SR NO
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TOPIC
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LEARNING OBJECTIVES
(AT THE END OF THE SESSION THE STUDENT SHOULD BE ABLE TO)
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TEACHING GUIDELINES
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METHODOLOGY
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TIME
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1 |
Introduction to Oral & Maxillofacial Surgery |
- Describe normal and abnormal anatomy and physiology of intra- and extra-oral structures and tissues.
- Describe assessment in an emergency setting
- Ascertain a thorough history with consideration of possible local or systemic triggers including iatrogenic causes.
- Complete a thorough examination of the patient and their hard and soft tissues and make appropriate diagnoses.
- Identify and record risk factors for conditions relevant to mode of presentation.
- Use and interpret correctly all appropriate investigations (e.g. radiographic, vitality tests, haematological and microbiological tests etc) to diagnose.
- Communicate effectively to derive a diagnosis.
- Develop a hierarchy of action to safeguard the patient in an emergency situation
- Make an assessment of the likelihood of a significant underlying diagnosis and differentiate patients with urgent and nonurgent care needs.
- Recognise own limits and choose appropriately when to ask for help
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- Definition, Introduction, Objectives and Scope of Oral & maxillofacial Surgery
- History taking
- Examination of the patients
- Investigations
- Diagnosis.
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- Workplace (clinical) experience with appropriate trainers
- Appropriate range of clinical cases for observational and personal treatment.
- Didactic teaching sessions within department.
- Independent study.
- Involvement in training dental students or in specialist practice
- Use of structured questionnaires
- Exercises in which different conditions and reports are discussed and students asked to derive a diagnosis
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3 Hours |
2
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Local Anaesthesia |
- Provide profound and sufficient local analgesia during all treatment procedures taking account of the patient’s medical status and treatment needs.
- Practice administration of local analgesia in complete safety and be able to manage any associated complications.
- Describe: – Relevant biology, anatomy, physiology, pathology, microbiology and technical requirements in provision of such care.
- Show a high degree of skill in the choice and execution of appropriate anaesthetic
- Carry out appropriate procedures for safe and effective administration of local anaesthesia
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- Neurology of Facial Pain
- Historical aspects, definition, types of L.A., Indications and Contra Indication, advantage & disadvantage,advantages & disadvantages
- Local anaesthetic drugs, Classificaion.
- Ideal requirements of L.A. solutions, composition and mode of action
- Factors to be considered in the choice of particular mode of anaesthesia
- Complications of L.A., its prevention and management.
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- Self directed learning
- supervised outpatient clinics;
- Demonstration on patients and colleagues
- Ask the students to discuss the techniques applicable in particular conditions
- Quiz based learning
- Didactic sessions in department
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6 Hours
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3
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Anaesthesia of Mandible
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- Provide profound and sufficient local analgesia during all treatment procedures taking account of the patient’s medical status and treatment needs.
- Practice administration of local analgesia in complete safety and be able to manage any associated complications.
- Describe: – Relevant biology, anatomy, physiology, pathology, microbiology and technical requirements in provision of such care.
- Show a high degree of skill in the choice and execution of appropriate anaesthetic
- Carry out appropriate procedures for safe and effective administration of local anaesthesia
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- Anatomical consideration – Pterygomandibuar space – contetns, boundaries etc
- Infiltration
- Mental nerve block
- Inferior alveolar nerve block –Intraoral &Extraoral Techniques
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- Self directed learning
- Demonstration on skull and mandible models
- Demonstration on patients and colleagues
- supervised outpatient clinics
- Ask the students to discuss the techniques applicable in particular conditions eg. Trismus
- Didactic sessions in department
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4 Hours |
4 |
Anesthesia of Maxilla |
- Provide profound and sufficient local analgesia during all treatment procedures taking account of the patient’s medical status and treatment needs.
- Practice administration of local analgesia in complete safety and be able to manage any associated complications.
- Describe: – Relevant biology, anatomy, physiology, pathology, microbiology and technical requirements in provision of such care.
- Show a high degree of skill in the choice and execution of appropriate anaesthetic
- Carry out appropriate procedures for safe and effective administration of local anaesthesia
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- Anatomical considerations
- Infiltration
- Infra orbital block,
- Posterior superior Alveolar
- Maxillary nerve block.
- Extra oral blocks – Indications & Technique.
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- Self directed learning
- Demonstration on skull and mandible models
- Demonstration on patients and colleagues
- supervised outpatient clinics
- Ask the students to discuss the techniques applicable in particular conditions
- Didactic sessions in department
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5 Hours |
5 |
General Anaesthesia |
- Ability to identify when general anaesthesia is appropriate.
- Ability to identify when sedation is helpful and the form of sedation eg oral, IV etc.
- Be able to inform patient of other options and risks associated with this form of anaesthesia.
- Know when to refer to or confer with other specialists.
- Describe, at a basic level, the principles of general anaesthesia and sedation in children and adults.
- Describe the risks and advantages of various methods of airway management from both the dental and anaesthetic point of view.
- Explain the dentist’s role in the management of complications/emergencies which may occur during delivery of GA.
- Deliver oral surgical care for children and adults under general anaesthesia.
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- History of G.A.
- Indications of G.A., in oral-surgery
- Pre-anaesthetic evaluation of the patient
- Pre-medication
- Types of G.A.including I.V. Sedation
- States of G.A.
- common general anaesthetic agents
- Complications during and after anaesthesia.
- Post anaesthetic care of the patients.
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- Didactic teaching sessions
- Integration with anaesthesia department
- Involvement of students in pre anaesthetic evaluation of patients
- Demonstration of design and safe operation of equipment used to deliver inhalation and IV sedation
- Demonstration on mannequins for endotracheal intubation and tracheostomy
- Observation of all major surgeries and immediate post operative critical care of the patient
- Ward rounds
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4 Hours |
6 |
Asepsis, Sterilisation, Cross Infection & Disinfection |
- Identify the meaning of aseptic technique.
- Identify the measures treatment personnel can use to carry out aseptic technique.
- Distinguish between medical and surgical aseptic technique.
- Distinguish between sterilization and disinfection.
- Identify the various types of chemical disinfectants, antiseptics, and cleaning agents and their uses.
- Identify the steps used in medical asepsis.
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- Definitions
- Terminologies
- Generalconsiderations
- Effective measures in infection control
- Problems encountered in asepsis and infection control
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- Assignments at the end of the lesson
- Demonstration of equipment – autoclave etc
- Discussion of the different chemical agents used for chemical disinfection
- Quiz on sterilization methods of various intruments
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4 Hours
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7 |
Dento-Alveolar Surgery |
- Assess those teeth that require extraction and those that can be restored.
- Safely extract a tooth and deal with complications that may arise.
- Describe the – Signs and symptoms – Differential diagnosis – Investigations and radiographicinterpretation associated with teeth that require extracting.
- Describe common indications for tooth repair and tooth extraction.
- Describe methods of medical management including treatment of inflammation/infection.
- Formulate a treatment plan
- Carry out technique under local anaesthesia, sedation or general anaesthesia.
- Carry out steps of procedure safely and correctly.
- Surgically remove a fractured tooth – use techniques of bone removal and tooth division
- Use intra-oral suturing techniques.
- Explain potential complications to the patient.
- Institute aftercare and know when to review.
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- Exodontia
- GeneralConsideration
- Indications &Contraindications
- Methods of Extraction:
- Principles of forceps extraction
- Indications, Principles and surgical procedure of Trans alveolar extraction
- Principles and use of elevators.
- Complications of exodontias and management.
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- Workplace (clinical) experience with appropriate trainers
- Appropriate range of clinical cases for observational and personal treatment
- Attendance at didactic teaching sessions within department.
- Attendance at suitable courses.
- Brainstorming sessions for devising treatment plan in various conditions.
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4 Hours
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