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Course, Course Code 2011-2012 Oral & Maxillofacial Rehabilitation OMR 511 Oral and Maxillofacial Surgery Department 2011-2012 / 1432-1433 Kingdom of Saudi Arabia King Abdulaziz University Faculty of Dentistry
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Page 1: Oral & Maxillofacial Rehabilitation OMR 511 after … ·  · 2012-09-25Course, Course Code 2011-2012 Oral & Maxillofacial Rehabilitation OMR 511 Oral ...

Course, Course Code 2011-2012

Oral & Maxillofacial Rehabilitation

OMR 511

Oral and Maxillofacial Surgery Department

2011-2012 / 1432-1433

Kingdom of Saudi Arabia

King Abdulaziz University

Faculty of Dentistry

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Table of Content

1 COURSE SPECIFICATION 4

1.1 COURSE IDENTIFICATION AND GENERAL INFORMATION 5

1.1.1 DEPARTMENT/COURSE TITLE 5

1.1.2 COURSE CODE 5

1.1.3 YEAR/SEMESTER 5

1.1.4 CREDIT HOURS 5

1.1.5 PRE-REQUISITES FOR THIS COURSE (IF ANY) 5

1.1.6 CO-REQUISITES FOR THIS COURSE (IF ANY) 5

1.1.7 LOCATION/TIME “LECTURE” 5

1.1.8 LOCATION/TIME “LABORATORY OR CLINICS” 6

1.1.9 CODE OF CONDUCT 6

1.1.10 STANDARD OF CARE 8

1.2 SYLLABUS AND RELATED INFORMATION 9

1.2.1 INSTRUCTORS INFORMATION 9

1.2.2 COURSE DESCRIPTION AND OBJECTIVES 10

1.2.3 COURSE COMPONENTS 26

1.3 LEARNING RESOURCES 38

1.3.1 REQUIRED TEXT(S) 38

1.3.2 STUDY GUIDE OR MANUAL 38

1.3.3 ESSENTIAL REFERENCES 38

1.3.4 RECOMMENDED BOOKS AND REFERENCE MATERIAL 38

1.3.5 ELECTRONIC MATERIAL (URL), WEBSITES ETC 38

1.3.6 OTHER LEARNING MATERIAL 38

1.4 STUDENT SUPPORT 39

1.4.1 ACADEMIC ADVISING 39

1.4.2 REMEDIATION PLANS AND FOLLOW UP MECHANISM 40

1.5 FACILITIES REQUIRED 41

1.5.1 ACCOMMODATION (LECTURE ROOMS, LABORATORIES, ETC.) 41

1.5.2 COMPUTING RESOURCES 41

1.5.3 OTHER RESOURCES 41

2 COURSE INSTRUCTOR’S SPACE 42

2.1 COURSE PHILOSOPHY 43

2.2 TEACHING MATERIAL (LECTURES OUTLINE, NOTES OR SLIDES (HARD AND SOFT COPY)

44

2.3 COURSE EVALUATION AND IMPROVEMENT PROCESS 45

2.3.1 STRATEGIES FOR OBTAINING STUDENT FEEDBACK 45

2.3.2 OTHER STRATEGIES FOR EVALUATION OF TEACHING 46

2.3.3 PROCESSES FOR IMPROVEMENT OF TEACHING 46

2.3.4 PROCESSES FOR VERIFYING STANDARDS OF STUDENT ACHIEVEMENT 47

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2.3.5 DESCRIBE THE PLANNING FOR REVIEWING COURSE EFFECTIVENESS 48

2.4 COURSE DIRECTOR REFLECTION 49

2.4.1 REFLECTION AFTER THE FIRST DAY 49

2.4.2 PLANS FOR IMPROVING THE COURSE 50

3 COURSE REPORT 51

3.1 COURSE DELIVERY 52

3.1.1 COVERAGE OF PLANNED PROGRAM 52

3.1.2 CONSEQUENCES OF NON COVERAGE OF TOPICS 52

3.1.3 EFFECTIVENESS OF PLANNED TEACHING STRATEGIES 53

3.1.4 RECOMMENDED CHANGES OR PROCESSES FOR IMPROVEMENT 58

3.1.5 EXAMPLES OF LEARNING ACTIVITIES 58

3.2 RESULTS 59

3.2.1 NUMBER OF STUDENTS STARTING AND COMPLETING THE COURSE 59

3.2.2 DISTRIBUTION OF GRADES 59

3.2.3 RESULTS SUMMARY 59

3.2.4 SPECIAL FACTORS (IF ANY) AFFECTING THE RESULTS 60

3.2.5 VARIATIONS FROM PLANNED ASSESSMENT PROCESSES 60

3.3 REPORT OF REMEDIATION PLAN 62

3.3.1 NUMBER OF STUDENTS INVOLVED 62

3.3.2 SUMMARY OF RESULTS OF REMEDIATION PROCESS 62

3.3.3 STUDENT FEEDBACK (IF ANY) 62

3.4 RESOURCES AND FACILITIES 63

3.4.1 DIFFICULTIES IN ACCESS TO RESOURCES OR FACILITIES 63

3.4.2 CONSEQUENCES OF DIFFICULTIES 63

3.5 ADMINISTRATIVE ISSUES 63

3.5.1 ORGANIZATIONAL OR ADMINISTRATIVE DIFFICULTIES 63

3.5.2 EFFECT OF DIFFICULTIES ON STUDENT LEARNING 63

3.6 COURSE EVALUATION 64

3.6.1 STUDENT EVALUATION OF THE COURSE (ATTACH SURVEY RESULTS) 64

3.6.2 OTHER EVALUATION 64

3.7 PLANNING FOR IMPROVEMENT 67

3.7.1 PROGRESS ACTIONS PROPOSED FOR IMPROVING THE COURSE 67

3.7.2 ACTION FOR NEXT SEMESTER/YEAR 67

3.7.3 RECOMMENDATIONS FOR PROGRAM COORDINATOR 68

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1 COURSE SPECIFICATION

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1.1 Course Identification and General Information

1.1.1 Department/Course title

Oral & Maxillofacial Rehabilitation/ OMR

1.1.2 Course code

OMR 511

1.1.3 Year/Semester

2011-2012/first semester & second semester

1.1.4 Credit hours

4 CH (one hour lecture/3 hours clinical sessions weekly)

1.1.5 Pre-requisites for this course (if any)

Anatomy

General (Ant D 201)

Dental (OBCS 223)

Pain Control Course (OMR 312)

1.1.6 Co-requisites for this course (if any)

General Medicine (MEDD401)

General Surgery (SURD 401)

1.1.7 Location/Time “Lecture”

Location Time

Males Building #14, 2nd floor at

5th year classroom Sunday (8 am-8:50 am)

Females Building #10 at

5th year classroom at the Female section

Saturday (8 am-8:50 am)

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1.1.8 Location/Time “Laboratory or Clinics”

Location Time

Males Building #11, 2nd floor 9 am-11:50 am

Females Building #11, 1st floor 9 am-11:50 am

1.1.9 Code of Conduct

All students are held to standards of the Code of Conduct described in the

King Abdulaziz University policies (Student Hand Book) and is represented

by a set of principles of professional conduct and rules by which dental

students must aim to fulfill their duties to their patients, the public, the

profession, the faculty, and to their fellow students. With special emphasis on

the moral conduct within the meaning of Islamic values.

1.1.9.1 Attendance Policy

Class attendance and participation are mandatory for all lectures, labs and

sessions. Exceeding the maximum permissible absences (10% or more)

may deprive the student from attending the final exams.

1.1.9.1 Anti-Plagiarism Policy

Cheating in the examination, attempting to cheat, or opposing the regulations

of examinations, will lead to a disciplinary action according to the students’

disciplinary regulations issued by the University Council. In addition, It is

essential for students to carefully consider the legitimacy and authenticity of

the work they submit by providing appropriate acknowledgements in the form

of clear referencing to avoid plagiarism and to encourage honest work.

Allegations of plagiarism against staff members should be reported to Vice

Dean of Academic Affairs.

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1.1.9.2 Examination Policy

All examinations must be taken on the date scheduled. The students have to

be there on time. The students will not be allowed to enter any examination

after half an hour from the beginning of the exam; and will not be allowed to

leave before half an hour from the start of the exam.

1.1.9.3 Professional Attire

Appropriate student dress and grooming are important factors in the safety

and orderly operation of the school clinics and labs and student's

appearance should reflect a positive image of the school. The students

should wear a uniform scrub suit and a white coat. Failure to comply with the

school dress code policy may result in disciplinary action, which may include

prohibition from the clinic.

1.1.9.4 Other Policies (if any)

The students work together in an operator/assistant relationship, where the

operator records all the patients vital signs, observe the digital x-ray perform

his clinical assessment and treatment plan. The assistant helps his/her

colleague and provides him/her with all his needs. Students should show

respect and cooperation with his/her colleagues, the patients and all the staff.

Student must implement and maintain aseptic technique throughout surgical

technique.

The students should know and respect the "king Abdulaziz University Faculty

of Dentistry Statement of patients' rights" (appendix 12).

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1.1.10 Standard of Care

The ultimate objective of standards for the dental profession is to provide

care consistent with an acceptable quality of life for the patient.

The extraction of teeth is a treatment that must not harm adjacent oral

structures. Treatment outcome is dependent on the presenting status of the

oral cavity, as well as patient overall condition at the commencement of

therapy. Patients must be made aware of expectations from treatment

intervention. In some cases, restoration of normal oral health may not be fully

achieved. Patient compliance is directly related to treatment outcomes.

HEALTH

Causative disease/condition has been removed.

Surgical criteria and process have been accurately followed.

Necessary medication has been prescribed

Possible side-effects have been communicated to the patient

Post-operative instructions have been given

Follow-up visits have been communicated to the patient

COMFORT Oral cavity is rendered asymptomatic and comfortable

FUNCTION

Limited function at time and immediately following the surgery has been explained to the patient

Following recovery from the surgery, the patient is able to function in a manner that is asymptomatic and efficient

ESTHETIC

Following recovery from surgery, oral tissues look healthy

Should treatment outcome be expected to compromise aesthetic (such as in extractions) patient has been informed.

All students should understand how to prevent the occurrence of

complications and to deal with them if they arise.

All students must provide adequate post-operative care and instructions and

provide the patient with contact accessibility in case any complication arises.

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1.2 Syllabus and Related Information

1.2.1 Instructors Information

1.2.1.1 Course Director Contact Details

Name Position Office Hours

Extension Number

Email

Hala Mokhtar

Abdel-Alim

Prof. &course director

Monday 2-5 pm

G/919 Female side 0533482015

[email protected]

1.2.1.2 Faculty Members Contact Details

Name Position Office Hours

Extension Number

Email

Ahmed Al Yamani

Head of Division

Saturday 1-5 pm

0506355359 Ahmedalyamani@ya

hoo.com

Hassan Abdel- Dayem

Professor Monday 2-5 pm

0533834462 Hassan_abdeldayem

@hotmail.com

Mohamed El-

Seheimy Professor

Monday 2-5 pm

0581009530 mmelsehimy@hotmai

l.com

Ragab Shaaban

Professor Monday 2-5 pm

0557664287 ragab3000@hotmail.

com Fahmy

Abdel-Al Professor

Monday 2-5 pm

0535497976 [email protected]

m

Basem Jamal Ass. Prof

Monday 2-5 pm 0555591789

[email protected]

Khaled Mostafa Ass. Prof

Monday 2-5 pm 0566191981

[email protected]

Haytham Attia Ass. Prof

Tuesday 2-5pm 0590941244

[email protected]

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1.2.2 Course Description and Objectives

1.2.2.1 Course Description

At the end each procedure the student, should make a self assessment of

his/her performance in a printed form (appendix 3), the staff member will

then make his assessment, sign it and hand it back to the student as a

feedback information.

Extraction of 10 teeth & at least five Inferior alveolar block techniques of

local anesthetic administration throughout the year constitute the minimum

procedure experience (MPE) required for each student. This includes both

simple and surgical extraction as well as infiltration anesthesia.

Each student should assist a colleague in at least 10 extractions.

Attendance is mandatory for both lectures and practical sessions.

1.2.2.2 Course Objectives (Summary of the Main Learning Outcome)

To prepare a competent graduate who will be able to combine

the appropriate supporting knowledge and professional attitudes

and perform skills reliably without assistance in the field of minor

Oral and Maxillofacial Surgery.

The curriculum in the Department of Oral & Maxillofacial Surgery

provides clinical experiences for the student in simple extraction

of erupted teeth, surgical extraction of erupted teeth, patient

evaluation, and diagnosis, treatment of common medical

emergencies, maxillary sinus affections and basic preprosthetic

surgery as well as advanced preprosthetic surgery. The

foundation knowledge and skills acquired through these

experiences contribute to the development of a general dentist

competent in basic minor oral and maxillofacial surgery.

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To develop students cognitive skills by performing all procedures

under the supervision and close observation of a staff member,

enhanced by a self assessment policy verified and supplied by an

immediate feedback by the instructor. Moreover, each student is

assisted by his colleague who is invited to freely ask and give

comments.

To develop students interpersonal skills & responsibility mainly by

applying the infection control measures, and know how to exhibit

professional integrity in their conduct and apply professional ethics,

respect, understanding and work in team.

Developing the students' psychomotor skills, by knowing how to

manage the patients competently to conduct high quality care by

preparing pre-treatment record using electronic R4 program, and

performing proper assessment and provide good treatment plan.

i. Briefly describe plans for developing and improving the course:

Continuous improvement and modification of the lectures regularly to

meet the recent update of the emerging scientific evidence,

innovations in order to achieve quality.

Changing the clinical requirements concept to the minimum

procedure experience achieved by the students to overcome the

rigidity in relation to individual practical capacities and encourage

and stimulate the student towards the patient centered

comprehensive care.

Examination using MCQs and short essays for continuous

assessment (appendix 4) and Mid-year (appendix 5) formulated as

to assess the students' capability, in broad thinking, recognizing

assumptions, implications, reasoning through problems.

MCQs examinations are accurately corrected using computer exam

sheets. (appendix 6)

At the end of the first term and final exam, evaluations are done

comparing the highest to lower performances. (appendix 7).

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1.2.2.2 Learning Outcome (Description of the Skill, Teaching Strategy, Method of Assessment based on CODA’s principles for achieving an optimal educational environment - For evidence see Section 3.1.5)

A. Knowledge

(i) Description of the knowledge to be acquired (ILOs)

At the end of the course the students should be able

To appraise the appropriate information in a scientific, foundation

ability and professional attitudes in critical thinking and problem

solving skillfully without assistance in the field of minor Oral and

Maxillofacial Surgery by shifting toward a "competency based

curriculum".

To develop good understanding of simple extraction of erupted

teeth, surgical extraction of erupted teeth, patient evaluation,

diagnosis, treatment of common medical emergencies, maxillary

sinus affections and basic preprosthetic surgery as well as

advanced preprosthetic surgery.

To contribute the foundation knowledge and skills acquired through

these experiences towards the development of a general dentist

competent in basic minor oral and maxillofacial surgery.

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(ii) Teaching Strategies to develop that knowledge

Lectures, and clinical sessions are given:

In the first semester;

The students will have a review of head and neck history taking,

examination and treatment planning.

Pre-operative planning of the procedure by understanding the value of

scientific knowledge will assist in critical thinking and problem based

evidence through history taking and clinical examinations. Proper

diagnosis is reached accordingly by interactive discussion with the

instructor.

The students will apply the technique of simple extraction and

understand the principle of use of instrument and different types of

elevators and complications that may arise from the in-appropriate

use will be taught starting from the second lecture and clinically

demonstrated.

The students will recognize and categorize, the instruments used for

surgical extraction and the basic principles of flap design, how to

remove bone, how to section teeth for easy removal and different

suture technique and suture materials. All will be taught in the

lectures and in the clinical sessions.

The students should know what an impacted tooth is and its

classifications. They will localize and diagnose impacted teeth,

indications and steps of its surgical removal, postoperative care and

instructions after the surgery.

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At the end of these lectures students should know how to perform

simple and complicated teeth extraction and how to follow up patient

during the post-operative period.

At the end of the semester the student should be able to exhibit

professional integrity in communication with the patients and gain

good confidence and patients' compliance in post-operative care,

instructions and follow-up.

In the second semester;

Students will learn how to deal with patients presented to the clinic

and having different medical problems (cardiac, respiratory, renal,

hypertension, blood disorders, endocrine disorders, neurological,

hepatic, and immune-compromised and pregnancy).

The second part during this semester, student will learn the role of

dentist in managing maxillary sinus problems related to dental causes

such as oro-antral fistula and different cysts and tumors that may

affect the maxillary sinus.

In the final part of this course, the students will learn the role of the

oral surgeon in assuring the patient a good and satisfactory

prosthesis by understanding the basic principles in pre-prosthetic

surgery.

Students should know how to diagnose difficulties that may face the

prosthodontist to construct a satisfactory denture and different

methods to diagnose and correct both soft tissues and osseous

problems of the jaws.

The student should also get acquainted with the advanced pre-

prosthetic surgery involving reconstructive techniques and more

complicated surgeries.

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(iii) Methods of Assessment of knowledge acquired

During the first semester, 6 weeks after the start of the semester,

quiz 1 (appendix 4), examination will be carried out in the taught

topics, and then a mid-year examination will be held at the end of the

semester including all the lectures (appendix 5).

Discussion during student’s performing MPE procedures.‎

Six weeks after the start of the second semester, quiz 2 examination

will be held for the lectures taught in 2nd semester lectures, and the

final examination will be held at the end of the academic year and

will include all materials taught throughout the year.

Discussion of Continuous Assessment quizzes.

Discussion of mid-term exam questions.

A final exam and the end of the course (appendix 16)

A simulated competency exam will be carried out and the end of the

course based on critical thinking and evidence based solutions

(appendix 17)

Attendance policy:

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B. Cognitive Skill

(i) Description of the Skill to be acquired (ILOs)

The students develop their cognitive skills based on interactive discussion

with the supervising staff member as regards their knowledge, analytical

thinking during history taking, interactive collaboration with other

department as radiological or laboratory tests to reach proper diagnosis.

They should know the indication for tooth extraction & classification of

impaction. They have to recognize maxillary sinus problems, categorize

the medically compromised patients for safe procedures and understand

the basic and advanced pre-prosthetic surgery.

They should apply the acquired relevant knowledge in clinical reasoning

and know to gather and assess relevant information, relating it against

extent knowledge and ideas, to interpret information accurately and certify

well-reasoned conclusions. This is all challenged by an open discussion

with the instructor during the lectures and the clinical sessions.

(ii) Teaching Strategies to develop that Skill

Teaching strategies:

The students are encouraged by the instructors to:

Evaluate and integrate emerging trends in health care as appropriate.

Perform proper infection control measures.

Build a systematic evidence-based diagnostic work-up based on

critical thinking and acceptable knowledge.

Interact with other collaborative specialties.

Perform successfully the local anesthesia, and closed and surgical

extractions of teeth and roots.

Deliver proper patient care and post-operative instructions,

successfully achieved by ability to gain maximum patient compliance.

Comprehend the value of recording in the patients' progress note, to

imply relevant information (appendix 2).

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(iii) Methods of Assessment of Skill acquired

The students obtain approval from the instructor for every step, then they

perform self assessment of every step at the end of each procedure. The

instructors make their assessment and return it back to the students

(appendix 3).

Appropriate record keeping in patient care: A progress note carrying

documentation of all work is signed and approved as well as the use of the

electronic R4 system (appendix 2).

MPE required of at least 10 cases of extractions, and 5 cases of

inferior alveolar nerve block.

Also, students who fail to fulfill at least 60% of the clinical MPE

(extraction of 10 teeth) will not be allowed to attend the final examination.

Clinical competency exam will be carried out after completing the

MPE. (appendix 8)

Simulated clinical competence examination at the end of the year.

C. Interpersonal Skills and Responsibility

(i) Description of the Skill to be acquired (ILOs)

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Implement the code of ethics by exhibiting the required professional

integrity in conduct, starting from infection control measures, patient

communication, and assessment of risk factors and application of all

concepts of quality assurance.

Appreciate the value of doctors' patient relationship by obtaining highest

patient compliance and succeeding in communicating and providing

care for a diverse population of patients.

Value the importance of interdisciplinary consultation and referral

concepts for the patients.

By the end of the course the students should be able to:

Show professionalism in the clinic including respect, tolerance,

understanding and concern for others fostered by mentoring, advising

and interaction with colleagues through implementing the

operator/assistant relationship between the student and his/her

colleague.

Select, judge, and interpret diagnostic images for the individual patient.

Validate a comprehensive diagnosis, treatment, and/or referral plan for

management of patients.

Consolidate the student's ability to work as a team under stress with

acceptable level of professionalism

Perform the procedure with acceptable skill.

(ii) Teaching Strategies to develop that Skill

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Discussion of every case with the students and stress on ethical

behavior, proper patient management, patient confidentiality, reach

diagnosis made on evidence basis.

Stressing on the importance of interdisciplinary consultation, and other

examination information as x-ray.

Discussion of the treatment plan with the student.

Enhancing the operator/assistant relationship.

Supervision and evaluation of every step.

Self assessment of every step.

(iii) Methods of Assessment of Skill acquired

The students obtain approval from the instructor for every step, then they

perform self assessment of every step at the end of each procedure. The

instructors in turn make his/her assessment and return it back to the

students. A progress note documenting all work is signed and approved as

well as the electronic R4 system.

Assessment of infection control will be performed for every case.

MPE required of at least 10 cases of extractions, and 5 cases of

inferior alveolar nerve block.

Also, students who fail to fulfill at least 60% of the clinical MPE

(extraction of 10 teeth) will not be allowed to attend the final examination.

Clinical competency exam will be carried out after completing the

MPE (appendix 8)

Students have to assist their colleagues in at least 10 extractions.

D. Communication, Information Technology, and Numerical Skills

(i) Description of the Skill to be acquired (ILOs)

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Informative collection and communication skills are acquired by

students and evaluated by interactive discussions in the lectures

based on their satisfactory attendance and participations.

Critical thinking and informative technology individually enhanced are

challenged in the clinical sessions by the pertinent discussion

preceding the start of any procedure evidence based and evaluated

by self assessment.

The student should recognize the digital technology and understand its

reading to be able to appraise any information meeting with the standards of

nowadays technology.

The students should develop adequate ability of writing progress note

and proper use of the digital faculty system R4, and recording all

patients' information.

(ii) Teaching Strategies to develop that Skill

The students syllabus is handed out to the students at the beginning of

the course, the students are directed towards critical thinking and

encouraged to find the learning resources and raise questions and

discussions either in the lectures, in the clinical sessions and in the

office hours.

Each student has his/her own computer in his unit where he manages the R4

programs during patient screening, taking history, clinical and radiological

examinations as well as keeping post-operative electronic record

The instructors challenge the student regularly during the lectures and

the clinical sessions by interactive and critical thinking questions.

(iii) Methods of Assessment of Skill acquired

Self assessment is indicative of the extent to which students take

responsibility for their own learning; this influences not only summative

assessment but rather formative assessment as well by discussion of

knowledge and each case diagnosis and management.

Clinical supervision of the R4 system and the clinical work.

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E. Psychomotor Skills

(i) Description of the Skill to be acquired (ILOs)

Description of skills to be developed at the level of the student

performance, in support of patient-centered care the student should

be able to:

Prepare pre-treatment record using the school DPA system and

the electronic R4 program via comprehensive history taking.

Perform thorough clinical examinations with adequate

professional integrity.

Select, and interpret diagnostic images

Perform high quality dental extraction and deal with

complication whenever, required.

Participate with all dental team members in the management of the

patient.

(ii) Teaching Strategies to develop that Skill

At the start of the clinical sessions the student should be trained to

recognize the surgical instruments and their uses, infection control

measures, and adjustment of the dental chair.

Guiding the students towards creating pre-clinical records and proper

history taking.

Referral and interdisciplinary and medical consultation should be

understood.

Clinical examinations and building an accurate diagnostic work-up

should be understood.

The student should be able to

Outline a definite treatment plan.

To perform the procedure confidently and successfully.

(iii) Methods of Assessment of Skill acquired

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Clinical self assessment of every procedure followed by instructors'

evaluation. (appendix 3)

MPE required of at least 10 cases of extractions, and 5 cases of

inferior alveolar nerve block.

Also, students who fail to fulfill at least 60% of the clinical MPE

(extraction of 10 teeth) will not be allowed to attend the final

examination.

Clinical competency exam will be carried out after completing the

MPE.

Simulated clinic competency exams at the end of the year.

1.2.2.3 Competency Statements Supported by the Course

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List of KAUFD Competencies Supported by this Course:

Make sure all possible competencies are covered

Competency Domain Competency

# Competency Statement

Information Management and critical thinking:

#1

Acquire and understand information in a scientific and effective manner, to assist in critical thinking and problem solving for patient care.

#2

Recognize the value and role of lifelong learning, self assessment and critical thinking.

Ethics and professionalism:

#3

Exhibit professional integrity in their conduct and apply the principles of professional ethics, jurisprudence, and risk management to dental practice.

Communication and

Interpersonal Skills

Graduates must be competent to:

#4

Communicate with and provide care for a diverse population of patients (including special care) in order to develop a commitment to community service.

#5

Recognize and manage patient behavioral and psychological factors that affect oral health and implement strategies to facilitate the delivery of oral health care

#6

Effectively communicate with both patients and other health care providers.

Health Promotion #8

Perform risk assessment, determine etiology of dental disease communicate and demonstrate and to patient approach to modify behaviors contributing to dental disease

Practice management #9

Work in various dental settings and assess overall quality in order to facilitate the delivery of appropriate oral health care.

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#10

Apply principles of risk management, including informed consent and appropriate record keeping in patient care.

Patient Care (Clinical

Sciences)

Patient Assessment,

Diagnosis and treatment

planning

#12

Develop a comprehensive diagnosis and treatment plan, based on the patient's chief complaint, dental, personal family, social, and medical (systemic disease) history, medical and dental diagnostic tests and the results of head, neck, oral cavity and radiographic examination.

Establishment and

Maintenance of Oral

Health

#15

Manage oral (pulpal, periodontal

or traumatic) or medical

emergencies and provide initial

treatment including Basic Life

Support and follow up

management for complications

and medical emergencies that

may occur during or as a result of

dental treatment and /or make

appropriate referral to medical and

dental specialties.

#16

Identify and provide effective local

anesthesia for oral treatment.

#21

Perform uncomplicated oral and

maxillofacial surgery or

appropriately refer patients for

complicated procedures

#22

Manage and treat localized

odontogenic infections and

common operative and

postoperative surgical

complications.

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#24

Inform the patient regarding the

nature and extent of the noted

disease or disorder and provide

the appropriate management

and/or referral.

#29

Implement an effective infection

control and environmental safety

program that complies regulatory

standards.

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1.2.3 Course Components

1.2.3.1 List of Topics to be covered and Number of hours dedicated to this topic

List of Topics Covered During the Course No of

Weeks Contact Hours

Review of anatomy History taking and diagnosis 1 4

Forceps extraction and elevators 3 12

Management of complicated extractions (Surgical Extraction) 3 12

Management of impacted teeth 3 12

Management of medically compromised patient 4 16

Maxillary Sinus and its dental implications 3 12

Basic Pre-Prosthetic surgery 3 12

Advanced Pre-Prosthetic surgery 3 12

Review of anatomy History taking and diagnosis 1 4

1.2.3.2 Different Course Components and Total Contact Hour Per Semester

Course Component Contact Hours

Self-Study

Lecture 13 hours/semester _

Laboratory _

Clinical 39 hours/semester Self assessment

for each step

Field Work _

Tutorial _

Additional private study/learning hours

expected for students per week

_

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1.2.3.3 Lecture Schedule (including Clinical or Practical Sessions)

Lecture schedule, 1st Semester (5th Year) (1431– 1432 / 2010 – 2011)

Week Date Lecture Topic* Lecturer

1 17/9/11 (F) Review of anatomy

History taking And diagnosis (1)

Dr. F .Abdul Aal 18/9/11 (M)

2 24/9/11 (F) Forceps extraction and

elevators (1) Dr. H. Attia

25/9/11(M)

3 1/10/11 (F) Forceps extraction and

elevators (2) Dr. H. Attia

2/10/11 (M)

4 8/10/11 (F) Forceps extraction and

elevators (3) Dr. H. Attia

9/10/11 (M)

5 15/10/11 (F) Principles of dentoalveolar

surgery & surgical extraction (1)

Dr. M. El-Sehemy 16/10/11 (M)

6 22/10/11(F) Principles of dentoalveolar

surgery & surgical extraction (2)

Dr. M. El-Sehemy 23/10/11 (M)

7 29/10/11 (F) Principles of dentoalveolar

surgery & surgical extraction (3)

Dr. M. El-Sehemy 30/10/11 (M)

Mid-term continuous

assessment

8 12/11/11(F)

13/11/11(M)

Complication of exodontia (1)

Dr. H. M. Abdel-Alim

Haj vacation 31/10/2011

9 19/11/11 (F)

Complication of exodontia (1)

Dr. H. M. Abdel-Alim

20/11/11 (M)

10 26/11/11(F)

Complication of exodontia (2)

Dr. H. M. Abdel-Alim

27/11/11 (M)

11 3/12/11 (F) Management of impacted

teeth (1) Dr. F. Abdel-Al

4/12/11(M)

12 10/12/11 (F)

Management of impacted teeth (2)

Dr. F. Abdel-Al 11/12/11 (M)

13 17/12/11 (F)

Management of impacted teeth (3)

Dr. F. Abdel-Al 18/12/11 (M)

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Lecture Schedule Second Semester (5th Year) (1432 – 1433 / 2011 – 2012)

week Date Lecture Topic* Lecturer

1 28/01/12 (F) Management of medically

compromised Patients (1)

Dr. Bassem Jamal

29/01/12 (M)

2 4/02/12 (F) Management of medically

compromised Patients (2)

Dr. Bassem Jamal 5/02/12 (M)

3

11/02/ 12 (F)

Management of medically compromised Patients (3)

Dr .A. Al-Yamani 12/02/ 12

(M)

4 18/02/12 (F) Management of medically

compromised Patients(4)

Dr. A. Al-Yamani 19/02/12 (M)

5

25/02/12 (F) Dental implications of the maxillary

sinus (1) Dr. K. Mostafa 26/02/12

(M)

6 3/03/12 (F) Dental implications of the maxillary

sinus (2) Dr. K. Mostafa

4/03/12 (M)

7

10/03/12 (F) Dental implications of the maxillary

sinus (3) Dr. K. Mostafa

11/03/12 (M)

Mid-term continuous assessment

8 17/03/12 (F)

Basic preprosthetic surgery(1) Dr. H. Abdel-

Dayem 18/03/12

(M)

Midyear vacation 21/3/2012

9 31/03/12 (F)

Basic preprosthetic surgery (2) Dr. H. Abdel-

Dayem 1/04/12 (M)

10 7/04/12 (F)

Basic preprosthetic surgery (3) Dr. H. Abdel-

Dayem 8/04/12 (M)

11 14/04/12 (F)

Advanced preprosthetic surgery (1) Dr. R. Shaaban 15/04/12 (M)

12 21/04/12 (F) Advanced preprosthetic surgery (2)

Dr. R. Shaaban

22/04/12 (M)

13

28/04/12 (F)

Advanced preprosthetic surgery (3) Dr. R. Shaaban 29/04/12 (M)

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Outline of Clinical Sessions 1st Semester (5th Year) Course code OMR 511

Academic Year (1432 – 1433 / 2011 – 2012)

week Date Clinical Item

3 1/10/11 (F)

Diagnosis, case history, clinical examination 2/10/11 (M)

4 8/10/11 (F)

Aseptic technique, chair position 9/10/11 (M)

5 15/10/11 (F) Types of forceps and extraction technique

For maxillary teeth 16/10/11 (M)

6 22/10/11 (F) Types of forceps and extraction technique

For mandibular teeth 23/10/11 (M)

7 29/10/11 (F)

Dental elevators 30/10/11 (M)

5/11/11 6/11/11

Haj Vacation

8 12/11/11 (F)

Instruments of surgical extraction 13/11/11 (M)

9 19/11/11 (F) Demonstration of simple extraction of mandibular

teeth 20/11/11 (M)

10 26/11/11 (F) Demonstration of simple extraction of maxillary

teeth Simple tooth extraction done by the students

27/11/11(M)

11 3/12/11(F)

Simple tooth extraction done by the students 4/12/11 (M)

12 10/12/11 (F)

Simple tooth extraction done by the students 11/12/11(M)

13 17/12/11

Simple tooth extraction done by the students 18/12/11

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Outline of Clinical Sessions 2nd Semester (5th Year) Course code OMR 511

Academic Year (1432 – 1433 / 2011 – 2012) Week Date Clinical Item

1 28/01/12 (F) Demonstration of surgical extraction of teeth

Management of patients requiring tooth extraction

29/01/ 12 (M)

2 4/02/12 (F) Management of patients requiring tooth

extraction 5/02/12 (M)

3 11/02/ 12 (F) Management of patients requiring tooth

extraction 12/02/ 12 (M)

4 18/02/12 (F) Management of patients requiring tooth

extraction 19/02/12 (M)

5 25/02/12 (F) Management of patients requiring tooth

extraction 26/02/12 (M)

6 3/03/12 (F) Management of patients requiring tooth

extraction 4/03/12 (M)

7 10/03/12 (F) Management of patients requiring tooth

extraction 11/03/12 (M)

8 17/03/12 (F) Management of patients requiring tooth

extraction 18/03/12 (M)

Midyear vacation

9 31/03/12 (F) Management of patients requiring tooth

extraction 1/04/12 (M)

10 7/04/12 (F) Management of patients requiring tooth

extraction 8/04/12 (M)

11 14/04/12 (F) Management of patients requiring tooth

extraction 15/04/12 (M)

12

13

21/04/12 (F) Management of patients requiring tooth extraction

Management of patients requiring tooth

extraction

22/04/12 (M)

28/04/12(F)

29/04/12(M)

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1.2.3.4 Detailed Lecture Objectives

Please consider Bloom’s taxonomy when writing lecture objectives. Your lecture objectives should directly correspond to your assessment and grading strategy

Lecture Objectives

Anatomy of the head and neck

At completion of the unit the student should 1. Define major blood supply of the face 2. Define the main sensory and motor nerve

supply of the head and neck. 3. Define the main lymphatics of the head

and neck. 4. Define the origin insertion and actions of

different muscles of mastication.

Forceps extraction and elevators

In this lesson and from assigned readings, the student should be able to:

1. State and recognize the indications for tooth removal.

2. State and recognize the relative contraindications for tooth removal.

3. Understand and apply the mechanical principles, design and proper use of instrument which will be used for extraction of teeth. (forceps and elevators)

4. Manage to perform step by step procedure in exodontias.

5. Recognize and understand the proper use of elevator in routine extraction.

Management of complicated extractions

(Surgical Extraction)

The student should be able to understand and

recognize:

1. The causes and management of complicated extraction with focus on how to avoid these complications.

2. The detailed instruments used in these cases.

3. The mechanics and the proper use of elevators in surgical extractions.

4. The steps of surgical extraction including: a) The requirements if mucoperiosteal

flap. b) The methods of bone removal. c) the tooth division techniques d) The tooth elevation or extraction e) Removal of remaining roots f) Post-operative care g) Suturing techniques

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Management of impacted teeth

The student should be able to understand and: 1. Define the impaction causes 2. Diagnose the impacted teeth from history

taking, clinical and radiological examinations.

3. Know different classifications for different impacted teeth.

4. Know how remove impacted teeth including flap design,

5. bone removal with different technique and the best technique used from bone removal and different methods of tooth sectioning and suture of the flap.

6. Know the different complications related to the presence of impaction and then to removal of impaction.

7. Manage to prevent and treat such complications.

Management of medically

compromised patient

The student should: 1. Know the proper management of patients

taking different medication before performing dental work.

2. Select the suitable LA drug and technique.

3. Know when and how to use the anxiety reduction protocol.

4. Choose the proper time for extraction. 5. Monitor the vital signs. 6. Understand and perform the required

precautions.

Maxillary Sinus and its dental implications

The student should be able to:

1. Describe the normal anatomy of the maxillary sinus in terms of the Schneiderian membrane, maxillary ostium, innervations, blood supply and proximity to vital structures.

2. Define sinusitis in terms of etiology, pathophysiology and clinical presentation.

3. Describe conservative treatment of acute sinusitis.

4. Describe the Caldwell-Luc surgical approach to the maxillary sinus.

5. Describe the steps to be taken after accidental communication into the maxillary sinus during exodontias.

6. Describe sinus precautions. 7. Describe the etiology and presentation of

Oro-antral fistula.

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8. Describe the essential features in the surgical management of Oro-antral fistula.

Basic and advanced Pre-Prosthetic surgery

The student should:

1. Know the requirements of ideal ridge to receive prosthetic restoration.

2. Understand the basic problems that he/she may meet during reconstruction of prosthesis will be explained.

3. Identify different techniques for ridge preservation and reconstruction for both soft and hard tissues.

4. Recognize the anatomical and physiological factors that impact on the comfortable and effective wearing of dentures.

5. Interpret the process of ridge resorption and the pathological factors that accelerate this process.

6. List the indications for pre-prosthetic surgery and design of the different surgical procedures to improve denture foundation areas.

7. State the more complicated problems requiring relative ridge heightening procedures "sulcus deepening procedure" related to high muscle attachments and know about the different procedures and the related soft tissue grafts.

8. Describe the atrophic ridge needing absolute heightening procedures "ridge augmentation".

9. Recall the bone grafting techniques and materials for ridge augmentation as well as distraction osteogenesis and implantation.

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1.2.3.5 Course Requirements/MPE

Attendance is mandatory for both lectures and practical sessions.

Minimum Procedure Experience:

Inferior alveolar nerve block local anesthesia administration: at least 5

cases are required.

Extractions of 10 teeth & throughout the year constitute the required for

each student. This includes both simple and surgical extraction as well as

infiltration and nerve block anesthesia.

The students' integration of knowledge by pre-operative assessment and

diagnosis, implementation of code of ethics by proper infection control

measure and good patient management, successful local anesthesia and

extraction technique. Evaluation of the interpersonal skills by encouraging

team work by implementing operator/assistant relationship.

The students is strained and understand these evaluation methods by a self

assessment mechanism regularly achieved for each competency and a

feedback mechanism immediately delivered by the instructor enhance self

learning and motivation. (appendix 3)

1.2.3.6 Assessment Schedule and Course Grading

No

Assessment Task (e.g.

Essay, Test, Group

Project, Presentation,

etc.)

Week Due

Feedback Mechanism/Ti

me Grade

Proportion of Final

Assessment

1

Midterm

assessment

First semester (Written)

7

The students

are having their

marks, and

discussion

during office

hours are held

with the staff

10

Marks 5%

2

Midterm

assessment

Second

semester

7

The students

are having their

marks, and

discussion

10

Marks 5%

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(Written) during office

hours are held

with the staff

3

Midyear

Examination MCQs and

essays in the form of short

essay

14

The students

are having their

marks, and

discussion

during office

hours are held

with the staff

40

Marks 20%

4

Minimum

procedural

experiences

for LA

Through

out the

year

The student

should perform

at least 5 cases

of inferior

alveolar nerve

block/self

assessment and

instructor

assessment

5 Marks 2.5%

5

Minimum

procedural

experiences

for Extraction

Through

out the

year

The student

should perform

at least 10

cases of simple

extraction/ /self

assessment and

instructor

assessment

10

Marks 5%

6

Minimum

procedural

experiences

As assistant

Through

out the

year

The student

should assist

least a

colleague for at

least 10 cases

of simple

extraction

5 Marks 2.5%

7

Clinical

competency

exam

Upon

completi

on of

MPE

Student is

answered for

any questioning

of his evaluation

30

Marks

10 for

L.A and

20 for

extractio

n

and

15%

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related

procedu

res

1

Simulated

clinical

competency

examination

(SCCE)

At the

end of

the year

Student is

answered for

any questioning

of his evaluation

15

Marks 7.5%

1

Final written

exam

MCQ and essay

At the

end of

the year

Student is

answered for

any questioning

of his evaluation

75

Marks 37.5%

Total 200 100%

Grading

A+ = >94%, A = 90%-94%, B+ = 85%-89%, B = 80%-84%, C+ = 75%-79%, C = 70%-74%, D+ = 65%-

69%, D = 60%-64%, Failing mark= <60%

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1.2.3.7 Evaluation Forms Used, such as:

Clinical Competency Exam

Active Learning

Laboratory Evaluation

Essay or Self-Study

Assignment

Presentation

(Each should be provided with description of the of exercises, instructions, criteria for evaluation “e.g. Rubric”, method of assessment of group work)

1- Oral surgery division self assessment evaluation Form (appendix 3)

2- Oral surgery division clinical competency exam Form (appendix 8).

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1.3 Learning Resources

Please follow APA citation style

1.3.1 Required Text(s) Title: Contemporary oral and

maxillofacial surgery,5th ed.

Author: Peterson, Ellis, Hupp and

Tucker.

Publisher: Mosby co.2008

1.3.2 Study Guide or Manual

1.3.3 Essential References Fonseca, R.J. Oral and Maxillofacial Surgery

W. B. Saunders Company, Philadelphia, 2000

1.3.4 Recommended Books and Reference Material

Laskin,D and Abukakr O.

Decision Making in Oral and Maxillofacial Surgery. Quintessence publishing companyCo,Inc.Chicago.2007.

1.3.5 Electronic Material (URL), Websites etc

www.onlineoralsurgery.com www.armitageoralsurgery.com

www.oralsurgeryservices.net

1.3.6 Other Learning Material

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1.4 Student Support

1.4.1 Academic Advising

Follow-up Protocol for the Academically Underachieving Students

The case of each academically underachieving student is reviewed by the

vice dean and the academic affairs. The following actions are then taken:

1. Review of the performance of the student in previous years and the

current academic year along with her attendance record.

2. Review of the number of times the student has shown poor

performance in the quizzes and midterm and final exams.

3. An official letter is then composed by the academic affairs under the

adoption of the vice dean addressed to the academic advisor of the

student explaining her situation.

4. A meeting is coordinated between the student and the academic

advisor to try identifying the reasons for underachieving and help

her overcome them (the follow-up by the academic advisor

continues until the student has overcome the challenges).

5. A meeting is held periodically between the vice dean and all

academic advisors to discuss the achievements accomplished with

each underachieving student.

6. Psychological counseling for the students in need is arranged

through the academic affairs and can take place at the dental

school.

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1.4.2 Remediation Plans and follow up mechanism

The school regulations for the students included in the remediation plane (an

academic challenging students);

When an academic advisor alerts, a teacher-student meeting is held to go

over the details of the remediation plan. The students must show an interest

for continuing in the program and willing to adhere to the protocol and

regulations of the “Course Requirements” in regards to attendance,

assignments and professionalism.

1. The plan includes; offering student support through repeated meetings

with staff members.

2. When student fails to do the MPE.

Students who are unable to go through their MPEs are included in the

remediation process. A meeting with the course director will be set up to

identify the cause of this. If it is the students' fault as in case of

carelessness, poor attendance, etc.. The student will not be allowed to

enter the final exam. On the other hand, if the delay is not to other

reasons as in case if unavailability of patients; patient failed to show up

for several appointments, death of a patient, etc: the student is granted a

further chance to complete his/her MPEs .

Failed student at the end of the year, will be granted a reset exam..

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1.5 Facilities Required

1.5.1 Accommodation (Lecture rooms,

laboratories, etc.)

1. Classrooms for the males & classrooms for females

accommodating all students.

2. Oral surgery clinic divided into separate cubicles, each cubicle accommodate two students, one student works as an operator and the second student works as assistant

1.5.2 Computing resources

Systems for email communication, desktop applications, internet access and research and Electronic library, The faculty has a library with computers, internet access, and electronic resources and database for both males and females.

1.5.3 Other resources (specify – e.g., If

specific laboratory equipment is required,

list requirements or attach list)

1. Clinic for males and clinic for females to develop good ergonomics.

2. Each 2 students are assigned a fully equipped dental unit, supplied with high suction and a hand piece, where one will work as operator and the other as his/her assistant.

3. Disposable materials (Gowns, glasses, masks, head caps, towels, L.A needles and carpules, suture material, alveogyl, local hemostatic agents)

4. Surgical instruments, forceps and elevators, and surgical burs.

5. Availability of a computer monitor and key board.

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2 COURSE INSTRUCTORS’ SPACE

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2.1 Course Philosophy

The main philosophy of this course is to guide the students with a secure

pace in the field of Oral Surgery while applying the principles of risk

management, comprehensive diagnosis and treatment plan, studying the

needed precautions to avoid and manage problems associated with the

medically compromised patients.

The first acquaintance with the Oral surgical instruments should be a true

transition towards a real familiarization while understanding, the mechanical

principles of using forceps, elevators in simple and surgical extraction of

teeth, roots and impacted teeth, and a more advanced knowledge of

preparing the mouth before denture construction.

The exposure of the students to the actual simple oral surgical procedures, is

supported and encouraged by the staff to help the student exhibit

professional integrity, critical thinking and problem solving, develop

sequenced treatment plan based on proper diagnosis and management,

understanding the possible complications of the procedures and the methods

of prevention and their management.

The encouragement of using computer systems technology and software

provides introduction and eventual competency in the utilization of the latest

systems in effective practice management, this is favored and encouraged by

the fact that the clinic has electronic practice management and patient record

system, the Kodak R4 program. Challenging the students' abilities to use the

paperless system is mandatory to review competency development in the

areas of record management, timeliness of care, sequencing of care and an

adequate maintenance and recall program.

A self assessment policy with help in rationally recognize the

appropriateness and comprehensiveness of the treatment they have

performed on the patient. This can challenge the lifelong learning

practice, critical thinking and self peer assessment.

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2.2 Teaching Material (Lectures Outline, Notes or Slides (Hard and Soft Copy)

Appendix 13

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2.3 Course Evaluation and Improvement Process

2.3.1 Strategies for Obtaining Student Feedback on Effectiveness of Teaching

The students are challenged during the lectures to critical thinking and

knowledge assessment by interactive questions during the lecture, which

triggers student's self learning.

A clinical evaluation form is handed to the students where all steps of the

required clinical procedure are self-assessed. Immediate instructor

assessment and feedback are delivered and discussed with the students.

The level of the students is a reflection of the teaching level (appendix 3).

The course director attends all clinical sessions and monitor the progress of

work in the clinic and takes decisive actions to overcome difficulties

encountered during work, e.g. unavailability of patients or supervising staff.

The course director monitors the progress of achieving the MPE for each

student on weekly basis and takes necessary actions to overcome any

student underachievement. (appendix 15)

Mid-term quizzes and midyear written assessment is held and corrected by

the instructor, students discuss their performance with the course director

and/or other staff members.

The mid-year exam is corrected by computer and the program records the

highest and lowest values which are then discussed by the course director

and the staff in the division's meetings.

Periodic departmental meetings to discuss students; feedback to get use of

the positive results and to overcome the shortage.

Course leader regular meetings with the course director.

Availability of the staff for their students in their office hours schedules for

any assistance to the students.

A yearly course evaluation and staff's evaluation has been performed by the

students through the faculty and was considered (appendix 9).

In December 2011, online anonymous course student evaluations are done

for each course using TUSK, an electronic Curriculum database.

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2.3.2 Other Strategies for Evaluation of Teaching by the Instructor or by the Department

Division meetings are weekly held to discuss any problem or suggestions as reported by the students, course director or staff members.

Assessment and analysis of the examination results evaluating the questions and the upper and lower limits is discussed in the meetings.

A yearly course evaluation and staff's evaluation is performed by the students is offered by the faculty and the feedback is delivered to the division to undertake measures accordingly.

2.3.3 Processes for Improvement of Teaching

Periodic meetings with students on monthly basis

Course leader regular meetings with the course director.

Availability of the staff for their students in their office hours schedules for

any assistance to the students.

Evaluation of suitability of exam difficulty by comparing higher marks and

lower marks.

Criticizing the computer results of examination.

Annual evaluation of the encountered difficulties and changing policies

whenever required; an example is changing of MPE which were 15 cases

last year and became 10 cases. Adding 5 cases of inferior alveolar nerve

block.

Assessing the level of examinations outcome in relation to exam difficulty as

assessed by the computer program (appendix 6)

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2.3.4 Processes for Verifying Standards of Student Achievement (e.g. check marking by an independent member teaching staff of a sample of student work, periodic exchange and remarking of tests or a sample of assignments with staff at another institution)

Evaluation of suitability of exam difficulty by comparing higher marks and

lower marks.

Implementing the MPE policy to properly check the students competence as

future practitioner.

A clinical supervision rota ( appendix 1) is changed weekly which allows the

exposure of the student to all the staff members and the weekly assessment

of the students.

As part of our faculty improving policy we are seeking national and

international accreditation.

Take a random sample from MCQ sheet and compare with computer bubble

sheet for results verification as a future plan.

The whole standards of student achievement are now strongly implemented

for the CODA accreditation

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2.3.5 Describe the planning arrangements for periodically reviewing course effectiveness and planning for improvement.

Regular meetings with the student course leader with the staff to evaluate the

students response to the teaching policies (lectures or clinic)

Availability of staff members for students support during their office hours.

Weekly division meeting to discuss periodically the effectiveness, problems

and plans for improvements.

Encourage students self assessment policy.

Planning arrangements:

Continuous improvement and modification of the lectures regularly to

meet the recent update of the emerging scientific evidence, innovations

in order to achieve quality.

Changing the clinical requirements concept to the minimum procedure

experience achieved by the students to overcome the rigidity in relation

to individual practical capacities and encourage and stimulate the

student towards the patient centered comprehensive care.

Examination using MCQs and short essays (appendix 4,5) formulated

as to assess the students' capability, in broad thinking, recognizing

assumptions, implications, reasoning through problems

MCQs examinations are accurately corrected using computer exam

sheets (appendix 6).

At the end of the first term and final exam, evaluations are done

comparing the highest to lower performances (appendix 6, 7).

Integrating the faculty with the university ODUS (TUSK program) for

academic service. This will improve the effectiveness of the course and

allow the introduction of several topics like live surgery clips. It will also

provide the necessary facility for more effective teaching. The student

feedback is an integral part of the ODUS system.

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2.4 Course Director Reflection (why and how of things)

2.4.1 Reflection after the first day

First acquaintance with the students of the fifth year was stimulating since

these young people showed interest and enthusiasm and eagerness to learn.

Self motivation for self learning appeared to be an important tool towards

ensuring the success in developing a long life learning attitude for the

students.

Curiosity and alertness ensured that every and each step during the whole

education process should be meticulously prepared

Self assessment policy forced itself in my mind as an indispensable tool in

education with these students.

The course director is regularly having feedback from the students and their

group leaders regarding any difficulty and the reaction is according to

evidence and incidents.

A meeting with the staff members accordingly is important to convey all these

impressions and feelings in order to address them as possible.

The most remarkable point of discussion raised by the students was there

pertinent attitude towards undergoing research under the staff supervision.

This point was put in focus by the staff members and is seriously discussed

to plan for the topics, presentations and schedule for the next year.

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2.4.2 Plans for Improving the Course

Assessment of the previous year results, problems, difficulties will be

discussed with the previous course director and staff in order to improve the

performance.

Encourage the students to dig in the net and be self motivated to promote

their fundamental knowledge by implementing interactive learning during the

lectures and clinical sessions.

Inclusion of E-learning and assignments to encourage the students to be

self-learners and to motivate group working.

Annual meeting with the staff members to re-evaluate the course contents,

and decide whether to decongest the curriculum from unneeded repetition or

to update it to include any scientific innovative evidence.

Implementing student research as part of the pedagogic process of the

course.

Planning for accreditation from national commission for academic

accreditation and assessment (NCAAA).

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3 COURSE REPORT

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3.1 Course Delivery

3.1.1 Coverage of planned program

Topic Planned Contact Hours

Actual Contact Hours

Reasons for Variation if there is a difference of more than 25% of the

hours Planned

Review of anatomy History taking And diagnosis

1 1

Forceps extraction and elevators (3)

3 3

Principles of dentoalveolar surgery

& surgical extraction (3) 3 3

Complication of exodontia (3) 3 3

Management of impacted teeth

3 3

3.1.2 Consequences of non coverage of topics

For any topics where significantly less time was spent than was intended in the course specification, or where the topic was not taught at all, comment on how significant you believe the lack of coverage is for the program objectives or for later courses in the program, and suggest possible compensating action if you believe it is needed.

Topic (if any) not fully covered Significance of

lack of coverage

Possible compensating action elsewhere in the

program

NA

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3.1.3 Effectiveness of planned teaching strategies for intended learning outcomes.

Refer to planned teaching strategies in Course Specification and description of Domains of Learning Outcomes

Domain List Teaching

Strategies set out in Course Specification

Where these

Effective?

Difficulties Experienced (if any) in Using the Strategy

and Suggested Action to Deal with Those Difficulties

No Yes

A. Knowledge

1.Lectures including the course contents:

delivering all knowledge together with interactive

discussion with the instructor to assist in

critical thinking .

2.Clinical sessions: Pre-operative planning of the

procedure by understanding the value of scientific knowledge

and problem based evidence by history taking and clinical examinations for

competent diagnosis

Clinical demonstration and

discussion of clinical cases.

Discussion during student’s

competency procedures.‎

Yes Yes

The students know that the lectures start at 8 am however, they

attend at different periods since the start of the lecture. This is

particularly noticed with the male

students. This causes disruption of the

lectures and bothers the instructor and distracts the other

students.

A suggested policy of lecture timing respect preventing attendance after 5 minutes from

start of lecture.

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B. Cognitive Skills

1.Evaluate and integrate emerging trends in health

care as appropriate.

2.Perform proper infection control

measures.

3.Build a systematic evidence-based

diagnostic work-up based on critical thinking

and acceptable knowledge.

4.Interact with other

collaborative specialties.

5.Perform successfully the local anesthesia, and

closed and surgical extractions of teeth and

roots.

6.Deliver proper patient care and post-operative instructions, successfully

achieved by ability to gain maximum patient

compliance.

7.Comprehend the value

of recording in the

patients' progress note,

to imply relevant

information

Yes Yes Yes Yes Yes Yes Yes

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C. Interpersonal

Skills and Responsibility

1.Discuss every case with the students and

stress on ethical behavior, proper patient

management, patient confidentiality, reach diagnosis made on

evidence basis.

2. Stress on the

importance of interdisciplinary

consultation, and other examination information

as x-ray.

3.Discuss the treatment plan with the student.

4.Enhance the operator/assistant

relationship.

5.Supervision and evaluation of every step.

6.Self assessment of every step.

Yes Yes Yes Yes Yes Yes

The patients prevalence and

suitability is less than the expected flow that

should meet the students requirements

to achieve their MPE's.

This could be

overcome by re-arrangements With DPA department through assigning

personnel with hospital job mainly concerned with a

mechanism of screening and

distribution of patients

Modification of MPE policy and reduction of

number of MPE's.

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D. Numerical

and Communicat

ion Skills

1.The students syllabus

is handed out to the

students at the

beginning of the course,

the students are directed

towards critical thinking

and encouraged to find

the learning resources

and raise questions and

discussions either in the

lectures, in the clinical

sessions and in the

office hours.

2.Each student has his/her own computer in

his unit where he manages the R4

programs during patient screening, taking history, clinical and radiological examinations as well as keeping post-operative

electronic record

3.The instructors challenge the student regularly during the

lectures and the clinical sessions by interactive

and critical thinking questions.

Yes Yes Yes

The patients prevalence and

suitability is less than the expected flow that

should meet the students requirements

to achieve their MPE's.

This could be

overcome by re-arrangements With DPA department through assigning

personnel with hospital job mainly concerned with a

mechanism of screening and

distribution of patients

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E. Psychomotor

Skills

1.On the starting of the clinical sessions the student should be

trained to recognize the surgical instruments,

infection control measures, and

adjustment of the dental chair.

2.The student should be guided towards creating pre-clinical records and proper history taking.

Referral and interdisciplinary and medical consultation

should be understood. Clinical examinations

and building an accurate diagnostic work-up

should be understood.

3.The student should be able to implement a

definite treatment plan. The student should be

able to perform the procedure successfully and with confidence.

Yes Yes Yes

The patients prevalence and

suitability is less than the expected flow that

should meet the students requirements

to achieve their MPE's.

This could be

overcome by re-arrangements With DPA department through assigning

personel with hospital job mainly concerned with a mechanism of

screening and distribution of patients

Modification of MPE

policy and reduction of number of MPE's

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3.1.4 Recommended changes or processes for improvement

It is recommended that the administration implements a policy for respecting

the lecture time since coming late causes interruption and disturbance of the

class attention

It is advised to have all teaching material online which will be executed

successfully with the tusk program.

Encourage student research as an integral part of the course to enhance the

interpersonal and communication a skills and help them develop their lifelong

learning.

3.1.5 Examples of Learning Activities Designed to achieve the desired Learning Outcome (include a. Description of the Activity; b. Example from Student Work, Assignments and Exams)

Insert examples below samples of exams 3 levels of mid-year exams and 3 levels of final exams (appendix 6)

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3.2 Results

3.2.1 Number of Students Starting and Completing the Course No. of students who enrolled (appendix 14), (appendix 19)

Number of students starting the course (appendix 10) 127 (63 Males, 64

Females)

Number of students completing the course (one male student withdrew)

125 (61 Males, 64 Females)

3.2.2 Distribution of grades

Grading

A+ = >94%

A = 90%-94%

B+ = 85%-89%

B = 80%-84%

C+ = 75%-79%

C = 70%-74%

D+ = 65%-69%

D = 60%-64%

Failing mark= <60%

3.2.3 Results summary

Status Number Percentage

Passed 125 98.3 %

Failed

Did not complete 1 0.85%

Denied Entry 1 male 0.85%

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3.2.4 Special factors (if any) affecting the results

The results of the midyear exam revealed that 11 students (9 males and 2 females). Attendance was one of the main causes affecting the student's performance, a quick look at the attendance list shows that females attendance in general is better.

However, meeting with those students discussing the difficulties encountered revealed that most of the failed students had social problems that prevented them from studying. Others admitted that it was their neglect.

The final results revealed that all student succeeded the course except one male student who failed to achieve his MPE's, and another male student withdrew.

3.2.5 Variations from planned assessment processes The patients availability was below the required MPE from the

students. Discussion in the division meeting reached an agreement of

accepting 7 extractions as the MPE.

3.2.5.1 Variations from the planned assessment schedule The only variation from planned assessment schedule was the first

quiz where instead of having the males on Sunday as perceived and

the female on Saturday, an agreement was reached with the

students to make it on the same day in order to have the same quiz

for both genders for purpose of uniformity.

Refer to planned Assessment Schedule in Course Specification

Variation Reason

12/11/11 to 13/11/11 To make the same quiz for both

males and females

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3.2.5.2 Variations from the assessment strategies for different domains of learning

Refer to planned Assessment Methods in Course Specification and description of Domains of Learning Outcomes

Variation Reason

MPE required of at least 10 cases of extractions, and 5 cases

of inferior alveolar nerve block. Varied to 7 cases

The patients are not meeting the required MPE by the students.

CCE for L.A : students were allowed to pass their L.A examination in the

conservative and endodontic divisions. Our staff were scheduled in the students sessions (appendix

18)

Interdepartmental cooperation policy. Helping the students to terminate

their exams without delay

3.2.5.3 Verification of standards of achievement

E.g. check marking of a sample of papers by others in the department. (Where independent report is provided a copy should be attached.)

Method(s) of Verification

Conclusion

Weekly students/staff rota

Each group of students works with a different staff member weekly, which helps him to be exposed to different training and assessments.

CCE At least 2 CCE by different evaluator to allow the student to be individually evaluated by at least 2 examiners

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3.3 Report of Remediation Plan

3.3.1 Number of Students involved

11students who failed the midyear

3.3.2 Summary of Results of Remediation Process

A student meeting was achieved by the course director, and all problems identified.

One student reported a social event that prevented her from studying.

Another reported a sickness during the exam.

The remaining interestingly confessed that they did not study well.

Regular student support policy included close follow-up both in the clinic and

the lecture by the course director and the staff while creating a friendly

attitude helped the student to regain confidence and attend their clinic and

lecture.

The final results proved a real improvement in students' performance as proven by

the success of all students except 2 students.

3.3.3 Student Feedback (if any)

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3.4 Resources and Facilities

3.4.1 Difficulties in access to resources or facilities

The main difficulty is particularly encountered when an extraction procedure entails a delay stay in the clinic past the break time. All assistants leave the clinic without any on call supporting service.

3.4.2 Consequences of difficulties

Complications or special procedures may not be properly managed if the dental assistants' service is not there.

3.5 Administrative Issues

3.5.1 Organizational or administrative difficulties

Last year difficulties were encountered regarding several forced inability to pursue class on schedule due to environmental conditions which pressured both students and faculty to over work in regular schedules and may justify some unsatisfaction from the students. Fortunately this year we were able until this point in time to execute our schedule without delay.

3.5.2 Effect of difficulties on student learning

Some of the lectures and clinical sessions were annulated. Lectures were rescheduled which hindered the attendance of some students due to unsuitability, while clinical MPE was decreased in number.

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3.6.1 Student evaluation of the course (Attach survey results)

(Appendix 15)

3.6.1.1 List the most important criticisms and strengths

Inadequacy of the time assigned to the course.

Reading material to study the course is not available.

Improper distribution of the study plan during the first lecture

The plan does not include the basic information required.

3.6.1.2 Response of instructor or course team

The available survey is not a reflection of the truth since it included 11

students only, all males.

From their own survey eight missed a number of lectures and accordingly

could not be a true reflection or a reliable feedback.

However, more careful observation of all steps of course delivery was

emphasized during the course.

3.6.2 Other Evaluation

All evaluations including verbal comments about the course expressed

anywhere are taken seriously.

Previous dent /Ed visit and tufts visit, feedback from student evaluation are

assessed in the division meeting in order to address any negative comment

or issue.

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3.6.2.1 List the most important criticisms or strengths

Oral surgery did raise issues with the course being intensive and may benefit

from decongestion

Introduce the use of reflective practices into the learning skills of dental

students

Decongestion of the teaching within the departments allowing students time

to learn.

No policy regarding either competence assessment or the use of OSCEs

The school might like to consider a clearer strategy and structure for

formative assessment that includes feedback on summative examination

performance.

The school may wish to look at the use of Learning Outcomes rather than

Learning Objectives. This will facilitate the matching of assessment against

learning.

Similarly a Competency based curriculum will lead to assessment of

competence, which may also bring benefits in terms of curriculum overload.

Use of Competence will allow integration of both teaching and assessment.

This may lead to a shorter assessment period releasing more curriculum time

and staff time.

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3.6.2.2 Response of instructor or course team

Most of the area of criticism have been addressed:

First, re-evaluation of the curriculum content by the division was performed

last year and a continuous process of evaluation will be maintained.

The importance of reflective practices into the learning skills of dental

students could be identified in the course description integrated in the course

and regular weekly self-assessment and instructor evaluation.

OSCE exam was implemented through the simulated competency exam

(appendix 17).

A clearer strategy and structure for formative assessment was implemented

as documented in the student self assessment form where every step was

discussed with the student in order to create a verbal communication with the

staff.

The policy of students assessment shifted from performing a required to a

competency based curriculum where each students should perform MPEs

according to the division's policy.

A clear statement of the ILO's were developed, revised and made as an

integral part of the syllabus.

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3.7 Planning for Improvement

3.7.1 Progress on other actions proposed for improving the course in previous course report(s)

3.7.1.1 Action taken to improve the course this semester/year

Action Proposed State whether action

was undertaken State impact

Yes No

Add the inferior alveolar nerve block as MPE

Improved the skill of the students in

performing proper local anesthetic

technique.

Decrease the MPE from 10 to 7 extractions

Relieved the tension from the students

and allowed them to perform their

procedures without pressures

3.7.2 Action for Next Semester/Year

Action Required Completion Date Person Responsible

Integrate research in the course activities

Next year Staff division

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3.7.3 Recommendations for Program Coordinator

Name of Director: Hala Mokhtar

Signature:

Date Report Completed

Date Received by Head of Department

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APPENDIX

1.a. Oral surgery Rota: 5th year ( male ) 1st sermester

Gr1 (54/55/56/68) Gr2 (66/67/69/70/71) Gr3 (60/61/62/77) Gr4

(63/64/65/75/76) G5 (72/73/74/81/82) Gr6 (83/84/85/86) G7

(87/88/98/90)

Group

7

Group

6

Group

5

Group

4

Group

3

Group

2

Group

1

Group

week

Dr.Hayth

am

Dr.Khaled Dr.

Fahmy

Dr. Hala Dr. Ragab Dr.

Elsehe

my

Dr.

Hassan

Week

20/11/

11

Dr.

Hassan

Dr.Hayth

am

Dr.Khaled Dr.

Fahmy

Dr. Hala Dr.

Ragab

Dr.

Elsehe

my

Week

27/11/

11

Dr.

Elsehemy

Dr.

Hassan

Dr.Hayth

am

Dr.Khaled Dr.

Fahmy

Dr. Hala Dr.

Ragab

Week

4/12/1

1

Dr. Ragab Dr.

Elsehemy

Dr.

Hassan

Dr.Hayth

am

Dr.Khaled Dr.

Fahmy

Dr.

Hala

Week

11/12/

11

Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr.

Hassan

Dr.Hayth

am

Dr.Khal

ed

Dr.

Fahmy

Week

17/12/

11

Group

7

Group

6

Group

5

Group

4

Group

3

Group

2

Group

1

Group

week

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Dr.Hayth

am

Dr.Khaled Dr.

Fahmy

Dr. Hala Dr. Ragab Dr.

Elsehe

my

Dr.

Hassan

Week

20/11/

11

Dr.

Hassan

Dr.Hayth

am

Dr.Khaled Dr.

Fahmy

Dr. Hala Dr.

Ragab

Dr.

Elsehe

my

Week

27/11/

11

Dr.

Elsehemy

Dr.

Hassan

Dr.Hayth

am

Dr.Khaled Dr.

Fahmy

Dr. Hala Dr.

Ragab

Week

4/12/1

1

Dr. Ragab Dr.

Elsehemy

Dr.

Hassan

Dr.Hayth

am

Dr.Khaled Dr.

Fahmy

Dr.

Hala

Week

11/12/

11

Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr.

Hassan

Dr.Hayth

am

Dr.Khal

ed

Dr.

Fahmy

Week

17/12/

11

1.b. Oral surgery Rota: 5th year ( female ) 1st sermester

G1 (106/107/108/109/110/111) /G2 (112/113/114/115/116)/ G3

/117/118/119/120/121)/ G4(/122/123/124/125/126) G5

(127/128/129/130/131/132)/ G6 (133/138/139/140/141)

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1.c. Oral surgery Rota: 5th year ( male )2nd sermester

Gr1 (54/55/56/68)/ Gr2 (66/67/69/70/71)/ Gr3 (60/61/62/77)/ Gr4 (63/64/65/75/76)/ G5

(72/73/74/81/82)/ Gr6 (83/84/85/86)/ G7 (87/88/98/90)

Group

7

Group

6

Group

5

Group

4

Group

3

Group

2

Group

1

Group

week

Dr.Haytha

m

Dr.Khaled Dr. Fahmy Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr. Hassan Week

(1)

29/01/1

2

Dr. Hassan Dr.Haytha

m

Dr.Khaled Dr. Fahmy Dr. Hala Dr. Ragab Dr.

Elsehemy

Week

05/02/1

2

Group 6

Group 5

group 4

Group 3

Group 2

Group 1

Group / week

Dr.Haitham Dr. Fahmy Dr.Hala Dr.Ragab Dr. Elsehemy

Dr. Hassan Week (1) 28/01/12

Dr.Hassan Dr.Haitham Dr. Fahmy Dr.Hala Dr. Ragab Dr. Elsehemy

Week (2) 4/02/12

Dr. Elsehemy

Dr. Hassan Dr .Haitham

Dr. Fahmy Dr. Hala Dr. Ragab Week (3) 11/02/12

Dr. Ragab Dr. Elsehemy

Dr. Hassan Dr. Haitham

Dr. Fahmy Dr. Hala Week (4) 18/02/12

Dr. Hala Dr. Ragab Dr. Elsehemy

Dr. Hassan

Dr. Haitham

Dr. Fahmy Week (5) 25/02/12

Dr. Fahmy Dr. Hala Dr. Ragab Dr. Elsehemy

Dr. Hassan

Dr. Haitham

Week (6) 3/03/12

Dr.Haitham Dr. Fahmy Dr.Hala Dr.Ragab Dr. Elsehemy

Dr. Hassan Week (7) 10/03/12

Dr.Hassan Dr.Haitham Dr. Fahmy Dr.Hala Dr. Ragab Dr. Elsehemy

Week (8) 17/03/12

Mid-term vacation

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Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Dr.Khaled Dr. Fahmy Dr. Hala Dr. Ragab Week

(2)

11/02/1

2

Dr. Ragab Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Dr.Khaled Dr. Fahmy Dr. Hala Week

(3)

19/02/1

2

Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Dr.Khaled Dr. Fahmy Week

(4)

26/02/1

2

Dr. Fahmy Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Dr.Khaled Week

(5)

04/03/1

2

Dr.Khaled Dr. Fahmy Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Week

(6)

11/03/1

2

Dr.Haytha

m

Dr.Khaled Dr. Fahmy Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr. Hassan Week

(7)

18/03/1

2

Mid-term vacation

Dr. Hassan Dr.Haytha

m

Dr.Khaled Dr. Fahmy Dr. Hala Dr. Ragab Dr.

Elsehemy

Week

(8)

01/04/1

2

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Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Dr.Khaled Dr. Fahmy Dr. Hala Dr. Ragab Week

(9)

08/04/1

2

Dr. Ragab Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Dr.Khaled Dr. Fahmy Dr. Hala Week

(01)

15/04/1

2

Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Dr.Khaled Dr. Fahmy Week

(01)

22/04/1

2

Dr. Fahmy Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Dr.Khaled Week

(02)

29/04/1

2

Dr.Khaled Dr. Fahmy Dr. Hala Dr. Ragab Dr.

Elsehemy

Dr. Hassan Dr.Haytha

m

Week

(02)

06/05/1

2

1.d. Oral surgery Rota: 5th year ( female ) 2nd sermester

G1 (106/107/108/109/110/111) /G2 (112/113/114/115/116)/ G3

/117/118/119/120/121)/ G4(/122/123/124/125/126)

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Group 6

Group 5

group 4

Group 3

Group 2

Group 1

Group / week

Dr.Haitham Dr. Fahmy Dr.Hala Dr.Ragab Dr. Elsehemy

Dr. Hassan Week (1) 28/01/12

Dr.Hassan Dr.Haitham Dr. Fahmy Dr.Hala Dr. Ragab Dr. Elsehemy

Week (2) 4/02/12

Dr. Elsehemy

Dr. Hassan Dr .Haitham

Dr. Fahmy Dr. Hala Dr. Ragab Week (3) 11/02/12

Dr. Ragab Dr. Elsehemy

Dr. Hassan Dr. Haitham

Dr. Fahmy Dr. Hala Week (4) 18/02/12

Dr. Hala Dr. Ragab Dr. Elsehemy

Dr. Hassan

Dr. Haitham

Dr. Fahmy Week (5) 25/02/12

Dr. Fahmy Dr. Hala Dr. Ragab Dr. Elsehemy

Dr. Hassan

Dr. Haitham

Week (6) 3/03/12

Dr.Haitham Dr. Fahmy Dr.Hala Dr.Ragab Dr. Elsehemy

Dr. Hassan Week (7) 10/03/12

Dr.Hassan Dr.Haitham Dr. Fahmy Dr.Hala Dr. Ragab Dr. Elsehemy

Week (8) 17/03/12

Mid-term vacation

Dr. Elsehemy

Dr. Hassan Dr .Haitham

Dr. Fahmy Dr. Hala Dr. Ragab Week (9) 31/03/12

Dr. Ragab Dr. Elsehemy

Dr. Hassan Dr. Haitham

Dr. Fahmy Dr. Hala Week (01)

07/04/12

Dr. Hala Dr. Ragab Dr. Elsehemy

Dr. Hassan

Dr. Haitham

Dr. Fahmy Week (01)

14/04/12

Dr. Fahmy Dr. Hala Dr. Ragab Dr. Elsehemy

Dr. Hassan

Dr. Haitham

Week (02)

21/04/12

Dr.Haitham Dr. Fahmy Dr.Hala Dr.Ragab Dr. Elsehemy

Dr. Hassan Week (03)

28/04/12

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2.a. Progress note form

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2.b.Progress note as filled by a student

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3. Clinical self assessment evaluation form

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4. a. MID-TERM EXAMINATION OF ORAL SURGERY

5TH

YEAR

1 . A 60 year old patient reports for the extraction of a diseased and isolated tooth

16, which was serving as an abutment. Care must be taken when extracting this

tooth to prevent :

a. Displacement of the palatal root into the maxillary sinus.

b. Fracture and removal of the floor of the maxillary sinus along with the tooth.

c. Alveolar osteitis.

d. Displacement of the tooth into the masseteric space.

2 . The primary objective of removing bone when extracting a badly decayed molar

is to :

a. Expose the root bifurcation.

b. Allow proper closure of the wound.

c. Reduce resistance for extraction.

d. Expose the cervical line.

3. The following does not suggest that a tooth will be difficult to extract :

a. Dilacerated roots.

b. Non-vital teeth.

c. Sharp cusps.

d. Widely divergent roots.

4 . Following multiple extractions, sutures are best placed :

a. 5 mm apart.

b. Across the socket.

c. Across the interseptal partitions.

d. At least two for each tooth socket.

5 . When reflecting a mucoperiosteal flap :

a. The shorter the incision, the faster will be the healing.

b. The base must be broader than the free margin.

c. All angles must be acute.

d. The incision should always be performed around the necks of the teeth.

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6. Calculate the number of carpules that a healthy patient can receive of 2% (2

mL) xylocaine carpule, provided that the total dose does not exceed 400 mg:

a. 8

b. 9

c. 10

d. 11

7. The two major terminal branches of the external carotid artery are:

a. Facial and lingual arteries

b. Maxillary and superficial temporal arteries

c. Maxillary and posterior auricular arteries

d. Facial and superficial temporal arteries

8. The lingual nerve is a branch from:

a. The anterior division of the mandibular nerve

b. The posterior division of the mandibular nerve

c. The main trunk of the mandibular nerve

d. The inferior alveolar nerve

9. The blood supply of the pulp of tooth # 46 is derived from:

a. The first part of maxillary artery

b. The second part of maxillary artery

c. The third part of maxillary artery

10. The main contraindicated movement during extraction of the upper molars is:

a. Bucco-lingual.

b. Rotation.

c. Jerky.

d. Apical.

11. During extraction of all upper teeth, the right handed operator should

stand:

a. Front and to the right side of the dental chair.

b. Front and to the left side of the dental chair.

c. Behind and to the right side of the dental chair.

d. Behind and to the left side of the dental chair.

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12. The left index finger of right handed operator as a part of retraction and

support should be placed in the buccal vestibule when extracting:

a. Upper right premolar and lower right molar.

b. Upper left premolar and lower right molar.

c. Upper left molar and upper right premolar.

d. Upper right molar and lower left premolar.

13. A new bone fill the extraction socket within:

a. Two to three weeks

b. Two to three months

c. Four to five months.

d. Six to eight months.

14. Squeezing of the socket is contraindicated in case of:

a. Acute Infection.

b. Orthodontic purpose.

c. Chronic infection.

d. Patient health issue.

15. The buccal bone is thicker than the lingual bone in:

a. Lower central incisor.

b. Lower first premolar.

c. Lower second molar.

d. Upper first molar.

16. Which of the following is not considered a reason for root breakage:

a. Use of wrong forceps.

b. use of twist or pulling force.

c. Osteoporosis (Marble bone disease).

d. Blades are parallel to long axis of the tooth.

17. The mechanical principle of tooth extraction is:

a. Moving the tooth in the path of maximum resistance.

b. Expanding of the bony alveolar plate (socket).

c. Avoiding important anatomical structure.

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18. Apical pressure applied using dental forceps provides:

a. Bone expansion in the apical area.

b. Displace the centre of rotation occlusally.

c. Displace the centre of rotation apically.

d. Expansion of the buccal plate.

19. For extraction of lower third molar, it is preferred to use:

a. Lower molar forceps only.

b. Forceps first then elevator.

c. Elevator first then forceps.

d. Straight elevator only.

20. The blades of the extraction forceps do have serrations on the:

a. Convex surface.

b. Concave surface.

c. Both surfaces.

d. beaks of the blade.

-------------------------------------------------------

5.a. MID-TERM EXAMINATION OF ORAL SURGERY 5TH

YEAR model # 511

1 . A 60 year old patient reports for the extraction of a diseased and isolated tooth

16, which was serving as an abutment. Care must be taken when extracting this

tooth to prevent:

a. Displacement of the palatal root into the maxillary sinus.

b. Fracture and removal of the floor of the maxillary sinus along with the tooth.

c. Alveolar osteitis.

d. Displacement of the tooth into the masseteric space.

2 . The primary objective of removing bone when extracting a badly decayed molar

is to :

a. Expose the root bifurcation.

b. Allow proper closure of the wound.

c. Reduce resistance for extraction.

d. Expose the cervical line.

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4. The following does not suggest that a tooth will be difficult to extract :

a. Dilacerated roots.

b. Non-vital teeth.

c. Sharp cusps.

d. Widely divergent roots.

4 . Following multiple extractions, sutures are best placed :

a. 5 mm apart.

b. Across the socket.

c. Across the interseptal partitions.

d. At least two for each tooth socket.

5 . When reflecting a mucoperiosteal flap :

a. The shorter the incision, the faster will be the healing.

b. The base must be broader than the free margin.

c. All angles must be acute.

d. The incision should always be performed around the necks of the teeth.

6. Calculate the number of carpules that a healthy patient can receive of 2% (2

mL) xylocaine carpule, provided that the total dose does not exceed 400 mg:

a. 8

b. 9

c. 10

d. 11

7. The two major terminal branches of the external carotid artery are:

a. Facial and lingual arteries

b. Maxillary and superficial temporal arteries

c. Maxillary and posterior auricular arteries

d. Facial and superficial temporal arteries

8. The lingual nerve is a branch from:

a. The anterior division of the mandibular nerve

b. The posterior division of the mandibular nerve

c. The main trunk of the mandibular nerve

d. The inferior alveolar nerve

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21. The blood supply of the pulp of tooth # 46 is derived from:

a. The first part of maxillary artery

b. The second part of maxillary artery

c. The third part of maxillary artery

22. The main contraindicated movement during extraction of the upper molars is:

a. Bucco-lingual.

b. Rotation.

c. Jerky.

d. Apical.

23. During extraction of all upper teeth, the right handed operator should

stand:

a. Front and to the right side of the dental chair.

b. Front and to the left side of the dental chair.

c. Behind and to the right side of the dental chair.

d. Behind and to the left side of the dental chair.

24. The left index finger of right handed operator as a part of retraction and

support should be placed in the buccal vestibule when extracting:

a. Upper right premolar and lower right molar.

b. Upper left premolar and lower right molar.

c. Upper left molar and upper right premolar.

d. Upper right molar and lower left premolar.

25. A new bone fill the extraction socket within:

a. Two to three weeks

b. Two to three months

c. Four to five months.

d. Six to eight months.

26. Squeezing of the socket is contraindicated in case of:

a. Acute Infection.

b. Orthodontic purpose.

c. Chronic infection.

d. Patient health issue.

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27. The buccal bone is thicker than the lingual bone in:

a. Lower central incisor.

b. Lower first premolar.

c. Lower second molar.

d. Upper first molar.

28. Which of the following is not considered a reason for root breakage:

a. Use of wrong forceps.

b. use of twist or pulling force.

c. Osteoporosis (Marble bone disease).

d. Blades are parallel to long axis of the tooth.

29. The mechanical principle of tooth extraction is:

a. Moving the tooth in the path of maximum resistance.

b. Expanding of the bony alveolar plate (socket).

c. Avoiding important anatomical structure.

30. Apical pressure applied using dental forceps provides:

a. Bone expansion in the apical area.

b. Displace the centre of rotation occlusally.

c. Displace the centre of rotation apically.

d. Expansion of the buccal plate.

31. For extraction of lower third molar, it is preferred to use:

a. Lower molar forceps only.

b. Forceps first then elevator.

c. Elevator first then forceps.

d. Straight elevator only.

32. The blades of the extraction forceps do have serrations on the:

a. Convex surface.

b. Concave surface.

c. Both surfaces.

d. beaks of the blade.

----------------------------------------------------

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5.b. Model answer (#511)

I. MULTIPLE CHOICE QUESTIONS (choose the most appropriate answer)

1. An immediate complications associated with tooth extraction is:

a. Dry socket.

b. Dislocated condyle.

c. Trismus.

d. Swelling.

2. In closing deeper layers such as muscles or fascia the sutures used are :

a. Catgut.

b. Black silk.

c. Cotton.

d. Nylon.

3. A palatal stent is inserted after odontectomy of class I impacted # 13 to

prevent:

a. Hematoma formation.

b. Nasal floor perforation.

c. Abscess formation.

d. Oro-nasal communication.

4. The most common liable tooth for fracture during extraction is:

a. Maxillary second molar.

b. Maxillary first premolar.

c. Mandibular first bicuspid.

d. Mandibular second molar.

5. If a tooth is lost in the oropharynx during extraction of a tooth:

a. A tracheostomy should be routinely performed.

b. If the patient has a has a violent episode of coughing that continues, the

tooth is in the larynx.

c. The patient should be encouraged to cough and spit the tooth out onto the

floor.

6. Cutting edge (atraumatic) suture needles: a. Has a triangular cross section.

b. Is exclusively half circular in shape.

c. Is adequate for fragile, delicate mucosal tissue.

d. Contraindicated to be used in dense soft tissue.

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7. Which type of impaction is most likely to be displaced into the infratemporal

fossa if incorrect technique is employed during extraction of maxillary

impacted third molar?

a. Distoangular.

b. Mesioangular.

c. Horizontal.

d. Vertical.

8. The rivet joint design of lower extraction forceps is:

a. Appropriate for patient with small mouth opening.

b. Not appropriate for patient with joint problems.

c. Characterized by decreasing force applied to tooth.

d. Characterized by increasing force applied to tooth.

9. Which of the following is true about hemophilia?

a. Normal BT,PTT and prolonged FT.

b. Prolonged BT, PT and PTT.

c. Prolonged PT, moderately prolonged PTT and normal BT.

d. Prolonged BT, moderately prolonged PTT and normal PT.

10. The following is NOT a principle of a correct mucoperiosteal flap design:

a. Oblique releasing incisions.

b. Base of the flap is broader than the apex.

c. Incision through mucosa followed by submucosa and periosteum.

d. Incision repositioned on sound bone.

11. It is fairly well-established that the position of retained third molars does not

change substantially after age:

a. 20

b. 24

c. 28

d. 30

12. Upper Remaining roots can be removed using:

a. Bayonet forceps.

b. Upper molar forceps.

c. Upper premolar forceps.

d. Upper anterior forceps.

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13. Which of the following are is NOT a sign of tooth penetration in the

maxillary sinus:

a. Bilateral epistaxis.

b. Fluid regurgitation from the nose.

c. Resonance of the voice.

d. Bleeding from the socket.

14. Which of the following suture materials is non-absorbable ?

a. Tendon.

b. Catgut.

c. Fascia lata.

d. Tantalum.

A 25-year-old male presented with a chief complaint of pain and swelling at the area

of # 48 as well as inability to open his mouth fully. The patient also showed

submandibular lymphadenitis and low grade fever. You know from a previous

history he has a partially erupted # 48.

Answer the following questions (15-17)

15. The most probable diagnosis of this case is:

a. Deep infrabony pocket between #47 and#48.

b. Acute pericoronitis.

c. Dentigerous cyst.

d. Acute periodontitis.

16. You decided to do:

a. Extraction #48.

b. Irrigation under the inflamed operculum.

c. Reduction of cusps of #18.

d. Irrigation,cusp reduction and antibiotic prescription.

17. One week later, the acute symptoms subsided and radiographic examination

revealed a mesioangular position A impacted #48. You decided to do:

a. Operculectomy.

b. Odontectomy of #48.

c. Continue antibiotic for another week.

d. Operculectomy and odontectomy.

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18. A slight traction force can be applied during extraction:

a. Before Luxation.

b. After Luxation.

c. After apical pressure.

d. Before apical grip.

19. Fractured alveolar bone following teeth extraction should be:

a. Removed routinely.

b. Removed independent of its size.

c. Removed even when large if detached from periosteal blood supply.

d. Splinted in place if large in size even if detached from its periosteal blood

supply.

20. Which of the following non-resorbable suture materials is used most

commonly for closure of intraoral wounds?

a. Chromic catgut .

b. Nylon .

c. Black silk .

d. Plain catgut

21. For a successful autogenous tooth transplant of wisdom tooth in place of

severely decayed first molar, the wisdom tooth should:

a. Have a completely formed root.

b. Be partially erupted.

c. Impacted.

d. Have 1/3 of the root is formed with an open apex.

22. The mandibular occlusal plane during extraction of the lower third molar

should be:

a. At the level of the operator's elbow.

b. At the level of the operator's shoulder.

c. Below the level of operator's elbow.

d. Above the level of operator's shoulder.

23. Danger in use of elevators in the mandible is: a. Forcing a root in the maxillary sinus.

b. Forcing a root in the pterygomaxillary space.

c. Fracture of the maxillary tuberosity.

d. Forcing a root in the lingual pouch.

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24. Emphysema is usually:

a. Resulting from accumulation of air into the intramuscular facial planes.

b. Resulting from an effusion of blood into the tissues.

c. Associated with bleeding tendency of the patient as an important factor.

d. Best treated with hyaluronidase enzyme.

25. As you were elevating an impacted upper third molar into the oral cavity

using an elevator, it slipped under the flap and disappeared. Your

radiograph shows the tooth to be posterior to the tuberosity. Where is its

likely location?

a. Pterygomandibular space.

b. Maxillary sinus .

c. Infratemporal fossa.

d. Submandibular space.

26. To avoid the complication in question (25), the operator should:

a. Surgically extract the tooth.

b. Use the forceps rather than the elevator.

c. Insert a Minnesota retractor posterior to the tuberosity during tooth

elevation.

d. Apply the elevator from the palatal aspect.

27. The left thumb finger of right handed operator as a part of retraction and

support should be placed in the palatal (lingual) vestibule when extracting:

a. Upper right premolar and lower right molar.

b. Upper left premolar and lower right molar.

c. Upper left molar and upper right premolar.

d. Upper right molar and lower left premolar.

28. The following is NOT an indication for suturing a socket after surgical

extraction:

a. Approximation of flaps.

b. Control of bleeding.

c. Prevention of infection.

d. Avoiding swelling.

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29. A displaced root in the infratemporal fossa during extraction of an upper

molar should be removed:

a. Immediately if invisible by blind manipulation using a hemostat.

b. By surgical incision and exposure buccally.

c. Via a palatal approach.

d. By both palatal and buccal flaps.

30. The least liable fractured alveolar bone associated with extraction of teeth is:

a. The buccal cortical plate over the maxillary canine.

b. The buccal bone over the mandibular molars.

c. The buccal cortical plate over the maxillary molars.

d. The labial bone on mandibular incisors.

31. During odontectomy of an impacted # 38 position C, a root tip was fractured,

it may be left in situ if it is:

a. Less than 5-6 mm.

b. Curved.

c. It has no periapical pathology.

d. It is very thin.

32. During extraction of the upper second premolar the operator should mostly

consider:

a. The tooth relation to the maxillary sinus.

b. That it is the most liable tooth for fracture.

c. That the buccal bone fracture is the most common.

d. The heavy buccal alveolar bone coverage.

33. Removal of single roots broken halfway to the apex is best achieved by:

a. Forceps technique.

b. Transalveolar technique.

c. Elevators and forceps.

d. Necessarily by elevator.

34. In unilateral dislocation of the condyle during extraction:

a. The jaw is deviated toward the normal side.

b. The jaw is directed toward the affected side.

c. The mandibular movements are not affected.

d. The occlusion is not affected.

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35. During odontectomy of an impacted mesioangular # 48, to facilitate tooth

delivery, bone is removed to expose:

a. The crown and 1/3 of the root.

b. The crown and 2/3 of the root.

c. 1/2 of the crown.

d. The crown to the cervical line.

36. The improper use of force during extraction of maxillary third molar may

lead to:

a. Maxillary tuberosity fracture.

b. Mandibular fracture.

c. Tempromandibular joint affection.

d. Damage to the surrounding nerves.

37. All are difficulties encountered during upper first molar extraction

EXCEPT:

a. Extraction is rendered more difficult when the buccal roots are also divergent

& are curved distally.

b. The tooth is firmly embedded in the alveolar bone further reinforced by the

zygomatic bone.

c. Approximation to the maxillary sinus.

d. Periodontally affected teeth.

38. The preferred instrument for removal of bone to expose a fractured root: a. The turbine high speed hand piece and round bur with coolant and air.

b. The turbine high speed hand piece and round bur with coolant without air.

c. The slow handpiece and round bur with coolant.

d. The slow handpiece and round bur without coolant.

39. A mesioangular impacted mandibular third molar is generally acknowledged

as:

a. The least difficult to be removed.

b. The most difficult to be removed.

c. Neither of the above.

40. The following radiological sign is associated with increased risk of nerve

injury in impacted mandibular 3rd

molar surgery:

a. Wide mandibular canal.

b. Periapical bone sclerosis.

c. Interruption of superior cortex of the mandibular canal.

d. D-hypercementosed roots of impacted tooth.

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41. When using an elevator to extract a tooth , the fulcrum should be :

a. Adjacent tooth .

b. Dentist`s wrist .

c. Tooth to be removed .

d. Thick compact alveolar bone.

42. The most common complication after tooth extraction is:

b. Alveolar osteitis.

c. Condensing osteitis.

d. Infection.

a. Swelling.

43. The ideal time for prophylactic removal of an impacted mandibular third

molar is

a. When the root is fully formed.

b. When the root is approximately 2/3 formed.

c. When the crown is completely formed.

d. It makes no difference the state of tooth development.

44. The most common site for dry socket is:

a. Lower incisor area.

b. Upper incisor area.

c. Upper molar area.

d. Lower molar area.

45. Guttering technique for bone removal is achieved by:

a. Chisel and hammer.

b. Surgical bur.

c. Bone rongeur.

d. Bone file.

46. The most likely tooth to be impacted other than 3rd molars is:

a. Maxillary canine.

b. Mandibular canine.

c. Maxillary premolar.

d. Mandibular premolar.

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47. Which of the following is true for catgut sutures:

a. Nonabsorbable .

b. Formed from mucosa of cat .

c. Usually used for ligations of vessels .

d. Stored in isopropyl alcohol.

48. Treatment of a tooth or root displaced in the maxillary sinus is by:

a. Marsupialization.

b. Removal by means of Caldwell-Luc operation.

c. Enucleation with packing open.

d. Enucleation with space obliteration.

49. The needle used for suturing in oral surgery is held by a needle holder:

a. In the anterior one third of the needle toward the tip.

b. Half the distance from the needle tip.

c. In the posterior one-third away from the needle tip.

d. At the base of the needle.

50. According to the phylogenic theory regarding the incidence of impacted

wisdom teeth:

a. Genetic factors are claimed for the etiology for impaction.

b. Changing of the nature of food consumed by human beings is blamed for

impaction.

c. Prevention of downward and forward growth of the jaw by any obstacle is

responsible for impaction.

51. Mechanical advantage would be maximum for an elevator when:

a. Effort arm is greater than the resistance arm .

b. Resistance arm is greater than effort arm .

c. Fulcrum is in the center .

d. Fulcrum is near to point of effort.

52. In Winter's analysis of impacted mesioangular lower 3rd

molar, the white line

indicates the angulation of impaction, while the amber line indicates the

point of elevator application:

a. The first statement is wrong while the second statement is right.

b. Both statements are wrong.

c. The first statement is right while the second statement is wrong.

d. Both statements are right.

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53. To reduce a dislocated condyle developed during extraction of mandibular

molar, the dentist must push the mandible:

a. Backward and downward.

b. Upward and backward.

c. Downward and backward.

d. Downward and forward.

54. After a surgically removed tooth, the socket should be:

a. Irrigated with saline and alveogyl is placed in place of the tooth to prevent pain.

b. Irrigated and alveogYl is placed in place of the tooth to prevent dry socket.

c. Compressed by fingers to enhance healing.

d. Debrided from all particulate bone chips and debris.

55. Deficiency of factor IX causes:

a. Classical hemophilia.

b. Christmas disease.

c. Hageman disease.

d. Stuart disease.

56. Polyglycolic acid suture material (vicryl) is:

a. Absorbable natural material.

b. Nonabsorbable synthetic material.

c. Absorbable synthetic material.

d. Nonabsorbable natural material.

57. A 65-year-old male presented to you for complete denture construction.

Panoramic radiographic examination revealed a deeply intrabony impacted

asymptomatic tooth # 48. You decided to the following:

a. Construct the denture.

b. Extract the tooth first.

c. Not to treat the patient.

d. Construct the denture and periodic follow up of tooth #48.

58. A dental hand piece that expels forced air must be avoided when performing

surgical extraction of upper third molar to prevent:

a. Postoperative edema.

b. Tissue emphysema.

c. Dry socket development.

d. Postoperative pain.

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59. Which of the following flaps is used for closure of an accidental opening of

the maxillary sinus?

a. Palatal pedicle flap.

b. Buccal sliding flap.

c. Rotational flap.

d. Envelop flap.

60. The following mucoperiosteal flap is NOT a suitable approach for

apicectomy:

a. Semilunar .

b. Pyramidal .

c. Figure of eight .

d. Gingival with buccal extensions.

61. During planning of envelope flap for odontectomy of an impacted #38, the

distal incision is planned so that the incision is oriented:

a. Towards the buccal side.

b. Towards the lingual side.

c. In straight fashion.

62. The following nerve could be cut without significant sequelae or

complications:

a. Nasopalatine N

b. Inferior alveolar N.

c. Lingual N.

d. Infraorbital N.

63. Basic principle for bone removal to facilitate tooth extraction is that:

a. Space must be cleared between bone and the tooth .

b. Tooth is pushed out of the socket .

c. Bone must be cut enough to expose the height of contour of the tooth

d. Combination of all.

64. Which of the following could be used as a local liquid haemostatic agent to

control postoperative bleeding?

a. Gelfoam

b. Surgicel

c. Avitene

d. Topical thrombin.

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65. A 50-year-old patient was referred to you for dental evaluation before

radiotherapy of the right mandible, which will start after 2 weeks. You

examined the patient and found an asymptomatic partially impacted # 48;

the proper action for this case is to:

a. Extract the tooth immediately.

b. Postpone extraction until radiotherapy is finished.

c. Give preoperative antibiotic then extract the tooth.

d. Give preoperative antibiotic, extract the tooth, then postoperative antibiotic.

66. The best blood product administered preoperatively to patient with

hemophilia A is:

a. Fresh frozen plasma.

b. Factor IX concentrate.

c. Fresh Whole blood.

d. Factor VIII concentrate.

67. A neighboring tooth wrongly loosened during extraction of an adjacent

tooth should be:

a. Left untreated to heal spontaneously.

b. Splinted and kept in good occlusion.

c. Splinted and relieved from bite.

d. Extracted.

68. An impacted #13 in the alveolar process between #12 & #14 is classified as

class:

a. I

b. II

c. III

d. IV

e. V

69. A tooth which is completely displaced out of its socket is called:

a. Luxated.

b. Intruded.

c. Avulsed.

d. Loosened.

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70. During odontectomy of # 48, bone must be removed from the following

surfaces:

a. Mesial and occlusal.

b. Buccal and distal.

c. Buccal and lingual.

d. Mesial, buccal and distal.

71. Patients on anticoagulant therapy can undergo tooth extraction safely when

their INR is:

a. 4-5

b. 0.2-0.9

c. Up to 2.5

d. Up to 5.5

72. Post-operative surgical swelling after removal of an impacted lower third

molar is expected to increase to its maximal amount by post-operative day:

a. 3

b. 5

c. 7

d. 10

73. Local bleeding after dental extraction procedure cannot be prevented by:

a. Applying pressure.

b. Ligating bleeding blood vessels.

c. Properly designing and carefully reflecting mucoperiosteal flap.

d. Giving anticoagulant.

74. A patient was referred to you for consultation about a symptomatic

horizontally impacted position B # 38. The patient reported frequent

episodes of pericoronitis over the last few months. On CBCT

examination the roots proved to be hooked around the mandibular

canal. As an alternative to odontectomy you advised the patient to:

a. Do operculectomy.

b. Do coronectomy.

c. Use antibiotic during acute attacks.

d. Do root canal treatment.

75. The most common cause of local post-extraction bleeding is:

a. Patients on anticoagulant therapy.

b. Bleeding disorders.

c. Failure of the patient to follow post-extraction instructions.

d. Due to the analgesics such as aspirin.

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76. Postsurgical edema following odontectomy of a deeply impacted lower 3rd

molar is best controlled by:

a. Cold application postoperatively.

b. Heat application postoperatively.

c. Alternate applications of cold and hot postoperatively.

d. Minimizing surgical trauma to hard and soft tissues.

77. The nerve injury of least severity during extraction of teeth is:

a. Emphysema.

b. Neurotemesis.

c. Neuropraxia.

d. Axonotemesis.

78. Treatment of dry socket is:

a. Planning surgical extraction

b. Stopping bleeding.

c. Currettage of the bony socket wall.

d. Irrigation and packing with alvogyl.

79. The most commonly injured nerve during extraction of a lower third molar

is:

a. Lingual nerve.

b. Mental nerve.

c. Long buccal nerve.

d. Facial nerve.

80. Treatment of hematoma is best achieved by:

a. Prevention using hot foments in the first day.

b. Using both hot and cold foments in the first 2 days.

c. Using cold foments in the first day.

d. Using corticosteroid therapy.

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II. SECTION II: (10 Marks)

Answer the following questions:

1. Specify types and indications of forceps extraction. (5 Marks)

2. Discuss signs and symptoms of dry socket. (5 marks)

5.c. Oral Surgery Midyear exam (Exam code #512)

II. MULTIPLE CHOICE QUESTIONS (choose the most appropriate answer)

1. Treatment of hematoma is best achieved by:

a. Prevention using hot foments in the first day.

b. Using both hot and cold foments in the first 2 days.

c. Using cold foments in the first day.

d. Using corticosteroid therapy.

2. The most commonly injured nerve during extraction of a lower third molar

is:

a. Lingual nerve.

b. Mental nerve.

c. Long buccal nerve.

d. Facial nerve.

3. Treatment of dry socket is:

a. Planning surgical extraction

b. Stopping bleeding.

c. Currettage of the bony socket wall.

d. Irrigation and packing with alvogyl.

4. The nerve injury of least severity during extraction of teeth is:

a. Emphysema.

b. Neurotemesis.

c. Neuropraxia.

d. Axonotemesis.

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5. Postsurgical edema following odontectomy of a deeply impacted lower 3rd

molar is best controlled by:

a. Cold application postoperatively.

b. Heat application postoperatively.

c. Alternate applications of cold and hot postoperatively.

d. Minimizing surgical trauma to hard and soft tissues.

6. A tooth which is completely displaced out of its socket is called:

a. Luxated.

b. Intruded.

c. Avulsed.

d. Loosened.

7. An impacted #13 in the alveolar process between #12 & #14 is classified as

class:

a. I

b. II

c. III

d. IV

e. V

8. A neighboring tooth wrongly loosened during extraction of an adjacent

tooth should be:

a. Left untreated to heal spontaneously.

b. Splinted and kept in good occlusion.

c. Splinted and relieved from bite.

d. Extracted.

9. The best blood product administered preoperatively to patient with

hemophilia A is:

a. Fresh frozen plasma.

b. Factor IX concentrate.

c. Fresh Whole blood.

d. Factor VIII concentrate.

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10. A 50-year-old patient was referred to you for dental evaluation before

radiotherapy of the right mandible, which will start after 2 weeks. You

examined the patient and found an asymptomatic partially impacted # 48;

the proper action for this case is to:

a. Extract the tooth immediately.

b. Postpone extraction until radiotherapy is finished.

c. Give preoperative antibiotic then extract the tooth.

d. Give preoperative antibiotic, extract the tooth, then postoperative antibiotic.

11. Which of the following could be used as a local liquid haemostatic agent to

control postoperative bleeding?

a. Gelfoam

b. Surgicel

c. Avitene

d. Topical thrombin.

12. The most common cause of local post-extraction bleeding is:

a. Patients on anticoagulant therapy.

b. Bleeding disorders.

c. Failure of the patient to follow post-extraction instructions.

d. Due to the analgesics such as aspirin.

13. Local bleeding after dental extraction procedure cannot be prevented by:

a. Applying pressure.

b. Ligating bleeding blood vessels.

c. Properly designing and carefully reflecting mucoperiosteal flap.

d. Giving anticoagulant.

14. A patient was referred to you for consultation about a symptomatic

horizontally impacted position B # 38. The patient reported frequent

episodes of pericoronitis over the last few months. On CBCT

examination the roots proved to be hooked around the mandibular

canal. As an alternative to odontectomy you advised the patient to:

a. Do operculectomy.

b. Do coronectomy.

c. Use antibiotic during acute attacks.

d. Do root canal treatment.

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15. Post-operative surgical swelling after removal of an impacted lower third

molar is expected to increase to its maximal amount by post-operative day:

a. 3

b. 5

c. 7

d. 10

16. Patients on anticoagulant therapy can undergo tooth extraction safely when

their INR is:

a. 4-5

b. 0.2-0.9

c. Up to 2.5

d. Up to 5.5

17. During odontectomy of # 48, bone must be removed from the following

surfaces:

a. Mesial and occlusal.

b. Buccal and distal.

c. Buccal and lingual.

d. Mesial, buccal and distal.

18. Basic principle for bone removal to facilitate tooth extraction is that:

a. Space must be cleared between bone and the tooth .

b. Tooth is pushed out of the socket .

c. Bone must be cut enough to expose the height of contour of the tooth

d. Combination of all.

19. Mechanical advantage would be maximum for an elevator when:

e. Effort arm is greater than the resistance arm .

f. Resistance arm is greater than effort arm .

g. Fulcrum is in the center .

h. Fulcrum is near to point of effort.

20. The following mucoperiosteal flap is NOT a suitable approach for

apicectomy:

a. Semilunar .

b. Pyramidal .

c. Figure of eight .

d. Gingival with buccal extensions.

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21. The following nerve could be cut without significant sequelae or

complications:

a. Nasopalatine N

b. Inferior alveolar N.

c. Lingual N.

d. Infraorbital N.

22. During planning of envelope flap for odontectomy of an impacted #38, the

distal incision is planned so that the incision is oriented:

a. Towards the buccal side.

b. Towards the lingual side.

c. In straight fashion.

23. Which of the following flaps is used for closure of an accidental opening of

the maxillary sinus?

a. Palatal pedicle flap.

b. Buccal sliding flap.

c. Rotational flap.

d. Envelop flap.

24. A dental hand piece that expels forced air must be avoided when performing

surgical extraction of upper third molar to prevent:

a. Postoperative edema.

b. Tissue emphysema.

c. Dry socket development.

d. Postoperative pain.

25. According to the phylogenic theory regarding the incidence of impacted

wisdom teeth:

a. Genetic factors are claimed for the etiology for impaction.

b. Changing of the nature of food consumed by human beings is blamed for

impaction.

c. Prevention of downward and forward growth of the jaw by any obstacle is

responsible for impaction.

26. The needle used for suturing in oral surgery is held by a needle holder:

a. In the anterior one third of the needle toward the tip.

b. Half the distance from the needle tip.

c. In the posterior one-third away from the needle tip.

d. At the base of the needle.

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27. Treatment of a tooth or root displaced in the maxillary sinus is by:

a. Marsupialization.

b. Removal by means of Caldwell-Luc operation.

c. Enucleation with packing open.

d. Enucleation with space obliteration.

28. Which of the following is true for catgut sutures:

a. Nonabsorbable .

b. Formed from mucosa of cat .

c. Usually used for ligations of vessels .

d. Stored in isopropyl alcohol.

29. The most likely tooth to be impacted other than 3rd molars is:

a. Maxillary canine.

b. Mandibular canine.

c. Maxillary premolar.

d. Mandibular premolar.

30. Guttering technique for bone removal is achieved by:

a. Chisel and hammer.

b. Surgical bur.

c. Bone rongeur.

d. Bone file.

31. After a surgically removed tooth, the socket should be:

a. Irrigated with saline and alveogyl is placed in place of the tooth to prevent pain.

b. Irrigated and alveogYl is placed in place of the tooth to prevent dry socket.

c. Compressed by fingers to enhance healing.

d. Debrided from all particulate bone chips and debris.

32. A 65-year-old male presented to you for complete denture construction.

Panoramic radiographic examination revealed a deeply intrabony impacted

asymptomatic tooth # 48. You decided to the following:

a. Construct the denture.

b. Extract the tooth first.

c. Not to treat the patient.

d. Construct the denture and periodic follow up of tooth #48.

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33. Polyglycolic acid suture material (vicryl) is:

a. Absorbable natural material.

b. Nonabsorbable synthetic material.

c. Absorbable synthetic material.

d. Nonabsorbable natural material.

34. Deficiency of factor IX causes:

a. Classical hemophilia.

b. Christmas disease.

c. Hageman disease.

d. Stuart disease.

35. To reduce a dislocated condyle developed during extraction of mandibular

molar, the dentist must push the mandible:

a. Backward and downward.

b. Upward and backward.

c. Downward and backward.

d. Downward and forward.

36. In Winter's analysis of impacted mesioangular lower 3rd

molar, the white line

indicates the angulation of impaction, while the amber line indicates the

point of elevator application:

a. The first statement is wrong while the second statement is right.

b. Both statements are wrong.

c. The first statement is right while the second statement is wrong.

d. Both statements are right.

37. The most common site for dry socket is:

a. Lower incisor area.

b. Upper incisor area.

c. Upper molar area.

d. Lower molar area.

38. The ideal time for prophylactic removal of an impacted mandibular third

molar is

a. When the root is fully formed.

b. When the root is approximately 2/3 formed.

c. When the crown is completely formed.

d. It makes no difference the state of tooth development.

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39. The most common complication after tooth extraction is:

a. Alveolar osteitis.

b. Condensing osteitis.

c. Infection.

d. Swelling.

40. When using an elevator to extract a tooth , the fulcrum should be :

a. Adjacent tooth .

b. Dentist`s wrist .

c. Tooth to be removed .

d. Thick compact alveolar bone.

41. The following radiological sign is associated with increased risk of nerve

injury in impacted mandibular 3rd

molar surgery:

a. Wide mandibular canal.

b. Periapical bone sclerosis.

c. Interruption of superior cortex of the mandibular canal.

d. hypercementosed roots of impacted tooth.

42. A mesioangular impacted mandibular third molar is generally acknowledged

as:

a. The least difficult to be removed.

b. The most difficult to be removed.

c. Neither of the above.

43. The preferred instrument for removal of bone to expose a fractured root: a. The turbine high speed hand piece and round bur with coolant

and air.

b. The turbine high speed hand piece and round bur with coolant

without air.

c. The slow handpiece and round bur with coolant.

d. The slow handpiece and round bur without coolant.

44. During odontectomy of an impacted # 38 position C, a root tip was fractured,

it may be left in situ if it is:

e. Less than 5-6 mm.

a. Curved.

b. It has no periapical pathology.

c. It is very thin.

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45. The least liable fractured alveolar bone associated with extraction of teeth is:

e. The buccal cortical plate over the maxillary canine.

a. The buccal bone over the mandibular molars.

b. The buccal cortical plate over the maxillary molars.

c. The labial bone on mandibular incisors.

46. A displaced root in the infratemporal fossa during extraction of an upper

molar should be removed:

e. Immediately if invisible by blind manipulation using a hemostat.

a. By surgical incision and exposure buccally.

b. Via a palatal approach.

c. By both palatal and buccal flaps.

47. The following is NOT an indication for suturing a socket after surgical

extraction:

a. Approximation of flaps.

b. Control of bleeding.

c. Prevention of infection.

d. Avoiding swelling.

48. The left thumb finger of right handed operator as a part of retraction and

support should be placed in the palatal (lingual) vestibule when extracting:

e. Upper right premolar and lower right molar.

a. Upper left premolar and lower right molar.

b. Upper left molar and upper right premolar.

c. Upper right molar and lower left premolar.

49. To avoid the complication in question (25), the operator should:

a. Surgically extract the tooth.

b. Use the forceps rather than the elevator.

c. Insert a Minnesota retractor posterior to the tuberosity during tooth

elevation.

d. Apply the elevator from the palatal aspect.

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50. All are difficulties encountered during upper first molar extraction

EXCEPT:

a. Extraction is rendered more difficult when the buccal roots are also divergent

& are curved distally.

b. The tooth is firmly embedded in the alveolar bone further reinforced by the

zygomatic bone.

c. Approximation to the maxillary sinus.

d. Periodontally affected teeth.

51. The improper use of force during extraction of maxillary third molar may

lead to:

a. Maxillary tuberosity fracture.

b. Mandibular fracture.

c. Tempromandibular joint affection.

d. Damage to the surrounding nerves.

52. During odontectomy of an impacted mesioangular # 48, to facilitate tooth

delivery, bone is removed to expose:

a. The crown and 1/3 of the root.

b. The crown and 2/3 of the root.

c. 1/2 of the crown.

d. The crown to the cervical line.

53. In unilateral dislocation of the condyle during extraction:

a. The jaw is deviated toward the normal side.

b. The jaw is directed toward the affected side.

c. The mandibular movements are not affected.

d. The occlusion is not affected.

54. Removal of single roots broken halfway to the apex is best achieved by:

a. Forceps technique.

b. Transalveolar technique.

c. Elevators and forceps.

d. Necessarily by elevator.

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55. During extraction of the upper second premolar the operator should mostly

consider:

a. The tooth relation to the maxillary sinus.

b. That it is the most liable tooth for fracture.

c. That the buccal bone fracture is the most common.

d. The heavy buccal alveolar bone coverage.

56. As you were elevating an impacted upper third molar into the oral cavity

using an elevator, it slipped under the flap and disappeared. Your

radiograph shows the tooth to be posterior to the tuberosity. Where is its

likely location?

a. Pterygomandibular space.

b. Maxillary sinus .

c. Infratemporal fossa.

d. Submandibular space.

57. Emphysema is usually:

a. Resulting from accumulation of air into the intramuscular facial planes.

b. Resulting from an effusion of blood into the tissues.

c. Associated with bleeding tendency of the patient as an important factor.

d. Best treated with hyaluronidase enzyme.

58. Danger in use of elevators in the mandible is: a. Forcing a root in the maxillary sinus.

b. Forcing a root in the pterygomaxillary space.

c. Fracture of the maxillary tuberosity.

d. Forcing a root in the lingual pouch.

59. The mandibular occlusal plane during extraction of the lower third molar

should be:

a. At the level of the operator's elbow.

b. At the level of the operator's shoulder.

c. Below the level of operator's elbow.

d. Above the level of operator's shoulder.

60. For a successful autogenous tooth transplant of wisdom tooth in place of

severely decayed first molar, the wisdom tooth should:

a. Have a completely formed root.

b. Be partially erupted.

c. Impacted.

d. Have 1/3 of the root is formed with an open apex.

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61. Which of the following non-resorbable suture materials is used most

commonly for closure of intraoral wounds?

a. Chromic catgut .

b. Nylon .

c. Black silk .

d. Plain catgut

62. Which of the following are is NOT a sign of tooth penetration in the

maxillary sinus:

a. Bilateral epistaxis.

b. Fluid regurgitation from the nose.

c. Resonance of the voice.

d. Bleeding from the socket.

63. Upper Remaining roots can be removed using:

a. Bayonet forceps.

b. Upper molar forceps.

c. Upper premolar forceps.

d. Upper anterior forceps.

64. It is fairly well-established that the position of retained third molars does not

change substantially after age:

a. 20

b. 24

c. 28

d. 30

65. The following is NOT a principle of a correct mucoperiosteal flap design:

a. Oblique releasing incisions.

b. Base of the flap is broader than the apex.

c. Incision through mucosa followed by submucosa and periosteum.

d. Incision repositioned on sound bone.

66. Which of the following is true about hemophilia?

a. Normal BT,PTT and prolonged FT.

b. Prolonged BT, PT and PTT.

c. Prolonged PT, moderately prolonged PTT and normal BT.

d. Prolonged BT, moderately prolonged PTT and normal PT.

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67. The rivet joint design of lower extraction forceps is:

a. Appropriate for patient with small mouth opening.

b. Not appropriate for patient with joint problems.

c. Characterized by decreasing force applied to tooth.

d. Characterized by increasing force applied to tooth.

68. Which type of impaction is most likely to be displaced into the infratemporal

fossa if incorrect technique is employed during extraction of maxillary

impacted third molar?

a. Distoangular.

b. Mesioangular.

c. Horizontal.

d. Vertical.

69. Fractured alveolar bone following teeth extraction should be:

a. Removed routinely.

b. Removed independent of its size.

c. Removed even when large if detached from periosteal blood supply.

70. A slight traction force can be applied during extraction:

a. Before Luxation.

b. After Luxation.

c. After apical pressure.

d. Before apical grip.

71. Which of the following suture materials is non-absorbable ?

a. Tendon.

b. Catgut.

c. Fascia lata.

d. Tantalum.

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A 25-year-old male presented with a chief complaint of pain and swelling at the area

of # 48 as well as inability to open his mouth fully. The patient also showed

submandibular lymphadenitis and low grade fever. You know from a previous

history he has a partially erupted # 48.

Answer the following questions (72-74)

72. The most probable diagnosis of this case is:

a. Deep infrabony pocket between #47 and#48.

b. Acute pericoronitis.

c. Dentigerous cyst.

d. Acute periodontitis.

73. You decided to do:

a. Extraction #48.

b. Irrigation under the inflamed operculum.

c. Reduction of cusps of #18.

d. Irrigation,cusp reduction and antibiotic prescription.

74. One week later, the acute symptoms subsided and radiographic examination

revealed a mesioangular position A impacted #48. You decided to do:

a. Operculectomy.

b. Odontectomy of #48.

c. Continue antibiotic for another week.

d. Operculectomy and odontectomy.

75. Cutting edge (atraumatic) suture needles: a. Has a triangular cross section.

b. Is exclusively half circular in shape.

c. Is adequate for fragile, delicate mucosal tissue.

d. Contraindicated to be used in dense soft tissue.

76. If a tooth is lost in the oropharynx during extraction of a tooth:

a. A tracheostomy should be routinely performed.

b. If the patient has a has a violent episode of coughing that continues, the

tooth is in the larynx.

c. The patient should be encouraged to cough and spit the tooth out onto the

floor.

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77. The most common liable tooth for fracture during extraction is:

a. Maxillary second molar.

b. Maxillary first premolar.

c. Mandibular first bicuspid.

d. Mandibular second molar.

78. A palatal stent is inserted after odontectomy of class I impacted # 13 to

prevent:

a. Hematoma formation.

b. Nasal floor perforation.

c. Abscess formation.

d. Oro-nasal communication.

79. In closing deeper layers such as muscles or fascia the sutures used are :

a. Catgut.

b. Black silk.

c. Cotton.

d. Nylon.

80. An immediate complications associated with tooth extraction is:

a. Dry socket.

b. Dislocated condyle.

c. Trismus.

d. Swelling.

II. SECTION II: (10 Marks)

Answer the following questions:

1. Specify types and indications of forceps extraction. (5 Marks)

2. Discuss signs and symptoms of dry socket. (5 marks)

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Model answer (#512)

III. MULTIPLE CHOICE QUESTIONS (choose the most appropriate answer)

1. Treatment of hematoma is best achieved by:

a. Prevention using hot foments in the first day.

b. Using both hot and cold foments in the first 2 days.

c. Using cold foments in the first day.

d. Using corticosteroid therapy.

2. The most commonly injured nerve during extraction of a lower third molar

is:

a. Lingual nerve.

b. Mental nerve.

c. Long buccal nerve.

d. Facial nerve.

3. Treatment of dry socket is:

a. Planning surgical extraction

b. Stopping bleeding.

c. Currettage of the bony socket wall.

d. Irrigation and packing with alvogyl.

4. The nerve injury of least severity during extraction of teeth is:

a. Emphysema.

b. Neurotemesis.

c. Neuropraxia.

d. Axonotemesis.

5. Postsurgical edema following odontectomy of a deeply impacted lower 3rd

molar is best controlled by:

a. Cold application postoperatively.

b. Heat application postoperatively.

c. Alternate applications of cold and hot postoperatively.

d. Minimizing surgical trauma to hard and soft tissues.

6. A tooth which is completely displaced out of its socket is called:

a. Luxated.

b. Intruded.

c. Avulsed.

d. Loosened.

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7. An impacted #13 in the alveolar process between #12 & #14 is classified as

class:

a. I

b. II

c. III

d. IV

e. V

8. A neighboring tooth wrongly loosened during extraction of an adjacent

tooth should be:

a. Left untreated to heal spontaneously.

b. Splinted and kept in good occlusion.

c. Splinted and relieved from bite.

d. Extracted.

9. The best blood product administered preoperatively to patient with

hemophilia A is:

a. Fresh frozen plasma.

b. Factor IX concentrate.

c. Fresh Whole blood.

d. Factor VIII concentrate.

10. A 50-year-old patient was referred to you for dental evaluation before

radiotherapy of the right mandible, which will start after 2 weeks. You

examined the patient and found an asymptomatic partially impacted # 48;

the proper action for this case is to:

a. Extract the tooth immediately.

b. Postpone extraction until radiotherapy is finished.

c. Give preoperative antibiotic then extract the tooth.

d. Give preoperative antibiotic, extract the tooth, then postoperative antibiotic.

11. Which of the following could be used as a local liquid haemostatic agent to

control postoperative bleeding?

a. Gelfoam

b. Surgicel

c. Avitene

d. Topical thrombin.

12. The most common cause of local post-extraction bleeding is:

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a. Patients on anticoagulant therapy.

b. Bleeding disorders.

c. Failure of the patient to follow post-extraction instructions.

d. Due to the analgesics such as aspirin.

13. Local bleeding after dental extraction procedure cannot be prevented by:

a. Applying pressure.

b. Ligating bleeding blood vessels.

c. Properly designing and carefully reflecting mucoperiosteal flap.

d. Giving anticoagulant.

14. A patient was referred to you for consultation about a symptomatic

horizontally impacted position B # 38. The patient reported frequent

episodes of pericoronitis over the last few months. On CBCT

examination the roots proved to be hooked around the mandibular

canal. As an alternative to odontectomy you advised the patient to:

a. Do operculectomy.

b. Do coronectomy.

c. Use antibiotic during acute attacks.

d. Do root canal treatment.

15. Post-operative surgical swelling after removal of an impacted lower third

molar is expected to increase to its maximal amount by post-operative day:

a. 3

b. 5

c. 7

d. 10

16. Patients on anticoagulant therapy can undergo tooth extraction safely when

their INR is:

a. 4-5

b. 0.2-0.9

c. Up to 2.5

d. Up to 5.5

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17. During odontectomy of # 48, bone must be removed from the following

surfaces:

a. Mesial and occlusal.

b. Buccal and distal.

c. Buccal and lingual.

d. Mesial, buccal and distal.

18. Basic principle for bone removal to facilitate tooth extraction is that:

a. Space must be cleared between bone and the tooth .

b. Tooth is pushed out of the socket .

c. Bone must be cut enough to expose the height of contour of the tooth

d. Combination of all.

19. Mechanical advantage would be maximum for an elevator when:

a. Effort arm is greater than the resistance arm .

b. Resistance arm is greater than effort arm .

c. Fulcrum is in the center .

d. Fulcrum is near to point of effort.

20. The following mucoperiosteal flap is NOT a suitable approach for

apicectomy:

a. Semilunar .

b. Pyramidal .

c. Figure of eight .

d. Gingival with buccal extensions.

21. The following nerve could be cut without significant sequelae or

complications:

a. Nasopalatine N

b. Inferior alveolar N.

c. Lingual N.

d. Infraorbital N.

22. During planning of envelope flap for odontectomy of an impacted #38, the

distal incision is planned so that the incision is oriented:

a. Towards the buccal side.

b. Towards the lingual side.

c. In straight fashion.

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23. Which of the following flaps is used for closure of an accidental opening of

the maxillary sinus?

a. Palatal pedicle flap.

b. Buccal sliding flap.

c. Rotational flap.

d. Envelop flap.

24. A dental hand piece that expels forced air must be avoided when performing

surgical extraction of upper third molar to prevent:

a. Postoperative edema.

b. Tissue emphysema.

c. Dry socket development.

d. Postoperative pain.

25. According to the phylogenic theory regarding the incidence of impacted

wisdom teeth:

a. Genetic factors are claimed for the etiology for impaction.

b. Changing of the nature of food consumed by human beings is blamed for

impaction.

c. Prevention of downward and forward growth of the jaw by any obstacle is

responsible for impaction.

26. The needle used for suturing in oral surgery is held by a needle holder:

a. In the anterior one third of the needle toward the tip.

b. Half the distance from the needle tip.

c. In the posterior one-third away from the needle tip.

d. At the base of the needle.

27. Treatment of a tooth or root displaced in the maxillary sinus is by:

a. Marsupialization.

b. Removal by means of Caldwell-Luc operation.

c. Enucleation with packing open.

d. Enucleation with space obliteration.

28. Which of the following is true for catgut sutures:

a. Nonabsorbable .

b. Formed from mucosa of cat .

c. Usually used for ligations of vessels .

d. Stored in isopropyl alcohol.

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29. The most likely tooth to be impacted other than 3rd molars is:

a. Maxillary canine.

b. Mandibular canine.

c. Maxillary premolar.

d. Mandibular premolar.

30. Guttering technique for bone removal is achieved by:

a. Chisel and hammer.

b. Surgical bur.

c. Bone rongeur.

d. Bone file.

31. After a surgically removed tooth, the socket should be:

a. Irrigated with saline and alveogyl is placed in place of the tooth to prevent pain.

b. Irrigated and alveogYl is placed in place of the tooth to prevent dry socket.

c. Compressed by fingers to enhance healing.

d. Debrided from all particulate bone chips and debris.

32. A 65-year-old male presented to you for complete denture construction.

Panoramic radiographic examination revealed a deeply intrabony impacted

asymptomatic tooth # 48. You decided to the following:

e. Construct the denture.

f. Extract the tooth first.

g. Not to treat the patient.

h. Construct the denture and periodic follow up of tooth #48.

33. Polyglycolic acid suture material (vicryl) is:

e. Absorbable natural material.

f. Nonabsorbable synthetic material.

g. Absorbable synthetic material.

h. Nonabsorbable natural material.

34. Deficiency of factor IX causes:

e. Classical hemophilia.

f. Christmas disease.

g. Hageman disease.

h. Stuart disease.

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35. To reduce a dislocated condyle developed during extraction of mandibular

molar, the dentist must push the mandible:

e. Backward and downward.

f. Upward and backward.

g. Downward and backward.

h. Downward and forward.

36. In Winter's analysis of impacted mesioangular lower 3rd

molar, the white line

indicates the angulation of impaction, while the amber line indicates the

point of elevator application:

e. The first statement is wrong while the second statement is right.

f. Both statements are wrong.

g. The first statement is right while the second statement is wrong.

h. Both statements are right.

37. The most common site for dry socket is:

e. Lower incisor area.

f. Upper incisor area.

g. Upper molar area.

h. Lower molar area.

38. The ideal time for prophylactic removal of an impacted mandibular third

molar is

e. When the root is fully formed.

f. When the root is approximately 2/3 formed.

g. When the crown is completely formed.

h. It makes no difference the state of tooth development.

39. The most common complication after tooth extraction is:

e. Alveolar osteitis.

f. Condensing osteitis.

g. Infection.

a. Swelling.

40. When using an elevator to extract a tooth , the fulcrum should be :

b. Adjacent tooth .

c. Dentist`s wrist .

d. Tooth to be removed .

e. Thick compact alveolar bone.

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41. The following radiological sign is associated with increased risk of nerve

injury in impacted mandibular 3rd

molar surgery:

e. Wide mandibular canal.

f. Periapical bone sclerosis.

g. Interruption of superior cortex of the mandibular canal.

h. hypercementosed roots of impacted tooth.

42. A mesioangular impacted mandibular third molar is generally acknowledged

as:

d. The least difficult to be removed.

e. The most difficult to be removed.

f. Neither of the above.

43. The preferred instrument for removal of bone to expose a fractured root: e. The turbine high speed hand piece and round bur with coolant and air.

f. The turbine high speed hand piece and round bur with coolant without air.

g. The slow handpiece and round bur with coolant.

h. The slow handpiece and round bur without coolant.

44. During odontectomy of an impacted # 38 position C, a root tip was fractured,

it may be left in situ if it is:

f. Less than 5-6 mm.

g. Curved.

h. It has no periapical pathology.

i. It is very thin.

45. The least liable fractured alveolar bone associated with extraction of teeth is:

f. The buccal cortical plate over the maxillary canine.

g. The buccal bone over the mandibular molars.

h. The buccal cortical plate over the maxillary molars.

i. The labial bone on mandibular incisors.

46. A displaced root in the infratemporal fossa during extraction of an upper

molar should be removed:

f. Immediately if invisible by blind manipulation using a hemostat.

g. By surgical incision and exposure buccally.

h. Via a palatal approach.

i. By both palatal and buccal flaps.

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47. The following is NOT an indication for suturing a socket after surgical

extraction:

e. Approximation of flaps.

f. Control of bleeding.

g. Prevention of infection.

h. Avoiding swelling.

48. The left thumb finger of right handed operator as a part of retraction and

support should be placed in the palatal (lingual) vestibule when extracting:

f. Upper right premolar and lower right molar.

g. Upper left premolar and lower right molar.

h. Upper left molar and upper right premolar.

i. Upper right molar and lower left premolar.

49. To avoid the complication in question (25), the operator should:

e. Surgically extract the tooth.

f. Use the forceps rather than the elevator.

g. Insert a Minnesota retractor posterior to the tuberosity during tooth

elevation.

h. Apply the elevator from the palatal aspect.

50. All are difficulties encountered during upper first molar extraction

EXCEPT:

e. Extraction is rendered more difficult when the buccal roots are also divergent

& are curved distally.

f. The tooth is firmly embedded in the alveolar bone further reinforced by the

zygomatic bone.

g. Approximation to the maxillary sinus.

h. Periodontally affected teeth.

51. The improper use of force during extraction of maxillary third molar may

lead to:

e. Maxillary tuberosity fracture.

f. Mandibular fracture.

g. Tempromandibular joint affection.

h. Damage to the surrounding nerves.

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52. During odontectomy of an impacted mesioangular # 48, to facilitate tooth

delivery, bone is removed to expose:

e. The crown and 1/3 of the root.

f. The crown and 2/3 of the root.

g. 1/2 of the crown.

h. The crown to the cervical line.

53. In unilateral dislocation of the condyle during extraction:

e. The jaw is deviated toward the normal side.

f. The jaw is directed toward the affected side.

g. The mandibular movements are not affected.

h. The occlusion is not affected.

54. Removal of single roots broken halfway to the apex is best achieved by:

e. Forceps technique.

f. Transalveolar technique.

g. Elevators and forceps.

h. Necessarily by elevator.

55. During extraction of the upper second premolar the operator should mostly

consider:

e. The tooth relation to the maxillary sinus.

f. That it is the most liable tooth for fracture.

g. That the buccal bone fracture is the most common.

h. The heavy buccal alveolar bone coverage.

56. As you were elevating an impacted upper third molar into the oral cavity

using an elevator, it slipped under the flap and disappeared. Your

radiograph shows the tooth to be posterior to the tuberosity. Where is its

likely location?

e. Pterygomandibular space.

f. Maxillary sinus .

g. Infratemporal fossa.

h. Submandibular space.

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57. Emphysema is usually:

e. Resulting from accumulation of air into the intramuscular facial planes.

f. Resulting from an effusion of blood into the tissues.

g. Associated with bleeding tendency of the patient as an important factor.

h. Best treated with hyaluronidase enzyme.

58. Danger in use of elevators in the mandible is: e. Forcing a root in the maxillary sinus.

f. Forcing a root in the pterygomaxillary space.

g. Fracture of the maxillary tuberosity.

h. Forcing a root in the lingual pouch.

59. The mandibular occlusal plane during extraction of the lower third molar

should be:

e. At the level of the operator's elbow.

f. At the level of the operator's shoulder.

g. Below the level of operator's elbow.

h. Above the level of operator's shoulder.

60. For a successful autogenous tooth transplant of wisdom tooth in place of

severely decayed first molar, the wisdom tooth should:

e. Have a completely formed root.

f. Be partially erupted.

g. Impacted.

h. Have 1/3 of the root is formed with an open apex.

61. Which of the following non-resorbable suture materials is used most

commonly for closure of intraoral wounds?

e. Chromic catgut .

f. Nylon .

g. Black silk .

h. Plain catgut

62. Which of the following are is NOT a sign of tooth penetration in the

maxillary sinus:

e. Bilateral epistaxis.

f. Fluid regurgitation from the nose.

g. Resonance of the voice.

h. Bleeding from the socket.

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63. Upper Remaining roots can be removed using:

e. Bayonet forceps.

f. Upper molar forceps.

g. Upper premolar forceps.

h. Upper anterior forceps.

64. It is fairly well-established that the position of retained third molars does not

change substantially after age:

e. 20

f. 24

g. 28

h. 30

65. The following is NOT a principle of a correct mucoperiosteal flap design:

e. Oblique releasing incisions.

f. Base of the flap is broader than the apex.

g. Incision through mucosa followed by submucosa and periosteum.

h. Incision repositioned on sound bone.

66. Which of the following is true about hemophilia?

e. Normal BT,PTT and prolonged FT.

f. Prolonged BT, PT and PTT.

g. Prolonged PT, moderately prolonged PTT and normal BT.

h. Prolonged BT, moderately prolonged PTT and normal PT.

67. The rivet joint design of lower extraction forceps is:

e. Appropriate for patient with small mouth opening.

f. Not appropriate for patient with joint problems.

g. Characterized by decreasing force applied to tooth.

h. Characterized by increasing force applied to tooth.

68. Which type of impaction is most likely to be displaced into the infratemporal

fossa if incorrect technique is employed during extraction of maxillary

impacted third molar?

e. Distoangular.

f. Mesioangular.

g. Horizontal.

h. Vertical.

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69. Fractured alveolar bone following teeth extraction should be:

e. Removed routinely.

f. Removed independent of its size.

g. Removed even when large if detached from periosteal blood supply.

70. A slight traction force can be applied during extraction:

e. Before Luxation.

f. After Luxation.

g. After apical pressure.

h. Before apical grip.

71. Which of the following suture materials is non-absorbable ?

e. Tendon.

f. Catgut.

g. Fascia lata.

h. Tantalum.

A 25-year-old male presented with a chief complaint of pain and swelling at the area

of # 48 as well as inability to open his mouth fully. The patient also showed

submandibular lymphadenitis and low grade fever. You know from a previous

history he has a partially erupted # 48.

Answer the following questions (72-74)

72. The most probable diagnosis of this case is:

e. Deep infrabony pocket between #47 and#48.

f. Acute pericoronitis.

g. Dentigerous cyst.

h. Acute periodontitis.

73. You decided to do:

e. Extraction #48.

f. Irrigation under the inflamed operculum.

g. Reduction of cusps of #18.

h. Irrigation,cusp reduction and antibiotic prescription.

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74. One week later, the acute symptoms subsided and radiographic examination

revealed a mesioangular position A impacted #48. You decided to do:

e. Operculectomy.

f. Odontectomy of #48.

g. Continue antibiotic for another week.

h. Operculectomy and odontectomy.

75. Cutting edge (atraumatic) suture needles: e. Has a triangular cross section.

f. Is exclusively half circular in shape.

g. Is adequate for fragile, delicate mucosal tissue.

h. Contraindicated to be used in dense soft tissue.

76. If a tooth is lost in the oropharynx during extraction of a tooth:

d. A tracheostomy should be routinely performed.

e. If the patient has a has a violent episode of coughing that continues, the

tooth is in the larynx.

f. The patient should be encouraged to cough and spit the tooth out onto the

floor.

77. The most common liable tooth for fracture during extraction is:

e. Maxillary second molar.

f. Maxillary first premolar.

g. Mandibular first bicuspid.

h. Mandibular second molar.

78. A palatal stent is inserted after odontectomy of class I impacted # 13 to

prevent:

e. Hematoma formation.

f. Nasal floor perforation.

g. Abscess formation.

h. Oro-nasal communication.

79. In closing deeper layers such as muscles or fascia the sutures used are :

e. Catgut.

f. Black silk.

g. Cotton.

h. Nylon.

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80. An immediate complications associated with tooth extraction is:

e. Dry socket.

f. Dislocated condyle.

g. Trismus.

h. Swelling.

II. SECTION II: (10 Marks)

Answer the following questions:

1. Specify types and indications of forceps extraction. (5 Marks)

2. Discuss signs and symptoms of dry socket. (5 marks)

6.a.

6.b.

6.c.

7. a.

7.b.

8.

9.a.

9.b.

9.c.

9.d.

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10. a. Mark sheet for continuous assessment females 5th

year

Mark Sheet

Oral Surgery

SN. Comp.

No. STUDENT'S NAME Marks/10

1 0744229 Rowaina Mohammed Ahmed Mansouri 6.5

2 0744376 Abrar Mohammad Gurban Kuchari 5.5

3 0745158 Rawan Hussien Hassan Abed 7

4 0748767 Maha Talal Al-sharif 8

5 0872009 Dania Yaseen Ali Bahadila 7.5

6 0872011 Shahad Bakheet Ahmad Al-Sharif 6.5

7 0872014 Aqilah Hussain Habeeb Al Mubarak 8

8 0872016 Sarah Ahmed Abdulkair Al Muwallad 7

9 0872021 Halah Ibrahim Ahmad Thanoon 7.5

10 0872022 Halah Mohd. Hussain FahaimAldun Khalifa 8

11 0872029 Majd Bakheet Ahmad Al-Sharif 7

12 0872050 Abeer Ali Abdullah Qahtani 7.5

13 0872053 Weam Tariq Saeed Habib 8

14 0872055 Lamah Mohammad Abdul Aziz Al Dhakil 7

15 0872056 Abrar Ibrahim Mohammad Namankani 8

16 0872062 Fatma Abdulqader Abdullah Azouz 9.5

17 0872064 Bushra Hameed Hamed Al-Jahdali 7.5

18 0872072 Azezah Ayed Abdulah Derham 9

19 0872075 Nada Layth Ahmed Mimish 6.5

20 0872078 Lujain Adnan Jamil Al Sulimani 8.5

21 0872086 Meyassara Bassam Ali Samman 9

22 0872088 Elham Ahmed Naser Asiri 8

23 0872092 Amal Asad Makki Al-Sadah 8

24 0872093 Marwa Sa'ad Hamed Al-Zem'ei 8.5

25 0872094 Ayah Zohair Mohammad Sadeq Khwndnah 7.5

26 0872098 Sarah Abdulmouti Ayesh Al-Motairi 9

27 0872102 Noorah Matouq Mansi Aman 8

28 0872113 Shahad Essa Saleh Al-Amoudi 6

29 0872120 Shuroog Rashed Wasmi AlDosari 10

30 0872121 Khlood Abdul Khaliq Abdullah AlSAyed 8

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31 0872124 Nada Khalid Abdrabrasool Al-Beesh 6

32 0872138 Khadijah Omer Ahmad Bagazi 8

33 0872140 Abrar Hisham Jameel Bardesi 6.5

34 0872141 Mai Nizar Mohmmed Al-Aidarous 6.5

35 0872145 Amal Ali Abdulmohsin Al-Jeshi 8

36 0872150 Amera Abdulkarem Gassem Al Mahdi 6

37 0872152 Nada Abdul Rhman Hassan shokair 7

38 0872156 Hanan Hassan Mohamed Al Alawi 8

39 0872160 Roqaia Ahmad Hassan Ahbail 7.5

40 0872163 Sahar Esam Ibrahim Ghandoura 8.5

41 0872167 Marwah Mohammad Salem Bawazir 9.5

42 0872171 Abrar Salah Abdulaziz Qutub 7.5

43 0872172 Sarah Mohamad saed Abdulillah Nassief 8

44 0872181 Ebtehal Abdul Aziz Al-Juhany 8.5

45 0872184 Dua Abdulrahman Mohammad Al-Ahdal 6.5

46 0872187 Linah Osama Abdullah Bahanan 9

47 0872190 Hanan Kamal Nawai Filemban 8.5

48 0872210 Afnan Mansour Mohamed Al Sanie 7

49 0872215 Amani Abdulaziz Andejani 6

50 0872229 Rabab Abdulaziz Saeed Al-Jawi 9

51 0872260 Madawi Faisal Nasser Al-Keheli 7

52 0872283 Ebtehal Abdulraoof Ghazal 8

53 0872325 Manar Tariq Mohammed Karawi 6

54 0872334 Alaa Fahmi Najm aldeen Bokhari 7.5

55 0872339 Rawan Hussain Ali Al-hasawi 6.5

56 0872368 Reham Mohammed Ali Al-Amodi 8.5

57 0872372 Rana Ammar Sadeq Dahlan 8.5

58 0872383 Marwa Fahmy Arabi Saqqat 7.5

59 0872401 Haneen Abdulrahman Bakhaider 9

60 0872424 Nahla Jaber Aaid Al-kahttabi 7.5

61 0872429 Tagreed Abdulaziz AdulRaheem Wazzan 8

62 0872433 Samaa Samir Abdulfattah Bakhsh 8.5

63 0872443 Shereen Osama Al-Jiffri 7

64 0872463 Doaa Yasir Saleh Jamal 6

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10.b. Mark sheet for continuous assessment males 5th

year

Mark Sheet

Oral Surgery

SN Comp. No. STUDENT`S NAME Marks

1 0704097 Abdulrahman Saleh Al-Damook 7

2 0704238 Mohammed Gazi Hassan Musali 8.5

3 0704251 Waleed Saleh Al-Zahrani 9

4 0704253 Rayan Ibrahim Bakarman 9

5 0704265 Muhammed Abdullah Alzahrani 10

6 0704272 Ali Sulaiman Arab 6

7 0704274 Saud Mohammed Al-Oufi 9.5

8 0704282 Abdulaziz Mohammed Yusef Taj 9

9 0704284 Abdulkareem Amed Aloufi 8.5

10 0704408 Ayad Ahmed Al-Khamis 6

11 0704781 Raed Mohammed Al-Amoudi 10

12 0856007 Khabab Khalid Bakhsh 7

13 0856008 Alaa Ali Hasan Baba'er 9

14 0856011 Hassan Mohammad Kadi 8

15 0856034 Abdullah Mohammad Abid Bokhary 7

16 0856068 Abdulelah Hussin Al-Sulimani 5.5

17 0856082 Omar Rifat Khattab 8.5

18 0856093 Alla Jameel Khabbarah 8

19 0856103 Ahmed Yahia Al-Zhrany 9

20 0856115 Saeed Jama'an Al-Zahrani 8.5

21 0856124 Majed Saad Al-Khamash 8.5

22 0856129 Firas Nabil Bafageeh 7

23 0856145 Wleed Abdullah Saleh Al-Amoudi 8.5

24 0856157 Abdullah Othman Mohamed Bamashmos 7.5

25 0856174 Adi Ahmed Azhari 9.5

26 0856176 Rakan Awadh AlMahyawi 9.5

27 0856177 Nasser Ali Al-Mansouri 9

28 0856180 Abdullah Saleh Al-Attas 7.5

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29 0856181 AbdulAziz Mohammad BaNasser 7.5

30 0856183 Baraa Hesham Al-Sayed 8

31 0856187 Abdulrhman Abdullatif Al-Ghamdi 7.5

32 0856188 Othman Saleh Al-Sulaimani 9.5

33 0856190 Mohammed Abdullah Alzubidi 8.5

34 0856191 Msab Ali J.Majeed 7

35 0856192 Faisal Mohammed Said Dardeer 7

36 0856196 Yasser Abdullah Bashrahil 10

37 0856197 Ibrahim Lafi Al-Harthi 9

38 0856198 Ammar Mohammed Talal Jijawi 5.5

39 0856200 Adel Nedal Radwan 9

40 0856207 Ibrahim Saleh Akeel 8

41 0856209 Yazeed Magbul Al-Thamali 8.5

42 0856211 Zohair Ali Al-Ghamdi 10

43 0856212 Abdulaziz Homood Ahmed Al-Ghamdi 8.5

44 0856213 Osamah Abdulelah AL-Sulaimani 9.5

45 0856225 Moaiyad Abdulwahab Al-Kayal 7.5

46 0856231 Bander Saud Shkor 8

47 0856232 Mohanad Hassan Al-ajouz 8

48 0856259 Abdullah Mohammad Al-Shammrani 8.5

49 0856277 Abdullah AbdulRahman Al-Amri 7.5

50 0856282 Rakan Ibrahim Qutub 9

51 0856283 Naif Adnan Ganadely 8.5

52 0856287 Majed AbdulRahman Al-Shehri 8.5

53 0856290 Ahmad Garmallah Al-Zahrani 9

54 0856319 Ahmed Jamal Abuzinadah 9

55 0856326 Ahmed Haney Katib 7.5

56 0856330 Raed Rafat Gholman 8

57 0856344 Ahmad Abdulaziz Malluh 8.5

58 0856355 Ayman Ahmed Banjar 9.5

59 0856356 Hasan Shafiq Barri 8

60 0856359 Naif Ali Jari 7.5

61 0856362 Ayman Fahad Magliah 8

62 0856376 Ziad Abdullah Al-Harbi 8.5

63 0856377 Lotfy Tarek Al-Khateeb 9

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10.c. Mid year mark sheet females

Mark Sheet

Oral Surgery

SN. Comp.

No. STUDENT'S NAME

1 0744229 Rowaina Mohammed Ahmed Mansouri 32

2 0744376 Abrar Mohammad Gurban Kuchari 32

3 0745158 Rawan Hussien Hassan Abed 28

4 0748767 Maha Talal Al-sharif 30

5 0872009 Dania Yaseen Ali Bahadila 33

6 0872011 Shahad Bakheet Ahmad Al-Sharif 34

7 0872014 Aqilah Hussain Habeeb Al Mubarak 32

8 0872016 Sarah Ahmed Abdulkair Al Muwallad 30

9 0872021 Halah Ibrahim Ahmad Thanoon 31

10 0872022 Halah Mohd. Hussain FahaimAldun Khalifa 29

11 0872029 Majd Bakheet Ahmad Al-Sharif 33

12 0872050 Abeer Ali Abdullah Qahtani 34

13 0872053 Weam Tariq Saeed Habib 33

14 0872055 Lamah Mohammad Abdul Aziz Al Dhakil 29

15 0872056 Abrar Ibrahim Mohammad Namankani 31

16 0872062 Fatma Abdulqader Abdullah Azouz 34

17 0872064 Bushra Hameed Hamed Al-Jahdali 34

18 0872072 Azezah Ayed Abdulah Derham 30

19 0872075 Nada Layth Ahmed Mimish 23

20 0872078 Lujain Adnan Jamil Al Sulimani 31

21 0872086 Meyassara Bassam Ali Samman 34

22 0872088 Elham Ahmed Naser Asiri 30

23 0872092 Amal Asad Makki Al-Sadah 33

24 0872093 Marwa Sa'ad Hamed Al-Zem'ei 31

25 0872094 Ayah Zohair Mohammad Sadeq Khwndnah 34

26 0872098 Sarah Abdulmouti Ayesh Al-Motairi 34

27 0872102 Noorah Matouq Mansi Aman 32

28 0872113 Shahad Essa Saleh Al-Amoudi 25

29 0872120 Shuroog Rashed Wasmi AlDosari 32

30 0872121 Khlood Abdul Khaliq Abdullah AlSAyed 31

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31 0872124 Nada Khalid Abdrabrasool Al-Beesh 31

32 0872138 Khadijah Omer Ahmad Bagazi 33

33 0872140 Abrar Hisham Jameel Bardesi 32

34 0872141 Mai Nizar Mohmmed Al-Aidarous 31

35 0872145 Amal Ali Abdulmohsin Al-Jeshi 32

36 0872150 Amera Abdulkarem Gassem Al Mahdi 23

37 0872152 Nada Abdul Rhman Hassan shokair 34

38 0872156 Hanan Hassan Mohamed Al Alawi 28

39 0872160 Roqaia Ahmad Hassan Ahbail 31

40 0872163 Sahar Esam Ibrahim Ghandoura 36

41 0872167 Marwah Mohammad Salem Bawazir 34

42 0872171 Abrar Salah Abdulaziz Qutub 31

43 0872172 Sarah Mohamad saed Abdulillah Nassief 26

44 0872181 Ebtehal Abdul Aziz Al-Juhany 33

45 0872184 Dua Abdulrahman Mohammad Al-Ahdal 34

46 0872187 Linah Osama Abdullah Bahanan 35

47 0872190 Hanan Kamal Nawai Filemban 35

48 0872210 Afnan Mansour Mohamed Al Sanie 28

49 0872215 Amani Abdulaziz Andejani 30

50 0872229 Rabab Abdulaziz Saeed Al-Jawi 29

51 0872260 Madawi Faisal Nasser Al-Keheli 29

52 0872283 Ebtehal Abdulraoof Ghazal 30

53 0872325 Manar Tariq Mohammed Karawi 28

54 0872334 Alaa Fahmi Najm aldeen Bokhari 30

55 0872339 Rawan Hussain Ali Al-hasawi 35

56 0872368 Reham Mohammed Ali Al-Amodi 31

57 0872372 Rana Ammar Sadeq Dahlan 32

58 0872383 Marwa Fahmy Arabi Saqqat 26

59 0872401 Haneen Abdulrahman Bakhaider 30

60 0872424 Nahla Jaber Aaid Al-kahttabi 31

61 0872429 Tagreed Abdulaziz AdulRaheem Wazzan 33

62 0872433 Samaa Samir Abdulfattah Bakhsh 34

63 0872443 Shereen Osama Al-Jiffri 26

64 0872463 Doaa Yasir Saleh Jamal 26

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10.d. Mid year mark sheet males

SN Comp. No. STUDENT`S NAME Marks Total

midterm

1 0704097 Abdulrahman Saleh Al-Damook 31 31

2 0704238 Mohammed Gazi Hassan Musali 28 28

3 0704251 Waleed Saleh Al-Zahrani 27 27

4 0704253 Rayan Ibrahim Bakarman 18 18

5 0704265 Muhammed Abdullah Alzahrani 17 17

6 0704272 Ali Sulaiman Arab 29 29

7 0704274 Saud Mohammed Al-Oufi 19 19

8 0704282 Abdulaziz Mohammed Yusef Taj 22 22

9 0704284 Abdulkareem Amed Aloufi 22 22

10 0704408 Ayad Ahmed Al-Khamis w w

11 0704781 Raed Mohammed Al-Amoudi 18 18

12 0856007 Khabab Khalid Bakhsh 31 31

13 0856008 Alaa Ali Hasan Baba'er 33 33

14 0856011 Hassan Mohammad Kadi 33 33

15 0856034 Abdullah Mohammad Abid Bokhary 31 31

16 0856068 Abdulelah Hussin Al-Sulimani 35 35

17 0856082 Omar Rifat Khattab 32 32

18 0856093 Alla Jameel Khabbarah 30 30

19 0856103 Ahmed Yahia Al-Zhrany 34 34

20 0856115 Saeed Jama'an Al-Zahrani 33 33

21 0856124 Majed Saad Al-Khamash 25 25

22 0856129 Firas Nabil Bafageeh 35 35

23 0856145 Wleed Abdullah Saleh Al-Amoudi 31 31

24 0856157 Abdullah Othman Mohamed Bamashmos 27 27

25 0856174 Adi Ahmed Azhari 35 35

26 0856176 Rakan Awadh AlMahyawi 26 26

27 0856177 Nasser Ali Al-Mansouri 26 26

28 0856180 Abdullah Saleh Al-Attas 30 30

29 0856181 AbdulAziz Mohammad BaNasser 32 32

30 0856183 Baraa Hesham Al-Sayed 34 34

31 0856187 Abdulrhman Abdullatif Al-Ghamdi 31 31

32 0856188 Othman Saleh Al-Sulaimani 32 32

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SN

Comp. No. STUDENT`S NAME

33 0856190 Mohammed Abdullah Alzubidi 31 31

34 0856191 Msab Ali J.Majeed 27 27

35 0856192 Faisal Mohammed Said Dardeer 30 30

36 0856196 Yasser Abdullah Bashrahil 24 24

37 0856197 Ibrahim Lafi Al-Harthi 26 26

38 0856198 Ammar Mohammed Talal Jijawi 28 28

39 0856200 Adel Nedal Radwan 27 27

40 0856207 Ibrahim Saleh Akeel 29 29

41 0856209 Yazeed Magbul Al-Thamali 31 31

42 0856211 Zohair Ali Al-Ghamdi 28 28

43 0856212 Abdulaziz Homood Ahmed Al-Ghamdi 30 30

44 0856213 Osamah Abdulelah AL-Sulaimani 29 29

45 0856225 Moaiyad Abdulwahab Al-Kayal 32 32

46 0856231 Bander Saud Shkor 33 33

47 0856232 Mohanad Hassan Al-ajouz 23 23

48 0856259 Abdullah Mohammad Al-Shammrani 30 30

49 0856277 Abdullah AbdulRahman Al-Amri 25 25

50 0856282 Rakan Ibrahim Qutub 25 25

51 0856283 Naif Adnan Ganadely 29 29

52 0856287 Majed AbdulRahman Al-Shehri 26 26

53 0856290 Ahmad Garmallah Al-Zahrani 25 25

54 0856319 Ahmed Jamal Abuzinadah 24 24

55 0856326 Ahmed Haney Katib 30 30

56 0856330 Raed Rafat Gholman 30 30

57 0856344 Ahmad Abdulaziz Malluh 26 26

58 0856355 Ayman Ahmed Banjar 29 29

59 0856356 Hasan Shafiq Barri 24 24

60 0856359 Naif Ali Jari 30 30

61 0856362 Ayman Fahad Magliah 29 29

62 0856376 Ziad Abdullah Al-Harbi 23 23

63 0856377 Lotfy Tarek Al-Khateeb 14 14

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11.a. staff posting Dr. Ahmed Al-Yamani.pdf

11.b. staff posting Dr. Haytham Attia.pdf

11.c. staff posting Dr. Khaled Mustafa.pdf

11.d. staff posting Prof. Fahmy Abdul-Al.pdf

11.e. staff posting Prof. Hala Mokhtar.pdf

11.f. staff posting Prof. Hassan ABdel-Dayem.pdf

11.g. staff posting Prof. Mohammed El-Sehemy.pdf

11. h. staff posting Prof. Rajab Shaaban.pdf

12. PATIENT RIGHTS.pdf

13. see CD

14.a.

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14.b.

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14.c.

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14.d. Periodic assessment of MPE

achievements

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Assessment Schedule and Course Grading

No Assessment

Task Week Due

Feedback Mechanism/Ti

me Grade

Proportion of Final Assessm

ent

1

Midterm

assessment

First semester (Written)

7

The students

are having their

marks, and

discussion

during office

hours are held

with the staff

10 Marks 5%

1

Midterm

assessment

Second

semester

(Written)

7

The students

are having their

marks, and

discussion

during office

hours are held

with the staff

10 Marks 5%

1

Midyear

Examination MCQs and

essays in the form of short

essay

14

The students

are having their

marks, and

discussion

during office

hours are held

with the staff

30 Marks 15%

0 Attendance

Lectures

and

clinical

sessions

A report will

provided by the

administration to

the course

director

01 Marks 5%

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5

Minimum

procedural

experiences

for LA

Through

out the

year

The student

should perform

at least 5 cases

of inferior

alveolar nerve

block/self

assessment and

instructor

assessment

5 Marks 2.5%

10

Minimum

procedural

experiences

for Extraction

Through

out the

year

The student

should perform

at least 10

cases of simple

extraction/ /self

assessment and

instructor

assessment

10 Marks 5%

1

Clinical

competency

exam

Upon

completi

on of

MPE

Student is

answered for

any questioning

of his evaluation

15 Marks

5 for L.A

and 10 for

extraction

and related

procedures

7.5%

1

Simulated

clinical

competency

examination

(SCCE)

At the

end of

the year

Student is

answered for

any questioning

of his evaluation

20 Marks 10%

1

Final written

exam

MCQ and essay

At the

end of

the year

Student is

answered for

any questioning

of his evaluation

80 Marks 40%

Total 200 100%


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