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, KIEV - LOGOS, 2011. - 669 C.

3. BASIS OF DENTISTRY / ed. V.O.MALANCHUKA. - K. Medicine, 2009. - 591 C.

4. AA Timofeev. CHELYUSTNO-LYTSEVAYA surgery. KIEV. TNI "medicine." 2010. - 574 S.

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. - Moscow: Medicine, 1985. - 352p.

7.HRUZDEV NA Acute infections ODONTOHENNAYA. - Moscow: Medicine, 1978. - 182S.

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. - Vitebsk: BELMEDKNYHA, 1998. -C. 186-193.

10. Katz A.H.ODONTOHENNÛE VOSPALYTELNÛE DISEASE OF LYMFATYCHESKOY CHELYUSTNO-LYTSEVOY areas: METHOD recommendations. -M., 1981. - 22 C.

11.LYHOTA AN Clinical, diagnosis, Treatment And ODONTOHENNÛH LYMFADENYTOV: Author. DIS. Kandy. MED. SCIENCE. - 1988. - 23 C.

12. ROBUSTOVA TG LYMFANHYT, lymphadenitis, phlegmonous adenitis FACES AND neck / / Surgical Dentistry. - Moscow: Medicine, 1996. - S. 255-265.

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, KIEV - LOGOS, 2011. - 669 C.

3. BASIS OF DENTISTRY / ed. V.O.MALANCHUKA. - K. Medicine, 2009. - 591 C.

4. AA Timofeev. CHELYUSTNO-LYTSEVAYA surgery. KIEV. TNI "medicine." 2010. - 574 S.

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. - Moscow: Medicine, 1985. - 352p.

6.HRUZDEV NA Acute infections ODONTOHENNAYA. - Moscow: Medicine, 1978. - 182S.

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