Methodological
Instruction
for practical ClASSES
for students of 5-th
year COURSE 10 semester
Faculty of Dentistry
Lesson number 24
DURATION OF LESSON 6 HOURS
Professional
orientation: The clinical course of odontogenic
lymphadenitis very diverse and depends on the type of inflammation (acute,
chronic and chronic that escalated) and localization involved in inflammatory
lymph node. Therefore, knowledge of the topic are
necessary for the timely detection of the disease, correct diagnosis and
adequate treatment assignment.
Complications
lymphadenitis as phlegmonas adenitis some locations
may endanger the patient. Therefore, timely and properly diagnosed with these
diseases allows for adequate surgical and medical treatment as well as prevent
the development of serious complications of general and local character.
Knowledge of clinical
abscesses face, mouth, oral language groove, hyoid area of cellular spaces adjacent to the upper and lower
jaws is necessary for the differential diagnosis of abscess, osteomielitis, abscesses SCHLD. During the classes students
need to pay attention to complications such as sepsis, thrombophlebitis
of the facial vein, cavernous sinus thrombosis, intracranial
complications.
Theme
1:
Lymphadenitis, phlegmonas adenitis.
Objective: To be able to
identify the main features of odontogenic
lymphadenitis, phlegmonas adenitis. Justify and plan
for diagnosis and treatment of patients with this disease.
Objective: To examine
patient with serous lymphadenitis MFA, diagnose, to plan adequate treatment.
Fill outpatient (inpatient) card dental patient.
Questions to topic 1:
1. Etiology and
pathogenesis of odontogenic lymphadenitis and neodontohennoho
maxillofacial area.
2. Acute odontogenic lymphadenitis: pathogenesis, clinical
characteristics.
3. Chronic odontogenic lymphadenitis: pathogenesis, clinical
characteristics.
4. Etiology and
pathogenesis of phlegmonous adenitis maxillofacial
area.
5.Klinichna
characteristics phlegmonous adenitis maxillofacial area.
6. Methods and
principles of treatment of acute and chronic lymphadenitis
maxillofacial area.
7. Methods and
principles of treatment of phlegmonous adenitis
maxillofacial area.
Sources of
information:
A-Main: 1.
www.tdmu.edu.te.ua / ukr / general / index.php
»Intranet» domopohu on students' materials to prepare
students for practical training "Department of Surgical Dentistry" 5
year "10 semester lymphadenitis, phlegmonous
adenitis. Abscesses of the face, mouth, oral language groove, hyoid area. Physical therapy in the treatment of inflammatory SCHLD.
2. VA Malanchuk. Surgical Dentistry and
Maxillofacial Surgery. Volume 1,
3. BASIS OF DENTISTRY /
ed. V.O.MALANCHUKA. - K. Medicine, 2009. -
4. AA Timofeev. CHELYUSTNO-LYTSEVAYA surgery.
5. Bernadska
Yu.Y. BASICS maxillofacial surgery
and surgical dentistry. FLASH K., 2003. - 512
S.
6. Lectures department.
B - Additional:
1. GP Ruzyne, MP Brown. BASIS OF TECHNOLOGY in surgical dentistry
and maxillofacial surgery. Winery. NEW
BOOK. In 2008. - 375S.
2. SI
Cherkashyn. Fundamentals of
Dentistry and Maxillofacial Surgery. Ternopil. "Ukrmedknyha." 2003. - 307 S.
3. Bazhanov
NN Kozlov VA, MAKSYMOVSKYY
JM, TG ROBUSTOVA VOSPALYTELNÛE DISEASE CHELYUSTNO-LYTSEVOY region / /
Dentistry: SPEC. Parmaceutical. - 1996. - P.38.
4. BERNADSKYY YI, ZASLAVSKYY NI, BERNADSKAYA GP HNOYNAYA
CHELYUSTNO-LYTSEVAYA surgery. - K.: health, 1983. -
246S.
5. Volozhin
AI Role Selection reactivity in TACTICS Treatment OSTRÛH inflammatory processes
CHELYUSTNO-LYTSEVOY region / / Dentistry: SPETS.VÛPUSK. - 1996. - P.49.
6. VOSPALYTELNÛE
CHELYUSTNO-DISEASE AREA AND LYTSEVOY neck / ed. PROF.
AG SHARHORODSKOHO. -
7.HRUZDEV NA Acute
infections ODONTOHENNAYA. -
8. Fomichev EV And ATYPYCHNOE
HRONYCHESKOE TECHENYE HNOYNÛH inflammatory diseases
CHELYUSTNO-LYTSEVOY region, the diagnosis methods / / Dentistry: SPETS.VSHUSK.
- 1996. - S. 85.
9. BERNADSKYY
UI VOSPALYTELNÛE LYMFATYCHESKYH vessels DISEASE AND nodes CHELYUSTNO-LYTSEVOY
region (lymphadenitis, LYMFANHOYTÛ, ADENOFLEHMONÛ) / / FUNDAMENTALS
CHELYUSTNO-LYTSEVOY surgery HYRURHYCHSSKOY And
Dentistry. -
10. Katz A.H.ODONTOHENNÛE VOSPALYTELNÛE DISEASE OF LYMFATYCHESKOY
CHELYUSTNO-LYTSEVOY areas: METHOD recommendations. -M., 1981. -
11.LYHOTA
AN Clinical, diagnosis, Treatment And ODONTOHENNÛH LYMFADENYTOV: Author. DIS.
Kandy. MED. SCIENCE. - 1988. -
12. ROBUSTOVA TG
LYMFANHYT, lymphadenitis, phlegmonous adenitis FACES
AND neck / / Surgical Dentistry. -
13. Soloviev
MM NESPETSYFYCHESKYE lymphadenitis And ADENOFLEHMONÛ
/ / VOSPALYTELNÛE DISEASE CHELYUSTNO-LYTSEVOY area. - M.: Medicine, 1985.-S.
245-268.
Practical work (9.00 am
- 12.00 pm)
Work 1: Supervision
patient with serous lymphadenitis MFA.
Venue: Hall Clinical
Department of Surgical Dentistry
Object: a patient with
serous lymphadenitis MFA, for lack - phantom head and neck, table.
Means a group:
1. Dental Chair 1,
2. doctor
table 1,
3. Chair doctor 1
4. 12 dental mirror,
dental forceps 12, the probe 12 spatula 12.
5. Figure 12, Table 2.
Tools for students:
1. ambulatory
(fixed) card dental patient 12,
2. observation
set: 1 dental mirror, dental tweezers, 1 tube, 1 spatula 1. Figure
1.
Objectives for the
student: examine patient serous lymphadenitis MFA, complete outpatient
(inpatient) card dental patient, a plan of examination and treatment.
Method of
implementation: student independently collect medical history, examines a
patient with a teacher theme, without drawing, makes the diagnosis a treatment
plan is in training medical record patient.
Tasks for self-study
practical work: to conduct a differential diagnosis of lymphadenitis MFA
carbuncles, cysts.
The time it takes to
process a student: 60 min.
Theme 2: Abscesses face,
mouth, oral language groove, hyoid area.
Objective: To be able to
identify the main features of abscesses face, mouth, oral language groove,
hyoid area. Justify and diagnose a plan of treatment of patients with the
disease.
Objective: To examine
patient with abscess MFA, diagnose, make a plan of examination and treatment of
the patient. Fill outpatient (inpatient) card dental patient.
Questions to theme 2:
1. The etiology of
facial abscesses, mouth, oral language groove, hyoid area.
2. Pathogenesis
abscesses face, mouth, oral language groove, hyoid area.
3. Clinical
characteristics of abscesses face.
4. Clinical
characteristic abscesses palate.
5. Clinical
characteristic abscesses oral language groove.
6. Clinical
characteristics of abscesses hyoid area.
7. Metody
and principles of treatment of abscesses face, mouth, oral language groove,
hyoid area.
Sources of
information:
A-Main: 1.
www.tdmu.edu.te.ua / ukr / general / index.php
»Intranet» domopohu on students' materials to prepare
students for practical training "Department of Surgical Dentistry" 5
year "10 semester lymphadenitis, phlegmonous
adenitis. Abscesses of the face, mouth, oral language groove, hyoid area. Physical therapy in the treatment of inflammatory MFA.
2. VA Malanchuk. Surgical Dentistry and
Maxillofacial Surgery. Volume 1,
3. BASIS OF DENTISTRY /
ed. V.O.MALANCHUKA. - K. Medicine, 2009. -
4. AA Timofeev. CHELYUSTNO-LYTSEVAYA surgery.
5. Bernadska
Yu.Y. BASICS maxillofacial surgery
and surgical dentistry. FLASH K., 2003. - 512
S.
6. Lectures department.
B - Additional:
1. GP Ruzyne, MP Brown. BASIS OF TECHNOLOGY in surgical dentistry
and maxillofacial surgery. Winery. NEW
BOOK. In 2008. - 375S.
2. Bazhanov
NN Kozlov VA, MAKSYMOVSKYY
JM, TG ROBUSTOVA VOSPALYTELNÛE DISEASE CHELYUSTNO-LYTSEVOY region / / Dentistry:
SPEC. Pharmaceutical. - 1996. - P.38.
3. BERNADSKYY YI, ZASLAVSKYY NI, BERNADSKAYA GP HNOYNAYA
CHELYUSTNO-LYTSEVAYA surgery. - K.: health, 1983. -
246S.
4. Volozhin
AI Role Selection reactivity in TACTICS Treatment OSTRÛH inflammatory processes
CHELYUSTNO-LYTSEVOY region / / Dentistry: SPETS.VÛPUSK. - 1996. - P.49.
5. VOSPALYTELNÛE
CHELYUSTNO-DISEASE AREA AND LYTSEVOY neck / ed. PROF.
AG SHARHORODSKOHO. -
6.HRUZDEV NA Acute
infections ODONTOHENNAYA. -
7. Fomichev EV And ATYPYCHNOE
HRONYCHESKOE TECHENYE HNOYNÛH inflammatory diseases
CHELYUSTNO-LYTSEVOY region, the diagnosis methods / / Dentistry: SPETS.VSHUSK.
- 1996. - S. 85.
Practical work (9.00 am
- 12.00 pm)
Work 1: Supervision of
patients with abscess MFA.
Venue: Hall Clinical
Department of Surgical Dentistry
Object: a patient with
an abscess MFA, for lack - phantom head and neck pattern.
Means a group:
1. Dental Chair 1,
2. doctor
table 1,
3. Chair doctor 1
4. 12 dental mirror,
dental forceps 12, the probe 12 spatula 12.
5. phantom
head and neck 1, Figure 12.
Tools for students:
1.ambulatorna (fixed) card
dental patient 12,
2. observation
set: 1 dental mirror, dental tweezers, 1 tube, 1 spatula 1. Figure
1.
Objectives for the
student: examine patients with abscess MFA, complete outpatient (inpatient)
card dental patient, a plan of examination and treatment.
Method of
implementation: student independently collect medical history, examines a
patient with a teacher theme, without drawing, makes the diagnosis a treatment
plan is in training medical record patient.
Tasks for self-study
practical work: to conduct a differential diagnosis of abscess of carbuncles,
boils, cellulitis MFA.
The time it takes to
process a student: 60 min.
Job 2: Show on patient
or phantom typical opening line cuts abscesses face, mouth, oral language
groove, hyoid area.
Venue: Hall Clinical
Department of Surgical Dentistry
Object: a patient
without - phantom head and neck.
Means a group:
1. Dental Chair 1,
2. doctor
table 1,
3. Chair doctor 1
4. dental
mirror 12 thumb forceps 12, 12 hudzykovyy probe,
spatula 12, 12 scalpel handle, disposable blades 12, hemostatic
clip of the "mosquito" 12 rubber drainage 12.
5. phantom
head and neck, 2 markers 12.
Tools for students:
1. dental mirror 1,
anatomical forceps 1 hudzykovyy probe 1, 1 spatula, 1
scalpel handle, disposable blade 1, hemostatic clip
of the "mosquito", 1 handle, 1 rubber drainage 1.
Assignments for
students: Demonstrate on the phantom typical opening line cuts abscesses face,
mouth, oral language groove, hyoid area.
Method of execution:
examining patient verbally justify and describe typical line cuts opening
abscesses face, mouth, oral language groove, hyoid area. With the absence of a
patient with phantom marker to the typical line cuts simulate stages of opening
and playing mosquitoes to cell purulent inflammation of the face, mouth, oral language groove, hyoid area using the appropriate and
necessary surgical instruments.
Tasks for self-study
practical work: watch tools for drainage of wounds on the phantom to simulate
the drainage of the wound abscesses when exposed face, mouth, oral language
groove, hyoid area. .
The time it takes to
process a student: 60 min.
Seminar discussion of
theoretical issues and practical work:
(12.30-14.00)
Hours of independent
work of students solving situational problems for each topic under occupation
solving test "Step" (14.15-15.00).
The student should know:
1. Etiology and
pathogenesis of odontogenic lymphadenitis and neodontohennoho
maxillofacial area.
2. Pathogenesis of acute
odontogenic lymphadenitis:,
the clinical response.
3. Pathogenesis of
chronic odontogenic lymphadenitis:,
the clinical response.
4. Etiology and
pathogenesis of phlegmonous adenitis maxillofacial
area.
5. Classification of
inflammatory diseases MFA.
6. Clinical
characteristics phlegmonous adenitis maxillofacial
area.
7. Methods and
principles of treatment of acute and chronic lymphadenitis
8. maxillofacial
area.
9. Methods and
principles of treatment of phlegmonous adenitis
maxillofacial area.
10. Etiology abscesses
face, mouth, oral language groove, hyoid area.
11. Pathogenesis
abscesses face, mouth, oral language groove, hyoid area.
12. Clinical
characteristics of abscesses face.
13. Clinical
characteristics of abscesses palate.
14. Clinical
characteristics of oral language abscesses groove.
15. Clinical
characteristics of abscesses hyoid area.
16. Methods and
principles of treatment of abscesses of the face, mouth, oral language groove,
hyoid area.
17. Principles of drug
therapy of acute purulent inflammation.
18. Prevention of
general and local complications of acute purulent inflammation.
The student should be
able to:
1. Identify the etiology
of odontogenic lymphadenitis nonodontogenig
and maxillofacial area.
2. Identify the clinical
features of acute and chronic lymphadenitis maxillofacial area.
3. Identify clinical
signs phlegmonous adenitis maxillofacial area.
4. To chart examination
of patients with acute and chronic lymphadenitis phlegmonous
adenitis and maxillofacial area.
5. To chart the complex
(surgical and medical) treatment of patients with acute and chronic
lymphadenitis phlegmonous adenitis and maxillofacial
area.
6. Able to surgical
treatment of lymphadenitis maxillofacial area on the phantom.
7. Select and interpret
the main etiological factors of abscesses of the face, mouth, oral language
groove, hyoid area.
8. Recognize the major
clinical symptoms of facial abscesses, mouth, oral language groove, hyoid area.
9. Make a plan and
justify the examination of patients with abscesses face. mouth,
oral language groove, hyoid area and use the classification of inflammatory
diseases SCHLD for diagnosis.
10. Make a plan and
justify surgical treatment of abscesses of the face, mouth, oral language
groove, hyoid area navigate the surgical approach used for opening abscesses of
the location, make and justify the general plan of treatment based on the
severity of the patient.
11. Able to surgical
treatment of abscesses of the face, mouth, oral language groove, hyoid area on
the phantom.
Methodological made
ass. Melnyk T.G.
Discussed and
approved at a meeting of
29.08.2012r.
Protocol number 1
Reviewed and
approved at a meeting of
15.05.2013,
the protocol number 12