Download Oral Surgery

Załącznik nr 2 do zarządzenia nr 54/2015 Rektora WUM z dnia 14.07.2015 r.
Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
Oral Surgery
1. Imprint
Faculty name:
Faculty of Medicine and Dentistry
Education program:
Medicine and Dentistry, full-time studies
Academic year:
2016/2017
Module/subject name:
Oral Surgery
Subject code:
29475
Educational units:
Department of Oral Surgery
ul. Nowogrodzka 59
02-006 Warszawa, building 11B, 1st floor
Head of the unit/s:
Prof. dr hab. Andrzej Wojtowicz
Study year:
Year 4
Study semester:
VII and VIII
Module/subject:
Corresponding to the field of study
Prof. Andrzej Wojtowicz, PhD, DDS
Wojciech Popowski, PhD, DDS
Piotr Wychowański, PhD, DDS
Krzysztof Kukuła, PhD, DDS
Piotr Wesołowski, PhD, DDS
Teachers:
Szymon Frank, PhD, DDS
Bartłomiej Iwańczyk, DDS
Igor Kresa, DDS
Tomasz Kamiński, DDS
Marcin Adamiec, DDS
ERASMUS YES/NO:
YES
Prof. Andrzej Wojtowicz, PhD, DDS
A person responsible for the syllabus
Wojciech Popowski, PhD, DDS
Tel. (22) 502-12-42
Number of ECTS credits:
5.5
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Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
2. Educational goals and aims
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 CranioMaxillo-Facial unit or related specialty units.
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Załącznik nr 2 do zarządzenia nr 54/2015 Rektora WUM z dnia 14.07.2015 r.
Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
3. Initial requirements
1. Successful completion of Year 3
2. Pass grade in test covering knowledge from Year 3
4. Learning outcomes corresponding to the subject
A list of course learning outcomes
Symbol of course learning
outcomes
1W
2W
3W
4W
Description of course learning outcomes
The reference to
programme learning
outcomes (number)
Student who passes the subject:
knows the mechanisms that lead to oral inflammation
and other pathologies with specific focus on odontogenic
pathologies and their effect on general health;
F.W2
knows the process of stomatognathic system formation
and development from embryo to adolescence; knows
the principles of prophylactic and therapeutic
management in temporomandibular joint disorders,
diagnosing causes of jaw underdevelopment, dental
abnormalities and treatment methods for these defects;
F.W3
Student 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;
F.W4
knows the symptoms, course and management of
specific oral and head and neck diseases, including
differences in age groups; this pertains to inflammatory
conditions, dental abnormalities, surgical preparation of
denture bearing area prior to prosthodontic treatment,
pathologies of the temporomandibular joint and salivary
glands, management of soft and hard tissue cysts,
F.W5
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Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
odontogenic tumours, premalignant lesions, oral
malignancies, tumour-like lesions, cranial nerve
pathologies, developmental defects, diseases of paranasal
sinuses;
5W
6W
7W
8W
9W
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 all stages of odontogenic infections, indications
for conservative treatment and extraction; is able to
diagnose pulpal pathologies and plan conservative and
surgical treatment; knows the classifications of dental
trauma by Ellis and Andreasen; is able to treat
appropriately teeth classified in specific trauma groups;
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
contraindications 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 defects after cyst enucleation;
knows the Pindborg classification of cysts, is able to
diagnose specific types of cysts and propose a treatment
plan, knows Partsch I and Partsch II surgical methods of
cyst treatment, knows the surgical management of teeth
causing radicular cysts, knows the differences between
premalignant lesions, pre-invasive cancer and cancer
with stroma infiltration, knows pre-cancerous conditions
of skin and oral mucosa, is able to differentiate between
mild and malignant neoplasms in the craniofacial
regions; knows in detail the classification and
differentiation of odontogenic tumours;
knows how endosseous implants work, the meaning of
osseointegration, indications and contraindications for
implant therapy, surgical techniques in implant therapy,
periimplant procedures, complications;
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F.W6
F.W7
F.W8
F.W10
F.W12
Załącznik nr 2 do zarządzenia nr 54/2015 Rektora WUM z dnia 14.07.2015 r.
Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
10 W
knows the techniques of guided tissue regeneration
(GTR) and guided bone regeneration (GBR), indications
and contraindications for restorative surgical procedures,
types of bone substitute materials, type of barrier
membranes; sites and techniques of autogenous tissue
harvesting, restorative procedures within the alveolar
process;
F.W13
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);
F.W15
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;
F.W17
13 W
knows the harmful effect of physical, chemical,
biological factors, avitaminosis and stress on oral
mucosa and periodontal tissues; rules of prophylaxis and
indications for surgical intervention in non-healing
lesions caused by irritating factors;
F.W18
14 W
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;
F.W19
15 W
has basic knowledge allowing to interpret radiographs periapical, panoramic, occlusal x-rays, CBCT; is able to
prescribe an appropriate radiograph according to specific
circumstances, knows the rules of radiation protection;
F.W21
16 W
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.);
F.W22
11 W
12 W
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Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
1U
has practical skills in history taking - chief complaint,
symptoms reported by the patient, previous treatment,
past medical history, family history;
2U
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, cervical), 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;
F.U1
F.U2
is able to establish contact with the patient and present
diagnosis, prognosis and propose treatment in an
affordable manner and to fill in informed consent forms
F.U3
4U
is able to establish contact with the patient and present
unfavourable prognosis for further treatment with
empathy;
F.U4
5U
has practical skill in collection tissue samples for
histopathologic evaluation, knows how samples should
be stored, knows how to collect and store samples for
microbiological evaluation, knows the collection
methods for histopathologic evaluation - fine needle
biopsy, drill biopsy, excision biopsy, cytologic
evaluation of smear;
F.U5
6U
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.;
F.U7
7U
knows the prophylaxis of inflammatory conditions, oral
cancer, health-promoting activities in relation to oral
pathology;
F.U8
8U
has skills in conservative and surgical treatment of
masticatory system diseases, including prescription of
medicines, performing simple surgical procedures, i.e.
extractions, alveoloplasty, surgical removals of mucosal
lesions;
has basic skills allowing in further postgraduate training
to perform specialist procedures, i.e. surgical removal of
F.U9
3U
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Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
impacted teeth, exposure of impacted teeth, restorative
procedures using GBR and GTR techniques, implant
procedures; has skills that allow to treat patients after
tooth trauma according to its severity; has the skill to
immobilize luxated teeth using various types of splints,
knows and is able to perform replantation procedures for
avulsed teeth; knows the indications for extraction of
teeth after trauma, has the skill to initially treat a patient
after jaw trauma, knows how to refer the patient for
further treatment at a maxillo-facial unit;
9U
has skills in managing general complications during
local anaesthesia and oral surgical procedures
(anaphylactic shock, 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.);
F.U11
10 U
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;
11 U
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;
12 U
knows the principles of preparing scientific papers,
articles and preparing to oral presentation; with
assistant's support is able to state research problems
regarding issues in oral surgery they is interested in - this
skill refers to students who actively participate in the
student scientific group;
F.U14
13 U
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
F.W16
F.U12
F.U13
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Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
histopathological examination)
14 U
basing of medical history, clinical examination and
additional tests is able to diagnose a clinical problem and
propose an treatment plan - this refers to treating
odontogenic and non-odontogenic infections within the
oral cavity, dental abnormalities, pathologies of the
temporomandibular joint, salivary glands, cranial nerves
and other pathologies in the oral cavity;
15 U
has the skill to fill in a prescription, has knowledge on
indications and contraindications for antibiotics,
antiinflammatory, analgesic, local anaesthetic drugs and
premedication and is able to apply it in practice; knows
the rules for antibiotic prophylaxis; has knowledge in
pharmacology and is able to apply it in practice, is able
to assess the effect of the drugs taken by the patient due
to general diseases on planned surgical treatment; knows
when it is necessary to consult the patient's physician discontinuation of drugs, replacement with another one.
K- competencies
F.U18
F.U19
Competencies gained by student after year 4 should
allow them to work independently with the patient 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
12
1
Seminar
22
1
Practical classes
85
2.25
6. Subject topics and educational contents
Lectures
W1. Introduction to oncology, HPV.Dr n. med. Karolina Szaniawska
W2. Management of odontogenic tumours and dental abnormalities. Dr n. med. Piotr
Wychowański
W3. Aspect of surgical treatment in paediatric patients. Dr n. med. Wojciech Popowski
W4. Maxillary sinus diseases. Dr n. med. Wojciech Popowski
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Appendix no. 3 to the procedure of development and periodical review of syllabuses
W5. Application of new solutions in implant and regenerative procedures in oral surgery. Prof.
dr hab. Andrzej Wojtowicz
W6. Cysts of the jaws, diagnostics, management. Dr n. med. Wojciech Popowski
Seminars:
S1. Inflammation - general information, types of inflammation
S2. Acute odontogenic infections.
Routes of infection spread from the periapical region in the mandible and maxilla - periodontal
periodontal ligament inflammation, periostitis, subperiosteal abscess, submucosal abscess,
subcutaneous abscesses, involvement of spaces - clinical presentation, differentiation.
S3. Fascial space infections, routes of spread, diagnosis, management.
S4. Chronic odontogenic infections.
S5. Osteomyelitis of the jaws: acute, chronic, diagnosis and management.
Specific infections: actinomycosis, syphilis, tuberculosis (clinical symptoms in the oral cavity).
S6. Complications of oral infections.
S7. Odontogenic diseases of sinuses. Diagnosis and management.
S8. Infections/inflammation - test.
S9. Soft and hard tissue cysts: classification, diagnosis, management
S10. Apicoectomy (indications, contraindications, surgical techniques)
S11. Surgical removal of impacted and supernumerary teeth (indications, surgical techniques).
S12. Preprosthetic surgical preparation of the oral cavity. Surgical acceleration of orthodontic
treatment.
S13. Primary and permanent tooth trauma (management).
S14. Oral implantology – introduction, indications, patient selection.
S15. Materials in guided tissue regeneration. Augmentation procedures, indications and patient
selection.
S16. Augmentation procedures, indications and patient selection, presentation of cases.
S17. Test.
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Appendix no. 3 to the procedure of development and periodical review of syllabuses
S18. Premalignant lesions: diagnosis, management (presentation of clinical cases).
S19. Neoplasms of the oral cavity - introduction, types of neoplasia, sample collection for
histopathologic evaluation.
S20. Odontogenic tumours (etiopathogenesis, types, diagnosis, management, differentiation).
S21. Tumour-like lesions of the jaws: epulides, central granulomas, fibrous dysplasia, cherubism.
Lesions of the jaws in other diseases (histiocytosis, Langerhans cell histiocytosis).
S 22. Test.
7. Methods of verification of learning outcomes
Learning
outcome
corresponding to
the subject
(symbol)
Forms of classes
(symbol)
S
1W-16W
W
1U - 15U
C
Methods of verification of
a learning outcome
Credit receiving criteria
3 tests, forms: close-ended
questions, oral or essay
- grades from tests
- obligatory presence at lectures
- no misses in other classes
- assessment of student's
predisposition to verbal
communication with the
patient,
- evaluation of each procedure
performed by the student
- minimum number of procedures
- no missed classes
8. Evaluation criteria
Form of receiving credit in a subject: pass
grade
criteria
2.0 (failed)
Up to 50% total correct answers in theoretical and practical
part.
3.0 (satisfactory)
Above 50% total correct answers in theoretical and
practical part.
3.5 (rather good)
Above 60% total correct answers in theoretical and
practical part.
4.0 (good)
Above 70% total correct answers in theoretical and
practical part.
4.5 (more than good)
Above 80% total correct answers in theoretical and
practical part.
5.0 (very good)
Above 90% total correct answers in theoretical and
practical part.
9. Literature
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Załącznik nr 3 do procedury opracowywania i okresowego przeglądu programów kształcenia
Appendix no. 3 to the procedure of development and periodical review of syllabuses
Obligatory 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
4. Paul Coulthard, Keith Horner, Philip Sloan, Elizabeth Theaker: Master Dentistry Volume 1. Oral and Maxillofacial
Surgery, Radiology, Pathology and Oral Medicine. Churchill Livingstone 2013, 3rd edition
5. Roderick A. Cawson, Edward W. Odell: Cawson's Essentials of Oral Pathology and Oral Medicine. Churchill
Livingstone 2008, 8th edition
Supplementary literature:
1. Scientific journals: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, Journal of Oral and Maxillofacial
Surgery, Journal of Oral Pathology & Medicine etc.
2. James L. Hiatt, Leslie P. Gartner: Textbook of Head and Neck Anatomy. Lippincott Williams & Wilkins 2009; 4th
edition
10. ECTS credits calculation
Form of activity
Number of hours
Number of ECTS credits
Direct hours with an academic teacher: 3.66
Lectures
12
0.4
Seminars
22
0.73
Practical classes
85
2.53
Student's independent work: 1.84
Student's preparation for a seminar
17.7
0.59
Preparation for obtaining credits
28.56
0.95
Other (please specify)
12
0.3
Total
177.26
5,5
11. Additional Information
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 - Tomasz Kamiński, DDS
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Appendix no. 3 to the procedure of development and periodical review of syllabuses
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 meetings 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 participate in oral surgery and implant dentistry
congresses.
Summer dental internship is available after completing year 4.
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