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Course, academic year 2023/2024
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Surgical Dentistry - SE - B81411 (Dentistry)
Title: Surgical Dentistry - SE
Guaranteed by: Department of Dental Medicine First Faculty of Medicine Charles University and General University Hospital in Prague (11-00770)
Faculty: First Faculty of Medicine
Actual: from 2023
Semester: winter
Points: 0
E-Credits: 0
Examination process: winter s.:
Hours per week, examination: winter s.:0/0, STEX [HT]
Capacity: unlimited
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
State of the course: taught
Language: English
Teaching methods: full-time
Teaching methods: full-time
Explanation: MUDr. Karel Klíma, Ph.D.
Additional information: http://stomatologie.lf1.cuni.cz/
Guarantor: prof. MUDr. René Foltán, Ph.D.
Comes under: SE for Dentistry
SE for Dentistry AZUBL18
Attributes: Teoretický předmět
Zubní lékařství
Pre-requisite : B81182
Order Course title
Topic 1 (TO1)
1 a) Local anaesthesia in oral surgery (types, administration techniques, pharmacokinetics - mechanism of action, maximum dose) b) Tooth injuries, fractures of alveolar bone (diagnostics, treatment, re-implanting teeth) c) Functional anatomy and histology of the TMJ
2 a) Extraction of teeth (indications, contraindications, methods, instruments) b) Tumours of the facial skin [excluding pigmented] (types, treatment) c) General pathophysiology of pain (pathology of orofacial pain, somatic and neuropathic pain)
3 a) Complications of tooth extraction b) Pigmented lesions of the oral and facial cavities (distribution, diagnostics, treatment options) c) Cervicofacial lymphadenopathies - differential diagnosis
4 a) Possibilities of sedation in a dentist's clinic (pharmacy, dosage, antidotes, monitoring). Basics of general anaesthesia (indications, risks, intubation, other methods of securing the respiratory tract) b) Systemic bone diseases and other pathology of the facial bones c) Types of implants, brief history of implantology, osseo- & fibro-integration, principle of gingival implant attachment, implant surface treatment
5 a) Alveolitis (clinical forms, symptoms, treatment) b) Reduction and fixation of fractures (physiology of bone healing, muscles, primary and secondary bone healing, disorders of bone healing, AO, osteosynthesis) c) Differential diagnosis of facial pain
6 a) Focal infections in the mouth & jaw area, principles of antibiotic prophylaxis in dental procedures b) Benign tumours of the oral cavity c) Critical thinking, sources of scientific information and Evidence Based Medicine in the practice of dentistry
7 a) Emergencies in dental practice, resuscitation, urgent and life-saving procedures in surgical dentistry b) Lip cancer (types, diagnosis, treatment) c) Jaw contractures/trismus (aetiology, diagnosis, treatment)
8 a) Shock (Classification, pathophysiology, shock cascade). Anaphylactic shock and its treatment b) Le Fort fractures (classification, fracture lines and typical dislocations, diagnosis, treatment) c) Bone cysts (classification, differential diagnosis, treatment)
9 a) Periapical surgery - endodontic surgery (indications, procedures and execution) b) General principles and modalities of complex oncological treatment of orofacial malignancies c) Soft tissue cysts (classification, diagnosis, treatment)
10 a) Dental treatment of a patient with cardiovascular disease, and medications affecting haemostasis b) Fractures of the facial bones (classification, diagnosis) c) Fundamentals of clinical orthognathics
11 a) Non-specific facial infections - in general (causes, symptoms, propagation pathways of the infections, treatment) b) Injury of the CNS and cervical spine c) Prognathic states (aetiology, diagnosis, treatment)
12 a) Specific inflammations of the oral cavity and face (distribution, clinical manifestations, possibilities of treatment) b) The principles of 1st aid in injuries to the orofacial area c) Dental Implantology (Indications, Contraindications, Biological Width)
13 a) Oral-antral and oro-nasal communications (diagnosis, therapy) b) Investigative and diagnostic procedures in a patient with an oropharyngeal malignancy (clinical examination and imaging methods, staging, biopsy, grading, performance status, TNM classification) c) Fenestration, exposure and bonding, gingival repositioning, auto-transplantation of teeth (indications, contraindications, implementation)
14 a) Dental treatment of patients with a chronic respiratory disease b) Osteonecrosis of the jaws (jaw osteochemonecroses - drugs, risk factors, clinical stages, principles of patient care, osteoradionecrosis and treatment of the patient after irradiation of the jaw) c) Non-arthrogenic temporomandibular joint dysfunction
15 a) Swellings in the lower jaw (anatomical spaces, causes, pathways of infection, treatment) b) Common salivary gland tumours and their surgical treatment c) Conservative management of TMJ disorders. Invasive procedures on the jaw joint.
16 a) Principles of asepsis and antiseptics, disinfection and sterilization in the dental surgery b) Fractures of the jaw (classification, diagnosis, treatment) c) Bone augmentation materials
17 a) Dental treatment of patients with a neurological disease a) Cancer of the oral mucosa (diagnosis, treatment) b) Management of soft tissues in implantology, biological width
18 a) Dental treatment of patients with autoimmune disease of the joints and others immune disorders b) Osteomyelitis jaws (classification, aetiology, pathogenesis, diagnosis, treatment) c) Basic orthognathic surgical techniques
19 a) New technologies for hard tissue preparation in the oral cavity (laser, piezo-surgery principles, advantages, disadvantages) b) Tongue cancer (aetiology, diagnosis, treatment) c) Jaw anomalies - classification, including cleft defects
20 a) Swellings in the upper jaw (anatomical spaces, causes, pathways of infection, treatment) b) Injury to the soft tissues of the orofacial area c) Diseases of the TM joint (classification, diagnosis, treatment options)
21 a) Bleeding after tooth extraction (causes, haemorrhagic disorders, treatment, haemostatics) b) Possibilities for reconstruction of post-traumatic and post-resection defects in the orofacial region (flap/graft, local flaps - regional – free flaps) c) Disorder of the disco-condylar complex (diagnosis and treatment)
22 a) Pericoronitis {Dentitio difficilis} (symptoms, diagnosis, treatment) b) 3D x-ray examination procedures in oral surgery c) Pre-prosthetic surgery, augmentation techniques in implantology
23 a) Surgical extraction of wisdom teeth (indications, techniques, complications) b) Pseudo tumours. Precancerous lesions. Oncological prevention (primary, secondary, tertiary, concepts of detection and treatment) c) Maxillary sinusitis (diagnosis, aetiology, symptomatology, treatment). Odontogenic sinus infections.
24 a) Oral surgical care for handicapped patients b) Complications of facial fractures c) Small surgical procedures for accelerating orthodontic treatment (corticotomy, alveolotomy, alveolar distraction, rapid orthodontics)
25 a) Local complications of local anaesthesia (aetiology, symptoms, therapy) b) Fractures of the zygomatico-maxillary complex and the orbit (description of the angular lines, typical dislocation, diagnosis, treatment) c) Inflammatory diseases of the large salivary glands, including autoimmune diseases. Sialolithiasis.
26 a) Systemic complications of local anaesthesia b) Odontogenic tumours c) States of progenia, pseudoprogenia (classification, treatments)
27 a) Treatment and prevention of iatrogenic damage to the Trigeminal nerve b) Tumours of the blood and lymphatic vessels c) TMJ mobility disorders (diagnosis and treatment, TMJ luxation)
28 a) Dental treatment of a patient after complex oncological treatment outside the head and neck area b) Poly-trauma. Traumatic shock. Ballistic injuries in the orofacial area c) Cysts of the orofacial region (classification, diagnosis, treatment)
29 a) Dental treatment of a patient after complex oncological treatment in the head and neck area b) Basic x-ray projections of the facial skeleton. Principles and rules for making oral x-rays, basic projections, types of X-ray instruments and sensors c) Biomaterials - Use in oral surgery including suturing materials
30 X-Ray
31 Admission paper
32 Practical exam
Teaching methods
Last update: Zuzana Džupinková (15.09.2023)
MS TEAMS
Requirements to the exam
Last update: MUDr. et MUDr. Karel Klíma, Ph.D. (05.06.2023)

 

Oral surgery II and Oral surgery state exam questions. 

Students chooses triplets. In every triplet there is one question from circuit A,B,C. 

Circuit A


1. Local anaesthesia in oral surgery (types, administration techniques, pharmacokinetics - mechanism of action, maximum dose)
2. Local complications of local anaesthesia (aetiology, symptoms, therapy)
3. Systemic complications of local anaesthesia
4. Possibilities of sedation in a dentist's clinic (pharmacy, dosage, antidotes, monitoring). Basics of general anaesthesia (indications, risks, intubation, other methods of securing the respiratory tract)
5. Extraction of teeth (indications, contraindications, methods, instruments)
6. Complications of tooth extraction
7. Bleeding after tooth extraction (causes, haemorrhagic disorders, treatment, haemostatics)
8. Pericoronitis {Dentitio difficilis} (symptoms, diagnosis, treatment)
9. Surgical extraction of wisdom teeth (indications, techniques, complications)

10. Alveolitis (clinical forms, symptoms, treatment)
11. Treatment and prevention of iatrogenic damage to the Trigeminal nerve
12. New technologies for hard tissue preparation in the oral cavity (laser, piezo-surgery - principles, advantages, disadvantages)
13. Periapical surgery - endodontic surgery (indications, procedures and execution)
14. Oral-antral and oro-nasal communications (diagnosis, therapy)
15. Non-specific facial infections - in general (causes, symptoms, propagation pathways of the infections, treatment)
16. Specific inflammations of the oral cavity and face (distribution, clinical manifestations, possibilities of treatment)
17. Swellings in the lower jaw (anatomical spaces, causes, pathways of infection, treatment)
18. Swellings in the upper jaw (anatomical spaces, causes, pathways of infection, treatment)
19. Emergencies in dental practice, resuscitation, urgent and life-saving procedures in surgical dentistry

20. Shock (Classification, pathophysiology, shock cascade). Anaphylactic shock and its treatment
21. Principles of asepsis and antiseptics, disinfection and sterilization in the dental surgery
22. Oral surgical care for handicapped patients
23. Focal infections in the mouth & jaw area, principles of antibiotic prophylaxis in dental procedures

24. Dental treatment of a patient with cardiovascular disease, and medications affecting haemostasis
25. Dental treatment of patients with a chronic respiratory disease
26. Dental treatment of patients with a neurological disease
27. Dental treatment of patients with autoimmune disease of the joints and others immune disorders
28. Dental treatment of a patient after complex oncological treatment outside the head and neck area
29. Dental treatment of a patient after complex oncological treatment in the head and neck area

Circuit B


1. Systemic bone diseases and other pathology of the facial bones
2. Osteomyelitis jaws (classification, aetiology, pathogenesis, diagnosis, treatment)
3. Osteonecrosis of the jaws (jaw osteochemonecroses - drugs, risk factors, clinical stages, principles of patient care, osteoradionecrosis and treatment of the patient after irradiation of the jaw)
4. The principles of 1st aid in injuries to the orofacial area
5. Injury to the soft tissues of the orofacial area
6. Basic x-ray projections of the facial skeleton. Principles and rules for making oral x-rays, basic projections, types of X-ray instruments and sensors
7. 3D x-ray examination procedures in oral surgery
8. Reduction and fixation of fractures (physiology of bone healing, muscles, primary and secondary bone healing, disorders of bone healing, AO, osteosynthesis)
9. Fractures of the facial bones (classification, diagnosis)
10. Complications of facial fractures

11. Tooth injuries, fractures of alveolar bone (diagnostics, treatment, re-implanting teeth)
12. Fractures of the jaw (classification, diagnosis, treatment)
13. Fractures of the zygomatico-maxillary complex and the orbit (description of the angular lines, typical dislocation, diagnosis, treatment)
14. Le Fort fractures (classification, fracture lines and typical dislocations, diagnosis, treatment)
15. Injury of the CNS and cervical spine
16. Poly-trauma. Traumatic shock. Ballistic injuries in the orofacial area.
17. Benign tumours of the oral cavity
18. Pigmented lesions of the oral and facial cavities (distribution, diagnostics, treatment options)
19. Tumours of the facial skin [excluding pigmented] (types, treatment)
20. Lip cancer (types, diagnosis, treatment)
21. Tongue cancer (aetiology, diagnosis, treatment)
22. Cancer of the oral mucosa (diagnosis, treatment)
23. Odontogenic tumours
24. Investigative and diagnostic procedures in a patient with an oropharyngeal malignancy (clinical examination and imaging methods, staging, biopsy, grading, performance status, TNM classification)
25. General principles and modalities of complex oncological treatment of orofacial malignancies
26. Pseudo tumours. Precancerous lesions. Oncological prevention (primary, secondary, tertiary, concepts of detection and treatment)
27. Tumours of the blood and lymphatic vessels

28. Common salivary gland tumours and their surgical treatment
29. Possibilities for reconstruction of post-traumatic and post-resection defects in the orofacial region (flap/graft, local flaps - regional – free flaps)

 Circuit C


1. Fundamentals of clinical orthognathics
2. Prognathic states (aetiology, diagnosis, treatment)
3. States of progenia, pseudoprogenia (classification, treatments)
4. Basic orthognathic surgical techniques
5. Jaw anomalies - classification, including cleft defects
6. Small surgical procedures for accelerating orthodontic treatment (corticotomy, alveolotomy, alveolar distraction, rapid orthodontics)
7. Fenestration, exposure and bonding, gingival repositioning, auto-transplantation of teeth (indications, contraindications, implementation)
8. Dental Implantology (Indications, Contraindications, Biological Width)
9. Types of implants, brief history of implantology, osseo- & fibro-integration, principle of gingival implant attachment, implant surface treatment
10. Bone augmentation materials
11. Biomaterials - Use in oral surgery including suturing materials
12. Management of soft tissues in implantology, biological width

13. Pre-prosthetic surgery, augmentation techniques in implantology
14. Maxillary sinusitis (diagnosis, aetiology, symptomatology, treatment). Odontogenic sinus infections.
15. Inflammatory diseases of the large salivary glands, including autoimmune diseases. Sialolithiasis.
16. Cysts of the orofacial region (classification, diagnosis, treatment)
17. Bone cysts (classification, differential diagnosis, treatment)
18. Soft tissue cysts (classification, diagnosis, treatment)
19. Functional anatomy and histology of the TMJ
20. Diseases of the TM joint (classification, diagnosis)
21. Non-arthrogenic temporomandibular joint dysfunction
22. Disorder of the disco-condylar complex (diagnosis and treatment)
23. TMJ mobility disorders (diagnosis and treatment, TMJ luxation)
24. Conservative management of TMJ disorders. Invasive procedures on the jaw joint.
25. Jaw contractures/trismus (aetiology, diagnosis, treatment)
26. Critical thinking, sources of scientific information and Evidence Based Medicine in the practice of dentistry
27. General pathophysiology of pain (pathology of orofacial pain, somatic and neuropathic pain)
28. Differential diagnosis of facial pain
29. Cervicofacial lymphadenopathies - differential diagnosis

 
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