Ministry of Health of Ukraine Danylo llalytsky Lviv National Medical University Department of Surgical Dentistry and Maxillofacial Surgery Methodical Guide for Practical Training in Surgical Dentistry for the 3-th year Students of the Dentistry Faculty according to the European Credit Transger System ( Module II) ( compiled on the basis of educational plan sample of 2011 ) Lviv- 2014 Methodigical guide was approved at the meeting of the Methodical Commision of Dentistry of the Danylo Halytsky Lviv National Medical University ( proceedings No ). Methodigical guide has been compiled by: Ya.E. Vares, Professor of the Department of Surgical Dentistry and Maxillofacial Surgery, N.M. Krupnyk, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery, Yu.O.Medvid, Assistant Professor, PhD, M.D. Kh. R. Pohranychna, Assistant Professor, PhD, M.D. A. V. Filipskiy, Assistant Professor, PhD, M.D. Reviewers: O.S.Isayeva, Associate Professor of the Department of Foreign Languages of Danylo Halytsky Lviv National Medical University O. R. Ripetska, Associate Professor of the Department of Therapeutic Dentistry of Danylo Halytsky Lviv National Medical University O. Ya. Matviychuk, Associate Professor of the Department of Prosthetic Dentistry of Danylo Halytsky Lviv National Medical University Responsible for the publication: Head of the Department of Surgical Dentistry and Maxillofacial Surgery, Professor Ya. E. Vares. Introduction The main task of the Departments of Surgical Dentistry and Maxillofacial Surgery cal educational establishments of the III - IV levels of accreditation in the process of training the future doctors - dentists their mastering the bases of theory and practice in all divisions of surgical dentistry and maxillofacial surgery. Organization of the academic work for the 3-d year students of Dentistry Faculty is conducted with due regards for the credit-module system in accordance with the requirements of the Bologna process . The basic knowledge level of students who study at the Department should also include the profound knowledge of anatomy, histology, physiology, pathological anatomy, microbiology, pharmacology, general surgery, propedeutics of internal diseases. They must have special training at the departments of general-medical and general-clinical profile as well as propedeutics of surgical dentistry. Considerable attention given to providing the students with cducational-and-methodical Reference. For this purpose the professorial-and-teaching staff of the Department of Surgical Dentistry and Maxillofacial surgery of Danylo Iiaiytsky LNMU has compiled the methodical guide for students in their preparation to practical classes in surgical dentistry ( part " Inflammatory processes of maxillofacial area"(Module - 3). It will help the students to focus their attention on obligatory questions, pertaining to every theme of practical classes that they are to study , it wile allow them to be well-orientated in the structure and content of situation- oriented tasks which will be offered for the written inquiry. We hope that it will encourage the students-dentists to prepare thoroughly for their final module control. 1 Reference structure of test credit Independent Individual Practical Theme Lecture student’s independent classes work student’s work Module II. Inflammatory Processes o f Maxillofacial area Theme 1 Inflammatory processes of the 2 3,5 3 2 maxillofacial area: etiology, pathogenesis, types ol clinical reactions, paculiarities of odontogenic infections. The role of the immune, endocrine, reticulo-endothelial systems. Classification. Theme 2. Diseases of the teeth erruption. 3,5 Retention and dystopiya of the teeth. Perecoronaritis: clinical signs, diagnoses, treatment, complications. Theme 3. Periodontitis. Classification. Acute 3,5 2 periodontitis: clinical signs, diagnoses, surgical treatment, methods of prevention. Chronic periodontitis: classification, clinical signs, diagnoses, surgical treatment, methods of prevention. Odontogenic granuloma of the face: clinical signs, diagnoses, treatment. Theme 4. Odontogenic periostitis of the jaws (acute and chronic): clinical signs, diagnoses, - 3,5 - • treatment, complications, physiotherapy Theme 5. Acute odontogenic osteomyelitis of the jaws: etiology, pathogenesis, classification. Modem theories of its origin Acute and subacute odontogenic osteomyelitis of the jaws: clinical 2 3,5 - - flow, diagnoses, methods of treatment anc prevention. Complications Theme №6. Chronic odontogenic osteomyelitis 3,5 of the jaws: classification, clinical signs, diagnoses, methods of treatment. Features of osteomyelitis course in patients with drug dependence. Theme №7. Acute and chronic odontogenic 2 3,5 2 sinusitis: etiology, pathogenesis, classification clinical signs, diagnoses, methods of treatment, complications. Plastic closure of oro-antral communication Theme №8. Odontogenic phlegmons and abscesses 2 3,5 2 of the maxillofacial area: etiology, pathogenesis, classification, clinical flow, diagnoses, treatment, complications Phlegmons ofsuperfical and deep fascial spaces: differences in their clinical manifestations 2 Theme №9. Lymphadenitis, adenophlegmons ofthe 3,5 3 maxillofacial area: etiology, pathogenesis, diagnoses, clinical signs, treatment, preventive methods. Inflammatory cellulitis of the maxillofacial area Theme №10. Palatal abscesses Phlegmons and 3,5 2 abscesses of infraorbital, zygomatic and buccal areas. Clinical signs, methods of treatment. Complications and their prevention Theme №11. Phlegmons and abscesses of 3,5 pterygopalatine and subtemporal fossa Clinical signs, methods of treatment. Complications and their prevention. Theme№12. Phlegmons and abscesses of the 3,5 temporal area: Clinical signs, methods of treatment. Complications and their prevention. Phlegmons of orbit: peculiarities of origin, clinical flow and surgical methods of treatment. Theme №13. Phlegmons and abscesses of buccal, 3,5 masseteric, pterygomandibular, retromandibular, parotide spaces. Clinical signs, methods and peculiarities of treatment Theme №14. Phlegmons and abscesses of 3,5 3 submental and submandimular spaces. Clinical signs, methods and peculiarities of treatment. Theme 15. Phlegmons and abscesses 3,5 parapharyngeal space: etiology, pathogenesis, clinical signs, diagnoses, methods of treatment. Theme 16. Phlegmons and abscesses of the tongue. 3,5 Abscesses of sublingual fascial spaces. Clinical signs, methods and peculiarities of treatment. Theme 17. Oral cavity bottom phlegmon. Zhansul - 3,5 Ludwig angina. Etiology, pathogenesis, clinical signs, methods of diagnostics and peculiarities of treatment. Possible complications. Theme 18. Uncommon infections of maxillofacial 2 3,5 3 area: actinomycosis , tuberculosis and candidosis. Clinical signs, diagnostic and treatment. HIV- infection/ AIDS. Manifistations in the maxillofacial area. Theme 19. Erysipelas ofthe face, nome. 3,5 3 haemodymamic necrosis Manifistations in the oral cavity. Etiology, pathogenesis, clinical signs, diagnoses, methods of treatment Theme 20. Furuncles and carbuncles of the face 3,5 2 etiology, pathogenesis, clinical signs, diagnoses methods of treatment, complications. 3 Theme 21.. Complications of the phlegmons associated 3,5 2 with the lower jaw: phlegmons of the neck, mediastinitis. Sepsis, infectious-toxic shock. Pathogenesis, clinical flow, diagnoses, treatment, prognosis. Theme 22. Complications of the phlegmons associated 2 3,5 3 with the upper jaw: sepsis, brain abscess, cavernous sinus thrombosis Theme 23. Artritis and artrosis of the tempo- 3,5 6 mandibular joint (TMf): classification, clinical sings, diagnostics, treatment, complications, prevention. Pain TMI dysfunction syndrome. Theme 24. Acute sialadenitis: etiology, 3,5 3 pathogenesis, classification, clinical signs, diagnoses treatment Theme 25. Chronic sialadenitis, etiology, 2 3,5 3 pathogenesis, classification, clinical signs, diagnostics, treatment. Sialosis. Necrotizing sialometaplasia. Sjogren's syndrome. Theme 26. Calculary sialoadenitis: etiology, 3,5 3 2 pathogenesis, clinical features, differential diagnostics, treatment, complications. Modul control №2. “ 3,5 Total hours: 139,5 12 94,5 33 16 Credits ECTS- 5,05 Theme №1. Inflammatory processes of the maxillofacial area: etiology, pathogenesis, types of clinical reactions, paculiarities of odontogenic infections. The role of the immune, endocrine, reticulo-endothelial systems. Classification. Actuality of the theme: The incidence, severity, morbidity, and mortality of odontogenic infections have declined dramatically over the past 60 years. Dentistry has made great progress in the prevention and early diagnostic of odontogenic infections. Oral and maxillofacial surgeons, have made great strides in managing and preventing mortality in severe odontogenic infections. These accomplishments, however, impose upon the oral and maxillofacial surgeon the obligation to remain intellectually prepared for the always unscheduled occurrence of severe odontogenic infections by keeping one’s knowledge of the relevant anatomy and surgery fresh, and by remaining abreast of current developments in the microbiology and antibiotic therapy of odontogenic infections in patients with inflammatory processes of maxillofacial Aim _To study the main classifications of inflammatory processes of maxillofacial area, the main etiological factors of inflammatory processes of MFA, pathogenesis theories. To learn the types of clinical reactions, clinical features and role of immune,