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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
Course, Course Code 2011-2012
KAUFD
2
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
Course, Course Code 2011-2012
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3
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
Course, Course Code 2011-2012
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1 COURSE SPECIFICATION
Course, Course Code 2011-2012
KAUFD
5
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
Hala Mokhtar
Abdel-Alim
Prof. &course director
Monday 2-5 pm
G/919 Female side 0533482015
1.2.1.2 Faculty Members Contact Details
Name Position Office Hours
Extension Number
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
Khaled Mostafa Ass. Prof
Monday 2-5 pm 0566191981
Haytham Attia Ass. Prof
Tuesday 2-5pm 0590941244
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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%
Course, Course Code 2011-2012
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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.
Course, Course Code 2011-2012
KAUFD
54
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
Course, Course Code 2011-2012
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55
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.
Course, Course Code 2011-2012
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56
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
Course, Course Code 2011-2012
KAUFD
57
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
Course, Course Code 2011-2012
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58
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)
Course, Course Code 2011-2012
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59
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%
Course, Course Code 2011-2012
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60
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
Course, Course Code 2011-2012
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61
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
Course, Course Code 2011-2012
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62
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)
Course, Course Code 2011-2012
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63
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.
Course, Course Code 2011-2012
3.6 Course Evaluation
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.
Course, Course Code 2011-2012
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65
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.
Course, Course Code 2011-2012
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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.
Course, Course Code 2011-2012
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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
Course, Course Code 2011-2012
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68
3.7.3 Recommendations for Program Coordinator
Name of Director: Hala Mokhtar
Signature:
Date Report Completed
Date Received by Head of Department
Course, Course Code 2011-2012
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69
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
Course, Course Code 2011-2012
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70
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)
Course, Course Code 2011-2012
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71
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
Course, Course Code 2011-2012
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72
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
Course, Course Code 2011-2012
KAUFD
73
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)
Course, Course Code 2011-2012
KAUFD
74
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
Course, Course Code 2011-2012
KAUFD
75
2.a. Progress note form
Course, Course Code 2011-2012
KAUFD
76
2.b.Progress note as filled by a student
Course, Course Code 2011-2012
KAUFD
77
3. Clinical self assessment evaluation form
Course, Course Code 2011-2012
KAUFD
78
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.
Course, Course Code 2011-2012
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79
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.
Course, Course Code 2011-2012
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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.
Course, Course Code 2011-2012
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81
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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128
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.
Course, Course Code 2011-2012
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129
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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130
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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131
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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132
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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133
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
Course, Course Code 2011-2012
KAUFD
134
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
Course, Course Code 2011-2012
KAUFD
135
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
Course, Course Code 2011-2012
KAUFD
136
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
Course, Course Code 2011-2012
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137
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.
Course, Course Code 2011-2012
KAUFD
138
Course, Course Code 2011-2012
KAUFD
139
14.b.
Course, Course Code 2011-2012
KAUFD
140
14.c.
Course, Course Code 2011-2012
KAUFD
141
14.d. Periodic assessment of MPE
achievements
Course, Course Code 2011-2012
KAUFD
142
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%
Course, Course Code 2011-2012
KAUFD
143
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%