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Course, academic year 2023/2024
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Stomatology - B80082 (General Medicine - English parallel)
Title: Stomatology
Guaranteed by: Department of Dental Medicine First Faculty of Medicine Charles University and General University Hospital in Prague (11-00770)
Faculty: First Faculty of Medicine
Actual: from 2023
Semester: winter
Points: 2
E-Credits: 2
Examination process: winter s.:
Hours per week, examination: winter s.:0/25, C+Ex [HS]
Extent per academic year: 25 [hours]
Capacity: unlimited
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
State of the course: taught
Language: English
Teaching methods: full-time
Teaching methods: full-time
Explanation: MUDr. et MUDr. Karel Klíma, Ph.D.
Additional information: http://stomatologie.lf1.cuni.cz/
Old code: 82
Guarantor: prof. MUDr. René Foltán, Ph.D.
Comes under: Compulsory for GM 4.y._23/24
Attributes: Lékařství
Klinický předmět
Pre-requisite : B83161, B83162
Literature
Last update: MUDr. et MUDr. Karel Klíma, Ph.D. (03.11.2023)

Obligatory:

  • Kilian, Jan. Stomatology for students of general medicine. : , 2012, 128 s. ISBN 978-80-246-2164-7.
  • Pogrel, M. Anthony, Kahnberg, Karl-Erik, Andersson, Lars . Essentials of Oral and Maxillofacial Surgery. : Wiley-Blackwell, 2014, 400 s. ISBN 978-1-405-17623-1.

Teaching methods
Last update: MUDr. et MUDr. Karel Klíma, Ph.D. (03.11.2023)

Stomatology and Maxillofacial Surgery Education from 6th November 2023, academic year 2023-2024

Dear colleagues, I welcome you to the Stomatology classes. We did a several changes compared to the previous years: a) reduction of the number of questions from 90, respectively 48 to 42 this year, b) each group will be able to choose between a suturing workshop and an interactive case study seminar, c) a basics of a work in a dental lab with a guided tour to the dentistry Teaching Halls. d) Friday (or different day of a week depending of state holidays and organisation etc.)clinical case study seminar with the possibility of receiving extra points to well-prepared students. These points will count to the test result. For some colleagues it can improve their grade, for some it can help them pass... Why do we teach you this way? We would like you to go to our operating rooms or to the dental office. But the capacity of dentistry Teaching Halls can not accept 450 students of general medicine of both parallels/academic year. You have approximately 15 exams in 4th year. We saw students to study for the previous subject in our seminars. Therefore, if you are hardworking, you can finish Stomatology in the same week and not to overlap Stomatology with another subject.  Lectures are pre-recorded in MS Teams. You will have practical lessons, ideally with an exam on Friday(see exceptions). The exam is based on a test. The test  will be clinically focused, case-based, please note that it will be more demanding. E.g. male, 45 years old, 2 nights paroxysmal pain in the upper jaw on the right side, cannot identify the cause, starts for no reason, goes away for no reason. We are concerned with the simulation of a real decision-making scheme of a doctor based on symptoms. We wish you the best of luck in your first clinical year.

The subject of dentistry for the 4th year of general medicine is taught in the form of a week blocks according to the schedule in individual groups, from Monday to Friday.

Stomatology and Maxillofacial Surgery Education from 6th November 2023, academic year 2023-2024

How this subject will be taught?

Education of this subject is focused on: A) pre-recoded lectures in MS TEams and B) practical education. 

A)  Some topics will be pre-recorded in MS Teams. Starting from 6.11.2023 students should have an access to the MS Teams. If you don ´t have access, please contact IT of the Faculty. In MS Teams there is also a box: files. There you can find pre-recorded lectures/seminars. 

B)  Practical education: All practical workshops and all seminars are an obligatory activity, attendance will be checked. If you miss a seminar you can substitute it with another group. Warning: last group has no substitution possibility.

BA) Last year, student groups were satisfied with the suturing workshop only in the first part of the academic year. In the second part of the year, when our subject followed the simulation week, the students were dissappointed: "why should we suture again? " Therefore, let´s each group chooses. Please inform us by advance about the wishes of the group to the email: karel.klima@vfn.cz. The choice is: a suturing workshop or an interactive case study seminar (if possible with a patient). This activity will take place in a different day and time for each group. If you decide to attend the suturing workshop, it is absolutely necessary to bring a pig's tongue, each student his/her own. If a student doesn’t ´t have an own animal tongue, she/he will be excluded from education (absence). Beef tongue can also be used but try the pork one. Location: 3rd floor, seminar room, entrance A11, U Nemocnice 2. Protective cloth. You don't need to go to the dressing room in advance.

BB) On Thursdays 7:59-11:55 a practical oral hygiene course and dental lab course will take place. Bring the Logbook! Before this seminar, you MUST watch the lecture in MS Teams by Dr. Malíková - dental hygiene, focal infection..." If you don't look at it, you will be lost at the seminar. Location: Kateřinská 32, right wing of the building, door number 3.020. Logbook with you. Contact person, Madame Česneková, dr. Musil. Please be no later than 5 minutes before in front of the door of the pre-clinical dentistry department on the 3rdfloor, door number 3.020, where the teacher will pick you up. You must change into coats or white clothes with a change of shoes. No backpacks, cables or luggage, please. You can use the changing rooms - those are located in the basement of the Dean's office, entrance by the ISIC. ATTENTION: if the group decides to attend the suturing workshop(i fit follows), take the pork tongues with you, Madame Česneková will put them in the fridge for you, otherwise the smell at the suturing workshop will be horrible.  Please take your used dental hygiene tools - toothbrush, interdental brush if you use it and dental floss. These should be your tools that you use, not the ones you buy the day before. We know how a new toothbrush looks like.

BC) Clinical cases seminar. Usually it takes places (the exception is in the group having the seminar in the week of the state holiday - 17.11.2023, see below). In this seminar you have possibility of receiving extra points to well-prepared students. These points will count to the test result. For some colleagues it can improve their grade, for some it can help them pass. Location: see below

BD) Exam test:

Credit: 100% attendance in workshops and seminars. If you miss education, you must substitute it by the same quality (suturing workshop by suturing workshop or clinical cases with a patient-BA). You are responsible to ask for attendance in a group which you don ´t belong to. Special note: be careful in last group – the substitution is not possible, so you could do it in advance, max 1-2 students, not more! If you want to change don ´t write us an email but change one-to-one student.  Otherwise, you will not have opportunity to suture etc.

Exam: Those who have credit can come to single-answer exam test. It is clinically based. It takes place according to a study group.  The exam test is based on 30 questions covering the exam questions published in SIS. In this academic year (2023-2024) we have reduced the list of questions of 40% compared with academic year 2020-2021! To fail the exam test, means to fail 1st exam attempt. Those who wants to come for the exam test has to register in SIS as to an exam.  

Exam test: one question has only one correct answer. You will have 50-120 sec. for each question. Every slide with one single question has timing, and then it automatically goes to the next question.  Please mark the correct answer by „X“ in the given form.

Points:

28-30                    points = excellent

25-27                    points = very good

22-24                    points = good

21 and less            points = fail

If you fail, it means to fail one attempt. Second and third attempt will be examined in oral form after registering to free exam slots in SIS. The list of the questions is in SIS. In the third attempt a student will be examined by a jury with some of professors. The test will focus on applied clinical knowledge. It will not be purely memorised knowledge. You will have an X-ray image, personal history and you have to analyse the diagnosis and procedure. We ask about the basics of dentistry and we ask you as general medicine students. Example: at high school it was enough to learn an earthworm, spider, alligator, bird and elephant question. We will ask you: what is the developmental tendency of nervous systems from earthworm to mammal. You have to fuse your knowledge from the earthworm, spider, alligator, bird and mammal box and find an evolutionary trend. So it can be more difficult for a student who depends just on memorised knowledge. You have a big part of the week off. You have time to prepare so that your studies of dentistry subject do not overlap with other subjects. 

Substitution of education/exchange of students in groups: A student can exchange himself/herself by a student between subgroups and groups but just by one-by-one.  The number of places in seminar room and workshops is limited, for a larger number of students in a group it is not possible to make the practical education/workshops. If you exchange, don't write emails, just make sure you have received an attendance. If you are not convinced you are ready for the exam test - don ´t undergo it. You can participate with any next group max. students for a test 35.

First group starting from 6th November 2023:

BA) Suturing workshop OR Clinical cases seminar – students have to decide – see above.  Wednesday 8th November 2023 8:30-12:30, U Nemocnice 2, entrance A11, 3rd floor.

BB) Dental lab + oral hygiene course. Thursday 9.11.2023, 7:55-12:00

BC) Clinical cases seminar 10.11.2023, 8:30-12:15, Location: Kateřinská 32, deans building, right wing, STOMP1, door no.: 3033. Big Dentistry Lecture Hall

BD) Exam test : (for those who are registered in SIS) 10.11.2023,  12:30-13:30 Kateřinská 32, lecture hall KBLDP2, door no. 1089  

Group from 13th November 2023:

BA) Suturing workshop OR Clinical cases seminar – students have to decide – see above.  Monday 13th November 2023   8:30-12:30, U Nemocnice 2, entrance A11, 3rd floor.

BB)  Dental lab + oral hygiene course. Thursday 16.11.2023, 7:59-12:00

BC) Clinical cases seminar 16.11.2023, 12:30-15:15, Location: Kateřinská 32, deans building, KBLDP2, door No. 1089. Special note: this is voluntary education. The attendance will not be checked. The reason is an overlaping with pharmacology lecture.

BD) Exam test : (for those who are registered in SIS) 20.11.2023,  from 13:30 Kateřinská 32, lecture hall CHE1P1, door no. 3073  

Group from 20th November 2022:

BA) Suturing workshop OR Clinical cases seminar – students have to decide – see above.  Tuesday 21th November 2023   8:30-12:30, U Nemocnice 2, entrance A11, 3rd floor.

BB) Dental lab + oral hygiene course. Thursday 23.11.2023, 7:59-12:00

BC) Clinical cases seminar 24.11.2023, 8:30-12:15, Location: Kateřinská 32, deans building, KBLDP2, door No. 1089.

BD) Exam test : (for those who are registered in SIS) 24.11.2023,  from 12:30 Kateřinská 32, lecture hall KBLDP2, door no. 1089  

Group from 27th November 2023:

BA) Suturing workshop OR Clinical cases seminar – students have to decide – see above.  Monday 27th November 2023   8:30-12:30, U Nemocnice 2, entrance A11, 3rd floor.

BC) Clinical cases seminar 29.11.2023, 8:30-12:35, Location: , U Nemocnice 2, entrance A11, 3rd floor.

BB) Dental lab + oral hygiene course. Thursday 30.11.2023, 7:55-12:00

BD) Exam test : (for those who are registered in SIS) 4.12.2023,  from 14:00, location: Kateřinská 32, CHE1P1, door no. 3.073

 

Credit: 100% attendance in workshops and seminars(incl. the united dr. Brizman´s one). If you miss education, you must substitute it by the same quality (suturing workshop by suturing workshop). You are responsible to ask for attendance in a group which you don ´t belong to. Special note: be careful in last group – the substitution is not possible, so you could do it in advance, max 1-2 students, not more! If you want to change don ´t write us an email but change one-to-one student.  Otherwise, you will not have opportunity to suture etc.

Exam: Those who have credit can come to multiple choice exam test. It is clinically based. It takes place according to a study group.  The exam test is based on 30 questions covering the exam questions published in SIS. In this academic year (2022-2023) we have reduced the list of questions of 30% compared with academic year 2020-2021! To fail the exam test, means to fail 1st exam attempt. Those who wants to come for the exam test has to register in SIS as to an exam.  

Exam test: one question has only one correct answer. You will have 50-75 sec. for each question. Every slide with one single question has timing of 50-75 sec. and then it automatically goes to the next question.  Please mark the correct answer by „X“ in the given form.

Points:

28-30                    points = excellent

25-27                    points = very good

22-24                    points = good

21 and less            points = fail

If you fail, it means to fail one attempt. Second and third attempt will be examined in oral form after registering to free exam slots in SIS. The list of the questions is in SIS. In the third attempt a student will be examined by a jury with some of professors. The test will focus on applied clinical knowledge. It will not be purely memorised knowledge. You will have an X-ray image, personal history and you have to analyse the diagnosis and procedure. We ask about the basics of dentistry and we ask you as general medicine students. Example: at high school it was enough to learn the earthworm, spider, alligator, bird and elephant question. We will ask you: what is the developmental tendency of nervous systems from earthworm to mammal. You have to fuse your knowledge from the earthworm, spider, alligator, bird and mammal box and find an evolutionary trend. So it can be more difficult for a student who depends just on memorised knowledge. You have almost the whole week off. You have enough time to prepare so that your studies of dentistry subject do not overlap with other subjects. By the way, this is the principle that we tried to do so that your preparation for the exam does not overlap.

Substitution of education/exchange of students in groups: A student can exchange himself/herself by a student between subgroups and groups but just by one-by-one.  The number of places in seminar room and workshops is limited, for a larger number of students in a group it is not possible to make the practical education/workshops. If you exchange, don't write emails, just make sure you have received an attendance. If you are not convinced you are ready for the exam test - don ´t undergo it. You can participate with any next group.

 In Prague 1st November 2023

Dr. et dr. Karel Klíma, Ph.D.

Requirements to the exam
Last update: MUDr. et MUDr. Karel Klíma, Ph.D. (05.11.2023)

Stomatology questions, general medicine 2023-2024 (to help you, you find in brackets what sub-speciality of dentistry or maxillofacial surgery is it)

1.   Local anaesthesia in dentistry, extraction of teeth – local anaesthetics, techniques, complications, extraction: indication, armamentarium, techniques, complications

2.   Nonspecific odontogenic head and neck infections – causes, diagnostic, characteristics, treatment

3.   Cysts of soft and hard tissues of orofacial region – classifications, characteristics, diagnostic, therapy

4.   Specific inflammation: TBC, syphilis, actinomycosis and lepra -­aetiology, diagnostic, symptoms, therapy 

5.   Osteoradio-, osteochemonecrosis, MRONJ, osteomyelitis– classification, description, aetiology, diagnostic and therapy, and prevention from GP perspectivity

6.   Inflammations and benign and malignant tumours of salivary glands, classification, aetiology, diagnostic and therapy

7.   Facial injuries, injuries of teeth,  – classification, first aid, soft tissues injuries treatment, how to stop bleeding in facial injuries

8. Complex oncological treatment of orofacial malignancies  and complication of this kind of treatment – basics of surgical therapy, chemotherapy, radiotherapy, treatment of pain, nutrition of oncological patient with orofacial malignancies. Fives levels of analgetic scale, complications of surgical-, radio-, and chemotherapy.

10. TMJ disorders – anatomy of TMJ, classifications, aetiology, diagnostic and therapy.

11. Odontogenic diseases of paranasal sinuses – aetiology to dental diseases, diagnostics, therapy.

12. Principles of facial fractures treatment – conservative and surgical treatment, complications

13. Fractures of mandible – classification, symptoms, diagnostics, therapy.

14. Principles of dental implantology, osseointegration, fibrointegration, materials, use of dental implants

15. Midface fractures – classifications, sign, symptoms, diagnostic and therapy.

16. Dif.diagnostics of dental pain, and of orofacial pain

17. Jaw anomalies and deformities, Angle classification, orthognathic surgery, OSAS

18. Precancerous condition of orofacial region, oncological prevention

19. Epithelial tumours of head and neck – classification, sign/symptoms, diagnostic and therapy

20. Mesenchymal tumour od head and neck – classification, signs, and symptoms, diagnostic and therapy

21. Cervicofacial lymphonodopathy – differential diagnosis

22. Radiological methods in dentistry and maxillofacial surgery – techniques, projections (CT, NMR, US, plain radiography in dentistry- extraoral and intraoral projections)

23. Focal (metastatic) infection of odontogenic origin

24. Manifestation of systemic diseases in oral cavity (oral medecine and periodontology)

25. Imunosialoadenitis (MESA, Sjögren syndroma), sialosis, sialolithiasis (oral medecine and periodontology)

26. Gingivitis – classification, sign/symptoms, therapy (oral medecine and periodontology)

27. Periodontitis – sign/symptoms, treatment, and prevention (oral medecine and periodontology) (oral medecine and periodontology)

28. Gingivostomatitis ulcerosa and herpetica – signs/symptoms, aetiology, therapy (oral medecine and periodontology, maxillofacial surgery)

29. Oral candidiasis, leucoplakia (oral medecine and periodontology)

30. Glossitis, stomatodynia, atypical facial pain. Somatic and neuropathic pain (oral medecine and periodontology)

31. Differential diagnosis of oral cavity ulcerations (oral medecine and periodontology) (oral medecine and periodontology)

32. Oral hygiene – its importance, armamentarium, techniques, oral mouthwashes (oral medecine and periodontology, dr Malíková´s lecture in MS Teams)

33. Symptoms of haematological diseases in oral cavity (oral medecine and periodontology)

34. HIV, AIDS clinical manifestations in the oral cavity (oral medecine and periodontology)

35. Temporary and permanent teeth - morphology, differences, numbering systems of teeth (basic of orthodontics)

36. Teeth eruption disorders  (basic of orthodontics)

37. Anomalies in position, and numbers of teeth, basics of orthodontic treatment, principles of tooth moving in a jawbone (basic of orthodontics)

38. Dental caries, dentals caries of deciduous teeth – causes, classification, prevention, basics of therapy (Paediatric dentistry)

39. Dental pulp diseases: pulpitis, apical periodontitis – classification, symptoms, diagnostic, therapy (Restorative dentistry and endodontics)    

40. Removable dentures– their characteristics, indications (prostodontics)

41. Fixed dentures – crown, bridges, their characteristics, indications (prostodontics)

42. Adverse effects of dental materials (prostodontics)

 
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