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Klinické zubní lékařství – chirurgické učí studenta praktickému uplatnění všech dosud získaných vědomostí z
oboru. Studenti samostatně klinicky vyšetřují, stanovují léčebný plán. Aplikují lokální anestézie v orofaciální oblasti
a teoreticky i prakticky zvládají komplikace po aplikaci anestézie. Mají přehled o náhlých příhodách v zubní ordinaci
a umí je zvládat. Ošetřují rizikové nemocné z důvodů různých jiných zdravotních stavů.
Poslední úprava: Kolářová Jana (18.02.2022)
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Poslední úprava: Klíma Karel, MUDr. et MUDr., Ph.D. (18.11.2025)
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Oral Surgery - State Exam Questions, valid form 2025-2026 The exam consist of practical part of State exam of Oral Surgery (extraction patient, clinical case: admission patient) and theoretical part. In the theoretical part there are picked up triplets which are not published(the combinations is not published). Each triplet has one question from each circuit A/B/C. Part of the state exam is a description of 3 x-rays: intraoral, OPG, extraoral projection incl. CT, CBCT, excluding MRI. 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. Extraction of teeth (indications, contraindications, methods, instruments) 5. Complications of tooth extraction 6. Oral-antral and oro-nasal communications (diagnosis, therapy) 7. Alveolitis (clinical forms, symptoms, treatment) 8. Surgical extraction of 3rd molars (indications, techniques, complications) 9. Focal infections in the mouth & jaw area, principles of antibiotic prophylaxis in dental procedures 10. Emergencies in dental practice, monitoring of vital function, urgent and life-saving procedures in surgical dentistry 11. Jawbone cysts (classification, differential diagnosis, treatment) 12. Orofacial soft tissue cysts (classification, diagnosis, treatment) 13. Non-specific facial infections - in general (causes, symptoms, propagation pathways of the infections, treatment) 14. Swellings in the upper jaw (anatomical spaces, causes, pathways of infection, treatment) 15. Swellings in the lower jaw (anatomical spaces, causes, pathways of infection, treatment) 16. The principles of 1st aid in injuries to the orofacial area 17. Dental treatment of patients with a chronic respiratory disease 18. Dental treatment of patients with a neurological disease 19. Dental treatment of patients with autoimmune disease of the joints and others immune disorders 20. Dental treatment of a patient with cardiovascular disease, and medications affecting haemostasis 21. Types of implants, brief history of implantology, osseo- & fibro-integration, principle of gingival implant attachment, implant surface treatment 22. Oral surgical care for handicapped patients 23. Prevention and treatment of iatrogenic damage to the Trigeminal nerve 24. Cysts of the orofacial region - diagnosis, treatment (generally) 25. Dental treatment of a patient after complex oncological treatment in the head and neck area 26. Bleeding after tooth extraction (causes, haemorrhagic disorders, treatment, haemostatics) 27. Pericoronitis {Dentitio difficilis} (symptoms, diagnosis, treatment) 28. .28. New technologies for hard tissue preparation in the oral cavity (laser, piezo-surgery - principles, advantages, disadvantages) 29. 29. Management of hygiene in surgical dentistry
Circuit B 1. Tooth injuries, fractures of alveolar bone (diagnostics, treatment, re-implanting teeth) 2. Tumours of the facial skin [excluding pigmented] (types, treatment) 3. Benign tumours of the oral cavity 4. Odontogenic tumours 5. Cancer of the oral mucosa (diagnosis, treatment) 6. Pigmented lesions of the oral cavity and face (distribution, diagnostics, treatment options) 7. Monitored anaesthesiologic care and possibilities of sedation in a dentist's clinic (pharmacy, antidotes, monitoring). 8. Differential diagnosis of facial pain 9. Jaw contractures/trismus (aetiology, diagnosis, treatment) 10. Shock (Classification, pathophysiology, shock cascade). Anaphylactic shock and its treatment 11. Periapical surgery - endodontic surgery (indications, procedures and execution) 12. Fundamentals of clinical gnathology 13. Rational pharmacotherapy in surgical dentistry (antibiotics, analgesics, antiphlogistics, antiseptics, antiedematous drugs, myorelaxants) 14. Dental Implantology (Indications, Contraindications, Biological Width) 15. Fenestration, exposure and bonding, gingival repositioning, auto-transplantation of teeth (indications, contraindications, implementation) 16. 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) 17. Disorder of the disco-condylar complex (diagnosis and treatment) 18. Treatment options of TMJ disorders 19. TMJ mobility disorders (diagnosis and treatment, TMJ luxation) 20. Fractures of the jaw (classification, diagnosis, treatment) 21. Management of soft tissues in implantology, biological width 22. Bone augmentation materials 23. Jaw anomalies - classification, including cleft defects 24. Injury to the soft tissues of the orofacial area 25. Pre-prosthetic surgery, augmentation techniques in implantology 26. Maxillary sinusitis (diagnosis, aetiology, symptomatology, treatment). Odontogenic sinus infections. 27. Small surgical procedures for accelerating orthodontic treatment (corticotomy, alveolotomy, alveolar distraction, rapid orthodontics) 28. Inflammatory diseases of the large salivary glands, including autoimmune diseases. Sialolithiasis. 29. Dental treatment of a patient after complex oncological treatment outside the head and neck area
Circuit C 1. Functional anatomy and histology of the TMJ 2. Non-arthrogenic temporomandibular joint dysfunction 3. Diseases of the TM joint (aetiology, classification, diagnosis) 4. Le Fort fractures (classification, fracture lines and typical dislocations, diagnosis, treatment) 5. Reduction and fixation of fractures (physiology of bone healing, muscles, primary and secondary bone healing, AO, osteosynthesis) 6. Fractures of the facial bones (classification, diagnosis) 7. Complications of facial fractures, bone healing disorders, non-union 8. Fractures of the zygomatico-maxillary complex and the orbit (description of the angular lines, typical dislocation, diagnosis, treatment) 9. Injury of the CNS and cervical spine 10. Poly-trauma. Traumatic shock. Ballistic injuries in the orofacial area. 11. General pathophysiology of pain (orofacial pain pathway, nociceptive pain (somatic and visceral) and neuropathic pain) 12. Cervicofacial lymphadenopathies - differential diagnosis 13. Systemic bone diseases and other pathology of the facial bones 14. Osteomyelitis jaws (classification, aetiology, pathogenesis, diagnosis, treatment) 15. Critical thinking, sources of scientific information and Evidence Based Medicine in the practice of dentistry 16. Lip cancer (types, diagnosis, treatment) 17. General principles and modalities of complex oncological treatment of orofacial malignancies 18. Specific inflammations of the oral cavity and face (distribution, clinical manifestations, possibilities of treatment) 19. Investigative and diagnostic procedures in a patient with an oropharyngeal malignancy (clinical examination and imaging methods, staging, biopsy, grading, performance status, TNM classification) 20. Common salivary gland tumours and their surgical treatment 21. Tumours of the blood and lymphatic vessels 22. Tongue cancer (aetiology, diagnosis, treatment) 23. Pseudo tumours. Precancerous lesions. Oncological prevention (primary, secondary, tertiary, concepts of detection and treatment) 24. Possibilities for reconstruction of post-traumatic and post-resection defects in the orofacial region (flap/graft, local flaps - regional – free flaps) 25. 3D x-ray examination procedures in oral surgery 26. States of progenia, prognatia, pseudoprogenia (classification, treatment options) 27. Basic orthognathic surgical techniques 28. 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 29. Biomaterials - Use in oral surgery including suturing materials Poslední úprava: Klíma Karel, MUDr. et MUDr., Ph.D. (18.11.2025)
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