. Students have the opportunity to present results from their research work on annual regional and national scientific conferences. Active members of the Scientific Association organize and Strona 7 z 8

8 participate in oral surgery and implant dentistry congresses. Information of the Scientific Group Information of the activity of the Students Scientific Association are displayed on the notice board at the Department. Strona 8 z 8