Curriculum Oral Surgery

Introduction, legal basis, local anaesthesia (PD Dr. Strietzel, RA Váczi, Dr. Zoske)

• Introduction to the curriculum, anamnesis, clinical examination
• Legal basis, education, documentation
• Local anaesthesia:
  • Pharmacology
  • Local anaesthetics
  • Vasoconstrictors
  • Techniques
  • Anatomy
  • Complications

---

Basic principles of surgical therapy (Prof. Stiller)

• Topographical anatomy of the field
• Wound types and wound healing
• Regenerative properties of the tissues involved
• Implantation and tissue replacement
• Transplants
• Instrumentation and instrumental requirements Instrument set, tray system, surgical drilling unit
• Principles of the operation: Opening (incision)
• Preparation of the tissues (soft tissue, hard tissue)
• Methods of hemostasis (surgical, electrosurgical, hemostyptic), wound closure, immobilization and dressing, sutures, suture techniques, splinting, osteosynthesis.
• Aftercare
• Hands-on course: cutting, preparation and suturing exercises on the porcine mandible

---

Emergency course (F. Eisenreich)

• Basics: consciousness, breathing, cardiovascular system
• A, B, C, D, E
• Shock forms
• Anaphylaxis
• Emergency equipment, emergency kit
• Techniques of i.v. access

• Risk management (premedication and sedation procedures).
• Monitoring
• Emergency medication
• Treatment under general anesthesia:
  • Basics of anaesthesia
  • Information about the patient
  • Induction of anesthesia, behavior during the procedure, monitoring, recovery room, postoperative care
  • Cardiopulmonary resuscitation technique (BLS and ALS)
  • Emergency medicine exercises

---

Patient and employee communication (Dr. Handrock)

• verbal and non-verbal communication
• Immediate need for treatment (acute, pain patient)
• Schedulable need for treatment
• No immediate need for treatment
• Prophylaxis and recall patient

---

Hygiene (Dr. Simonis, Prof. Martiny)

• Legal basis MPG, MPBetreibV, MPSV, notification procedure according to MPSV, RKI recommendations
• Operational-organizational requirements
• Instrument reprocessing Cleaning and disinfection, sterilisation
• Technical preventive measures Treatment rooms, water-carrying systems
• Functional preventive measures during surgery
• Health protection of the personnel

---

Structure and organization of an oral surgery practice (Dr. Dr. Strunz)

• Counselling and surgery education so that it comes across positively (and patients don’t run away screaming).
• for this practical exercises in (positive) communication
• Processes in the surgical practice, how do I organize the processes in the team, in the OR, in the steri, etc.?
• my practice concept, tips and tricks for planning an effective practice structure
• Employee management made practical and lived
• Tips and tricks for tooth removal
• Socket Preservation with practical exercises

---

Bleeding complications, oral surgery in diseases of the oral mucosa (PD Dr. Strietzel)
This course module deals with two topics that are rarely and rather selectively addressed in textbooks and advanced training courses. Bleeding and bleeding complications are discussed in terms of causes, particularities of the anamnesis and at the same time with regard to the management of these complications. In a second lecture, special features of oral mucosal diseases or diseases that (also) manifest themselves in the oral mucosa as well as the resulting consequences for oral surgical interventions in affected patients are discussed.

---

Dentoalveolar surgery I (PD Dr. Strietzel)

• Tooth extraction, surgical tooth removal, displaced / impacted teeth, orthodontic exposure, sequestrotomies…

This course module introduces tooth removal, surgical tooth removal, sequestrotomy, exposure of teeth for orthodontic adjustment and autologous tooth (germ) transplantation. The indications to be considered in each case are presented as well as the step-by-step procedure for planning and preparation, execution and follow-up treatment. In addition, possible complications, difficulties and the necessary measures to deal with them are discussed as well as prognostic considerations.

• A hands-on course on incision, preparation or osteotomy and suturing exercises on the porcine mandible completes this course day.

---

Basic Psychosomatic Competence (Prof. Kropp)

• Acute vs. chronic pain
• Classification of pain according to the International Headache Society 3rd edition
• Etiology, pathophysiology, therapy and prophylaxis of facial pain and headaches
• Case studies
• Interdisciplinarity and multimodal approaches to treatment.
• practical demonstrations

---

Surgical tooth preservation (Dr Petschler, PD Dr Pischon)

Periodontal surgery:

• Indications
• closed / open curettage
• resective, regenerative / augmentative procedures
• periodontal plastic surgery
• Flap Plastics
• Ligament or scar correction

Root apex resection:

• Indications and contraindications
• various techniques and incision patterns in the anterior and posterior regions of the maxilla and mandible
• retrograde filling
• Hemisection
• Root amputation
• intentional replantation: indications, techniques

---

Pathology of the soft tissues / oral mucosa changes and diseases (Prof. Remmerbach)

• Diagnostics and therapy
• Tissue samples for histology and direct immunofluorescence
• Exfoliative cytology and DNA cytometry – what to take when: cytology, cytochemistry, cytometry
• Histology, immunohistochemistry
• Basics of taking tissue samples and smears

• Infections in the soft tissue area
• Changes, diseases of the tongue
• Benign and malignant soft tissue tumors, premalignant lesions

---

Traumatology (Prof. Filippi)

• Clinical and imaging diagnostics and classification as well as therapy: Traumatology of the teeth
• Replantation, reduction and splinting of luxated teeth
• with children and adolescents
• For adults

---

Laser dentistry (Prof. Dr. Deppe)
Lasers are used in many areas of technology, medicine and science. In the interest of patient and occupational safety, the legislator has enacted the new Ordinance on Artificial Optical Radiation (OStrV) (last amendment 11/2017). The associated Technical Rules for the Occupational Health and Safety Ordinance on Artificial Optical Radiation (TROS Laserstrahlung) reflect the state of the art in technology, occupational medicine and industrial hygiene.
With these changes, the legislator requires that the Laser Safety Officer (LSB) must have special expertise. The term “expert” previously used in DGUV Regulation 11/12 and BGV B2 is no longer applicable. Instead, according to OStrV 2017, the LSB must have the required specialist knowledge. The successful participation in a training course required in § 5 para. 2 of the OStrV implies passing a final examination with at least 15 MC questions. The type and number of teaching units of these courses are also newly prescribed. In addition, the LSB must keep his qualification up to date through further training (at least six teaching units every 5 years). Laser safety officers with training before mid-2004 have often not passed an examination. Complete attendance at an appropriate course, or at least retake the examination, may be necessary. In the course, the most important changes for laser users are presented and corresponding recommendations for action are given. Numerous case studies of clinical indications round off the topic.

• Physical quantities and properties of laser radiation
• Biological effect of laser radiation
• Legal basis and rules of technology
• Laser safety and protection (incl. indirect hazards)
• Laser safety in practice: Exemplary implementation of a risk assessment
• Tasks and responsibilities of the LSB in the company

With this course, the dentist receives the required training as a laser protection officer in accordance with the guidelines according to OStrV and TROS. It is certified that the course participant has successfully participated in a training seminar for laser protection officers in 8 teaching units.
Training and certificate for laser safety officer included in the course

---

Pharmacology (Dr. Appel)

• Medication history
• Drug interactions
• Major drug groups: Analgesics, Antiphlogistics, Antirheumatics.
• Relevant drug procedures
• Premedication
• Swelling prophylaxis
• Antibacterial prophylaxis
• Perioperative medication
• Postoperative pain and swelling conditions

---

Major traumatology of the skull (Prof. Heiland, PD Dr. Dr. Rendenbach)

• Diagnosis of complex skull fractures
• Possibilities and techniques of outpatient care
• Fracture treatment of the maxilla and mandible
• Emergency management
• conservative (dental splint dressings)
• surgical (osteosynthesis)
• Treatment of intra- and perioral soft tissue injuries
• Removal of foreign bodies / osteosynthesis material
• Treatment organization
• Operational risks, general medical risks, identification of risks and risk management
• Hands-on course: technique of jaw and tooth splinting including suture technique and hemostasis with practical exercises.

---

Pathology of hard tissues (PD Dr. Göstemeyer, Dr. Sturm)

• Developmental disorders of the dental hard tissues
• Caries – diagnostics and therapy
• Pulpitis – diagnostics and therapy
• Periodontitis apicalis – diagnostics and therapy

---

Odontogenic infections (Dr. Wendy).

• Abscesses and infiltrates, diagnosis and therapy
• Incision for abscess opening; timing, method.
• When to refer for further inpatient treatment (lodge abscesses)
• Antibiotic use and physical treatment methods
• Treatment of chronic soft tissue and bone infections

---

Diseases of the maxillary sinuses (Prof. Jungehülsing, Dr. Dr. Teltzrow)

• Diagnostics, differential diagnoses, clinical and radiological evaluation
• Radiological imaging and endoscopy / sonography (overview)
• Plastic closure of mouth-antrum connections
• Foreign body removal
• Surgical rehabilitation of the odontogenically diseased maxillary sinus
• The maxillary sinus from the perspective of ENT and MKG
• Case presentation and quiz: Special cases from 15 years of close clinical cooperation MKG/ ENT

---

Dentoalveolar surgery II (Dr Neckel)

• Odontogenic and non-odontogenic cysts: differential diagnosis and therapy
• Epithelial and non-epithelial cysts
• Surgical techniques depending on location and extension
• Neurolysis / nerve displacements
• Wound revisions
• Ligament or scar correction
• Corrections of the prosthesis bearing
• Vestibulum/ oral floor sculptures
• Mucosal/connective tissue grafts

---

Imaging diagnostics (M. Maus)

• conventional X-ray
• 3-D procedures (CT, DVT, MRT)
• Overview: Planning software (implantological diagnostics and planning), sonography (overview)

---

Basics of implantology (Prof. Stiller)

• Basics
• Introduction, indications/risk factors/contraindications
• Implant systems, implantation modes, immediate implantation, immediate loading
• surgical exposure of implants, healing times of oral implants
• Open or closed healing

---

Basics of implant-prosthetic planning and restoration (Dr. Adali, Prof. Schwitalla)

• Diagnostics and planning
• Basics of therapy planning and diagnostics
• clinical and instrumental diagnostics
• Imaging, model analysis
• Transfer of the implant position according to the planning documents
• Analog and digital planning
• Basics of implant prosthetics

---

Tumors (Prof. Heiland, PD Dr. Dr. Koerdt)

• Tumours of the jaw, mucosa, salivary glands, odontogenic tumours
• Clinical and imaging diagnostics
• Criteria for benignity / malignancy
• Progressive diagnostics, prophylaxis
• Basics of taking tissue samples (techniques of sample excisions / biopsies)
• Cooperation with specialist colleagues (pathology, maxillofacial surgery, ENT surgery, anesthesia)
• Surgical removal of benign neoplasms from soft tissue, from bone
• Surgical removal of salivary stones

---

Periodontal and peri-implant diseases and conditions: diagnosis and therapy (PD Dr. Strietzel, Dr. Kuzmanova)

Periodontal diseases and conditions:

• Classification
• Etiology, risk factors
• Staged concept for the therapy of periodontitis stage I-IV (S3-LL, PAR-RL)
• Indications for surgical periodontal therapy
• Periodontal aftercare

Peri-implant diseases and conditions:

• Peri-implant healthy vs. diseased (classification)
• Etiology, risk factors
• Examination, diagnostics (clinical, radiological)
• Therapy planning, clinical decision making
• Therapy of mucositis
• Therapy of periimplantitis
• Non-surgical anti-infective therapy
• Biofilm removal methods (mechanical, physical, chemical)
• Surgical anti-infective therapy: resective, regenerative/reconstructive, implantoplasty.
• Explantation
• Peri-implant soft tissue management
• Peri-implant follow-up, individual risk assessment
• Preventive measures
• Complications management

Hands-on:

• Decontamination of the implant surface
• Augmentation of peri-implant bone defects

---

Systemic diseases with relevance for oral surgery (Prof. Jackowski)

• Osteopathies
• Diseases of the connective tissue, collagenoses
• Autoimmune diseases
• Diseases of the haematopoietic system
• Diseases of the internal organs (heart, liver, kidneys, respiratory organs)
• Diabetes mellitus
• Thyroid Diseases
• Dermatological diseases
• Blood clotting disorders
• Metabolic, genetic, and other non-neoplastic diseases.

---

Patients with special requirements (Prof. Jackowski)

• Severe general diseases
• Multimorbid patients
• Patients with increased risk of infection
• Geriatric patients
• Children
• People with disabilities
• Patients before and after radiotherapy
• Patients under bisphosphonate/antiresorptive therapy

---

Diseases of the salivary glands/disorders of the temporomandibular joints/dysgnathia and their treatment (Prof. Heiland, Dr. Dr. Doll)

• Basic principles of combined orthodontic and mkg-surgical treatments.
• mono/bimaxillary interventions
• Basic principles of osteosynthesis and distraction
• Hands on plate osteosynthesis

---

Complications in oral implantology (Prof. Weischer)

• Recognize and treat patients at risk
• What should be considered implantologically in the case of diabetes, blood thinners, bisphosphonates, cortisone administration, old patients, osteoporosis, etc.?
• Complications (general, surgical, prosthetic, inflammatory) and solutions
• How do I avoid complications, e.g. during augmentation?
• How do I protect nerves? How far do I have to represent a nerve?
• When to prescribe which medicines?
• Forensics / What is a medical error? How do I clarify?
• Video – Operations
• Intensive practical exercises on the pig pine

---

Implantology and augmentative surgery (Univ.-Prof. Nahles, O. Wagendorf)

• Preparation of the implant site in the normal structured bone site and in the compromised bone site
• Augmentations (vertical, lateral)
• Hard tissue replacement Materials: autogenous, allogenous, xenogenous, alloplastic; growth factors, tissue engineering, techniques: Attachment, insertion and superimposition, transplantation, distraction
• Soft tissue: free tissue transfer, pedicled tissue transfer, microvascularisation
• Basics of epithetics