Oral and Maxillofacial Surgery I

DENT 6-202 Course Syllabus, Fall Semester 2008 2-690 Moos Tower
Course Director Administrative Information
Pamela J. Hughes, D.D.S. 1 credit Assistant Professor Advanced Training Program Director Fall Semester 2008 Division of Oral and Maxillofacial Surgery Monday, 7:45 8:35 a.m. 7-174 Moos Tower 2-690 Moos Tower Office Phone: 612-624-7133 E-mail: hugh0130@umn.edu Office Hours: By appointment; contact by phone or email to schedule.

Course Purpose
This course is an introductory level didactic presentation of the fundamental concepts of oral and maxillofacial surgery. Emphasis is placed on the fundamental skills of oral surgery which apply to the practice of general dentistry.

Course Objectives
Upon completion of the course, the student will understand the basic principles of: 1. Knowledge of the scope of the specialty of oral and maxillofacial surgery; 2. Evaluation and management of the surgical patient; 3. Principles of surgery and wound healing; 4. Armamentarium for office dentoalveolar surgery; 5. Principles and techniques of exodontia; 6. Postoperative patient care; 7. Biopsy techniques; 8. Basic preprosthetic surgery; 9. Maxillofacial infections; 10. Surgical management of impacted teeth; 11. Informed consent for oral and maxillofacial surgery procedures; 12. The management of complications occurring secondary to dentoalveolar surgery; 13. Evaluation of benign and malignant lesions commonly presenting in the oral cavity 14. The management of soft tissue and dentoalveolar injuries.

School of Dentistry Competencies Addressed in this Course

1.1: 1.2: 1.3: 1.4: 1.6: 1.7: Selecting, obtaining, and interpreting patient data, information and radiographs to be able to use these findings to accurately assess and treat patients. (minor part of course) Formulating a comprehensive diagnosis and treatment and or referral plan for the management of patients. (minor part of course) The prevention, assessment, and management of medical and dental emergencies.
(minor part of course)

The prevention, identification, and management of odontogenic and non-odontogenic oral diseases and disorders in pediatric, adolescent, adult, and geriatric patients. (minor
part of course)

Managing the medically, physically and/or mentally compromised dental patient. (minor
part of course)

Preventing and managing pain and anxiety in the dental patient. (minor part of course)

Oral Surgery I, Fall Semester 2008, Course Syllabus

1.8: 1.9: 1.10: 1.11: 1.12: 1.13: 3.1: 4.1: 4.2: 4.4: 6.2:

The prevention, identification and management of periodontal disorders. (foundation

knowledge)

The prevention, identification and management of pulpal and periradicular diseases.

(foundation knowledge)

The performance of minor oral surgical procedures. (major part of course) Applying universal infection control guidelines for all clinical procedures. (minor part of
course)

Managing the replacement of teeth for the partially or completely edentulous patient.
(foundation knowledge)

Recognizing and managing limited developmental or acquired occlusal abnormalities.

(foundation knowledge)

Apply appropriate ethical and legal standards in providing patient centered care within the individuals scope of competence. (minor part of course) Apply and demonstrate practice management skills, including quality assurance principles. (minor part of course) Maintaining and utilizing dental records. (minor part of course) Understanding and demonstrating principles of risk management, including compliance with state and federal regulations. (minor part of course) Providing appropriate prevention, intervention, and educational strategies for all patients at risk for disease. (foundation knowledge)

Course Textbooks (Required)

Contemporary Oral and Maxillofacial Surgery, Peterson, Ellis, Hupp, Tucker, C.V. Mosby, 4th Edition, 2003. * * * * * * * * * Reading assignments are according to lecture schedule. * * * * * * * * * See lecture schedule for reading assignments. Reading assignments must be completed prior to lecture.

Grading and Evaluation Policies

There will be a mid-term, final examination and case studies. The mid-term and final examinations will consist of multiple choice questions. The final exam will be a cumulative exam covering material presented throughout the entire course. The examinations will include questions from both lecture material and textbook reading assignments. The final grade is calculated based on the following: Midterm exam 40 points Final exam (cumulative final) 60 points Total points 100 points The grading scale is as follows: 90-100 = A 80-89 = B 70-79 = C < 70 = D

Oral Surgery I, Fall Semester 2008, Course Syllabus

Student Expectations
Since attendance at these lectures is viewed to be important, the course director or instructors may record attendance, institute assigned seating, administer quizzes, ask questions in class, or give written assignments. These tools may be used to motivate students or measure progress in the assimilation of the required material. Students evaluation of the course and the participating faculty are considered to be a mandatory requirement for the successful completion of this course and are used to help improve the course each year. Students will be required to complete evaluations on line (using CourEval) before a grade will be given in this course.

Grade Disputes
Grade disputes will follow University and SOD policies listed in the student handbook. All grade disputes must first be addressed to the course director.

Remediation Policy
Remediation will be determined on an individual basis and could include a retest of some portion of the course or could include the retaking of the course at the suggestions of the course director. All student failures are reviewed by the Scholastic Standing Committee and the ultimate decision for remediation for students in academic difficulty lies with that committee.

Make-Up Exam Policies

A make-up exam will be offered to a student with a documented legitimate excuse for missing the exam. The following events excuse an absence from the exam: physician documented illness, family emergency, an act of nature causing the closure of the University or local roads, an event considered significant enough to be excusable by the course director. Students absent from the exam without an excused absence will be offered to make-up an alternate exam, which may be a different format than the regularly scheduled exam, and the final grade will be reduced by one letter grade (i.e. B to C).

Attendance
Students are expected to promptly attend all lectures. Students will be responsible for all material distributed at or discussed during lectures. Much of the information presented in the course is related to clinical background and may not be found in the textbook. Lecturing faculty reserve the right not to distribute lecture materials to the class website. Therefore, missing a lecture may mean missing important information that may be included on the exams. If you are unable to attend class due to a medical or family emergency, you should contact the Academic Affairs attendance office at 612-624-3300 or dentars@umn.edu.

Student Integrity
Scholastic misconduct is broadly defined as any act that violates the right of another student in academic work or that involves misrepresentation of your own work. Scholastic dishonesty includes, (but is not necessarily limited to) cheating on assignments or examinations, plagiarizing, which means misrepresenting as your own work any part of work done by another; submitting the same paper, or substantially similar papers, to meet the requirements of more than one course without the approval or consent of all instructors concerned; depriving another student of necessary course materials; or interfering with another students work.

Oral Surgery I, Fall Semester 2008, Course Syllabus

Academic dishonesty in any portion of the academic work for a course shall be grounds for awarding a grade of F or N for the entire course. Passing grades in all courses is required for graduation.

Communication
All individual and full class communication will be through your University of Minnesota e-mail account. Announcements intended for the whole class will be sent by e-mail. It is a requirement of the course to check your e-mail daily. While in class, please turn off all pagers and cellular phones.

Disabilities
It is University policy to provide, on a flexible and individualized basis reasonable accommodations to students who have documented disability conditions (e.g., physical, learning, psychiatric, vision, hearing, or systemic) that may affect their ability to participate in course activities or to meet course requirements. Students with disabilities are encouraged to contact Disability Services and their instructors to discuss their individual needs for accommodations. Disability Services is located in Suite 180 McNamara Center, 200 Oak Street. Staff can be reached by calling 612-626-1333 voice or TTY.

Faculty Course Lecturers

Dr. Pamela Hughes 612-624-7133 Dr. David Basi 612-624-7133 Dr. Deepak Kademani 612-624-7133 Dr. Stephen MacLeod 612-624-7133 Dr. Reda Taleb 612-624-7133 Dr. David Junck 612-624-7133 Dr. Andrew Pearson 612-624-7133 Dr. James Swift 612-624-9959

Course Times and Rooms

The course includes fourteen 50-minute lectures presented once weekly on Monday mornings from 7:45 a.m. to 8:35 a.m. during the Fall Semester 2008. Two additional lectures will be held on Friday mornings. The Friday class on September 26th will take place in 2-650 Moos Tower from 7:45 a.m. to 8:35 a.m. The Friday class on November 14th will take place in 2-690 Moos Tower from 8:40 a.m. to 9:30 a.m. All Monday classes will meet in 2-690 Moos Tower.

Midterm Examination
Date: Monday, October 20, 2008 Time: 7:45am 8:35am Location: 2-690

Final Examination
Date: Thursday, December 11, 2008 Time: 8am 10am Location: TBA

Oral Surgery I, Fall Semester 2008, Course Syllabus

Lectures for Oral and Maxillofacial Surgery I (DENT 6-202)

September 8, 2008 Introduction to the Scope of Oral and Maxillofacial Surgery Reading: Peterson: pp. xiii - xiv Lecturer: Dr. Hughes The student will: review syllabus; be introduced to the history of specialty of OMFS; understand the scope of OMFS. September 15, 2008 Basic Medical Assessment and Management of the OMS Patient Reading: Peterson: Chapters 1 & 2, Appendix II Lecturer: Dr. Basi The student will: understand how to obtain a medical history; be able to assess the physical status of a patient (ASA Classification); be able to manage a medically compromised patient that is to undergo a general dental procedure or simple dentoalveolar surgical procedure; be able to identify potential complications associated with specific diseases as they apply to oral and maxillofacial surgery procedures September 22, 2008 Basic Principles of Wound Healing Reading: Peterson: Chapters 3,4, and 5 Lecturer: Dr. Basi The student will: understand the concepts of wound healing including detailed review of the stages I, II, III, and IV; properties of bone healing; and the importance with regard to the medically compromised patient September 26, 2008 FRIDAY CLASS (meets in 2-650 Moos Tower) Principles of Exodontia Reading: Peterson: Chapters 7 & 8 Lecturer: Dr. Hughes The student will: understand the surgical principles of exodontia; understand the surgical removal of erupted teeth; understand simple and surgical root removal. September 29, 2008 Surgical Management of Impacted Teeth Reading: Peterson: Chapter 9 Lecturer: Dr. Hughes The student will: understand the concepts that define the indications and contraindications for removal of impacted teeth; be able to determine the surgical difficulty and classify the impacted tooth ;

understand the surgical concepts of removing impacted third molars, exposing impacted canines and other impacted teeth;

Oral Surgery I, Fall Semester 2008, Course Syllabus

October 6, 2008 Odontogenic Infections Reading: Peterson: Chapters 16 & 17, Appendix IV & VI Lecturer: Dr. Macleod The student will: understand the microbiology of odontogenic infections understand the concepts of antibiotic therapy; understand acute infection management; understand appropriate/inappropriate antibiotic use; Identify serious infections that require referral Identify serious infections that may lead to life threatening situations October 13, 2008 Postoperative Patient Care/Management of Complications of Dentoalveolar Surgery Reading: Peterson: Chapters 10 & 11, Appendix III Lecturer: Dr. Taleb The student will: be able to explain how the patient should care for themselves at home postoperatively understand the normal or expected postoperative course for a patient undergoing dentoalveolar surgery understand the incidence and management of complications associated with dentoalveolar/ third molar surgery October 20, 2008 MIDTERM EXAMINATION October 27, 2008 Soft Tissue and Dentoalveolar Injuries Reading: Peterson: Chapter 23 Lecturer: Dr. Pearson The student will: be able to classify injuries to the teeth and hard tissue supporting structure; be able to describe the basic treatment of soft tissue injuries of the face and oral cavity be able to describe the reduction and stabilization of luxated, subluxated and fractured teeth. November 3, 2008 Biopsy Technique Reading: Peterson: Chapter 21 Lecturer: Dr. Kademani The student will: understand the indications for biopsy; understand the different types of biopsy technique (FNA, cytology, aspiration, incisional, excisional); understand surgical principles of soft tissue and osseous biopsies; understand the role and responsibilities of the dentist, surgeon, and pathologist.

Oral Surgery I, Fall Semester 2008, Course Syllabus

November 10, 2008 Basic Surgical Management of Oral and Maxillofacial Pathology Reading: Peterson: Chapter 22 Lecturer: Dr. Kademani The student will: be able to understand the distinguishing features of benign versus malignant processes be able to define and understand the application of the following techniques and terms including but not limited to aspiration, nucleation, marsupialization and resection. November 14, 2008 FRIDAY CLASS (meets from 8:40 to 9:30 a.m. in 2-690 Moos Tower) Basic Implant Evaluation and Surgery Reading: TBD Lecturer: Dr. Junck The student will: learn how to evaluate a patient for implant reconstruction learn basic implant surgical techniques November 17, 2008 Basic Preprosthetic Surgery Reading: Peterson: Chapter 13 Lecturer: Dr. Hughes The student will: understand the surgical principles of preprosthetic surgery (tori reduction; tuberosity reduction; alveoloplasty; management of soft tissue abnormalities [i.e. epulis, unfavorable, frenal attachments, and loss of vestibular depth]). understand basic techniques that prepare the patient for implant reconstruction December 1, 2008 Medicolegal Considerations: Informed Consent / Risks and Complications Reading: Peterson: Chapter 12, Appendix V Lecturer: Dr. Swift The student will: understand the concepts of standard of care, informed consent, risk reduction and patient abandonment; understand the format for properly documented consultations and oral and maxillofacial surgery procedures performed. December 8, 2008 Case Reviews Reading: Review Lectures of OSI Course Lecturer (Moderator): Dr. Hughes The lecturer will: present relevant clinical cases The student will: participate in the discussions. have a chance to think about the steps of handling the case. December 11, 2008 FINAL EXAM