Elaborarea metodic N 1 ( anul IV semestrul VII) TEMA: Leziuni traumatice OMF !

lasi"icare du# ti#uri (etiolo$ie)% "rec&en' Formele (i #rinci#iile de baz ale or$ani zrii asisten'ei medicale accidenta'iilor Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc ti#urile de leziuni traumatice OMF% clasi"icarea lor% #rinci#iile de or$anizare a asisten'ei medicale accidenta'iilor% e-amineaz bolna&i cu traume% noteaz ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istre lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 .ate $enerale a anatomiei 'esuturilor moi (i ma-ilarelor 2 )rinci#iile de clasi"icare a traumatizmelor OMF: a) du# 'esuturile lezate% b) du# ac'iune a$entului traumatic (a$resiuni% ,n s#ort% accidente de trans#ortetc )% c) du# starea de acti&itate (,n a$ricultur% ,n industrie% ,n &ia'a social% ,n rzboi etc ) d) casi"icarea du# N M Ale-andro&% 1678 0 Frec&en'a traumatismelor OMF 4 E-amenul accidenta'iilor cu traumatisme OMF 3 Formele (i #rinci#iile de baz ale or$anizrii asisten'ei medicale accidenta'iilor 8 .e#rinderi #ractice : stabilirea dia$nosticului de traumatism "acial% acordarea #rimului a9utor medical de sinestttor (i cole$ului :I:LIO;<AFIE 1 2 0 Maetrialele cursurilor ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 223>283 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 021>001

Elaborarea metodic N 2 ( anul IV semestrul VII) TEMA: )l$ile #r'ilor moi ale "e'ei (i ca&it'i bucale As#ecte anatomo>clinice Tratament Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc ti#urile de leziuni traumatice ale #r'ilor moi% #articularit'ile clinice% #rinci#iile de tratament% e-amineaz bolna&i cu leziuni ale #r'ilor moi OMF% noteaz datele ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istre lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 #rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 )articularit'ile anatomice ale #r'ilor moi OMF Etiolo$ie% clasi"icare As#ecte anatomo>clinice (contuzii% e-coria'ii% #l$i tiate%#l$i #enetrante% #l$i trans"i-ante% #l$i cotuze% #l$i #rin mu(cturi de animale% #l$i #rin arme de "oc) 4 *emne (i sim#toame comune 3 !om#lica'ii (com#lica'ii imediate $ra&e% #rimiti&e% secundare% tardi&e) 8 Tratamentul de ur$en' (tratamentul com#lica'iilor imediate $ra&e% trat leziunilor concomitente $ra&e% tratamentul imediat al #l$ii) W Tratamentul de"initi& al leziunilor de #r'i moi "aciale 7 )ansamentul% drena9ul% i$iena ca&it'ii bucale% alimenta'ia 6 Tratamentul re#arator tardi& 11 .e#rinderi #ractice : acordarea a9utorului medical bolna&ului cu 5emora$ie "acial / #ansament% tam#onad% medicamente :I:LIO;<AFIE 1 2 0 4 Maetrialele cursurilor ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 240>233 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 072>073 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 46W>323

Elaborarea metodic N 0 ( anul IV semestrul VII) TEMA: Leziuni traumatice ale din'ilor (i #aradn'iului Etio#ato$enie% clasi"icare% tabloul clinic% tratament Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc ti#urile de leziuni traumatice ale ale din'ilor (i #aradn'iului% as#ecte anatomo>clinice% #rinci#iile de tratament% e-amineaz bolna&i cu leziuni dento> #arodontale% noteaz datele ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istre lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 #rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 Mor"olo$ia "unc'ional a din'ilor (i a #aradon'iului .ate $enerale #ri&ind traumatismele dento>#arodontale Etio#ato$enie (i anatomie #atolo$ic ale traumatismelor dento>#arodontale !lasi"icarea traumatismelor dento>#arodontale: lu-a'ii% "racturi Leziuni dentare: ("isuri% "racturi coronarenee#netrante (i #enetrante ,n camera #ul#ar% "racturi radiculare% "racturi corona>radiculare) : - studiu clinic: anamneza% e-amen obiecti&% e-amen radiolo$ic% - e&olu'ie% - tratament leziuni #arodontale (contuzii% lu-a'ii dentare #ar'iale% lu-a'ii totale) a) as#ecte clinice ,n ra#ort cu &arietatea leziunii% b) e&olu'ie% c) tratament te5nica re#lantrii unui dinte lu-at total Te5nica de imobilizare .e#rinderi #ractice : reducerea lu-a'iei manuale (i imobilizarea :I:LIO;<AFIE 1 2 0 4 Maetrialele cursurilor ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 233>283 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 022>027 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 866>W11

W 7 6

Elaborarea metodic N 4 ( anul IV semestrul VII) TEMA: Fracturile mandibulei: "rec&en'a% etio#ato$enie% mecanizmul de #roducere clasi"icare% cim#tomatolo$ie% "orme anatomo>clinice% e&olu'ie Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc cauzele "racturilor mandibulei% mecanizmul de #roducere% clasi"icarea clinic% e&olu'ia E-amineaz bolna&i cu "racturi de mandibul% noteaz datele ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istre lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 #rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 8 W 7 .ate $enerale #ri&ind anatomia mandibulei: #articularit'i constructi&e% zone rezisten' sczut .ate statistice (,n ra#ort cu alte oase "aciale% $en% localizare% du# a$entul traumatic) !lasi"icarea "racturilor de mandibul (du# mecanizme de #roducere% du# $radul de interesare a $rosimii oaselor% du# numrul liniilor de "ractur% du# $radul de interesare a #eriostului% du# rela'ia "ocarului de "ractur cu mediul e-tern% du# $radul de de#lasare a "ra$mentelor oaselor) Etiolo$ie (cauzele traumatice% cauzele #atolo$ice% cauzele c5irur$icale) Mecanizmul de #roducere a "racturilor (i a de#lasrii "ra$mentelor ("racturii directe (i indirecte% "racturi #rin "le-ie% tasare% smul$ere% "or"ecare% "orsiune)% im#ortan'a "or'ei lo&iturii (i direc'ia ei (i a constric'iei $ru#elor musculare !linica "racturilor de mandibul (sim#tomatolo$ie $eneral #rezent la toate "racturile (i local s#eci"ic E&olu'ie (&indecarea% "actorii care in"luen'eaz e&olu'ia (i &indecarea) .e#rinderi #ractice : a#licarea imobiliza'iei cu li$aturi Le:lanX% I&Y% Ernst :I:LIO;<AFIE 1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 283>2W7 0 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 001>042 4 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 323>380

Elaborarea metodic N 3 ( anul IV semestrul VII) TEMA: Tratamentul "racturilor de mandibul Imobilizarea de ur$en' Metode de tratament orto#edic (i c5irur$ical Indica'ii de tratament ,n "unc'ie de "orma anatomo>clinic Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc metodele de imobilizare de ur$en'% metodele de tratamenrtorto#edic (i c5irru$ical% con"ec'ioneaz #e mula9e di"erite atele mono>(i bima-ilare% e"ectuiaz imobilizri de ur$en' e-amineaz bolna&i cu "racturi de mandibul% noteaz datele ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istre lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor (i (inizarea #e modele / 213 min 4 +nc5eere / 3 min 1 2 0 4 *co#urile #rinci#ale ale tratamentului "racturilor mandibulei Eta#ele de tratament (tratament de ur$en' sau #ro&izoriu% tratament #rimar sau de"initi&% tratamen secundar sau de ,ntre'inere% tratamenttardi& sau al com#lica'iilor tardi&e) <educerea (re#ozi'ionarea) "ra$mentelor (s,n$er,nd% nes,n$er,nd) manual !u dis#oziti&e% c5irur$ical% combinat Imobilizarea: a) de ur$en' ("rond mentonier% #ansament com#resi&mentoce"alic% dis#oziti&ele)omeran'e&> Zrbansc5i% le$turile interdentare mono (i interma-ilare% atele monoma-ilare% dis#oziti&e #recon"ec'ionate)% b) imobilizarea de"initi& (dis#oziti&e monoma-ilare% bima-ilare cu trac'iune interma-ilar% dis#oziti&e cranio>mandibulare% c) metoda con"ec'ionrii atelelor #e mula9e% d) tratament c5irur$ical / osteosinteza (cu "ir metalic% cu #lcu'e mealice (i (uruburi% cu ti9e intramedulare% e) "i-atori e-terni% secla9ul #erimandibular% sus#endarea la distan' <ecomandri tera#eutice ,n "unc'ie de "ormele anatomo>clinice ale "racturilor mandibulare Tratamentul $eneral .e#rinderi #ractice : de ur$en' ("rond mentonier% #ansament com#resi&mentoce"alic% dis#oziti&ele)omeran'e&>Zrbansc5i% le$turile interdentare mono (i interma-ilare% atele monoma-ilare% dis#oziti&e #recon"ec'ionate)% :I:LIO;<AFIE 1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 271>26W 0 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 031>087 4 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 3W2>831

3 8 W

Elaborarea metodic N 8 ( anul IV semestrul VII) TEMA: Lu-a'iile tem#oro>mandibulare Tratament Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc etiolo$ia% clasi"icarea% tabloul clinic% metode de tratament ale lu-a'iilor tem#oromandibulare% e"ectuaz tratament #e mula9e% e-amineaz bolna&i cu lu-a'ii acute sau recide&ante% com#lecteaz "i(ele stomatolo$ice% #artici# la #rimirea #acien'ilor (i ,nre$istrarea lor )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 8 Elemente de anatomie "unc'ional a articula'iei tem#oro>mandibulare Leziuni traumatice ale articula'iei tem#oro>mandibulare (contuzii% lu-a'ii) !ontuziile articula'iei tem#oro>mandibulare: etiolo$ie% sim#tome% dia$nostic% tratament Lu-a'ii acute tem#oro>mandibulare: lu-a'ii anterioare (etio#ato$enie% sim#tome% dia$nostic% tratament)% lu-a'ii #osterioare(sim#tome% dia$nostic% e&olu'ie% tratament)% lu-a'ii laterale (sim#tome% tratament) Lu-a'ii recidi&ante (etiolo$ie% sim#tome% tratament conser&ati& (i c5irur$ical) .e#rinderi #ractice : reducerea lu-a'iei du# [i#ocrate (i V )o#escu :I:LIO;<AFIE 1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 473>462 0 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 412>418 4 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 116W>1212

Elaborarea metodic N W ( anul IV semestrul VII) TEMA: Fracturi ale ma-ilarului ("racturile de masi& "acial) Etio#ato$enie% mecanism de #roducer% "orme anatomoclinice% tratament Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc cauzele "racturilor de masi& "acial% mecanizmul de #roducere% clasi"icarea% clinica% e&olu'iea% tratamentul conser&ati& (i c5irur$ical E-amineaz bolna&i cu "racturi ale ma-ilarului noteaz datele ,n "i(a stomatolo$ic% #artici# la #rimirea #acien'ilor (i ,nre$istrarea lor )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 Elemente de anatomie "unc'ional a masi&ului "acial Etio#ato$enie% clasi"icare% statistic .ate $enerale #ri&ind "racturile ma-ilarului ("racturi orizontale% &erticale% oblice% #iramidale% cominuti&e) Mecanizm de #roducere Forme anatomo>clinice: "racturi ale crestei al&eolare% tuberozit'i% bol'ii #alatine% "racturi orizontale in"erioare (;uerin$% Le Fort I)% - orizontale mi9locii (Le Fort II)% - orizontale su#erioare (Le Fort III)% - "racturi interma-ilare sau mediosa$itale% multi#le (i cominuti&e .ia$nostic% e&olu'ie Tratament: a) de ur$en' ("i-area #ro&izorie cu banda9e mentoce"alice% "ronda mentinier% le$tiri de srm ,n #unte% dis#oziti& =,n zbal?)% b) tratament de"initi& #rin metode orto#edice (cu #lci #alatine cu must'i% $utiere metalice cu must'i% c5irur$icale: osteosintez cu "ir metalic% micro#lcu'e% andrice c5ir(ner% (uruburi% #rocedeul Feders#ie .e#rinderi #ractice : imobilizarea interdentar (i cu a9utorul atelelor :I:LIO;<AFIE 1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 267>016 0 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 042>0W0 4 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 830>864

8 W

Elaborarea metodic N 7 ( anul IV semestrul VII) TEMA: Fracturile oaselor com#le-ului zi$omatico>ma-ilar (i a #iramidei nazale Etio#ato$enie% "orme anatomo>clinice% dia$nostic% e&olu'ie% tratament Traumatismele #iramidei nazale: etio#ato$enie% "orme anatomo>clinice% dia$nostic% tratament Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc etio#ato$enia% "ormele>clinice de "racturi ale com#le-ului zi$omatico>ma-ilar (i #iramidei nazale% #rinci#ii de dia$nostic (i tratament% e-amineaz bolna&i cu "racturi de malar (i #iramida nazal% com#lecteaz "i(ele stomatolo$ice% #artici# la #rimirea #acien'ilor (i noteaz ,n re$istru lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 8 W 7 6 11 11 12 10 14 .ate $enerale #ri&ind anatomia malarului (i a #iramidei nazale Fracturile com#le-ului zi$omatico>ma-lar Etio#ato$enie% statistic Forme anatomo>clinice: "racturi anterioare% "racturi #osterioare !lasi"icare du# < Nizo&a .ia$nostic: du# semne clinice% radio$ra"ie E&olu'ie Tratament: cile de reducere a "ra$mentelor>suborbital% tem#oral% endobucal% sinusal% tratament c5irur$ical> sutur cu "ir metalic% cu micro#lcu'e (i (uruburi Tratament $eneral% #ronostic .ate $enerale #ri&ind traumatismele #iramidei nazale Mecanismul de #roducere% statistic Forme anatomo>clinice: traumatisme ale sc5eletului osos% a sc5eletului cartila$inos ale ,ntre$ii #iramide nazale !lasi"icarea traumei #iramidei nazale ((i du# I Volco&a 1637) Tabloul clinic (al "racturilor sc5eletului osos cartila$inos (i a #iramidei nazale ,n totalimente) .ia$nostic Tratament: reducerea (i imobilizarea "ra$mentelor .e#rinderi #ractice : 5emostaza anterioar (i #osterioar a nasului

:I:LIO;<AFIE 1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 016>013 0 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 0W8>072 4 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 8W8>8W7% 864>86W

Elaborarea metodic N 6 ( anul IV semestrul VII) TEMA: )articularit'ile ,m$ri9irii bolna&ilor cu traumatisme oro>ma-ilo>"aciale )ansamentul% drena9ul% i$iena ca&it'ii bucale% almenta'ia Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc #articularit'ile ,n$ri9irii bolna&ilor cu traumatisme OMF% tratamentul de ,ntre'inere% alimenta'ia% e-amineaz bolna&i cu traume (i le ,ntocmesc un tratament de ,ntre'inere (i alimenta'ie% recomandri ,n #ri&in'a i$ienei orale (i le "i-eaz ,n "i(a stomatolo$ic% #artici# la #rimirea #acien'ilor (i noteaz ,n re$istru lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 8 Elemente de ,n$ri9ire $eneral a bolna&ilor cu traumatisme OMF Indica'ii (i ti#urile de #ansamente ,n leziunile traumatice ale #r'ilor moi OMF Indica'ii ,n drenarea #l$ilor OMF (i ti#urile de drenuri I$iena ca&it'ii bucale la #acien'ii cu #l$i oro>"aciale (i bloca9 interma-ilar Alimenta'ia #acien'ilor cu #l$i "aciale (i cu bloca9 interma-ilar .e#rinderi #ractice : e"ectuarea unui #ansament

:I:LIO;<AFIE 1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 230>233 0 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 368>36W 4 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 0W0>0W8

Elaborarea metodic N 11 ( anul IV semestrul VII) TEMA: !om#lica'iile traumelor 'esuturilor moi% dento>#arodontale% "racturilor de mandibul (i a masi&ului "acial !om#lica'ii imediate (i secundare Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc com#lica'iile imediate (i secundare ,n leziunile #r'ilor moi% "racturile de mandibul (i a masi&ului "acial% e-amineaz bolna&i cu com#lica'ii% noteaz ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istru lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 8 W !om#lca'ii imediate: as"i-ia% 5emora$ia% (ocul traumatic (i 5emora$ic% como'ia cerebral% edemul cerebral As"i-ia: etio#ato$enia% sim#tome% dia$nostic% tratament% #ro"ila-ie [emora$ia: etio#ato$enie% sim#tome% dia$nostic% metode de combatere% #ro"ila-ie !omo'ia cerebral: sim#tome% dia$nostic% tratament \ocul traumatic (i 5emora$ic: etiolo$ie% sim#tome% tratament !om#lica'ii secundare $enerale (i locale: boli in"ec'ioase% com#lica'ii to-ice $enerale% in"ec'ia #l$ii% erizi#elul% 5emora$ia secundar% su#ura'ii osoase% com#lica'ii se#tice #ulmonare (sim#tome% dia$nostic% tratament) .e#rinderi #ractice : dia$nosticarea com#lica'iei% descrierea acordrii #rimului a9utor ,n as"i-ii (i (oc traumatic

:I:LIO;<AFIE 1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 2W6>271 # 013>018 0 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 320>323% 384>388% 871>872 4 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 078>061

Elaborarea metodic N 11 ( anul IV semestrul VII) TEMA: !om#lica'iile traumelor 'esuturilor moi% dento>#arodontale% "racturilor de mandibul (i a masi&ului "acial !om#lica'ii tardi&e )articularit'ile anesteziei ,n tratamentul traumelor OMF Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc com#lica'iile tardi&e $enerale (i locale ,n leziunile #r'ilor moi oro>"aciale% "racturile de mandibul (i a masi&ului "acial% e-amineaz bolna&i cu com#lica'ii tatdi&e% noteaz ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istru lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 !om#lica'ii tardi&e ,n leziunile #r'ilor moi oro>"aciale: cicatrizri &icioase (retractil% 5i#ertro"ic% c5eloid)] #erderile de substan'% incontinen'a bucal] "istulele ca&it'ii orale] "istulele sali&are] sec'iunea trunc5iului ner&ului "acial% constric'ia de mandibul] deteriorarea c,m#ului #rotetic] tulburri "unc'ionale ma9ore (estetice)% tulburri #si5ice !om#lica'ii tardi&e ,n "racturile de mandibul: leziuni dento>#arodontale] consolidare ,nt,rziat] #seudartroz] constric'ia mandibulei] consolidare &icioas] tulburri cosmetice] tulburri de ocluzie] tulburri "unc'ionale] anc5iloza tem#oro>mandibular] tulburri de cre(tere ale mandibulei !om#lica'ii tardi&e ,n "racturile de masi& "acial: consolidarea &icioas !onsecin'ele consolidrii &icioase s,nt: tulbutti de ocluzie% tulburri cosmetice] comunicri lar$i buco>nazale sau buco>sinusale] tulburri res#iratorii #rin obstruc'ie #ar'ial sau toal unilateral sau bilateral a "oselor nazale] di&ia'ii ma9ore de se#t nazal% 5i#oestezie% anestezie sau neural$ie a ner&ilor in"raorbitari] blocarea desc5iderii $urii] anc5iloza e-traarticular coronoido>zi$omatic )articularit'ile anesteziei ,n tratamentul traumelor OMF Indica'ii ,n anestezia loco>re$ional (i $eneral

2 0 4

:I:LIO;<AFIE 1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 24W%2W6> 271 0 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 324% 388>3W2 ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 061>067

 1 ( IV , VII ) : !"#, "$%, & '' ('%( #'% () "*' + ': ,""' -"* ' : . (# ' ' / '' , "$%, '"/ '' ('%( ' %'+ () (0 "/ "*'1 ("'/ "'/ , / ( "*'1 #/ ("''/ ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' 3 3 , "*'1 54 ' 7 8"/' 9 ' 1 2 ^C_IP JH``aP H`HFBSII SRNQIb FQH`Pc TIdH I OPTeEFPc fKI`dIga QTHEEIhIQHdII FKHGS ij^: H) G kHGIEISBEFI BF gBGKPlJP``ab FQH`Pc] C) G kHGIEISBEFI BF GBkJPcEFGIR FKHGSIKDe_PNB HNP`FH (CaFBGHR FKHGSH% EgBKFIG`R% JBKBl`aP gKBIEmPEFGIR) G) BF EhPKa JPRFPTn`BEFI (EPTnEQBbBkRcEFGP``HR gKBSamTP``HR% G CaFD% GB GKPSR GBP``ab JPcFEGIc) N) QTHEEIhIQHdIR o pTPQEH`JKBGH% 1678 iHEFBFH FKHGS ij^ ^CEPJBGH`IP CBTn`BNB E FKHGSBc ij^ qBKSa I gKI`dIga BKNH`IkHdII SPJIdI`EQBc gBSB_I gBEFKHJHGmIS jr@sAp@tAp 1 2 VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 233>283 0 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 021 001

0 4 3

 5 ( IV , VII ) : #1 '+ "% (" :';"' ( "' ': ,""' -"* ' : . (# ' ' "<' '* #'* #1 '+, '* ('%( "', ( "' "*'1, / ( "*'1, ("'/ "'/ ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' 7 3 , "*'1 54 ' 7 8"/' 9 ' 1 2 0 4 3 8 W 7 6 p`HFBSIOPEQIP BEBCP``BEFI SRNQIb FQH`Pc ij^ uFIBTBNIR% QTHEEIhIQHdIR p`HFBSB>QTI`IOPEQIP HEgPQFa (DmICa% EEHJI`a% KPkH``aP KH`a% gKB`IQHe_IP KH`a% EQGBk`aP KH`a% DmICTP``aP KH`a% DQDmP``aP KH`a% HN`PEFKPTn`aP KH`a) ^C_IP QTI`IOPEQIP JH``aP ^ETBl`P`IR (KH``IP BC_IP FRlPTaP BETBl`P`IR% GFBKIO`aP BETBl`P`IR% gBkJ`IP BETBl`P`IR) tKNP`F`HR gBSB_n (BQHkH`IP gBSB_I gBEFKHJHGmPSD gKI BEFKac JabHFPTn`ac `PJBEFHFBO`BEFI I HEhIQEII% QKBGBFPOP`II% mBQP% KH``RR BCKHCBFQH KH`a) ^QB`OHFPTn`BP TPOP`IP KH`a>gPKGIO`HR bIKDKNIOPEQHR BCKHCBFQH KH`a tbBJ kH KH`Bc% JKP`IKBGH`IP% NINIP`H gBTBEFI KFH% gIFH`IP CBTn`BNB fBkJ`PP GBEFH`BGIFPTn`BP TPOP`IP jr@sAp@tAp 1 2 VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 240>233 0 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 46W>323 4 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 072>073

 3 ( IV , VII ) : (' !"# "$%, "' "' ': ,""' -"* ' : =* #'* 1 (" , '* "* ("' ("'# "', '* "' "*'1 1 (" , * "' "*'1 ''+ / ( "*'1 #/ ("''/ ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' 9 3 , "*'1 549 ' 7 8"/' 9 ' 1 2 0 4 3 qD`QdIB`HTn`HR SBKhBTBNIR kDCBG I FQH`Pc gHKHJB`FH ^C_IP JH``aP B FKHGSP kDCBG I gHKHJB`FH uFIBgHFBNP`Pk I gHFH`HFBSIR FKHGS kDCBG I gHKHJB`FH vTHEEIhIQHdIR FKHGS kDCBG I gHKHJB`FH @KHGSa kDCBG (FKP_I`a% gPKPTBSa QBKB`QI CPk `HKDmP`IR dPTBEFI gDTngBGBc QHSPKa I E BC`HlP`IPS QBKB`QBGBc gDTnga% gPKPTBS QBK`R% gPKPTBS QBKB`QI I QBK`R): H) QTI`IOPEQHR QHKFI`H>H`HS`Pk% BCnPQFIG`BP IEETPJBGH`IP% KP`FNP`BTBNIOPEQBP IETPJBGH`IP] C) FPOP`IP] G) TPOP`IP] @KHGSa gHKHJB`FH (DmICa% `PgBT`aP I gBT`aP GaGIbI kDCBG): H) QTI`IOPEQHR QHKFI`H] C) FPOP`IP] G) TPOP`IP] @Pb`IQH KPgTH`FHdII kDCH gKI gBT`BS GaGIbP VPFBJa ISSBCITIkHdII jr@sAp@tAp 1 2 VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 233>283 0 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 866>W11 4 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 022>271

W 7

 7 ( IV , VII ) : ," '<'+ "/ !"# 1' )' " "$% "' ': ,""' -"* ' : '* >"#+, +, "$%+, 1' )' " ( ("1 '<'+ "/? '* #'* (" '<'+ "/, "* "*'1 (" '<'+ "/, * ( "*'1 $"' "'1 ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' @ 3 , "*'1 549 ' A 7 8"/' 9 ' 1 2 0 4 3 8 W p`HFBSIR `Il`Pc OPTeEFI (kB`a gB`IlP``Bc gKBN`BEFI) wFHFIEFIQH (OHEFBFH G EKHG`P`II E JKDNISI QBEFRSI TIdH% GBkKHEF% gBT% TBQHTIkHdIR) vTHEEIhIQHdIR gPKPTBSBG `Il`Pc OPTeEFI (gB SPbH`IkSD gPKPTBSH% gB QHTIOPEFGD TI`Ic gPKPTBSH% G kHGIEISBEFI BF EBBC_P`IR TI`II gPKPTBSH E G`Pm`Pc EKPJBc% gB EFPgP`I ESP_P`IR BFTBSQBG) uFIBTBNIR VPbH`IkS gPKPTBSH `Il`Pc OPTeEFI I ESP_P`IR BFTBSQBG (gKRSBc I BFKHlP``ac gPKPTBS% SPbH`IkS EJGINH%ElHFIR% BFKaGH ABTn EITa I `HgKHGTP`IR DJHKH% H FHQlP NKDgg lPGHFPTn`ab Sa_d G ESP_P`II BFTBSQBG) vTI`IOPEQHR QHKFI`H gPKPTBSBG `Il`Pc OPTeEFI (BC_HR I SPEF`HR EISgFBSHFIQH gKIED_HR GEPS gPKPTBSHS `Il`Pc OPTeEFI) @POP`IP (kHlIGTP`IP gPKPTBSBG% hHQFBKa GTIRe_IP `H FPOP`IP I kHlIGTP`IP gPKPTBSBG) jr@sAp@tAp 1 2 0 4 VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 283>2W7 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 323>380 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 001>042

 9 ( IV , VII ) : ' (" '<'+ "/ .'' "% ( 1# "' ,' "'/ '+ $ ': ,""' -"* ' : * ''+ "% ( ("1 '<'+ "/, ( "'+ ('"*'+ "% ( 1#? * #* ' "1 "' 0'? '* * #''/ ()* ( ("? "/ "*'1 (" '<'+ "/ ("'/ "'1 ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' B 3 , "*'1 54 ' 7 8"/' 9 ' 1 2 0 4 ^E`BG`aP dPTI TPOP`IR gPKPTBSBG `Il`Pc OPTeEFI uFHga TPOP`IR (GKPSP``HR ISSBCITIkHdIR% TPOPC`HR ISSBCITIkHdIR% gBJJPKlIGHe_PP TPOP`IP% TPOP`IP BETBl`P`Ic) wBgBEFHGTP`IP BFTBSQBG (KPgBkIdIR BFTBSQBG) : QKBGHGHR I CPkQKBG`HR% KDO`HR I`EFKDSP`FHTn`HR% bIKDKNIOPEQHR% ESPmH``HR qIQEHdIR BFTBSQBH: H) GKPSP``HR (gBJCBKBJBO`HR gKH_H% gBJCBKBJBO`B>FPSP``IP gBGRkQH% gBGRkQH fBSPKH`dPGBc>tKCH`EQBc% SPlkDC`BP EQKPgTP`IP BFTBSQBG% SPlOPTeEF`BP EQKPgTP`IP BFTBSQBG% SPlOPTeEF`BP EQKPgTP`IP BFTBSQBG x) BQB`OHFPTn`HR (TPOPC`HR) hIQEHdIP: BJ`BOPTeEF`aP I JGDbOPTeEF`aP gKBGBTBO`aP mI`a E SPlOPTeEF`aP GaFRlP`IPS y) SPFBJIQH (FPb`IQH IkNICH`IP mI` `H SBJPTnRb) z) bIKDKNIOPEQBP TPOP`IP / BEFPBEI`FPk (gKBGBTBO`ac mBG% SPFHTIOPEQISI gTHEFI`QHSI% mDKDgHSI% EFKPl`RSI) {) HggHKHFa JTR G`PBOHNBGBchIQEHdII BFTBSQBG (HgHKHF ADJnQB)% BQKDlHe_Ic mBG gB xTPQD% gBJGPmIGH`IP `Il`Pc OPTeEFI Q GPKb`Pc yaCBK SPFBJH TPOP`IR G kHGIEISBEFI BF H`HFBSB>QTI`IOPEQBc hBKSa gPKPTBSH ^C_PP TPOP`IP jr@sAp@tAp VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 271>26W ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 3W2>831 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 031>087

3 8 1 2 0 4

 @ ( IV , VII ) : .1 ';'<'"/'# !"# C"' "' ': ,""' -"* ' : =* #'* 1 '<'+ "/, '* ("' 1, * 1## "' ( (' 1? * "'+ "*'1 1 '<'+ "/, * ( "*'1 #* ("''/ ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' D 3 , "*'1 549 ' 7 8"/' 9 ' 1 2 0 4 p`HFBSIR I hIkIBTBNIR GIEBO`B>`Il`POPTeEF`BNB EDEFHGH @KHGSHFIOPEQIP gBGKPlJP`IR GIEBO`B>`Il`POPTeEF`BNB EDEFHGH: (DmICa% GaGIbI) tmICa GIEBO`B>`Il`POPTeEF`BNB: |FIBTBNIR% EISgFBSHFIQH% JIHN`BEFIQH% TPOP`IP ^EFKac GaGIb GIEBO`B>`Il`POPTeEF`BNB EDEFHGH: H) gPKPJ`Ic GaGIb (|FIBTBNIR% EISgFBSa% JIHN`BEFIQH% TPOP`IP) C) kHJ`Ic GaGIb (|FIBgHFBNP`Pk% QTI`IQH% JIHN`BEFIQH% TPOP`IP) G) CBQBGBc GaGIb (THFPKHTn`ac): EISgFBSa% TPOP`IP fKIGaO`ac GaGIb GIEBO`B>`Il`POPTeEF`BNB EDEFHGH: (|FIBTBNIR% QTI`IQH% QB`EPKGHFIG`BP I bIKDKNIOPEQBP TPOP`IP) jr@sAp@tAp VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 473>462 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 116W>1212 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 412>418

1 2 0 4

 A ( IV , VII ) : ," 1'+ "/ !"# :';"' $ (? #' "' ': ,""' -"* ' : =* #'* (" 1'+ "/ 1 '<'+ "/, '* ' (+ () "' "*'1 (" 1'+ "/? '* * ("' ("'# "' (" 1'+ "/? * "' "*'1 (" 1'+ "/, * ( "'1 "*'1 #* ("''/ ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' 14 3 , "*'1 549 ' 7 8"/' 9 ' 1 2 0 4 3 p`HFBSIR GPKb`Pc OPTeEFI uFIBgHFnBNP`Pk% QTHEEIhIQHdIR% EFHFIEFIQH ^C_IP EGPJP`IR B gPKPTBSHb GPKb`Pc OPTeEFI: (NBKIkB`FHTn`aP gPKPTBSa% GPKFIQHTn`aP QBEaP% S`BNBEQBTnOHFaP) VPbH`IkS gPKPTBSBG GPKb`Pc OPTeEFI p`HFBSB>QTI`IOPEQIP hBKSa: gPKPTBSa HTnGPBTRK`BNB BFKBEFQH% CDNKH GPKb`Pc OPTeEFI% FGPKJBNB `PCH% NBKIkB`FHTn`aP gPKPTBSa: - `Il`Ic FIg gPKPTBSH (;uerin$% Le Fort / I) - EKPJ`Ic FIg gPKPTBSH ( Le Fort II) - GPKb`Ic FIg gPKPTBSH (Le Fort III) - SPlOPTeEF`aP gPKPTBSa% S`BlPEFGP``aP gPKPTBSa% BEQBTnOHFaP gPKPTBSa {IHN`BEFIQH% FPOP`IP jPOP`IP: H) DKNP`F`HR gBSB_n (GKPSP``HR hIQEHdIR gBJCBKBJBO`B>FPSP``Bc gBGRkQBc% lPEFBQHR gBJCBKBJBO`HR gKH_H E BgBK`Bc NBTBG`Bc gBGRkQBc% gKBGBTBO`aP TINHFDKa% mI`H>JB_POQH) C) TPOPC`HR ISSBCITIkHdIR BKFBgPJIOPEQISI SPFBJHSI (HggHKHF }CHKlH% `PC`HR gTHEFI`QH E DEIQHSI JGDbOPTeEF`aP `HkDC`aP mI`a E kHdPg`aSI gPFTRSI) bIKDKNIOPEQISI SPFBJHSI: BEFPBEI`FPk gKBGBTBO`ab mGBG% SPFHTIOPEQISI EFPKl`RSI% `HQBEF`aSI gTHEFI`QHSI% gBJGPmIGH`IP `H KHEEFBR`II) ^C_IP SPFBJa TPOP`IR jr@sAp@tAp VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 267>016 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 830>864 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 042>0W0

8 W

7 1 2 0 4

 B ( IV , VII ) : ," ";"/'#(" !"# :'; "' $, #' "' ," '1 +, "' "' ': ,""' -"* ' : =* #'* (" "1 + + '? '* ''# 1## "', '* * ("' ("'# "'? * "' "*'1 (" "1 + + '? * ( "*'1 #* ("''/ ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' 11 3 , "*'1 549 ' 7 8"/' 9 ' 1 2 0 4 3 8 W 7 6 11 11 12 10 1 2 0 4 p`HFBSIR EQDTBGab QBEFPc I QBEFPc `BEH fPKPTBSa EQDTB>OPTeEF`BNB QBSgTPQEH] |FIBgHFBNP`Pk% EFHFIEFIQH p`HFBSB>QTI`IOPEQIP hBKSa: gPKPJ`IP gPKPTBSa% kHJH`IP gPKPTBSa vTHEEIhIQHdIR A oIkBGBc {IHN`BEFIQH gB QTI`IQB>KP`FNP`BTBNIOPEQIS JH``aS @POP`IP jPOP`IP: EgBEBCa GgKHGTP`IR BFTBSQBG (G`DFKIKBFBGaS JBEFDgBS% GIEBO`aS% gBJNTHk`IO`aS% OPKPk GPKb`POPTeEF`De gHkDbD)% bIKDKNIOPEQBP TPOP`IP / BEFPBEI`FPk gKBGBTBO`aS mGBS% SPFHTIOPEQISI gTHEFI`QHSI% EFPKl`RSI ^C_IP SPFBJa TPOP`IR% gKBN`Bk ^C_IP EGPJP`IR B gPKPTBSHb QBEFPc `BEH VPbH`IkS gPKPTBSH% EFHFIEFIQH p`HFBSB>QTI`IOPEQIP hBKSa: gPKPTBSa QBEFPc `BEH% gPKPTBS bKR_PGBNB BFJPTH `BEH% gPKPTBS `BEH G dPTBS vTHEEIhIQHdIR FKHGS QBEFPc `BEH ( I gB z yBTQBGBc% 1637) vTI`IOPEQHR QHKFI`H gPKPTBSH QBEFPc `BEH% bKR_Pc `BEH I `BEH G dPTBS {IHN`BEFIQH jPOP`IP: GgKHGTP`IPI ISSBCITIkHdIR BFTBSQBG jr@sAp@tAp VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 018>016 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 8W8>8W7] 864>86W @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 0W8>072

 D ( IV , VII ) : '' 1 (' "*'1 "/+ E#'+ 1? ( ': ,""' -"* ' : * '' 1 "*' ? '' ('? * "' "*'1 ? '* "* ("' ("'# "', 1 ('? * '% ( ##' (" , * ( "*'1 ("'' "'1 ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' 15 3 , "*'1 549 ' 7 8"/' 9 ' 1 2 0 4 3 ^EBCP``BEFI BC_PNB DbBJH kH CBTn`aSI E gBGKPlJP`IRSI ij^ fBQHkH`IR Q JKP`IKBGH`Ie KHQ I GIJa JKP`HlPc yIJa gBGRkBQ I Ib gKISP`P`IP zINIP`H gBTBEFI KFH D CBTn`ab E KH`HSI ij^ I CIOPTeEF`ab mI`HSI E SPlOPTeEF`aS GaFRlP`IPS fIFH`IP CBTn`ab E gBGKPlPJlP`IRSI SRNQIb FQH`Pc TIdH I gBTBEFI KFH I E `HkDC`HSI CIOPTeEF`aSI mF`HSI E SPlOPTeEF`aS GaFRlP`IPS

jr@sAp@tAp 1 2 0 4 VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 230>233 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 368>36W @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 0W0>0W8

 14 ( IV , VII ) : "<'' #1 '+ + "% =('' "<'' ' (' )) ' ($" ': ,""' -"* ' : * '('' ' "<'' () ') '/ ( (<'1 #1 '+, ("1 + "%? '* "* ("' ("'# "' "<''+, ($"? * "' "*'1 "<'' $"' "'1 ? * ( "*'1 #% ("''+ ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' 13 3 , "*'1 549 ' 7 8"/' 9 ' 1 2 0 4 3 8 oPgBEKPJEFGP``aP BETBl`P`IR] JabHFPTn`BP `PJBEFHFBO`BEFn I HEhIQEIR% QKBGBFPOP`IP% FKHGSHFIOPEQIc I NPSBKKHNIOPEQIc mBQ% EBFKREP`IP NBTBG`BNB SBkNH% BFPQ SBkNH pEhIQEIR: QTHEEIhIQHdIR% |FIgHFBNP`Pk% QTI`IQH% JIHN`BEFIQH% TPOP`IP% gKBhITHQFIQH vKBGBFPOP`IP] |FIBgHFBNP`Pk% EISgFBSHFIQH% JIHN`BEFIQH% TPOP`IP% gKBhITHQFIQH wBFKREP`IP NBTBG`BNB SBkNH: QTI`IQH% JIHN`BEFIQH% TPOP`IP @KHGSHFIOPEQIc mBQ% |FIBTBNIR% QTI`IQH% TPOP`IP yFBKIO`aP BETBl`P`IR (BC_IP I SPEF`aP): I`hPQdIB``aP CBTPk`I% BC_IP I`FBQEIQHdII% `HN`BP`IP KH`% KBlIEFBP GBEgHTP`IP% GFBKIO`BP QKBGBFPOP`IP% `HN`BP`IP QBEFPc TIdH% CKB`bB>gDTnSB`HTn`aP BETBl`P`IR (EISgFBSHFIQH% JIHN`BEFIQH% TPOP`IP% gKBhITHQFIQH) jr@sAp@tAp 1 2 0 4 VHFPKIHT TPQdIc ; Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 2W6>271] 013>018 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 320>323] 384>388] 871>872 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 078>061

 11 ( IV , VII ) : "<'' #1 '+ + "% ,' "<'' (' )) ' ($" '' "' ( "' "% ': ,""' -"* ' : * (' "<'' () '), '/ ( (<'1 #1 '+, ("1 + "%? '* "* ("' ("'# "' "<''+, ($"? '* ("*' "' ( "' "%? * "' "*'1 "<'' $"' "'1 ? * ( "*'1 #% ("''+ ,"' ' : 1 2 34 ' 5 6'%, 1 "*'1 34 ' 17 3 , "*'1 549 ' 7 8"/' 9 ' 1 fBkJ`IP BETBl`P`IR gKI gBGKPlJP`II SRNQIb FQH`Pc ij^: ( BCKHkBGH`IP NKDCab NIgPKFKBhIO`ab I QPTBIJ`ab KDCdBG `PEBEFBRFPTn`BEFn gBTBEFI KFH% kIR`IP KBFBGBc _PTI)% JPhPQFa FQH`Pc% EGI_I gBTBEFI KFH% ETe``ab EGI_I% gBGKPlJP`IP GPFGPc TIdPGBNB `PKGH% QB`FKHQFDKH `Il`Pc OPTeEFI% PEFPFIOPEQIP I gEIbIOPEQIP `HKDmP`IP fBkJ`IP BETBl`P`IR gKI gPKPTBSHb `Il`Pc OPTeEFI: kHSPJTP``HR QB`EBTJIFJHdIR BFTBSQBG% TBl`ac EDEFHG% QB`FKHQFDKH `Il`Pc OPTeEFI% `HKDmP`II gKIQDEH% hD`QdIB`HTn`aP `HKDmP`IR] H`QITBk GIEBO`B>`Il`POPTeEF`BNB EDEFHGH% `HKDmP`IR KBEFH `Il`Pc OPTeEFI fBkJ`IP BETBl`P`IR gKI gPKPTBSHb GPKb`Pc OPTeEFI% EQDTBGab QBEFPc I QBEFPc `BEH: `PgKHGPTn`B EKBmIcER gPKPTBS fBETPJEFGIR `PgKHGPTn`B EgKBmPNBER gPKPTBSH: `HKDmP`IR gKIQDEH% `HKDmP`IP PEFPFIQI% BCKHkBGH`IP BKB>`HkHTn`ab I BKB>EI`DEHTn`ab EBBC_P`II% `HKDmP`II `BEBGBNB JabH`IP Ik>kH EDlP`IR `BEBGab bBJBG% IEQKIGTP`IP `BEBGBc gPKPNBKBJQI% `HKDmP`IP ODEFGIFPTn`BEFI G kB`P gBJNTHk`IO`BNB `PKGH% `PGKHTNIR% `HKDmP`IP BFQKaGH`IR KFH gKI `PgKHGPTn`BEKBmIcER gPKPTBSP EQDTBGBc JDNP ^EBCP`BEFI BCPkCBTIGH`IR gKI TPOP`IR FKHGS ij^ fBQHkH`IR Q SPEF`BSD I BC_PSD BCPkCBTIGH`Ie jr@sAp@tAp VHFPKIHT TPQdIc ; 1Timo(ca% ! :urliba(a =!5irur$ia oro>ma-ilo>"acial !5i(inu 1662 # 24W% 2W6>271 ! :urliba(a =!5irur$ie oral (i ma-ilo>"acial? :ucure(ti 1666 # 324] 388>3W2 @ ABCDEFBGH I JK LMIKDNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 061>067

0 4

1 2 0 4

Elaborarea metodic N 1 ( anul IV% semestrul VIII ) Tema : Or$anizarea asisten'ei c5irur$icale ma-ilo>"aciale ,n Armata Na'ional a <e#ublicii Moldo&a Locul lucrrii : *#italul de ur$en' *co#ul lucrrii : +n cadrul lucrrii #ractice studen'ii ,nsu(esc or$anizarea (i &olumul asisten'ei c5irur$icale rni'ilor ,n caz de rzboi (i con"licte militare #ractic #artici# la &izita #acien'ilor cu traume% #ansamente (i noteaz ,n re$istre lucrul e"ectuat )lanul lucrrii : 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor / 01 min 0 )rimirea #acien'ilor / 23 min 4 +nc5eere / 3 min +ntrebri de control: 1 Or$anizarea (i &olumul asisten'ei stomatolo$ice c5irur$icale ,n cabinetele stomatolo$ice (mi-te) ,n cadrul ser&iciilor ale marilor unit'i (bri$zilor) ,n tim# de #ace 2 Volumul asisten'ei stomatolo$ice c5irur$icale bolna&ilor interna'i ,n lazaretele de bri$ad ,n tim# de #ace 0 Or$anizarea (i &olumul asisten'ei stomatolo$ice c5irur$icale ,n cabinetul stomatolo$ic al s#italului de bri$ad ,n tim# de #ace 4 Imunitatea (i a#rarea antiin"ec'ioas Mano#ere #ractice 1 2 0 *tudierea "ormelor de or$anizare a eta#elor de acordare a9utorului medical rni'ilor OMF )artici#area la #rimirea #acien'ilor (i acordarea a9utorului medical +nde#linirea unor mano#ere ,n sec'ie (#ansament% anestezie% #artici#area la a#licarea (inelor #acien'ilor) :iblio$ra"ie 1 2 0 4 3 Materialele cursurilor Elaborri metodice #e tem x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B> TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662

Elaborarea metodic N 2 ( anul IV% semestrul VIII )

Tema : Leziunile #rin arm de "oc a 'esuturilor moi a re$iunii oro>ma-ilo>"aciale% caracteristica $eneral% clasi"icarea% sim#tomatolo$ie% com#lica'ii Locul lucrrii : +n #oliclinic *co#ul lucrrii : In&esti$a'ia bolna&ilor cu #atolo$ia dat *tabiliria dia$nosticului (i alctuiria #lanului de tratament )ractic #artici# la #rimiria bolna&ilor (i ,nre$istrarea lor ,n caete )lanul lucrrii : 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor / 01 min 0 )rimirea #acien'ilor / 23 min 4 +nc5eere / 3 min +ntrebri de control: 1 )articularit'ile leziunilor (#l$ilor) #rin arm de "oc ale "e'ei (i ma-ilarelor% #articularit'ile de a#ari'ie "rec&en' ,n $enere (i de#enden' de 'esuturi% or$ane% 5emora$ie 2 )articularit'ile de mutilare a "e'ei% neconcordant dintre ,n"'i(area bolna&ului (i $radul de $ra&itate a #l$ii (i strii $enerale de "olosire a m(tii anti$az 0 )articularit'ile de e&olu'ie% asociere% "rec&en' ,n de#enden'a de localizare a #l$ii% dere$lrile #si5ice% de &orbire 4 )articularit'ile de as"i-ie ("oame) 3 )articularit'ile de caracter al "racturilor de abuze &ulnerante secinde 8 )articularit'ile de #relucrare (i toalet c5irur$ical a #l$ii% de lu#t anti(oc% de lu#t cu ,n$ri9ire a rni'ilor W !lasi"icarea #l$ilor (i leziunilor de rzboi oro>ma-ilo>"acial% date $enerale )rinci#ii de baz de clasi"icare a leziunilor #rin arm de "oc ale re$iunii ma-ilo>"aciale 7 *im#tomatolo$ia leziunilor #rin arm de "oc oro>ma-ilo>"aciale: o mare di&ersitate% leziunile cu am#uta'ie a 'esuturilor > deosebit de $ra&e% #l$i de $lon'e% #l$i tan$en'iale% #l$i oarbe% #l$i multi#le de sc5i9e mici (i #ra" de #u(c 6 Metode de dia$nostic% anamneza% studierea documentelor% studierea canalelor de #la$% #al#area sonda9ul radio$ra"ia (i radiosco#ia% endosco#ia utilizarea sondei radioelectronice% tomo$ra"ia com#uterizat 11 !om#lica'iile leziunilor #rin arm de "oc oro>ma-ilo>"acial multi#licate% com#lica'ii #recoce (i tardi&e% $enerale% locale: >#articularit'ile as"i-iei ("orme)% >#articularit'ile 5emora$iilor ("orme)% >#articularit'ile (ocului% >com#lica'ii bran5o#ulmonare% >osteomielita #osttraumatic #rin arm de "oc% >com#lica'ii cerebrale etc 11 Leziuni ma-ilo>"aciale #ro&ocate de calamnit'i: cutremurul de #m,nt% "urtuni% &,rte9uri% ura$ane% (u&oaie de nmol cu #ietre% alunecri de teren% ,n$5e'uri 12 )articularit'ile e&olu'iei clnice ale leziunilor #rin arm de "oc ale re$iunii moi ma-ilo>"aciale% du# re$iuni% du# zonele de distruc'ie% du# multi#licare 10 )articularit'ile #l$ilor de limb 14 )articularit'ile (i metodele de toalet (i #relucrrii c5irur$icale a #l$ilor #rin arm de "oc ale #r'ilor moi ma-ilo>"aciale 13 Indica'iile abla'iei cor#ilor strini 18 Zrmrirea (i tratamentul #osto#erator $eneral (i local al re$iunilor cu leziuni ale #r'ilor moi ma-ilo> "aciale 1W )articularit'ile ,n$ri9irii rni'ilor cu leziuni ale #r'ilor moi ma-ilo>"aciale (i alimentarea lor Mano#ere #ractice E-aminarea #acientului cu traum a re$iunii "e'ei Alctuirea #lanului de tratament )artici#area la #rimirea #acien'ilor ,n sec'ie E"ectuarea unei mano#ere (anestezie% #ansament% e-trac'ie) :iblio$ra"ie 1 Materialele cursurilor 2 Elaborri metodice #e tem 0 x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B>TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 4 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 3 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662 1 2 0 4

Elaborarea metodic N 0 ( anul IV% semestrul VIII ) Tema : Leziuinile #rin arm de "oc ale sc5eletului "acial: clasi"icare% statistic% E&olu'ie% tratament% metode de imobilizare a "ra$mentelor% ,n$ri9irea #osto#eratorie (i alimentarea rni'ilor Locul lucrrii : +n #oliclinic *co#ul lucrrii : In&esti$a'ia bolna&ilor cu #atolo$ia dat *tabiliria dia$nosticului (i alctuiria #lanului de tratament )ractic #artici# la #rimiria bolna&ilor (i ,nre$istrarea lor ,n caete )lanul lucrrii : 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor / 01 min 0 )rimirea #acien'ilor / 23 min 4 +nc5eere / 3 min +ntrebri de control: 1 !lasi"icare (i date statistice ale leziunilor #rin arm de "oc ale oaselor sc5eletului "acial 2 E&olu'ia clinic a leziunilor #rin arm de "oc ale oaselor sc5eletului "acial: a) sim#roame $enerale comune tuturor "racturilor oaselor b) sim#toame s#eci"ice caracteristice #entru di"erite "orme de "racturi du# re$iune% "orm% localizare etc c) )rinci#alele #articularit'i ale leziunilor oaselor "aciale% #la$a lezarea oaselor% sc5elete multi#le% ra#iditatea sc5imbrii tabloului clinic 0 Tratamentul $eneral (i local al rni'ilor cu leziuni ale oaselor sc5eletului "acial 4 Metodele de imobilizare a "ra$mentelor osoase ,n leziunile #rin arm de "oc ale oaselor s#lan5onocranului 3 Tratamentul $eneral (i local% ,n$ri9irea rni'ilor cu leziuni #rin arm de "oc ale o#aselor s#lan5nocranului 8 Alimentarea rni'ilor cu leziuni #rin arm de "oc ale oaselor sc5eletului "acial W Fiziolo$ia din'ilor (i #arodon'iului 7 .ate $enerale des#re traumatizmul dento>#arodontal 6 Etiolo$ia (i #ato$enia leziunilor dento>#arodontale 11 !lasi"icarea leziunilor dento>#arodontale 11 !linica% dia$nostica (i tratamentul leziunilor dento>#arodontale Mano#ere #ractice: 1 2 0 4 E-aminarea #acientului cu leziuni traumatice ale "e'ei Alctuirea #lanului de tratament *tudierea radio$ra"iei cu leziuni #rin arm de "oc% (i stabilirea dia$nosticului )artici#area la #rimirea #acien'ilor (i e"ectuarea #ansamentelor :iblio$ra"ie 1 2 0 4 3 Materialele cursurilor Elaborri metodice #e tem x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B> TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662

Elaborarea metodic N 4 ( anul IV% semestrul VIII ) Tema : Leziunile combinate Arsurile re$iunii ma-ilo>"aciale: etiolo$ia% "rec&en'a% clasi"icarea% e&olu'ia clinic% #rimul a9utor accidenta'ilor% tratamentul )articularit'ile leziunilor asociate Locul lucrrii : +n #oliclinic *co#ul lucrrii : In&esti$a'ia bolna&ilor cu #atolo$ia dat *tabiliria dia$nosticului (i alctuiria #lanului de tratament )ractic #artici# la #rimiria bolna&ilor (i ,nre$istrarea lor ,n caete )lanul lucrrii : 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor / 01 min 0 )rimirea #acien'ilor / 23 min 4 +nc5eere / 3 min +ntrebri de control: 1 Frec&en'a arsurilor "e'ei ,n tim#ul de rzboi 2 !lasi"icarea leziunilor termice :oala ar(ilor 0 )articularit'ile e&olu'iei c5imice ale leziunuilor termice ale re$iubnii MF #e c,m# de lu#t 4 )articularit'ile ale leziunilor termice ,n caz de "olosire a na#almului% termice% #iro$el% "os"at alb 3 )articularit'ile #rimului a9utor ,n caz de leziuni termice ale re$iunii MF #e c,m#ul de lu#t 8 Asisten'a medical accidenta'ilor cu leziuni termice ale re$iunii ma-ilo>"aciale (i tratamentului lor la eta#ele e&acurii medicale W *co#ul ar(ilor% to-emia% se#ricoto-emia se#ticemiaar(ilor 7 Tratamentul bolii ar(ilor 6 )articularit'ile leziunilor asociate ale re$iuniui MF 11 Leziuni combinate ale re$iunii MF: #articularit'ile a#ari'iei e&olu'iei clinic% tratamentul Mano#ere #ractice: E-aminarea #acientului cu arsuri (dac e-ist) *tabilirea #lanului de tratament )artici#area la #rimirea #acien'ilor ,n sec'ie (i e"ectuarea unor mano#ere (anestezie% e-trac'ie% #ansament) :iblio$ra"ie Materialele cursurilor Elaborri metodice #e tem x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B> TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662 1 2 0 1 2 0 4 3

Elaborarea metodic N 3 ( anul IV semestrul VIII) TEMA: Or$anizarea asisten'ei medicale rni'ilor cu leziuni OMF ,n cadrul eta#elor de e&acuare Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc ti#urile de leziuni traumatice OMF% clasi"icarea lor% #rinci#iile de or$anizare a asisten'ei medicale accidenta'iilor% e-amineaz bolna&i cu traume% noteaz ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istre lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 8 W 7 Frec&en'a traumatismelor OMF #rin arm de "oc .ate $enerale des#re "ormele de asisten' medical a rni'ilor Formele de baz ale or$anizrii asisten'ei medicale accidenta'iilor )rinci#iile de baz ale or$anizrii asisten'ei medicale accidenta'iilor )rinci#iile de clasi"icare a a9utorului medical a rni'ilor Volumul asisten'ei medicale ,n de#enden' de cali"icarea lucrtorului medical E-amenul accidenta'iilor cu traumatisme OMF Formele (i mi9loacele de e&acuare a rni'ilor la di"erite eta#e 1 2 0 Mano#ere #ractice: E"ectuarea tria9ului #acien'ilor cu leziuni traumatice la eta#e +nde#linirea documenta'iei #acien'ilor cu leziuni traumatice )artici#area la #rimirea #acien'ilor% e"ectuarea unei mano#ere (anestezie% e-trac'ie% #ansament) :I:LIO;<AFIE

1 Materialele cursurilor 2 ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 223>283 0 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 021>001

Elaborarea metodic N 8 ( anul IV semestrul VIII) TEMA: E-#ertiza medical a rani'ilor cu leziuni OMF (i a $~tului Locul lucrrii: )oliclinica *co#ul lucrrii: +n cadrul lucrrii #ractice studen'ii ,nsu(esc ti#urile de leziuni traumatice OMF% clasi"icarea lor% #rinci#iile de e-#ertiza medicala accidenta'iilor% e-amineaz bolna&i cu traume% noteaz ,n "i(a stomatolo$ic )artici# la #rimirea #acien'ilor (i noteaz ,n re$istre lucrul e"ectuat )lanul lucrrii: 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor tematici / 01 min 0 )rimirea #acien'ilor / 213 min 4 +nc5eere / 3 min 1 2 0 4 3 8 W 7 E-#ertiza medicala a ranitilor / de"initia% sco#ul% sarcinile Formele e-#ertizei mdicale ranitilor )articularitatile e-aminarii ranitilor Formele e-#ertizei medicale Functiile e-#ertizei medicale <e$ulle de eliberare a certi"icatelor (buletinelor) Indicatiile la indre#tare in alte institutii )ro$noza clinica i de acti&itate ranitilor cu traumatism OMF 1 2 0 4 Mano#ere #ractice E-aminarea #acientului cu orice leziuni traumatic (i stabilirea $radului de inca#acitate de munc +nde#linirea documenta'iei #entru eliberarea certi"icatului medical E"ectuarea anesteziei sau a blocadelor cu medicamente acestor #acien'i cu traume )artici#area la o#era'iile (ca asistent) e"ectuate ,n sec'ie :I:LIO;<AFIE 1 2 0 Maetrialele cursurilor ; Timo(ca% ! :urliba(a =!5irur$ia buco>ma-ilo>"acial? !5i(inu 1662 # 223>283 @ ABCDEFBGH I JK LMIKDKNIOPEQHR EFBSHFBTBNIRU V 1661 EFK 021>001

Elaborarea metodic N W ( anul IV% semestrul VIII )

Tema : Leziunile traumatice (i in"lamatorii a articula'iei temo#oro>mandibulare Locul lucrrii : +n #oliclinic *co#ul lucrrii : In&esti$a'ia bolna&ilor cu #atolo$ia dat *tabiliria dia$nosticului (i alctuiria #lanului de tratament )ractic #artici# la #rimiria bolna&ilor (i ,nre$istrarea lor ,n caete )lanul lucrrii : 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor / 01 min 0 )rimirea #acien'ilor / 23 min 4 +nc5eere / 3 min +ntrebri de control: 1 .ate $enerale cu #ri&ire la a"ec'iunile (i leziunile articula'iei tem#oro>mandibulare 2 !lasi"icarea a"ec'iunilor (i leziunilor articula'iei temo#oro>mandibulare 0 Anatomia to#o$ra"ic (i "unc'iile ATM 4 E-amenul articula'iei temo#oro>mandibulare a) e-amenul manual% te5nica b) e-amenul mu(c5ilor motori c) e-amenul radiolo$ic (radio$ra"ii sim#le ATM% radio$ra"ii #aranoramice% tomo$ra"ii% teleradio$ra"iile etc d) e-amenul "unc'ional 3 Leziuni traumatice a ATM: contu'iile articula'iei tem#oro>mandibulare% #l$i articulate 8 Lu-a'ii tem#oro>mandibulare: date $enrale% etio#ato$enie% anatomia #atolo$ic% sim#tomatolo$ie% dia$nostic% tratament W Lu-a'ii anterioare 7 Lu-a'ii #osterioare 6 Lu-a'ii laterale 11 Lu-a'ii recedi&ante 11 Lu-a'ii recidi&ante condilo>meniscale 12 Lu-a'ii recidi&ante>manmdibulare 10 A"ec'iunile con$enitale (i de dez&oltare ale ATM a) a#lazia condiului mandibular b) 5i#o#lazia condiului mandibular c) 5e#era#lazia unilateral sau bilateral a condiului mandibular d) dia$nosticul (i tratamentul 14 )rocese in"lamatorii ale articula'iei ATM (artrite tem#oro>mandibulare) .ate $enrale% clasi"icare 13 Artrite nes#eci"ice acute: date $enrale% clasi"icare% cito#ato$enie% anatomia #atolo$ic% sim#tomatolo$ie% e&olu'ie% com#lica'ii% dia$nostic% tratament 18 Artrite cronice: date $enerale% clasi"icare % cito#ato$enie% anatomia #atolo$ic% sim#tomatolo$ie% tratament 1W Artritele s#eci"ice ($inococice% reumatice% artral$ii sim#le% si"ilitice% tuberculoz% actinomicotic 1 2 0 4 1 2 0 4 3 Mano#ere #ractice: E-aminarea #acientului cu #atolo$ie a articula'iei tem#oro>mandibulare Alctuirea #lanului de tratament E"ectuarea unei anestezii E"ectuarea e-trac'iei dentare% sau #artici#area ca asistent ,n o#era'ie

:iblio$ra"ie Materialele cursurilor Elaborri metodice #e tem x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B>TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662

Elaborarea metodic N 7 ( anul IV% semestrul VIII ) Tema : Osteoartroza (i sindromul dis"unc'iei dureroase a ATM Anc5iloza (i constric'ia mandibulei Locul lucrrii : +n #oliclinic *co#ul lucrrii : In&esti$a'ia bolna&ilor cu #atolo$ia dat *tabiliria dia$nosticului (i alctuiria #lanului de tratament )ractic #artici# la #rimiria bolna&ilor (i ,nre$istrarea lor ,n caete )lanul lucrrii : 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor / 01 min 0 )rimirea #acien'ilor / 23 min 4 +nc5eere / 3 min 1 2 0 4 3 +ntrebri de control: Osteoartroza tem#oro>mandibular: date $enrale% etio#ato$enie% anatomie sim#toimatolo$ie% dia$nostic% tratament Anc5iloza tem#oro>mandibulare: date $enerale% atio#ato$enie% anatomie sim#tomatolo$ie dia$nostic% tratament !onstruc'ia mandibulei: date $enerale% clasi"icare% cito#ato$enie% anatomie sim#tomatolo$ie% tratament *indromul dis"unc'iei dureroase tem#oro>mandibulare: % date $enrale% cito#ato$enie% anatomia #atolo$ic% sim#tomatolo$ie% tratament Tumorile articula'iei tem#oro>mandibulare: date $enerale% sim#tomatolo$ie% tratament #atolo$ic% #atolo$ic% #atolo$ic% clasi"icare% dia$nostic%

1 2 0 4 3

Mano#ere #ractice 1 E-aminarea #acientului cu dis"unc'ie ATM dureroas sau cu constric'ie de mandibul trismus 2 Alctui #lanului de tratament a #acientului cu #atolo$ie dat 0 E"ectuarea unei anestezii (i #artici#area la o#era'ii de e-trac'ie sau altele% ca asistent :iblio$ra"ie Materialele cursurilor Elaborri metodice #e tem x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B> TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662

Elaborarea metodic N 6 ( anul IV% semestrul VIII )

Tema : A"ec'iunilor (i leziunilor ner&ilor "e'ii: etio#ato$enie% sim#tomatolo$ie% e&olu'ie dia$nostic% tratament #ro$nostic Locul lucrrii : +n #oliclinic *co#ul lucrrii : In&esti$a'ia bolna&ilor cu #atolo$ia dat *tabiliria dia$nosticului (i alctuiria #lanului de tratament )ractic #artici# la #rimiria bolna&ilor (i ,nre$istrarea lor ,n caete )lanul lucrrii : 1 .iscu'ia la tem / 01 min 2 .emonstrarea #acien'ilor / 01 min 0 )rimirea #acien'ilor / 23 min 4 +nc5eere / 3 min +ntrebri de control: 1 Anatomia to#o$ra"ic a n tri$emen 2 Anatomia to#o$ra"ic a n "acial 0 Anatomia to#o$ra"ic a n $loso"arin$ian 4 .ate $enerale #ri&ind a"ec'iunilor (i leziunilor ner&ilor "e'ii: "rec&en'a clasi"icarea 3 Ne&ral$ia tri$ermenului% esen'iale (i sim#tomatolo$ic (de $enez central (i #eri"eric): etiolo$ie% #atolo$ie e&olu'ie% dia$nostic #oziti& (i di"eren'ial 8 Metode de tratament al ne&ral$iilor n tri$emen: a) metode conser&atoare b) metode "iziotera#eutice c) bloca9ul c5imic d) metode c5irur$icale e) metoda du# I Munteanu W Ne&rita n tri$emen: etiolo$ie (traumatisme% in"ec'ii% to-icoze (i stri aler$ice) sim#tomatolo$ie (i tratament 7 Ne&rita n "acial: etiolo$ie% sim#tomatolo$ie% e&olu'ie% dia$nostic% tratament #ronostic 6 Leziunile traumatice ale "aciatului% "r sau cu ,ntreru#erea continuit'ii ner&ului: sim#tomatolo$ie% e&olu'ie% dia$nostic% tratament c5irur$ical (i conser&ator 11 Tratamentul c5irur$ical al #araliziei mu'(c5ilor #ielo(i (mimici) 11 Ne&ral$ia "acialului% "rec&en'a% etiolo$ie% sim#tomatolo$ie% dia$nostic% tratament 12 Ne&ral$ia (ne&rita) $loso"arin$ianului: "rec&en'a% etiolo$ie% sim#tomatolo$ie% dia$nostic% tratament #ro$nostic 10 Ne&ral$ia $an$lionului s"eni#latin (sindromul *luder)% date $enerale% etiolo$ie% #ato$enie% sim#tomatolo$ie% tratament 14 Ne&ral$ia larin$elui su#erior 13 ;losodinia: etiolo$ie% sim#tomatolo$ie% dia$nostic% tratament 18 Ne&rita (i leziunile traumatice "r sau cu ,ntreru#erea con'inutului ner&ului Mano#ere #ractice E-aminarea #acientului cu leziunea ner&ilor (neurol$ie% #areze% neurite% neuroal&eolite) Alctuirea #lanului de tratament (i e"ectuarea unei #roceduri (blocad% a#lica'ii de medicamente etc ) E"ectuarea unei anestezii (i e-trac'ii dentare% sau #artici#are ca asistent :iblio$ra"ie

1 2 0 1 2 0 4 3

Materialele cursurilor Elaborri metodice #e tem x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B>TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662

VPFBJIOPEQHR KHkKHCBFQH 1 ( IV QDKE% VIII EPSPEFK ) @PSH : ^KNH`IkHdII BQHkH`IR bIKDKNIOPEQBc gBSB_I OPTeEF`B>TIdPGab KH`P``aS ^C_HR bHKHQFPKIEFIQH% QTI`IQH I TPOP`IR BN`PEFKPTn`ab KH`P`II I gBGKPlJP`Ic ij^ VPEFB kH`RFIR: fBTIQTI`IQP PTn kH`RFIR : yB GKPSR gKHQFIOPEQBNB kH`RFIR EFDJP`Fa DEGHIGHeF BE`BG`aP GIJa FKHGS ij^% QTHEEIhIQHdIR% EFHFIEFIQD Bk`HQBSTReFER E BE`BG`aSI gKI`dIgHSI BQHkH`IR SPJIdI`EQBc gBSB_I gBEFKHJHGmIS BCETPJDeF CBTn`ab E FKHGSHSI kHgBT`ReF HSCDTHFBK`De QHKFD% DOHEFGDeF G gKIPSP CBTn`ab I KPNIEFKIKDeF gKBJPTH``De KHCBFD fTH` kH`RFIR : 1 AHkCBK FPSa 01 SI` 2 {PSB`EFKHdIR% FPSHFIOPEQIb CBTn`ab 01 SI` 0 0 fKIPS CBTn`ab 21 SI` 4 }HQTeOP`IP vB`FKBTn`aP GBgKBEa: 1 ^KNH`IkHdIR I BCnS ESPmH``BNB EFBSHFBTBNIOPEQBc SPJIdI`EQBc gBSB_I G QHCI`PFP CHFHTIB`H G SIK`BP GKPSR 2 ^KNH`IkHdIR I BCnS EFBSHFBTBNIOPEQBc SPJIdI`EQBc gBSB_I KH`P`ab NBEgIFHTIkIKBGH``ab G IkBTRFBKHb CHFHTIB`H G SIK`BP GKPSR 0 ^KNH`IkHdIR I BCnS EFBSHFBTBNIOPEQBc SPJIdI`EQBc gBSB_I G QHCI`PFP CHFHTIB`H G SIK`BP GKPSR 4 rSD`IFPF I kH_IFH BF I`hPQdII 3 iHEFBFH gPKIBEFIFH% QTHEEIhIQHdIR 8 fHFBNP``aP SPQH`IkSa KHEgKBEFKH`PIP I`hPQdII gKI gPKIBEFIFP W vTI`IOPEQHR QHKFI`H (BC_IP I SPEF`aP EISgFBSa% gHKHQTI`IOPEQIP SPFBJa IETPJBGH`IR) 7 {IhPKP`dIHTHR (BEFKac gDTgIF% BEFKac gKIBJB`FIF) I BQB`OHFPTn`HR JIHN`BEFIQH ^C_PP I SPEF`BP TPOP`IP: (gBQHkH`IR Q DJHTP`Ie gKIOI``BNB kDCH% gPKIBEFBFBSIH> BEBCP``BEFI `H GPKb`Pc I `Il`Pc OPTeEFI)% JKP`Hl>dPTn% hHKSHQBFPKHgIR BC_HR I SPEF`HR% hIkIBgKBdPJDKa 6 ^ETBl`P`II gPKIBEFIFH 11 fKBhITHQFIQH gPKIBEFIFH :iblio$ra"ie 1 2 0 4 3 MHFPKIHT TPQdII VPFBJIOPEQIP KPQBSP`JHdII x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B> TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662

VPFBJIOPEQHR KHkKHCBFQH 2 ( IV QDKE% VIII EPSPEFK ) @PSH : xBPGaP gBGKPlJP`IP SRNQIb FQH`Pc VPEFB kH`RFIR: fBTIQTI`IQP PTn kH`RFIR : yB GKPSR gKHQFIOPEQBNB kH`RFIR EFDJP`Fa DEGHIGHeF BE`BG`aP GIJa FKHGS ij^% QTHEEIhIQHdIR% EFHFIEFIQD Bk`HQBSTReFER E BE`BG`aSI gKI`dIgHSI BQHkH`IR SPJIdI`EQBc gBSB_I gBEFKHJHGmIS BCETPJDeF CBTn`ab E FKHGSHSI kHgBT`ReF HSCDTHFBK`De QHKFD% DOHEFGDeF G gKIPSP CBTn`ab I KPNIEFKIKDeF gKBJPTH``De KHCBFD fTH` kH`RFIR : 1 AHkCBK FPSa 01 SI` 2 {PSB`EFKHdIR% FPSHFIOPEQIb CBTn`ab 01 SI` 4 0 fKIPS CBTn`ab 21 SI` 4 }HQTeOP`IP 3 SI` vB`FKBTn`aP GBgKBEa: 1 ^C_IP JH``aP H`HFBSII SRNQIb FQH`Pc TIdH I OPTeEFPc fKI`dIga QTHEEIhIQHdII FKHGS ij^ gKI BN`PEFKPTn`ab KH`: >G kHGIEISBEFI BF gBGKPlJP``ab FQH`Pc] >G kHGIEISBEFI BF GBkJPcEFGIR FKHGSIKDe_PNB HNP`FH 2 iHEFBFH FKHGS ij^ gKI BN`PEFKPTn`ab KH` 0 ^CEPJBGH`IP CBTn`BNB E FKHGSBc ij^ gKI BN`PEFKPTn`ab KH` 4 qBKSa I gKI`dIga BKNH`IkHdII SPJIdI`EQBc gBSB_I gBEFKHJHGmIS 3 p`HFBSB>QTI`IOPEQIP HEgPQFa gKI BN`PEFKPTn`ab KH` 8 ^C_IP QTI`IOPEQIP JH``aP gKI BN`PEFKPTn`ab KH` W ^ETBl`P`IR (KH``IP% BC_IP% gPKGIO`aP% GFBKIO`aP% gBkJ`IP) 7 tKNP`F`HR gBSB_n (gKI BEFKac JabHFPTn`ac `PJBEFHFBO`BEFI I HEhIQEII% QKBGBFPOP`II% mBQP% KH``RR BCKHCBFQH KH`a) 6 ^QB`OHFPTn`BP TPOP`IP KH`a>gPKGIO`HR bIKDKNIOPEQHR BCKHCBFQH KH`a 11 tbBJ kH KH`Bc% JKP`IKBGH`IP% NINIP`H gBTBEFI KFH% gIFH`IP CBTn`BNB 11 ^EBCP``BEFI HEhIQEII 12 fBGKPlJP`II ij^ gKI kPSTPFKIEP`Ic% `HGBJ`I`Ic% kHSBKBkQHb 10 ^EBCP``BEFI KH` RkaQH 14 ^EBCP``BEFI I SPFBJa bIKDKNIOPEQBc BCKHCBFQI BN`PEFKPTn`ab KH` ij^ 13 fHQHkH`IR Q DJHTP`IR I`BKBJ`BP FPTB :iblio$ra"ie Materialele cursurilor Elaborri metodice #e tem x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B> TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662

1 2 0 4 3

VPFBJIOPEQHR KHkKHCBFQH 0 ( IV QDKE% VIII EPSPEFK ) @PSH : @KHGSa TIdPGBNB EQPTPFH (GPKb`RR I `Il`RR OPTeEFn) VPEFB kH`RFIR: fBTIQTI`IQP PTn kH`RFIR : yB GKPSR gKHQFIOPEQBNB kH`RFIR EFDJP`Fa DEGHIGHeF BE`BG`aP GIJa FKHGS ij^% QTHEEIhIQHdIR% EFHFIEFIQD Bk`HQBSTReFER E BE`BG`aSI gKI`dIgHSI BQHkH`IR SPJIdI`EQBc gBSB_I gBEFKHJHGmIS BCETPJDeF CBTn`ab E FKHGSHSI kHgBT`ReF HSCDTHFBK`De QHKFD% DOHEFGDeF G gKIPSP CBTn`ab I KPNIEFKIKDeF gKBJPTH``De KHCBFD fTH` kH`RFIR : 1 AHkCBK FPSa 01 SI` 2 {PSB`EFKHdIR% FPSHFIOPEQIb CBTn`ab 01 SI` 3 0 fKIPS CBTn`ab 21 SI` 4 }HQTeOP`IP 3 SI` 1 2 vB`FKBTn`aP GBgKBEa: ^C_IP JH``aP B gBGKPlJP`IPS TIdH GB GKPSR GBc`a% OHEFBFH% QTHEEIhIQHdIR gBGKPlJP`II TIdPGBNB EQPTPFH vTI`IQH gBGKPlJP`Ic QBEFPc TIdH gKI BN`PEFKPTn`aP KH`a p) BC_IP QTI`IOPEQIP EISgFBSa GEPb gPKPTBSBG y) QTI`IQH G kHGIEISBEFI BF SPEFB gPKPTBSH% QBEFI% etc w)^EBCP``BEFI gBGKPlJP`IR QBEFPc TIdH ^C_PP I SPEF`BP TPOP`IR CBTn`ab E gGKPlJP`IPS QBEFPc TIdH VPFBJa ISSBCITIkHdII fIFH`IP CBTn`ab E gBGKPlJP`IPS QBEFPc TIdH qD`QdIB`HTn`HR SBKhBTBNIR kDCBG I FQH`Pc gHKHJB`FH ^C_IP JH``aP B FKHGSP kDCBG I gHKHJB`FH uFIBgHFBNP`Pk I gHFH`HFBSIR FKHGS kDCBG I gHKHJB`FH vTHEEIhIQHdIR FKHGS kDCBG I gHKHJB`FH @KHGSa kDCBG (FKP_I`a% gPKPTBSa): QTI`IQH% JIHN`BEFIQH% TPOP`IP @KHGSa gHKHJB`FH (DmICa% `PgBT`aP I gBT`aP GaGIbI kDCBG): QTI`IQH] TPOP`IP] @Pb`IQH KPgTH`FHdII kDCH gKI gBT`BS GaGIbP VPFBJa ISSBCITIkHdII :iblio$ra"ie Materialele cursurilor Elaborri metodice #e tem x { vHCHQBG% y r jDQnR`P`QB% f } pKlH`dPG tOPC`BPgBEBCIP gB GBP``Bc OPTeEF`B> TIdPGBc bIKDKNII% FPKHgPGFIOPEQBc EFBSHFBTBNII V 1671 @ V jDKnPG > yKHOPC`B>FKDJBGHR |QEgPJIdIR G EFBSHFBTBNII V 1671 ; Timo(ca% ! :urliba(a =!5iru$ia oro>ma-ilo>"acial? !5i(inu 1662

0 4 3 8 W 7 6 11 11 12 10

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