7. Materials of activization of students during teaching lecture.
Problems(Tasks) for self-checking:
1. Patient А., 23 years, has addressed to the doctor to the surgeon - stomatologist with complaints to absence of contact between face-to-face group of a teeth. Objectively: contact is kept on the first premolar.
Specify experts for optimization of planning of treatment?
(the answer: the multidisciplinary approach is necessary for optimization of the patient with the given pathology.)
2. On reception at the doctor of the stomatologist the patient of 21 years. Мezial cheek knob the first molar the top jaw settles down in fissure on lateral (cheek) surfaces of the first molar the bottom jaw.
Specify a class of a bite according to classification by Engle.
(the answer: the first class)
3. The increase in corner ANB is more 4 ° corresponds(meets) to what class of anomalies of a bite according to classification by Engl?
The answer: (skeletal anomaly of a bite ІІ a class)
Educational problems(tasks) of 3-rd level (atypical problems(tasks)):
1. Patient of 41 year old, has addressed to the doctor of the surgeon - stomatologist with complaints aesthetic defect, храп which has arisen over 10 years to that. At objective research reduction of the bottom jaw, a face-to-face segment of the top jaw in a position protrusion is revealed. At carrying out chefalometric the analysis corner ANB which has been calculated made 5 °.
Specify the preliminary diagnosis. What should be tactics of the doctor?
What additional methods of inspection should be applied?
(the answer: skeletal anomaly of a bite ІІ a class, the multidisciplinary approach to processes of diagnostics and planning of treatment.
2. To the maxillofacial surgeon have directed the patient with the preliminary diagnosis: open mazial a bite (ІІІ a class) the skeletal form. The decision of the combined treatment is accepted. What projections should be made for the high-grade photodocumentary analysis?
(the answer: It is necessary to make not less than five pictures: in front, on the right, at the left and two slanting projections. Besides it is necessary to make pictures in submental -top (bottom view) of a projection and a photo of a bite close up sideways and in front.
3. Patient 42 years old, has addressed to the surgeon - stomatologist in connection with that at him(it) after lead(carried out) оrtognatic operations has arisen night snore. From the anamnesis: operation on the bottom jaw on method Obwegeser has been lead(has been carried out). The diagnosis before operation мezial a bite (ІІІ a class) the skeletal form.
Specify a possible(probable) mistake in carrying out of surgical treatment.
(the Answer: for avoiding the above mentioned complaints it was necessary to carry out(spend) bimaxillary operation).
8. Materials for preparation of students for lecture.
Behind a theme which is stated in lecture.
1. Sukachyov V.A.atlas of reconstructive operations on челюстях./В.А. Sukachyov // М., Medicine, 1984, 120 with.
2. Surgical stomatology and maxillofacial хірургія: підручник; in 2 т. - Т. 1/В.О. Маланчук, O.S.Volovar, І .Ю.Гарляускайте, etc. - К.: ЛОГОС, 2011. - 672с. + 16 ст.кольор.вкл.
3. Plastic and reconstructive surgery of the person / Under ред. A.D.Pejpla // М.: the BINOMIAL. 2007. - 951с
Question and the task:
1. Historical aspects of becoming of plastic reconstructive surgery, as sciences.
2. The purposes and tasks at the present stage.
3. Main principles by which are guided at carrying out оrtognatic operations.
4. Classification of defects and deformations of jaws.
5. Groups of maxillary deformations.
6. The indication and contra-indication to оrtognatic to operations.
7. The basic bone guiding line at carrying out chefalometric the analysis.
8. The positive and negative parties(sides) оrtognatic operations.
9. Concepts multidisipline the approach in orthodontic surgery.
10. Conditions of successful performance of operation.
11. Preventive maintenance of early complications.
12. Preventive maintenance of late complications.
Materials for the test control:
1. What mutual relation of a teeth classificationby Engle underlie?
А) The central cutters of the top jaw;
Б) The central cutters of the top and bottom jaw;
В) The first premolar the top and bottom jaw;
Г) The first molar the top and bottom jaw;
Д) The second molar the top and bottom jaw.
2. Promotion of the bottom jaw forward refers to:
а) Prognatizm;
б) Lingval a cross bite;
в) Тransversal anomaly;
г) Prognatic;
д) An open bite.
4. Chefalometric reper line Cd-A means:
А) Length of the top jaw;
Б) Length of the bottom jaw;
В) Length of a branch of the bottom jaw;
Г) Francfurt a horizontal;
Д) Length of a plane of the sky.
5. Chefalometric reper line means:
А) Length of the top jaw;
Б) Length of the bottom jaw;
В) Length of a branch of the bottom jaw;
Г) Franctfurt a horizontal;
Д) Length of a plane of the sky.
1-, 2. - Г, 3-AND, 4 - AND, 5 - AND
Behind a theme of the following lecture.
1. Among dental intrabone implant allocate:
A. Endodonto-endoossal and endoossal.
B. Endoossal and across the bone.
C. Моno implant and combined.
D. Under mucous and under periosteum.
E. All listed.
2. What concerns up to absolute contra-indications to dental implantations?
A. Endocrine diseases.
B. Neurologic and endocrine diseases.
C. Autoimmune and allergic diseases.
D. All answers correct.
E. The right answer is not present.
3. To advantages flat implants does not concern:
A. Small depth of immersing implant in a bone.
B. An opportunity with the big accuracy instrumental to create bone to a box.
C. An opportunity of installation together with a natural teeth and to include them as support for orthopedic designs.
D. All answers correct.
E. The right answer is not present.
4. Rasmus implant is:
A. Implant which is fixed under periosteum.
B. Intramucous implant.
C. Bioactive implant.
D. A design with аmortize system.
E. A flat design which is fixed in three places of the bottom jaw.
5. What implants are used is more often?
A. Intrabone implants.
B. Under periosteum implants.
C. Combined implants.
D. Through bone implants.
E. All answers correct.
(Right answers: 1 - A, 2 - C, 3 - B, 4 - E, 5 - A)
9. The used literature.
Bill J, Proff P, Bayerlein T, Blens T, Gedrange T, Reuther J (September 2006). "Orthognathic surgery in cleft patients".J Craniomaxillofac Surg 34 (Suppl 2): 77–81. doi:10.1016/S1010-5182(06)60017-6.PMID17071397.
Maxillofacialcentre.com
American Association of Oral and Maxillofacial Surgeons
Mischkowski RA, Zinser MJ, Kübler AC, Krug B, Seifert U, Zöller JE (December 2006). "Application of an augmented reality tool for maxillary positioning in orthognathic surgery — a feasibility study".J Craniomaxillofac Surg 34 (8): 478–83. doi:10.1016/j.jcms.2006.07.862.PMID17157519.
Uechi J, Okayama M, Shibata T, et al. (December 2006). "A novel method for the 3-dimensional simulation of orthognathic surgery by using a multimodal image-fusion technique".Am J Orthod Dentofacial Orthop 130 (6): 786–98. doi:10.1016/j.ajodo.2006.03.025.PMID17169742.
Tsuji M, Noguchi N, Shigematsu M, et al. (September 2006). "A new navigation system based on cephalograms and dental casts for oral and maxillofacial surgery".Int J Oral Maxillofac Surg 35 (9): 828–36. doi:10.1016/j.ijom.2006.02.024.PMID16690251.
Arnett GW, Gunson MJ (September 2004). "Facial planning for orthodontists and oral surgeons".Am J Orthod Dentofacial Orthop 126 (3): 290–5. doi:10.1016/S0889540604005232.PMID15356488.
Rinsell JR (December 1999). "Maxillomandibular advancement surgery in a site-specific treatment approach for obstructive sleep apnea in 50 consecutive patients". Chest 116 (6): 1519–29. PMID10593771.