METHODICAL INSTRUCTION FOR STUDENTS OF THE 4 YEAR
Dental Faculty
LESSON № 1 (PRACTICAL – 6 HOURS)
Professional orientation of students: Edentulism is the condition of being toothless to at least some degree; it is the result of tooth loss. Loss of some teeth results in partial edentulism, while loss of all teeth results in complete edentulism. The etiology, or cause of edentulism, can be multifaceted. While the extraction of non-restorable or non-strategic teeth by a dentist does contribute to edentulism, the predominant cause of tooth loss in developed countries is periodontal disease.
Theme: Dental examination of patients with complete tooth absence. Clinics of complete tooth absence. Classification of jaw atrophy. Assessment of the mucous membrane of the denture bed. Special oral cavity preparation for prosthetic treatment
Aim: to learn clinical–morphological peculiarities of the strucuture and functions of the oral cavity of a toothless patient; to plan the examination of a toothless patient; to interpret the results of clinical and special (additional) methods of examination of toothless patients.
Practicals: Dental examination of patients with complete tooth absence.
Assessment of the state of the oral cavity.
Questions:
1. Reason of the edentulism.
2. Objective examnination.
3. Subjective examination.
4. Review of oral patients with aedentia.
5. Palpation of the prosthetic field.
6. Additional methods of examination of patients with complete absence of teeth.
7. The main symptoms of clinical complete absence of teeth.
8. Clinic and the emergence of “senile progeny”
9. Classification of toothless upper jaw by Schroeder.
10. Classification of toothless lower jaws with Keller.
11. The classification for the upper and lower jaws toothless by Oxman.
12. Classification of oral mucosa by Suple.
13. Separation of inactive or immobile mucosa into zones by Lyundom.
14. Characteristics of the prosthetic field toothless upper jaw.
15. The definition of “fingerprint” and impression materials.
16. Classification of prints by EI Gavrilov.
17. Characterization prints.
18. Anatomical imprint. Purpose for it.
19. Impression spoon to remove anatomical prints.
20. Differences spoons to remove anatomical prints toothless upper and lower jaws.
21. Proper selection of a spoon to get a quality print.
22. Requirements anatomical prints.
23. Methods of obtaining anatomical (preliminary) print.
24. Materials used to produce anatomical prints toothless upper and lower jaws.
References:
А – Basic:
1. 1.http://intranet.tdmu.edu.ua/data/kafedra/internal/index.php?&path=stomat_ortop/classes_stud/Ортопедична стоматологія/стоматологічний/4 курс/english/
2. Bates J.F., Huggett R., Stafford G.D. Removable Denture Construction. Boston,1991. P.167
В – Additional:
1. Heymann. H. O. Resin-retained bridges: The porcelain-fused-to-metal “winged” pontic. Gen. Dent. 32:203. 1984.
2. Johnson. D. L.. and Slratton, R. J. Fundamentals of RemovableProsthodontics.Chicago: Quintessence Publ. Co., 1980, 219.
3. Wiebelt, F. J., and Shillingburg. H. T. Abutment preparation modifications forremovable partial denture rest seats. Quint. Dent
Practical Part (900-1200 ):
Work 1: Conduct an objective examination of the patient with orthopedic dental pathology.
Place of employment: Hall Clinical Department of Prosthetic Dentistry.
Object: a patient with orthopedic pathology in the absence of student volunteer or phantom.
Equipment for group:
Dental unit 1 pc.
doctor’s table 1pc.
doctor’s armchair 1 pc.
Tools for the student:
1. Review toolset 12 pc’s.
2. Bibs for patient.
The time for a student: 15 minutes
Method of execution: the survey out: 1) complaints, 2) data on working conditions, past illnesses, bad habits, and 3) the time and cause of tooth loss, and 4) or previously used removable dentures. Special attention is paid during the conversation to whether previously treated patient who makes a complaint, etc. Communicating with the patient, you can sometimes make a rough idea of the nature of his reactions (anxiety, irritability, ability to tolerate the slightest inconvenience from the prosthesis and the like). These observations provide additional valuable data.
Work 2. Ambulatory card.
Object: Patient or phantom .
Student’s Work: To fill-up the ambulatory card.
Duration of the excersise: 10 minutes.
Method of execution:
The essence of diagnosis is the integrity or shape of teeth, denture or other bodies of teeth-jaw system and their functions. More information about the complications introduced status. Formulating a diagnosis, to show cause of the disease, etiology and pathogenesis, provide insight into the pathological basis and localization, indicate the extent and nature of functional disorders, and clarify the current form of the disease. Thus, the diagnosis should consist of two parts:
1) the underlying disease and its complications;
2) related diseases – dental and general.
Diagnosis should include as well:
topography of the defect;
percentage loss of chewing efficiency;
aesthetic discomfort;
dysfunction of speech.
Individual Students Program.
1. The causes of complete tooth absence.
2. The peculiarities of dental examination of patients with complete tooth absence.
3. Palpation of the organs of the denture bed.
4. Additional methods of examination of toothless patients.
5. The main signs and symptoms of complete tooth absence. Clinics and mechanism of development of «prognathism»
6. The classification of tооthless jaws.
7. The classification of the states of the oral cavity.
8. Exostosis, the causes of their appearance on the denture bed bones; dentist’s manipulations and interventions.
9. Surgical dental preparation of patients with complete tooth absence for dental prosthetics.
Seminar discussion of theoretical issues.
Test evaluation and situational tasks.
Initial level of knowledge and skills are checked by solving situational tasks for each topic, answers in test evaluations and constructive questions.
Student should know:
1. The causes of complete tooth absence.
2. The peculiarities of dental examination of patients with complete tooth absence.
3. Palpation of the organs of the denture bed.
4. Additional methods of examination of toothless patients.
5. The main signs and symptoms of complete tooth absence. Clinics and mechanism of development of «prognathism»
6. The classification of toothless jaws.
7. The classification of the states of the oral cavity.
8. Exostosis, the causes of their appearance on the denture bed bones; dentist’s manipulations and interventions.
9. Surgical dental preparation of patients with complete tooth absence for dental prosthetics.
Student should be able to:
1. Interview and examine a patient with complete tooth absence.
2. Palpate the organs of the denture bed in patients with adentia.
3. Determine the zones of the mucous membrane by Lyund.
4. Plan the examination and orthopedic treatment of a toothless patient.
The methodical instruction has been worked out by: as. Dzetsyukh T.I.
The syllabus was discussed at the Department sitting
__________201 . Minute № ___
The syllabus was adopted at the Cycle Methodical Commission sitting
__________201 . Minute № ___
