Oral Surgery

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Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
Wzór sylabusa przedmiotu
1. Basic information
Faculty:
Faculty of Medicine and Dentistry
Field of study:
English Dentistry Division, full-time
Academic year:
2015/2016
Course:
Oral Surgery
Course code:
25441
Head of department:
Department of Oral Surgery
Medical University of Warsaw
Faculty of Medicine and Dentistry
Ul. Nowogrodzka 59
02-006 Warszawa, building 11B, 1st floor
Tel. (22) 502-12-42
Prof. dr hab. Andrzej Wojtowicz
Year of study:
Year 3
Semeter:
Semester V i VI
Course type:
major, oral surgery, 25441
Department:
Prof. Andrzej Wojtowicz, DDS, PhD
Wojciech Popowski, DDS, PhD
Piotr Wychowański, DDS, PhD
Persons responsible for teaching:
Piotr Wesołowski, DDS, PhD
Tomasz Kamiński, DDS
Erasmus YES/NO (availability for students
within Erasmus programme):
YES, course in English
Prof. Andrzej Wojtowicz, DDS, PhD
Person responsible for curriculum:
Dr Wojciech Popowski, DDS, PhD
ECTS credits:
4
2. Objectives
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Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
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 Cranio-Maxillo-Facial unit or related specialty units.
3. Prerequisite
1. Successful completion of Year 2
4. Learning outcomes
List of learning outcomes
Symbol
Description
Reference to learning outcome
(kod przedmiotu)_
(numer efektu oraz jego
kategoria W-wiedza,
U-umiejętności,
K-kompetencje)
K- knowledge
F.W2. Student knows and understands the
mechanisms that lead to organ and systemic
pathologies (including infectious, invasive,
autoimmune, immunodeficiency, metabolic and
genetic diseases)
F.W2 Student knows the mechanisms
of inflammatory conditions and other
pathologies within the oral cavity, with
particular focus on odontogenic
pathologies and their influence
on patient's general health;
F.W4. Student knows the viral, bacterial and
fungal oral flora and its significance;
F.W4. 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
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Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
immunosuppressive medications etc.);
student knows the pathomechanism,
symptoms and signs, course
of tuberculosis, actinomycosis and
syphilis within the head and neck;
F.W6. Student knows the principles of local
anaesthesia in the masticatory system;
F.W8. Student knows
of periapical diseases;
the
management
F.W6. Student 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;
F.W8. Student 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 contraindication 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;
F.W15. Student knows and understands the
basics
of
antimicrobial
therapy
and
antimicrobial resistance;
F.W15. Student 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.W17. Student knows the therapeutic methods
for pain reduction and relief as well as anxiety
and stress reduction;
F.W17. Student knows the main groups
of analgesics (dosing), indications and
contraindications for using analgesics,
complications related to analgesics
overuse, methods of pain therapy other
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Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
than pharmacological, types of pain and
their causes, pain symptoms in various
head and neck diseases;
F.W19. Student knows the principles of
anaesthesia in dental procedures and main
pharmacological agents;
S- skills
F.W19 Student 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.W22. Student knows and understands the
pathomechanism of oral diseases affecting
general health.
F.W22. Student 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.U1. Student takes medical history from the
patient and their family;
F.U1. Students has practical skills
in history taking - chief complaint,
symptoms reported by the patient,
previous treatment, past medical
history, family history;
F.U2. Student performs physical examination
of patient;
F.U3. Student explains the nature of the ailment
to the patient, determines therapeutic
management, collects informed patient consent,
and establishes a prognosis;
Strona 4 z 10
F.U2. Student 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, jugular).
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.U3. Student is able to establish
contact with patients and present
diagnosis, prognosis and propose
treatment in an affordable manner and
to fill in informed consent forms
Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
F.U4. Student conveys unfavourable health
information to the patient or their relatives;
F.U4. Student is able to establish
contact with the patient and present
unfavourable prognosis for further
treatment with empathy;
F.U7. Student determines indications to perform
a specific dental procedure;
F.U7 Student 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.U8. Student knows the
prevention of oral diseases;
F.U8 Student knows how to prevent
inflammatory conditions, oral cancer,
health-promoting activities in relation
to oral pathology;
principles
for
F.U11. Students know the principles of
management in general and local complications
during and after dental procedures;
F.U12. Student prescribes medications taking
into account interactions and side effects;
F.U13. Student keeps patient documentation,
prepares referrals for tests or specialist dental or
medical treatment;
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F.U11 Student possesses 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.U12. Student 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;
F.U13. Student knows how and is able
to keep medical records (outpatient
medical record), prepare referrals for
Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
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;
F. U.16 Student describes pathological cellular,
tissue and organ lesions according to basic
mechanisms;
C- competencies
F.W16. Student 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
histopathological examination)
Competencies gained by students after
completing Year 3 should allow them to
independently see patients 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. Types of classes
Type
Hours
Groups
Minimum number of persons
per group
Lecture
10
1
entire course
Seminar
15
4
20
Classes
30
21
4
6. Course topics and curriculum content
np.:
W1-Wykład 1- Temat wykładu…- Treści kształcenia;….- Wykładowca- prof. Dr hab. Jan Nowak
W2-Wykład 2- Temat wykładu…- Treści kształcenia;….- Wykładowca- prof. Dr hab. Jan Nowak
S1-Seminarium 1- Temat …- Treści kształcenia;….- Wykładowca- prof. Dr hab. Jan Nowak )
Course topics contain logical sequence and range of knowledge, and its clinical application. Subject
matters include e.g. clinical anatomy of the head and neck, odontogenic infections, tooth extraction
procedures, procedures aimed at tooth preservation (apicoectomy, hemisection), cysts, odontogenic
tumours (benign and malignant), injuries (diagnosis, management)
Year 3: theory, introduction.
Lecture topics:
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Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
W1. Head and neck embryology and anatomy, clinical aspects.
W2. Basic examination, medical interview, physical and additional examination in oral surgery.
W3. Perioperative pharmacology in oral surgery.
W4. Preparation of patients with co-morbidities to oral surgery procedures.
W5. Basic procedures in oral surgery: extractions, management of impacted teeth.
Seminar topics:
S1. Principles of work and cooperation with the patient. Hygiene, asepsis and antisepsis during
surgical procedures.
S2. Head and neck anatomy. Elements of embryology pt. 1.
S3. Head and neck anatomy. Elements of embryology pt. 2.
S4. Patient examination pt. 1.
- medical history
- physical examination
S5. Patient examination pt. 2 – additional examinations, indications (laboratory tests, blood tests,
radiographic examinations)
S6. Characteristics of local anaesthetics, types of anaesthesia. General and local complications.
S7. Test.
S8. Armamentarium in oral surgery:
- for tooth extraction – forceps
- for surgical procedures: removal of impacted teeth, apicoectomy, cyst enucleation (sets)
S9. Indications and contraindications for tooth extraction.
S10. Complications during and after tooth extraction - management of early and late (long-term)
complications.
S11. Types of incisions in oral surgery (indications). Suturing technique. Types of suture materials.
S12. Salivary gland disorders.
S13. Temporomandibular joint disorders.
S14. Disorders of cranial nerves - types of disorders (inflammations, neuralgias, cranial vessel
syndromes). Diagnostics and therapy.
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Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
S15. Test.
7. Means of verifying learning outcomes
Class forms
Learning
outcome
Seminars
Knowledge
Lectures
Skills
Practical classes
Teaching
contents
S1- S6, S8-14,
W1-W5
S1- S6, S8-14,
W1-W5
Means of
verifying
learning
outcomes
Pass criteria
Learning outcome
- according to
resolution of the
senate
- test grades
- obligatory
presence at
lectures
- no absence
2 tests
- assessment of
student's
predispositions to
verbal and
procedural
communication
with the patient,
- assessment of
each procedure
performed by the
student
- minimum
number of
procedures
performed
- no absence
8. Assessment criteria
Form of examination: test
Grade
2,0 (fail)
Criteria
inadequate level of achievement
3,0 (poor)
all pass criteria are met
3,5 (fair)
satisfactory level of achieving learning outcomes
4,0 (good)
good level of achieving learning outcomes
4,5 (very good)
very good level of achieving learning outcomes
5,0 (excellent)
achievement of all learning outcomes
9. 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
3. James L. Hiatt, Leslie P. Gartner: Textbook of Head and Neck Anatomy. Lippincott Williams & Wilkins 2009;
4th 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
10. ECTS credits calculation
Types of activity
Hours
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ECTS credits
Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
Contact hours with academic teacher:
Lectures
10
0.33
Seminars
15
0,5
Practical classes
30
1.0
Types of activity
Hours
ECTS credits
Student's individual work (exemplary types of work):
Preparation to seminars
30
1.0
Preparation to practical classes
6.54
0.22
Preparation to tests
28.56
0.95
Other
No hours for
preparing research
papers and
presentations at
student congresses
Total
120.1
11. Additional information
(Np. informacje o kole naukowym działającym przy jednostce, informacje o dojeździe na zajęcia itp.)
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.
Presence at seminars and clinics is obligatory, and is necessary to pass the course.
Test forms include oral and written examination.
Students shall present for classes with protective clothing and footwear (changed).
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 meeting 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.
Information of the Scientific Group
Information of the activity of the Students Scientific Association are displayed on the notice board
at the Department.
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Załącznik nr 2 do procedury opracowywania i okresowego przeglądu programów kształcenia
Podpis Kierownika Jednostki
Podpis Osoby odpowiedzialnej za sylabus
Podpisy Osób prowadzących zajęcia
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