THE MINISTRY OF HIGHER AND SECONDARY SPECIAL EDUCATION THE MINISTRY OF HEALTH OF THE REPUBLIC OF UZBEKISTAN TASHKENT MEDICAL ACADEMY DEPARTMENT OF ENT DISEASES AND COURSE OF STOMATOLOGY «APPROVED» Vice-rector on educational work prof .Teshaev.O.R. « _____» ____________ 2015 y. Educational technologies Complexity in hours – 72 Including: lectures –6 Practical exercises – 34 individual work – 32 Tashkent – 2015. Compilers: Boymurodov Shuxrat Abdujalilovich (Full NAME, position, scientific degree, scientific rank ) ____________ (signature) Reviewer: Zhilonov Abdubory Astanaevich M.D., professor (Full NAME, position, scientific degree, scientific rank ) ____________ (signature) The work program is based upon the curriculum and syllabus direction _________________, discussed and approved at the __________ cyclo subject sections _________ protocol № _____ from «____»______________200 y. The work program is based upon the curriculum and syllabus direction ____________________, discussed and approved at the __________ the Academic Council ___________ Faculty TMA protocol № _____ from «____»______________200 y The Chairman of the academic Council of the faculty _____________ signature «_____»_____________200 y. ________________ Name Introduction Dentistry is an integral part of the clinical discipline dealing with the study of anatomical and physiological characteristics and pathology of dental system. Dental science of diseases of the teeth and jaws (Greek stoma-pot) (logos-science). Dental care is the population at all stages both outpatient and in-patient phase. The main objective of teaching medical students of dentistry, pediatric, medical, educational, health-care and nurses with higher education is the training in the care of a number of diseases of the maxillofacial area and the trauma of war and peace. The physician in any specialty shall be able to navigate in the case of acute purulent processes maxillofacial trauma and facial both civilian and military time, it is also necessary knowledge elements Oncology maxillofacial region. Cancer should be wary doctor. Necessary training diseases of the mucous membranes of the mouth, because the disease is often a syndrome of diseases of many organs and body systems. Dental direction of prevention of many diseases such as rheumatism, infectious arthritis, rheumatic heart disease, nephritis, etc. based on a timely struggle with hidden, long-existing foci of chronic inflammation or infection in the mouth. 1.1. Goals and objectives of the discipline The purpose of discipline: To introduce students to the principles of the basic survey of the maxillofacial area, to teach early diagnosis and emergency treatment for various diseases of the maxillofacial area. Objectives: 1. Consider the characteristics of complaints of patients with pathology of the maxillofacial area and the value of the subjective and objective methods of examination for proper diagnosis. 2. Review existing supporting research methods :: R-graphy, ultrasound, EDI, angio, Scioli, Fistula-graphy. 3. Development of symptoms and diagnosis of diseases of hard tissues of teeth: dental caries, pulpitis, periodontitis. 4. Providing emergency dental caries, pulpitis, periodontitis. 1.1The requirements for knowledge, skills and experience In accordance with the aims and objectives of the end of the discipline / student should know: - Methods of examination of the maxillofacial region (percussion, sensing, palpation). - Consider the features of complaints and the clinical picture of patients with diseases of hard tissues of the tooth (dental caries, pulpitis, periodontitis). - Periodontal disease and oral mucosa - Classification, and general concepts of anesthesia. - Types of general anesthesia. Instruments and medicines used for general anesthesia. - Types of local anesthesia. Instruments and medicines used for local anesthesia. - Potentized anesthesia in dentistry. - Consider the features of complaints and the clinical picture of patients with inflammatory diseases of the maxillofacial region. - Pathways of odontogenic infection from the source of chronic periodontitis.- Острый гнойный периостит верхней и нижней челюсти. - Odontogenous acute and chronic lymphadenitis, phlegmonous adenitis and adenoabstsessy. - Acute and chronic odontogenic osteomiielity jaws. - Odontogenous cellulitis. - Boils and carbuncles of the face, especially their treatment, possible complications. - Types of injuries of the maxillofacial region. - Types of soft tissue injuries. - Types of fractures of the jaw, and clinical manifestations. - Complications of injury Chloe. The student should be able to: - Properly send the patient to a specialist in diseases of hard tissues of the tooth (dental caries, pulpitis, periodontitis). - Properly diagnosing inflammatory diseases of maxillo - letsevoy area - Emergency care in acute inflammatory processes of the maxillofacial region. Treatment of Odontogenic and neodontogennyh inflammation. - Properly direct the patient to a specialist. - First aid for bleeding of the maxillofacial region. - First aid for shock and asphyxia. - Temporary methods of immobilization of fractures of jaws. The student must have the skills to: - Be able to carry out local infiltration anesthesia. - Be able to conduct conductor anesthesia maxillofacial region. - Be able to conduct covers: analgesia. - Right to inspect and survey maxillofacial diseases Chloe and hard tissues of the tooth izpolzyvaya tools. - To provide primary care for acute pulpitis. - First aid for bleeding of the maxillofacial region. - First aid for shock and asphyxia. - Temporary methods of immobilization of fractures of jaws. 2. Academic load labor content 72 The distribution of the teaching load by type of classes (per hour). lectures practical workshops laboratory work in all exercises 40 6 34 - self-study 32 3. The lecture course 3.1. Thematic plan of lectures on the subject for students of Dentistry Medical Faculty of Education № lectures Title of the topic of lectures hours 1. Subject and tasks of dentistry. The main problems of dentistry and its importance in the preparation of a GP. The disease of the teeth: dental caries and its prevention, pulpitis, periodontitis, a disease of the mucous membranes of the mouth. The influence of dental disease on the body. 2 2. Inflammatory diseases of the maxillofacial region, (Odontogenous and neodontogennye). Abscess, cellulitis, osteomyelitis. Etiology, pathogenesis, diagnosis, treatment and prevention. First aid. 2 3. Classification of injuries of the maxillofacial area. Injuries to the soft tissues and bones of the jaw. Features of the primary surgical treatment of wounds of the maxillofacial region. Features of current wounds after radiation injury. 2 3.2. The content of the lecture material Topic, lectures literature № 1 Topic 1: The object and purpose of dentistry. The main problems of dentistry and its importance in the preparation of a GP. The disease of the teeth: dental caries and its prevention, pulpitis, periodontitis, a disease of the mucous membranes of the mouth. The influence of dental disease on the body. - - - The history of the development and establishment of dentistry as a separate discipline. - The role of teaching dentistry in the preparation of general practitioners. - Organization of dental services. - The etiology and pathogenesis of diseases of the teeth and the mucous membranes of the mouth. - The value of the organization of prevention of dental diseases in the preparation of general practitioners. - Questions to evaluate the digestibility of the lecture. Theme 2: Inflammatory diseases of the maxillofacial region, (Odontogenous and neodontogennye). Abscess, cellulitis, osteomyelitis. Etiology, pathogenesis, diagnosis, treatment and prevention. First aid. - Classification of inflammatory processes of the maxillofacial region. - Etiology and pathogenesis of inflammatory processes of the maxillofacial region. - Abscesses and cellulitis of the maxillofacial area, the clinic diagnosis and treatment of complications - Periostitis and osteomyelitis of the jaws - Complication of inflammatory processes of the maxillofacial area: brain abscess, thrombosis and thrombophlebitis, mediastenity - B:1,2 A: 4,6,12, B:1,2. A:1,2,3,5,8,9,10,11,16. Theme 3: Classification of injuries of the B:1,2,4. maxillofacial area. Injuries to the soft tissues and A:13,14,15,16,17,18. bones of the jaw. Features of the primary surgical treatment of wounds of the maxillofacial region. Features of current wounds after radiation injury. - Etiology and pathogenesis of damage to the maxillofacial region. - - Damage to the soft tissues of the maxillofacial region. - - Features of the primary surgical treatment of wounds. - - Fractures of the facial bones: fracture of the mandible, maxilla, zygomatic bone, and the bones of the nose. - - Modern methods of treatment of fractures of the facial bones. - - Prevention of complications of injuries maxillofacial References: O (main) 1,3,5, D (optional)-1,2,7. - 4. Practical / seminars 4.1. Thematic plan of practical training on the subject of dental health for students and teaching faculty № Topics Name of the theme of practical / seminars hours 1. Examination of the maxillofacial region, (percussion, sensing, palpation). Diseases of the teeth: dental caries, pulpitis, periodontitis. The clinic, diagnosis and treatment. Periodontal disease and oral mucosa. The clinic, diagnosis and treatment. 6 2. Methods of anesthesia during dental procedures and operations. Removal of teeth, indications and contraindications for the removal of teeth. The operation of removing the tooth, supervision of patients. 6 3. Odontogenic inflammatory diseases of the maxillofacial area: Classification of acute inflammatory diseases of the maxillofacial area. Abscess, abscess, cellulitis, osteomyelitis, and the carbuncle, lymphadenitis. The clinic, diagnosis and lechenie.Puti pervichngo spread of fire. Complications of inflammatory diseases of the maxillofacial region. 6 4. Classification of injuries of the maxillofacial area. Soft tissue injuries and bone jaws. Features of the primary surgical treatment of wounds of the maxillofacial region. Complications of injury: bleeding, shock, asphyxiation. First aid at stages of the evacuation. 6 5. Tumors and tumor-like formation of the maxillofacial region. Benign and malignant tumors of, course, clinical features, diagnosis and treatment and methods of surgical treatment. Care for children with congenital cleft lip and palate. 6 6. Congenital malformations of the face. Anatomical and functional disorders. Risk factors for classification, principles of clinical examination. № Occup ation Total 1 4 34 4.2. The content of those practical / seminars Name of the theme of practical / workshop sessions and a summary of the values used with the new educational technologies Examination of the maxillofacial region, (percussion, sensing, palpation). Diseases of the teeth: dental caries, pulpitis, periodontitis. The clinic, diagnosis and treatment. Periodontal disease and oral mucosa. The clinic, diagnosis and treatment. Principles of examination of the maxillofacial area. Methods of examination of dental patients, dental disease: dental caries, pulpitis, periodontitis. Use a handout: 1. Organizers ("Lotus Flower") 2. Tests and case studies 3. link to literature B:1,2. A:4,6,12. Questionnaires 4. Crosswords 5. Interactive Games: The "black box", "Snowball", 6. Practical skill "Probing" 7. video 2 methods of anesthesia removing teeth, dental procedures and operations. Indications and contraindications for tooth extraction. The operation of removing the tooth, supervision of patients. ndications and contraindications for removal of teeth. Methods of anesthesia for dental extractions. Use a handout: 1. Organizers ("Venn Diagram") 2. Tests and case studies B:1,2,3. A:7,16. 3. Questionnaires 4. Crosswords 5. Interactive game: "Snowball", 6. Practical skill "Injecting anesthetic"; 7graphics; 8. video clip 3 4 Odontogenic inflammatory diseases of the maxillofacial area: B:1,2. Periostitis, abscess, cellulitis, osteomyelitis. The clinic, diagnosis and treatment. Furuncle, carbuncle and limfaadinit, A:1,2,3,5,8,9,10,11,16. course, clinical features, diagnosis and treatment Objective methods of research PMA, CPD, PI. Use a handout: 1. Organizers ("fishbone") 2. Tests and case studies 3. Questionnaires 4. Crossvord 5. Interactive game: "Who is the greatest? Who faster? "6. Practical skill "Defining hygiene index (GI)"; 7. graphics; 8. video clip Classification of injuries of the maxillofacial area. Injuries to the soft tissues and bones of the jaw. Features of the primary surgical treatment of wounds of the maxillofacial region. B:1,2,4. A:13,14,15,16,17,18. 5 6 Complications of injuries: Bleeding, shock, asphyxiation. First aid at stages of evacuation. Clinical examination methods Functional imaging techniques (formalin test, trial Kulazhenko) Used handouts 1. Organizers ("fishbone") 2. Tests and case studies 3. Questionnaires 4. Krasvordy 5. Interactive games, "Snowball", 6. Practical skill of the formalin assay; 7. graphics; Tumors and tumor-like formation of the maxillofacial region. Benign and malignant tumors of, course, clinical features, diagnosis and treatment. Clinical features of gingivitis: - catarrhal -hypertrophic - atrophic Congenital malformations of the maxillofacial region. Use a handout: 1. Organizers ("Venne - chart") 2. Tests and case studies 3. Questionnaires 4. Crosswords 5. Interactive Games: The "black box" 6. Practical skill "Holding sclerotherapy" 7. graphics B:1,2 A:5,16. B:1,2. A:5. 5. Self-study 5.1. Thematic plans of independent work of students INDEPENDENT WORK PLAN FOR STUDENTS 5 COURSE OF HEALTH The Faculty of Education on the subject DENTISTRY. № Topics independent works 1. Anatomical and histological structure of hard tissue of teeth, periodontal and periodontal 1. The structure of periodontal bone in dairy bite; 2. The structure of periodontal bone in a removable bite; 3. The structure of periodontal bone after the eruption of the permanent teeth. 2. The innervation of the maxillofacial region. 1. The structure of the alveolar bone in the anterior radiograph. 2. Radiography of the posterior teeth (molars, premolars). 3. The structure of the alveolar bone in the normal Topographic and anatomical structure of the maxillofacial area. 1. Classification adopted in Yerevan in 1983; 2. Classification by WHO; 3. Classification TF Vinogradova; Types of asphyxia. Biomechanics of the masticatory muscles. 1. The influence of soft plaque (pellicle, plaque) on the occurrence of gingivitis; 2. Changes immunobiological protection under the influence of microbial plaque. The basic principles of nursing infants with birth defects of the maxillofacial region. 1. Effect of supragingival tartar on the occurrence of periodontal disease. 2. Effect of subgingival dental calculus on the occurrence of periodontal disease. 3. Effect of periodontal deposits on the occurrence of pathological pockets. Environmental factors of tumors and tumor-like formations of the maxillofacial 3. 4. 5. 6. Number. hour. 5,3 5,3 5,3 5,3 5,3 5,3 region. 1. Subjective changes in this disease; 2. Objective changes in the disease; 3. Adequate research methods, differential diagnosis; 4. The plan of treatment of acute catarrhal gingivitis. Total hours 32 № Occupati on 6.2. The content of those CDS 1 2 3 4 5 6 № Topics CDS 1 2 3 4 5 6 Topic name CDS link to literature Anatomical and histological structure of hard tissue of teeth, periodontal and periodontal 1. The structure and biochemical composition of enamel, dentin and dental cement; 2. Histological structure, innervation and blood supply to the pulp, periodontal tooth; 3. Structure and function of periodontitis. The innervation of the maxillofacial region. 1. The structure of the trigeminal nerve. 2. The structure of the facial nerve. Topographic and anatomical structure of the maxillofacial region. 1. Structure and function of masticatory and facial muscles maxillofacial 2. The innervation of the maxillofacial region; 3. Blood supply of the maxillofacial region; Types of asphyxia. Biomechanics of the masticatory muscles in fractures of the jaws. 1. emergency care during asphyxia (Dislocation, obstructive, stenotic valves, suction); 2. Methods of immobilization and first aid for fractures of jaws. The basic principles of nursing infants with birth defects of the maxillofacial region. 1. The basic principles of psychological help parents of an infant with congenital maxillofacial region. 2. . The basic principles of feeding a newborn with congenital maxillofacial region. Environmental factors of tumors and tumor-like formations of the maxillofacial region. 1. Factors provoking tumors and tumor formation in terms of the Aral region. 2. Factors provoking tumors and tumor formation in industrial cities. B:1,2. A:4,12. B:1,2,3. A:7,16. B:1,2. A:3,9,10,11,16. B:1,2,4. A:13,16,17,18. B:1,2 A:5,16. B:1,2. A:5.