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46. (StV-ORVIL) ORTHODONTICS Integrated Studies of Stomatology Department of Stomatology SUBJECT ORTHODONTICS SUBJECT STATUS Compulsory Condition: Gnathology, Radiology STUDY PROGRAM DEPARTMENT Winter term (no. of lessons per week) Academic Year Summer term (no. of lessons per week) Lectures Practice Lectures Pracitce 2 3 3 3 fifth Methods of teaching Number of tests Number of seminars Number of POINTS - - 7,0 Teaching is in the form of lectures, demonstrative and practical preclinical and clinical exercises. GOAL Introducing students to regular processes of growth and development, deviations from those processes and possibilities of their prevention with the aim of reducing the number of children with orthodontic abnormalitites. PURPOSE Knowledge Skills Knowledge of normal processes of jaw and teeth growth and development Etiologic factors in occurence of malocclusion Diagnostics from the aspect of triage. Complete diagnostic procedure as a base for othodontic treatment planning and implementation of interceptive measures (history, clinical examination – morphological and functional results, radiology results, dental arch prints, individual bite, gnathometric results). Basic principles in treatment of orthodontic abnormalities. Implementation of preventive and interceptive measures and interventions. Education of children and parents in the area of health protection and proper development of teeth.. Giving detailed instructions on prerequisites for successful orthodontic treatment. SUBJECT CONTENTS Definition of name of subject, History of orthodontic development Prenatal development of head, face, Prenatal development of teeth Postanatal development of head, face, jaws and teeth from birth to first deciduous teeth eruption Development of masticatory organs from first deciduous teeth eruption to completion of deciduous teeth series, during the period of deciduous and early mixed teeth series, during the period of late mixed teeth series, during the period of permanent teeth series Normal occlusion – ideal occlusion and articulation Motor functions – general characteristics of muscles and their overall function, normal breathing function and its influence on the development of orthofacial system, Normal function of feeding – breast-feeding and swallowing and their effect on orthofacial region development, Function of feeding – chewing and its effect on normal development of orthofacial system Function of speech focussing on articulation of sounds in mouth cavity and its importance in masticatory organ development History (its importance in orthodontics) since birth to the moment of examination. Family history Status presens general. Height, weight, skeletal deformities, etc. Status localis- extraoral, morphological analysis of the face at rest and occlusion. Functional examination. Status presens local – intraoral. General characteristics of deciduous and permanent teeth and tooth series. Shape, position, size of tongue out of function. Position of incisors sagittal and vertical, middle of tooth series. Initiation of other examinations. Characteristics and importance of print in orthodontics Importance and mode of making study models Instruments for study model analysis Schwartz`s analysis of study models, points of measurement of width and height of dental arches, mean value Analiza položaja zuba u transverzalnom pravcu. Odredjivanje sredine gornje i donje vilice, Analiza položaja zuba u sagitalnom Active pravcu removable u vilicama braces – basic parts and the role of labial arch Flexible stringpoložaja parts – spring, screw, ridge pravcu, oblik i visina nepca Odredjivanje zuba u vertikalnom Basic elements of functional –monobloc. Reduced activator, vestibular surface, bionator according to Balters, function Promene raspoloživog prostoraapparatuses u nizu (mojers, gerlah, bolton) regulator according to Frankel, propulsor Procena sagitalnog odnosa vilica, terminologija okluzalnog nalaza Fixed braces – combination of movable and fixed therapy. Značaj i analiza intraoralnih i ekstraoralnih rtg snimaka u ortopediji vilica Therapy of abnormalities during the period of mixed and permanent dentition in transversal direction, teeth and jaws in sagittal Rendgenkraniometrija i rendgenkefalometrija, rendgen anomalija direction, teeth and jaws in vertical direction Analiza profilnog snimka glave po šbarcu i štajneru Retention of achieved treatment results, higyene of mouth cavity and braces during therapy Etiologija malokluzija. Klasifikacija malokluzija. Biohemijske osnove nasledja, način nasledjivanja Interdiciplinary cooperation - therapy Uticaj nasledja na orofacijalnu regiju Opšta oboljenja i poremećaj endokrine funkcije, njihov uticaj na pojavu malokluzija classes Deficitarna ishrana. Kongenitalne anomalije i njihov uticaj na pojavu malokluzija Practical – methodical units Lokalna oboljenja i traume- njihov uticaj na pojavu malokluzija Poremećene funkcije i štetne navike- njihov uticaj na pojavu malokluzija Hiperodoncija, hipodoncija, makro i mikrodoncija. Perzistencija mlečnih zuba- njihov uticaj na pojavu malokluzija Nepravilnost položaja zuba, Nepravilnost broja i veličine zuba, Nepravilnost oblika i strukture zuba, Nepravilnosti zubnih lukovateskoba, rastresitost, oblik i veličina, Nepravilnosti i klase, Nepravilnosti ii klase, Nepravilnosti iii klase Transverzalne i vertikalne nepravilnosti, Kongenitalne anomalije- rascepi, Kongenitalne anomalije- sindromi Opšta kauzalna terapija, prevencija Biološki principi pomeranja zuba- odgovor mekih i tvrdih tkiva na odgovarajuće nadražaje Ekstrakciona terapija- sistematska, kompenzatorna, kompromisna Eugnathic jaw (deciduous, permanent) with all its characteristic. Deviation from proper occlusion in all three directions History, results Choosing and preparing spoons for print taking. Prints, stand making Analysis of study models, Schwarz`s analysis Determination of the middle of upper jaw, transfering to lower jaw, X-ray of spine mentalis Comparing tooth series in sagittal and transversal direction Vertical abnormalities, reconstruction Bite determination. Classes according to Angle Analysis of space available in tooth series Diagnostics of occlusal finding (terminology), therapy plan, description Analysis of study model of another case Vertical abnormalities, analysis of available space, classes Diagnosis and therapy plan Prints for study models, model casting, X-ray (opt, tele X-ray head profile, hand X-ray) Analysis of study models, analysis of x-rays Analysis of face, biogenetic diagnostics, therapy plan, print for work Submission of active flexible braces, processing the next patient First patient control, prints for study models of another patient and X-ray Analysis of the study model and X-ray Therapy plan and print for the next patient Introduction to charachteristics of orthodontic wire, bending various wire parts Submission of active flexible braces to the second patient and first patient control Admission and processing new patient, history, clinical results Prints, X-ray, control of patient who are in therapy. Analysis of study models and X-ray of new patients for functional therapy and establishing diagnosis Therapy plan and construction bite for newly processed patients Submission of functional braces (monobloc) to new patients and control of previous patients Control examination of patients, consultations regarding processed programme Clinical processing of new patient for functional therapy (monobloc - activator) Clinical processing and control of the patient Submission of functional braces - monobloc Processing the patient for functional therapy Control of patients with functional braces Construction bite Control of patients processed during this and previous term 1. Markovic, M. “Orthodontics” Orthodontal Section of Serbia, Belgrade, 1982 Maric, D., Vukic-Culafic, B.,”Practicum in orthodontics” Medical Faculty of Novi Sad, Novi Sad, 1998 Jaksic, N., Scepan, I., Glisic, B., “Orthodontic Diagnostics” – Practicum”, Belgrade, 2000 1. 2. Markovic, M., “Biological Nature of Orthodontics”, Orthodontal Section of Serbia, Belgrade, 1976 Lapter, V., “Orthodontal Devices: construction – purpose – function”, Skolska Knjiga, Zagreb, 1988 Proffit, WR, “Contemporary Orthodontics”, Third Edition, Mosby Inc., 2000 Mandatory 2. 3. RECOMMENDED READING Further 3. Student Work Assessment – number of points for individual activity Pre-exam obligations Lectures Practice 10 30 Test Total Final Exam Seminar paper Other Written Oral Practical30 30 100 List of Teachers and Associates Associate 1. 2. Assistant Lecturer 1 Prof. Branka Vukic – Culafic, M.D. Asst. Prof. Predrag Vucinic, M.D. Prof. of studies Assistant Prof. 3. 4. Associate Prof. Professor 2 Asst. Prof. Djordje Petrovic, M.D. Stojan Ivic, MD, Associate Scientist 1 Head of Department Prof. Dubravka Markovic, M.D.