problem base learing oral surgery

67 %
33 %
Information about problem base learing oral surgery

Published on March 7, 2014

Author: Ma7moud9



Oral Surgery


The Case  A Patient Present To Your Clinic For Initial Visit Complain From Pain Related To Upper Left Molar Teeth. When Reviewing The Patient Medical History Reported Of Renal Dialysis.

Problem  Renal dialysis.  Pain related to upper left molar teeth.

Case discussion 1) Patient on dialysis is medically compromised as he suffers from: 1. Renal failure:  Dec. RBCs count.  Problem with WBCs.  Platelet Dysfunction.  Water / electrolyte imbalance. 2. Patient on heparin for dialysis. 3. At risk of infection with HIV and Hepatitis.

2) Pain in the upper left molar teeth: Probable types of pain :  Odontogenic origin: • Hyperemia. • Pulpitis: • Cracked tooth. • Periapical pathosis: • gingivitis: • Periodontitis. • Third molar impaction.  Paraodontogenic origin:  MAXILLARY SINUSITIS.(The most probable cause of the complain) X Eye Glaucoma. X Salivary gland swelling.

 Musculoskeletal.  Neurogenic : -  Trigeminal neuralgia of maxillary branch. Neuritis. Vascular:  Migraine.  Cluster headache.  CV problem: 1. Angina. 2. Myocardial infarction.

Diagnosis • History (already taken from the patient): - Renal failure. - Pain related to upper molar teeth. • Clinical examination: - Intraoral. - Extraoral.

• Intraoral: 1. Inspection of the general oral condition of the pt. (patient with kidney problems often suffers from halitosis, ammonia odour). 2. Palpation(No swelling). 3. Percussion : pain was found on percussion. 4. Probing. • 1.  Extraoral: Palpation(Bimanual & Bidigital): Tenderness over maxillary sinus. 2. S.G Examination. 3. TMJ Examination. 4. Masticatory muscles examination:  Temporalis Examination.  Buccinators & Orbicularis oris.(Tenderness was found in cheek muscles).

• Blood Pressure Measurement : - One should never operate on uncontrolled patients. • Radiographic Aids: - Periapical. - Bitewing. - Panoramic. - Waters View radiograph for maxillary sinus Examination. • Lab investigations: - CBC. - Coagulation profile(PTT, PT and INR) - ELISA method for detection of Antibodies for AIDs & HIV.

Treatment Planning  Control Medical condition of the patient: Problem Management Anemic Pt. Blood transfusion Dec. WBCs Prophylactic Antibiotics Platelets dysfunction Referral to treating Physician High Blood pressure Antihypertensive drug Don’t Inc. Vasoconstrictor in AG more than 0.04 Heparin Stop heparin intake Before Surgery and organize with the treating physician.

• Stress reduction protocol: 1. Recognize the patient's degree of medical risk. 2. Complete medical consultation before dental therapy. 3. Schedule the patient's appointment in the morning. 4. Monitor and record preoperative and postoperative vital signs. 5. Use psychosedation during therapy. 6. Use adequate pain control during therapy. 7. Short length of appointment: do not exceed the patient's limits of tolerance. 8. Follow up with postoperative pain/anxiety control. • Actual treatment of Maxillary sinusitis:  Surgically(Curettage).  Naso-antral drainage.  Treatment with antibiotics(penicillin and derivatives).  Referral to ENT physician.

Add a comment

Related presentations

Related pages

Problem-Based Learning in Oral and Maxillofacial Surgery ...

helpful in medical education. Until now, only a few reports on PBL practice in oral and maxillofacial surgery education have been published, so it is ...
Read more

Problem-Based Learning in Oral and Maxillofacial Surgery ...

Problem-based learning (PBL) was first established at McMaster University in Toronto, Ontario, Canada, in 1969. 1 It is an innovative educational strategy ...
Read more

Problem-Based Learning in Oral and Maxillofacial Surgery ...

Search for articles by this author Affiliations. Attending Doctor, Department of Oral and Maxillofacial Surgery, the Ninth People’s Hospital, Shanghai ...
Read more

Presentation: Problem-based Oral and Maxillofacial Surgery ...

ABSTRACT. Statement of problem: Problem-based learning (PBL) is widely accepted and has been recently introduced into oral surgery as a novel educational ...
Read more

Introduction to Oral and Maxillofacial Surgery

Introduction to Oral and Maxillofacial Surgery. ... with problem-based learning when ... concepts of blended learning into other oral surgery ...
Read more

Dental Problem Based Learning · USC Schedule of Classes

Problem based learning approach to the delivery of dental health care. ... oral diagnosis, oral pathology, oral radiology, oral surgery, ...
Read more

Problem-Based Learning in Oral and Maxillofacial Surgery ...

[Show abstract] [Hide abstract] ABSTRACT: We searched the Medline database of 4 leading international journals of oral and maxillofacial surgery (OMFS) for ...
Read more

Application of problem based learning in clinical practice ...

Application of problem based learning in clinical practice teaching of oral and maxillofacial surgery
Read more

Problem-based learning - Wikipedia, the free encyclopedia

Problem-based learning ... Bachelor of Surgery and Bachelor of Dental Surgery ... ability to solve real-life problems in problem based learning ...
Read more